Body Of Proof Star Dana Delany Mistakes Horizontal Tracheostomy for Cricothyroidotomy

InsideSurgery.com watched with interest a recent episode of the terrific ABC medical drama Burden of Proof staring Dana Delany as Dr. Megan Hunt, a neurosurgeon turned medical examiner. Although we found the Body of Proof episode much more realistic than most medical television shows, one unconventional medical decision we noted was the script calling for a tracheostomy to be performed to establish an emergency airway in the field. Dana Delany as Dr. Megan Hunt in Body of Proof This is technically not correct as an emergency airway established in the field is always a cricothyroidotomy, not a tracheostomy. No doubt, the writers exercised understandable dramatic license in using the likely more familiar term (to the general public) of tracheostomy. However, there are considerable technical and anatomic differences in the two procedures that should be highlighted to better educate any of the nine million viewers of the Body of  Proof episode who might care to dig deeper into this subject and might consider actually performing this procedure in an emergency. The key anatomic surgical difference between the two procedures lies in the location of the cricothyroid membrane through which a cricothyroidotomy is performed vs. the lower tracheal rings through which a tracheostomy is performed. The cricothyroid membrane is fairly easy to palpate and lies between the two paired cricoid cartilages which are sometimes referred to as the Adam’s apple positioned in the ...
Source: Inside Surgery - Category: Surgery Authors: Tags: Musings Body of Proof cricothyroidotomy Dana Delany Megan Hunt tracheostomy Source Type: blogs

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Publication date: Available online 22 January 2020Source: Nutrition, Metabolism and Cardiovascular DiseasesAuthor(s): Giuseppe De Luca, Monica Verdoia, Stefano Savonitto, Luca A. Ferri, Luigi Piatti, Daniele Grosseto, Nuccia Morici, Irene Bossi, Paolo Sganzerla, Giovanni Tortorella, Michele Cacucci, Maurizio Ferrario, Ernesto Murena, Girolamo Sibilio, Stefano Tondi, Anna Toso, Sergio Bongioanni, Amelia Ravera, Elena Corrada, Matteo MarianiAbstractBackgroundElderly patients are at increased risk of hemorrhagic and thrombotic complications after an acute coronary syndrome (ACS). Frailty, comorbilities and low body weight hav...
Source: Nutrition, Metabolism and Cardiovascular Diseases - Category: Nutrition Source Type: research
Abstract Objective: The aim of the study was to evaluate the correlation between obesity and the use of depot medroxyprogesterone (DMPA) with regard to weight gain and changes in bleeding pattern.Methods: A retrospective chart review was conducted of women receiving 150 mg DMPA via intramuscular injection at inpatient and outpatient clinics at the University of Mississippi Medical Centre between 1 June 2012 and 31 December 2016. Body mass indices (BMI) were assessed at baseline and at the time of final injection. Data on race, medical history, age at first DMPA injection, number and timing of injections, re...
Source: The European Journal of Contraception and Reproductive Health Care - Category: Reproduction Medicine Authors: Tags: Eur J Contracept Reprod Health Care Source Type: research
Publication date: Available online 10 January 2020Source: American Heart JournalAuthor(s): D. Kalbacher, E. Tigges, P. Boekstegers, M. Puls, B. Plicht, H. Eggebrecht, G. Nickenig, R.S.v. Bardeleben, C.S. Zuern, J. Franke, H. Sievert, T. Ouarrak, J. Senges, E. LubosAbstractBackgroundUnderweight and obesity represent classical risk factors for adverse outcome in patients treated for cardiovascular disease.AimsThe current analysis examines the impact of underweight, overweight and obesity on intra-hospital, short and long-term outcomes in patients treated by MitraClip therapy.Methods and ResultsFrom 08/2010 until 07/2013, 799...
Source: American Heart Journal - Category: Cardiology Source Type: research
CONCLUSION: It can be concluded that the presence of obesity may hinder the improvement of periodontal clinical parameters after conventional periodontal treatment in patients with diabetes mellitus and periodontitis. PMID: 31896102 [PubMed - in process]
Source: Journal of the International Academy of Periodontology - Category: Dentistry Tags: J Int Acad Periodontol Source Type: research
Purpose of review Although the first successful kidney transplantation 65 years ago was performed with a living donor kidney, the number of living donor kidney transplantations has increased especially during the last 2 decades. The enlargement of living donor programs was made possible by new modes of living donation and by expansion of the living donor pool. At the same time, the long-term risks of kidney donation have been better delineated. In this review, the latest developments on these topics are summarized. Recent findings While the results of ABO-incompatible living kidney transplantation are superior to thos...
Source: Current Opinion in Organ Transplantation - Category: Surgery Tags: RENAL TRANSPLANT: Edited by Uwe Heeman Source Type: research
Conditions:   Obesity, Morbid;   Obesity;   Obesity, Abdominal;   Wound;   Wound Infection;   Wound Complication;   Wound Dehiscence;   Wound Contamination;   Wound Heal;   Wound; Abdomen;   Incision;   Incision Site Rash;   Incision Site Bleeding;   Incision Site Swelling;   Incis ion Site Haematoma;   Incision Site Infection;   Incision Site Inflammation;   Incision Site Complication;   Incision Surgical;   Su...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In this study we evaluated the impact that CV.R plays on thrombotic risk and survival in patients with PV and ET.
Source: Mediterranean Journal of Hematology and Infectious Diseases - Category: Hematology Source Type: research
Conditions:   Obesity, Morbid;   Obesity;   Obesity, Abdominal;   Wound;   Wound Infection;   Wound Complication;   Wound Dehiscence;   Wound Contamination;   Wound Heal;   Wound; Abdomen;   Incision;   Incision Site Rash;   Incision Site Bleeding;   Incision Site Swelling;   Incis ion Site Haematoma;   Incision Site Infection;   Incision Site Inflammation;   Incision Site Complication;   Incision Surgical;   Su...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSIONS: We report the first case of a patient with acquired GT due to ITP with FcγRIIa mediated platelet desialylation, independent of platelet activation. Treatment with neuraminidase inhibitor may prevent platelet clearance by anti-αIIb β3 antibodies. PMID: 31869497 [PubMed - as supplied by publisher]
Source: Thrombosis and Haemostasis - Category: Hematology Authors: Tags: J Thromb Haemost Source Type: research
ConclusionInpatient mortality following BS in CLD patients is low; however, there was an increased risk compared with the non-CLD population. Postoperative complications were no different or even less frequent in CLD patients compared with the general population. BS should not be discounted as a treatment option for obesity in patients with CLD.
Source: Obesity Surgery - Category: Surgery Source Type: research
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