Ethical issues in resuscitation and intensive care medicine
Publication date: Available online 17 January 2016 Source:Anaesthesia & Intensive Care Medicine Author(s): Lucy Modra, Andrew Hilton Intensive care medicine is richly endowed with ethical dilemmas, including decision making on behalf of incompetent patients, withdrawal of treatment decisions and rationing of limited resources. Intensive care physicians need to be attuned to these ethical aspects of their practice. Beauchamp and Childress' four principles of medical ethics provide a useful approach to ethical problems. However, the principles provide a framework rather than an ‘answer’. The advent of ECMO-CPR illustrates some common ethical dilemmas in intensive care medicine.
CONCLUSIONS: Anesthetic preconditioning is a promising strategy to prevent I-R injury associated with transplantation. Our results suggest that sirtuin 2 is involved in the protective mechanisms of some commonly used anesthetics against I-R damage. PMID: 31726818 [PubMed - as supplied by publisher]
Recently saw this from Pamela Wible, whos been tracking suicide rates for the past some years. She had 10 names in 2012, now 1363. Anesthesiology as expected is #1 by far. Thought this would be interesting to see for some of you
We report successful anaesthetic management of an accidental traumatic rupture of the left main bronchus during surgical dissection in an elderly lady of Carcinoma Oesophagus who underwent a Video Assisted Thoracoscopic surgery (VATS), and was managed by one lung ventilation of the contralateral (right) side manipulating the same DLT and lung protective ventilation.
ConclusionsFlow disruptions in robotic abdominal sacrocolpopexy surgery occur about every 6 min. Flow disruption rates are highest during the most complex portions of the surgery. More experienced surgeons have lower flow disruption rates and operate more quickly.
ConclusionsLSC is feasible, with equivalent intraoperative complication rates for normal weight, overweight and obese women when performed by experienced laparoscopic urogynaecologists. Given the benefits of a laparoscopic approach in obese women, the authors suggest they should be offered LSC as an option to treat vault prolapse when surgical management is being considered.
Children with nearsightedness (myopia) may now benefit from the first contact lens approved by FDA for slowing the progression of the common condition. Until now, traditional eyeglasses and contact lenses available in the United States have only been developed to correct blurred vision (a symptom of myopia),Â but not for slowing theÂ progression of the condition. Â âTodayâs approval is the first FDA-approved product to slow the progression of myopia in children, which ultimately could mean a reduced risk of developing other eye problems,â...
ConclusionThis study suggests that the post-auricular approach is a feasible and less time consuming route for round window drug delivery experiments in Wistar albino rats. Recognition of anatomical landmarks, particularly the facial nerve is the key to surgery.
Conditions: Drug Effect; Tooth Extraction Intervention: Drug: Articaine / EPINEPHrine Cartridge Sponsor: Universidad de Antioquia Enrolling by invitation
Conditions: Cataract; Analgesia; Ophthalmological Disorder Interventions: Drug: lignocaine; Procedure: Phacoemulsyfication; Procedure: Intraocular lens implantation; Behavioral: Visual Analog Scale for Pain; Behavioral: Brief Pain Inventory-short form; Diagnostic Test: Best corrected visual acuity measurment; Diagnostic Test: Slit-lam p biomicroscopy Sponsor: Medical University of Lublin Completed
Conditions: Pain; Regional Anesthesia Morbidity; Arthroplasty Complications Intervention: Procedure: Lumbar erector spinae plane block Sponsor: University of Sao Paulo General Hospital Recruiting