Status epilepticus: an intensive care medicine problem

This article will arm the critical are trainee with the theoretical knowledge required to effectively manage this particularly vulnerable cohort of patients.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research

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Publication date: Available online 10 November 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Fabrice Ferré, Jean-Mathieu Mastantuono, Charlotte Martin, Anne Ferrier, Philippe Marty, Pierre Laumonerie, Nicolas Bonnevialle, Vincent MinvilleAbstractBackground and objectivesThe frequent onset of hemidiaphragmatic paralysis during interscalene block restricts its use in patients with respiratory insufficiency. Supraclavicular block could be a safe and effective alternative. Our primary objective was to assess the incidence of hemidiaphragmatic paralysis following ultrasound-guided supraclavi...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Publication date: Available online 9 November 2019Source: Neuroscience ResearchAuthor(s): Kounosuke Hirata, Yuto Nishiki, Ryosuke Goto, Mikito Inagaki, Katsuo Oshima, Yoshihito Shimazu, Mamoru TakedaAbstractSystemic administration of the dietary constituent, resveratrol, was previously shown to inhibit the nociceptive jaw-opening reflex (JOR) via the endogenous opioid system. The present study investigated whether resveratrol could similarly affect the JOR under in vivo conditions via 5 H T3 receptor-mediated GABAergic inhibition. We used electrical stimulation of the tongue in pentobarbital-anesthetized rats...
Source: Neuroscience Research - Category: Neuroscience Source Type: research
This study was registered with Japan Registry of Clinical Trials (jRCTs052190026). PMID: 31701044 [PubMed]
Source: Clinical Prostate Cancer - Category: Cancer & Oncology Authors: Tags: Contemp Clin Trials Commun Source Type: research
AbstractPurpose of ReviewWe review the current literature on predictors, pathophysiology, and prevention of delirium in surgical patients. The focus is on the role of the anesthesiologist in the prevention and management of delirium in the perioperative setting.Recent FindingsRecent literature has examined how surgery and anesthetic management can affect the incidence of delirium. Anesthesiologists play a critical role in identifying those at risk of developing delirium and adjusting their anesthetic management and perioperative course to minimize this risk.SummaryDelirium research is evolving rapidly. Current evidence sug...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
AbstractPurpose of ReviewThe purpose of this paper is to review updates to the definition of pulmonary hypertension (PH), its diagnosis, and management. New treatment options, the role of mechanical support, outcome studies, and intraoperative management will be emphasized.Recent FindingsThe definition of PH has been recently changed, with a decrease in the qualifying mean pulmonary artery pressure and the addition of pulmonary vascular resistance. There have been minor changes to PH classifications. Some new medications are available to treat PH, and new associations between drugs and PH have been discovered. Recommended ...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
Discussion and conclusionThe Authors, as a result of the present study, suggest that office hysteroscopy should be sussessful at the first attempt, because the majority of patients (58%), in case of a failed procedure, do not undergo a repeat hysteroscopy in a reasonable time and important diagnosis, such as that of endometrial cancer, may be missed or delayed. In order to increase the procedure success rate, prior to the scheduled hysteroscopy they recommend to counsel all patients, identifying those who may benefit from pharmacological cervical softening, local anesthetic injection or the use of small caliber hysteroscopes.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Publication date: Available online 9 November 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Vladimir Kalis, Martin Smazinka, Zdenek Rusavy, Mija Blaganje, Martin Havir, Linda Havelkova, Khaled IsmailAbstractStudy ObjectivesThe primary aim of this study was to assess the clinical feasibility of a policy where laparoscopic sacrocolpopexy (LSC) is the default procedure for the management of a significant apical pelvic organ prolapse (a-POP). As a secondary aim, we wanted to evaluate LSC outcomes in relation to women’s preoperative assessment of their surgical fitness using...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
ConclusionsThe management of patients with NORSE remains challenging, often requiring multiple intravenous anaesthetic treatments, leading to complicated and prolonged hospital and intensive care unit stays but good outcome remains possible.
Source: Seizure - Category: Neurology Source Type: research
ConclusionPatient carried a mutant of RYR1 gene could possibly lead to MH development post anaesthesia of cardiac surgery.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
Hey all, Have been thinking a lot about pursuing a critical care fellowship after my EM residency, but am finding it hard to grasp the subtleties between the three different routes open to us. Can anyone shed some light on this? My biggest draw to CC is becoming an expert in resuscitation: procedural expertise, vent management, cardiopulmonary monitoring etc. Of course there are the classic multidisciplinary routes exemplified by Pitt, but what are the different flavors and drawbacks of... Surgical/Anesthesia/Medicine CC from EM? Which to choose and why?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Emergency Medicine Source Type: forums
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