Changes in intracuff pressure of cuffed endotracheal tubes while positioning for adenotonsillectomy in children
ConclusionBoth increases and decreases in the intracuff pressure may occur following positioning of the pediatric patient for adenotonsillectomy. An increase in intracuff pressure may result in a higher risk of damage to the tracheal mucosa. A decrease in the intracuff pressure can result in an air leak resulting in inadequate ventilation, increased risk of aspiration, and even predispose to airway fire if oxygen‐enriched gases are used. Continuous intracuff pressure monitoring or rechecking the intracuff pressure after positioning for adenotonsillectomy may be indicated.
The objective of this study was to examine the effect of metabolic syndrome on 30-day postoperative complications following corrective surgery for the adult spinal deformity (ASD). Summary of Background Data: Metabolic syndrome has been shown to increase the risk of cardiovascular morbidity and mortality. Few studies have examined the effect of metabolic syndrome on patients with ASD undergoing surgery. Materials and Methods: We performed a retrospective cohort study of patients who underwent spinal fusion for ASD. Patients were divided into 2 groups based on the presence or absence of metabolic syndrome, which was d...
Conditions: HCV; HBV; Hiv Intervention: Procedure: HCV, HBV, HIV tests Sponsors: Assistance Publique - Hôpitaux de Paris; Gilead Sciences Not yet recruiting
Conditions: Anesthesia; Surgery Interventions: Device: I-Gel Laryngeal Mask Airway; Device: Ambu Auragain Laryngeal Mask Airway Sponsor: University of Minnesota Not yet recruiting
Conditions: Neuromuscular Blockade; Intubation Complication; Anesthesia Interventions: Drug: Rocuronium 0.6 mg/kg; Drug: Remifentanil 2 µg/kg Sponsor: Rigshospitalet, Denmark Not yet recruiting
Publication date: Available online 26 February 2020Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Herbert Gbejuade, Josephine Squire, Anindya Dixit, Vipul Kaushik, Jitendra Mangwani
Completing MRI scans on pediatric patients can be challenging, and often requires anesthesia. Could a newly developed program help minimize the use of anesthesia in these patients?Pediatric Nursing
Bruce Reed, Ph.D., Deputy Director of the NIH Center for Scientific Review Guest post by Bruce Reed, Deputy Director of the NIH Center for Scientific Review, originally released on the Review Matters blog Over the past several years we have heard consistent concerns about the complexity of review criteria and administrative load of peer review. CSR shares the concern that the current set of standards has the unintended consequence of dividing reviewer attention among too many questions, thus reducing focus on scientific merit and increasing reviewer burden. Each element was intended make review better, but we w...
Conclusions: Opioid-related adverse events are notable occurrences in ambulatory plastic surgery. Several adverse events may have been prevented had different diligent medication prescription practices been performed. Currently, there is more advocacy supporting sparing opioid medications when possible through multimodal anesthetic techniques, education of patients on the risks and harms of opioid use and misuse, and the development of societal guidance regarding ambulatory surgery prescription practices.
Conclusion: Compared with the conventional approach, the wide-awake approach showed significantly better results in the thumb’s range of motion and functional outcomes, especially in the early postoperative periods. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
Background: Open carpal tunnel release is commonly performed with the use of a tourniquet. The combination of local anesthetic and epinephrine with a pneumatic tourniquet helps provide clear visualization during decompression of the median nerve. There has been a rapid expansion of literature challenging the use of tourniquets in open carpal tunnel release. Consequently, the local anesthesia/no tourniquet approach has become increasingly popular. The authors evaluated the outcomes of awake open carpal tunnel release with and without a tourniquet. Methods: The authors attempted to identify all relevant studies, regardl...