Isolated bilateral Tapia's syndrome after liver transplantation: A case report and review of the literature.
CONCLUSION: Tapia's syndrome is almost always a transient complication after airway manipulation. Although bilateral Tapia's syndrome after general anesthesia is exceptionally rare, this complication should be recognized in patients reporting respiratory obstruction with complete dysphagia and dysarthria after prolonged intubation. Both anesthesiologists and surgeons should be aware of the importance of its preventing measurements, prompt diagnosis and intensive speech and swallowing rehabilitation program. PMID: 28083087 [PubMed - in process]
Dr. Laura Esserman answers the door of her bright yellow Victorian home in San Francisco’s Ashbury neighborhood with a phone at her ear. She’s wrapping up one of several meetings that day with her research team at University of California, San Francisco, where she heads the Carol Franc Buck Breast Care Center. She motions me in and reseats herself at a makeshift home office desk in her living room, sandwiched between a grand piano and set of enormous windows overlooking her front yard’s flower garden. It’s her remote base of operations when she’s not seeing patients or operating at the hospita...
Seventy percent of the global population do not have access to safe and affordable surgical and anaesthesia care, and 90% of them are found in the low-and-middle income countries. The WHO considers perioperative mortality rate (POMR) as a gross indicator for safe surgical practice. We aimed to descriptively assess the POMR of our low resource non-governmental organization (NGO) hospital in India.
Worldwide, healthcare systems were challenged during the COVID-19 pandemic. Tertiary hospitals, which perform the majority of organ transplants in Mexico, shifted gears to provide treatment for critically ill COVID-19 patients.
Surgery has formerly been called the ‘neglected stepchild of global health.’ Although significant progress has been achieved in bringing surgical care to the forefront of global health discussions, the state of surgery in many Low- and Middle- Income Countries remains unchanged. A number of these countries are in the process of dev eloping National Surgical (including trauma), Obstetric, and Anesthesia plans (NSOAP), the vehicle that will be used to scale up surgical capacity. We aimed to describe the initial steps towards the development of the Kenya NSOAP and the development of the Kenya National Hospital Ass...
Frail patients have an increased risk of postoperative morbidity and mortality, and there is an urgent need for interventions to improve outcomes in this vulnerable group. We hypothesized that using locoregional rather than general anesthesia would significantly reduce morbidity and mortality for frail patients having complex surgery.
This study evaluates outcomes in patients undergoing urgent surgery with GET unrelated to their asymptomatic COVID-19 infection.
Inguinal hernias are one of the most commonly repaired hernias. Minimally invasive (laparoscopic and robotic) repairs have become an increasing option for patients. Computed Tomography (CT) of the Abdomen and Pelvis in addition to clinical exam are used to diagnose recurrent inguinal hernias. Often, CT scans are limited in differentiating cord lipomas, commonly identified as pseudo-recurrence, from actual recurrence.
Complicated Appendicitis (CA) correlates with a higher risk of postoperative morbidity, total length of hospital stay and significant financial burden to patients. Failure to promptly identify complicated cases from uncomplicated may lead to delay in surgery and consequent catastrophic intraabdominal abscess formation, perforation, peritonitis and surgical site infection. CA is an outcome of inflammation and bacterial overgrowth, thus, economical inflammatory markers such as Neutrophil- Lymphocyte Ratio (NLR) may be used as a diagnostic tool thereby possibly avoiding expensive imaging, such as CT scans which may have limit...
Appropriate timing of definitive thyroidectomy after diagnosis of papillary thyroid carcinoma (PTC) is not well-defined. We analyzed the impact of timing of thyroidectomy on overall survival (OS) in PTC.
BY MEGHAN JONES, MD; ANN HAYNES, MD; &ANDREW KING, MDWhen patients present to the emergency department complaining of headache, the emergency physician must consider a large list of differential diagnoses. Emergency physicians often hope patients will fall into pre-existing, well-known patterns, helping them to establish the appropriate workup quickly. Despite common illness scripts and presentations, many patients will present unusually and lead physicians to findings they were not expecting.A 54-year-old woman with a history of hepatitis C presented to the emergency department for a headache that ...
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