Ethical case discussions in the intensive care unit : From testing to routine.

CONCLUSION: A methodically structured ethical decision-making process can and should be integrated into the clinical routine. This process requires a fixed place in everyday practice and the defined responsibility for the actual organization and performance. Support by medical and nursing management personnel is also essential for the implementation. The regular occurrence of ethical case discussions among the care team relieves the participants and improves collaboration between nurses and physicians. PMID: 24820357 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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CONCLUSIONTo our knowledge, this is the first report on basal implant-based full-mouth rehabilitation in a patient with CCD. Basal implant-supported prostheses may be useful for patients with CCD who present with a limited bony foundation after tooth removal. The treatment requires lesser time than orthodontic treatment, eliminates the need for bone grafting, spares the patient from ill-fitting dentures, reduces the overall cost, and improves the quality of life.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
AbstractPurpose of ReviewThe purpose of this chapter is to describe physiological changes occurring with age relevant to fluid therapy, and to discuss the influence of fluid therapy on outcome of surgery from this perspective.Recent FindingsDehydration, common among elderly people, is often mistaken for dementia or depression. Dehydration with dizziness increases the risk of falling, a predictor for adverse outcomes after surgery.Young volunteers can excrete up to 300 mmol sodium per liter urine. Elderly people cannot achieve such a concentration emphasizing the importance of giving water to excrete the osmoles given with ...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
AbstractDeschloroketamine (2 ‐(methylamino)‐2‐phenyl‐cyclohexanone) is a ketamine analogue belonging to a group of dissociative anaesthetics, which have been distributed within the illicit market since 2015. However, it was also being sold as ‘ketamine’ misleading people to believe that they were getting genuine ket amine. Dissociative anaesthetics have also come to the attention of psychiatric field due to their potential properties in the treatment of depression. At present, there is dearth of information on deschloroketamine related to its metabolism, biodistribution and its mechanism of action. We h...
Source: Drug Testing and Analysis - Category: Drugs & Pharmacology Authors: Tags: RESEARCH ARTICLE Source Type: research
This study provides novel evidence of increased H ‐reflex excitability in a mouse model of diet‐induced obesity. Sex differences in the time course of the reduction in rate‐dependent depression of the H Reflex suggest males respond with an early increase in H‐reflex excitability, whereas females show a progressive increase in reflex excitab ility. AbstractObesity is associated with balance and motor control deficits. We have recently shown that Group Ia muscle spindle afferents, the sensory arm of the muscle stretch reflex, are less responsive in mice fed a high ‐fat diet. Here we test the hypothesis that reflex ...
Source: Physiological Reports - Category: Physiology Authors: Tags: Original Research Source Type: research
This article tries to summarize the available data on sex/gender differences in PSSD and to evaluate if different approaches in diagnosis or treatment of different genders are needed.Recent FindingsDepression is a leading cause of disability worldwide. Studies observed gender differences in prevalence and clinical presentation of depression, adherence to treatment and pharmacological features of antidepressant treatment. Sexual adverse events during the use of antidepressants are well-known and occur frequently. PSSD has been recently recognized as a medical condition that can outlast discontinuation of SSRI and SNRI antid...
Source: Current Sexual Health Reports - Category: Sexual Medicine Source Type: research
Authors: Lim BG, Lee IO Abstract The number of elderly patients who frequently access health care services is increasing worldwide as well as in Korea. Anesthesiologists are developing the expertise to care for these elderly patients. In this review, we considered concerns when anesthetizing elderly patients. A comprehensive search of major international databases (PubMed, Embase, and Cochrane) and Korean databases (KoreaMed) was conducted. The search was organized and documents were divided conceptually into three domains: preoperative considerations, intraoperative management, and postoperative problems. Preopera...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
In this study, we used an ex-vivo model to investigate the recovery pattern of both the train-of-four (TOF) ratio and first twitch tension of TOF (T1), and determined their relationship during recovery from rocuronium-induced neuromuscular blockade at various concentrations of sugammadex. Methods: Tissue specimens of the phrenic nerve-diaphragm were obtained in 60 adult Sprague-Dawley rats. Each specimen was immersed in an organ bath filled with Krebs buffer solution and stimulated with the TOF pattern using indirect supramaximal stimulation at 20-second intervals. After a 30-minute stabilization period, rocuronium loa...
Source: Korean Journal of Anesthesiology - Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research
Authors: PMID: 31613814 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Tags: Anesth Analg Source Type: research
In conclusion, our data indicate that a presynaptic decrease of excitatory transmission is likely to be the major mechanism by which Xe induces anaesthesia, with little contribution of effects on GABAergic synapses. This article is protected by copyright. All rights reserved. PMID: 31598974 [PubMed - as supplied by publisher]
Source: The Journal of Physiology - Category: Physiology Authors: Tags: J Physiol Source Type: research
Conclusions: Ganglion impar blockade decreases pain in the treatment of chronic coccydynia and improve depression. Addition of steroids in a ganglion impar blockade is required for treatment response that should accumulate over a long period of time. PMID: 31569923 [PubMed]
Source: Korean Journal of Pain - Category: Anesthesiology Tags: Korean J Pain Source Type: research
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