Contribution of the nasal passage to face mask ventilation: a prospective blinded randomized crossover trial
AbstractBackgroundPrevious studies have shown that the nasal passage plays an important role in manual face mask ventilation, but this has yet to be quantitatively assessed. We conducted a prospective randomized crossover clinical trial to compare the change in pressure-controlled face mask tidal volume with and without nasal airway occlusion.MethodFemale patients undergoing elective surgery under general anesthesia served as study subjects. Patients were randomly assigned to face mask ventilation beginning either with or without nasal passage occlusion (achieved with a swimmer ’s nose clip), followed by removal or application of the nose clip, respectively. After standardized induction of general anesthesia and muscle paralysis, a tight-fitting face mask was applied to each patient, and tidal volume was measured by the anesthesia machine during pressure-controlled venti lation (10, 15, 20 cm H2O; 8 breaths ·min−1; inspiratory:expiratory ratio 1:2).ResultsThe median [interquartile range] tidal volume was lower withvs without nasal passage occlusion at 10 cm H2O inspiratory pressure (100 [55-134] mLvs 300 [230-328] mL, respectively; median difference (MD), 200 mL; 95% confidence interval (CI), 157 to 229;P
Authors: Moon EJ, Kim SB, Chung JY, Song JY, Yi JW Abstract Most regional anesthesia in breast surgeries is performed as postoperative pain management under general anesthesia, and not as the primary anesthesia. Regional anesthesia has very few cardiovascular or pulmonary side-effects, as compared with general anesthesia. Pectoral nerve block is a relatively new technique, with fewer complications than other regional anesthesia. We performed Pecs I and Pec II block simultaneously as primary anesthesia under moderate sedation with dexmedetomidine for breast conserving surgery in a 49-year-old female patient with inv...
CONCLUSIONS: Non-intubated single-incision procedures can be feasible and safe in expert hands and experienced teams, even for anatomical resections. Strict selection criteria, skill and experience are mandatory. Comparative cohorts and randomized trials are needed. PMID: 28932566 [PubMed]
CONCLUSIONS: In sum, this study builds on the amassing literature supporting amniotic tissues for wound repair and demonstrates the importance of tissue processing on the quality of wound healing. PMID: 28933697 [PubMed - in process]
CONCLUSIONS: This delivery system dressing is an effective and safe treatment option for wounds. Advantages include reduced potential of systemic side effects, flexibility in what can be delivered, constant rate of medication delivery, and convenience. PMID: 28933696 [PubMed - in process]
Just wanted to learn more about how anesthesia is billed within the various practice settings and where there is more or less potential for making money.
Intuitive Surgical Korea signed a memorandum of understanding with GE Healthcare Korea aimed at improving the clinical applications of robotic-assisted surgery. Under the agreement, GE Healthcare Korea will provide its CS600 anesthesia machine, which supports multiple ventilation modes tailored to patients, and its patient monitoring technologies as well as needed training and services assistance to Intuitive Surgical Korea’s Da Vinci Training Center. Read the full story at our sister site, The Robot Report. The post Intuitive Surgical to integrate GE Healthcare tech in Korea appeared first on MassDevice.
Authors: Gushiken LFS, Hussni CA, Bastos JK, Rozza AL, Beserra FP, Vieira AJ, Padovani CR, Lemos M, Polizello Junior M, da Silva JJM, Nóbrega RH, Martinez ERM, Pellizzon CH Abstract The wound healing is a complex process which, sometimes, can be a problem in public health because of the possibility of physical disability or even death. Due to the lack of a gold standard drug in skin wound treatment and aiming at the discovery of new treatments in skin repair and the mechanisms involved in the process, we used oleoresin (OR) from Copaifera langsdorffii and hydroalcoholic extract of the leaves (EH) to treat ra...
Although the majority surveyed are aware of medication harms
CONCLUSIONS PBET is an effective method which both shortens the operation time and decreases the rate of uncompleted operations. PMID: 28928358 [PubMed - in process]