Airway arteriovenous malformation in pregnancy
Conclusions: Multiple sevoflurane exposures in the second trimester of pregnancy affects learning and memory only in young female mice. Further studies focusing on diverse cognitive functions in an age-, sex-dependent manner may provide valuable insights regarding anesthesia-induced neurotoxicity. PMID: 29225748 [PubMed]
View Original Article Here: How Long Does Shingles Last In The Elderly? Shingles is a viral infection that follows a varicella-zoster infection, although it can take decades for symptoms of the secondary disease to emerge. The condition presents as a painful and blistering rash, but it is not life-threatening. According to the Center for Disease Control, there are nearly one million cases in the United States each year, and almost half of those cases are in older adults over age 60. Some people only see one instance of the illness, while others have recurring symptoms, but 30 percent of Americans will develop shingles at s...
Heterotopic pregnancy (HP) is defined as the simultaneous occurrence of intrauterine and extrauterine ectopic pregnancies. It is a rare condition with an incidence of 1:2600 –15,600.1 Heterotopic pregnancy due to assisted reproductive technologies (ART) was first reported in 1985,2 but with its greater use the incidence of heterotopic pregnancy in ART-treated patients has increased to 1:100.1,3,4 Although the etiology of HP is unclear, pelvic inflammatory disease, pre vious tubal surgery, ovarian stimulation and ART manipulation are considered to be risk factors.
Introduction: The presence of PAH associated with CHD in pregnant increases mortality up to 30% (50% in Eisenmenger syndrome (sEis) . Due to low prevalence management of these patients are still unclear and each series of clinical cases is of great importance for further analysis.Methods: 18 pregnant with PAH (systolic PAP (SPAP)> 60 mm Hg) who were delivered in 2010 - 2016 were included in the one-centre study. In all cases the main cause of the PAH was the CHD. Data are presented as median (25th, 75th percentile).Results: The age median was 25 (21;28) yr, 12 (66,7%) patients had sEis. At the time of admission SPAP ...
Conclusion: Mortality of PH in pregnancy in a setting of experienced and coordinated care is less than historical series but remains significant. Counselling women with PH of these risks remains an essential part of disease management. In the event of pregnancy, patients should be managed by a multiprofessional team.
TYPE A AORTIC DISSECTION during pregnancy is a rare, catastrophic event that is associated with high maternal and fetal mortality. The authors report the successful management of acute type A aortic dissection in a woman at 21 weeks gestation. The patient underwent aortic valve and aortic root replacement utilizing deep hypothermic circulatory arrest complicated by the need for coronary artery bypass grafting due to a kinked/thrombosed right coronary artery. The patient ’s postoperative recovery and remaining gestation were otherwise uncomplicated, and included a vaginal delivery of a healthy baby at 39 weeks gestation.
Conclusion: We did not observe a significant association between epidural use and PPD. While the CIs are wide, we do not believe that this masks a clinically relevant association, and as such, the risks and benefits of epidural analgesia communicated to women during labor and delivery should not be modified. PMID: 29184440 [PubMed]
Rationale: Intraneural perineurioma is an extremely rare form of peripheral nerve sheath tumor; and the anesthetic management of a parturient with intraneural perineurioma, especially affecting spinal roots and nerves of extremities, is very rare. Patient concerns: A 28-year-old woman was referred to the hospital at 37+5 weeks’ gestation, presenting with a 10-year history of paroxysmal acroanesthesia and aching with distal limbs. Diagnoses: Based on the biopsy results, including immunohistochemical and electron microscopic findings, and molecular studies, her condition was diagnosed as intraneural perineuriom...
Conclusion: Ropivacaine administration produced rapid induction of anesthesia and satisfactory anesthesia level, ropivacaine 15 mg and 20 mg dosing regimens are satisfactory for spinal anesthesia.
Authors: PMID: 29190220 [PubMed - in process]