Perioperative and Anesthetic Considerations for Neurosurgical Laser Interstitial Thermal Therapy Ablations
Conclusions: LITT is a promising therapeutic approach for multiple central nervous system disorders. Anesthesiologists must be familiar with the anesthetic considerations and the technical aspects of the procedure when providing care for patients undergoing LITT. The literature is scarce on the impact of different anesthesia and analgesia techniques on clinical outcomes. Therefore, studies comparing different anesthetic regimens and the impact on outcomes are needed to make relevant recommendations on the anesthesia care of these patients.
Conclusion Use of SNPA is safe and effective in reducing time to visualize larynx and intubate trachea. Developing longer specific “Naso-laryngeal (not nasopharyngeal) FOB intubating aid” is assumed to be more appropriate.
Conclusion Combined with the previous study, the results gave a clue that the effects of ZTP on TRPV1 and hippocampal LTP or their interactions could be the important molecular mechanisms of ZTP acting as migraine and headache medication.
Abstract The aim of this study was to investigate the reproductive, biochemical, and hematological outcomes of pregnant rats exposed to protein restriction. Wistar rat dams were fed a control normal-protein (NP, 17% protein, n=8) or a low-protein (LP, 8% protein, n=14) diet from the 1st to the 20th day of pregnancy. On the 20th day, the clinical signs of toxicity were evaluated. The pregnant rats were then anesthetized and blood samples were collected for biochemical-hematological analyses, and laparotomy was performed to evaluate reproductive parameters. No sign of toxicity, or differences (P>0.05) in body wei...
Conclusion ERAS protocols in liver surgery appeared to be safe and effective. Recent recommendations from the ERAS group in liver surgery are the only ones published so far. Other studies evaluating ERAS components in liver surgery and recommendations from scientific societies are needed to spread this clinical care pathway.
Publication date: 30 August 2018 Source:Progress in Neuro-Psychopharmacology and Biological Psychiatry, Volume 86 Author(s): Amie C. Hayley, Maja Green, Luke A. Downey, Con K.K. Stough, Michael Keane, Brook Shiferaw, Panagiota Kostakis, Yahya Shehabi Ketamine hydrochloride elicits potent psychotomimetic and neurobehavioural effects which make it incompatible with driving; however, the direct effect on driving performance is yet to be assessed. Using an open label, within-subjects protocol, 15 males and 5 females (mean age = 30.8 years) were administered three fixed, stepwise increasing sub-anaesthetic doses of intra...
Publication date: Available online 26 May 2018 Source:Trends in Anaesthesia and Critical Care Author(s): Rajeshwari Subramaniam, Vatsla Dadhwal, Shivanand Gamanagatti
At least seven lawsuits have been filed against a surgeon in Georgia who shared videos of herself dancing on YouTube during surgery while patients are in view and under anesthesia. The suits claim she is unqualified and her behavior resulted in poor outcomes including brain damage.
“The patient in room 17 needs an IV line! Hey, have you ever put in an IV before?!” Everybody looked at me at once. I tried my best to maintain a confident outer appearance. But I’ll admit, I was caught off guard. I thought back to my attempted IV insertions throughout my anesthesia rotation earlier in the year. I struggled with getting the IV line smoothly into the vein. I followed all the techniques to a tee, watched numerous YouTube videos about it and attempted it at every opportunity throughout my training. But somehow I just never got to see that salient red gush of venous blood pour into my IV line...
Condition: All Surgery Intervention: Other: questionnaire Sponsor: CHU de Reims Recruiting
Condition: Fetal Distress Intervention: Other: Copeptin Sponsor: Istanbul University Recruiting