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Posterior Reversible Encephalopathy Syndrome Triggered by Vertebral Artery Angiogram

No abstract available
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

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We report the case of a 4-year-old girl who presented with esotropia, enophthalmos, no light perception, and afferent pupillary defect in her left eye; fundus examination revealed morning glory disk anomaly. Ultrasound B-scan showed axial length increasing in the left eye on consensual light exposure. Magnetic resonance imaging/ angiogram of the brain and orbits were within normal limits except for globe elongation posteriorly in the left eye. On examination under anesthesia with video indirect ophthalmoscopy, the left optic disk showed contraction and expansion when stimulated by strong light to the fellow eye and no spon...
Source: Journal of American Association for Pediatric Ophthalmology and Strabismus - Category: Opthalmology Source Type: research
Shafi Ahmed dons a pair of digital sunglasses and explains how the tiny lenses built into its black plastic frame, which can capture high-resolution images, are transforming how doctors get trained in operating rooms. The British colorectal surgeon used Snap Inc.’s high-tech spectacles a year ago to walk rookie physicians and millions of curious viewers through a hernia operation using the Snapchat photo-sharing app. In 2018, he plans to beam his avatar into operating rooms with so-called immersive technology, which spans everything from military training to adult entertainment, and promises to support the next gener...
Source: TIME: Science - Category: Science Authors: Tags: Uncategorized Bloomberg healthytime medicine onetime Virtual Reality Source Type: news
Abstract Acute myocardial infarction (MI) triggers an adverse increase in cardiac sympathetic nerve activity (SNA). While β-adrenergic receptor (β-AR)-blockers are routinely used for the management of MI, they may also counter β-AR-mediated vasodilation of coronary vessels. We have reported that ghrelin prevents sympathetic activation following MI. Whether ghrelin modulates coronary vascular tone following MI, either through the modulation of SNA, or directly as a vasoactive mediator, has never been addressed.We utilized synchrotron microangiography to image coronary perfusion and vessel internal di...
Source: Endocrinology - Category: Endocrinology Authors: Tags: Endocrinology Source Type: research
CONCLUSIONS: Despite low bias, the wide limits of agreement of Doppler-derived CO by 3D TEE compared to CO by thermodilution will limit clinical application and can therefore not be considered interchangeable with CO obtained by thermodilution. The lack of agreement is not explained by lack of agreement of the 3D technique. PMID: 29324489 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
No abstract available
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Departments: Correspondence Source Type: research
CONCLUSIONS AND CLINICAL RELEVANCE Of the CMI protocols assessed, a 2-phase CMI protocol with a post-CMI saline solution flush was the most reliable for CTA-derived measurements of the major thoracic and abdominal arteries in African grey parrots. However, further technique modification is needed. PMID: 29287155 [PubMed - in process]
Source: American Journal of Veterinary Research - Category: Veterinary Research Authors: Tags: Am J Vet Res Source Type: research
The American College of Cardiology collaborated with the American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart  Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons to develop and evaluate Appropriate Use Criteria (AUC ) for the treatment of patients with severe aortic stenosis (AS).
Source: Journal of the American Society of Echocardiography - Category: Cardiology Authors: Tags: Appropriate Use Criteria Source Type: research
CONCLUSIONS: Prethrombectomy workflows vary widely between experienced centers. Improved awareness of real-world workflows and their variations may help to guide institutions in designing their own protocols of care.
Source: American Journal of Neuroradiology - Category: Radiology Authors: Tags: INTERVENTIONAL Source Type: research
ENDOTRACHEAL tube (ETT) cuff hyperinflation was incidentally diagnosed in a 5-yr-old maintained on N2O-free general anesthesia (Microcuff, 4.5  mm, inflated with 1.8 ml of air) during cardiac magnetic resonance imaging preceding catheterization. Magnetic resonance angiograms reformatted in coronal (image A) and sagittal (image B) planes of the trachea demonstrate pronounced tracheal distention (thin arrow) at the ETT cuff site, with a thinner contrast-enhanced layer of the tracheal wall (thick arrow), suggesting a degree of mucosal compression. Subsequent cuff manometer measurement demonstrated a pressure of ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Pre-op cardiac evaluation prior to non cardiac surgery is an important area for cardiology consultation . Unlike other clinical consults this one primarily involves in the delicate and tricky job of  predicting  future events  ! Peri-operative  cardiac evaluation  is done for what ? 1.To evaluate and assess established CAD or other heart disease and get a proper pre-operative work up , drug adjustment and risk reduction for a possible peri-operative event. 2.To screen for any significant CAD or other heart diseases which is hiding and asymptomatic. 3.To   treat those conditions that are d...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: perioperative risk assessment: Non cardiac surgery Preoperative evaluation acc aha guidelines peri operative pre operative risk fitness cardiac fitness prior to surgery peri operative cardiac risk assesment preop cardiac evaluation Source Type: blogs
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