We would like to thank Drs. Schalkwyk and Hammer for their interest in our article.1 We do agree that the central venous catheter may be in the internal thoracic vein. Due to limitations of word count for the article, it was not feasible for us to comment on other possible positions for the central vein catheter.
Conclusions: It is feasible to conduct an efficacy randomized control trial of the studied interventions. Further research is required to definitively identify clinical, cost-effective methods to prevent central venous access device failure by examining new dressing and securement technologies and techniques.
PMID: 31621689 [PubMed - in process]
Conclusions: The "proximal pen-holding method" for real-time USG-IJV cannulation helped in avoiding PVWP with lesser complication rate and greater performer's ease. PMID: 31621672 [PubMed - in process]
CONCLUSIONS: In the current database analysis, no significant association was found between the use of peripheral intravenous norepinephrine infusions and adverse events. PMID: 31569163 [PubMed - as supplied by publisher]
Conclusions: Extreme VAE during seated intracranial neurosurgical procedures is infrequent. Extreme VAE-associated CO2 exchange and hemodynamic consequences from VAE were transient, recovering quickly back to baseline without significant neurological or cardiopulmonary morbidity.
Conclusions. The elevated baseline CVP, elevated baseline RVEDV after anesthesia induction, and decreased SvO2 during anhepatic phase were associated with postoperative AKI. Prospective trials are required to evaluate whether the optimization of these variables may decrease the risk of AKI after LDLT.
Authors: Strandby RB, Ambrus R, Achiam MP, Henriksen A, Goetze JP, Secher NH, Svendsen LB Abstract Purpose: Changes in plasma pro-atrial natriuretic peptide (proANP) may indicate deviations in the central blood volume (CBV). We evaluated the plasma proANP response to hypotensive hypovolemia under the influence of thoracic epidural anesthesia (TEA) in pigs. We hypothesized that plasma proANP would decrease in response to hypotensive hypovolemia and that TEA would aggravate the proANP response, reflecting a further decrease in CBV. Design: Randomized, blinded, controlled trial. Setting: A university-affiliate...
ConclusionUnder general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action.ResumoJustificativa e objetivosA cateterização da veia jugular interna guiada por ultrassom é um procedimento comum e geralmente seguro em sala cirúrgica. No entanto, a punção inadvertida de uma artéria não compressível, como a artéria subclávia, embora rara, pode estar associada a sequelas e risco para...
CONCLUSION: Under general anesthesia several factors such as hypotension can mask the signs of subclavian artery injury. This case report indicates that clinicians should be aware of the complications of central venous catheterization and take prompt action. PMID: 31353065 [PubMed - as supplied by publisher]
THE USE OF ultrasound to aid in performing therapeutic interventions in the field of anesthesiology has become nearly ubiquitous. Although anesthesiologists initially championed its use for the placement of central venous catheters more than a decade ago,1 ultrasound imaging is now routinely utilized for the insertion of arterial and peripheral venous catheters, not to mention the integral role it has played in making regional anesthesia more effective, widespread, and safe. Despite this, anesthesiology has lagged behind other specialties like critical care and emergency medicine in promoting the adoption of point-of-care ...