Multimodality Neuromonitoring in Adult Traumatic Brain Injury A Narrative Review
Neuromonitoring plays an important role in the management of traumatic brain injury. Simultaneous assessment of cerebral hemodynamics, oxygenation, and metabolism allows an individualized approach to patient management in which therapeutic interventions intended to prevent or minimize secondary brain injury are guided by monitored changes in physiologic variables rather than generic thresholds. This narrative review describes various neuromonitoring techniques that can be used to guide the management of patients with traumatic brain injury and examines the latest evidence and expert consensus guidelines for neuromonitoring.
Publication date: Available online 21 October 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Girish P. Joshi, Francis Bonnet
ConclusionsThis case series demonstrates that the use of a high frequency jet ventilator for cardiac MRI was feasible, safe, providing good quality cardiac imaging and avoiding anesthesia personnel to be inside the hazardous environment of MRI room. Future studies are needed to confirm its safety and efficiency in pediatric patients.ResumoJustificativa e objetivosA ressonância magnética (RM) cardíaca é uma técnica utilizada na avaliação de crianças com cardiopatias congênitas. A anestesia geral garante imobilidade, especialmente em pacientes não cooperador...
This article focuses on the functional features of positive-pressure ventilators, the modes of invasive and non-invasive mechanical ventilation, and the main ventilator settings. It also highlights the potential complications of mechanical ventilation, the basic principles of weaning, and the pathophysiological basis of patient-ventilator dyssynchrony.
At my lovely rural hospital, the surgeons have been told that if they are supervising they aren't really accepting more liability, because no surgeon has been sued due to an anesthesia complication. This seems questionable to me as the CRNAs are working under the surgeons license here in Indiana (not an opt out state). I’m sure this is state specific, but is anyone aware of any specific examples of surgeons being sued for anesthesia complications while overseeing CRNAs? The surgeons take... CRNA liability
Conditions: Anesthesia; Analgesia; Acute Pain; Chronic Pain; Pectoralis Nerve Block; Erector Spine Plane Block; Patient Controlled Analgesia Interventions: Procedure: Pectoralis nerve block; Procedure: Erector spine plane block; Other: Control Sponsors: Ondokuz Mayıs University; CENGİZ KAYA (ckaya) Recruiting
Conditions: Anesthesia; Intubation; Difficult or Failed; Cricoid Pressure; Pulmonary Aspiration During Anesthetic Induction Interventions: Procedure: Paratracheal pressure; Procedure: Cricoid pressure Sponsor: Ajou University School of Medicine Not yet recruiting
Whether or not to circumcise your baby is a personal decision often determined by a variety of social, cultural, medical, or religious circumstances. Parents have the right to choose what they believe is best for their newborn and typically undergo extensive research before deciding what’s best for their family. So, what is the process of circumcision? Once parents decide to move forward, about an hour before the procedure, doctors use an anesthetic to numb the baby’s penis. The area is then sterilized and the excess skin on the penis is clamped and cut. Finally, the physician covers the penis in bandages or ga...
ConclusionsThe use of abdominal instillation (with or without ropivacaine) did not change the effect of 6 h of NPT after sepsis in animals with open abdomen. The absence of adverse effects suggests that longer treatments should be tested.
This study evaluated whether the pulmonary artery pulsatility index (PAPi) collected before and after cardiopulmonary bypass (CPB) is predictive and diagnostic of new onset right ventricular (RV) failure in the elective cardiac surgical population.
Postoperative atrial fibrillation (POAF) after cardiac surgery remains a highly prevalent and costly condition that negatively impacts patient quality of life and survival. Numerous retrospective studies, meta-analysis, and review papers have been reported identifying POAF risk based on patients ’ risk factors and clinical biomarkers. In this narrative review, the authors report significant variations among selected pre- and perioperative biomarkers used to predict POAF incidence in patients without a history of atrial fibrillation (AF).