Log in to search using one of your social media accounts:


Near-Infrared Spectroscopy and Vascular Occlusion Test for Predicting Clinical Outcome in Pediatric Cardiac Patients: A Prospective Observational Study

This study is designed to determine the feasibility and utility of vascular occlusion test variables as measured by INVOS (Medtronic, Dublin, Ireland) in pediatric cardiac patients. Design: A prospective observational study. Setting: A tertiary children’s hospital. Patients: Children less than or equal to 8 years old who were scheduled for elective cardiac surgery under cardiopulmonary bypass. Interventions: A vascular occlusion test (3 min of ischemia and reperfusion) was performed on the calf at three time points: after induction of anesthesia (T0), during cardiopulmonary bypass (T1), and after sternal closure (T2). Measurements and Main Results: Baseline regional tissue hemoglobin oxygen saturation, deoxygenation rate, minimum regional tissue hemoglobin oxygen saturation, and reoxygenation rate were measured using INVOS. Influence of age on variables at each measurement point was also checked using linear regression analysis. Receiver operating characteristics curve analysis was performed to determine the ability of vascular occlusion test variables at T2 to predict the occurrence of major adverse events. Both the deoxygenation and reoxygenation rates were lowest in T1. There was a tendency to decreased regional tissue hemoglobin oxygen saturation in younger patients at T0 (r = 0.37; p
Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Related Links:

Authors: Matsueda K, Toyokawa T, Sakata M, Fujita I, Horii J, Abe Y, Araki T Abstract A 1-year-old female toddler who was under a great amount of psychological stress presented with acute hematemesis. She had no significant medical history; she displayed lethargy and was anemic. Although blood transfusion and famotidine were administered for upper gastrointestinal bleeding (UGIB), the anemia did not improve. Thus, early endoscopy was performed under general anesthesia, revealing a gastric ulcer with exposed vessels in the supra-angular region. Cauterization via bipolar hemostatic forceps was performed on the expose...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
This article reviews the technical aspects of video laryngoscopy, its advantages and limitations, and its impact on difficult airway management.Anesthesia &Analgesia
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Anesthesiology Journal Article Source Type: news
CONCLUSIONS Our hemodynamic model using HR, SBP, and PI likely reflects nociceptive levels at skin incision during general anesthesia, and quantitatively discerned the difference in nociceptive responses to skin incision between laparoscopy and laparotomy. This model could be applicable to assess either real-time nociceptive responses or averaged nociceptive responses throughout surgery without using special equipment. PMID: 29779036 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Findings based upon large study of homeless and housed Veteran surgical patients
Source: The Doctors Lounge - Psychiatry - Category: Psychiatry Tags: Cardiology, Internal Medicine, Emergency Medicine, Nursing, Orthopedics, Psychiatry, Surgery, Anesthesiology & amp; Pain, Journal, Source Type: news
AbstractPurpose of ReviewCardiac output (CO) and hemodynamic parameters, and specifically the noninvasive approach to their measurement, have been the subject of continuous technological developments and lengthy debates. The challenge remains to measure these parameters in a user friendly and cost-effective way, without compromising accuracy and with few limitations in the real clinical environment.Recent FindingsThe industry might have solved the issue with the latest development of thoracic bioimpedance, called high-definition impedance cardiography (HD-ICG) and based on the direct analysis of morphology of the heart imp...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
Publication date: Available online 7 May 2018 Source:The Journal of Foot and Ankle Surgery Author(s): P. Andrew Crisologo, Erik K. Monson, Said A. Atway Postoperative pain is a problem that plagues physicians and has since the dawn of the surgical arts. Many interventions are available and used as the standard such as preoperative local anesthetic blocks, opiates, both oral and intravenous, and nonsteroidal antiinflammatory drugs. Although the temptation often exists to increase the postoperative opiate dose, opiate abuse is an increasing problem. This abuse has fueled the search for nonopiate pain adjuncts. Gabapentinoid...
Source: The Journal of Foot and Ankle Surgery - Category: Orthopaedics Source Type: research
Going to the dentist for even a simple procedure might require numbing or anesthetic, because the nerves in the teeth are very sensitive. This numb feeling, from Novocaine or other drugs, will last some time after the procedure is finished. Learn more about how long Novocaine lasts, and how to make it wear off faster.
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Dentistry Source Type: news
KARL STORZ is releasing its PDD (photodynamic diagnostics) Blue Light Flexible Video Cystoscopy in the United States for detection of non-muscle invasive bladder cancer. The news is a result of the FDA’s regulatory green light that al...
Source: Medgadget - Category: Medical Devices Authors: Tags: News Urology Source Type: blogs
In this study, we aim to evaluate whether the anesthetic choice and intraoperative neuromonitoring method modify the risk of in-hospital stroke/death with each shunting approach.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
The objective of this study was to analyze the impact of surgical and anesthetic changes in the last 20 years on perioperative outcomes of carotid endarterectomy (CEA) in asymptomatic patients in a large single-center experience.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
More News: Anesthesia | Anesthesiology | Cardiology | Children | Heart | Hospitals | Intensive Care | Ireland Health | Pediatrics | Study