We appreciate Dr. Aldwinckle ’s interest in our report1 describing the technique of insertion of a supraclavicular catheter through an infraclavicular entry point. With this approach to the brachial plexus we aim for the fixation of an infraclavicular-access catheter using the flat surface of the pectoral musculature cited by Jeng and Rosenblatt2 and the effectiveness of a supraclavicular single shot, leaving the tip in the corner pocket.3
ConclusionsThe incidence of PSE after mechanical thrombectomy was low in our cohort. All blood biomarkers displayed interesting sensitivity and specificity. However, the number of PSE cases was small and more studies are needed on risk factors for PSE after mechanical thrombectomy. The potential of blood markers of brain injury markers to contribute to assessment of PSE risk should be explored further.This article is part of the Special Issue "Seizures &Stroke".
ConclusionsPatients with high ASA score, low ALB level or age>70 years were at high risk of ERAS failure in pancreaticoduodenectomy. These preoperative demographic and clinical characteristics are important determinants to obtain successful postoperative recovery in ERAS program.
Publication date: Available online 13 September 2019Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): E. Weiss, L. VellyAbstractObjective: To produce French guidelines on Management of Liver failure in general Intensive Care Unit (ICU)
ConclusionsTransferred patients with subarachnoid haemorrhage had lower survival rates. Septic shock and hypernatraemia were important complications among critically ill patients with subarachnoid haemorrhage and were associated increased mortality.ResumoJustificativa e objetivosA hemorragia subaracnoidea é uma causa importante de morbidade e mortalidade. O objetivo do estudo foi determinar os preditivos de mortalidade entre os pacientes com hemorragia subaracnoidea internados em uma Unidade de Terapia Intensiva.MétodosEstudo retrospectivo de pacientes com hemorragia subaracnoidea internados na Unidade de Ter...
Publication date: Available online 14 September 2019Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Babita Ghai, Vasudha Gupta, Ashish Jain, Nitika Goel, Devender Chouhan, Yatinder Kumar BatraAbstractBackgroundIntra-articular injections of platelet-rich plasma to treat symptoms of knee osteoarthritis have been successfully used in young patients. However in most of these studies the control and test knees were present in different patients thus incorporating a large amount of bias in the results. Therefore, the present study was designed in which patients with bilateral osteoarthritis knee were incl...
Publication date: Available online 13 September 2019Source: Advances in AnesthesiaAuthor(s): Ki Jinn Chin, Amit Pawa, Mauricio Forero, Sanjib Adhikary
Publication date: Available online 13 September 2019Source: Advances in AnesthesiaAuthor(s): Allan F. Simpao, Mohamed A. Rehman
Publication date: Available online 13 September 2019Source: Advances in AnesthesiaAuthor(s): Richard P. Dutton, Robert Isaak, Brian J. Cammarata, David A. Zvara
Publication date: Available online 13 September 2019Source: Anesthesiology ClinicsAuthor(s): Lee A. Fleisher
Publication date: Available online 13 September 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Anu Kansal, John HughesAbstractPain is one of the most common symptoms that patient presents with. Visceral organs were thought to be insensitive to pain in the past, but we now know this is not true. It is more common than somatic pain and originates from the internal organs in the thorax, abdomen or pelvis. These organs are innervated by the parasympathetic (vagus and sacral parasympathetic fibres) and sympathetic (thoracolumbar sympathetic chain: T1–L2) nervous systems. The afferent and efferent fibres to...