Comparison of flow pressures in different 3-way infusion devices: an in-vitro study.

In this study, we aim to determine the pressures generated in common 3-way infusion devices, using simple low-cost equipment available and currently in use in the operating theatre environment. Methods: We compared three different common and commercially available 3-way infusion devices that allowed multiple infusions through one cannula in vitro. One with anti-siphon valves, one without valves, and serial extension sets with side ports connected in series. An invasive blood pressure transducer was used to monitor line pressure. Seven different infusion rates were used to simulate different infusions. Results: 3-way infusion devices with anti-siphon valves have 5.5 times the infusion pressures compared to devices without valves (P 
Source: Patient Safety in Surgery - Category: Surgery Authors: Tags: Patient Saf Surg Source Type: research

Related Links:

This article is the second part of a two-part review of regional anesthesia (RA) in small animals, and its aim is to discuss the most relevant studies in the veterinary literature, where objective methods of nerve location have been used, and to illustrate in pictures the currently used techniques for providing RA to the abdominal wall and the pelvic limb in small animals.
Source: The Veterinary Journal - Category: Veterinary Research Source Type: research
CONCLUSION: Although neuraxial anaesthesia was thought to be contraindicated in patients with SEL, it can be done safely. Care must be taken to provide slow epidural titration to avoid high sensory block in patients with this condition. PMID: 30007801 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Publication date: Available online 17 July 2018Source: Trends in Anaesthesia and Critical CareAuthor(s): Erwin J.O. Kompanje
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
ConclusionsPatients with poor quality of recovery had the worst health status at D0. Evaluation at 3 months indicated similar rates of problems in EuroQol (except for pain/discomfort) and World Health Organization Disability Assessment Schedule 2.0 scores were similar.ResumoObjetivoA recuperação pós-operatória é um processo complexo com dimensões fisiológicas, funcionais e psicológicas. A qualidade da recuperação pós-operatória é considerada um resultado crucial após cirurgia e anestesia. O objetivo deste estudo foi avaliar e ...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
DiscussionContinuous quadratus lumborum block may be used to relieve postoperative acute pain in hip surgery because it provides one-sided anesthesia without muscle weakness.ResumoIntroduçãoA cirurgia de quadril é uma cirurgia de grande porte que causa dor intensa no pós-operatório. Em geral, a dor em repouso é consideravelmente reduzida, mas a mobilização é importante para evitar complicações tromboembólicas. O bloqueio do quadrado lombar é uma técnica analgésica regional que bloqueia os ramos nervosos de T6-L3. Esse b...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
AbstractPurpose of ReviewThe purpose of this article is to review the current evidence on perioperative management for awake craniotomy (AC).Recent FindingsWith the advancement of diagnostic modalities, newer intraoperative monitoring technologies, and safer and shorter-acting anesthetic agents, the indications of AC are expanding beyond epilepsy surgery. Anesthesia techniques including asleep-awake-asleep and monitored anesthesia care are generally safe and without any serious side effects when performed by experienced providers; however, data regarding awake-awake-awake technique is limited. Currently, an α-2 agoni...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
AbstractPurpose of reviewThis review summarizes the pathophysiology, peripartum treatment, and anesthetic management of parturients with cardiac disease. Valvular disease, coronary disease, and cardiomyopathy are specifically addressed in the context of the normal physiologic changes of pregnancy. We offer recommendations for anesthetic approaches, hemodynamic goals with an emphasis on interdisciplinary planning between anesthesiologists, cardiologists, cardiothoracic surgeons, obstetricians, maternal fetal medicine specialists, and neonatologists.Recent findingsVaginal delivery with neuraxial analgesia can be well tolerat...
Source: Current Treatment Options in Cardiovascular Medicine - Category: Cardiology Source Type: research
AbstractPropofol is an intravenous hypnotic drug that is used for induction and maintenance of sedation and general anaesthesia. It exerts its effects through potentiation of the inhibitory neurotransmitter γ-aminobutyric acid (GABA) at the GABAA receptor, and has gained widespread use due to its favourable drug effect profile. The main adverse effects are disturbances in cardiopulmonary physiology. Due to its narrow therapeutic margin, propofol should only be administered by practitioners trained and experienced in providing general anaesthesia. Many pharmacokinetic (PK) and pharmacodynamic (PD) models for propofol ...
Source: Clinical Pharmacokinetics - Category: Drugs & Pharmacology Source Type: research
AbstractPurpose of reviewManagement of patients with subdural hematomas starts with Emergency Neurological Life Support guidelines. Patients with acute or chronic subdural hematomas (SDHs) associated with rapidly deteriorating neurologic exam, unilaterally or bilaterally dilated nonreactive pupils, and extensor posturing are considered imminently surgical; likewise, SDHs more than 10  mm in size or those associated with more than 5-mm midline shift are deemed operative.Recent findingsWhile twist drill craniostomy and placement of subdural evacuating vport system (SEPS) are quick, bedside procedures completed under loc...
Source: Current Treatment Options in Neurology - Category: Neurology Source Type: research
Key Papers from the Most Recent Literature Relevant to Anesthesiologists
Source: Anesthesiology - Category: Anesthesiology Source Type: research
More News: Anesthesia | Anesthesiology | Environmental Health | Study | Surgery