Intrauterine fetal resuscitation
Publication date: Available online 15 June 2019Source: Anaesthesia &Intensive Care MedicineAuthor(s): Hannah Kither, Suna MonaghanAbstractThe delivery of oxygen to the fetus is dependent on adequate maternal blood oxygen concentration, uterine blood supply, placental transfer and fetal gas transport. Any disturbance in these factors, singly or in combination, can result in progressive fetal hypoxia and acidosis. The term fetal distress is non-specific but is usually applied to certain characteristic features on electronic fetal monitoring, confirmed if possible by fetal blood sampling. The aim of intrauterine fetal resuscitation (IUFR) measures is to increase oxygen delivery to the placenta and umbilical blood flow in an attempt to reverse fetal hypoxia and acidosis, so that labour may continue safely or to improve the fetal condition while arranging urgent delivery. IUFR measures include maternal re-positioning into left lateral or alternatives (i.e. right lateral or knee–elbow if necessary), rapid infusion of 1000 ml crystalloid (except in fluid-restricted or pre-eclamptic patients), decreasing uterine contractions by stopping oxytocics and administering acute tocolytics (terbutaline 250 μg SC or IV, glyceryl trinitrate 60–180 μg IV or sublingual spray, two puffs). A vasopressor (i.e. ephedrine) may be required in cases of maternal hypotension.
Anesthesia, Sedation, and Pain Control
You've done a bowel case for a perfed DU in an otherwise young healthy guy who took too much naproxen... At the end of the case, you put in a triple lumen with ultrasound, but still manage to get a little hole in the pleura... Patient extubated and in PACU, develops shortness of breath... can anyone walk me through the physiology of how this patient could develop a tension PTX if he's spontaneously breathing and not positive pressure ventilated... ? [URL... Tension PTX
ConclusionHip steroid/anesthetic injection patients are more likely to demonstrate osteoarthritis progression and femoral head collapse than HC and GIPs in the injected joint 3 –12 months after steroid and anesthetic injection. Further evaluation of hip injectates and the injection population is warranted.
CONCLUSIONS: the trajectory of pain during the first hour does not predict the behavior of the trajectory during the first day after surgery.RESUMO INTRODU ÇÃO: A avaliação da dor pós-operatória aguda é obrigatória para tratamentos eficientes. As trajetórias da dor podem ajudar os profissionais a melhorar os tratamentos. Tem sido sugerido que a falta de controle da dor no período pós-operatório imediato vai gerar maior intensidade dessa dor durante os dias seguintes de estadia no hospital. OBJETIVO: Determinar o relacionamento entre a dor d...
Abstract Objective: The main goal of our study was to assess the impact of vascular procedures on the activity of hemostatic and fibrinolytic pathways. Methods: We enrolled 38 patients with ≥ 45 years old undergoing surgery for abdominal aortic aneurysm or peripheral artery disease under general or regional anesthesia and who were hospitalized at least one night after the procedure. Patients undergoing carotid artery surgery and those who had acute bypass graft thrombosis, cancer, renal failure defined as estimated glomerular filtration rate
There are many possible causes of upper left abdominal pain under the ribs, including kidney infection, broken ribs, and pancreatitis. In this article, learn about the different causes of this pain, including how to recognize and treat them. We also explain when to see a doctor.
Authors: Aksu C, Gürkan Y Abstract Erector spinae plane block is gaining popularity both for its ease of application and as its comparable effect on postoperative analgesia with central regional techniques like paravertebral block or epidural anesthesia. Its use for many indications has been reported in the literature for pediatric patients. We would like to share our experiences in a 2.5-month infant scheduled for thoracotomy for a giant congenital cyst. Single shot erector spinae plane block was done at T4 level before the start of the surgery for both surgical and postoperative analgesia. No complication wa...
People with pets may be able to use their companion animals to practice techniques for managing chronic pain without medication, researchers say.Reuters Health Information
Laser, other light tx recommended for patients treated with HSCT; head and neck RT with, without chemo
Conditions: Virtual Reality; Anesthesia; Epidural Interventions: Device: HoloLens-guided epidural; Other: US-guided epidural Sponsor: Sunnybrook Health Sciences Centre Recruiting