Publication date: Available online 25 January 2020Source: Genes &DiseasesAuthor(s): Haoyue Xu, Hang Liu, Tao Chen, Bo song, Jin Zhu, Xing Liu, Ming Li, Cong LuoAbstractAccording to existing reports, mutations in the slow tropomyosin gene (TPM3) may lead to congenital fiber-type disproportion (CFTD), nemaline myopathy (NM) and cap myopathy (CD). They are all congenital myopathies and are associated with clinical, pathological and genetic heterogeneity. A ten-year-old girl with scoliosis was unable to wean from mechanical ventilation after total intravenous anesthesia. The girl has scoliosis, respiratory insufficiency, m...
This article describes details of each stage of the mission and includes a discussion of key aspects of logistics and patient care posed by such evacuations. PMID: 31977424 [PubMed - in process]
Hi there! I'm a MS3 at a mid-tier med school and am still so undecided on what specialty to do. Will take any and all advice! My top three choices are IM, Anesthesia, Neurology in no specific order. I definitely want to stay in california for residency and am not looking at super competitive specialties for a multitude of reasons. I have an okay step score but no significant research. Things I like about IM: I liked the rotation, the idea that I can work as a hospitalist while I'm... MS3 Can't decide on specialty!
ConclusionCombined Rendez-vous isthmoplasty is feasible, safe, and effective in experienced hands, giving the surgeon a comprehensive evaluation of the anatomy of the isthmocele, and increasing the odds of a complete resection and restoration of the anatomy 4, 5, 6, 7. In this patient, the procedure was uneventful, without any intra- or postoperative complications, and the symptoms were completely controlled.
Publication date: Available online 25 January 2020Source: Trends in Anaesthesia and Critical CareAuthor(s): Patrick Schoettker, Ana Pérez Arias, Etienne Pralong, John Michael Duff, Nicolas Fournier, Istvan BathoryAbstractBackgroundFibreoptic intubation is described as the preferred technique for the non-urgent airway control in patients with an unstable cervical spine injury. Indirect laryngoscopes offer promising advantages, but their safety and impact on cervical spine movement is still discussed.AimWe compared the incidence of significant neurophysiologic modifications associated with tracheal intubation performe...
Publication date: Available online 25 January 2020Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Miriam Zeillemaker - Hoekstra, Carlijn I. Buis, Vlado Cernak, Koen MEM. ReyntjensAbstractThe combined transplantation of a thoracic organ and the liver is performed in patients with dual-organ failure in whom survival is not expected with single-organ transplantation alone. Although uncommonly performed, the number of combined liver-lung and liver-heart transplants is increasing. Anesthetic management of this complex procedure is challenging. Major blood loss, prolonged operation time, difficult weaning ...
Conclusions: Our survey suggested a fairly uniform treatment paradigm for cervical cancer brachytherapy, with a progressive shift from 2D to 3D image-based parameters for planning, with persistence of point A based prescription. Further efforts are needed to augment and ease this transition. PMID: 31969910 [PubMed]
Seriously ill patients with surgical problems face significant symptom burden, prognostic uncertainty, and complex decisions, and therefore warrant palliative care that is responsive to their surgical and perioperative needs. The core principles of surgery and anesthesiology closely mirror those of palliative care, and the intersection between them is increasingly reflected in the annual volume of emerging research. Examples include communication skills training for surgical providers, embedded inpatient and outpatient surgical palliative care programs, and preoperative advance care planning interventions.
Children with end-stage illness may have DNR orders, which limit common operating room interventions such as intubation, administration of vasoactive medications, and CPR. However, many of these children may still benefit from surgeries, imaging, or other interventions requiring anesthesia, such as radiation therapy to palliate metastases, long-term central venous access for medications or parenteral nutrition, gastric tubes, or pleura or paracentesis to help with breathlessness or abdominal distension.
This article describes details of each stage of the mission and includes a discussion of key aspects of logistics and patient care posed by such evacuations.