Preoperative assessment of patients for vascular surgery
Abstract: Effective preoperative evaluation of patients undergoing major vascular surgery presents a significant multidisciplinary challenge. A focussed preoperative evaluation targeted to organ systems can help mitigate the combined effects of inherently high-risk surgical procedures undertaken in an increasingly comorbid patient population. Careful history and examination supported by appropriate investigations and specialist input remains the cornerstone of this process, with risk increasingly quantified by dedicated scoring systems. In addition, the role and evidence base for objective assessment of functional capacity continues to build with cardiopulmonary exercise testing (CPET) now widely employed in vascular pre-assessment across the UK. When employed in a timely manner, complete preoperative assessment allows more informed decision-making surrounding surgery, frank discussion of risk with the patient and effective utilization of critical care resources if required.
Authors: Liu J, Yang L Abstract Effects of propofol and sevoflurane on blood glucose, hemodynamics, and inflammatory factors of patients with type 2 diabetes mellitus (T2DM) and gastric cancer (GC) were investigated. One hundred and ten patients with T2DM and GC, treated in The First Affiliated Hospital of Baotou Medical College (Baotou, China) from January 2017 to December 2018, were selected. Sixty patients anesthetized by propofol were included in the propofol group, whereas 50 patients anesthetized by sevoflurane were included in the sevoflurane group. The level of blood glucose, hemodynamic indicators, and inf...
Conclusion. This study does not justify the use of botulinum toxin in the context of chronic pelvic pain with myofascial syndrome but does justify muscle injections with LA alone.
Conclusion(s)Office hysteroscopy is a well tolerated procedure and prior use of analgesic medication was not effective in decreasing pain. In selected patients with chronic pelvic pain the use prior analgesic medication may be beneficial.
Publication date: Available online 23 January 2020Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Nadja Rifaie, Fuat H. SanerAbstractAcute liver failure is defined as severe hepatic dysfunction (marked transaminases elevation, detoxification disorder (jaundice and coagulopathy with INR> 1.5)Presence of hepatic encephalopathy and exclusion of underlying chronic liver disease and a secondary cause like sepsis or cardiogenic shock.Reasons for acute liver failure includes paracetamol -and warfarin toxicity, autoimmune – and viral (mainly hepatitis B and E) hepatitis, herbal and dietary supplemen...
ConclusionResults from our study supported the idea that the release of mPFC and NAc exosomes of CCI model has elevated the pain sensations in the subjected mice. This study will further help in designing new clinical trials, and will revolutionize the drug-induced anesthetic responses.
Conditions: Anesthesia; Bupivacaine Adverse Reaction Intervention: Drug: Bupivacaine Sponsor: Maltepe University Not yet recruiting
Conditions: Caesarean Section; Anesthesia Intervention: Other: Audio-recording of consent for anaesthesia for elective caesarean section Sponsor: Chelsea and Westminster NHS Foundation Trust Completed
Condition: Anesthesia, General Interventions: Device: Guedel airway; Device: USASK airway Sponsor: University of Saskatchewan Recruiting
Condition: Anxiety Interventions: Device: RESPeRATE™; Behavioral: Tell, Show and Do technique Sponsors: Nourhan M.Aly; Alexandria University Completed
Condition: Hypotension on Induction Interventions: Device: IVC Ultrasonography; Device: Plethysmographic variability index (PVI) and perfusion index readings (PI) Sponsor: Cairo University Not yet recruiting