Will ultrasound replace the stethoscope?: A case report on neonatal one-lung ventilation

ConclusionUS is a rapid, more sensitive and specific method than auscultation to evaluate tracheal intubation and lung exclusion.ResumoJustificativa e objetivosA ventilação monopulmonar e a intubação seletiva em recém-nascidos podem ser um desafio devido às especificidades fisiológicas intrínsecas e ao material disponível. O aparelho de ultrassom está sendo cada vez mais usado em muitas situações no campo da anestesia, incluindo a confirmação da posição do tubo endotraqueal.Relato de casoApresentamos o relato do caso de um recém-nascido proposto para lobectomia pulmonar por toracoscopia em que a exclusão pulmonar foi confirmada por ultrassom.ConclusãoO ultrassom é um método rápido, mais sensível e específico que a ausculta para avaliar a intubação traqueal e a exclusão pulmonar.
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research

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ConclusionsThe current rapid, multi-slice acquisition and real-time implementation of temperature and displacement visualization may be useful in clinical practices. It may help defining operational safety margins, improving therapy precision and efficacy. Simulations were in good agreement with experimental data and may thus be used prior treatment for procedure planning.
Source: NeuroImage - Category: Neuroscience Source Type: research
Delayed gastric emptying and the resultant “full stomach” is the most important risk factor for perioperative pulmonary aspiration. Using point-of-care gastric sonography, we aimed to investigate the prevalenc...
Source: BMC Anesthesiology - Category: Anesthesiology Authors: Tags: Research article Source Type: research
This article provides a concise overview of local anesthetic systemic toxicity, its history, mechanisms, risk factors, prevention, clinical presentation, and treatment, with a special emphasis on issues specific to the geriatric population. The authors used MEDLINE, Scopus, and Google Scholar to search for original research articles (human and animal studies), registries data, case reports, review articles, and pertinent online publications using the combinations of the following search terms: local anesthetics, local anesthetic systemic toxicity, intralipid, lipid emulsion, Exparel, ultrasound-guidance, regional anesthesi...
Source: Drugs and Aging - Category: Geriatrics Source Type: research
Conclusion: The QL block provided prolonged and effective analgesia in comparison to TAP block up to 72 hours post-CS.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Jyotsna PunjIndian Journal of Anaesthesia 2019 63(10):851-855 Medical management along with stellate ganglion block is frequently given to prevent the vasculitis of fingers in patients of systemic lupus erythematosus (SLE). Bilateral stellate ganglion block is rarely given due to the concern of phrenic and recurrent laryngeal nerve palsy. In this article, we describe the management of a recently diagnosed SLE patient presented with progressive gangrene of fingers of both upper limbs. Meticulously planned serial bilateral ultrasound-guided stellate ganglion blocks were successfully given to prevent impending loss of digits...
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Amit Nagpal, Mohit Mittal, Shalvi Mahajan, Adarsh C SwamiIndian Journal of Anaesthesia 2019 63(10):868-869
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
We report a case of a 41-year-old male with anticipated difficult airway undergoing a repair of a bilateral radial fracture under bilateral sequential brachial plexus block. Anesthesiologists are reluctant to perform bilateral blocks because of the fear of complications like diaphragmatic paralysis, local anesthetic (LA) toxicity, and pneumothorax. We advise that with the correct application of LA pharmacokinetics, careful patient selection and usage of ultrasound, bilateral blocks can be done safely. We used chloroprocaine as an LA in one of the blocks to reduce the dose required for the more toxic LAs. chloroprocaine's f...
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
Publication date: Available online 3 October 2019Source: Journal of Vascular and Interventional RadiologyAuthor(s): Patrick. J. Navin, Mariah L. White, Francis C. Nichols, Darlene R. Nelson, John J. Mullon, Jennifer S. McDonald, Thomas D. Atwell, Michael R. MoynaghAbstractPurposeTo evaluate the incidence of major hemorrhage after image-guided percutaneous chest tube placement in patients with an abnormal international normalized ratio (INR) measured before the procedure.Materials and MethodsBetween January 2013 and September 2017, 49 image-guided percutaneous chest tubes were placed in 45 adult patients who had an elevated...
Source: Journal of Vascular and Interventional Radiology - Category: Radiology Source Type: research
Authors: Tamura T, Kaneko K, Yokota S, Kitao T, Ando M, Kubo Y, Nishiwaki K Abstract This randomized, observer-blinded prospective study aimed to compare the postoperative analgesic effects of ultrasound-guided rectus sheath block with those of local anesthetic infiltration of the surgical field in children undergoing inguinal hernia repair. Children aged 2 to 14 years, scheduled for elective single-incision laparoscopic percutaneous extraperitoneal closure, were randomly allocated to receive ultrasound-guided rectus sheath block (group R) or local anesthetic infiltration of the surgical field (group L). In group R...
Source: Nagoya Journal of Medical Science - Category: International Medicine & Public Health Tags: Nagoya J Med Sci Source Type: research
CONCLUSION: Learning curves constructed with CUSUM analysis in this study showed that only 62.5% of residents were able to correctly predict cuffed endotracheal tube size with 80% success rate. Considerable variability in achieving competency necessitates objective follow-up of individual improvement. PMID: 31583796 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - Category: Anesthesiology Authors: Tags: Paediatr Anaesth Source Type: research
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