An Apparent Large Pericardial Effusion: A Consequence of Dual Antiplatelet Therapy or an Entirely Different Diagnosis?
A 71-YEAR-OLD, 67 kg, 170 cm man presented to the authors ’ institution for evaluation of atypical chest pain of 6 months duration. The patient described his chest discomfort as relatively mild. It seldomly persisted for more than a few seconds; was confined to the left chest without radiation; and was not related to activity, position, or breathing. He denied dysphagia, odynophagia, and symptoms of gastroesophageal reflux disease. The patient had a history of chronic atrial fibrillation and peripheral vascular disease for which he received chronic dual antiplatelet therapy (apixaban and clopidogrel).
Targeted muscle reinnervation (TMR), originally developed as an experimental technique for prosthetic control, has been shown to be safe and effective for the treatment and prevention of postamputation pain. Targeted muscle reinnervation involves coaptatio...
I’ve been doing RFAs in private practice for 5 years, never any complications. Today, I slipped off the left L4 pedicle a few times, it was challenging. Adjusted the fluoro and was satisfied. No motor, lateral image did not indicate foraminal encroachment. Injected lidocaine prior to ablation. I was firmly in os and I held the probe the entire 2:30. In PACU patient complained of weakness and numbness in the L4 dermatome (FML). I was hoping it could be chalked up to the lidocaine... RFA complication
Hi folks, Does anyone have good recommendations for favorite electives during fellowship? My program has slots for three 2-week rotations -- it is a large tertiary center with a lot of services (i.e. plenty of options). I imagine there are pearls and valuable skills to take away from nearly all available rotations. In your experience, any particularly high-yield to the practice of HPM? I'm thinking addictions, pain, .... spiritual? psych?
Hey guys/gals.... Our group is looking into restructuring how the crnas are scheduled. We currently have a really basic system with a rotation and people just go home by the number. Many folks though are really wanting shift work. If you guys have a group where the crnas work shifts can you give a basic idea of how it works? For example... Different types of shifts? 4x10, 5x8, 3x12 What happens when you don’t need all the shift workers? Cut them and don’t pay their hours? Keep them... Crna schedule for your group
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Cian Henry, Conor Barry
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Ali Malik, Zahra Alassadi, Badrinarayan Srinivasan, Peter Brennan, Rajiv Anand
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): James Webster, Alice Cameron, Serryth Colbert
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Hanna Strang, Salim Miskry, Kathleen Fan
Conclusion: ESSA is a highly effective surgical technique for PT patients with transverse–sigmoid sinus enlargement and prominent transverse–sigmoid junction, regardless of whether they also have sigmoid sinus wall or transverse sinus anomalies. A large transverse–sigmoid system with prominent transverse–sigmoid junction is a predisposing factor for PT, and only by improving patients’ intrasinus hemodynamics could PT be resolved efficiently. In cases without complete obstruction of venous return, ESSA is safe. No postoperative complications related to neurological disorders were observed.
Conditions: Hyperalgesia; Chronic Pain Syndrome; Chronic Pain, Psychogenic; Fear of Pain Interventions: Behavioral: Threat manipulation (control, no threat); Behavioral: Threat manipulation; Behavioral: Conditioning of moderate pain; Behavioral: Conditioning of high pain; Behavioral: Extinction Sponsors: Leiden University Medical Center; Universiteit Leiden; KU Leuven; Maastricht University Recruiting