Neurological conditions in the perioperative period
Publication date: Available online 14 November 2019Source: Surgery (Oxford)Author(s): Robert Crooks, Christopher JohnsonAbstractThe wide spectrum of neurological disorders and their effects on the function of the central and peripheral nervous system can cause an extensive array of symptoms and significant morbidity and mortality. This morbidity and mortality is often amplified in the perioperative period with an elevated risk of anaesthetic complications and adverse events. However, the number of patients with neurological disease requiring surgery is unlikely to diminish, and therefore this anaesthetic risk needs to be met and managed effectively. Here we aim to examine a range of different neurological conditions, exploring the possible complications and complexities encountered in the perioperative period, in addition to discussing strategies to minimize the risk of adverse outcomes and ensure the delivery of safe anaesthesia and good perioperative care.
Publication date: 1 January 2020Source: Colloids and Surfaces B: Biointerfaces, Volume 185Author(s): Furqan A. Maulvi, Lakshmi V. Pillai, Kajal P. Patel, Ankita R. Desai, Manish R. Shukla, Ditixa T. Desai, Hetal P. Patel, Ketan M. Ranch, Shailesh A. Shah, Dinesh O. ShahAbstractLidocaine is widely used as a local anaesthetic in the clinical practice to manage pre- and post-operative pain, skin burns, etc. However, the short duration of action (
Authors: Hendriksen E, Slagt C PMID: 31807062 [PubMed]
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Conclusion: Anterior approach following intraoperative reduction monitored by somatosensory-evoked potentials under general anesthesia for cervical dislocation and locked facets is a relatively safe and effective alternative when cervical alignment is achieved by intraoperative reduction. PMID: 31805759 [PubMed - as supplied by publisher]
Authors: Dahaba AA Abstract Numerous clinical conditions that have a direct effect on electroencephalography (EEG) cerebral function could also directly influence brain function monitors (BFM) indices. There is no conventional comparator technology for BFM assessment. The conventional comparator technology used as a benchmark for assessing BFMs technologies chosen by the UK National Institute for Health and Care Excellence (NICE) to reflect the currently used standards in the National Health Service (NHS), was demarcated as "standard anesthetic clinical monitoring" and precisely defined as "the combi...
In conclusion, the role of the anesthetist should be to supervise endoscopy activities at every level. PMID: 31808663 [PubMed - as supplied by publisher]
CONCLUSIONS: Intraoperative acupuncture at HT7 and ear Shen Men did not reduce PAED scores after myringotomy tube placement. Based on these data, it is therefore unlikely that alarger study of the same design would demonstrate a significant effect of intraoperative acupuncture on emergence delirium after brief sevoflurane anesthesia. However, other acupuncture points or techniques could be considered. PMID: 31808657 [PubMed - as supplied by publisher]
Authors: Genç Moralar D, Tok Cekmecelioglu B, Aslan M, Hergünsel GO Abstract BACKGROUND: Quadratus lumborum block (QLB) is a newly-defined trunk block performed with local anesthetic injection by imaging the abdominal muscles with ultrasonography (US) guidance; thus, analgesia is expected to be ensured from the T7-L1 dermatomal segment level. In the study, the aim was making the comparison between the quadratus lumborum block and the intravenous analgesia with tramadol on postoperative analgesic effect in pediatric patients undergoing lower abdominal surgery. METHODS: Patients included in the study ...
Publication date: Available online 4 December 2019Source: Life SciencesAuthor(s): Chunzhu Li, Ming Xia, Hao Wang, Wenlong Li, Jiali Peng, Hong JiangAbstractAimTo investigate the effect of propofol on the migration and invasion of oral squamous cell carcinoma (OSCC) cells and explore the underlying mechanism.Main methodsCal-27 and SCC-25 cells treated with or without propofol, then the cells metastasis were determined. The levels of SNAI1 mRNA and protein were detected by real-time PCR and western blot. Cell migration ability was evaluated by wound healing assay, and the invasion of cells was measured using transwell assay....
Hi all, Current MS4 on the interview trail for anesthesia residency. I've been to a number of interviews and am close to finalizing my rank list. Many residents boast the mantra of "gut feeling - based on people, etc." for your list. For those of you into practice (PP, academics, etc.) - what do you wish you knew before residency? Obviously the culture of the program and the fit are VERY important, don't get me wrong. What objective things about a residency training do you think is most... Attendings - What would you tell your MS4 self today?