Prone cardiopulmonary resuscitation in elderly undergoing posterior spinal fusion with laminectomy

Mohammed K Al Harbi, Khaled A Alattas, Muhanad Alnajar, Muneera F AlbuthiSaudi Journal of Anaesthesia 2020 14(1):123-126 An 80-year-old male patient presented with 2 weeks history of low back pain undergoing posterior spinal fusion with laminectomy in the prone position. The patient was induced with fentanyl, propofol, and rocuronium, and then he was positioned in the prone position. After 6 h of starting the surgery, the patient started to be hypotension and bradycardia followed by pulseless electrical activity (PEA). Code blue was activated intraoperatively with immediate initiation of cardiopulmonary resuscitation (CPR) in the prone position and multiple epinephrine boluses. Fortunately, the patient had return of spontaneous circulation. After stabilization, he was taken for computed tomography scan which showed massive pulmonary embolization and management was continued in the intensive care unit. CPR in the prone position has shown to be effective for return of spontaneous circulation after PEA.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research

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Condition:   Non-specific Low Back Pain Interventions:   Other: Graded activity;   Other: Motor Control Exercises Sponsors:   McMaster University;   Canadian Institutes of Health Research (CIHR);   Macquarie University, Australia;   Laval University;   The University of Queensland;   University of Alberta Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Chronic Low-back Pain Interventions:   Other: Home Rehabilitation Program;   Other: e-Health program Sponsor:   Universidad de Almeria Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Across the U.S., back pain accounts for more than 264 million lost workdays in a year. Lost work days come with a cost of more than $50 billion in health care expenses, a number that rises to $100 billion when lost wages and decreased productivity are added to the mix. That’s according to the American Chiropractic Association and data from the World Health Organization (WHO). WHO reports that 72% of adult low-back pain health care visits are attributable to people under age 64 and still likely…
Source: bizjournals.com Health Care:Pharmaceuticals headlines - Category: Pharmaceuticals Authors: Source Type: news
Authors: Alikhajeh Y, Barabadi E, Mohammad Rahimi GR Abstract CONTEXT: In many societies, although chronic low back pain (LBP) is a significant problem, there is no consensus on the optimal therapeutic intervention. OBJECTIVE: To compare the impact of aquatic exercise (AE) and kinesio taping (KT) on the pain intensity and functional incapacity in women with chronic nonspecific LBP. DESIGN: Randomized controlled trial. SETTING: Outpatient clinic. PARTICIPANTS: Thirty-six women with chronic nonspecific LBP (mean [SD]: age = 50.69 [4.187] y) participated. INTERVENTIONS: Participants randomly a...
Source: Journal of Sport Rehabilitation - Category: Sports Medicine Tags: J Sport Rehabil Source Type: research
Sacroiliac joint dysfunction (SIJD) is a prominent source of pain in low back pain (LBP) patients. Tenderness inferior to the posterior superior iliac spine (PSIS) is an important sign presented in SIJD. Techniques including muscle energy technique (MET) and mechanical diagnosis and therapy (MDT) have shown benefits in SIJD. However, the effects of these treatments on tenderness and pain around the PSIS are yet to be determined.
Source: Journal of Bodywork and Movement Therapies - Category: Physiotherapy Authors: Source Type: research
It’s been a while since I last posted on my blog, as I’ve had other projects on the go this summer. Over this time I’ve been pondering, as I usually do, why pain management/rehabilitation has so many problems. Conceptually, I can understand that pain is a complex experience that we’re a long way from understanding. I get that it’s a philosophically challenging subject. That because it’s subjective (like love, disgust, fatigue or hunger) it’s difficult to examine dispassionately. I also get that it’s big business. Pain is one aspect of being human that captures the entrepr...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Low back pain Pain conditions Professional topics Science in practice Source Type: blogs
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Source: Healthcare Informatics Research - Category: Information Technology Tags: Healthc Inform Res Source Type: research
This study was designed by researchers at X University.Participants: Thirty-seven patients undergoing LSS were randomized to motor imagery group (n=19) and control group (n=18).Main Outcome Measures: Pain was measured by Visual Analogue Scale, disability related to low back pain by Oswestry Disability Index, pain-related fear by Tampa Scale of Kinesiophobia, depression by Beck Depression Inventory, quality of life by World Health Organization Quality of Life Scale-Short Form (WHOQOL-BREF). All assessments were repeated in the preoperative period, three weeks after and six weeks after the surgery.Interventions: Motor imager...
Source: EXPLORE: The Journal of Science and Healing - Category: Complementary Medicine Source Type: research
We present a case report of an adult woman with AKL-positive ALCL, diagnosed by endobronchial ultrasound-guided transbronchial needle aspirate (EBUS-TBNA).A 59-year-old women with no history of breast implants, was admitted for a four-month low back pain. Initially, the patient was treated for a spondyloarthropathy, but due to persistence of the symptoms, a lumbosacral MRI was performed, showing changes in morphology and signal intensity in the vertebral body of L3, along with edema and a paravertebral collection that affected the left psoas muscle, suggesting granulomatous spondylodiscitis. Chest CT-scan showed mild left ...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
This study investigated whether various forms of conceptually oriented pre-processing or the preselection of established factors was superior to using all factors as input.
Source: Journal of Clinical Epidemiology - Category: Epidemiology Authors: Tags: Original Article Source Type: research
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