Does longer sevoflurane preconditioning contribute to better neuroprotective effects?
(Neural Regeneration Research) Sevoflurane belongs to volatile anesthetics, and preconditioning with sevoflurane has been shown to exert protective effects against ischemic injury in the brain. But the mechanism is unclear.
Anyone have any advice for treating hiccups during endoscopy (assume patient is adequately sedated with propofol). It happens infrequently and typically resolves within a few minutes- but very annoying when it occurs during a critical part of a case!
CONCLUSIONS: Interdisciplinary team-based care providing accurate diagnostic services, coordinated planning, and safer surgery deliver effective care with improved clinical outcomes in comparison with alternative management. SUMMARY STATEMENTS: RECOMMENDATIONS. PMID: 31227057 [PubMed - in process]
Conclusions: These results indicate a link between Shh and autophagy in the rat model of POCD, providing new insights into Shh signaling pathway-mediated mechanisms of neuroprotection and cognitive repair after POCD. It also provides a potential entry point for the development of clinical drugs. PMID: 31221056 [PubMed - as supplied by publisher]
Authors: Niyyar VD Abstract Sonography is increasingly being used by nephrologists and the field of dialysis access is no exception. Advances in technology have allowed the addition of this universally available, portable, non-invasive tool to the nephrologist's armamentarium, which provides information on both morphology and physiology without the need for contrast or radiation. Ultrasound may be used across the spectrum of dialysis access, including central venous catheter placements, vascular mapping, regional anesthesia, creation, maintenance and assessment of hemodialysis access as well as assessment of the ab...
Hi everyone, in the future I want to work in surgery or maybe anesthesia. I had planned on applying to PA school but right now I am not the strongest applicant . I had planned working over the next year and retaking classes, then applying to PA school next application cycle. But, a few weeks ago I was accepted to an accelerated BSN program. I had never really planned on being an RN, but if I did this program I could then go out and gain really valuable patient care hours. The only... RN program or wait an application cycle?
Madigan must pay $12.3M in operating-room fire that disfigured child The child was undergoing a routine procedure to remove a cyst from his forehead when a surgeon's electric scalpel ignited a high-concentration of oxygen being used by an anesthesiologist, engulfing the child's boy's face in a fireball and disfiguring him... www.seattletimes.com Madigan again. SDN wouldn’t let me necro the last Madigan malpractice thread
Pediatric gastroenterologists recommend and perform a range of procedures requiring sedation and anesthesia in young children. A recent warning from the US Food and Drug Administration (FDA) states that “repeated or lengthy use of general anesthetics and sedation drugs during surgeries or procedures in children younger than 3 years or in pregnant women during their third trimester may affect the development of children's brains.” 1 As it relates to time, the FDA warning details risks of “procedures lasting longer than 3 hours or if multiple procedures are required.” Pediatric gastroenterologists a...
CONCLUSIONS: Age, anesthetic risk, presence of hydronephrosis, pT and pN stage were identified as independent predictors of GM, as well as pT and pN stage for CSM. PMID: 31223123 [PubMed - in process]
Authors: Lee S Abstract Dexmedetomidine is a potent, highly selective α-2 adrenoceptor agonist, with sedative, analgesic, anxiolytic, sympatholytic, and opioid-sparing properties. Dexmedetomidine induces a unique sedative response which shows easy transition from sleep to wakefulness, allowing a patient to be cooperative and communicative when stimulated. Dexmedetomidine may produce less delirium compared with other sedatives, or even prevent delirium. Analgesic effect of dexmedetomidine is not strong, however, it can be administered as a useful analgesic adjuvant. Dexmedetomidine decreases the need for opioi...