Anesthetic care for patients with anti-NMDA receptor encephalitis
Discussion: Multisystem involvement in anti-NMDA receptor encephalitis includes memory loss, behavior irregularity, psychosis, arrhythmias, blood pressure (BP) instability, and hypoventilation. In our study cohort, we noted no intraoperative issues and deterioration in clinical status following the use of volatile anesthetic agents, opioids, dexmedetomidine, and propofol for general anesthesia (GA) or sedation. As ketamine, xenon, and N2O mediate their anesthetic effects, primarily, through antagonism of NMDA receptors, theoretical concerns suggest that they should be avoided.
Would it come out as offensive if I start emailing professors about research now in anticipation of starting research as soon as a I start medical school? There are a few labs I'm interested in and I'm currently reading their papers. Now that Step 1 is P/F and so is my schools grading, I really want to be able to distinguish myself so I can match into anesthesiology. Also, has anyone ever worked in 2 labs at the same time. I'm asking because in undergrad, I got stuck in a lab I really hated... Incoming M1. Scouting professors and labs to conduct research in the fall
Authors: Somaini M, Ingelmo P PMID: 32449340 [PubMed - as supplied by publisher]
CONCLUSIONS: Systolic function assessed with GLS is impaired after general anesthesia and invasive mechanical ventilation in patients without cardiovascular co-morbidities but remains within normal range. PMID: 32449337 [PubMed - as supplied by publisher]
Authors: Abdelhamid BM, Khaled D, Mansour M, Hassan MM Abstract BACKGROUND: Pain control in the morbidly obese has presented as an anesthetic challenge. The aim of this study is to assess the analgesic efficacy of ultrasound guided bilateral erector spinae block compared to bilateral subcostal transversus abdominis plane block. METHODS: Prospective randomized, double-blinded controlled study was conducted at Kasr Alainy Hospital on 66 patients scheduled for laparoscopic sleeve gastrectomy. Patients were randomly allocated into three groups and received general anesthesia: bilateral erector spinae block at the l...
CONCLUSIONS: Administration of intravenous infusion of magnesium sulphate during conventional general anaesthesia can protect against POCD and attenuate the post operative elevation of serum S100B. PMID: 32449335 [PubMed - as supplied by publisher]
Genome Wide Association Studies (GWAS) have provided an enormous amount of data on genomic loci associated with cardiac electrophysiology and arrhythmias. Clinical relevance, however, remains unclear since GWAS do not provide a mechanistic explanation for this association. Determining the electrophysiological relevance of variants for arrhythmias would aid development of risk stratification models for patients with arrhythmias. In this review, we give an overview of genetic variants related to ECG intervals and arrhythmogenic pathologies and discuss how these variants may influence cardiac electrophysiology and the occurrence of arrhythmias.
Publication date: Available online 25 May 2020Source: Anaesthesia &Intensive Care MedicineAuthor(s): Viyayanand Nadella
Bardy Diagnostics is expanding the home enrollment program for its cardiac patch monitor and won CE mark for a 14-day version of the device. The Seattle, WA-based company said it was exploring more telehealth opportunities with Carnation Ambulatory Monitor (CAM) patch because of the rapidly evolving COVID-19 public health emergency. Typically, the CAM patch is applied to a patient in the clinic setting. In a prepared statement Ken Nelson,Â chief commercial officer of Bardy Diagnostics said, âTo help address the evolving needs of physicians and patients in this public health emergency, facilitat...
Dr Lorenzo Berra, a Boston anesthesiologist and intensivist, discusses nitric oxide and its use in treating patients who are infected with COVID-19.Medscape Medical News