Alternative Transoral Application of Nasopharyngeal Airways.
Alternative Transoral Application of Nasopharyngeal Airways. Anesth Prog. 2020;67(1):39-44 Authors: Matsui R, Wong M, Waters B Abstract Transoral application of a nasopharyngeal airway (NPA) is a novel technique for difficult airway management. Clinically, it is an effective alternative for use in nonintubated dental cases under total intravenous anesthesia. This technique can help improve oxygenation and ventilation in clinical situations in which the conventional use of NPAs is ineffective, such as in patients who have findings of obesity; mandibular retrognathia or hypoplasia; maxillary hypoplasia; macroglossia; nasal obstruction secondary to hypertrophic tonsillar, adenoid, and/or lymphoid tissues or nasal polyps; known unusual nasal anatomy (eg, septal deviation); high risk of prolonged epistaxis (eg, patients on anticoagulants); or those who demonstrate mouth-breathing behaviors during deep sedation/nonintubated general anesthesia. After ensuring proper supraglottic placement, the transorally positioned NPA can be further secured with the use of tape for the duration of the dental procedure. Unlike an oropharyngeal airway, this simple and cost-efficient technique facilitates intraoral access for dental treatment. PMID: 32191507 [PubMed - in process]
Do you guys ever get pissed off when people in the general public do not really know what we do and our training to get to where we are? Little do they know we can transition from being primary care to emergency room to critical care doctors in a blink of an eye. What do you guys say to the misinformed that think all we did is push some medications into an IV and then wake someone back up?
At any given time, more than a third of Americans are on a specific diet, with weight loss as a leading reason. Most are going to be disappointed, because even when successful, lost weight is frequently regained within a few months. While most weight-loss diets can help you lose weight, they may be unsuccessful over the long run for a number of reasons. Some people don’t follow their diets carefully and don’t lose much weight even from the start. Others may go off the diet entirely after a while, because it’s too restrictive or the foods aren’t appealing. Some may engage in less physical activity as...
We present a patient with a ruptured basilar tip aneurysm treated under conscious sedation via a right radial approach using the Woven EndoBridge device. We discuss the technical aspects of the case as the well as the available literature on the treatment of ruptured aneurysms treated without general anaesthesia. We discuss the potential benefits of the Woven EndoBridge device in such situations. PMID: 32443960 [PubMed - as supplied by publisher]
I'm stuck. Do I use the adversity essay to explain bad grades? I would prefer not to, because I cannot discuss the true circumstances of my bad grades 10 years ago (drinking problem), only discuss my growth in vague language, so it feels stupid. Current list of topics: "Overcame myself and my terrible grades" I was bullied as a kid for being fat, became obese as an adult, dx prediabetic, made drastic changes, attained healthy body weight, it was really hard. I can relate to my... Adversity prompt feedback - overcoming obesity vs bad grades vs sports injury
Condition: Anesthesia; Reaction Intervention: Drug: Dexmedetomidine Sponsor: Yuzuncu Yıl University Completed
Conditions: Overweight or Obesity; Body Weight Interventions: Other: Dairy-based commercially available food products; Other: Restrictive Eating Sponsors: University of Toronto; Mount Saint Vincent University Not yet recruiting
Condition: Obesity Interventions: Drug: Naltrexone/bupropion; Other: Lifestyle Sponsors: Oslo University Hospital; Orexigen Therapeutics, Inc Not yet recruiting
Conditions: Hemodynamic Instability; General Anesthesia; Surgery; Protective Mechanical Ventilation Intervention: Diagnostic Test: Diagnostic Test: end-expiratory occlusion (EEO) test Sponsor: University Hospital, Clermont-Ferrand Not yet recruiting
Condition: Total Knee Arthroplasty Interventions: Procedure: adductor canal block; Procedure: control group Sponsor: Seoul National University Hospital Not yet recruiting
Rocuronium-associated injection pain/withdrawal response is a common side effect of this muscle relaxant. Can pretreating with IV antipyretic analgesics reduce the effects?BMC Anesthesiology