Difficult Airway - Covid, Angioedema, ETT Exchange

Thoughts on the following case: Morbidly obese patient in ICU, thick neck+Covid, respiratory failure, high vent settings (20 PEEP, 70% FiO2). Called by ICU attending to exchange ETT because it becomes kinked when turning the patient prone, and randomly when turning the patient's head in certain directions when supine. Patient also with severe angioedema of the tongue, which is protruding several centimeters from the mouth, firm, immobile, making access to the oropharynx impossible. Patient... Difficult Airway - Covid, Angioedema, ETT Exchange
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums

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Objective The aim of this study was to evaluate the ability of the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) surgical risk calculator to predict surgical morbidity in patients undergoing pelvic reconstructive surgery. Methods This was a retrospective study of patients who underwent pelvic reconstructive surgery from 2014 to 2017. Preoperative risk factors were abstracted from medical records and entered into the ACS NSQIP surgical risk calculator. The Current Procedural Terminology code that produced the largest risk was used and compared with actual patient outcomes. Demog...
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
AbstractPurposeThe purpose of this study was to investigate myometrial contractility induced by oxytocin in women with  advanced maternal age (AMA) and morbid obesity (MO). We hypothesized that both oxytocin-pretreated and oxytocin-naïve myometrial tissues from women of AMA and women who are MO would exhibit poor myometrial contractility compared with women that are younger and of normal body mass index (BMI).MethodsThis prospectivein vitro study was conducted using myometrial samples obtained from women undergoing elective Cesarean deliveries. Three groups of patient were studied: control ( ≤ 35 yr; BMI,...
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
Conclusions: This is the largest outcomes analysis of face-lift surgery in a patient population solely representative of board-certified plastic surgeons. Rhytidectomy is a very safe procedure when performed by board-certified plastic surgeons. Nevertheless, risk factors for complications are identified, several of which can be affected by surgeon choice of surgical venue, additive procedures, duration of operation, and type of anesthetic. The study provides a standard reference for professionals when counseling patients and in guiding clinical practices. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.
Source: Plastic and Reconstructive Surgery - Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
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...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
In this meta-analysis, Hamid et al[1] discuss a subset of the currently available data on the impact of transversus abdominis plane (TAP) block on postoperative pain and opioid consumption. In the era of protocols to enhance recovery this is a worthy endeavor. The MBSAQIP D.R.O.P program (Decreasing Readmissions Through Opportunities Provided), described in 2014 by John Morton, was the first QI initiative to originate from this accreditation program [2]. Notably, the DROP program originated from a desire to decrease readmissions, and postoperative pain was not one of the author ’s proposed causes for readmission.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
We read with interest the article “Effect of Intraperitoneal Bupivacaine on Postoperative Pain in Laparoscopic Bariatric Surgeries” [1]. We thank and congratulate the Iranian colleagues for this important contribution to this topic. Even if supported by scarce literature, effectiveness of peritoneal irrigation with local anesthe tics still remains controversial [2], although it seems to be one useful tool to control postoperative pain after bariatric surgery, as recently stated by a meta-analysis published within your Journal [3].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
Cognition is an important function of the brain that enables us to acquire and process information, to enhance our understanding of thoughts, experiences, and our senses. Any condition that affects our ability to think, reason, memorize, or be attentive affects our cognitive ability. Some cognitive decline is a normal part of aging, but there are many things you can do to prevent or forestall cognitive changes as you age, including when planning for surgery. Older adults are having more surgical procedures As our population ages and medicine and healthcare advances, more older adults are likely to develop serious condition...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Healthy Aging Managing your health care Memory Neurological conditions Prevention Surgery Source Type: blogs
Conditions:   Obesity;   Anesthesia Interventions:   Procedure: Exploring potential risk factors of difficult intubation using ultrasound;   Procedure: Radial artery catheterization using ultrasound guidance or blind palpation;   Device: Comparing the effectiveness of preoxygenation between high-flow nasal cannula and facemask;   Drug: Type of volatile anesthetics and M-Entropy guidance of anesthesia depth Sponsors:   Taipei Medical University Shuang Ho Hospital;   Ministry of Science and Technology, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Pregnancy Related;   Obesity Interventions:   Device: Accuro;   Device: standard ultrasound device Sponsor:   European e-Learning School in Obstetric Anesthesia Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Obesity;   Anesthesia Interventions:   Procedure: Exploring potential risk factors of difficult intubation using ultrasound;   Procedure: Radial artery catheterization using ultrasound guidance or blind palpation;   Device: Comparing the effectiveness of preoxygenation between high-flow nasal cannula and facemask;   Drug: Type of volatile anesthetics and M-Entropy guidance of anesthesia depth Sponsors:   Taipei Medical University Shuang Ho Hospital;   Ministry of Science and Technology, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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