Left Atrial Myxoma Presenting as Cerebral Embolism
ACUTE embolic cerebral stroke is a major health setback for any individual, with increased mortality and morbidity. Embolus arising from cardiac chambers constitutes about 20% of ischemic strokes. Atrial fibrillation is the root cause of more than 50% of cardiogenic emboli, whereas congenital heart diseases, such as atrial septal defect, patent foramen ovale, prosthetic heart valves, rheumatic heart valvular disease, dilated cardiomyopathy, and endocarditis are predisposing factors for cardiogenic emboli.
Conclusions Analysis of ASC and HOR claims demonstrates significant differences and several common sources of liability. These include improving strategies for thorough screening, preoperative assessment and risk stratifying of patients, incorporating routine dental and airway assessment and documentation, diagnosing and treating perioperative pain adequately, and improving the efficacy of communication between patients and care providers.
Conclusions Sustained improvement in teamwork behaviors requires reinforcement. Level of Evidence Level III, prospective pre-post cohort study.
Are anesthesiologists who work for USAP allowed to take FMLA? Has anyone ever successfully accomplished this? Other than maternity leave. Thanks
AbstractNails have both functional and aesthetic importance. Undertreatments cause frequent recurrences affecting its functionality, while over-treatment spoils the aesthetic view. To describe the most practical and aesthetic method to treat ingrown toenail. All patients with ingrown toenail who applied to outpatient clinics of General Surgery Department between 2013 and 2019 were enrolled. A 2-mm space between tissue and nail by lateral longitudinal excision was created with only minimal matricectomy, under local anaesthesia. A total of 2334 surgical procedures were performed in 2118 patients. Recurrence rate was 1.7% dur...
Transcranial direct-current stimulation provided no additional benefit for upper extremity recovery, compared with sham stimulation, in a randomized trial of patients with mild to moderate stroke.Medscape Medical News
New data show a greater risk for atrial fibrillation and coronary heart disease (CHD) associated with chronic nightshift work, and women appear to be more susceptible.Medscape Medical News
Speaker Adrienne G. Randolph is Senior Associate, Critical Care Medicine at Boston Children's Hospital and Professor of Anaesthesia and Pediatrics, Harvard Medical School. The Randolph Lab studies the immunobiology of critical illness in children with a focus on life-threatening and fatal infections and acute lung injury. Her long-term goal is to identify new diagnostic tests and therapies that could restore health more rapidly and decrease morbidity and mortality. Her laboratory focuses on clinical-translational research in the areas of the immune response of pediatric patients with acute respiratory distress syndrome and...
Hey, anyone look at the patient height when it comes to how much Bupivacaine to put in the spinal or does everyone put 10.5 mg and 12 mg?
Conclusion: GMM debridement was not associated with a decreased incidence of HO after acetabular fracture surgery. American Society of Anesthesiologists class is a novel risk factor associated with severe HO formation. Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Objective: To determine the association between surgical timing and short-term morbidity and mortality in elderly patients who sustain hip fractures using a national trauma database (OTA/AO 31A1-3, 31B1-3). Design: Retrospective cohort study. Setting: Level I–IV trauma centers in the United States. Patients/Participants: All patients ≥65 years of age who underwent surgery for hip fracture from 2011 to 2013. Intervention: Time to surgery of 48 hours from admission. Main outcome measurements: Primary outcome was mortality by hospital discharge. Secondary outcomes were complicat...