Application of Analgesia/Nociception Index in Combined Spinal Epidural Anesthesia

Condition:   Combined Spinal-epidural Anesthesia Intervention:   Procedure: Combined spinal epidural anesthesia Sponsor:   Beijing Chao Yang Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Local anesthetic systemic toxicity (LAST) is a life-threatening event caused by elevated local anesthetic plasma concentration. It is often unrecognized or misdiagnosed. Peripartum women are at increased risk for toxicity due to pregnancy-related physiological changes. Rising serum drug levels can cause cellular level impairment of mitochondria and voltage-gated ion channels leading to a cascade of symptoms that can end in cardiac arrest. Local anesthetic systemic toxicity can mimic other maternal pathologies but may be considered if local anesthetics have been used. Published treatment guidelines for this event include li...
Source: MCN: The American Journal of Maternal Child Nursing - Category: Nursing Tags: Feature: NCPD Connection Source Type: research
Hey all. This is my first post so bear with me. I have tried to read up on Emory and see what people have thought about the program but have come up with nothing. I was just wondering if anyone knew of the program's strengths...size...resident happiness...work load...or any other info I may possibly be interviewing there so I just wanted a heads up. Thanks
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
ConclusionsThe RFS rate was lower in NMIBC patients who received GA during TURBT than in those who received SA. Volatile anesthesia may increase tumor recurrence, particularly in high-risk NMIBC patients, which may be due to the inhibition of the immune response system during surgery.
Source: International Journal of Clinical Oncology - Category: Cancer & Oncology Source Type: research
I just feel so sad and disappointed at being an IM intern. I have zero passion over the medicine I am practicing. I wish I went into a specialty that was more procedural to be honest, something like anesthesiology or even frankly Radiology. I already have sunk one year into this and will likely waste another year if I decide to reapply and at that point might as well finish residency...oh well...time go write another long ass note that is meant only for billing...
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: General Residency Issues Source Type: forums
Increasingly complex procedures are routinely performed using minimally invasive approaches, allowing cancers to be resected with short hospital stays, minimal postsurgical discomfort, and improved odds of cancer-free survival. Along with these changes, the focus of anesthetic management for lung resection surgery has expanded from the provision of ideal surgical conditions and safe intraoperative patient care to include preoperative patient training and optimization and postoperative pain management techniques that can impact pulmonary outcomes as well as patient lengths of stay.
Source: Thoracic Surgery Clinics - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
Contralateral carotid stenosis (clCS) has been described as a perioperative predictor of mortality after carotid endarterectomy (CEA). However, its predictive value on long-term cardiovascular events remains controversial. The study aims to assess the potential role of clCS as a long-term predictor of major adverse cardiovascular events (MACE) in patients who underwent CEA. From January 2012 to July 2020, patients undergoing CEA under regional anesthesia for carotid stenosis in a tertiary care and referral center were eligible from a prospective database, and a post hoc analysis was performed.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
Dr. Laura Esserman answers the door of her bright yellow Victorian home in San Francisco’s Ashbury neighborhood with a phone at her ear. She’s wrapping up one of several meetings that day with her research team at University of California, San Francisco, where she heads the Carol Franc Buck Breast Care Center. She motions me in and reseats herself at a makeshift home office desk in her living room, sandwiched between a grand piano and set of enormous windows overlooking her front yard’s flower garden. It’s her remote base of operations when she’s not seeing patients or operating at the hospita...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Source Type: news
Seventy percent of the global population do not have access to safe and affordable surgical and anaesthesia care, and 90% of them are found in the low-and-middle income countries. The WHO considers perioperative mortality rate (POMR) as a gross indicator for safe surgical practice. We aimed to descriptively assess the POMR of our low resource non-governmental organization (NGO) hospital in India.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Global Surgery and Humanitarian Outreach Source Type: research
Surgery has formerly been called the ‘neglected stepchild of global health.’ Although significant progress has been achieved in bringing surgical care to the forefront of global health discussions, the state of surgery in many Low- and Middle- Income Countries remains unchanged. A number of these countries are in the process of dev eloping National Surgical (including trauma), Obstetric, and Anesthesia plans (NSOAP), the vehicle that will be used to scale up surgical capacity. We aimed to describe the initial steps towards the development of the Kenya NSOAP and the development of the Kenya National Hospital Ass...
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Global Surgery and Humanitarian Outreach Source Type: research
Frail patients have an increased risk of postoperative morbidity and mortality, and there is an urgent need for interventions to improve outcomes in this vulnerable group. We hypothesized that using locoregional rather than general anesthesia would significantly reduce morbidity and mortality for frail patients having complex surgery.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General Surgery Source Type: research
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