Ewing ’s sarcoma of kidney extending into IVC and RA: resection using modified cannulation strategy for CPB
AbstractEwing ’s sarcoma of the kidney is a rare tumor. Although renal carcinomas are known to involve the inferior cava, extension of the tumor up to the right atrium is not common. In the majority of cases when the tumor extends into the infrahepatic part of the inferior vena cava, it can be removed from the abdominal approach. Few patients require the use of cardiopulmonary bypass for removal of the tumor in the inferior vena cava and right atrium. The management of patients requiring resection of kidney tumors and right atrial mass is more complicated and requires a team approach consisting of oncosu rgeons, cardiac ...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 26, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research
Response to: Comment on "Comparison of the pericapsular nerve group block with the intra-articular and quadratus lumborum blocks in primary total hip arthroplasty: a randomized controlled trial"
Korean J Anesthesiol. 2024 Apr 25. doi: 10.4097/kja.24215. Online ahead of print.NO ABSTRACTPMID:38659193 | DOI:10.4097/kja.24215 (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 25, 2024 Category: Anesthesiology Authors: Tayfun Et Muhammet Korkusuz Source Type: research
Minimally Invasive Approach versus Sternotomy for Cardiac Surgery in Jehovah's Witness Patients
Patients who refuse transfusion due to religious beliefs, such as Jehovah's Witnesses (JWs), have been considered high-risk candidates for cardiac surgery. Nevertheless, favorable cardiac surgery outcomes for JW patients have been reported and showed similar results with non-JW patients. However, these studies have comprised the conventional median sternotomy approach. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 25, 2024 Category: Anesthesiology Authors: Heemoon Lee, Jihoon Kim, Jong Hyun Lee, Jae Suk Yoo Tags: Original Article Source Type: research
Sampling is decisive to determination of < i > Leishmania (Viannia) < /i > species
ConclusionsThe type of clinical sample can directly influence the detection and identification ofLeishmania (Viannia) species. Here, we demonstrated that lancet scraping samples consistently allowed the identification of more leishmaniasis cases compared to filter paper imprints or biopsies. This procedure is inexpensive, painless, and easy to implement at the point of care and avoids the need for anesthesia, surgery, and hospitalization and therefore could be used in resource limited settings for both military and civilian populations. (Source: PLoS Neglected Tropical Diseases)
Source: PLoS Neglected Tropical Diseases - April 25, 2024 Category: Tropical Medicine Authors: Maxy B. De los Santos Source Type: research
Anesthetic management during laparoscopic liver resection in a patient with Fontan physiology and high central venous pressure
The Fontan procedure was developed in 1971 for the surgical palliation of patients with single ventricle physiology [1]. In patients with Fontan physiology, pulmonary perfusion depends on pulmonary vascular resistance and systemic venous pressure. Long-term survival after the Fontan procedure has improved [2]. However, chronically high venous pressure may cause liver congestion and lead to the development of hepatocellular carcinoma (HCC) [3]. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 25, 2024 Category: Anesthesiology Authors: Kousuke Kikuchi, Akira Iura, Naohiro Hara, Takeshi Iritakenishi, Daisuke Hiramatsu, Yuji Fujino Tags: Case Report Source Type: research
“Con: Is Minimal Invasive Extracorporeal Circulation Superior to Conventional Cardiopulmonary Bypass in Cardiac Surgery?”
While individualized treatment is one of the pillars of the evolving practice towards a more physiological perfusion approach, further than “the elections of the artists”, decision-making algorithms considering different strategies to reduce blood product requirements (BPR) during Cardiopulmonary Bypass (CPB), should be implemented by Cardiac Surgery teams, considering the adequacy to circumstances and the cost-benefit balance. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 25, 2024 Category: Anesthesiology Authors: Morillo J. Blanco, M Vives Tags: Pro and Con Source Type: research
Improving Scheduling Efficiency in the Setting of Staff Turnover and Increased Surgical Volume in the Post-anesthesia Care Unit Using Census Data Trends
This article describes the successful implementation of a staffing restructuring in the Post-Anesthesia Care Unit (PACU) at a large Cancer Center in New York City. Retrospective census data (hourly census “snapshots” and 60-day average daily census trends) in the Main PACU was evaluated to predict PACU's busiest working hours and adjust PACU staffing targets accordingly. This restructure led to a 55% decrease in overtime expenditure in 2023 YTD compared to 2022 YTD ($264,248 and $588,063 annual d ollars spent, respectively), despite a 6.6% increase in surgical volume and 2x the amount of staff turnover in 2023 compared...
Source: Nurse Leader - April 25, 2024 Category: Nursing Authors: Victoria Bihler Tags: Featured article Source Type: research
Acute diverticulitis with extraluminal air: is conservative treatment sufficient? A single-center retrospective study
ConclusionsConservative treatment with antibiotics for acute diverticulitis with extraluminal air is safe with a success rate of 89%. Patients with distant pneumoperitoneum should be carefully monitored. (Source: Techniques in Coloproctology)
Source: Techniques in Coloproctology - April 25, 2024 Category: Surgery Source Type: research
Outcomes of ultrasound-guided injections of Bennett lesions of the shoulder
ConclusionInjection of symptomatic Bennett lesions is a safe procedure and can provide symptomatic relief that may be temporary, though equivocally useful clinically. (Source: Journal of Ultrasound)
Source: Journal of Ultrasound - April 25, 2024 Category: Radiology Source Type: research
Very Young Children Exposed to Anesthesia May Be at Higher Risk of Childhood Bipolar Disorder
Infants and toddlers who are exposed to general anesthesia may be at increased risk for bipolar disorder later in childhood compared with infants and toddlers who are not exposed, according to areport inSchizophrenia Bulletin. The association remained after adjusting for other childhood comorbidities and parental psychiatric diagnoses.“In the context of pediatric care, it is essential to recognize the substantial perioperative trauma experienced by children, both physically and psychologically,” wrote Mingyang Sun, M.D., of the People’s Hospital of Zhenghzou University in Henan, China, and colleagues. “Emerging evi...
Source: Psychiatr News - April 24, 2024 Category: Psychiatry Tags: anesthesia bipolar disorder children general anesthesia hospital risk factor sevoflurane Taiwan toddlers Source Type: research
Effects of dexmedetomidine on renal function after cardiac surgery for infective endocarditis: An interim analysis of a randomized controlled trial
CONCLUSIONS: Dexmedetomidine administration for 24 h starting from induction of anesthesia significantly reduced the incidence of postoperative AKI after cardiac surgery for IE (by 29 % vs. control) without hemodynamic side effects. This was accompanied by a significant attenuation of postoperative increase in serum epinephrine levels.PMID:38658274 | DOI:10.1016/j.asjsur.2024.04.028 (Source: Asian Journal of Surgery)
Source: Asian Journal of Surgery - April 24, 2024 Category: Surgery Authors: Sung Yeon Ham Jae-Kwang Shim Sak Lee Seo Hee Ko Sarah Soh Young-Lan Kwak Source Type: research
Evaluation of different body temperature measurement methods for patients in the intraoperative period
CONCLUSION: the data from the current study do not recommend using infrared temporal thermometers as a strategy for measuring the body temperature of patients undergoing anesthetic-surgical procedures. Central cutaneous thermometers and esophageal/nasopharyngeal thermometers are equivalent for detecting intraoperative hypothermia.PMID:38655937 | DOI:10.1590/1518-8345.6873.4143 (Source: Revista Latino-Americana de Enfermagem)
Source: Revista Latino-Americana de Enfermagem - April 24, 2024 Category: Nursing Authors: Ariane Souza do Nascimento Cassiane de Santana Lemos Fernanda Baratojo Biachi Fernanda Ribeiro Silva de Lyra Juliana Rizzo Gnatta Vanessa de Brito Poveda Source Type: research
Assessment of fluid infusion rate using a pulse oximeter: a pilot study
Korean J Anesthesiol. 2024 Apr 24. doi: 10.4097/kja.23489. Online ahead of print.NO ABSTRACTPMID:38654476 | DOI:10.4097/kja.23489 (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 24, 2024 Category: Anesthesiology Authors: Yeiheum Park Sungho Moon Source Type: research
Pediatric anesthesia in Australia and New Zealand and health inequity among First Nations and M āori children
Paediatr Anaesth. 2024 Apr 24. doi: 10.1111/pan.14898. Online ahead of print.ABSTRACTAustralia and New Zealand are two countries in the Southern Pacific region. They share many pediatric anesthesia similarities in terms of medical organizational systems, education, training, and research, however there are important differences between the two nations in relation to geography, the First Nations populations and the history of colonization. While the standards for pediatric anesthesia and the specialty training requirements are set by the Australian and New Zealand College of Anesthetists and the Society for Pediatric Anesth...
Source: Paediatric Anaesthesia - April 24, 2024 Category: Anesthesiology Authors: Edith Waugh Jane Thomas Brian J Anderson Paul Lee-Archer Source Type: research
Advances in pediatric anesthesia services over the past 10 years in French-speaking sub-Saharan Africa
CONCLUSION: Progress have been made over the last 10 years in French-speaking SSA to improve infrastructures, human resources, education, medications, and equipment for pediatric anesthesia in French-speaking SSA. However, major efforts must be continued. Standards adapted to the local context should be formulated.PMID:38655778 | DOI:10.1111/pan.14904 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - April 24, 2024 Category: Anesthesiology Authors: K élan Bertille Ki Fatou Fleur Sanou Marie Ndoye Diop Ismael Guibla Mamadou Traore Joseph Donamou Moustapha Mangane Yvette Kabre Hadjara Daddy Buhendwa Jean Paul Cikwanine Hamza Sama Joseph Akodjenou Adjougoulta Koboy Do-A-Nduo Bonte Junete Metogo Mbengo Source Type: research
