Cancers, Vol. 16, Pages 1784: Hypnosis-Assisted Awake Craniotomy for Eloquent Brain Tumors: Advantages and Pitfalls
Conclusion: HAAC is a safe alternative to MAC as it reduces perioperative stress and increases overall satisfaction. Further research is necessary to assess whether hypnosis is clinically beneficial. (Source: Cancers)
Source: Cancers - May 5, 2024 Category: Cancer & Oncology Authors: Giulia Cossu Alberto Vandenbulcke Sonia Zaccarini John G. Gaudet Andreas F Hottinger Nina Rimorini Arnaud Potie Valerie Beaud Ursula Guerra-Lopez Roy T Daniel Chantal Berna Mahmoud Messerer Tags: Article Source Type: research
A Comparative Analysis of "Surgery First" vs. "Endoscopy First" for Pediatric Choledocholithiasis Presenting at the End of the Week
CONCLUSION: Children with choledocholithiasis at the EoW have a longer LOS and TTDI. These findings are amplified when children enter an EF treatment pathway. An SF approach results in shorter LOS with fewer procedures, regardless of the time of presentation.PMID:38703074 | DOI:10.1177/00031348241241728 (Source: The American Surgeon)
Source: The American Surgeon - May 4, 2024 Category: Surgery Authors: Garrett R Reid Jessica L Rauh Bonnie E Laingen Elizabeth A Azar Elizabeth C Wood Gloria D Sanin Gabriel E Cambronero Maggie E Bosley Aravindh S Ganapathy James W Patterson Lucas P Neff Source Type: research
Pipelle Endometrial Sampling With a Full Bladder Compared With Standard Care: A Randomized Controlled Trial
CONCLUSION: Pipelle endometrial sampling with a full bladder reduces the initial insertion failure rate, procedure-related pain, and duration of sampling and increases patient satisfaction compared with the standard process.CLINICAL TRIAL REGISTRATION: ISRCTN, ISRCTN33938192.PMID:38703361 | DOI:10.1097/AOG.0000000000005597 (Source: Obstetrics and Gynecology)
Source: Obstetrics and Gynecology - May 4, 2024 Category: OBGYN Authors: Erwina Hashim Jesrine Hong Yin Ling Woo Mukhri Hamdan Peng Chiong Tan Source Type: research
Children and the Opioid Crisis: We Can Make a Difference
J Perianesth Nurs. 2024 May 2:S1089-9472(24)00049-2. doi: 10.1016/j.jopan.2024.02.003. Online ahead of print.ABSTRACTThe use of opioid-sparing and opioid-free strategies in children can provide adequate analgesia while decreasing the risk of adverse events and contributing to the ongoing battle against the opioid crisis. However, every child must be evaluated individually so that a safe and efficacious perioperative pain management plan can be created. A working knowledge of the risks and benefits of opioids, nonopioid adjuncts, and regional anesthesia along with the ethical considerations for balancing stewardship and ben...
Source: Journal of Perianesthesia Nursing - May 4, 2024 Category: Nursing Authors: Lisa Allison Herbinger Source Type: research
Neck trauma management – surgery for major incidents
This article reviews current literature, with particul ar focus on mechanism of injury, principles of investigation and management. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - May 4, 2024 Category: Surgery Authors: Elizabeth A. Smithson, Philip M. Bembridge Tags: Surgery for major incidents Source Type: research
An unremarkable midesophageal 4-chamber TEE view in a hemodynamically unstable patient: what are we missing?
A 78-year-old, 109-kg, 160-cm woman with aortic valve stenosis and severe peripheral vascular disease presented to the authors ’ institution for increasing shortness of breath. The physical examination indicated that a previously noted systolic murmur was more prominent. Transthoracic echocardiography revealed a peak velocity of 4.4 m/sec across the aortic valve, consistent with severe stenosis. Left heart catheterization further demonstrated severe three-vessel coronary artery disease and confirmed the severe aortic stenosis. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Dustin Hang, Paul S. Pagel Tags: Diagnostic Dilemma Source Type: research
Evaluation of the efficacy of a novel dermatotomy device for central venous cannulation.
Central venous cannulation (CVC) is one of the most common medical procedures performed in the United States.1 The Seldinger technique, described in 1953, has been widely used for CVC.2 To accomplish CVC using the Seldinger technique, a small dermatotomy is required at the wire entry site to facilitate skin dilatation and subsequent catheter insertion over the guidewire. A precise dermatotomy incision facilitates successful cannulation and minimizes bleeding at the insertion site. Using a conventional scalpel for the dermatotomy may produce an incision that is not contiguous with the wire entry site. (Source: Journal of Ca...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Worasak Keeyapaj, Albert T. Cheung Tags: Original Article Source Type: research
Comparison of Intraoperative Blood Product Use During Heart Transplantation in Patients Bridged with Impella 5.5 versus Durable Left Ventricular Assist Devices
To determine if the intraoperative transfusion requirements differ based on the mechanical circulatory device used as a bridge to heart transplantation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Anna Bovill Shapiro, Ashley Virginia Fritz, Sean Kiley, Shriya Sharma, Parag Patel, Alexander Heckman, Archer Kilbourne Martin, Rohan Goswami Tags: Original Article Source Type: research
Collateral-Induced Hypoxemia After Bidirectional Glenn Procedure
A 5-year-old boy [weight:15.6kg; height: 112cm] presented to the author's institution with progressive shortness of breath and central cyanosis [arterial oxygen saturation of 76% on room air]. As a neonate, the child was diagnosed with normal situs, pulmonary atresia, and multiple ventricular septal defects. A stent was deployed into the ductus arteriosus as an emergent procedure. At 15 months of age, the child underwent a bidirectional Glenn procedure with azygos vein ligation and division of the distal part of the ductus arteriosus stent. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Dr. Mohan Madan Maddali, Dr. Is'haq Al Aamri, Dr. Pranav Subbaraya Kandachar, Dr. Pravin Saxena, Dr. Khalid Al Alawi Tags: Diagnostic Dilemma Source Type: research
On the reporting of protamine dosage in cardiac surgery
To the Editor: (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Michael Vandenheuvel, Korneel Vandewiele, Filip De Somer, Patrick F. Wouters Tags: Letter to the Editor Source Type: research
Cardiogenic Shock and the Elderly: Many Questions, Few Answers
The recent American Heart Association (AHA) scientific statement “Cardiogenic Shock in Older Adults: A Focus on Age-Associated Risks and Approach to Management: A Scientific Statement From the American Heart Association” highlights a growing population: elderly patients with cardiogenic shock.1 The authors underscore the need for further investigation in mult iple areas, including the definition of “elderly”, the increasing number of these patients presenting with cardiogenic shock, and the limited information regarding treatment strategies and outcomes in this particular population. (Source: Journal of Cardiothora...
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Scott Place, Dominic V. Pisano, Amy French, Jamel Ortoleva Tags: Editorial Source Type: research
Anesthetic Techniques for Ablation in Atrial Fibrillation: A Comparative Review
Atrial fibrillation (AF), the most prevalent cardiac arrhythmia has witnessed significant advancements in treatment modalities, transitioning from invasive procedures like the maze procedure to minimally invasive catheter ablation techniques. This review focuses on recent improvements in anesthetic approaches that enhance outcomes in catheter AF ablation. We highlight the efficacy of contact force sensing catheters with steerable introducer sheaths, which outperform traditional catheters by ensuring more effective contact time and lesion formation. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 4, 2024 Category: Anesthesiology Authors: Paul Ford, Andrew Russell Cheung, Maaz Shah Khan, Gabriella Rollo, Samata Paidy, Mathew Hutchinson, Rabail Chaudhry Tags: Review Article Source Type: research
The Impact of Comprehensive Nursing and Warming Measures on Emergence Agitation and Maternal-Neonatal Safety in Women Undergoing General Anesthesia for Cesarean Section
CONCLUSION: Comprehensive nursing combined with thermal insulation measures vastly improved the sedation degree of parturient, reduced the incidence of EA and chills, ensured maternal and infant safety, reduced adverse pregnancy outcomes, promoted early recovery of parturient, and enhanced maternal satisfaction. This conclusion provides important guidance for improving clinical practice, emphasizing the key role of comprehensive care in improving surgical outcomes and patient comfort, thereby improving the quality and efficiency of medical services.PMID:38702155 (Source: Alternative Therapies in Health and Medicine)
Source: Alternative Therapies in Health and Medicine - May 3, 2024 Category: Complementary Medicine Authors: Huidan Zhuang Wangya Li Xiangqing Xue Haiyan Wang Shuangfeng Li Ying Zhong Source Type: research
The Gluteus Deep Investing Fascia Compartment Block: A Novel Technique for Posterior Femoral Cutaneous Nerve Block
CONCLUSION: The GDIF block appears to be a promising technique for anesthetic management, alone or as part of the CLEFT block. Further research with a larger patient population is necessary to validate these findings.PMID:38699287 | PMC:PMC11064292 | DOI:10.2147/LRA.S455702 (Source: Local and Regional Anesthesia)
Source: Local and Regional Anesthesia - May 3, 2024 Category: Anesthesiology Authors: Majaliwa Shabani Seydina Alioune Beye Abdoulaye Traore Pablo Echave Xavier Raingeval Daouda Coulibaly Sophie Crespo Source Type: research
Surgical capacity is disaster preparedness: A scoping review of how surgery and anesthesiology departments responded to COVID-19
CONCLUSION: Our review reflects the mechanisms by which hospital surgical systems responded to the initial stress of the COVID-19 pandemic and reinforced the many changes to hospital policy that occurred in the pandemic. Healthcare systems with robust surgical systems were better able to cope with the initial stress of the COVID-19 pandemic. The well-resourced health systems of HICs reported rapid and dynamic changes by providers to assist in and ultimately improve the care of patients during the pandemic. Surgical system strengthening will allow health systems to be more resilient and prepared for the next disaster.PMID:3...
Source: American Journal of Disaster Medicine - May 3, 2024 Category: International Medicine & Public Health Authors: Matthew T Hey Madeleine Carroll Lili B Steel Mayte Bryce-Alberti Radzi Hamzah Rachel E Wittenberg Anam Ehsan Hodan Abdi Latoya Stewart Raina Parikh Raisa Rauf Jacqueline Cellini Kiana Winslow Isaac G Alty Craig D McClain Geoffrey A Anderson Source Type: research
