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Total 26838 results found since Jan 2013.

Reversal of severe lactic acidosis with thiamine in a renal allograft recipient
K Nanda Kumar, Veena R Shah, Beena K Parikh, Sumedha SondeIndian Journal of Critical Care Medicine 2015 19(7):425-428A 48-year-old female patient with end-stage renal failure developed unexplained severe lactic acidosis (LA) associated with hyperglycemia during robotic-assisted laparoscopic renal transplantation. Initial treatment with sodium bicarbonate and insulin infusion were ineffective in treating acidemia. Postoperatively, intravenous administration of thiamine resulted in rapid improvement of LA and blood sugar levels. Uremia and chronic hemodialysis might be the causes behind the quantitative/qualitative deficienc...
Source: Indian Journal of Critical Care Medicine - July 8, 2015 Category: Intensive Care Authors: K Nanda KumarVeena R ShahBeena K ParikhSumedha Sonde Source Type: research

Successful resuscitation after suspected carbon dioxide embolism during laparoscopic ureteric reconstructive surgery
We report a case of presumed CO2 embolism in a 35-year-old female during laparoscopic ureteric reconstructive surgery. After 2 h of operating time, a sudden decrease in end-tidal carbon dioxide and deterioration of hemodynamic status followed by cardiac arrest with pulseless electrical activity suggested gas embolism. Immediate cardiopulmonary resuscitation and inotropic support resulted in successful outcome. Thus, early recognition of the complication and prompt treatment can avoid catastrophy.
Source: Indian Journal of Critical Care Medicine - August 27, 2013 Category: Intensive Care Authors: Kalpana S VoraVeena R ShahGeeta P ParikhPranjal R Modi Source Type: research

Early management of severe abdominal trauma*,**
Conclusions: Substantial agreement exists among experts regarding many strong recommendations for the best early management of severe abdominal trauma.
Source: Anaesthesia, Critical Care and Pain Medicine - December 15, 2019 Category: Anesthesiology Source Type: research

Early management of severe abdominal trauma
ConclusionsSubstantial agreement exists among experts regarding many strong recommendations for the best early management of severe abdominal trauma.
Source: Anaesthesia, Critical Care and Pain Medicine - February 12, 2020 Category: Anesthesiology Source Type: research

The modern acute care surgeon: Characterization of an evolving surgical niche
CONCLUSION: The modern acute care surgeon is a hybrid of critical care medicine physician and ever-evolving surgical interventionist. Acute care surgeons continue to do traditional trauma work while increasingly performing acute care surgeries. The work of acute care surgeons serves a growing role and fills a valuable niche in our health care system.
Source: Journal of Trauma and Acute Care Surgery - December 25, 2014 Category: Surgery Tags: AAST Plenary Papers Source Type: research

Extracorporeal membrane oxygenation (ECMO) – A lifesaving modality for treatment of pheochromocytoma-induced inverted Takotsubo-like cardiomyopathy
We report a case of pheochromocytoma-induced inverted Takotsubo-like cardiomyopathy leading to cardiogenic shock successfully managed with veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) as a bridge to pharmacological control and subsequent curative laparoscopic adrenalectomy.
Source: The Egyptian Journal of Critical Care Medicine - December 6, 2018 Category: Intensive Care Source Type: research

Failure of nonoperative management of pediatric blunt liver and spleen injuries: A prospective Arizona-Texas-Oklahoma-Memphis-Arkansas Consortium study
BACKGROUND: Nonoperative management (NOM) is standard of care for most pediatric blunt liver and spleen injuries (BLSI); only 5% of patients fail NOM in retrospective reports. No prospective studies examine failure of NOM of BLSI in children. The aim of this study was to determine the frequency and clinical characteristics of failure of NOM in pediatric BLSI patients. METHODS: A prospective observational study was conducted on patients 18 years or younger presenting to any of 10 Level I pediatric trauma centers April 2013 and January 2016 with BLSI on computed tomography. Management of BLSI was based on the Arizona-Texas-...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - March 22, 2017 Category: Orthopaedics Tags: AAST Plenary Papers Source Type: research

The Integration of Adult Acute Care Surgeons into Pediatric Surgical Care Models Supplements the Workforce without Compromising Quality of Care.
Abstract Acute care of children remains a challenge due to a shortage of pediatric surgeons, particularly in rural areas. In our institutional norm, all cases in patients age six and older are managed by dedicated general surgeons. The provision of care to these children by these surgeons alleviates the impact of such shortages. We conducted a five-year retrospective analysis of all acute care pediatric surgical cases performed in patients aged 6 to 17 years by a dedicated group of adult general surgeons in a rural tertiary care hospital. Demographics, procedure, complications, outcomes, length of stay, and time o...
Source: The American Surgeon - September 1, 2015 Category: Surgery Authors: Judhan RJ, Silhy R, Statler K, Khan M, Dyer B, Thompson S, Richmond B Tags: Am Surg Source Type: research

The structure, organisation and perioperative management of ambulatory surgery and anaesthesia in France: methodology of the SFAR-OPERA study
Publication date: Available online 29 November 2016 Source:Anaesthesia Critical Care & Pain Medicine Author(s): Pierre Albaladejo, Frédéric Aubrun, Charles-Marc Samama, Laurent Jouffroy, Marc Beaussier, Dan Benhamou, Pauline Romegoux, Kristina Skaare, Jean Luc Bosson, Claude Ecoffey The organization of health care establishments and perioperative care are essential for ensuring the quality of care and safety of patients undergoing outpatient surgery. In order to correctly inventory these organizations and practices, in 2013-2014, the French Society of Anaesthesia and Intensive Care organized an extensive practic...
Source: Anaesthesia, Critical Care and Pain Medicine - November 28, 2016 Category: Anesthesiology Source Type: research

A ten year analysis of the reasons for death following ambulatory surgery: Nine closed claims declared to SHAM insurance.
Conclusion There was only one case where the complication was aggravated due to the delay of care provision and this was because of a lack of information on the complications requiring an emergency return (abdominal pain after laparoscopy). In all the other cases, death would also probably have occurred during conventional hospitalisation, either because it was unavoidable or because the patient was too far from the surgery.
Source: Anaesthesia, Critical Care and Pain Medicine - March 20, 2018 Category: Anesthesiology Source Type: research

A ten-year analysis of the reasons for death following ambulatory surgery: Nine closed claims declared to the SHAM insurance
Discussion–conclusion There was only one case where the complication was aggravated due to the delay of care provision and this was because of a lack of information on the complications requiring an emergency return (abdominal pain after laparoscopy). In all the other cases, death would also probably have occurred during conventional hospitalisation, either because it was unavoidable or because the patient was too far from the surgery.
Source: Anaesthesia, Critical Care and Pain Medicine - April 5, 2018 Category: Anesthesiology Source Type: research

Enhanced recovery after hepatectomy: a systematic review
Conclusion ERAS protocols in liver surgery appeared to be safe and effective. Recent recommendations from the ERAS group in liver surgery are the only ones published so far. Other studies evaluating ERAS components in liver surgery and recommendations from scientific societies are needed to spread this clinical care pathway.
Source: Anaesthesia, Critical Care and Pain Medicine - May 26, 2018 Category: Anesthesiology Source Type: research

Acute procedural interventions after pediatric blunt abdominal trauma: A prospective multicenter evaluation
CONCLUSION: Acute procedural interventions for children with IAI from BAT are rare, predominantly for HVI, are performed early in the hospital course and have excellent clinical outcomes. LEVEL OF EVIDENCE: Prognostic/epidemiologic study, level III; therapeutic study, level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - September 22, 2017 Category: Orthopaedics Tags: Original Articles Source Type: research

Reversal of neuromuscular blockade by sugammadex in laparoscopic bariatric surgery: in support of dose reduction
Conclusion Reversal of deep neuromuscular blockades by sugammadex in obese subjects can be performed at doses of 4mg/kg of ideal weight plus 35-50% with no clinical consequences and no accentuation of adverse effects.
Source: Anaesthesia, Critical Care and Pain Medicine - December 1, 2015 Category: Anesthesiology Source Type: research

Large vein injection alleviates rocuronium-induced pain in gynaecologic patients
Conclusion The incidence and severity of rocuronium-induced injection pain were significantly alleviated via use of a large vein for rocuronium injection.
Source: Anaesthesia, Critical Care and Pain Medicine - July 30, 2016 Category: Anesthesiology Source Type: research