Read by QxMD icon Read


Sanghyun Ahn, Ho Geol Ryu, Chang-Hoon Koo, Seungeun Choi, Ji-Hyun Lee, In-Ki Jang
BACKGROUND: The ipsilateral nipple has been used as a directional guide for needle advance during internal jugular vein (IJV) catheterization. We attempted to validate the utility of the ipsilateral nipple during IJV catheterization. METHODS: One hundred and two patients scheduled for elective surgery were enrolled. In the 15° Trendelenberg position with 30° head rotation, the apex of the triangle formed by the sternocleidomastoid muscle and the clavicle was identified...
May 25, 2018: Asian Journal of Surgery
William Clifton, Austin Feindt, David Skarupa, Laura McLauchlin, Daryoush Tavanaiepour, Gazanfar Rahmathulla
BACKGROUND: Atlanto-occipital dislocation (AOD) is the most uncommon form of traumatic cervical spine injury. The majority of patients die before reaching higher-level care, and only a small percentage of patients with AOD survive the initial injury after receiving tertiary care. As such, there is a paucity of evidence-based management guidelines for treating this condition. Halo vest fixation has been a proposed method for interim stability while these patients undergo medical optimization for surgical intervention...
February 2018: World Neurosurgery
Jacob Chen Ming Low, Anan Shtaya, Samantha Hettige
BACKGROUND: Intracranial hypotension (IH) is a recognized cause of coma; however, the diagnosis is often challenging, especially in patients with superimposed traumatic brain injury. CASE DESCRIPTION: A 67-year-old woman became comatose following evacuation of bilateral acute subdural hematomas with concurrent respiratory failure. Imaging and intraparenchymal intracranial pressure monitoring confirmed secondary IH. She was managed with an epidural blood patch and a 72-hour period in the Trendelenburg position guided by intracranial pressure monitoring and clinical assessment...
September 2017: World Neurosurgery
Kamran S Hamid, Travis J Dekker, Peter W White, Samuel B Adams
Prone positioning affords significant benefits for the fixation of trimalleolar ankle fractures and has been the long-time standard for treatment of these injuries. However, 2 primary disadvantages hamper its utility. First, access to the medial ankle is impeded by the contralateral limb and inability to rotate the operative leg to the extent that is possible in other positions. Second, lateral fluoroscopic imaging of the ankle can be cumbersome and often necessitates physically elevating the ankle for a radiograph then placing it back on the operative table...
February 2017: Foot & Ankle Specialist
Ali Al Kaissi, Vladimir Kenis, Farid Ben Chehida, Jochen Hofstaetter, Franz Grill, Rudolf Ganger
BACKGROUND: The skeletal changes in McCune-Albright disease are usually severe because of the polyostotic form of the disease. Trendelenberg gait and limited mobility are the most common presenting features. The constellation of Café-au lait spots and polyostotic bone involvement is commonly referred to as McCune-Albright's syndrome (MAS). MATERIALS AND METHODS: One boy and 4 girls (7-16 years) were sought in our departments from 1998 to 2012. Limb length discrepancy was the main clinical presentation...
July 2016: African Journal of Paediatric Surgery: AJPS
Hye Sook Chon, William D Bush, Chang Won Kang, Mitchel Hoffman
In this report we describe transperitoneal robotic-assisted paraaortic lymphadenectomy via the right lateral decubitus position to treat solitary recurrence in a patient with cervical carcinoma. This is, to our knowledge, the first report utilizing the right lateral decubitus position rather than the traditional approach with the Trendelenberg position. This approach adds another option for surgical approaches to the paraaortic lymph nodes, particularly in subgroups of patients who have significant cardiopulmonary cormobidities and are unable to tolerate the steep Trendelenburg position...
June 2013: Journal of Robotic Surgery
Sandeep Kumar Mishra, B Sivaraman, Hemavathy Balachander, Mahesh Naggappa, Satyen Parida, Ravindra R Bhat, Kotteeswaran Yuvaraj
BACKGROUND: A sustained and effective oropharyngeal sealing with supraglottic airway (SGA) is required to maintain the ventilation during laparoscopic gynecological surgery in the Trendelenburg position. This study was conducted with I-gel™ and ProSeal LMA™, two prototype SGA devices with a gastric access. MATERIALS AND METHODS: We enrolled 60 American Society of Anesthesiologists physical status I and II patients and randomized to either I-gel or ProSeal LMA (PLMA) group...
September 2015: Anesthesia, Essays and Researches
Justin T Dowdy, Marcus W Moody, Christopher P Cifarelli
Cerebrospinal fluid (CSF) leak is the most commonly encountered perioperative complication in transsphenoidal surgery for pituitary lesions. Direct closure with a combination of autologous fat, local bone, and/or synthetic grafts remains the standard of care for leaks encountered at the time of surgery as well as postoperatively. The development of the vascularized nasoseptal flap as a closure technique has increased the surgeon's capacity to correct even larger openings in the dura of the sella as well as widely exposed anterior skull base defects...
January 2014: Journal of Investigative Medicine High Impact Case Reports
Lingling Ding, Hong Zhang, Weidong Mi, Tao Wang, Yan He, Xu Zhang, Xin Ma, Hongzhao Li
OBJECTIVE: The purpose of the study was to evaluate the neuroprotective effect of dexmedetomidine on anesthesia recovery period and postoperative cognitive function of patients after robot-assisted laparoscopic radical cystectomy and ileal conduit diversion. METHODS: A total of 40 elective patients who would undergo robot-assisted laparoscopic radical cystectomy and ileal conduit diversion. They were randomly divided into two groups in a double-blind manner. After pneumoperitoneum established, all patients adopted 40° trendelenberg position...
2015: International Journal of Clinical and Experimental Medicine
Lingling Ding, Hong Zhang, Weidong Mi, Li Sun, Xu Zhang, Xin Ma, Hongzhao Li
OBJECTIVE: To observe the effect of carbon dioxide pneumoperitoneum and Trendelenburg position on cerebral blood backflow during robot-assisted radical prostatectomy in elderly patients. METHODS: Fifty elderly patients (65-80 years) and 50 middle-aged patients (45-64 years) undergoing elective robot-assisted prostatectomy were enrolled in this study. For all the patients, jugular bulb and arterial blood gas was monitored and recorded before pneumoperitoneum (0), 10 min after pneumoperitoneum was achieved (T₁), 10 min (T₂) and 60 min (3) after Trendelenberg position, and 10 min in supine position after termination of pneumoperitoneum (4)...
May 2015: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
Lingling Ding, Hong Zhang, Weidong Mi, Yan He, Xu Zhang, Xin Ma, Hongzhao Li
OBJECTIVE: To evaluate the neuroprotective effect of dexmedetomidine on recovery period of anesthesia and postoperative cognitive function after robot assisted laparoscopicradical prostatectomy in the elderly people. METHODS: A total of 100 elderly patients who underwent robotic laparoscopic radical prostatectomy were divided into 2 groups: A dexmedetomidine group (n=50) and a control group (n=50). Patients in the dexmedetomidine group were given a loading dosage of dexmedetomidine [0...
February 2015: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
Krista K Koch, Thomas J Moran
Spontaneous intracranial hypotension may share some characteristics with the more common causes of headaches such as migraines or tension headaches, but its diagnosis and treatment is much more laborious and invasive. Here, the case of a 31-year-old man with multiple weeks of positional headaches is described. This symptom persisted following multiple blood patches, and progressed to worsening mental status, encephalopathy, and eventually obtundation with Glascow Coma Score less than 8. Surgery was required; however, small improvement was seen on imaging or in the patient's status...
March 2015: Military Medicine
Mahyar Ghanaat, Charles Goldenberg, James Walsh, Salvatore J Sclafani
Intravascular bullets may cause diagnostic and management difficulties. We describe a bullet overlying the cardiac silhouette on X-ray which was identified to be at the cavoatrial junction on cavography. The bullet was removed via endovascular techniques utilizing occlusion balloon and reverse trendelenberg position.
January 2015: Injury
Prachi Kadam, Bina Butala, Veena Shah
Since the first laparoscopic nephrectomy was reported in 1991, this technique has evolved rapidly and laparoscopic donor nephrectomy has emerged as a standard of care in many institutions. However, recipient renal transplantation is still performed by the traditional open approach. There is only one case report of laparoscopic kidney transplantation (LKT) from Spain in 2009. LKT is a technically demanding surgery for a urologist and equally challenging for an anesthesiologist as he has to be vigilant because of the major perturbations in the cardiorespiratory system due to steep trendelenberg position and pneumoperitoneum; additionally, the pneumoperitoneum can have deleterious effects on blood flow and function of the transplanted kidney...
September 2014: Saudi Journal of Kidney Diseases and Transplantation
Gavin Smith, Alicia Broek, David McD Taylor, Amee Morgans, Peter Cameron
OBJECTIVES: This study sought to determine the most effective technique for Valsalva Manoeuvre (VM) and Human Dive Reflex Manoeuvre (HDR) generation of vagal tone. METHODS: We conducted a repeated-measures trial of healthy adult volunteers from a university campus, aged 18-56 years, in sinus rhythm. Participants were randomised to VM (in supine or Trendelenberg postures) and HDR (supine or sitting postures) sequentially. Participants performed three trials of each technique, in random order, with a continuous ECG recording...
January 2015: Emergency Medicine Journal: EMJ
Young-Chul Yoo, Seokyung Shin, Eun Kyeong Choi, Chan Yun Kim, Young Deuk Choi, Sun-Joon Bai
BACKGROUND: Intraocular pressure is increased during laparoscopic surgeries performed in a steep Trendelenburg position. This study compared the effects of propofol with those of sevoflurane on intraocular pressure in patients undergoing robot-assisted laparoscopic radical prostatectomy in a 30° Trendelenburg position. METHODS: Sixty-six patients were randomly allocated to a maintenance anesthetic consisting of remifentanil and sevoflurane (Sevoflurane Group) or remifentanil and propofol (Propofol Group)...
April 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Timothy Wen, Christopher M Deibert, Frank S Siringo, Benjamin A Spencer
BACKGROUND AND PURPOSE: Because of recent advances in minimally invasive surgical techniques, robot-assisted radical prostatectomy (RARP) has become the primary treatment option in prostate cancer. RARP, however, necessitates patients to be placed in a steep Trendelenberg position, which presents multiple opportunities for complications relating to the positioning of the patient. Our study aims to study the prevalence and demographic predictors of these positioning complications and assess their impacts on length of stay (LOS) and total cost...
June 2014: Journal of Endourology
Kemble Wang, Stacey Cole, Dean C White, Michael S Armstrong
INTRODUCTION: Abductor muscle deficiency can be a debilitating problem following hip arthroplasty surgery. We report outcomes of a novel method of abductor muscle function reconstruction surgery in patients with chronic, irreparable gluteus medius and minimus defects. PATIENTS AND METHODS: Four consecutive patients who underwent our method of abductor reconstruction surgery were retrospectively reviewed. All patients had severe pain and positive Trendelenberg gait before surgery...
March 2014: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Arushi Gupta, Neerja Banerjee
No abstract text is available yet for this article.
March 2013: Indian Journal of Critical Care Medicine
Mc Rajesh, Saji Kuriakose, Jayanth Sukumar, Ek Ramdas
We report two cases of massive tongue edema in routine palatoplasty. All patients had uneventful recovery. We postulated that the macroglossia was secondary to ischemia and venous congestion after prolonged use of Killner Dott mouth gag with slotted tongue blade exaggerated by hyperextension of neck and Trendelenberg position.
April 2013: Journal of Anaesthesiology, Clinical Pharmacology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"