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https://www.readbyqxmd.com/read/28096587/is-dedicating-an-ultrasound-machine-to-regional-anesthesia-an-economically-viable-option
#1
Vrushali Ponde, Dinesh Borse, Jayashree More, Tulsidas Mange
BACKGROUND AND AIMS: The cost effectiveness of ultrasound-guided regional anesthesia is an issue which requires discussion. Based on our experience, we hypothesized that this is an economically viable option. MATERIAL AND METHODS: In this retrospective study, we included 90 patients who underwent upper extremity surgeries in our institute solely under ultrasound (USG)-guided brachial plexus blocks in a year. The cost of the block was derived by adding the cost of the material and drugs used for the block...
October 2016: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/28064412/journal-of-clinical-monitoring-and-computing-2016-end-of-year-summary-anesthesia
#2
REVIEW
Jan F A Hendrickx, Andre M De Wolf
Clinical monitoring and computing are essential during general anesthesia. As a result it would be impossible to review all the articles published in the Journal of Clinical Monitoring and Computing that are relevant to anesthesia. We therefore will limit this summary to those articles that are uniquely related to anesthesia. The topics include: anesthesia machines; ensuring the airway; anesthetic depth; neuromuscular transmission monitoring; locoregional anesthesia; ultrasound; and pain.
January 7, 2017: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/28058956/neuromuscular-blockade-and-inspiratory-breath-hold-during-stereotactic-body-radiation-therapy-for-treatment-of-heart-base-tumors-in-four-dogs
#3
Krista L Kelsey, Lyndsay N Kubicek, Nicholas J Bacon, Terry Torres, Sheilah A Robertson
CASE DESCRIPTION 4 dogs were examined because of pleural effusion and ventricular tachycardia, coughing and supraventricular tachycardia, appendicular osteosarcoma, and syncopal episodes. CLINICAL FINDINGS In all 4 dogs, a heart base tumor was identified by means of thoracic CT. TREATMENT AND OUTCOME In all 4 dogs, the heart base tumors were treated by means of stereotactic body radiation therapy. Dogs were anesthetized, and neuromuscular blockade was achieved with atracurium or vecuronium. A circle rebreathing system with 15 m (50 feet) of anesthetic tubing coursing through the vault wall was used to connect the patient to the anesthesia machine, which was located in the control room...
January 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28048817/su-f-t-83-infant-total-skin-electron-therapy-using-five-fields-technique
#4
H Saleh, T Howlin, V Massey
PURPOSE: We were presented with a 9 month old boy with Relapsed Acute Myeloid Leukemia (AML) involving the skin. The plan was to treat the entire skin using 6 MeV electrons with the infant under complete anesthesia. The purpose of this work is to commission the 6 MeV electron beam and to develop a technique that can be used to deliver total skin dose to infants with minimal patient immobilization. METHODS: A baby mannequin phantom that mimics the child's length was used to determine the best technique to treat the infant...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047609/su-f-t-668-irradiating-mouse-brain-with-a-clinical-linear-accelerator
#5
C Perez-Torres
PURPOSE: To design and construct a "mouse jig" device that would allow for irradiation of the mouse brain with a clinical Varian 6 MeV Linear Accelerator. This device must serve as a head immobilizer, gaseous anesthesia delivery, and radiation bolus concurrently. METHODS: The mouse jig was machined out of nylon given that it is inexpensive, easy to machine, and has similar electron density to water. A cylindrical opening with diameter of 16 mm and 40 mm depth was drilled into a nylon block sized 56×56×50 mm (width, length, depth)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28034969/a-prospective-randomized-study-to-evaluate-a-new-learning-tool-for-ultrasound-guided-regional-anesthesia
#6
Sanjib Das Adhikary, Demetrius Karanzalis, Wai-Man Raymond Liu, Admir Hadzic, Patrick M McQuillan
OBJECTIVE : To evaluate the effectiveness of a new learning tool for needle insertion accuracy skills during a simulated ultrasound-guided regional anesthesia procedure. METHODS : Thirty participants were included in this randomized controlled study. After viewing a prerecorded video of a single, discreet, ultrasound-guided regional anesthesia task, all participants performed the same task three consecutive times (pretest), and needle insertion accuracy skills in a phantom model were recorded as baseline...
December 29, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27833505/another-utility-of-signature-capnogram-detection-of-sodalime-canister-detachment-from-anesthesia-machine
#7
Sanjay Kumar, Manjaree Mishra, Amrita Bhattacharyya
No abstract text is available yet for this article.
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27737853/brain-network-architecture-and-global-intelligence-in-children-with-focal-epilepsy
#8
M J Paldino, F Golriz, M L Chapieski, W Zhang, Z D Chu
BACKGROUND AND PURPOSE: The biologic basis for intelligence rests to a large degree on the capacity for efficient integration of information across the cerebral network. We aimed to measure the relationship between network architecture and intelligence in the pediatric, epileptic brain. MATERIALS AND METHODS: Patients were retrospectively identified with the following: 1) focal epilepsy; 2) brain MR imaging at 3T, including resting-state functional MR imaging; and 3) full-scale intelligence quotient measured by a pediatric neuropsychologist...
October 13, 2016: AJNR. American Journal of Neuroradiology
https://www.readbyqxmd.com/read/27687394/the-optimal-combination-of-mechanical-ventilator-parameters-under-general-anesthesia-in-obese-patients-undergoing-laparoscopic-surgery
#9
Pengcheng Xie, Zhanfang Li, Zhongyi Tian
OBJECTIVE: Pulmonary dysfunction after laparoscopic surgery is commonly seen in the high-risk group of obese patients. To reduce or avoid this complication caused by an improper combination of mechanical ventilation parameters, we conducted the following trial of 3 factors with 3 levels of mechanical ventilation, aimed to obtain the low airway pressure with good ventilator effects. METHODS: Patients were randomly allocated as a sample of cases according to the "30≤weight/height(2)<40" obesity index...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27677690/-intraventricular-hemorrhage-after-dural-fistula-embolization
#10
Joana Chaves Gonçalves Rodrigues de Carvalho, Francisco Javier Tercero Machin, Luis San Roman Manzanera, Jordi Blasco Andaluz, Sílvia Herrero Nogués, Núria Peix Soriano, Victor Obach Baurier, Enrique Jesus Carrero Cardenal
BACKGROUND AND OBJECTIVES: Dural arteriovenous fistulas are anomalous shunts between dural arterial and venous channels whose nidus is located between the dural leaflets. For those circumstances when invasive treatment is mandatory, endovascular techniques have grown to become the mainstay of practice, choice attributable to their reported safety and effectiveness. We describe the unique and rare case of a dural arteriovenous fistula treated by transarterial embolization and complicated by an intraventricular hemorrhage...
September 24, 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/27556618/fat-grafting-for-gluteal-augmentation-a-systematic-review-of-the-literature-and-meta-analysis
#11
Alexandra Condé-Green, Vasanth Kotamarti, Kevin T Nini, Philip D Wey, Naveen K Ahuja, Mark S Granick, Edward S Lee
BACKGROUND: With the increasing demand for gluteal fat augmentation, reports of fatal complications have surfaced. Therefore, the authors proposed to analyze the published techniques and compare different protocols, to identify those of potential concern. METHODS: A systematic review of the literature was performed with a search of 21 terms on the PubMed, MEDLINE, Cochrane, and Scientific Electronic Library Online databases. Nineteen articles meeting our predetermined criteria were analyzed, and data from the different steps of the procedure were classified, allowing evaluation and comparison of techniques...
September 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27556320/bispectral-index-monitoring-in-patients-undergoing-open-heart-surgery
#12
Hanife Karakaya Kabukcu, Nursel Sahin, Kezban Ozkaloglu, Ilhan Golbasi, Tulin Aydogdu Titiz
INTRODUCTION: To obtain the optimal anesthesia depth is not easy in cardiovascular surgery patients where the haemodynamic reserve is limited, due to reasons such as not being able to give the desired dose of anesthetic agent, or the change in the pharmacokinetics of the agent in the heart-lung machine. This study was planned to assess the contribution of bispectral index (BIS) monitoring in the depth of anesthesia. METHODS: The patients were divided into 2 groups, and BIS monitoring was used for each patient...
April 2016: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/27551803/passive-narcosis-for-anesthesia-induction-in-cotton-rats-sigmodon-hispidus
#13
Jarod M Hanson, Lydia J Anderson, Colin M Williams, Patricia Jorquera, Ralph A Tripp
Cotton rats (Sigmodon hispidus) are widely used as animal models for infectious disease and immunological research. They emulate many aspects of human disease pathogenesis, and the introduction of cotton rat-specific immunological reagents, cell lines and sequencing of relevant genes have all helped to increase the popularity of this disease model. However, the use of cotton rats is problematic owing to their propensity for aggressive responses when handled, which can lead to escape, increased stress to the animals, and bites to staff...
August 23, 2016: Lab Animal
https://www.readbyqxmd.com/read/27437121/situational-analysis-of-essential-surgical-care-management-in-iran-using-the-who-tool
#14
Rohollah Kalhor, Nastaran Keshavarz Mohamadi, Nader Khalesi, Mehdi Jafari
BACKGROUND: Surgery is an essential component of health care, yet it has usually been overlooked in public health across the world. OBJECTIVES: This study aimed to perform a situational analysis of essential surgical care management at district hospitals in Iran. MATERIALS AND METHODS: This research was a descriptive and cross-sectional study performed at 42 first-referral district hospitals of Iran in 2013. The World Health Organization (WHO) Tool for the situational analysis of emergency and essential care was used for data collection in four domains of facilities and equipment, human resources, surgical interventions, and infrastructure...
May 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/27393809/a-new-decision-support-model-for-preanesthetic-evaluation
#15
Olivier Sobrie, Mohammed El Amine Lazouni, Saïd Mahmoudi, Vincent Mousseau, Marc Pirlot
BACKGROUND AND OBJECTIVE: The principal challenges in the field of anesthesia and intensive care consist of reducing both anesthetic risks and mortality rate. The ASA score plays an important role in patients' preanesthetic evaluation. In this paper, we propose a methodology to derive simple rules which classify patients in a category of the ASA scale on the basis of their medical characteristics. METHODS: This diagnosis system is based on MR-Sort, a multiple criteria decision analysis model...
September 2016: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/27373131/biofibre-hair-implant-what-is-new-what-is-true
#16
G Tchernev, M Sheta, M Rahoui, A A Chokoeva, U Wollina, G K Maximov, J W Patterson, M Fioranelli, M G Roccia, J Ananiev, T Lotti
Ensuring the safety of hair implant fibers is essential. At the same time, good aesthetic quality and durability should also be considered in order to maintain expected result over the years. The main features required are biocompatibility, resistance to traction, absence of capillarity, resistance to physical-chemical stress, and low tissue trauma, in addition to good aesthetics. Biofibre® medical hair prosthetic fibers meet all the biocompatibility and safety requirements established by international standards for medical devices...
April 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27363210/the-use-of-ultrasound-in-france-a-point-of-view-from-experienced-regional-anesthesiologists
#17
R Fuzier, S Lammens, L Becuwe, B Bataille, J C Sleth, D Jochum, E Boselli
A cross-sectional survey study on French practice in ultrasound-guided regional anesthesia was carried out. A questionnaire (demographic data, assessment of the likely benefits of ultrasonography, and its use in daily practice: blocks and hygiene) was emailed to all members of the French-speaking association of anesthesiologists involved in regional anesthesia. The questionnaire was filled out and returned by 634 experienced anesthesiologists. An ultrasound machine was available in 94% of cases. Ultrasound-guided regional anesthesia has become the gold standard technique for three-quarters of responders...
2016: Acta Anaesthesiologica Belgica
https://www.readbyqxmd.com/read/27332144/results-of-a-nationwide-capacity-survey-of-hospitals-providing-trauma-care-in-war-affected-syria
#18
Hani Mowafi, Mahmoud Hariri, Houssam Alnahhas, Elizabeth Ludwig, Tammam Allodami, Bahaa Mahameed, Jamal Kaby Koly, Ahmed Aldbis, Maher Saqqur, Baobao Zhang, Anas Al-Kassem
IMPORTANCE: The Syrian civil war has resulted in large-scale devastation of Syria's health infrastructure along with widespread injuries and death from trauma. The capacity of Syrian trauma hospitals is not well characterized. Data are needed to allocate resources for trauma care to the population remaining in Syria. OBJECTIVE: To identify the number of trauma hospitals operating in Syria and to delineate their capacities. DESIGN, SETTING, AND PARTICIPANTS: From February 1 to March 31, 2015, a nationwide survey of 94 trauma hospitals was conducted inside Syria, representing a coverage rate of 69% to 93% of reported hospitals in nongovernment controlled areas...
September 1, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27285726/anesthetic-management-and-human-factors-in-the-intraoperative-mri-environment
#19
Lauren C Berkow
PURPOSE OF REVIEW: The use of intraoperative MRI technology during neurosurgery has become increasingly more common over the past several years. These surgical procedures require a specialized operating room designed to accommodate an MRI machine, as well as MRI-compatible anesthesia equipment and monitors. The MRI environment also poses unique risks and challenges to both patients and medical staff. RECENT FINDINGS: General anesthesia in the MRI operating room suite poses several challenges not routinely experienced in a conventional operating room suite, and anesthesia providers delivering care in these suites must complete specialized training and screening...
October 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27252907/is-the-pressure-control-mode-for-pediatric-anesthesia-machines-really-required
#20
Ali Shahriari, Mahdi Sheikh
No abstract text is available yet for this article.
April 2016: Anesthesiology and Pain Medicine
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