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challenging cases in anesthesiology

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https://www.readbyqxmd.com/read/27555314/the-virtual-obstetrical-intensive-care-unit-providing%C3%A2-critical-care-for-contemporary-obstetrics-in%C3%A2-nontraditional%C3%A2-locations
#1
Michael P Leovic, Hailey N Robbins, Michael R Foley, Roman S Starikov
Management of the critically ill pregnant patient presents a clinical dilemma in which there are sparse objective data to determine the optimal setting for provision of high-quality care to these patients. This clinical scenario will continue to present a challenge for providers as the chronic illness and comorbid conditions continue to become more commonly encountered in the obstetric population. Various care models exist across a broad spectrum of facilities that are characterized by differing levels of resources; however, no studies have identified which model provides the highest level of care and patient safety while maintaining a reasonable degree of cost-effectiveness...
December 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27069694/anesthesiological-management-of-a-patient-with-williams-syndrome-undergoing-spine-surgery
#2
Federico Boncagni, Luca Pecora, Vasco Durazzi, Francesco Ventrella
Williams Syndrome (WS) is a complex neurodevelopmental disorder associated with a mutation on chromosome 7. Patients with WS usually display dysmorphic facial and musculoskeletal features, congenital heart diseases, metabolic disturbances and cognitive impairment. Structural cardiovascular abnormalities are present in the majority of the children and may provide a substrate for perioperative Sudden Cardiac Death, as presented by several reports, something that creates a great challenge to the anesthetic conduct...
2016: Case Reports in Anesthesiology
https://www.readbyqxmd.com/read/27062311/successful-intraoperative-electrophysiologic-monitoring-of-the-recurrent-laryngeal-nerve-a-multidisciplinary-approach-the-massachusetts-eye-and-ear-infirmary-monitoring-collaborative-protocol-with-experience-in-over-3000-cases
#3
Alvaro A Macias, Sunil Eappen, Ilya Malikin, Jeremy Goldfarb, Sharon Kujawa, Paul M Konowitz, Dipti Kamani, Gregory W Randolph
BACKGROUND: Although intraoperative nerve monitoring (IONM) is utilized increasingly, the information on the related anesthesia technique is limited. This study presents an up-to-date clinical algorithm, including setup and troubleshooting of an IONM system, endotracheal tube placement, and anesthetic parameters. To our knowledge, this is the first interdisciplinary collaborative protocol for monitored neck surgery based on the published evidence and clinical experience. METHODS: The Departments of Otolaryngology Head and Neck Surgery, Anesthesiology, and Audiology collaboratively developed a protocol for IONM of the recurrent laryngeal nerve (RLN) based on published evidence and our experience with 3000 patients over a 16-year period...
October 2016: Head & Neck
https://www.readbyqxmd.com/read/26957707/case-series-on-anesthesia-for-video-assisted-thoracoscopic-surgery-for-congenital-diaphragmatic-hernia-in-children
#4
Anurag Aggarwal, Rohit Lohani, Varun Suresh
Video-assisted thoracoscopic surgery (VATS) in the pediatric population is a challenging task for any anesthesiologist, moreover considering the high incidence of associated congenital anomalies which are individual predictors of poor prognosis. A thorough preoperative evaluation, knowledge of the physiology of one lung ventilation - pertaining to various methods of lung isolation, individualized meticulous planning, and continuous vigilance to detect any untoward event at the earliest with good communication between the anesthesiology and surgical teams contributes to a safe and successful surgery...
January 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26948074/pediatric-anesthesiology-fellow-education-is-a-simulation-based-boot-camp-feasible-and-valuable
#5
Aditee P Ambardekar, Devika Singh, Justin L Lockman, David L Rodgers, Roberta L Hales, Harshad G Gurnaney, Aruna Nathan, Ellen S Deutsch
BACKGROUND: Pediatric anesthesiologists must manage crises in neonates and children with timely responses and limited margin for error. Teaching the range of relevant skills during a 12-month fellowship is challenging. An experiential simulation-based curriculum can augment acquisition of knowledge and skills. OBJECTIVES: To develop a simulation-based boot camp (BC) for novice pediatric anesthesiology fellows and assess learner perceptions of BC activities. We hypothesize that BC is feasible, not too basic, and well received by fellows...
May 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26908306/minimizing-stress-with-remifentanil-in-a-patient-with-takotsubo-undergoing-ophthalmic-surgery
#6
Sbaraglia Fabio, Garra Rossella, De Riso Mariella, Continolo Nicola, Sammartino Maria
Anesthesiological management of patients with Takotsubo syndrome (TTS) is a challenge of questions related to physiopathology, prognosis, and trigger causes. Relative rarity of this disease and lack of wide literature do not allow to state any negative or positive effect of the variety of drugs available for anesthesia. The authors report a case of a woman with a clear diagnosis of TTS and anxiety disorder, who underwent to cataract extractions at both eyes at two different times. Clinical management is described, from preoperative assessment until discharge of the patient...
January 2016: Journal of Opioid Management
https://www.readbyqxmd.com/read/26579264/shock-wave-lithotripsy-in-the-elderly-safety-efficacy-and-special-considerations
#7
Prodromos Philippou, D Lamrani, Konstantinos Moraitis, Hassan Wazait, Junaid Masood, Noor Buchholz
PURPOSE: Shock-wave lithotripsy (SWL) for elderly patients can be challenging. Patients often have a long-standing complex stone burden and significant comorbidities. We report a cohort of patients aged ⩾70 years who were treated by SWL, with special attention to treatment outcomes, complications and the need for adjuvant procedures. PATIENTS AND METHODS: Over a period of 4 years, 2311 patients were treated with SWL in a tertiary referral centre. Among these patients, 137 were aged ⩾70 years (5...
March 2011: Arab Journal of Urology
https://www.readbyqxmd.com/read/26555689/positioning-for-percutaneous-nephrolithotomy
#8
REVIEW
Cecilia Maria Cracco, Peter Alken, Cesare Marco Scoffone
PURPOSE OF THE REVIEW: To highlight the progressive evolution of the issue of patient positioning for percutaneous nephrolithotomy (PNL), explain the history of the prone and supine positions, report respective advantages and drawbacks, critically interpret the past and current literature supporting such arguments, identify the best candidates for each position, and reflect on the future evolution of the two approaches. RECENT FINDINGS: Positioning for PNL has become a matter of debate during the last decade...
January 2016: Current Opinion in Urology
https://www.readbyqxmd.com/read/26352380/initial-experience-of-an-anesthesiology-based-service-for-perioperative-management-of-pacemakers-and-implantable-cardioverter-defibrillators
#9
G Alec Rooke, Stefan A Lombaard, Gail A Van Norman, Jörg Dziersk, Krishna M Natrajan, Lyle W Larson, Jeanne E Poole
BACKGROUND: Management of cardiovascular implantable electronic devices (CIEDs), including pacemakers and implantable cardioverter defibrillators, for surgical procedures is challenging due to the increasing number of patients with CIEDs and limited availability of trained providers. At the authors' institution, a small group of anesthesiologists were trained to interrogate CIEDs, devise a management plan, and perform preoperative and postoperative programming and device testing whenever necessary...
November 2015: Anesthesiology
https://www.readbyqxmd.com/read/26351228/posterior-fossa-tumors-in-infants-and-neonates
#10
REVIEW
Pietro Spennato, Giancarlo Nicosia, Lucia Quaglietta, Vittoria Donofrio, Giuseppe Mirone, Giuliana Di Martino, Elia Guadagno, Maria Laura del Basso de Caro, Daniele Cascone, Giuseppe Cinalli
INTRODUCTION: Management of posterior fossa tumors in infants and neonates is challenging. The characteristics of the young babies make surgery very difficult, sometimes precluding a safe complete removal. METHODS: A review of the literature was undertaken to examine the incidence, histology, surgical aspects, and prognosis of posterior fossa tumors in the first year of life. Therapeutical strategies of the most frequent tumor types are also discussed in detail...
October 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26262500/influencing-anesthesia-provider-behavior-using-anesthesia-information-management-system-data-for-near-real-time-alerts-and-post-hoc-reports
#11
REVIEW
Richard H Epstein, Franklin Dexter, Neil Patel
In this review article, we address issues related to using data from anesthesia information management systems (AIMS) to deliver near real-time alerts via AIMS workstation popups and/or alphanumeric pagers and post hoc reports via e-mail. We focus on reports and alerts for influencing the behavior of anesthesia providers (i.e., anesthesiologists, anesthesia residents, and nurse anesthetists). Multiple studies have shown that anesthesia clinical decision support (CDS) improves adherence to protocols and increases financial performance through facilitation of billing, regulatory, and compliance documentation; however, improved clinical outcomes have not been demonstrated...
September 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/26050278/a-cesarean-hysterectomy-for-invading-placenta-percreta-anesthetic-safety-considerations-a-case-report
#12
Daniel Frasca
A 41-year-old woman presented to the surgical suite with an undiagnosed placenta percreta invading the bladder. The patient lost 16,000 mL of blood before the hemorrhage was surgically controlled, and a successful cesarean delivery, as well as a total abdominal hysterectomy, were performed. Ultimately, the patient was discharged 1 week later with a healthy baby. Unlike placenta accreta where the placenta strictly adheres to the musculature of the uterus, placenta percreta is a rare condition in which the placenta invades the full thickness of the myometrium and possibly other intra-abdominal organ structures...
October 2012: AANA Journal
https://www.readbyqxmd.com/read/25892087/roux-en-y-gastric-bypass-for-super-obese-patients-what-approach
#13
Nicolas C Buchs, Dan E Azagury, François Pugin, Minoa K Jung, Olivier Huber, Gilles Chassot, Philippe Morel
BACKGROUND: Super obese (SO) patients with a Body Mass Index (BMI) ≥ 50 kg/m(2) still represent a real anesthesiological and surgical challenge. While the best procedure to perform in this population remains unclear, robotic technology has been proposed to accomplish Roux-en-Y gastric bypass (RYGB). The study aim is to report our experience of robotic RYGB for SO patients and to compare it with open and laparoscopic surgery. METHODS: From July 1997 to March 2014, all consecutive RYGB cases for SO patients were collected in a dedicated database and reviewed retrospectively...
June 2016: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/25881848/disease-model-a-simplified-approach-for-analysis-and-management-of-human-error-a-quality-improvement-study
#14
Mohammad H I Ahmad-Sabry
During 6 weeks, we had 4 incidents of echocardiography machine malfunction. There were 3 in the operating room, which were damaged due to intravenous (IV) fluid spillage over the keyboard of the machine leading to burning of the keyboard electric connection, and 1 in the cardiology department, which was damagaed due to spillage of coffee on it. The malfunction had an economic impact on the hospital (about $ 20,000) in addition to the nonavailability of the ultrasound (US) machine for the cardiac patient after the incident till the end of the case and for consequent cases till the fixation of the machine...
April 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/25848607/the-national-anesthesia-clinical-outcomes-registry-a-sustainable-model-for-the-information-age
#15
Richard P Dutton
Anesthesiologists care for patients of all ages, with all conceivable comorbidities, in every kind of health care facility. This leads to a significant challenge in the collection of data to describe the specialty, and in the development of evidence-based performance measures for anesthesiologists. Whereas narrowly defined medical specialties have developed registries based on manual abstraction of clinical data from the medical record (e.g., cardiac surgery), this approach would be prohibitively expensive for anesthesiology, and is unlikely to generate statistically useful data when major adverse outcomes occur a handful of times in tens of thousands of cases...
2014: EGEMS
https://www.readbyqxmd.com/read/25677571/using-simulation-and-standardized-patients-to-teach-vital-skills-to-pain-medicine-fellows
#16
Bryan C Hoelzer, Susan M Moeschler, David P Seamans
INTRODUCTION: Simulation is an evolving aspect of medical education. The role of simulation in training programs is variable, however, in technical specialties such as surgery and anesthesiology its role is quickly becoming a standard part of training programs. Pain fellowship programs must teach clinical diagnostic skills, pharmacology and pathophysiology, in addition to interventional skills to fellows with varying residency backgrounds. METHODS: The implementation of a hybrid simulation course into the pain fellowship curriculum allows for active learning as fellows experience challenging patient scenarios, stressful periprocedural events, and cases gone awry that require emergency algorithm recall and action...
April 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25315824/operating-room-metrics-score-card-creating-a-prototype-for-individualized-feedback
#17
Rodney A Gabriel, Robert Gimlich, Jesse M Ehrenfeld, Richard D Urman
The balance between reducing costs and inefficiencies with that of patient safety is a challenging problem faced in the operating room suite. An ongoing challenge is the creation of effective strategies that reduce these inefficiencies and provide real-time personalized metrics and electronic feedback to anesthesia practitioners. We created a sample report card structure, utilizing existing informatics systems. This system allows to gather and analyze operating room metrics for each anesthesia provider and offer personalized feedback...
November 2014: Journal of Medical Systems
https://www.readbyqxmd.com/read/25281630/severe-tracheobronchial-compression-in-a-patient-with-turner-s-syndrome-undergoing-repair-of-a-complex-aorto-subclavian-aneurysm-anesthesia-perspectives
#18
Christopher C C Hudson, Jeremie Stewart, Carole Dennie, Tarek Malas, Munir Boodhwani
We present a case of severe tracheobronchial compression from a complex aorto-subclavian aneurysm in a patient with Turner's syndrome undergoing open surgical repair. Significant airway compression is a challenging situation and requires careful preoperative preparation, maintenance of spontaneous breathing when possible, and consideration of having an alternative source of oxygenation and circulation established prior to induction of general anesthesia. Cardiopulmonary monitoring is essential for safe general anesthesia and diagnosis of unexpected intraoperative events...
October 2014: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/25156408/clinical-and-imaging-follow-up-after-surgical-or-endovascular-treatment-in-patients-with-unruptured-carotid-ophthalmic-aneurysm
#19
Rabih Aboukaïs, Fahed Zairi, Philippe Bourgeois, Laurent Thines, Erwah Kalsoum, Xavier Leclerc, Jean-Paul Lejeune
BACKGROUND: Carotido-ophthalmic aneurysms are complex and their treatment is challenging. Few data are available on patient follow-up after endovascular or surgical treatment. OBJECTIVE: To evaluate outcome of patients with unruptured carotido-ophthalmic aneurysm after endovascular or surgical treatment. MATERIALS AND METHODS: This series included 52 consecutive patients in a single center treated for an unruptured carotido-ophthalmic aneurysm at Lille University Hospital between 2000 and 2011...
October 2014: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/24846620/development-and-implementation-of-a-telehealth-enhanced-intervention-for-pain-and-symptom-management
#20
RANDOMIZED CONTROLLED TRIAL
Linda H Eaton, Debra B Gordon, Sheryl Wyant, Brian R Theodore, Alexa R Meins, Tessa Rue, Cara Towle, David Tauben, Ardith Z Doorenbos
Managing chronic pain effectively is often challenging for health care providers and patients. Telehealth technologies can bridge geographic distance and improve patients' quality of care in communities where access to pain specialists has previously been unavailable. This paper describes the development and evaluation of a telehealth intervention (TelePain) designed to address the need for pain specialist consultation regarding pain and symptom management issues in non-academic medical centers. We describe the theoretical foundation and development of a multifaceted intervention using a cluster randomized clinical trial design...
July 2014: Contemporary Clinical Trials
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