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Propofol-fentanyl versus midazolam-fentanyl: a comparative study of local sedation techniques for cataract surgery.

Administering intravenous sedation in conjunction with intraoperative monitoring to cataract surgery patients is a widely accepted technique. Numerous articles report local sedation techniques for cataract surgery that are, in essence, abbreviated general anesthetic techniques for insertion of the retrobulbar block (RBB). Because of variations in levels of consciousness, a number of complications have been encountered with this specific patient population, ie, movement upon insertion of the RBB, intraoperative patient movement, confusion, hypotension, respiratory depression, and respiratory ar

Hair transplantation: standard guidelines of care.

UNLABELLED: Hair transplantation is a surgical method of hair restoration. PHYSICIAN QUALIFICATION: The physician performing hair transplantation should have completed post graduation training in dermatology; he should have adequate background training in dermatosurgery at a centre that provides education training in cutaneous surgery. In addition, he should obtain specific hair transplantation training or experience at the surgical table(hands on) under the supervision of an appropriately trained and experienced hair transplant surgeon. In addition to the surgical technique, training should

Delivery for women with a previous cesarean: guidelines for clinical practice from the French College of Gynecologists and Obstetricians (CNGOF).

The primary cause of uterine scars is a previous cesarean. In women with a previous cesarean, the risks of maternal complications are rare and similar after a trial of labor after cesarean (TOLAC) and after an elective repeat cesarean delivery (ERCD), but the risk of uterine rupture is higher with TOLAC (level of evidence [LE]2). Maternal morbidity in women with previous cesareans is higher when TOLAC fails than when it leads to successful vaginal delivery (LE2). Although maternal morbidity increases progressively with the number of ERCD, maternal morbidity of TOLAC decreases with the number o

Tumescent liposuction: standard guidelines of care.

DEFINITION: Tumescent liposuction is a technique for the removal of subcutaneous fat under a special form of local anesthesia called tumescent anesthesia. PHYSICIAN'S QUALIFICATIONS: The physician performing liposuction should have completed postgraduate training in dermatology or a surgical specialty and should have had adequate training in dermatosurgery at a center that provides training in cutaneous surgery. In addition, the physician should obtain specific liposuction training or experience at the surgical table ("hands on") under the supervision of an appropriately trained and experience

Management of Potential Organ Donor: Indian Society of Critical Care Medicine-Position Statement.

This position statement is documented based on the input from all contributing coauthors from the Indian Society of Critical Care Medicine (ISCCM), following a comprehensive literature review and summary of current scientific evidence. Its objective is to provide the standard perspective for the management of potential organ/tissue donors after brain death (BD) in adults only, regardless of the availability of technology. This document should only be used for guidance only and is not a substitute for proper clinical decision making in particular circumstances of any case. Endorsement by the IS

Хужее спасти из-за поломки катетера во время внутрибэклофеновой терапии: отчет по делу.

Внутренняя баклафеновая терапия может существенно улучшить симптомы у пациентов с тяжелой спастией из-за травм спинного мозга, множественных склерозов, церебрального пареза или синдрома головного мозга. К числу проблем, связанных с внутренними катетерами, относятся миграция, рана, заклинание или разъединение. В ряде сообщений говорится о работе с фрагментами катетера. Насколько нам известно, это первый подробный отчет о включении нового катетера.КИСЛОТА: 64-летний японец с спинным миоклоном проходил внутритехекалическую баклофеновую терапию; его спасти была хорошо контролируема внутриклашной т

Deceased Donor Transplantation in Telangana State, India: Overcoming Challenges in a Low Resource Country.

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Совпадение в полном тексте источника
… Regular training programs for intensivists, neurologists, and anesthetists ensure adherence to these protocols, maximizing organ viability. In addition, maintaining donor hemodynamic stability has improved organ retrieval outcomes. …

Рамки качества " Эхокардиографии " : всеобъемлющий подход к обеспечению качества и непрерывному совершенствованию услуг с учетом интересов пациентов.

Система качества " Echocardicography Framework " (EQF) представляет собой уникальный, всеобъемлющий, целостный подход к совершенствованию всех аспектов службы эхокардиографии. EQF представляет собой ориентированную на пациентов программу, объединяющую обеспечение качества и непрерывное совершенствование обслуживания. Эта рамочная основа охватывает следующие показатели: i) качество эхокардографии, ii) воспроизводимость и последовательность, iii) образование и профессиональная подготовка и iv) обратная связь с клиентами. EQF масштабируется и адаптируется для использования любой эхокард

Совпадение в полном тексте источника
… Since patients are referred for echocardiography by a wide variety of clinicians – physicians, anesthetists, GP’s, nurses, cardiologists and others – it is important to provide a report that is comprehensible and relevant to these referrers. …

Результаты перкутановой вертебропластики в множестве миеломы: опыт третичной нейрофизики в долгосрочной последующей деятельности.

Множественная миелома диагностируется в 5,800 ежегодно в Соединенном Королевстве (Соединенном Королевстве) 64% - иметь переломы позвоночника при диагностике. Больные переломы позвоночника могут нанести значительный ущерб качеству жизни пациентов. Перкутанная вертебропластика направлена на обеспечение долгосрочного обезболивания и стабилизацию перелома позвонков. МЕТОДЫ И МАТЕРИАЛЫ: Данные были собраны по всем случаям перкутановой вертебропластики, выполненной пациентами с множественной миеломой с ноября 2017 по январь 2019. Показатели боли измерялись по шкале Визуального Аналога (VAS) и предпр

Ultrasound-guided central venous catheterization in cancer patients improves the success rate of cannulation and reduces mechanical complications: a prospective observational study of 1,978 consecutive catheterizations.

BackgroundA central venous catheter (CVC) currently represents the most frequently adopted intravenous line for patients undergoing infusional chemotherapy and/or high-dose chemotherapy with hematopoietic stem-cell transplantation and parenteral nutrition. CVC insertion represents a risk for pneumothorax, nerve or arterial punctures. The aim of this prospective observational study was to explore the safety and efficacy of CVC insertion under ultrasound (US) guidance and to confirm its utility in clinical practice in cancer patients.MethodsConsecutive adult patients attending the oncology-hemat

Совпадение в полном тексте источника
… However a survey of 250 anesthetists in the United Kingdom found that 41% disagreed or strongly disagreed with the recommendation that ultrasound imaging should be the preferred method for insertion of a central venous catheter in the internal jugular vein [ 19 ]. …

Anesthesia's Influence on Postoperative In-Hospital Morbidity-Mortality in Proximal Femoral Fractures in the Elderly.

Background and Objectives: The incidence of proximal femoral fractures (PFFs) is rising, causing significant morbidity and mortality. Regional anesthesia (RA)'s benefits include the avoidance of intubation and mechanical ventilation, decreased blood loss, and improved analgesia. General anesthesia (GA) offers improved hemodynamic stability. This study examines the in-hospital post-surgical morbidity and mortality seen in PFFs in a cohort of the elderly undergoing GA or RA. Materials and Methods: This is a retrospective cohort study of 319 PFF patients older than 65 years over a single year. Re

Neurosurgical management of brain metastases in the elderly: a prospective study on adverse event prevalence and predictors.

The management of brain metastases (BM) in geriatric patients poses significant challenges in the context of an aging population and advances in systemic cancer treatment. This study provides insights into the prevalence and nature of adverse events (AEs) following intracranial surgery in patients aged 65 years and older. It highlights the complexities and implications of treating this demographic patient population and identifies risk factors associated with AEs. This prospective study includes patients aged 65 years and older with BM who underwent surgery between January 2022 and December 20

Совпадение в полном тексте источника
… This extension is attributed to the delays in mobilization and the additional treatment required to manage infection in an already immunocompromised patient group. multidisciplinary management of older surgical patients, integrating the expertise of surgeons, anesthetists, geriatricians, and other specialists …