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A serendipitous finding set researchers on a path to discover a potential way to make plants more flood tolerant. The post Image of the Month: Flood-tolerant plants appeared first on Baylor College of Medicine Blog Network.
The operating room (OR) is one of the most essential hospital roles. Hospitals can maximize patient care, effectively utilize resources, and enhance their financial success through ORs, leading to patient satisfaction, staff satisfaction, and productivity. Apart from improved patient care and satisfaction, one of the hospitals’ key objectives is generating revenue that keeps their operations […] The post Innovative Strategies for Maximizing OR Efficiency appeared first on NexGen Surg
In the shadow of the COVID-19 pandemic, another silent killer, tuberculosis (TB), loomed. The post Bacteriophages: antibiotic resistant tuberculosis’ worst nightmare appeared first on Baylor College of Medicine Blog Network.
When Universal Health Services (UHS) wanted to run an OR block utilization pilot program with the Caresyntax platform, Kat DeGeiso jumped at the chance to lead it. Kat is the System Director of Surgical Services at UHS-owned Northern Nevada Health System, where she oversees the ambulatory surgery center and both of the system’s acute-care facilities.
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Healthcare needs are constantly changing. As technology evolves and new medications and treatment protocols arise, supply and storage needs will change. But what doesn’t change often enough? Storage spaces.
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1. CONGENITAL HEART DISEASE (CHD) Atrial septal / ventricular septal defects in pregnancy are often well tolerated during pregnancy. When anaesthetizing patients with CHD, using either a regional technique or general anaesthesia, the following factors must be kept in mind; prevention of accidental intravenous infusion of air bubbles, when planning epidural anaesthesia, loss of resistance to saline rather than air should be used to identify the epidural space , a slow onset of epidural analgesia
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iii) AORTIC STENOSIS: Anaesthetic management in AS is to avoid tachycardia, and bradycardia, maintain intravascular volume and venous return, avoid aortocaval compression, and myocardial depression, maintain a normal heart rate as a slow heart rate decreases cardiac output (CO). Tachycardia may decrease time for coronary perfusion of the hypertrophied LV.
2. VALVULAR HEART DISEASE i) MITRAL STENOSIS: Anaesthetic considerations are to maintain a slow heart rate, venous return and SVR, avoid aorto-caval compression, treat atrial fibrillation (AF) aggressively, try and maintain sinus rhythm, prevent pain, hypoxaemia, hypercarbia and acidosis as these can increase PVR. Both general anaesthesia and regional techniques have been used.
ANESTHESIA FOR CESAREAN DELIVERY FOR CARDIAC PATIENTS: • Patients with mWHO class I or II cardiac disease typically tolerate a traditional intrathecal dose of local anesthesia (eg, hyperbaric bupivacaine 10–15 mg) for cesarean delivery. Depending on the cardiovascular lesion, patients with mWHO class III or IV lesions may benefit from a more gradual-onset sympathectomy. • Neuraxial anesthesia for most patients with cardiac disease undergoing caesarean delivery should be considered.
3. PRIMARY PULMONARY HYPERTENSION: Anaesthetic management is similar to that of the Eisenmenger syndrome. Elective caesarean section is the preferred method of delivery. Both regional and general anaesthesia can be used for caesarean delivery. For regional anaesthetic technique using a slow induction epidural anaesthesia is advised. Vasopressors are only used if absolutely necessary, as they increase pulmonary artery pressure.
5. MATERNAL ARRHYTHMIAS DURING PREGNANCY: Management of arrhythmias during pregnancy is similar to that in the non-pregnant patient. Congenital heart block and bradyarythmias If congenital heart block is recognized in a pregnant woman, cardiac consultation should be taken, to determine whether there is need of a pacemaker. A pacemaker is indicated in patients with symptoms, when Q-T interval is prolonged or there is left atrial enlargement.
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