Tue.Mar 12, 2024

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 2

Anaesthesia News

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.

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Image of the Month: Flood-tolerant plants

The Stitch

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.

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 3

Anaesthesia News

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.

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Innovative Strategies for Maximizing OR Efficiency

NexGen Surgical

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

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 5

Anaesthesia News

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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Bacteriophages: antibiotic resistant tuberculosis’ worst nightmare

The Stitch

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.

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Ansell Microflex TouchNTuff Exam Gloves

USA Medical and Surgical Supplies

TOUCHNTUFF® 92-600 An unparalleled combination of chemical splash protection, comfort and durability KEY FEATURES AND BENEFITS Advanced chemical resistance: With TNT™ Technology for ultimate protection Price: $170.

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Ansell Microflex N803 Exam Gloves

USA Medical and Surgical Supplies

Ansell Microflex N803 White Nitrile Exam Gloves 100% nitrile construction eliminates the risk of latex protein allergies. Reliable protection and chemical splash resistance. Microflex N80X-10 is a white nitrile glove that provides reliable pro. Price: $267.

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Featured Author Podcast: Gastric Volume and Diabetes

Anesthesiology Journal

Moderator: James P. Rathmell, M.D. Participants: Anahi Perlas, M.D. and Mark Warner, M.D.

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Ansell Microflex Freeform EC FFE-775

USA Medical and Surgical Supplies

MICROFLEX® FREEFORM® EC FFE-775 Extended forearm protection and secure grip, particularly suitable for first responders KEY FEATURES AND BENEFITS Textured fingertips: For enhanced grip No. Price: $100.

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Featured Author Podcast: Intraoperative Vasopressors and Delirium

Anesthesiology Journal

Moderator: BobbieJean Sweitzer, M.D. Participants: Maximilian Sebastian Schaefer, M.D. and Amy Gaskell, M.B.Ch.B., Ph.D.

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Ansell Microflex Ultra One UL-315 Exam Gloves

USA Medical and Surgical Supplies

DESCRIPTION Heightened defenses: These latex medical exam gloves benefit from a thick finger (0.32mm/12.6 mil) and palm (0.25mm/9.8 mil) design, granting them greater strength and durability than standard exam gloves Eleva. Price: $121.

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April 2024 Editor-in-Chief Podcast

Anesthesiology Journal

Creator: James P. Rathmell, M.D., M.B.A. April 2024, Volume 140, Issue 4 Overview of April issue original studies.

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Ansell Microflex Supreno SE SU-690 Exam Gloves

USA Medical and Surgical Supplies

MICROFLEX® SUPRENO® SE SU-690 Robust nitrile exam gloves, ensuring hand protection for diverse applications KEY FEATURES AND BENEFITS Robust nitrile formulation: For durable personal protection Adv. Price: $126.

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART I

Anaesthesia News

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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8 Steps to Manage a Technology Rollout that Leads to Improved OR Performance

Caresyntax

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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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 6

Anaesthesia News

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.

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ANAESTHESIA FOR CAESAREAN SECTION IN PATIENTS WITH CARDIAC DISEASE – PART 4

Anaesthesia News

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.