Core Topics in Paediatric Anaesthesia
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
The Primary Care Pediatrician and the Care of Children with Cleft Lip And/Or Cleft Palate Charlotte W
CLINICAL REPORT Guidance for the Clinician in Rendering Pediatric Care The Primary Care Pediatrician Charlotte W. Lewis, MD, MPH, FAAP, a Lisa S. Jacob, DDS, MS, b Christoph U. andLehmann, MD, the FAAP, FACMI, Care c SECTION ON ORALof HEALTH Children With Cleft Lip and/or Cleft Palate Orofacial clefts, specifically cleft lip and/or cleft palate (CL/P), are among the abstract most common congenital anomalies. CL/P vary in their location and severity and comprise 3 overarching groups: cleft lip (CL), cleft lip with cleft palate (CLP), and cleft palate alone (CP). CL/P may be associated with one of many syndromes that could further complicate a child’s needs. Care of patients aDivision of General Pediatrics and Hospital Medicine, Department of with CL/P spans prenatal diagnosis into adulthood. The appropriate timing Pediatrics, University of Washington School of Medicine and Seattle Children’s Hospital, Seattle, Washington; bGeorgetown Pediatric and order of specific cleft-related care are important factors for optimizing Dentistry and Orthodontics, Georgetown, Texas; and Departments of cBiomedical Informatics and Pediatrics, Vanderbilt University Medical outcomes; however, care should be individualized to meet the specific needs Center, Nashville, Tennessee of each patient and family. Children with CL/P should receive their specialty All three authors participated extensively in developing, researching, cleft-related care from a multidisciplinary cleft or craniofacial team with and writing the manuscript and revising it based on reviewers’ comments; Dr Lehmann made additional revisions after review by the sufficient patient and surgical volume to promote successful outcomes. board of directors. The primary care pediatrician at the child’s medical home has an essential This document is copyrighted and is property of the American role in making a timely diagnosis and referral; providing ongoing health Academy of Pediatrics and its Board of Directors. -
Soonerstart Automatic Qualifying Syndromes and Conditions 001
SoonerStart Automatic Qualifying Syndromes and Conditions 001 Abetalipoproteinemia 272.5 002 Acanthocytosis (see Abetalipoproteinemia) 272.5 003 Accutane, Fetal Effects of (see Fetal Retinoid Syndrome) 760.79 004 Acidemia, 2-Oxoglutaric 276.2 005 Acidemia, Glutaric I 277.8 006 Acidemia, Isovaleric 277.8 007 Acidemia, Methylmalonic 277.8 008 Acidemia, Propionic 277.8 009 Aciduria, 3-Methylglutaconic Type II 277.8 010 Aciduria, Argininosuccinic 270.6 011 Acoustic-Cervico-Oculo Syndrome (see Cervico-Oculo-Acoustic Syndrome) 759.89 012 Acrocephalopolysyndactyly Type II 759.89 013 Acrocephalosyndactyly Type I 755.55 014 Acrodysostosis 759.89 015 Acrofacial Dysostosis, Nager Type 756.0 016 Adams-Oliver Syndrome (see Limb and Scalp Defects, Adams-Oliver Type) 759.89 017 Adrenoleukodystrophy, Neonatal (see Cerebro-Hepato-Renal Syndrome) 759.89 018 Aglossia Congenita (see Hypoglossia-Hypodactylia) 759.89 019 Albinism, Ocular (includes Autosomal Recessive Type) 759.89 020 Albinism, Oculocutaneous, Brown Type (Type IV) 759.89 021 Albinism, Oculocutaneous, Tyrosinase Negative (Type IA) 759.89 022 Albinism, Oculocutaneous, Tyrosinase Positive (Type II) 759.89 023 Albinism, Oculocutaneous, Yellow Mutant (Type IB) 759.89 024 Albinism-Black Locks-Deafness 759.89 025 Albright Hereditary Osteodystrophy (see Parathyroid Hormone Resistance) 759.89 026 Alexander Disease 759.89 027 Alopecia - Mental Retardation 759.89 028 Alpers Disease 759.89 029 Alpha 1,4 - Glucosidase Deficiency (see Glycogenosis, Type IIA) 271.0 030 Alpha-L-Fucosidase Deficiency (see Fucosidosis) -
Study Protocol and Statistical Analysis Plan
The University of Texas Southwestern Medical Center at Dallas Institutional Review Board PROJECT SUMMARY Study Title: Ultrasound-guided fascia iliaca compartment block versus periarticular infiltration for pain management after total hip arthroplasty: a randomized controlled trial Principal Investigator: Irina Gasanova, MD Sponsor/Funding Source: Department of Anesthesiology and Pain Management, UT Southwestern Medical School IRB Number: STU 122015-022 NCT Number: NCT02658240 Date of Document: 01 April 2016 Page 1 of 7 Purpose: In this randomized, controlled, observer-blinded study we plan to evaluate ultrasound-guided fascia iliaca compartment block with ropivacaine and periarticular infiltration with ropivacaine for postoperative pain management after total hip arthroplasty (THA). Background: Despite substantial advances in our understanding of the pathophysiology of pain and availability of newer analgesic techniques, postoperative pain is not always effectively treated (1). Optimal pain management technique balances pain relief with concerns about safety and adverse effects associated with analgesic techniques. Currently, postoperative pain is commonly treated with systemic opioids, which are associated with numerous adverse effects including nausea and vomiting, dizziness, drowsiness, pruritus, urinary retention, and respiratory depression (2). Use of regional and local anesthesia has been shown to reduce opioid requirements and opioid-related side effects. Therefore, their use has been emphasized (3, 4, 5, 6). Fascia Iliaca compartment block (FICB) is a field block that blocks the nerves from the lumbar plexus supplying the thigh (i.e., lateral femoral cutaneous femoral and obturator nerves). The obturator nerve is sometimes involved in the FICB but probably plays little role in postoperative pain relief for most surgeries of the hip and proximal femur. -
The Systematics and Ecology of the Mangrove-Dwelling Littoraria Species (Gastropoda: Littorinidae) in the Indo-Pacific
ResearchOnline@JCU This file is part of the following reference: Reid, David Gordon (1984) The systematics and ecology of the mangrove-dwelling Littoraria species (Gastropoda: Littorinidae) in the Indo-Pacific. PhD thesis, James Cook University. Access to this file is available from: http://eprints.jcu.edu.au/24120/ The author has certified to JCU that they have made a reasonable effort to gain permission and acknowledge the owner of any third party copyright material included in this document. If you believe that this is not the case, please contact [email protected] and quote http://eprints.jcu.edu.au/24120/ THE SYSTEMATICS AND ECOLOGY OF THE MANGROVE-DWELLING LITTORARIA SPECIES (GASTROPODA: LITTORINIDAE) IN THE INDO-PACIFIC VOLUME I Thesis submitted by David Gordon REID MA (Cantab.) in May 1984 . for the Degree of Doctor of Philosophy in the Department of Zoology at James Cook University of North Queensland STATEMENT ON ACCESS I, the undersigned, the author of this thesis, understand that the following restriction placed by me on access to this thesis will not extend beyond three years from the date on which the thesis is submitted to the University. I wish to place restriction on access to this thesis as follows: Access not to be permitted for a period of 3 years. After this period has elapsed I understand that James Cook. University of North Queensland will make it available for use within the University Library and, by microfilm or other photographic means, allow access to users in other approved libraries. All uses consulting this thesis will have to sign the following statement: 'In consulting this thesis I agree not to copy or closely paraphrase it in whole or in part without the written consent of the author; and to make proper written acknowledgement for any assistance which I have obtained from it.' David G. -
Research Article
z Available online at http://www.journalcra.com INTERNATIONAL JOURNAL OF CURRENT RESEARCH International Journal of Current Research Vol. 10, Issue, 07, pp.71222-71228, July, 2018 ISSN: 0975-833X RESEARCH ARTICLE THE TONGUE SPEAKS A LOT OF HEALTH. 1,*Dr. Firdous Shaikh, 2Dr. Sonia Sodhi, 3Dr Zeenat Fatema Farooqui and 4Dr. Lata Kale 1PG Student, Department of Oral Medicine and Radiology, CSMSS Dental College and Hospital, Aurangabad 2Professor, Department of Oral Medicine and Radiology, CSMSS Dental College and Hospital, Aurangabad 3Fatema Farooqui, Chief Medical Officer, Sri Ram Homeopathic Clinic and Research Center, Solapur 4Professor and Head, Department of Oral Medicine and Radiology, CSMSS Dental College and Hospital, Aurangabad ARTICLE INFO ABSTRACT Article History: Multifunctional organ of the human body without a bone yet strong is the tongue. It mainly consists Received 26th April, 2018 of the functional portion of muscle mass, mucosa, fat and the specialized tissue of taste i.e. the Received in revised form papillae. Diseases may either result from internal/ systemic causes of extrinsic causes like trauma, 14th May, 2018 infection, etc. A new method for classification has been proposed in this review for diseases of Accepted 09th June, 2018 tongue. This review mainly focuses on encompassing almost each aspect that the body reflects via its th Published online 30 July, 2018 mirror in mouth, the tongue. Key Words: Tongue, Diseases of Tongue, Discoloration of Tongue, Oral health, Hairy Tongue. Copyright © 2018, Firdous Shaikh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Ultrasound-Guided Fascia Iliaca Compartment Block (FICB)
Ultrasound-Guided Fascia Iliaca Compartment Block (FICB) Hip Fracture Any of the following present? 1) Neurologic deficit 2) Multisystem Trauma 3) Allergy to local anesthetic Yes *Anticoagulated patients – physician No discretion Standard Care Procedure Details 1) Document distal neurovascular exam in EPIC 1) PO acetaminophen 2) Consult ortho (do not need to await callback) (1,000mg) 3) Obtain verbal consent from patient 2) Consider 0.1 mg/kg 4) Position Patient and U/S Machine morphine or opioid 5) Order Bupivacaine (dose dependent) a. Max 2 mg/kg equivalent b. i.e. 100 mg safe for 50 kg patient 3) Screening labs, CXR, 6) Standard ASA monitoring (telemetry during procedure with ECG, type and screen continuous pulse oximetry, BP measurement, and IV access) 7) Perform FICB 4) Consult orthopedics and medicine as 8) Inform patients on block characteristics: a. Onset ~ 20 minutes necessary b. Duration ~ 8-12 hours Equipment Required Counseling Ultrasound Machine 1) Linear/Vascular Probe set to “Nerve” Benefits setting for best results Decreases: Anesthetic: 1) Pain 1) 0.5% Bupivacaine (20-30 cc) 2) 1% Lidocaine (3-5 cc) 2) Delirium 3) Opioids Saline (10 cc) 4) Hypoxia Syringes: 1) 30 cc 2) 3-5 cc Risks Needles: 1) Pain at injection site 1) Blunt fill 2) Temporary nerve palsy 2) 25G 3) 18G LP needle 3) Intravascular injection Chloroprep or Alcohol swab(s) 4) Local Anesthetic Systemic Toxicity * (LAST) * LAST (local anesthetic systemic toxicity) 1) Rare and only with intravascular injection which an ultrasound guided approach prevents. 2) Signs include arrhythmias, seizures, convulsions 3) Treatment a. -
Herestraat 49, B-3000 Leuven Yves Kremer, CU Saint-Luc, Av
Editor | Prof. Dr. V. Bonhomme CO-Editors | Dr. Y. Kremer — Prof. Dr. M. Van de Velde ACTA ANAESTHESIOLOGICA JOURNAL OF THE BELGIAN SOCIETY OF ANESTHESIOLOGY, RESUSCITATION, PERIOPERATIVE MEDICINE AND PAIN MANAGEMENT (BeSARPP) BELGICA Indexed in EMBASE l EXCERPTA MEDICA ISSN: 2736-5239 Suppl. 1 202071 Master Theses www.besarpp.be Cover-1 -71/suppl.indd 1 12/01/2021 12:37 ACTA ANÆSTHESIOLOGICA BELGICA 2020 – 71 – Supplement 1 EDITORS Editor-in-chief : Vincent Bonhomme, CHU Liège, av. de l’Hôpital 1, B-4000 Liège Co-Editors : Marc Van de Velde, KU Leuven, Herestraat 49, B-3000 Leuven Yves Kremer, CU Saint-Luc, av. Hippocrate, B-1200 Woluwe-Saint-Lambert Associate Editors : Margaretha Breebaart, UZA, Wilrijkstraat 10, B-2650 Edegem Christian Verborgh, UZ Brussel, Laarbeeklaan 101, B-1090 Jette Fernande Lois, CHU Liège, av. de l’Hôpital 1, B-4000 Liège Annelies Moerman, UZ Gent, C. Heymanslaan 10, B-9000 Gent Mona Monemi, CU Saint-Luc, av. Hippocrate, B-1200 Woluwe-Saint-Lambert Steffen Rex, KU Leuven, Herestraat 49, B-3000 Leuven Editorial assistant Carine Vauchel Dpt of Anesthesia & ICM, CHU Liège, B-4000 Liège Phone: 32-4 321 6470; Email: [email protected] Administration secretaries MediCongress Charlotte Schaek and Astrid Dedrie Noorwegenstraat 49, B-9940 Evergem Phone : +32 9 218 85 85 ; Email : [email protected] Subscription The annual subscription includes 4 issues and supplements (if any). 4 issues 1 issue (+supplements) Belgium 40€ 110€ Other Countries 50€ 150€ BeSARPP account number : BE97 0018 1614 5649 - Swift GEBABEBB Publicity : Luc Foubert, treasurer, OLV Ziekenhuis Aalst, Moorselbaan 164, B-9300 Aalst, phone: +32 53 72 44 61 ; Email : [email protected] Responsible Editor : Prof. -
Mollusca, Archaeogastropoda) from the Northeastern Pacific
Zoologica Scripta, Vol. 25, No. 1, pp. 35-49, 1996 Pergamon Elsevier Science Ltd © 1996 The Norwegian Academy of Science and Letters Printed in Great Britain. All rights reserved 0300-3256(95)00015-1 0300-3256/96 $ 15.00 + 0.00 Anatomy and systematics of bathyphytophilid limpets (Mollusca, Archaeogastropoda) from the northeastern Pacific GERHARD HASZPRUNAR and JAMES H. McLEAN Accepted 28 September 1995 Haszprunar, G. & McLean, J. H. 1995. Anatomy and systematics of bathyphytophilid limpets (Mollusca, Archaeogastropoda) from the northeastern Pacific.—Zool. Scr. 25: 35^9. Bathyphytophilus diegensis sp. n. is described on basis of shell and radula characters. The radula of another species of Bathyphytophilus is illustrated, but the species is not described since the shell is unknown. Both species feed on detached blades of the surfgrass Phyllospadix carried by turbidity currents into continental slope depths in the San Diego Trough. The anatomy of B. diegensis was investigated by means of semithin serial sectioning and graphic reconstruction. The shell is limpet like; the protoconch resembles that of pseudococculinids and other lepetelloids. The radula is a distinctive, highly modified rhipidoglossate type with close similarities to the lepetellid radula. The anatomy falls well into the lepetelloid bauplan and is in general similar to that of Pseudococculini- dae and Pyropeltidae. Apomorphic features are the presence of gill-leaflets at both sides of the pallial roof (shared with certain pseudococculinids), the lack of jaws, and in particular many enigmatic pouches (bacterial chambers?) which open into the posterior oesophagus. Autapomor- phic characters of shell, radula and anatomy confirm the placement of Bathyphytophilus (with Aenigmabonus) in a distinct family, Bathyphytophilidae Moskalev, 1978. -
Oral Health Abnormalities in Children Born with Macrosomia Established During Mixed Dentition Period
© Wydawnictwo Aluna Wiadomości Lekarskie 2019, tom LXXII, nr 5 cz I PRACA ORYGINALNA ORIGINAL ARTICLE ORAL HEALTH ABNORMALITIES IN CHILDREN BORN WITH MACROSOMIA ESTABLISHED DURING MIXED DENTITION PERIOD Olga V. Garmash KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE ABSTRACT Introduction: The prevalence of soft tissue and hard tooth tissuediseases in the oral cavity and the morphofunctional disorders of craniofacial complex, require attention ofspecialistsin various branches of medicine. Scientists began to pay attention to metabolic and other violations that have occurred in the fetal development and led to the occurrence of certain changes in the dental status of the child. The aim of thisresearch is to study the features of the dental health condition in the children of Northeast of Ukraine, who were born with macrosomia during the period of mixed dentition. The study takes into account intrauterine body length growth acceleration, intrauterine obesity or well-balanced acceleration of both the body weight and length gain. Materials and methods: Thirty 6.5–11-year-old children with fetal macrosomia were examined (MainGroup). A Comparison Group was comprised of sixteen children, whose weight-height parameters at birth were normal (fetal normosomia). All children in the Main group were split into four subgroups in accordance with weight-height parameters at birth using the V. I. Grischenko and his co-authors’ harmonious coefficient. The evaluation of the hygiene status of the oral cavity, the dental caries intensity evaluation, and the quantitative analysis of minor salivary gland secretion have been performed. The prevalence of dentoalveolar abnormalities was evaluated. Results: The highest values of caries intensity were recorded in macrosomic-at-birth children born with harmonious (well-balanced) intrauterine development, with intrauterine obesity and increased body length, or with intrauterine obesity and an average body length. -
Lieshout Van Lieshout, M.J.S
EXPLORING ROBIN SEQUENCE Manouk van Lieshout Van Lieshout, M.J.S. ‘Exploring Robin Sequence’ Cover design: Iliana Boshoven-Gkini - www.agilecolor.com Thesis layout and printing by: Ridderprint BV - www.ridderprint.nl ISBN: 978-94-6299-693-9 Printing of this thesis has been financially supported by the Erasmus University Rotterdam. Copyright © M.J.S. van Lieshout, 2017, Rotterdam, the Netherlands All rights reserved. No parts of this thesis may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without permission of the author or when appropriate, the corresponding journals Exploring Robin Sequence Verkenning van Robin Sequentie Proefschrift ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof.dr. H.A.P. Pols en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op woensdag 20 september 2017 om 09.30 uur door Manouk Ji Sook van Lieshout geboren te Seoul, Korea PROMOTIECOMMISSIE Promotoren: Prof.dr. E.B. Wolvius Prof.dr. I.M.J. Mathijssen Overige leden: Prof.dr. J.de Lange Prof.dr. M. De Hoog Prof.dr. R.J. Baatenburg de Jong Copromotoren: Dr. K.F.M. Joosten Dr. M.J. Koudstaal TABLE OF CONTENTS INTRODUCTION Chapter I: General introduction 9 Chapter II: Robin Sequence, A European survey on current 37 practice patterns Chapter III: Non-surgical and surgical interventions for airway 55 obstruction in children with Robin Sequence AIRWAY OBSTRUCTION Chapter IV: Unravelling Robin Sequence: Considerations 79 of diagnosis and treatment Chapter V: Management and outcomes of obstructive sleep 95 apnea in children with Robin Sequence, a cross-sectional study Chapter VI: Respiratory distress following palatal closure 111 in children with Robin Sequence QUALITY OF LIFE Chapter VII: Quality of life in children with Robin Sequence 129 GENERAL DISCUSSION AND SUMMARY Chapter VIII: General discussion 149 Chapter IX: Summary / Nederlandse samenvatting 169 APPENDICES About the author 181 List of publications 183 Ph.D. -
Structure and Function of the Digestive System in Molluscs
Cell and Tissue Research (2019) 377:475–503 https://doi.org/10.1007/s00441-019-03085-9 REVIEW Structure and function of the digestive system in molluscs Alexandre Lobo-da-Cunha1,2 Received: 21 February 2019 /Accepted: 26 July 2019 /Published online: 2 September 2019 # Springer-Verlag GmbH Germany, part of Springer Nature 2019 Abstract The phylum Mollusca is one of the largest and more diversified among metazoan phyla, comprising many thousand species living in ocean, freshwater and terrestrial ecosystems. Mollusc-feeding biology is highly diverse, including omnivorous grazers, herbivores, carnivorous scavengers and predators, and even some parasitic species. Consequently, their digestive system presents many adaptive variations. The digestive tract starting in the mouth consists of the buccal cavity, oesophagus, stomach and intestine ending in the anus. Several types of glands are associated, namely, oral and salivary glands, oesophageal glands, digestive gland and, in some cases, anal glands. The digestive gland is the largest and more important for digestion and nutrient absorption. The digestive system of each of the eight extant molluscan classes is reviewed, highlighting the most recent data available on histological, ultrastructural and functional aspects of tissues and cells involved in nutrient absorption, intracellular and extracellular digestion, with emphasis on glandular tissues. Keywords Digestive tract . Digestive gland . Salivary glands . Mollusca . Ultrastructure Introduction and visceral mass. The visceral mass is dorsally covered by the mantle tissues that frequently extend outwards to create a The phylum Mollusca is considered the second largest among flap around the body forming a space in between known as metazoans, surpassed only by the arthropods in a number of pallial or mantle cavity. -
Fascia Iliaca Block in the Emergency Department
The Royal College of Emergency Medicine Best Practice Guideline Fascia Iliaca Block in the Emergency Department 1 Revised: July 2020 Contents Summary of recommendations ...................................................................................................... 3 Scope ..................................................................................................................................................... 4 Reason for development ................................................................................................................. 4 Introduction .......................................................................................................................................... 4 Considerations ..................................................................................................................................... 4 Safety of FIB ...................................................................................................................................... 4 Improving safety of FIB .................................................................................................................. 5 Controversies regarding FIB ......................................................................................................... 5 Efficacy of FIB ................................................................................................................................... 6 Procedures within ED ....................................................................................................................