Month: July 2024

Uncategorized Published - 12 July, 2024    By - Dr Clemens
Lidocaine-Associated CNS Toxicity at Therapeutic Dosage

 Authors: Martin R D, Scanlon M, McCabe K Cureus  June 12, 202416(6): e62231. Abstract Lidocaine is a commonly used anesthetic. High doses or intravenous administration of lidocaine, as well as other local anesthetics, may result in systemic effects involving the cardiovascular and neurologic systems. Typically, effects are dependent on the serum concentrations of the offending […]

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Uncategorized Published - 12 July, 2024    By - Dr Clemens
Retrograde Aortic Valve Migration During Transcatheter Aortic Valve Replacement for Aortic Regurgitation: A Case Report Highlighting the Importance of Prompt Venoarterial Extracorporeal Membrane Oxygenation (VA-ECMO) Initiation

Authors: Kitaura A, Sakamoto H, Tsukimoto S, et al. Cureus June 12, 2024 16(6): e62266. Abstract Surgical aortic valve replacement (SAVR) is the recommended curative treatment for pure native aortic regurgitation (AR). However, some patients are not suitable for SAVR due to comorbidities or frailty. Transcatheter aortic valve replacement (TAVR) has been reported to offer […]

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Uncategorized Published - 11 July, 2024    By - Dr Clemens
Determinants of Readmission in the Intensive Care Unit

Author: Kumar R, Singh B P, Arshad Z, et al. Cureus June 21, 202416(6): e62840. Background The antecedents of readmission among survivors of intensive care units (ICUs) are complex and comprise an array of elements that impact the rehabilitation process after leaving the ICU. The aforementioned determinants may comprise socioeconomic factors, access to follow-up healthcare, […]

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Uncategorized Published - 11 July, 2024    By - Dr Clemens
A Comparative Study of Fixed-Dose Dexmedetomidine and Propofol Infusions on Intraoperative Desflurane Consumption During Bispectral Index-Guided Laparoscopic Surgeries

Authors: Machani RamaMurthy K, Harshavardhan M, Attarde V B, et al. Cureus June 16, 202416(6): e62479. Background Desflurane is an excellent but expensive volatile anesthetic agent. Dexmedetomidine and propofol may decrease intraoperative desflurane consumption. This study aimed to compare the desflurane-sparing effect of dexmedetomidine and propofol in patients undergoing laparoscopic surgeries under bispectral index (BIS)-guided […]

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Uncategorized Published - 11 July, 2024    By - Dr Clemens
Patch Dehiscence After Mitral Valve Repair by Posterior Mitral Leaflet Augmentation at Weaning From Cardiopulmonary Bypass

Authors: Aihara S, Nakayama Y, Nakajima Y, et al. Cureus  June 21, 202416(6): e62872. Abstract The treatment for ischemic mitral regurgitation (MR) involves a combination of medical management and, in certain cases, surgical intervention. The approach depends on the severity of the condition, underlying causes, and the patient’s overall health. A 76-year-old male with heart […]

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Uncategorized Published - 11 July, 2024    By - Dr Clemens
Childbirth Experience and Pain Control: Expectation, Satisfaction, and Analgesia Myths

Authors: Rodrigues R, Freitas C, Gonçalves B, et al. Cureus June 25, 2024 16(6): e63082. Background: In our days, increasing importance has been given to maternal satisfaction as a quality indicator in healthcare services. A positive childbirth experience should meet a woman’s personal and sociocultural beliefs and expectations in every setting. This study aimed to […]

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Uncategorized Published - 11 July, 2024    By - Dr Clemens
Andexanet Alfa for Edoxaban Reversal and Associated Thromboelastography Changes in Surgical Pulmonary Embolectomy

 Authors: Fukuda Y, Yoshinaga K, Kondo S, et al. Cureus June 14, 2024 16(6): e62370. Abstract Andexanet alfa neutralizes factor Xa inhibitors in critical bleeding situations. However, in cardiac surgery with cardiopulmonary bypass (CPB), heparin resistance induced by andexanet alfa should be a concern, and the lack of point-of-care monitoring of plasma concentration of factor […]

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Uncategorized Published - 10 July, 2024    By - Dr Clemens
Diaphragmatic and Pulmonary Functions Following an Ultrasound-Guided Supraclavicular Approach Versus a Costoclavicular Approach of a Brachial Plexus Block

Authors: Saraswat R K, Deganwa M, Verma K, et al. Cureus June 18, 2024 16(6): e62586. Abstract Introduction: A costoclavicular brachial plexus block is an emerging infraclavicular approach that targets the cords lateral to the axillary artery, providing rapid onset of sensory-motor blockade. However, the incidence of hemi-diaphragmatic paralysis (HDP), a potential complication, remains unclear […]

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Uncategorized Published - 10 July, 2024    By - Dr Clemens
Determining the Target Concentration of Propofol for Sedation in Patients Undergoing Endoscopic Retrograde Cholangiopancreatography

Authors: S S, Dhingra U, Sindwani G, et al. Cureus June 22, 2024 16(6): e62936. Introduction Endoscopic retrograde cholangiopancreatography (ERCP) is vital for diagnosing and treating biliary and pancreatic diseases, necessitating deep sedation typically achieved through total intravenous anesthesia. Propofol, with its favorable pharmacokinetic profile, is the preferred sedative, but conventional administration methods of mg/kg […]

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Uncategorized Published - 10 July, 2024    By - Dr Clemens
A Low-Volume Epidural Blood Patch for the Treatment of Spontaneous Intracranial Hypotension: A Case Report

Authors: Šimonová J, Jaselská S, Šimon R, et al. Cureus June 24, 2024 16(6): e63059. Abstract Spontaneous intracranial hypotension (SIH) is a rare neurological syndrome. We report the case of a 47-year-old woman with acute, severe orthostatic headache after surgery, chemotherapy, and radiotherapy for breast cancer. The brain and spine magnetic resonance imaging showed signs […]

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