J Cardiothorac Vasc Anesth 2022 Sep 16;36(9):3662-3667. Epub 2022 May 16.
Department of Cardiothoracic Surgery, National Heart Center, Royal Hospital, Muscat, Oman.
J Neurosci Rural Pract 2022 Jul 13;13(3):537-540. Epub 2022 Jun 13.
Department of Radiology, University of Florida Jacksonville, Jacksonville, Florida.
Secondary peripheral nerve injuries remain a significant perioperative problem due to patient positioning and contribute to reduced patient quality of life and exacerbated professional liability. Comorbidities and concomitant lesions can further elicit these injuries in patients undergoing spinal surgeries. We report a case of a 70-year-old male polytrauma patient presenting with a left first-rib fracture and an adjacent hematoma around the brachial plexus without preoperative deficits. Read More
AANA J 2022 Aug;90(4):297-302
is an Associate Professor of Pediatrics in the Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina.
The following case report describes a 13-year-old child with alternating hemiplegia of childhood (AHC) who underwent magnetic resonance imaging MRI with general anesthesia and experienced a hemiplegic spell, seizure, apnea, and sudden cardiac arrest with successful resuscitation. AHC is a rare neurodevelopmental disorder characterized by repeated episodes of weakness or paralysis affecting one or both sides of the body and multiple other neurologic problems. The challenges associated with this disorder include management of developmental delay, dystonia, hemiplegia, cerebrovascular dysfunction, apnea, and autonomic dysfunction. Read More
Pediatr Hematol Oncol 2022 Aug 3:1-14. Epub 2022 Aug 3.
Department of Pediatrics, Division of Pediatric Hematology, Oncology, Blood & Marrow Transplant, University of British Columbia, Vancouver, British Columbia, Canada.
The presence of an anterior mediastinal mass should prompt rapid triage, workup and treatment to effectively manage and prevent emergent complications. Implementation of an AMM protocol can ensure the response is standardized and coordinated. Importantly, such a protocol can encourage prompt multi-disciplinary communication to mitigate risks associated with procedures required for timely diagnosis. Read More
Cureus 2022 Jun 23;14(6):e26260. Epub 2022 Jun 23.
Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, USA.
Gitelman syndrome is an autosomal recessive inherited disorder that impairs the function of thiazide-sensitive sodium-chloride cotransporters in the distal convoluted tubule of the nephron. During labor and delivery, avoidance of sympathetic overactivity, meticulous hemodynamic monitoring, and expedited repletion of potassium and magnesium are required to avoid adverse outcomes. We present a parturient with severe Gitelman syndrome, requiring continuous electrolyte and fluid infusions, who underwent successful cesarean delivery. Read More
Scand J Med Sci Sports 2022 Jul 29. Epub 2022 Jul 29.
School of Health Professions, School of Exercise and Sport Science Mayborn College of Health Sciences, University of Mary Hardin-Baylor, Belton, TX, USA.
Background: The skeletal muscle microbiopsy protocol was introduced to the Exercise and Sports Science (ESS) research field in 1999 and has been used as a protocol to directly examine muscular structural and biochemical changes. There is much variation in the reporting of the microbiopsy protocol and its related pre-and post-procedure for participant care and sample collection. The purpose of this narrative and methodological review is to compare the microbiopsy to the traditional Bergström protocol used in the ESS field, identify and summarize all related microbiopsy protocols used in previous ESS studies and determine the most frequently used microbiopsy protocols aspects and associated pre- and post-biopsy procedures; METHODS: A review of literature up to January, 2022 was used following the PRISMA and Cochrane Methodological Review Guide to determine frequently used methods that may facilitate optimal and potential recommendations for muscle microbiopsy needle gauge (G), concentration or dose (% or mL) and administration of local anesthetic, co-axial/cannula introducer gauge (G), muscle depth (cm), muscle sample size collected (mg), passes to collect samples, time points of muscle sampling, and promotion of participant compliance and minimization of adverse events; RESULTS: 85 articles were selected based on the inclusionary requirements related to the ESS field or methodological considerations. Read More