Adductor and Sciatic Peripheral Nerve Catheters for Schatzker VI Tibial Plateau Fracture: A Case Report.

Peripheral nerve blocks are typically avoided for high-speed tibial plateau fractures due to their ability to mask the paresthesias and pain associated with the feared complication of acute compartment syndrome (ACS). We present a case in which sciatic nerve and adductor canal catheters were placed utilizing low-volume infusions allowing for neurovascular assessment. These catheters served as a valuable portion of the multi-modal pain regimen in this patient with a Schatzker VI tibial plateau fracture.

Combined Spinal-Epidural for Loop Ileostomy in a Patient With End-Stage Amyotrophic Lateral Sclerosis: A Case Report.

Anesthesia can be a challenge for patients with amyotrophic lateral sclerosis (ALS). This progressive neurological disease is associated with a high risk of aspiration and postoperative ventilatory failure. Our patient was a 72-year-old man with ALS, quadriplegia, bulbar symptoms, dysphagia, and dysarthria who underwent palliative exploratory laparotomy and loop ileostomy creation.

Shape, Size, and Internal Dynamics of Loosely Bound Colloidlike Ionic Clusters in Ternary Solvent Systems.

We characterize the influence of preferential solvation on the dynamic self-assembly process between small dianionic salts and a macrocyclic tetraimidazolium molecular box into highly defined, colloidlike ionic clusters in solution, called ionoids. Here, we substitute individual solvents in the established optimal ternary solvent mixture dimethyl sulfoxide (DMSO)/glycerol/water 50:43:7 (v/v/v), namely, DMSO through dimethyl formamide, glycerol through ethylene glycol and water through -methylpropionamide, and such can characterize the changes in shape and size of the structures of loosely bound ionic clusters induced by the substitution of a specific solvent component. Using dynamic light scattering we associate size, shape, and initial durability of ionic clusters with solvent parameters like dynamic viscosity and relative permittivity to highlight the importance of solvent composition for the build-up of globular ionoids as well as anisotropic ionic clusters.