Brachial Plexus Block for Removal of Retained Radial Artery Sheath.

In this case, we present a lesser-known application of regional anesthesia, specifically, managing a patient with vasospasm and retained radial artery (RA) vascular sheath after coronary angiography. Providing an ultrasound-guided supraclavicular block, in combination with general anesthesia, allowed the proceduralist to remove the retained sheath after several hours of failed treatment and manipulation. Severe arterial spasm was alleviated by eliciting a sympathectomy, along with analgesia of the right upper extremity, and maintaining this post-procedure.

Complications From Operator Modification of the Esophageal Temperature Probe.

Intraoperative temperature monitoring of surgical patients is an important aspect of perioperative care. Central core temperature monitoring is often accomplished using an 18 French esophageal device inserted through the mouth into the esophagus, while patients are undergoing general anesthesia. Placement of a modified esophageal temperature probe (i.

Surgeon Preference, Influence, and Treatment of Thumb Carpometacarpal Arthritis.

Background: The purpose of this study was to evaluate current surgical practice patterns, the factors that influence these patterns, and overall trends in the treatment of thumb carpometacarpal osteoarthritis.

Methods: An online survey containing 14 questions was sent to all active members of the American Society for Surgery of the Hand. Information on demographics and treatments was collected.

Assessment of hospital disaster plans for conventional mass casualty incidents following terrorist explosions using a live exercise based upon the real data of actual patients.

Purpose: The National Committee for Hospital Preparedness for Conventional Mass Casualty Incidents and the Hospital Preparedness Division of the Home Front Command are in charge of preparing live exercises held yearly in public hospitals in Israel. Our experience is that live exercises are limited in their ability to test clinical decision making and its influence upon incident management. A live exercise was designed upon real patient data and tested in several public hospitals.