Publications by authors named "Gisele Wakim"
Complex regional pain syndrome (CRPS) is a chronic neuropathic pain disorder often following trauma, associated with severe pain and autonomic disturbances in the affected limbs. Managing CRPS is challenging due to the lack of FDA-approved medications, often requiring off-label treatments. Traditional options like nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids show limited efficacy, while adjunctive treatments such as gabapentin, antidepressants, and bisphosphonates are increasingly favored.
View Article and Find Full Text PDFArticle Synopsis
- - Protamine sulfate is used to reverse the effects of unfractionated heparin during surgeries but can cause severe reactions like anaphylaxis.
- - A 77-year-old male experienced serious side effects, including low blood pressure and rapid heart rate, after receiving protamine during a carotid endarterectomy.
- - The case stresses the need for careful monitoring when administering protamine, especially for high-risk patients, and suggests looking into alternative methods for reversal to improve safety.
Anesthetic Approach for Endoscopic Repair of Acquired Tracheoesophageal Fistula.
Semin Cardiothorac Vasc Anesth
December 2017
Tracheoesophageal fistula develops in 5 % to 15 % of patients with esophageal cancer. Metal stent placement can be used for treatment. Stent placement can result in aspiration, hemorrhage, perforation, migration, and pneumonia.
View Article and Find Full Text PDF