Publications by authors named "Joseph R Whiteley"

Article Synopsis
  • Post-reperfusion syndrome (PRS) can range from mild to severe during liver transplantation, affecting patient outcomes due to various factors.
  • A study found that using a blood flush through a caval vent alongside the standard chilled flush may lead to less hemodynamic instability and fewer metabolic issues.
  • Results showed that patients who received the caval flush experienced better mean arterial pressure and heart rate retention, although central venous pressure and lab values were similar between groups, indicating a potential benefit of the technique that warrants further research.
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Article Synopsis
  • Robot-assisted laparoscopic radical prostatectomy (RALRP) may elevate intracranial pressure (ICP) due to surgical positioning and pneumoperitoneum.
  • A study examined 25 patients and used ultrasonographic analysis of optic nerve sheath diameter (ONSD) to assess ICP before and after surgery.
  • Results showed a significant increase in ONSD, indicating an ICP rise above 20 mm Hg during the procedure, with associations found between increased ONSD and mean arterial pressure (MAP).
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Background: Acute kidney injury (AKI) is a frequent complication of orthotopic liver transplantation (OLT). Hepatic failure pathophysiology and intraoperative events contribute to AKI after OLT. Colloids are routinely used to maintain intravascular volume during OLT.

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A case of a 49 year old man with a giant basilar artery aneurysm requiring rapid ventricular pacing is presented. Rapid ventricular pacing decreased aneurysm size and increased operative exposure, which aided surgical decision making. It also provided decreased wall tension in the aneurysm.

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