Publications by authors named "M H Perdue"
Introduction: Regional anesthesia, specifically fascia iliaca compartment blocks (FICB), is highly effective in managing pain, especially in military settings. However, a significant barrier to its implementation is the lack of provider confidence in performing ultrasound-guided procedures. This study evaluates the ability of physician assistant (PA) students, who are often first-line providers in austere locations, to identify the fascia iliaca compartment (FIC) using point-of-care ultrasound (POCUS) after a brief training session and assesses their retention of this skill over a 60- to 90-day period.
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- Prenatal alcohol exposure (PAE) is a major cause of birth defects and cognitive issues, particularly affecting brain development and executive functions in children aged 3-8 years.
- The study used magnetic resonance spectroscopy (MRS) to analyze brain metabolites in children with PAE compared to unexposed children, revealing elevated levels of total choline (tCho) and glutamate + glutamine (Glx) in certain brain regions.
- The findings suggest that altered brain metabolism in children with PAE is linked to their cognitive performance, with higher tCho associated with better executive function, while elevated Glx correlates with poorer inhibitory control specifically in the PAE group.
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- Children exposed to alcohol before birth (PAE) may face neurological and behavioral challenges, particularly with reading and language skills.
- Researchers studied brain scans and pre-reading abilities in 135 children aged 3-7, including 53 with PAE, using diffusion MRI and assessments like NEPSY-II.
- Findings revealed that children with PAE scored lower on reading tests and showed different brain network properties compared to those not exposed, indicating brain changes linked to their reading difficulties.
Introduction: Airway compromise is the third leading cause of preventable death on the battlefield. Most combat medics carry supraglottic airway (SGA) devices for airway management. However, exchanging an SGA device for a definitive airway can be challenging, especially in austere environments.
View Article and Find Full Text PDFBackground: Injectable extended-release buprenorphine (XR-Bup) addresses several barriers to the implementation of treatment with medications for opioid use disorder (MOUD) in carceral settings due to lower risk of diversion and reduced operational procedures. However, there is no standardized approach or guideline for initiating sublingual buprenorphine (SL-Bup) and transitioning to XR-Bup in persons with opioid use disorder (OUD) who are not actively using opioids, a clinical scenario commonly encountered in carceral settings.
Methods: We conducted a retrospective case series of non-opioid-tolerant men with OUD at a Montana Department of Corrections facility who initiated XR-Bup using a 5-day induction protocol between May 1, 2023, and November 1, 2023.