Publications by authors named "M Herincs"
Anaesthetic considerations for impacted fetal head at caesarean delivery: a focused review.
Int J Obstet Anesth
September 2024
Article Synopsis
- Impacted fetal head is a complication during caesarean deliveries, occurring in about 1.5% of elective and 2.9-18.4% of emergency cases, requiring additional surgical techniques or medication to assist in delivery.
- Risk factors include advanced cervical dilation, use of oxytocin, prolonged labor, fetal malposition, and the experience level of the operating obstetrician.
- Effective management involves collaboration with a multidisciplinary team and may include adjusting the operating table, changing the patient's position, administering medications like nitroglycerin, and preparing for potential complications such as postpartum hemorrhage.
Purpose: Impacted fetal head (IFH) can be defined as the deep engagement of the fetal head in the maternal pelvis at the time of cesarean delivery that leads to its difficult or impossible extraction with standard surgical maneuvers. In this narrative review, we aimed to ascertain its incidence, risk factors, management and complications from the perspective of the anesthesiologist as a multidisciplinary team member.
Methods: Databases were searched from inception to 24 January 2023 for keywords and subject headings associated with IFH and cesarean delivery.
The molecular mechanisms leading to aryl hydrocarbon receptor interacting protein (AIP) mutation-induced aggressive, young-onset growth hormone-secreting pituitary tumors are not fully understood. In this study, we have identified that AIP-mutation-positive tumors are infiltrated by a large number of macrophages compared to sporadic tumors. Tissue from pituitary-specific Aip-knockout (Aip;Hesx1) mice recapitulated this phenotype.
View Article and Find Full Text PDFThe aryl hydrocarbon receptor interacting protein (AIP) founder mutation R304 (or p.R304 ; NM_003977.3:c.
View Article and Find Full Text PDFBackground: Pheochromocytoma is associated with catecholamine-induced cardiac toxicity, but the extent and nature of cardiac involvement in clinical cohorts is not well-characterized.
Objectives: This study characterized the cardiac phenotype in patients with pheochromocytoma using cardiac magnetic resonance (CMR).
Methods: A total of 125 subjects were studied, including patients with newly diagnosed pheochromocytoma (n = 29), patients with previously surgically cured pheochromocytoma (n = 31), healthy control subjects (n = 51), and hypertensive control subjects (HTN) (n = 14), using CMR (1.