Prolonged tracheal extubation time after glioma surgery was associated with lack of familiarity between the anesthesia provider and the operating neurosurgeon. A retrospective, observational study.

Study Objective: We consider the effect of the number of previous interactions between the anesthesia provider and a single neurosurgeon during neurosurgical procedures ("familiarity") and occurrence of an interval ≥15 min from the end of surgery (i.e., dressings applied) to tracheal extubation ("prolonged extubation") during subsequent glioma procedures by that neurosurgeon.

Analysis of intra-operative variables as predictors of 30-day readmission in patients undergoing glioma surgery at a single center.

Purpose: Reducing the time from surgery to adjuvant chemoradiation, by decreasing unnecessary readmissions, is paramount for patients undergoing glioma surgery. The effects of intraoperative risk factors on 30-day readmission rates for such patients is currently unclear. We utilized a predictive model-driven approach to assess the impact of intraoperative factors on 30-day readmission rates for the cranial glioma patient.

Unconsciousness After Regional Anesthesia for Arteriovenous Fistula Revision in a Patient with End-stage Renal Disease.

Chronic kidney disease can lead to different chronic complications. We describe a case where a patient with end-stage renal disease (ESRD) became unresponsive during transportation to the recovery room, following finishing an arteriovenous fistula revision. The patient had received supraclavicular block ninety minutes prior to the incident and surgery was finished under monitored anesthesia care (MAC).

Leptin Is Produced by Parathyroid Glands and Stimulates Parathyroid Hormone Secretion.

Objective: We asked if leptin and its cognate receptor were present in normal and diseased parathyroid glands, and if so, whether they had any functional effects on parathyroid hormone (PTH) secretion in parathyroid neoplasms.

Background: The parathyroid glands acting through PTH play a critical role in the regulation of serum calcium. Based on leptin's recently discovered role in bone metabolism, we hypothesized these glands were the sites of a functional interaction between these 2 hormones.

Leptin signaling and hyperparathyroidism: clinical and genetic associations.

Background: The role of leptin in mediating calcium-related metabolic processes is not well understood.

Study Design: We enrolled patients with hyperparathyroidism undergoing parathyroidectomy in a prospective study to assess postoperative changes to serum leptin and parathyroid hormone levels and to determine the presence of LEPR (leptin receptor) polymorphisms. Patients undergoing hemithyroidectomy under identical surgical conditions were enrolled as controls.

Deepithelialized flap closure: an adjunct to complex ventral hernia repairs.

Ventral hernias are a major surgical challenge with complications such as wound separations, infections, and recurrences contributing to patient morbidity. We describe a new adjunctive technique that may be helpful in repairing difficult ventral hernias: it involves using an appropriately chosen, redundant abdominal skin edge that is deepithelialized and used to reinforce the hernia repair. A series of 7 patients aged 23 to 84 years in whom the technique was used is presented.