Publications by authors named "Patrick T Hussey"
Differential diagnosis of the underlying cause of new-onset total body paralysis can be challenging and unsatisfying. In akinetic mutism, a rare side effect of tacrolimus, patients become apathetic, mute, and lose voluntary muscle movement. Epidural subarachnoid migration can present with similar symptoms.
View Article and Find Full Text PDFNeuraxial anesthesia is preferred over general anesthesia in obstetric patients to avoid airway manipulation, aspiration, and maternal-fetal transfer of medications; however, a sudden sympathetic block is generally avoided in patients with hypertrophic obstructive cardiomyopathy (HOCM). The case of a 31-year-old G2P0010 with HOCM with severe resting left ventricular outflow tract (LVOT) obstruction and systolic anterior motion of the mitral valve undergoing a cerclage under choroprocaine spinal anesthesia is presented. Risks and benefits of general versus neuraxial anesthesia, and epidural versus spinal anesthesia, in this specific setting are reviewed.
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- ECMO is a life-support technique for patients experiencing cardiac or respiratory failure, which requires detailed diagnostic imaging to guide its implementation effectively.
- Echocardiography is crucial for safely positioning ECMO cannulas, optimizing blood flow, and troubleshooting during treatment, but current guidelines for its use in ECMO are insufficient.
- This review emphasizes the importance of advanced echocardiographic techniques and knowledge, particularly regarding new cannula designs and complex procedures, to enhance patient care in ECMO settings.