Resuscitation Following a Bupivacaine Injection for a Cervical Paravertebral Block.

Background: Cardiac arrest related to nerve blockade using a local anaesthetic is a rare event. We report a case of bupivacaine severe cardiovascular toxicity following cervical paravertebral nerve block.

Case Presentation: A 44-year-old female was admitted to Republican Vilnius University Hospital, with symptoms of sustained severe pain in her neck that radiated to both arms.

A mini volume loading test (mVLT) using 2.5-mLkg boluses of crystalloid for indication of perioperative changes in hydration status.

Background And Objective: A mini volume loading test (mVLT) evaluating hemodilution during step-wise crystalloid infusion has established that the arterio-capillary plasma dilution difference is inversely correlated to the body hydration level of subjects. This observational study aimed to test whether this can be replicated in a perioperative setting using a 2.5-mLkg boluses.

A mini volume loading test for indication of preoperative dehydration in surgical patients.

Background And Objective: Previously, a mini volume loading test (mVLT) detected signs of dehydration in healthy volunteers after an overnight fast. Our objective was to investigate whether mVLT could indicate preoperative dehydration in patients after an overnight fast.

Materials And Methods: The mVLT was performed in 36 elective primary total knee arthroplasty patients.

The efficacy comparison of on-demand boluses with and without basal infusion of 0.1 % bupivacaine via perineural femoral catheter after arthroscopic ACL reconstruction.

Purpose: Optimal postoperative analgesia after anterior cruciate ligament repair remains challenging. The objective of this prospective experimental clinical study was to compare the postoperative analgesic efficacy of two infusion regimens of 0.1 % bupivacaine administered via perineural femoral catheter.

[Actualities of adults' ventilator-associated pneumonia].

Pneumonia is the most frequently reported nosocomial infection in intensive care unit patients, predominantly in mechanically ventilated individuals. Most of the studies performed in intensive care unit settings reported the estimated 15-65% of ventilator-associated pneumonia, with high mortality rates. Ventilator-associated pneumonia results in prolonged hospitalization and increase in medical care costs.