Ongoing transcatheter aortic valve implantation (TAVI) practice amidst a global COVID-19 crisis: nurse-led analgesia for transfemoral TAVI.

The current coronavirus disease 2019 (COVID-19) crisis has led to a relative unavailability of anaesthesiological support for non-acute cardiac care. Currently, transfemoral transcatheter aortic valve implantation (TF-TAVI) is predominantly performed as an elective catheterisation laboratory (cath lab) procedure. Hence, the performance of TAVI could come to a halt amidst the COVID-19 crisis.

Successful vaginal delivery for a parturient with complete aortic coarctation.

This report describes the case of a parturient with complete coarctation of the aorta that was diagnosed during pregnancy. The use of invasive monitoring and the choice of labor analgesia for vaginal delivery are reviewed. Management of patients with complex cardiac anomalies requires consultation among cardiologist, obstetricians, and anesthesiologists to ensure good outcome for the mother and baby.

[Revised guideline 'Vasectomy' from the Dutch Urological Association].

Vasectomy is a simple and reliable method of contraception. Problems associated with vasectomy include inadequate patient information, complications of the procedure e.g.

Ambulant monitoring to assess the efficacy of oxybutynin chloride in patients with mixed incontinence.

Objective parameters show the efficacy of oxybutynin chloride on uninhibited detrusor behavior. In the 24-hour ambulant monitoring method, intravesical and abdominal pressure are recorded. This enables quantification of the amplitude, duration, and frequency of uninhibited detrusor contractions.

Factors determining the outcome following implantation of the AMS 800 artificial urinary sphincter.

Erosion and infection are major complications following implantation of the AMS 800 artificial urinary sphincter. In the present study, 17 patients with this prosthesis were investigated urodynamically. All were continent.