Publications by authors named "Will Tosh"
Article Synopsis
- Surgical incision type matters in lung transplants; Thoracotomy yields higher pain scores compared to Sternotomy, but less postoperative hemorrhage and shorter ICU stays.
- A retrospective study of 341 lung transplant patients examined differences in outcomes based on surgical access (Thoracotomy, Sternotomy, and Clamshell) and analgesic methods (epidural vs. intravenous opioids).
- Thoracotomy showed a median blood loss of 500 mL, with shorter mechanical ventilation times (19 hours) and quicker ICU discharges, despite requiring more pain management support through epidurals.
Central venoarterial extracorporeal membrane oxygenation has been used since the 1970s to support patients with cardiogenic shock following cardiac surgery. Despite this, in-hospital mortality is still high, and although rare, thrombus within the cardiac chambers or within the extracorporeal membrane oxygenation circuit is often fatal. Aprotinin is an antifibrinolytic available in Europe and Canada, though not currently in the United States.
View Article and Find Full Text PDFFront of neck access: A survey among anesthetists and surgeons.
J Anaesthesiol Clin Pharmacol
January 2017
Background And Aims: Emergency front of neck access (FONA) is the final step in a Can't Intubate-Can't Oxygenate (CICO) scenario. In view of maintaining simplicity and promoting standardized training, the 2015 Difficult Airway Society guidelines recommend surgical cricothyroidotomy using scalpel, bougie, and tube (SBT) as the preferred technique.
Material And Methods: We undertook a survey over a 2-week period to evaluate the knowledge and training, preferred rescue technique, and confidence in performing the SBT technique.