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A Postanesthesia Care Unit Parathyroid Hormone-Based Protocol for Managing Postthyroidectomy Hypocalcemia.
J Surg Res
January 2025
Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address:
Introduction: Hypocalcemia occurs in 20%-40% of total thyroidectomy cases, traditionally requires 1-2 ds of hospitalization for management. This study examines the extent of hypocalcemia following a postanesthesia care unit (PACU) parathyroid hormone (PTH)-based protocol after outpatient thyroidectomy.
Methods: Patients who underwent total or completion thyroidectomy for non-Graves' disease at a single institution between December 2015 and September 2023 were included.
Anesthetic spindles serve as EEG markers of the depth variations in anesthesia induced by multifarious general anesthetics in mouse experiments.
Front Pharmacol
December 2024
Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Background: Mice play a crucial role in studying the mechanisms of general anesthesia. However, identifying reliable EEG markers for different depths of anesthesia induced by multifarious agents remains a significant challenge. Spindle activity, typically observed during NREM sleep, reflects synchronized thalamocortical activity and is characterized by a frequency range of 7-15 Hz and a duration of 0.
View Article and Find Full Text PDFApplication of ultrasound-guided inferior vena cava collapsibility measurement in volume assessment for patients undergoing single-shot spinal anesthesia in total hip arthroplasty.
Medicine (Baltimore)
November 2024
Department of Anesthesiology, Neijiang Hospital of Traditional Chinese Medicine, Neijiang, Sichuan, China.
Article Synopsis
- The study evaluated the effectiveness of ultrasound in assessing blood volume changes during spinal anesthesia for hip surgery in 100 patients over two years.
- Transthoracic echocardiography measured the abdominal aorta's diameter and assessed the inferior vena cava's metrics, which helped categorize patients into volume-responsive and volume-nonresponsive groups after a volume load test.
- The findings indicated that certain inferior vena cava parameters are good predictors of both volume responsiveness and the risk of hypotension post-anesthesia, with significant differences noted between the two patient groups.
Residual neuromuscular block in the postanaesthesia care unit: a single-centre prospective observational study and systematic review.
Br J Anaesth
October 2024
Department of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands
Background: Concerns regarding residual neuromuscular block (RNMB) have persisted since the introduction of neuromuscular blocking agents, with reported incidences in the 21st century up to 50%. Advances in neuromuscular transmission (NMT) monitoring and the introduction of sugammadex have addressed this issue, but the impact of these developments remains unclear.
Methods: This prospective observational study evaluated RNMB in 500 surgical patients in a large Dutch teaching hospital with readily available quantitative NMT monitoring and reversal agents.
Effect of the Green Cross method on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study.
BMJ Open Qual
October 2024
Division of Surgery, Akershus University Hospital, Nordbyhagen, Norway.
Background: Hospitals should adopt multiple methods to monitor incidents for a comprehensive review of the types of incidents that occur. Contrary to traditional incident reporting systems, the Green Cross (GC) method is a simple visual method to recognise incidents based on teamwork and safety briefings. Its longitudinal effect on patient safety culture has not been previously assessed.
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