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| http://dx.doi.org/10.4103/ijccm.IJCCM_17_18 | DOI Listing |
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Comparative evaluation of oral premedication with clonidine and metoprolol on surgical field conditions and intraoperative hemodynamics during functional endoscopic sinus surgery.
J Anaesthesiol Clin Pharmacol
August 2024
Department of Anesthesiology, RNT Medical College, Udaipur, Rajasthan, India.
Background And Aims: Bloodless surgical field during functional endoscopic sinus surgery (FESS) is an essential part, and research continues to find simple and effective regime for it. This study was aimed to compare the efficacy of oral clonidine versus oral metoprolol as premedicants regarding surgical field condition and controlled hypotension in patients undergoing FESS.
Material And Methods: Sixty-eight patients of American Society of Anesthesiologists (ASA) physical status (PS) I and II aged 18-60 years, of both genders, scheduled for FESS under general anesthesia were randomly allocated in two groups.
The Application of the Posterior Atlanto-Occipital Membrane Tension Release Technique for Surgical Exposure of the Horizontal Part of the Vertebral Artery's Third Segment: An Anatomical and Clinical Investigation.
World Neurosurg
January 2025
Department of Neurosurgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fu Jian, China. Electronic address:
Objective: This study aims to elucidate the anatomical principles governing the surrounding venous structures (VS) of the horizontal part of the third segment of the vertebral artery (V3h) and develop a safe and bloodless surgical technique for exposing V3h.
Methods: This study used 10 formalin-infused cadaveric head specimens. The dissections were performed stepwise to simulate the far lateral approach process, exposing the V3h with a novel technique.
Two-stage surgical treatment of Stanford type B acute aortic dissection associated with aberrant right subclavian artery dissection complicated by distal arch aortic aneurysm and abdominal aortic aneurysm: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular Surgery, St. Mary's Hospital, Tsubuku Hon-machi 422, Kurume, 830-8543, Japan.
Article Synopsis
- - Aberrant right subclavian artery (ARSA) is a congenital anomaly affecting 0.5-1.8% of people, often asymptomatic but can lead to symptoms like swallowing difficulties or airway obstruction; surgical intervention is recommended if it becomes symptomatic.
- - The coexistence of ARSA with type B aortic dissection is rare and may weaken the aortic wall, prompting the need for surgical management using techniques like TEVAR or open surgery.
- - A case of a 72-year-old man with both conditions was treated successfully using a two-stage surgical approach: first performing a bypass from the right common carotid artery to ARSA, followed by reconstruction of the thoracic aorta.
The Effect of Premedication with Metoprolol on the Surgical Field during Endoscopic Stapedectomy.
Indian J Otolaryngol Head Neck Surg
October 2024
department of otorhinolaryngology, faculty of medicine, El Minia, Egypt.
Background: Otosclerosis is one of the most frequent causes of conductive hearing loss in adults. Surgical treatment is considered to be the gold standard for this disease. Endoscopic stapedectomy is a new approach for the treatment of otosclerosis that requires a bloodless field.
View Article and Find Full Text PDFBloodless Total Hip Arthroplasty in Jehovah's Witness Patients: Contemporary Strategies and Outcomes.
J Arthroplasty
September 2024
Department of Orthopaedic Surgery, University of South Florida Health Morsani College of Medicine, Tampa, Florida; Florida Orthopaedic Institute, Temple Terrace, Florida.
Article Synopsis
- Blood transfusion rates in total hip arthroplasty (THA) typically range from 3% to 22%, but this study focuses on conducting THA without blood transfusions for Jehovah's Witness patients who have specific beliefs regarding blood use.
- The study analyzed 94 out of 110 primary THA cases between 2011 and 2022, utilizing strategies like erythropoietin, tranexamic acid (TXA), and minimizing blood loss to enhance surgical outcomes.
- Results showed that while hemoglobin levels significantly dropped post-surgery, no patient required a transfusion, indicating that THA can be safely performed on Jehovah's Witness patients using a combination of blood conservation techniques.
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