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Intracranial multimodal monitoring in neurocritical care (Neurocore-iMMM): an open, decentralized consensus.
Crit Care
December 2024
Department of Intensive Care, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Background: Intracranial multimodal monitoring (iMMM) is increasingly used in neurocritical care, but a lack of standardization hinders its evidence-based development. Here, we devised core outcome sets (COS) and reporting guidelines to harmonize iMMM practices and research.
Methods: An open, decentralized, three-round Delphi consensus study involved experts between December 2023 and June 2024.
Association between surgical delays for femoral neck fractures and early postoperative complications in young and middle-aged adults: A study based on the national inpatient sample database.
Injury
October 2024
Department of Orthopedic Surgery, The First People's Hospital of Foshan, Foshan, Guangdong, 528000, China. Electronic address:
Background: Femoral neck fractures (FNF) in young and middle-aged adults are primarily caused by high-energy injuries in traffic accidents. Surgical delays often occur due to transportation issues, preoperative evaluations, and economic burdens.
Methods: A retrospective analysis was conducted on young and middle-aged FNF patients undergoing reduction and internal fixation surgeries from 2010 to 2019 with the use of the National Inpatient Sample database.
Reinforcement of the Maxillary First Premolar With Bayonet-Shaped Radicular Anatomy: A Challenging Case.
Cureus
May 2024
Conservative Dentistry and Endodontics, Guru Nanak Dev Dental College and Research Institute, Sunam, IND.
This is a unique case of a single-rooted maxillary premolar with two separate canals in bayonet or S-shaped radicular anatomy undergoing post-endodontic reinforcement prior to crown placement. Bayonet-shaped canals present challenges in canal negotiation, cleaning, shaping, and obturation. The complexity of these canals heightens the risk of accidental file breakage and other iatrogenic errors, posing significant challenges.
View Article and Find Full Text PDFCaudal epidural block is a simple and safe technique with a low complication rate commonly used for pediatric anesthesia and treatment of chronic lumbosacral pain. However, it is not exempt from some risks that, although infrequent, should be known. We describe the case of a 48-year-old female with chronic lumbosacral radicular pain who underwent caudal epidural infiltration.
View Article and Find Full Text PDFWhen The Unexpected Happens: The Intriguing Retrieval of a Broken Epidural Catheter.
J Orthop Case Rep
February 2024
Department of Orthopaedics, Topiwala National Medical College and B.Y.L Nair Hospital, Mumbai, Maharashtra, India.
Introduction: The accidental breakage of an epidural catheter during placement or removal poses a rare but challenging situation in clinical practice. This case report presents the successful removal of a broken epidural catheter and highlights the management strategies employed.
Case Report: A 41-year-old male patient underwent a planned orthopedic implant removal surgery under epidural anesthesia.
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