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Nomogram and randomized survival forest model for predicting sepsis risk in patients with cerebral infarction in the intensive care unit.
Diagn Microbiol Infect Dis
January 2025
Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China; Institute of Neurosurgery of People's Liberation Army of China (PLA), PLA's Key Laboratory of Critical Care Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China. Electronic address:
Background: To construct a nomogram and a Randomized Survival Forest (RSF) model for predicting the occurrence of sepsis in patients with cerebral infarction in intensive care units (ICUs).
Methods: A total of 1,963 patients were included from the Medical Information Mart for Intensive Care IV database version 2.0 (MIMIC-IV v2.
Choice of Postintubation Sedation Strategy by Sex: A Conjoint Analysis.
Clin Ther
December 2024
Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut.
Purpose: To assess if patient sex is an important attribute in physician decision-making for postintubation sedation strategies in the emergency department and intensive care units.
Methods: We designed a survey of eight fictional cases utilizing a fractional factorial design varying fictional patient sex, race/ethnicity, and history of substance use disorder. We surveyed emergency medicine and critical care fellows and attendings at three geographically diverse academic medical centers in the US.
Pharmacological Prevention of Postoperative Delirium in Adults: A Review of Recent Literature.
Curr Neurol Neurosci Rep
December 2024
Department of Anesthesiology and Perioperative Medicine, Division of Cardiac and Vascular Anesthesia, Penn State Health, Hershey, PA, USA.
Article Synopsis
- Postoperative delirium (POD) is a common issue for surgical patients that can result in cognitive problems, poorer outcomes, and higher healthcare costs, highlighting the need for strategies to reduce its occurrence.
- Recent studies have investigated various medications, with dexmedetomidine showing the most potential in preventing POD, although its optimal dosing and timing remain unclear; other drugs like acetaminophen and melatonin also need further exploration.
- Additionally, techniques like reducing anesthetic depth and using regional anesthesia are being considered, but they currently lack enough evidence to make strong recommendations, indicating a need for future research on these intervention strategies.
General Anesthesia for Patients With Cyclic Vomiting Syndrome and Obesity: A Case Report.
Cureus
July 2024
Department of Dental Anesthesiology, Kanagawa Dental University, Kanagawa, JPN.
Cyclic vomiting syndrome (CVS) is a chronic digestive disorder characterized by recurrent episodes of severe nausea and vomiting. The perioperative management of patients with CVS undergoing general anesthesia is challenging, especially when combined with obesity. This case report describes the successful management of a patient with CVS and obesity who underwent dental surgery under general anesthesia.
View Article and Find Full Text PDFRobotic surgery provides precision and safety for minimally invasive gynecological operations but introduces unique anesthetic challenges, especially for individuals with pre-existing conditions like Wolff-Parkinson-White (WPW) syndrome. This case report addresses the anesthetic management of a 32-year-old female with WPW syndrome undergoing a myomectomy. A thorough pre-operative evaluation, including an ECG, echocardiogram, and Holter monitoring, was performed to assess the anesthetic and cardiac risks.
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