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| http://dx.doi.org/10.1590/S1677-5538.IBJU.2021.0314 | DOI Listing |
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Extracorporeal Off-Pump Antegrade Cerebral Perfusion in Reconstructive Surgery for Type A Aortic Dissection With Cerebral Malperfusion.
Cureus
October 2024
Department of Cardiovascular Medicine, RUDN University, Moscow, RUS.
Article Synopsis
- TAAD is a severe condition often complicated by CM, which can cause significant neurological damage; CPB and ACP are traditional methods used for cerebral protection during surgery but carry higher risks.
- This study investigates a new off-pump technique using an axillo-axillary shunt to maintain continuous blood flow to the brain during aortic arch surgery for patients with TAAD and CM.
- Results show that this innovative technique provided stable cerebral perfusion without new permanent neurological issues; however, some patients experienced temporary symptoms, and there was a low operative mortality rate of 5.6%.
Whole lung lavage: considerations from the anesthesiology perspective.
Curr Opin Pulm Med
January 2025
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Article Synopsis
- Whole lung lavage (WLL) is the main treatment for pulmonary alveolar proteinosis (PAP) and requires careful preparation by a multidisciplinary team to ensure safety and effectiveness.
- Effective anesthesia management is crucial during the procedure to avoid complications like hypoxemia and fluid overload, using techniques such as total intravenous anesthesia (TIVA) and attentive intraoperative monitoring.
- Despite its challenges and the need for standardization, WLL can greatly improve the condition of patients with PAP when performed by a well-coordinated team, including various specialists.
Removal of Retro-Corporeal Compressive Pathology Using Guttering Osteotomy During Anterior Cervical Discectomy and Fusion.
Clin Spine Surg
October 2024
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Article Synopsis
- This study is a retrospective cohort analysis examining the use of a technique called guttering during anterior cervical discectomy and fusion (ACDF) in patients with cervical myelopathy.
- The main goal was to see if guttering could effectively decompress retro-corporeal pathologies that traditional methods couldn't address, comparing outcomes between patients who underwent guttering and those who did not.
- Findings showed no significant differences in fusion rates, pain levels, or neck disability after one year between the two groups, indicating that guttering could safely enhance the surgical approach without increasing complications.
Scission-Enhanced Molecular Imaging (SEMI).
Bioconjug Chem
September 2024
Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge Street, CPZN 5206, Boston, Massachusetts 02114, United States.
Positron emission tomography (PET) imaging methods have advanced our understanding of human biology, while targeted radiotherapeutic drug treatments are now routinely used clinically. The field is expected to grow considerably based on an expanding repertoire of available affinity ligands, radionuclides, conjugation chemistries, and their FDA approvals. With this increasing use, strategies for dose reduction have become of high interest to protect patients from unnecessary and off-target toxicity.
View Article and Find Full Text PDFPerformance in the Fundamentals of Laparoscopic Surgery: Does it reflect global rating scales in the Objective Structured Assessment of Technical Skills in porcine laparoscopic surgery?
Asian J Urol
July 2024
S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.
Objective: To correlate the utility of the Fundamentals of Laparoscopic Surgery (FLS) manual skills program with the Objective Structured Assessment of Technical Skills (OSATS) global rating scale in evaluating operative performance.
Methods: The Asian Urological Surgery Training and Educational Group (AUSTEG) Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical training. Delegates' basic laparoscopic skills were assessed using three different training models (peg transfer, precision cutting, and intra-corporeal suturing).
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