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Liver Transplantation and the Older Adults Candidate: Perioperative Considerations.
Clin Geriatr Med
February 2025
Anestesia e Rianimazione dei Trapianti e Chirurgia Maggiore, Azienda Ospedaliero Universitaria delle Marche, Via Conca 71, 60020, Ancona, Italy; Azienda Ospedaliero Universitaria "Ospedali Riuniti", Via Conca 71, 60020, Ancona, Italy.
Pioneered by Thomas Starzl in the early 1970s, liver transplant (LT) is nowadays often considered a final intervention and standard of care to cure many forms of acute and chronic end-stage liver diseases. Started in recipients younger than 60 years old, LT indications are now much broader, and at least, one-fifth of the candidates are older than 65 years. Problems associated with ageing and frailty in LT recipients and their impact on the entire perioperative course are discussed according to a modern anesthesiological perspective and the anesthesiologist covering the role of the perioperative (transplant) physician.
View Article and Find Full Text PDFAnesthesiological Preoperative Interview with a Palliative Care Patient: A Simulation-Based Experiment Using Standardized Patients.
Medicina (Kaunas)
September 2024
Department of Anesthesiology and Intensive Care, Herzogin Elisabeth Hospital, 38124 Braunschweig, Germany.
: Anesthesiologists come into contact with patients under palliative care in different clinical settings. They also routinely encounter these patients in their primary field of work, the operating room. Patients receiving palliative care who are scheduled for surgery will pose unique challenges in perioperative management, often presenting with advanced disease and with different psychosocial and ethical issues.
View Article and Find Full Text PDFHarmonizing neuropathic pain research: outcomes of the London consensus meeting on peripheral tissue studies.
Pain
October 2024
Wolfson Sensory, Pain and Regeneration Centre (SPaRC), King's College London, United Kingdom.
Article Synopsis
- * A consensus meeting in March 2024, attended by 28 experts and stakeholders, aimed to standardize research protocols for studying neuropathic pain using human peripheral tissues.
- * The meeting resulted in agreed-upon guidelines for phenotyping, laboratory protocols, statistical design, and data sharing to improve consistency in research and enhance understanding of neuropathic pain.
Postoperative exacerbated cough hypersensitivity syndrome induces dramatic respiratory alkalosis, lactatemia, and electrolyte imbalance.
BMC Anesthesiol
September 2024
Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland.
Article Synopsis
- * After her surgery, her coughing got really bad, and even strong medications couldn't help her feel better.
- * The case shows that doctors need to carefully plan how to help patients with serious cough problems before and during surgery.
The safety and utility of the semi-sitting position for clipping of posterior circulation aneurysms.
Acta Neurochir (Wien)
August 2024
Department of Neurosurgery, Hannover Medical School, Hannover, Germany.
Article Synopsis
- * A study of 17 patients (mean age 62) who underwent surgeries showed that while intraoperative venous air embolism (VAE) occurred in some cases, it did not lead to complications or impact surgery outcomes.
- * The findings suggest that using the semi-sitting position for these types of surgeries is both safe and effective, with most patients achieving partial or complete independence post-surgery.
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