Neonatal sepsis with meningitis, ventriculitis and brain abscess caused by .

A case of neonatal sepsis caused by , an uncommon pathogen typically associated with aquatic lifeforms, is described. The infant presented in septic shock with seizures and respiratory failure and was found to have meningitis, ventriculitis and a brain abscess requiring drainage. Only a small number of case reports of neonatal infection, several with sepsis with poor auditory or neurodevelopmental outcomes or meningitis, have been described in the literature.

Incidence Rates of Gynecologic Cancers in the U.S. Active Duty Military Population.

Introduction: Despite an increasing number of female service members, incidence rates of gynecologic cancers (other than cervical cancer) have not been previously documented in the U.S. active duty military population.

Will the addition of a sciatic nerve block to a femoral nerve block provide better pain control following anterior cruciate ligament repair surgery?

Two common forms of postoperative analgesia used in patients following an anterior cruciate ligament repair (ACLR) are the femoral nerve block (FNB) and the combined femoral-sciatic nerve block (FSB). The purpose of this study was to determine if the addition of the sciatic nerve block to the FNB is truly beneficial in ACLR patients requesting regional anesthesia for postoperative pain control. All subjects scheduled for an ACLR, requesting general anesthesia and preoperative placement of a peripheral nerve block (PNB), were randomized to receive an FNB or an FSB.

Therapeutic modalities for the prophylactic management of postoperative nausea and vomiting.

The occurrence of postoperative nausea and vomiting (PONV) remains one of the most common complications after general anesthesia. The causes of PONV are multimodal, involving several physiologic pathways that stimulate the vomiting center, including the chemoreceptor trigger zone, the gastrointestinal tract, the vestibular system, the cerebral cortex, and the midbrain. Significant research has been published focusing on the use of different pharmacologic agents and varying anesthetic techniques to prevent and manage PONV.

Labor epidural anesthetics comparing loss of resistance with air versus saline: does the choice matter?

This study examined whether air or saline, used for the loss-of-resistance (LOR) technique, resulted in a difference in pain relief or adverse events for laboring parturients. Previous studies had mixed findings regarding the onset of analgesia and subsequent pain relief. Research questions were as follows: Is there difference in analgesic onset for patients receiving air vs saline during the LOR technique? Do women receiving the air method for LOR experience any difference in the quality of pain relief from that of women receiving saline? Is there any difference in the incidence of analgesic distribution or segmental pain relief in women receiving the air vs the saline method? Is there any difference in the incidence of adverse effects in women receiving air vs saline during the LOR technique? This was an experimental, prospective study with 50 women.

Use of routine laboring epidurals at Naval hospitals: a physician survey.

Physicians and patients have complained about a lack of laboring epidurals at Naval hospitals. In order to assess this situation, a survey was mailed to all physicians specializing in obstetrics and gynecology (OB) and family practice who were stationed at Naval hospitals in the United States and abroad. Respondents were queried regarding the availability of routine laboring epidurals (RLEs) at their hospitals, as well as their attitudes toward the use of RLEs.