Minimally invasive lumbar decompression

Aug 6, 2023 by in ANESTHESIA Comments Off on Minimally invasive lumbar decompression

Introduction Minimally invasive lumbar decompression (MILD) is an image-guided approach used in the treatment of symptomatic lumbar central spinal stenosis. This procedure is a good option for patients who are…

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Measuring outcomes in spinal decompression

Aug 6, 2023 by in ANESTHESIA Comments Off on Measuring outcomes in spinal decompression

Introduction In patients with spinal disorders that warrant spinal decompression, the goal of intervention is to enhance function and reduce pain. In the past, outcomes were commonly assessed based on…

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Discectomy: A surgical approach

Aug 6, 2023 by in ANESTHESIA Comments Off on Discectomy: A surgical approach

Introduction Lumbar disc herniation (LDH) is the one of the most common diagnoses in spine practice for patients with lower back pain and radiculopathy, with an estimated prevalence of 2%–3%….

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Surgical instruments

Aug 6, 2023 by in ANESTHESIA Comments Off on Surgical instruments

Introduction Surgical decompression is the main objective for many spinal procedures. Decompression may be performed in the cervical, thoracic, lumbar, or sacral spine, from a single approach or a combination…

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An overview on the anatomy of the spine

Aug 6, 2023 by in ANESTHESIA Comments Off on An overview on the anatomy of the spine

Cervical spine The cervical spine is composed of seven vertebrae, with the first two vertebrae known as the atlas (C1) and axis (C2). The atlas contains a thick anterior arch…

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Anticoagulation and Bleeding Management

Aug 5, 2023 by in CRITICAL CARE Comments Off on Anticoagulation and Bleeding Management

When I am consenting a family for extracorporeal membrane oxygenation (ECMO) and discussing the risks and benefits to initiating ­support, bleeding and clotting are the most common risks that are…

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Membrane Characteristics

Aug 5, 2023 by in CRITICAL CARE Comments Off on Membrane Characteristics

Let’s now turn our attention to the membrane itself. We will explore the function of the membrane oxygenator, its limits, and how we can appraise and assess this function at…

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Pharmacokinetics

Aug 5, 2023 by in CRITICAL CARE Comments Off on Pharmacokinetics

Next time you are reviewing the chart for your patient, take a look at the medication administration record. Every entry represents a decision – a decision to alter the physiology…

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Sweep Gas Flow Titration

Aug 5, 2023 by in CRITICAL CARE Comments Off on Sweep Gas Flow Titration

Adjustments to sweep gas flow are probably the most common adjustments that you will make in the course of an extracorporeal membrane oxygenation (ECMO) run. While it is entirely feasible…

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