1,721,018 research outputs found
Brachial plexus injury following subclavian vein catheterization. A case report
No full textSubclavian vein cannulation may be complicated by lesions of the peripheral nervous system, such as injury to the recurrent laryngeal nerve, phrenic nerve, and brachial plexus. We describe a case of lesion of the upper trunk of the brachial plexus during multiple attempts at subclavian vein catheterization. This type of complication, ascribed to erroneous application of procedures or anatomical variations, may be minimized by abstaining from multiple attempts at venipuncture
L'insegnamento di anestesiologia generale e speciale odontostomatologica
No full textThe modern dentist was born in the eighties with the separation of the degree course in dentistry from the one in medicine. Since then the teaching in Dental Anaesthesia has undergone a great evolution and nowadays is a characterizing discipline with a high number of credits.
A substantial agreement can be observed between the Profile of Competences of the European Dentist (PCD), published by the Association for Dental Education in Europe in 2009, the Bills of the Ministry of Instruction 10.22.2004 n. 270 and 16.3.2007, and the Manifesto of the Teaching Group of Dental Anaesthesia : the teaching regulations of the degree course in dentistry (LM-46) state that “The students on degree are to be able to apply the full range of techniques of anxiety and pain control (within the limits of dentist’s competences)”; furthermore, the dentist on degree is to be competent in managing all the emergencies in the dental office, and have appropriate knowledge of chronic orofacial pain.
The conclusion of the Bologna Process in 2010 calls for a pressing and irremissible implementation of the European and National regulations on dentist’s formation
Undetected central core disease myopathy in an infant presenting for clubfoot surgery
No full textA 1-year-old child was scheduled for two stage bilateral clubfoot surgery. Preoperative evaluation was normal and total intravenous anesthesia with a continuous sciatic nerve block was performed. Two months later, before the second clubfoot correction, a hip subluxation was evident suggesting a provisional diagnosis of neuromuscular disease. Anesthesia was identical, except that a femoral nerve block, necessary to permit a diagnostic muscle biopsy was performed. The perioperative course was uneventful but result of the muscular biopsy was surprising in that central core disease was diagnosed. Although congenital myopathies of all grades and severity exist, they are often mild and underestimated. Patients affected by central core disease are considered susceptible to malignant hyperthermia. Because a high prevalence of myopathic changes is reported in children undergoing clubfoot surgery, anesthesiologists must take precautions including a hightened awareness of these events and a high ..
Clinical uses of high frequency jet ventilation in anaesthesia
No full textSince 1981, high frequency jet ventilation (HFJV) has been used in 300 patients undergoing surgery, most commonly during i.v. general anaesthesia for endoscopy and surgery of the airways: laryngoscopy, bronchoscopy, laryngeal microsurgery and laser surgery (more than 230 patients); repair of tracheal stenosis, tracheal sleeve pneumonectomy and tracheal sleeve lobectomy. HFJV was administered through a narrow injection catheter inserted in the airway, with a second rigid catheter positioned distally to the injector in the airway for gas sampling and measurement of airway pressure. In all subjects gas exchange was satisfactory, even during tracheoplasty and bronchoplasty
Anaesthesia Techniques for Paediatric Dental Patients with Uncommon Diseases. A Series of Case Report
No full textAchieving a full competence of the dentist in sedation and emergency: a matter of postgraduate formation.
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