Journal of clinical anesthesia
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To determine if a single perioperative dose of dexamethasone increases the risk of infection after urogynecologic surgery. ⋯ There was no significant association between single-dose dexamethasone and perioperative infectious complications.
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Case Reports
Case report of a parturient with cyanotic congenital heart disease palliated with a Glenn procedure.
As the prevalence of adults with palliated congenital heart disease continues to increase, so, too, does the number of these patients who will become pregnant. Practicing physicians need to be familiar with the impact that normal physiologic changes associated with pregnancy and delivery has on patients with palliated congenital heart disease. The physiologic impact of pregnancy on a patient with palliated cyanotic congenital heart disease and the management of her delivery are presented.
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To study the impact of adding simulation-based education to the pre-intervention mandatory hospital efforts aimed at decreasing central venous catheter-related blood stream infections (CRBSI) in intensive care units (ICU). ⋯ Following simulation-based CVC program implementation, CRBSI incidence and costs were significantly reduced for two years post-intervention.
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Case Reports
Anatomic changes in the inguinal region after hip arthroscopy: implications for femoral nerve block.
Patients may experience significant pain after hip arthroscopy. Two patients who experienced severe pain after arthroscopic hip surgery, despite receiving multimodal pharmacologic therapy, are presented. ⋯ However, during ultrasound, significant anatomic changes were noted in the inguinal region. In this report, we describe anatomic changes in the inguinal region that are visible with ultrasound after hip arthroscopy.
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In the past, pregnancy was contraindicated in patients with spinal muscular atrophy. Recently, more cases are occurring because of improvement in survival and functional status. The goals for anesthetic management of these patients include satisfactory anesthesia during surgery and excellent postoperative analgesia with minimal compromise of respiratory function. Spinal anesthesia may be considered contraindicated due to spinal deformities, but successful spinal anesthesia was performed in a 37 year old parturient following magnetic resonance imaging of the spine.