Time and Motion Study Assessment of Simulated Rapid Sequence Intubation
Trung Du, David Bramley, Justin Nazareth and David T Andrews
Article Type: Research Article | First Published: December 29, 2014
We carried out an observational study using a system of time and motion analysis that was developed to critically evaluate work systems by correlating the number and type of hand and equipment movements that were associated with the time taken to perform the stereotypical anaesthetic technique of rapid sequence intubation (RSI). The number and type of hand movements required to complete RSI exhibited significant correlation with, and were linearly related to, the time taken to carry out the RSI ...
Ultrasound Guided Regional Anesthesia Training Simulator Using Microsoft Kinect
Aparajith Sairam, Jian Feng, Norman I. Badler, Jiabin Liu, Kenneth Richman and Nabil Elkassabany
Article Type: Research Article | First Published: November 24, 2014
We present a system for the interactive simulation of ultrasound guided peripheral nerve blocks using a Microsoft Kinect. The system performs motion tracking of both the ultrasound probe and the nerve block needle. Software generates synthetic ultrasound images from previously captured ultrasound images. Details of the software elements in the system are described. Some of the current challenges and future work in this research are discussed....
Endotracheal Repair of an Iatrogenic Tracheal Laceration in A 83-Year-Old Critically Ill Woman with Aspiration Pneumonitis and Sepsis
Stefan Welter, Danjouma Cheufou, Thomas Ehmann, Sandra Kampe and Peter Scharmann
Article Type: Case Report | First Published: November 24, 2014
Tracheal laceration is a rare complication of emergency intubation. The treatment decision depends on severity of accompanying problems, available resources, condition and perspectives of the patient and experience of the responsible intensivist and surgeon. The life saving application of endotracheal suture in a disastrous situation is demonstrated in this report. We present the case of a 83-year-old woman who presented with an acute abdomen and septicaemia. A heavy aspiration occured during in...
Need of Ultrasound in Emergency Department for Suprapubic Catheterization
Prerana N. Shah, Vaishali P Chaskar, Pradeep Rathod, Anand Komawar and Barakha Gadpale
Article Type: Case Report | First Published: November 20, 2014
Acute retention of urine is a medical emergency which needs immediate intervention. Urethral catheterization is a common procedure in the emergency department. Repeated unsuccessful attempts for urethral catheterization demand alternative procedure like suprapubic catheterization.
Traditionlly, anatomical landmarks are used to achieve suprapubic catheterization. The confirmation of successful catheterization by ultrasound is recommended. Often due to its unavailability, complications like bowe...
Allergy to General Anesthetics: Evaluation of Patients Profile
Carla Irani, C. Saade, C. Dagher and P.Yazbeck
Article Type: Original Article | First Published: November 02, 2014
8 millions procedures requiring anesthesia are performed yearly in France with 75% of them being general anesthesia. In 45% of those procedures, a NMBA (neuromuscular blocking agents) is used. Th incidence of allergy to general anesthetics ranges between 1/20000 in Australia and 1/350 in Great-Britain. Th incidence of peranesthestic allergic reactions estimated in 1996 in France was 1/9000, all drugs confounded and the incidence of allergic reactions to NMBA was evaluated to be 1/6500 anesthesia...
Supplementary Low - Dose Oral Ketamine Provides Better Parental Separation and Face Mask Acceptance
Zeinab Ahmed El Seify and Ahmed Metwally Khattab
Article Type: Original Article | First Published: November 01, 2014
Background: Anesthesia is stressful for children and parents. Although anxiolytics can keep children calm, side effects may exist. No single method shows a clear advantage in keeping the child calm and cooperative. This study aimed to test the effiacy and safety of adding a small dose ketamine to midazolam-based oral premedication on child-parents separation and acceptance of face mask.
Methods: Eighty preschool children scheduled for elective surgeries were included. Patients were allocated i...