Systemic Air Embolism during ERCP with Full Recovery
Quy Tran, Gurpreet Dhaliwal, Christopher Lee and Zohreh Steffens
Article Type: Case Report | First Published: November 28, 2016
Air embolism during gastrointestinal endoscopy procedures is a rare phenomenon but can lead to a catastrophic and fatal event resulting from cardiovascular collapse and neurological injury. Oftentimes, the diagnosis is difficult because the cardiovascular and neurologic symptoms are not specific to systemic air embolism. High index of suspicion with early recognition and treatment is crucial in improving patient outcome....
Perioperative Management of Patients Refusing Blood Products
Rispoli Marco, Bizzarri Federico Tommaso, Zani Gianluca, Agnoletti Vanni, Corcione Antonio, Buono Salvatore and Fusari Maurizio
Article Type: Review Article | First Published: October 03, 2016
The Jehovah's Witnesses are best known to outsider for their refusal of blood products, even such a refusal may result in death. In years, a "bloodless surgery" was developed with the aim of avoid blood transfusions and improve patient outcome, shifting from a product-centred to a patient-centred approach. An accurate teamwork is needed to define a perioperative transfusion-alternative program, individualized for patients' characteristics and surgical procedure. The objective of this article is ...
Renal Transplantation: An Update for Anaesthetists
Emma Aitken, Richard Stevenson, Faisal Hanif, Diana Raj, Karen Stevenson and David Kingsmore
Article Type: Original Article | First Published: October 01, 2016
Renal transplantation (RTx) is well established as the optimal method of renal replacement therapy (RRT); however the imbalance between organ supply and demand has led to increased numbers of organs coming from marginal donors. This, in conjunction with an increase in the number of 'marginal recipients', necessitates optimisation of other aspects of transplantation including perioperative care to maintain the excellent outcomes and survival benefit previously published in the literature....