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Case Report  |   Volume 3, Issue 4

Systemic Air Embolism during ERCP with Full Recovery

Quy Tran, Gurpreet Dhaliwal, Christopher Lee and Zohreh Steffens
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/3/4/1054

Review Article  |   Volume 3, Issue 4

Perioperative Management of Patients Refusing Blood Products

Rispoli Marco, Bizzarri Federico Tommaso, Zani Gianluca, Agnoletti Vanni, Corcione Antonio, Buono Salvatore and Fusari Maurizio
Abstract

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 to review how to properly manage, in the perioperative period, patients who refuse blood transfusions.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/3/4/1053

Original Article  |   Volume 3, Issue 4

Renal Transplantation: An Update for Anaesthetists

Emma Aitken, Richard Stevenson, Faisal Hanif, Diana Raj, Karen Stevenson and David Kingsmore
Abstract

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.

  PDF   |    Full Text | DOI: 10.23937/2377-4630/3/4/1052