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Anesthesiology

Editor's Choice

Peripheral nerve stimulation for neuropathic pain

Global prevalence of neuropathic pain is 7–10%. Drug treatments have limited efficacy for many people, but PNS is a promising alternative with minimal side effects.

A practical approach to lung ultrasound

A comprehensive guide to point-of care ultrasound of the lungs, taking you through the basic physics, a hands-on scanning technique, and what you can expect to see in a normal exam as well as in various pathological conditions.

Lumbar sympathetic block to treat CRPS in a toddler

After non-invasive measures failed, a lumbar sympathetic block performed with extreme caution alleviated complex regional pain syndrome in this 18-month-old.

Mediastinal mass of twice an infant’s bodyweight

Giant anterior mediastinal masses pose unique challenges for resection, such as cardiovascular collapse on induction of anesthesia and injury to surrounding structures that may be compressed or displaced.

Best strategies for pain control after cardiac surgery

Successful pain management following cardiac surgery is critical for optimising short- and long-term patient outcomes. Evaluate the options available to your patients. 

Managing cancer-related neuropathic pain

Neuropathic pain is experienced by 30–40% of patients with cancer, negatively impacting their quality of life. Pain management strategies range from medications such as opioids to interventional analgesia and acupuncture.

A complicated massive pulmonary arteriovenous fistula

Pulmonary arteriovenous fistula is a rare type of cyanotic pulmonary vascular malformation with right-to-left shunt. This case reports co-presentation in a patient with atherosclerotic heart disease.  

Reassurance on early anesthesia exposure in children with CF

Children with cystic fibrosis who receive therapy requiring general anesthesia before the age of 2 years do not have impaired neurodevelopment in later childhood.

High-flow oxygen technique feasible in pediatric airway surgery

Nasal high-flow oxygen during tubeless upper airway surgery in children is comparable to standard care for rescue oxygenation.

The threat of post-dissection hypoxemia

Hypoxemia after treatment for acute type A aortic dissection can worsen the already poor prognosis. Cardiologists need to understand the risk factors and treatment strategies for managing this dangerous complication.

New options for managing pulmonary embolisms

Several new therapies and techniques for treating pulmonary embolisms have emerged in recent years. What are the pros and cons of these new options?

CHANTER syndrome from fentanyl exposure in a young child

Cerebellar, hippocampal, and basal nuclei transient edema with restricted diffusion (CHANTER) syndrome is a rare disorder associated with opioid neurotoxicity and almost exclusively seen in adults.

Coronary thrombectomy for a post-op MI after brain tumor resection

How should you react to an acute MI immediately after a craniotomy for tumor resection? Management of such patients requires carefully balancing the competing risks of myocardial ischemia and postoperative bleeding. 

Evaluating candidates for lung transplant

It is important to consider patient-specific risk factors, especially modifiable ones, when evaluating candidates for lung transplantation. But healthcare professionals should also ensure that the process does not create or perpetuate health disparities.

Airway pressure release ventilation for trauma-induced ARDS

APRV was used successfully in a child with severe acute respiratory distress syndrome after a falling injury, for whom prone positioning ventilation was contraindicated due to multiple fractures.

A better way to prioritize heart transplant patients

A new risk score to rank patients waiting for a heart transplant has outperformed the current approach. The new score more accurately identifies urgent cases.

Unusual opioid side effect in a child

A 14-month-old had a cardiac repair for congenital heart disease, but experienced severe hysteria and irritability after opioid use post-operatively. She failed to respond to known therapeutic measures, but the symptoms were fully reversed by naloxone.

Acute vena cava thrombosis leading to obstructive shock

Following an orthopedic trauma and DVT, a patient received an inferior vena cava filter intended to prevent pulmonary embolism. However obstructive shock developed secondary to extensive inferior vena cava thrombosis caused by inadequate anticoagulant therapy. 

Metastatic papillary thyroid cancer in the pleural space

A rare case of malignant pleural effusion as the initial presentation of metastatic papillary thyroid carcinoma in a male patient in his early 50s. 

Emerging treatments for childhood interstitial lung disease

Childhood interstitial lung disease encompasses a large, heterogeneous group of rare disorders with high morbidity and mortality. No specific therapy is available, but this review explores existing and potential therapeutic options.