- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Anesthesia and Sedative Agents
- Airway Management and Intubation Techniques
- Pain Management and Opioid Use
- Intensive Care Unit Cognitive Disorders
- Healthcare Technology and Patient Monitoring
- Spine and Intervertebral Disc Pathology
- Pediatric Pain Management Techniques
- Systemic Sclerosis and Related Diseases
- Anesthesia and Neurotoxicity Research
- Peripheral Nerve Disorders
- Connective tissue disorders research
- Abdominal vascular conditions and treatments
- Trauma Management and Diagnosis
- Shoulder and Clavicle Injuries
- Neurosurgical Procedures and Complications
- Sympathectomy and Hyperhidrosis Treatments
- Medical and Biological Ozone Research
- Mobile Health and mHealth Applications
- Electronic Health Records Systems
- Childhood Cancer Survivors' Quality of Life
- Obstructive Sleep Apnea Research
- Pregnancy-related medical research
The University of Texas Health Science Center at Houston
2012-2017
The University of Texas at Austin
2014
Western Reserve Hospital
2001
Background Pre-operative administration of benzodiazepines can cause hypoventilation—a decrease in minute ventilation (MV)—commonly referred to as "respiratory compromise or respiratory depression." Respiratory depression lead hypercarbia and / hypoxemia, may heighten the risk other complications. Current anesthesia practice often places patients at for complications even before surgery, monitoring is generally postponed until patient operating room. In present study we examined quantified...
Background Monitoring respiratory status using end tidal CO2 (EtCO2), which reliably reflects arterial PaCO2 in intubated patients under general anesthesia, has often proven both inaccurate and inadequate when monitoring non-intubated spontaneously breathing patients. This is particularly important undergoing procedural sedation (e.g., endoscopy, colonoscopy). can be undertaken the operating theater, but also delivered outside room by non-anesthesia providers. In this study we evaluated...
Abstract: Transversus abdominis plane (TAP) infiltration is a regional anesthesia technique that has been demonstrated to be effective for management of postsurgical pain after abdominal surgery. There are several different clinical variations in the approaches used achieving analgesia via TAP infiltration, and methods identification have evolved considerably since landmark-guided was first described 2001. many factors impact analgesic outcomes following various nuances this led debate...
<b>Objective</b> To compare the effectiveness of intravenous acetaminophen with that morphine in reducing pain first stage labor. <b>Methods</b> An open-label, randomized controlled trial women ≥ 34 weeks gestation labor, assigned to either or morphine. The primary outcome was improved analgesia measured by difference visual analog scale (VAS) score at 120 minutes from baseline. Secondary outcomes were request for rescue analgesia, maternal side effects, and fetal heart rate changes....
Monitoring the adequacy of spontaneous breathing is a major patient safety concern in post-operative setting. particularly important for obese patients, who are at higher risk post-surgical respiratory complications and often have increased metabolic demand due to excess weight. Here we used novel, noninvasive Respiratory Volume Monitor (RVM) monitor ventilation both non-obese orthopedic patients throughout their perioperative course, order develop better monitoring strategies. We collected...
Abstract: Management of nonobstetric pain in the pregnant patient presents unique challenges related to transplacental fetal exposure opioids and subsequent risk neonatal withdrawal syndrome. We present case a suffering from progressively enlarging thoracoabdominal sarcoma. Epidural analgesia (using local anesthetics with minimal opioid) was utilized over span weeks manage oncologic pain, limiting opioid culminating birth healthy infant. While abdominal during pregnancy is not that uncommon,...
Abstract: Raynaud’s syndrome has been treated medically and invasively, sometimes with regional anesthesia leading up to sympathectomy. We demonstrate that was in this case a useful technique can allow some patients find temporary but significant relief from symptoms of Raynaud's exacerbation. present 43-year-old woman secondary lupus who bilateral popliteal nerve block catheters for ischemic pain necrosis her feet; led almost immediate resolution return color function feet. While medical...
Williams, George W. MD; Antflick, Adam J. DO; Mehta, Jaideep H. MD, MBA Author Information
Bilateral brachial plexus blocks and regional anesthesia in trauma patients are rarely performed due to potential complications when using these techniques. We illustrate a case which bilateral infraclavicular nerve were placed as part of multimodal approach pain management patient. discuss hazards, important considerations, rationale for attempting this procedure. Ultimately, performing is viable option choosing
In the continuing care of postoperative patients who have been extubated, being able to monitor tidal volume and minute ventilation can provide objective criteria identify respiratory depression allow for earlier intervention. We present a morbidly obese female patient that was not extubated at end case due low detected by anesthesia machine real-time non-invasive trialed procedure. This subsequently useful in continuous information on patient’s status extubation after trial extubation....