A5073811826- Spinal Dysraphism and Malformations
- Airway Management and Intubation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Tracheal and airway disorders
- Foreign Body Medical Cases
- Head and Neck Surgical Oncology
- Cerebrospinal fluid and hydrocephalus
- Patient Safety and Medication Errors
- Medical Malpractice and Liability Issues
- Grief, Bereavement, and Mental Health
- Anesthesia and Sedative Agents
- Anesthesia and Pain Management
- Congenital Diaphragmatic Hernia Studies
- Anesthesia and Neurotoxicity Research
- Fetal and Pediatric Neurological Disorders
- Tissue Engineering and Regenerative Medicine
- Neurogenetic and Muscular Disorders Research
- Hernia repair and management
- Maternal and Perinatal Health Interventions
- Blood groups and transfusion
- Urological Disorders and Treatments
- Congenital Anomalies and Fetal Surgery
- Tattoo and Body Piercing Complications
- Medical Education and Admissions
- COVID-19 Impact on Reproduction
Memorial Hermann
2013-2024
The University of Texas Health Science Center at Houston
2016-2024
Tata Institute of Social Sciences
2010-2023
Netaji Subhash Chandra Bose Medical College
2018-2023
University of Mumbai
2018
ITM University
2018
WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Complications in pediatric regional anesthesia are rare, so a large sample size is necessary to quantify risk. The Pediatric Regional Anesthesia Network contains data on more than 100,000 blocks administered at 20 children's hospitals. This study analyzed the risk of major complications associated with children.This prospective, observational routine clinical practice. Data were collected every block placed by an anesthesiologist...
BackgroundThe Paediatric Difficult Intubation Collaborative identified multiple attempts and persistence with direct laryngoscopy as risk factors for complications in children difficult tracheal intubations subsequently engaged initiatives to reduce repeated children. We hypothesised these efforts would lead fewer attempts, decrease complications.MethodsPaediatric patients less than 18 years of age were enrolled the Registry. define those whom (1) an attending or consultant obtained a...
BackgroundDifficult facemask ventilation is perilous in children whose tracheas are difficult to intubate. We hypothesised that certain physical characteristics and anaesthetic factors associated with mask paediatric patients who also had tracheal intubation.MethodsWe queried a multicentre registry for experienced "difficult" or "impossible" ventilation. Patient case known before attempt were included consideration this regularised multivariable regression analysis. Incidence of...
Fetoscopic closure of spina bifida using heated and humidified carbon dioxide gas (hhCO
<b><i>Introduction:</i></b> Optimal uterine relaxation is achieved through higher minimum alveolar concentration (MAC) of inhalational anesthetics, increasing risks to mother and fetus. Our objective was determine if earlier administration magnesium sulfate would reduce the requirement anesthetics in fetal myelomeningocele repair. <b><i>Materials Methods:</i></b> Prospective observational study repair performed from September 2011 August 2017....
BACKGROUND: Indications for surgery during pregnancy have increased, which include both maternal and fetal. Specifically fetal interventions increased from conditions that were considered lethal like twin transfusion syndrome severe anemia to non-lethal myelomeningocele. The optimal anesthetic agent in utero is yet be determined. Currently remifentanil used as preferred due its short half-life however pharmacokinetics has not been evaluated. OBJECTIVE: To determine the pharmacokinetic...
Despite in utero spina bifida (SB) repair, more than two-thirds of patients with SB are unable to ambulate independently, and 1 4 children need surgery for tethered cord by school age. The objective this study was test the cryopreserved human umbilical (HUC) as an antiscarring material reduce tethering improve function a modified repair model.An defect (L2-6 levels) without myelotomy created fetuses timed-pregnant ewes at gestational day (GD) 75. On GD 96, fetal exposed, arachnoid layer...
Summary The use of medical tattoos can potentially be life‐saving. We present a 16‐year‐old patient who chose to tattoo condition on her forearm. Her is more extensive than most and shows the measures mother will take ensure daughter's safety. To our knowledge, there are no published guidelines recommending an ideal location or symbology for tattoo. Such would useful artists, as well personnel in emergencies if has
Abstract Background Spinal muscular atrophy is a group of autosomal recessive inherited neurological disorders secondary to genetic mutation that leads progressive muscle weakness and atrophy. Recently approved by the Food Drug Administration, Nusinersen first treatment specifically for spinal This drug must be administered intrathecally, as it does not cross blood‐brain barrier. Aims Retrospective review individualized perioperative care type I II patients intrathecal injection. Methods...
Use of off-label tissue graft materials, such as acellular dermal matrix (ADM), for in utero repair severe spina bifida (SB), where primary skin layer closure is not possible, associated with poor neurological outcomes. The cryopreserved human umbilical cord (HUC) patch has regenerative, anti-inflammatory, and anti-scarring properties, provides watertight SB repair. We tested the hypothesis that HUC a superior to ADM reducing inflammation at site preserving spinal function.
Abstract Background One lung ventilation (OLV) in small children can be achieved using an Arndt endobronchial blocker (AEBB), but it presents challenges. OLV during thoracic procedures provides better surgical conditions and postoperative outcomes. Aim To report a novel technique to improve placement repositioning of extraluminal AEBB for OLV. Material Methods We describe how angled wire is successfully used pediatric procedures. Discussion Since 2017, we have this technic over 50 infants...