Perioperative management of patients with Mucolipidosis II and III: Lessons from a case series

2020 ◽  
Author(s):  
Victoria Louise Scott‐Warren ◽  
Rob Walker
Keyword(s):  
Perioperative Management ◽  
Case Series ◽  
Mucolipidosis Ii

scholarly journals Perioperative Management of Buprenorphine: Solving the Conundrum

Pain Medicine ◽  
2018 ◽  
Vol 20 (7) ◽  
pp. 1395-1408 ◽  
Author(s):  
Aurora Naa-Afoley Quaye ◽  
Yi Zhang
Keyword(s):  
Perioperative Management ◽  
Case Reports ◽  
Management Strategies ◽  
Case Series ◽  
Analgesic Efficacy ◽  
Published Data ◽  
Opioid Use ◽  
Mu Opioid ◽  
Periprocedural Management ◽  
Opioid Agonists

Abstract Objective There is no consensus on the optimal perioperative management of patients on buprenorphine (BUP) for opioid use disorder (OUD). This article will review the available literature on BUP and the analgesic efficacy of BUP combined with full mu-opioid agonists and discuss the conflicting management strategies in the context of acute pain and our institution’s protocol for the periprocedural management of BUP. Methods We searched published data on BUP periprocedural management from inception through March 2018 without language restrictions. Study selection included publications reporting outcomes on perioperative pain management in OUD patients maintained on BUP. Results Our search resulted in four case reports supporting periprocedural discontinuation of BUP and two case series, one secondary observational study, one prospective matched cohort study, and four retrospective cohort studies supporting periprocedural continuation of BUP. No clinical trials were identified. Conclusions Maintaining BUP perioperatively does not lead to worsened clinical outcomes. Patients can receive adequate pain control from mu-opioid agonists while maintained on BUP. Based upon available evidence, we recommend continuing BUP at a reduced dose when indicated to avoid withdrawal symptoms and to facilitate the analgesic efficacy of mu-opioid agonists administered in combination for acute postoperative pain.

scholarly journals Endoscopic Transcranial and Intracranial Resection: Case Series and Design of a Perioperative Management Protocol

Skull Base ◽  
2010 ◽  
Vol 21 (01) ◽  
pp. 013-022 ◽  
Author(s):  
Evan Ransom ◽  
John Lee ◽  
John Lee ◽  
James Palmer ◽  
Alexander Chiu
Keyword(s):  
Perioperative Management ◽  
Case Series ◽  
Management Protocol

Perioperative management of pediatric en-bloc combined heart-liver transplants: a case series review

2016 ◽  
Vol 26 (10) ◽  
pp. 976-986 ◽  
Author(s):  
Manchula Navaratnam ◽  
Ann Ng ◽  
Glyn D. Williams ◽  
Katsuhide Maeda ◽  
Julianne M. Mendoza ◽  
...  
Keyword(s):  
Perioperative Management ◽  
Case Series ◽  
Liver Transplants ◽  
En Bloc

scholarly journals Anesthesia for cesarean section and SARS Cov-2: Observational study in Peru

2021 ◽  
Vol 49 (4) ◽  
Author(s):  
Marleny Elizabeth Huayanay Bernabé ◽  
Marjorie Lisseth Calderón Lozano ◽  
Álvaro Renato Moreno Gonzáles ◽  
José Gunther Vásquez Rojas
Keyword(s):  
Observational Study ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Perioperative Management ◽  
Case Reports ◽  
Case Series ◽  
Anesthetic Technique ◽  
Combined Spinal Epidural ◽  
Clinical Records ◽  
Spinal Epidural

Introduction: Information regarding the clinical behavior and the anesthetic and perioperative management in pregnant patients with SARS-CoV-2 is starting to appear in the literature in the form of case reports or case series. However, strong evidence and recommendations are still limited. Objective: To describe the clinical characteristics, the results of anesthetic and perioperative management, and complications in seroprevalent pregnant women for SARS-CoV-2 infection, delivered by cesarean section. Methodology: Observational study in which 107 clinical records of pregnant women who were seroprevalent for SARS-CoV-2 infection were reviewed and analyzed between April and June, 2020. Demographic, clinical and serological data were collected, as well as data on the anesthetic technique and intraoperative and postoperative complications. Results: Of the 107 pregnant women with SARS-CoV-2 infection, 99 (92.52%) were asymptomatic and 8 (7.48%) had mild symptoms. The most frequent reasons for cesarean section were cephalo-pelvic disproportion in 20 (18.68%), previous cesarean section in 20 (18.68%) and non-reassuring fetal status in 14 (13.08%). Anesthesia technique was neuraxial in all cases, with spinal used in 100 (93.5%), combined spinal-epidural in 4 (3.7%) and epidural catheter in 3 (2.8%) patients. No deaths had occurred until the third postoperative day of follow-up. Conclusions: The majority of pregnant women with SARS-CoV-2 infection are asymptomatic. In this work, spinal, combined spinal-epidural and epidural neuroxial anesthesia techniques were shown to be effective and safe for these patients and their newborn babies.

scholarly journals Effect of sacral neuromodulation in patients with neurogenic bladder

2020 ◽  
Author(s):  
Jianhong Zheng ◽  
Wenxia Shi
Keyword(s):  
Neurogenic Bladder ◽  
Perioperative Management ◽  
Sacral Neuromodulation ◽  
Case Series ◽  
Electrode Implantation ◽  
Bladder Symptom ◽  
Expected Values ◽  
Urgency Score

Abstract Background: Sacral neuromodulation (SNM) is widely used in patients with non-neurogenic overactive bladder and urinary retention but has only been applied recently for the management of the neurogenic bladder, and data are still scarce. Methods: This was a case series of patients who met the diagnosis of neurogenic bladder and received SNM between January 2016 and April 2019. Each participant received SNM. The evaluation of the participants' quality of life and urination diary (bladder symptom tracking form) included urine leaks, if urine pads need to be changed, urgent urination (0-5 points), urinary catheterization, and urinary output. The participants' expected values were analyzed. An effect >50% was considered effective. Results: All participants complied with the preoperative perineal floor exercise training. Among the 14 participants who underwent phase I SNM, one had no response at all and was excluded. After permanent electrode implantation, the urine output of one participant was similar to that of before surgery, and one participant had an incision infection, and the electrode was eventually removed. The postoperative follow-up after stage II SNM was 7.5±2.1 (range, 5-12) months. All 11 patients showed significant improvements in numbers of urination, urgency score, residual volume, and urination volume. The postoperative NEWS pain score was 1.6±0.9. Conclusions: Two-stage SNM can achieve satisfactory results in patients with neurogenic bladder. The key to success might lie in the correct and effective nursing and guidance throughout the perioperative management.

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