TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: In adult ECMO, veno-venous (VV) dual lumen intrajugular (IJ) cannula placement is verified intra-procedurally with echocardiogram and monitored daily chest radiography (CXR) while bi-femoral lines are pelvic films. Worsening ECMO support prompts evaluation for malposition. Radiographs may suggest proper despite malpo...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Methemoglobinemia is a condition in which hemoglobin oxidized from the ferrous to ferric state. This alters conformation of interfering with its oxygen carrying capacity. case represents patient idiopathic methemoglobinemia. CASE PRESENTATION: A 59-year-old male no medical history was brought hospital after motor veh...

Discussed in this Brief: The results of a study to determine the level of street gang involvement in drug sales arrests in two Los Angeles suburban cities from 1989 to 1991. Results are compared with those from an earlier study of gang involvement in cocaine sales based on arrest incidents in south-central Los Angeles between 1983 and 1985. Police departments that participated in this study als...

British Journal of Cardiac NursingVol. 17, No. 1 Guest EditorialPostoperative cognitive dysfunction: what does it really mean?Tracey BowdenTracey BowdenCorrespondence to: Tracey Bowden; E-mail Address: [email protected]School Health Sciences, City, University London, UKSearch for more papers by this authorTracey BowdenPublished Online:1 Feb 2022https://doi.org/10.12968/bjca.2022.0005AboutSectio...

Concepts of continuous ventilation and perfusion have founded mathematical models of lung gas mixing and cardiopulmonary blood±gas exchange, whether for anaesthetic vapour uptake or for cardiorespiratory measurement, for several decades now. 28 37 42 The beauty of continuousventilation and perfusion models is that they allow mathematical expressions that are readily soluble, and they describe b...

Current airway dust ®lter technology emanates from the USA mining industry during the 1930s. It was further developed and improved by the USA military during World War II to prevent workers from inhaling very ®ne radioactive particles in the nuclear industry. These later ®lters we now recognize as high ef®ciency particulate air ®lters (HEPA). The ef®ciency of ®lters varies according to the numb...

For most of the last century, anaesthetists have debated the advantages and disadvantages of neuraxial block for patients undergoing major surgical procedures. While major clinical trials comparing outcomes with and without such techniques havenot been carried out since the early 2000s, 3 the anaesthesia literature has seen a proliferation of interest in this subject over the past 10 yr, as epi...

The practice of adding adjunct analgesic drugs to local anaesthetics for neuraxial block in children is common, especially with caudal blocks. The most commonly used drugs are clonidine, ketamine, and opioids. 2 With the exception of preservative-free morphine, the support for other opioids as an adjunct to single injection caudal block is weak. Other drugs have also been used in this context b...

TOPIC: Obstructive Lung Diseases TYPE: Medical Student/Resident Case Reports INTRODUCTION: Despite recent advances in the diagnosis and treatment of asthma, status asthmaticus continues to be associated with significant morbidity mortality. An estimated 60% patients admitted intensive care unit require intubation1. Ketamine, Magnesium, Heliox are some rescue therapies described literature for r...

In this issue of the BJA, Mases and colleagues on behalf of the Spanish ANESCARDIOCAT perioperative research group add important data to the expanding perioperative literature describing chronic kidney disease (CKD) as a consistent associate with postoperative morbidity. This post hoc observational study confirms the findings of a previous meta-analysis, showing an increased risk of perioperati...