Journal of investigative surgery : the official journal of the Academy of Surgical Research
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Meta Analysis Comparative Study
Comparison of the efficacy and safety between interspinous process distraction device and open decompression surgery in treating lumbar spinal stenosis: a meta analysis.
The present study performed a meta-analysis to evaluate the efficacy and safety of interspinous process distraction device (IPD) compared with open decompression surgery (ODS) in treating lumbar spinal stenosis. ⋯ The results indicated that IPD has better effects and less complication than ODS. However, because of the higher reoperation rate in IPD than ODS, we failed to conclude that IPD could replace ODS as golden standard but may be a viable alternative in treating lumbar spinal stenosis.
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The primary objective was to evaluate the effect of a bupivacaine mandibular nerve block on intraoperative blood pressure (BP) and heart rate (HR) in response to surgical stimulation and the need for systemic analgesics postoperatively. We hypothesized that a mandibular nerve block would decrease the need for systemic analgesics both intraoperatively and postoperatively. ⋯ Addition of a mandibular nerve block to the anesthetic regimen in the miniature pig condylectomy model may improve variations in intraoperative BP and HR. This study establishes the foundation for future studies with larger animal numbers to confirm these preliminary findings.
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Biography Historical Article
Crawford Williamson Long: The True Pioneer of Surgical Anesthesia.
Anesthesia and analgesia are as old as mankind itself. However, we now know that the true pioneer of surgical anesthesia through inhalation of ether was Doctor Crawford Williamson Long (1815-1878), who endeavored to help his profession and mankind without pursuing any reward or honor. Crawford Williamson Long was a great and beloved American surgeon. ⋯ Long proved the effectiveness of ether after painlessly removing a tumor from the neck. In 1847, a rivalry broke out among Horace Wells, Charles Thomas Jackson, and William Thomas Green Morton for the primacy as regards the discovery of anesthesia. The US Congress offered itself to arbitrate the case of the so called "ether controversy." Finally, a few years after the end of the North American Civil War, while taking care of a patient, Crawford passed away, presumably after suffering a stroke.
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First-generation single-component hemostats such as oxidized regenerated cellulose (ORC), fibrin, collagen, and gelatin have evolved into second and third generations of combination hemostats. ⋯ EVARREST™, Fibrin Sealant Patch demonstrated greater wound adhesion and more effective hemostasis than TachoSil®. Adhesive failure was the primary failure mode for TachoSil® in this model.
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To investigate the related factors and pathogens of ventilator-associated pneumonia (VAP) after heart surgery so as to provide evidences for clinical prevention and therapy. ⋯ Age >70, emergent surgery, perioperative blood transfusions, reintubation and days of MV are the risk factors for VAP in patients following cardiac surgery. P. aeruginosa, P. klebsiella, S. aureus, and Acinetobacter baumannii were the main pathogens of VAP. According to the cause of VAP, active prevention and treatment measures should be developed and applied to shorten the time of MV and improve chances of survival.