Introduction to ECMO Fundamentals

Aug 22, 2023 by in CRITICAL CARE Comments Off on Introduction to ECMO Fundamentals

Let’s start our discussion of the fundamentals of extracorporeal membrane oxygenation (ECMO) by returning to our graph. We have spent the last few chapters developing and unpacking the simple but…

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Hypoxia

Aug 22, 2023 by in CRITICAL CARE Comments Off on Hypoxia

Hopefully by now we are starting to develop a healthy appreciation for oxygen delivery – why it is so important, how it can be augmented, and the limitations that exist….

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Shock

Aug 22, 2023 by in CRITICAL CARE Comments Off on Shock

What is meant by shock? Let’s return to our two intensive care unit (ICU) patients. Patient A: BP 100/40, HR 114, UOP < 10 mL Patient B: BP 80/40, HR…

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Oxygen Delivery and Consumption

Aug 22, 2023 by in CRITICAL CARE Comments Off on Oxygen Delivery and Consumption

Imagine that you walk into a typical intensive care unit (ICU). You look around and note what you see: in one room a 78-year-old man with urosepsis and septic shock,…

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Recognition of Shock

Aug 22, 2023 by in CRITICAL CARE Comments Off on Recognition of Shock

Now we are going to bring our discussion of shock to the next level and start to explore some patterns that can help us with recognition of shock. Remember, if…

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Lateral sacroiliac joint fusion

Aug 22, 2023 by in ANESTHESIA Comments Off on Lateral sacroiliac joint fusion

Introduction Sacroiliac joint (SIJ) disease has been increasingly recognized as a common contributor to many cases of lower back pain (LBP) and radiculopathy, with a prevalence estimated at between 13%…

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Surgical instruments

Aug 22, 2023 by in ANESTHESIA Comments Off on Surgical instruments

Introduction Surgical instruments are the tools of the trade. Just like any in any other trade or manual job, there are a number of surgical instruments that have been designed…

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Sacroiliac joint posterior fusion

Aug 22, 2023 by in ANESTHESIA Comments Off on Sacroiliac joint posterior fusion

Introduction The sacroiliac joint (SIJ) functions in transferring the load between the spine and the lower extremities and acts as a shock absorber for the spine. The structure is bordered…

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Measuring outcomes of improvement

Aug 22, 2023 by in ANESTHESIA Comments Off on Measuring outcomes of improvement

Introduction Sacroiliac joint (SIJ) dysfunction is a debilitating condition that accounts for approximately 20% of chronic axial lower back pain (LBP). The diagnosis is made by relief of pain after…

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Peripheral nerve stimulation of the sacroiliac joint

Aug 22, 2023 by in ANESTHESIA Comments Off on Peripheral nerve stimulation of the sacroiliac joint

Introduction Peripheral nerve stimulation (PNS) is being explored for a variety of clinical indications, including plexus injuries, focal mononeuropathy, postamputation pain, back pain, sacroiliac joint pain (SIJ), headache, facial pain,…

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