All news from Anaesthesiology

Advanced Placental Perfusion MR Imaging in Pregnancies Complicated by CHD

In pregnancies complicated by fetal congenital heart disease (CHD), global placental perfusion was significantly decreased and regional variation of placental perfusion significantly increased as pregnancies progressed, findings that point to non-invasive imaging providing an early warning of placental dysfunction. A Children's National Health System (CNHS) researchers report placental perfusion abnormalities in pregnancies complicated by fetal CHD measured using non-invasive fetal MRI techniques.

SPECT Analysis Provides Insights on Excessive Daytime Sleepiness

The study demonstrated increased thalamic DAT (dopamine transporter) uptake in people with EDS , which further correlates with the severity of EDS, suggesting that increased dopaminergic function may be associated with EDS in humans. By using non-invasive SPECT molecular imaging , found no other changes related to DAT in DAT-rich areas such as the striatum, substantia nigra or globus pallidus.

Better Clinical Outcome For Aged; After Immunotherapy For Metastatic Melanoma

According to a small retrospective study from France has shown that the patients after immunotherapy treatment for metastatic melanoma. People over age of 65 will show equivalent, and perhaps better, clinical outcome than their younger counterparts. They examined whether the age of patients with metastatic melanoma affected response and tolerance to immunotherapy in a real-world clinical setting. This study has been published in JAMA Dermatology.

Modern Developments In Anaesthetic Technique

A new study showed a development in perioperative analgesia and mortality scoring systems, changes to intra-operative anaesthetic technique and strategies to reduce the requirement for blood transfusion.  Patients suffering a hip fracture are usually elderly, with a median age of 83 years, and co-existing chronic illnesses. Around 30% of patients with hip fracture also suffer from cognitive dysfunction and the requirement for urgent surgery in this patient group can be challenging to the anaesthetist.

Stroke Has Been Increased by Following Cardiac Procedures

According to this study, Stroke is a known problem of cardiac surgery, but there are few data related to stroke risk in the middle risk period from discharge up to one year of follow-up.  Apart from left atrial appendage (LAA) closure and ablation, ischemic stroke readmission rates following cardiac procedures were consistently higher than the highest-risk noncardiac surgery. This study has published in Journal of the American Heart Association.

Athletes and patients are benefited with Cooling glove

A cooling device that has been improving strength and endurance in mostly male athletes for 15 years is finding new uses in helping people with multiple sclerosis live normal lives, preventing overheating in Ebola workers and cooling working dogs. In a recent trial in women, it helped frosh participants perform hundreds of pushups in an hour.

Cognitive Therapy Is Effective In Reducing Severe Tinnitus

Authors examined the mindfulness-based cognitive therapy could offer an real new therapy for tinnitus. This single-site randomized controlled trial compared mindfulness-based cognitive treatment to intensive relaxation training (RT) for chronic, distressing tinnitus in adults. Tinnitus is experienced by up to 15% of the population and can lead to significant disability and distress. There is rarely a medical or surgical target and psychological therapies are recommended. This has published in the current issue of Psychotherapy and Psychosomatics.