Emerging Role of Bedside Ocular Ultrasound in Emergency Department and Intensive Care Unit_Journal of Anesthesiology And Journal of Anesthesiology_Crimson Publishers

Emerging Role of Bedside Ocular Ultrasound in EmergencyDepartment and Intensive Care Unit by Surjya Prasad Upadhyay*, Piyush N Mallick, Waleed Elmatite, Vasu Kumar and Amit Jain 

in Developmentsin Anaesthetics & Pain Management

Ultrasonography (US) is being increasingly used outside the radiology suites into various areas like operative room (OR), intensive care (ICU) and emergency department (ED) both as diagnostic tool as well to guide interventions. The popularity and application of US for vascular catheterization, thoracic and abdominal assessment in ED and ICU has increased dramatically over the last decade. The orbital US is one the simple, quick and potential imaging tool to assess not only ocular pathology, but also act as window for intracranial pathology which provide bedside, real time information. Ultrasound has become integral part of ED and ICU and can be applied as bed side point of care in variety of traumatic or non-traumatic ocular condition. This review provides updated information on the emerging application of orbital US in ED and ICU for various ocular and intracranial pathology.  

http://crimsonpublishers.com/dapm/fulltext/DAPM.000505.php 
 

            

Multi-Modal Neuro-Monitoring and Anesthesia during Neurosurgery in a Child with Wolf-Parkinson-White Syndrome: A Case Report - Crimson Publishers

Multi-Modal Neuro-Monitoring and Anesthesia duringNeurosurgery in a Child with Wolf-Parkinson-White Syndrome: A Case Report by Bassel Zebian, Pedro Coelho, Merate-Kristos Place, Ali Ansaripour, Ayala Shirazi, Alison Goodwin and Chulananda Goonasekera* in Developments in Anaesthetics & Pain Management

Wolff Parkinson White (WPW) syndrome associates with life-threatening tachy-arrhythmias. We report anesthetic management of a child with WPW syndrome requiring neurosurgery to resect 3 tumourdeposits (in cerebral hemisphere, cerebellum and spinal cord) under the guidance of intra- operative neuro-physiological monitoring (IONM). Our purpose of this case report is to elucidate the anesthetic limitations in facilitating multiple modes of neuro-monitoring whilst minimizing the risk of triggering an arrhythmia in a child with WPW syndrome. We conclude that multiple modes of IONM is safely possible with a tailor made, proportionately adjusted, inhalational and intravenous general anesthetic with particular attention to the cumulative doses of intravenous agents used

http://crimsonpublishers.com/dapm/fulltext/DAPM.000504.php