Open Access DOI:10.23937/2377-4630/1410064
Analyzing Volatile Anesthetic Consumption by Auditing Fresh Gas Flow: An Observational Study at an Academic Hospital
Luis Tollinche, KaySee Tan, Austin Han , Leslie Ojea and Cindy Yeoh
Article Type: Research Article | First Published: April 26, 2018
In a climate of cost containment, it is critical to analyze and optimize all perioperative variable costs. Fresh gas flow is one important variable that determines utilization of inhalational agents and can be tightly controlled by the anesthesia provider. Manufacturers of inhalational agents have recommendations for minimum gas flow for their respective agents. Any gas flow above these recommendations is considered misuse and leads to unnecessary expense. The purpose of this study was to charac...
Open Access DOI:10.23937/2469-5823/1510091
Telemedicine: An Opportunity to Upgrade the Function of the Nurses!
E Andres, S Talha, M Hajjam, C Grohens and A Hajjam
Article Type: Letter To The Editor | First Published: April 26, 2018
Chronic diseases, e.g. chronic heart failure (CHF), diabetes mellitus (DM), and chronic obstructive pulmonary diseases (COPD), remain serious diseases in terms of their functional or survival prognosis, and morbidity and mortality are high. This applies particularly well to CHF, in which the mortality rate of patients with stage III-IV disease according to the NYHA classification is at least currently around 30% at 5 years in more recent studies. The cost of these chronic diseases has rocketed.....
Open Access DOI:10.23937/2469-5793/1510074
Peripheral Angioedema and Upper Airway Edema in Young Woman
Gargantilla Madera P, Garcia Tobaruela A and Belda Bilbao L
Article Type: Short Communication | First Published: April 25, 2018
A 38-year-old woman, without family history of angioedema, suffered several self-limiting acute edema episodes (localized in upper/lower limbs). One month after, she presented an upper airway edema associated with glottis edema, which was treated in emergency department with corticosteroids, without improvement. ...
Open Access DOI:10.23937/2572-4037.1510024
Freedom and the Way Forward: Liberating Psychoanalysis
Bhaskar Sripada
Article Type: Short Commentary | First Published: April 25, 2018
For some time, psychoanalysis has been an object of worship, like a caged bird. Its freedom has been limited by actions analysts have imposed upon themselves, even though each analyst has an independent key to set it, and himself, free. Freud's heirs are struggling with what he bequeathed them. After a long period of strife in the analytic world, there is now a sense of common purpose and a yearning for liberty....
Open Access DOI:10.23937/2378-3001/1410072
Evaluation of Retinal Nerve Fiber Layer and Optic Nerve Function in Patients with Obstructive Sleep Apnea Syndrome
Mualla Hamurcu, Selma Fırat, Suleyman Boynuegri, Ufuk Hamurcu, Murat Sinan SarCcaoglu, Selcan Ekicier Acar, B Seyma Durmus and Bulent CiftCi
Article Type: Research Article | First Published: April 25, 2018
Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder, with an estimated prevalence of 2% for women and 4% for men in the middle-aged population. It is characterized by the repetitive complete or partial collapse of the upper airway during sleep which causes the cessation (obstructive apnea) or significant reduction (obstructive hypopnea) of airflow. These respiratory events result in intermittent hypoxemia and hypercapnia, cortical arousals, and surges of sympathetic...
Open Access DOI:10.23937/iacod-2017/1710007
Translating Evidence-Based Practices to Clinical Practice: Starting in the Classroom
Shin Ying Chu and Grace McConnell
Article Type: Commentary | First Published: April 25, 2018
As researchers and university-level educators in both Malaysia and the United States, we believe that evidence-based practices (EBPs) can improve patient outcomes, reduce costs, and provide high quality care when delivering speech therapy services. We know our speech-language-pathology (SLP) students in both countries, future SLPs, will require continuous learning over time. But, are we teaching and practicing EBP in clinic? Are our students understanding the importance of EBP? It's never too ea...
Open Access DOI:10.23937/2377-4630/1410063
Acute Pain Management in a Child: A Case Report of 46-Days of Popliteal Sciatic Nerve Catheter
Hertz Laurent, Sola Chrystelle, De La Arena Pablo and Dadure Christophe
Article Type: Case Report | First Published: April 25, 2018
The use of perineural catheter for more than 72 hours is rare in perioperative practice, but was especially reported for chronic pain, oncologic related pain or palliative care. The main concern remains the risk of neurological or infectious complication. No guideline clearly specifies the maximum duration of perineural catheter maintenance and the safety of long-term catheters is discussed....