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Aortic Dissection Versus Intramural Hematoma (IMH)

RK.MD

Aortic dissection and intramural hematoma (IMH) are both acute aortic syndromes that can present similarly but have distinct pathophysiological differences and implications for management. The gold standard for diagnosis (and differentiating the two) is gated CT angiography to evaluate the aortic wall and lumen.

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Penetrating Atherosclerotic Ulcer (PAU)

RK.MD

Unlike classic aortic dissection , where an intimal tear leads to the creation of a false lumen, PAUs are localized disruptions that may result in localized hematoma, intramural hematoma (IMH), or progression to saccular aneurysm formation.

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Needle Selection for Neuraxial Anesthesia

DFW Anesthesia Professionals

Pencil-point needles can also lead to greater post-traumatic inflammation, myelin damage, and intraneural hematoma. Larger-gauge needles should be used cautiously due to their association with increased tissue injury and hematoma formation. The specific type of block being performed determines the selection of needle length.

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ANESTHESIOLOGISTS: BEFORE YOU ADVANCE THAT NEEDLE. A CAUTIONARY TALE

The Anesthesia Consultant

You drive to the hospital to find the patient has already had a stat MRI of his spine, and the diagnosis was a perispinal hematoma at L3. Neurosurgeons have taken him to the operating room to drain the hematoma and decompress the spinal column. These hematomas may result in long-term or permanent paralysis.

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Nerve Blocks for the Abdomen

DFW Anesthesia Professionals

Other complications may include hematoma, injection site infection, and transient nerve injury. Local anesthetic systemic toxicity (LAST) remains a rare but serious concern, requiring vigilance in adhering to recommended local anesthetic dosages and the use of lipid emulsion therapy as an antidote in the event of toxicity.

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Bovie, Cautery and Electrosurgery Shouldn’t Be Confusing

Symmetry Surgical

For situations where reusability is desired, the B ovie cautery lineup offers the Change-A-Tip; a replaceable battery and tip cautery that offers both high and low temperature, depending on the model, and is most often used in the doctors office where cost savings is important and in veterinary medicine.

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Different Types of Neuraxial Anesthesia

Nashville Anesthesia Professionals

However, they involve technical complexity, potential for failed block, slower onset, and risks such as epidural hematoma or infection 3–5. Epidural anesthesia is versatile and used for a wide range of surgeries, including thoracic, abdominal, and lower limb procedures, but also for labor analgesia and postoperative pain control.