Massive Iatrogenic Pediatric Ketamine Overdose With Serial Levels and Minimal Morbidity

2019 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Connor F. Bowman ◽  
Brandon Pruitt ◽  
Jared Marx ◽  
Stephen L. Thornton
Keyword(s):  
1997 ◽  
Vol 64 (1_suppl) ◽  
pp. 18-22
Author(s):  
C. Trombetta ◽  
G. Savoca ◽  
G. Liguori ◽  
M. Raber ◽  
A. Lissiani ◽  
...  

With the minimal morbidity attained using laparoscopy, its application in urologic surgery has been increasing. Using laparoscopic techniques we successfully completed the transposition and re-anastomosis of a retrocaval right ureter. Operation time was 240 minutes. The patient was allowed to walk on the first post-operative day and resumed oral intake on the second day. Administration of analgesics was not required. The ureteral stent was removed on the 24th day after operation. An intravenous urogram three months after operation showed a decrease in hydronephrosis. Laparoscopic correction of retrocaval ureter by extraperitoneal approach is a safe, feasible technique, avoiding a large surgical wound with the definite advantage of minimal disfigurement. Operating time is considerably shorter compared to the peritoneal approach as described by Baba (240’ vs 560’).


EMJ Urology ◽  
2020 ◽  
Author(s):  
Philip Brazio ◽  
Irene Ma ◽  
Gordon Lee

Phalloplasty has matured considerably over the last decades in reconstructive options and technical refinements, thanks to increasing recognition of gender dysphoria. The primary goals of performing a phalloplasty are to facilitate sexual penetration, protective sensation, orgasm, standing micturition, and natural aesthetic, ideally in few stages and with minimal morbidity. Radial forearm free flap, anterolateral flap, and metoidioplasty are the most common options, each with a unique profile of complications, aesthetic, and functional outcomes. Choices for reconstruction must be tailored to the individual patient’s goals and available tissue characteristics.


2003 ◽  
Vol 112 (5) ◽  
pp. 444-449 ◽  
Author(s):  
Yasar Cokkeser ◽  
Mustafa Tercan ◽  
Cem Evereklioglu ◽  
Ibrahim F. Hepsen

We performed a prospective evaluation of endoscopic hammer-chisel dacryocystorhinostomy (DCR) procedures on 62 eyes of 44 patients (40 female and 4 male) with chronic epiphora or dacryocystitis (26 unilateral and 18 bilateral). The technique included chisel removal of bone over the lacrimal sac. The follow-up period was 12 to 54 months (mean, 28 months), and the patients' ages ranged from 17 to 67 years (mean, 35.5 years). The success rate of the consecutive endoscopic hammer-chisel DCR procedures was 87%. During operation, 8 patients had mild mucosal hemorrhage, which did not prevent the successful completion of the operation. Excellent patient tolerance was observed, with minimal morbidity and no major complications. As compared to the external approach, endoscopic hammer-chisel DCR is less traumatic, is less time-consuming, and is practical and cosmetically convenient, with minimal perioperative and postoperative complications. It also allows the simultaneous correction of any intranasal disease. It requires minimal instrumentation and is a relatively easy and fast technique.


2011 ◽  
Vol 1 (1) ◽  
pp. 15
Author(s):  
Alun E. Jones ◽  
Guy F. Nash

Distension of the rectum following transanal endoscopic microsurgery (TEMS) increases rectal intra-luminal pressure and may promote pelvic sepsis by contaminating the rectal defect. We describe the first use of a Heald anal stent to decompress the rectum following TEMS. Transanal endoscopic microsurgery (TEMS) is an increasingly popular method of resecting rectal neoplasms with minimal morbidity and mortality. Following excision of the lesion, the defect in the rectal wall is usually repaired by a continuous suture. However there is no evidence to suggest defect closure is superior to leaving this to heal by secondary intention. Distension of the rectum post-operatively increases rectal intra-luminal pressure and may promote pelvic sepsis by contaminating the rectal defect.


2004 ◽  
Vol 271 (1) ◽  
pp. 11-13 ◽  
Author(s):  
Abraham Golan ◽  
Nariman Zachalka ◽  
Samuel Lurie ◽  
Ron Sagiv ◽  
Marek Glezerman

2011 ◽  
Vol 54 (6) ◽  
pp. 1588-1591 ◽  
Author(s):  
Melissa L. Kirkwood ◽  
Alberto Pochettino ◽  
Ronald M. Fairman ◽  
Benjamin M. Jackson ◽  
Grace J. Wang ◽  
...  

1995 ◽  
Vol 20 (5) ◽  
pp. 679-680 ◽  
Author(s):  
D. J. DUNLOP ◽  
C. M. GRAHAM ◽  
M. A. WALDRAM ◽  
P. J. MULLIGAN ◽  
J. M. WATT

With the increasing popularity of day case surgery it is important to ensure that safe and appropriate techniques are being used. We retrospectively reviewed a large series of 732 patients who underwent planned day case hand surgery under intravenous regional anaesthesia (modified Bier's block) over a 5-year period. We found a modified Bier's block to be ideally suited to day case surgery with no deaths, minimal morbidity and a success rate in excess of 98%.


2004 ◽  
Vol 17 (2) ◽  
pp. 6-11 ◽  
Author(s):  
Jason Heth

Glomus tumors are a fascinating group of lesions. It is a challenge for neurosurgeons and otolaryngologists to resect them completely with minimal morbidity. Laboratory researchers have discovered extremely interesting genetic and molecular biology factors involved in the development and growth of glomus tumors. In this article the author reviews the genetics, protein mutations, angiogenesis and apoptosis associated with tumor formation, and the secretion of vasoactive substances is discussed as well. It is hoped that with further research less invasive measures may be developed to treat these tumors.


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