284). It is suggested the operation be a “Weaver-Dunn procedure using Dacron tape or autologous hamstring tendon to restore CC ligament function” (Bradley & Elkousy, 2003, p. 284). In type V injuries, the treatment is operative because “these injuries have significant disruption of the deltotrapezial fascia with pronounced superior displacement of the distal clavicle” (Bradley & Elkousy, 2003, p. 284). Although type VI injuries are rare, “they are treated with open reduction and internal fixation techniques” (Bradley & Elkousy, 2003, p. 285). No matter what type of separation occurs, stability needs to be provided by both the CC and AC ligaments to restore proper stabilization
Red Flag Assessment in the Thoracic Spine Category one findings: Due to the viscerosomatic referred pain, many visceral conditions can produce secondary musculoskeletal pain in thoracic region. Therefore, patients could experience symptoms in the musculoskeletal structures innervated by the same nerve levels at which the visceral afferents converge. The thoracic spine has the highest incidence in the spine for primary neoplasm and metastatic tumours. Category two findings: The complications of several metabolic disorders manifest themselves in the thoracic spine.
This allows for the vessel to remain open. Angioplasty is done for conditions, such as atherosclerosis, peripheral artery disease, narrowing of the kidney arteries, coronary artery disease and carotid artery stenosis, among others. Major complications associated with angioplasty are fairly rare. However, risks include infection, stroke, and heavy bleeding. If contrast material is used to conduct the procedure, then there is a risk for this to affect renal
Tape the catheter in place using 1-in porous hospital grade tape. This is one of several ways to properly secure a catheter. Using another method, such as bandaging material, is fine as long as it is safe and comfortable for the patient and secures the IV catheter firmly in place. It is important to test and flush the catheter after
Alleviating pain in elective or emergency takes forefront in the present scenario because the adverse consequences of the same are widely known. Therefore adequate pain relief has become an integral component of the management of the patient by the anaesthetist, intensivist and pain physicians. Peripheral nerve blocks (PNB) are becoming immensely popular by virtue of easy identification by the use of ultrasound as well as minimal side effects related to the procedure. In addition, that US guided blocks reduce the mean effective anaesthetic concentration and volume (MEAC and MEAV) of the local anaesthetics is a well known fact. We hereby present two cases where a newer interfascial nerve block i.e.serratus anterior muscle (SAM) block was administered
In addition, with the “complete tibial side avulsion in athletes” (Phisitkul, James, Wolf, Amendola), I think surgery is needed, in this circumstance. In this situation, it is most likely needed because the tibia translated medially, also rupturing the MCL. First off, the tibia, needs to be realigned but then, the MCL ligament needs surgery because it is way out of alignment as well. In my opinion, if it was considered nonoperative in this scenario, the ends of the ligaments would have to be aligned in center with each other. In this case, they are not, so with surgery the collagen fibers can be sutured for alignment, which will allow for proper healing.
Ear reconstruction for microtia is an intriguing surgery in terms of clinical skill and dexterity for plastic and reconstructive surgeons. Apart from proper ratios and detailed carving of cartilage framework, the overlying skin is utmost important for the final outcome of reconstruction. A good outcome needs adherence of the skin flap and cartilaginous framework, for which purpose suction drains are used during the surgery. By creating a negative pressure, suction drains promote adherence of skin flap and cartilage framework and removes the seroma and hematoma. Usually surgeons put two drains through the infra auricular skin one behind and other beneath the cartilaginous framework.
This type of chest pain occurs when one or more of the coronary arteries are either blocked or narrowed. This can cause an uncomfortable pressure, fullness, and a squeezing sensation in the center of the chest. Known triggers are exertion and emotional stress. Stable angina is usually relieved with rest and medication such as nitroglycerin.
Secondly, dressing forceps have a rather smooth edge however may be slightly serrated to enable them to handle more delicate tissues. The most commonly used forceps used are Allis tissue forceps, these are hinged in the middle and may be lockable, many other types off forceps are used also including, Spencer Wells forceps, which are used for clamping blood vessels, Doyan intestinal forceps which are used for temporarily blocking the bowel and intestines, sponge forceps which are used to hold the bladder or bowel or crocodile forceps which are used for a procedure on the ear or nose. Scissors are also a very useful but usually over looked instrument used in theatre, theyâ€™re re two type off scissors which are the Mayo and the Metzenbaum, the Mayo scissors are used for cutting muscle and sutures, thee Metzenbaum are used for the more delicate task which is indicated by the longer blade to handle ratio. It is only after these topics have been learnt can one apply
I am passionate about the medical industry and I aspire to major in chemistry and then attend medical school, aspiring to become an anesthesiologist. However, my strong motivation to become successful in the medical industry stems from a negative experience. It was likely the greatest challenge I had ever faced in my life. Just last year, my grandmother began to suffer the ill effects of complications due to her diabetes. It was a traumatizing experience for her, as well as for my family.