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Month: December 2024

Masseter Muscle Necrosis: A Rare but Critical Complication Linked to MEP Monitoring, Not Anesthesia

Masseter muscle necrosis is a rare but significant complication during neurosurgical procedures involving motor-evoked potential (MEP) monitoring. For anesthesiologists, understanding the mechanisms, consequences, patient communication strategies, and preventive measures is vital to ensure optimal patient care. Mechanism of Masseter Muscle Necrosis Masseter muscle necrosis typically arises due to ischemic injury and prolonged stimulation. During MEP … Read more

Hidden Blood Loss in Hip Fractures Among the Elderly: Causes and Implications

Hidden blood loss (HBL) is a significant yet often overlooked concern in elderly patients with hip fractures. Defined as blood loss into tissues and body cavities undetectable by direct measurement, HBL can lead to complications such as anemia, prolonged recovery, and increased morbidity and mortality. A detailed understanding of its causes, implications, and management is … Read more

Pulse Wave Velocity (PWV): A Comprehensive Overview for Anesthesiologists

Pulse Wave Velocity (PWV) is a key indicator of arterial stiffness and a vital parameter in assessing cardiovascular health. Its significance extends beyond vascular diagnostics, offering anesthesiologists valuable insights for perioperative management, particularly in patients at cardiovascular risk. This article explores the definition, normal values, age-related changes, measurement techniques, and clinical implications of PWV in … Read more

The Four Stages of Cardiovascular Ageing and Anesthesia Implications

Cardiovascular ageing is a progressive process that impacts the heart and the vascular system, leading to significant implications during anesthesia. Understanding these changes is essential for anesthesiologists to optimize perioperative care, particularly in elderly patients. Here, we explore the four stages of cardiovascular ageing and their implications in the context of anesthesia. Stage I: Early … Read more

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