Would you like to be awake while having open-heart surgery?
This is the astonishing picture of Swaroup Anand, a 23-year-old patient that went under the knife in Bangalore at Wockhardt Hospital while he was still very much awake. Doctors chose to numb his body with an epidural to the neck rather than send him to sleep with general anaesthesia.
Lead surgeon Dr Vivek Jawali, said they had performed more than 600 operations this way since 1999. Speaking from his hospital in India, he said: “There has been a huge effort in recent times to make heart surgery less invasive. This can be done in two ways. Firstly smaller cuts can be made and this is helped with modern technology and robotics. Secondly we are trying to interfere as little as possible with the body’s natural functions.”
"The patients are given a mild sedative rather than being knocked out - this drops their heart rate but means they can respond to commands. The patients are drowsy so they can be aroused but are also able to drift into sleep,” Dr Jawali said. “If we need them to cough or breathe more deeply to clear air from their heart they can respond. This makes the procedure a lot easier to perform.”
Holy fuck and he is on bypass. Fucking amazing. My mind is blown.
A horizontal skull fracture. The subject smacked their head against a tree as their vehicle slide to a stop against it.
For those of you who have always wondered what the inside of your skull looks like without a brain in it, now you know. The cranial fossa is actually quite interesting to examine.
Please, if you don’t know personally what depression feels like, watch this. It’s so hard to describe.
This tip is for all trauma professionals: prehospital, doctors, nurses, etc. Anyone who touches a trauma patient. You’ve probably seen this phenomenon in action. A patient sustains a very disfiguring injury. It could be a mangled extremity, a shotgun blast to the torso,…
Preemies’ gut bacteria may depend more on gestational age than environment
Scientists believe babies are born with digestive systems containing few or no bacteria. Their guts then quickly become colonized by microbes — good and bad — as they nurse or take bottles, receive medication and even as they are passed from one adoring relative to another.
However, in infants born prematurely, researchers at Washington University School of Medicine in St. Louis have found that the population of bacteria in babies’ gastrointestinal tracts may depend more on their biological makeup and gestational age at birth than on environmental factors. The scientists discovered that bacterial communities assemble in an orderly, choreographed progression, with the pace of that assembly slowest in infants born most prematurely.
Funding: This study was funded by the National Institutes of Health (NIH), grant numbers UH3AI083265, U54HG004968 and P30DK052574 (Biobank Core); the National Institute of Allergy and Infectious Diseases, of the NIH; the Eunice Kennedy Shriver National Institute of Child Health and Human Development, of the NIH, and the Foundation for the National Institutes of Health.
FDA Approves Machine to Preserve Donated Lungs
Federal health regulators have approved a novel device that can preserve donated lungs outside the body for possible transplantation into critically ill patients.
The Food and Drug Administration says that the approval of the XVIVO Perfusion System could lead to more successful transplants of lungs for people with cystic fibrosis and other deadly respiratory diseases.
Read more: http://www.laboratoryequipment.com/news/2014/08/fda-approves-machine-preserve-donated-lung
What sign helps you know which organ this child’s mass is arising from?
An example of Atlantooccipital dislocation, better known as internal decapitation. Notice the large space between the base of the skull and the C1 vertebrae, this is because the skull dislocated from the spinal column, severing the spinal cord in a motor vehicle accident. Internal decapitation is the same mechanism that executions by hanging typically occurred. If the dislocation did not occur then the condemned hung until suffocation.