Endoscopic characteristics and management of Subepithelial Lesions in Video-Gastascopie

Abstract

The basic concept of Neuroanesthesia & Neuro Critical Care is referred to as the ABCDE of neuroanesthesia. Early Brain Injury (EBI) was formerly known as primary brain injury. In EBI there is a loss of autoregulation and loss of blood-brain barrier integrity. The presence of Cushing's triad indicates the presence of intracranial hypertension. The target of blood pressure in traumatic brain injury (TBI) is to avoid blood pressure systolic <110 mmHg, maintain cerebral perfusion pressure (CPP) 60-70 mmHg, target PaCO2 regulation is normocarbia, PaCO2 35–40 mmHg, prophylactic use of phenytoin or valproate is not recommended to prevent late post-traumatic seizures (late PTS). There is still a need to analyse decompressive craniectomy (DECRA) therapy compared with continued medical therapy for refractory intracranial pressure (ICP) elevations after TBI. General anesthesia for patients with severe TBI is preferable to total intravenous anesthesia (TIVA), the administration of fluids should consider the osmolarity of these fluids. In the new concept, in patients with elevated ICP, the volatile anesthetic concentration should be limited to 0.5 MAC. The target blood sugar is normoglycemia. Prophylactic or therapeutic hypothermia appears to have no place in the management of severe brain injury

Histochemical Study of Immature Blackbuck Pancreas in Al-Najaf, Iraq

“…Each pancreatic lobe, including the left, right, and middle (body) components, was washed with 0.9% normal saline. The fixative used to prevent postmortem changes was a sizable volume of either 10% neutral buffered formalin or Bouin's fixative (Al-Kuraishy et al, 2022a;Kurauti et al, 2021). The fixation process with 10% neutral buffered formalin lasted for 24-48 h in comparison to Bouin's fixative.…”

Appropriate incorporation of susceptibility-weighted magnetic resonance imaging into routine imaging protocols for accurate diagnosis of traumatic brain injuries: a systematic review

“…Furthermore, psychological distress, depression, anxiety disorders, and substance abuse are observed, particularly in women <45 and >65 years old. TBIs often co-occur with polytraumatic injuries, including multiorgan injuries, fractures, burns, or amputations, and these injuries require a rehabilitation team specialized in the neurorehabilitation of TBI [ 4 – 10 ]. A few drugs are being tested for TBI, such as methamphetamine, melanocortin, minocycline plus N-acetylcysteine, and cycloserine.…”