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Trigeminocardiac Reflex

Trigeminocardiac Reflex
Author: Tumul Chowdhury
Publisher: Academic Press
Total Pages: 256
Release: 2015-05-29
Genre: Science
ISBN: 0128005939

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Trigeminocardiac Reflex is a comprehensive tutorial reference to the science, diagnosis, and possible treatment of the trigeminocardiac reflex (TCR) that is usually initiated when the trigeminal nerve is disturbed during intercranial surgery. Since first reported in 1999 by co-Editor Bernhard Schaller, the research focused on TCR is expanding. While its instance is rare, new discoveries are not only increasing diagnosis, but also providing more effective treatment protocols. This text is ideal as a reference for clinical and research neurologists, as a general introduction for clinical presentation, and as a foundation for new research. Represents the first tutorial reference focused on the Trigeminocardiac Reflex (TCR) Content organized by two of the leading scientists in the area, Dr. Tumul Chowdhury (University of Manitoba) and Prof. Bernhard Schaller (University of Southampton) Defines TCR, its onset, and possible treatments Establishes a knowledge base for the future study of the TCR and treatment protocols


The Trigemino-Cardiac Reflex: Beyond the Diving Reflex

The Trigemino-Cardiac Reflex: Beyond the Diving Reflex
Author: Bernhard Schaller
Publisher: Frontiers Media SA
Total Pages: 58
Release: 2018-01-16
Genre:
ISBN: 2889454002

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The trigemino-cardiac reflex (TCR) is a well established brain-stem reflex and commonly manifests as bradycardia, asystole, hypotension and / or apnea. This phenomenon was extensively explored in the recent past. However, the area related to its exact bio-physiological mechanism, neuro-anatomical linkages, clinical implications, its role in non neurological events and future directions should need to be further investigated. Therefore, this present research topic on TCR would mainly focus on various aspects of TCR and present a comprehensive and exhaustive overview about a phenomena that gains more and more interest during the last few years. Our goal is to present models about the different aspects of the TCR to develop in-depth understanding of TCR.


The Trigemino-Cardiac Reflex: Beyond the Diving Reflex

The Trigemino-Cardiac Reflex: Beyond the Diving Reflex
Author:
Publisher:
Total Pages: 0
Release: 2018
Genre:
ISBN:

Download The Trigemino-Cardiac Reflex: Beyond the Diving Reflex Book in PDF, ePub and Kindle

The trigemino-cardiac reflex (TCR) is a well established brain-stem reflex and commonly manifests as bradycardia, asystole, hypotension and / or apnea. This phenomenon was extensively explored in the recent past. However, the area related to its exact bio-physiological mechanism, neuro-anatomical linkages, clinical implications, its role in non neurological events and future directions should need to be further investigated. Therefore, this present research topic on TCR would mainly focus on various aspects of TCR and present a comprehensive and exhaustive overview about a phenomena that gains more and more interest during the last few years. Our goal is to present models about the different aspects of the TCR to develop in-depth understanding of TCR.


Complications in Neuroanesthesia

Complications in Neuroanesthesia
Author: Hemanshu Prabhakar
Publisher: Academic Press
Total Pages: 502
Release: 2016-02-11
Genre: Medical
ISBN: 0128041137

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Complications in Neuroanesthesia focuses on complications that may arise related to neuroanesthesia practice and discusses its various causes. Each complication is written as a separate chapter, and the pathophysiology and mechanisms of each complication, as well as measures for diagnosis, treatment and prevention are discussed. Towards the end of the book, several case scenarios are provided to the readers that challenge readers to diagnose the possible complication for each case. Chapters include brain and spinal cord problems, cardiovascular and hematological problems, and nerve and muscle problems. Written in a standard format, Complications in Neuroanesthesia provides quick and easy access to understanding problems in neuroanesthesia. It provides insight into all possible complications occurring during perioperative management of neurosurgical and neurologic patients. It is useful for trainees, clinicians, and researchers in the fields of neurosurgery, neurocritical care, and neurology by providing an understanding of preventable mishaps that may occur in neurosurgical or neurologic patients. Quick and easy reference for understanding problems in neuroanesthesia Provides comprehensive insights into all possible complications occurring during perioperative management of neurosurgical and neurologic patients Includes useful section with clinical case studies of complications in neuroanesthesia


Handbook of Trigeminal Neuralgia

Handbook of Trigeminal Neuralgia
Author: Girija Prasad Rath
Publisher:
Total Pages:
Release: 2019
Genre: Trigeminal neuralgia
ISBN: 9789811323348

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This book covers all aspects of trigeminal neuralgia (TGN) which is a common yet very painful condition of face and scalp. Chapters include historical perspective of the condition, clinical presentations, diagnosis, management strategy, drug therapy, different interventional techniques utilized, and non-invasive modalities offered. The book has ample images to explain three main percutaneous procedures carried out for this condition such as radiofrequency thermocoagulation, glycerol rhizolysis and balloon microcompression in detail. It also covers open neurosurgical procedures including microvascular decompression and certain non-conventional and non-invasive methods. This book provides assistance to pain physicians to have a comprehensive knowledge of trigeminal neuralgia. It is also relevant to neurosurgeons, neurologists, anesthesiologists, dental surgeons and resident doctors.


The Trigeminocardiac Reflex - An Example of Reflexive Heart Rhythm Change

The Trigeminocardiac Reflex - An Example of Reflexive Heart Rhythm Change
Author: Tumul Chowdhury
Publisher:
Total Pages:
Release: 2015
Genre: Medicine
ISBN:

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The trigeminocardiac reflex (TCR) is defined as the sudden onset of parasympathetic dysrhythmia, sympathetic hypotension, apnoea or gastric hyper-motility during mechanical/thermal stimulation of any of the sensory branches of the trigeminal nerve. The risk factors that are already known for increasing the prevalence of the TCR include anatomical location, hypercapnia, hypoxemia, light general anaesthesia, age (more pronounced in children), the nature of the provoking stimulus (stimulus strength and duration) and different drugs. Already different potential confounders are also identified. This discussion about risk factors has its importance because of the substantial consequences for functional outcome after intraoperative TCR occurrence. But there remains still a substantial lack of thorough understanding of the TCR, the current treatment options for patients with TCR include a mostly empirical approach: (i) risk factor identification and modification; (ii) prophylactic measures of vital signs and (iii) administration of vagolytic agents or sympathomimetics. In this context, we have now created different thinking models so that we can preoperatively plan a skull base surgery procedure safely in relation to a potential occurrence of the TCR episodes. This chapter provides an overview of this unique reflex that presents a unique interaction between heart and brain. In addition, this also illustrates the mechanism of various cardiac rhythm changes related to the TCR.


High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries

High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries
Author: Sara White
Publisher: John Wiley & Sons
Total Pages: 1014
Release: 2020-01-03
Genre: Medical
ISBN: 1118810872

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This comprehensive reference provides veterinarians with everything they need to know about performing surgeries such as spaying and neutering in busy animal shelters. It includes surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management regarding dogs, cats, rabbits, and other small mammals. With more than 550 full-color images, High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries provides spay-neuter and shelter veterinarians with information on the most current clinical techniques. Dozens of veterinary experts offer their expert advice and knowledge on perioperative care, surgery instrumentation, infectious disease control, anesthesia protocols, CPR, the fundamentals of HQHVSN, and more. Covers all aspects of common shelter surgeries, including surgical and anesthetic techniques, perioperative procedures, reproductive medicine, and program management Provides coverage of dogs, cats, rabbits, and other small mammals Written by leaders in the field with experience in surgery, medicine, spay-neuter practice, teaching, and research High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries is an excellent resource for veterinarians, veterinary technicians, and students, as well as clinic and shelter owners.


Clinical Neurophysiology

Clinical Neurophysiology
Author: Jasper R. Daube
Publisher: Oxford University Press
Total Pages: 915
Release: 2009-05-22
Genre: Medical
ISBN: 0199725144

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Clinical Neurophysiology, Third Edition will continue the tradition of the previous two volumes by providing a didactic, yet accessible, presentation of electrophysiology in three sections that is of use to both the clinician and the researcher. The first section describes the analysis of electrophysiological waveforms. Section two describes the various methods and techniques of electrophysiological testing. The third section, although short in appearance, has recommendations of symptom complexes and disease entities using electroencephalography, evoked potentials, and nerve conduction studies.


Essential Clinical Anesthesia Review

Essential Clinical Anesthesia Review
Author: Linda S. Aglio
Publisher: Cambridge University Press
Total Pages: 577
Release: 2015-01-08
Genre: Medical
ISBN: 1316062287

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This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.


Adrenaline

Adrenaline
Author: Alfred Bennun
Publisher: Nova Science Publishers
Total Pages: 0
Release: 2014
Genre: Adrenaline
ISBN: 9781633210844

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The book examines the noradrenaline-emotional psyches (brain-blood barrier) somatic-adrenaline axis. It conceptually updates research advances, diagnostic techniques and therapeutic methods. The authors enhance their discussions with clear illustrations and explicative texts written for researchers, professionals, educators and students alike, which favour its selection as an essential overview of recent medical and scientific advances, allowing the reader to have the satisfaction of finding first-rate accounts of important work. Comparative studies between immediately obtained adrenal vein samples (AVS) and 15 minutes thereafter show that the stress reactions induced by catheter manipulation had an effect on serum cortisol and aldosterone values. A transient increase in cortisol release from both adrenal glands occurs in the majority of the patients who undergo AVS. This stress reaction can influence the assessment of both the selectivity of the catheterisation during the sequential AVS technique and the lateralisation of aldosteronoma bearing gland. The separation of noradrenaline (NA) at brain and adrenaline at blood functions as a homeostatic lame axis by the blood-brain barrier blocking adrenaline feedback in hypothalamic-pituitary-adrenal (HTPA). This leads to postulate an evolution adaptation for the brain dominance over body, which allows a psychoanalytic treatment to function to signal turn-off and return to circadian homeostasis. Decreased glucose could stress the HTPA axis and leads to decreasing metabolites and releasing Mg2+ for integration of the brain-tissue network. Mg2+ changes adenylyl cyclase (AC) from a Ca2+-AC complex to an Mg2+-AC form with responsiveness to NA for short-term memory. The cAMP generated has been postulated for consolidation of long-term memory.