Comentarios al artículo editorial «Managing perioperative neuromuscular block. Facial muscle monitoring may lead to faulty clinical decisions»

2012 ◽  
Vol 59 (4) ◽  
pp. 230
Author(s):  
F. Martínez Torrente
Keyword(s):  
Neuromuscular Block ◽  
Facial Muscle ◽  
Clinical Decisions

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

DNA-fragmentation and expression of apoptosis-related proteins in experimentally denervated and reinnervated rat facial muscle

1997 ◽  
Vol 23 (3) ◽  
pp. 141-149 ◽  
Author(s):  
D. S. Tews ◽  
H. H. Goebel ◽  
I. Schneider ◽  
A. Gunkel ◽  
E. Stennert ◽  
...  
Keyword(s):  
Dna Fragmentation ◽  
Facial Muscle ◽  
Related Proteins

Suxamethonium-induced prolonged neuromuscular block in a patient undergoing caesarean section. A case report

2008 ◽  
Vol 63 (1) ◽  
pp. 144-147
Author(s):  
Marzena Laskowska ◽  
Agnieszka Wrońska-Sewruk ◽  
Sławomir Sawulski ◽  
Jan Oleszczuk
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Neuromuscular Block
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