Tracking bedridden patient positions using micro-Doppler signatures

Unanticipated Profound Paralysis and Sugammadex Dosing Implications After Videoscopic Thoracic Surgery

Seminars in Cardiothoracic and Vascular Anesthesia ◽

10.1177/10892532211059885 ◽

2021 ◽

pp. 108925322110598

Author(s):

Melissa L. McKittrick ◽

Frederick W. Lombard

Keyword(s):

Thoracic Surgery ◽

Neuromuscular Blockade ◽

Neuromuscular Monitoring ◽

Operating Conditions ◽

Bedridden Patient ◽

Diaphragmatic Movement

A bedridden patient with empyema presented for thoracoscopic decortication. During the procedure, despite a post-tetanic count (PTC) of 0 via calibrated quantitative neuromuscular monitoring, persistent diaphragmatic movement impaired operating conditions, so rocuronium was re-dosed. After surgery, the patient had 0 PTC. Sugammadex was titrated to achieve baseline neuromuscular strength, monitoring the effect of each 200-mg dose. Ultimately, 1200 mg was required to achieve baseline strength. We describe monitor troubleshooting, considerations with unexpectedly deep neuromuscular blockade, the importance of routine quantitative neuromuscular monitoring, and one strategy for sugammadex reversal in patients with profound paralysis outside of the standard dosing guidelines.

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A Case Of Distribution Of Pulmonary Tuberculosis In Bedridden Patient With Quadriplegia

10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a3159 ◽

2010 ◽

Author(s):

Hun Gyu Hwang ◽

Gune Il Lim ◽

June Hyuk Lee ◽

Ho Sung Lee ◽

Jae Sung Choi ◽

...

Keyword(s):

Pulmonary Tuberculosis ◽

Bedridden Patient

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Improving Nutritional Status of Malnourished Bedridden Patient Diagnosed with Deep Vein Thrombosis and Pulmonary Embolism: A Case Study Approach

General medicine and Clinical Practice ◽

10.31579/2639-4162/001 ◽

2018 ◽

Vol 1 (1) ◽

pp. 01-04

Author(s):

Adikari AMNT

Keyword(s):

Pulmonary Embolism ◽

Deep Vein Thrombosis ◽

Nutritional Status ◽

Nutritional Management ◽

Body Protein ◽

Study Approach ◽

Vein Thrombosis ◽

The One ◽

Deep Vein ◽

Bedridden Patient

Malnutrition is common among hospitalized bed ridden patients. Nutritional management of hospitalized patients is a necessity in order to improve their nutritional status and disease conditions. The objectives of nutritional management of malnourished bedridden patient diagnosed with deep vein thrombosis and pulmonary embolism were to improve nutritional status of the patient through gradual provision of calorie and protein intake, to improve body protein status and control muscle wasting. Nutritional status was assessed by anthropometric, biochemical, clinical and dietary information. SGA was used to assess the malnutrition status of the patient. Since the patient was severely malnourished, she was fed with NG feeds followed by PEG feeds by gradually increasing calorie and protein up to the target level mainly through nutritional supplements for the one and half months of hospital stay. Patient’s serum protein, albumin levels and muscle mass were improved. According to the SGA, the patient was at normal/ well-nourished condition after nutrition management. Dietary management incorporating nutrition supplements indicated improvement of nutritional status of severely malnourished bedridden patient.

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