Larkin Community Hospital’s Post

Understanding the Appendix and Its Conditions: Insights from Renowned Surgeon Dr. Karan R. Rawat in Agra Introduction: The human appendix, a small organ attached to the large intestine, has long been a subject of curiosity and debate within the medical community. Dr. Karan R. Rawat, a distinguished surgeon in Agra, brings his expertise to shed light on the appendix and its associated conditions. The Appendix's Role: While the exact function of the appendix remains a topic of research, it is believed to play a role in immune system function, aiding in the maintenance of gut health. Despite its potential role, individuals can lead healthy lives without their appendix, as it is considered a vestigial organ. Appendicitis: Appendicitis, the inflammation of the appendix, is a common condition that often requires surgical intervention. Dr. Karan R. Rawat emphasizes the importance of recognizing early symptoms such as abdominal pain, nausea, and fever. Timely diagnosis and surgical removal of the inflamed appendix are crucial to prevent complications like rupture, which can lead to severe infection. Appendectomy Procedure: As a seasoned surgeon in Agra, Dr. Karan R. Rawat has performed numerous appendectomies, the surgical procedure to remove the inflamed appendix. The surgery is typically minimally invasive, involving small incisions and the use of a laparoscope for visualization. This approach allows for quicker recovery and reduced postoperative discomfort. Complications and Considerations: Dr. Rawat highlights the significance of addressing appendicitis promptly to avoid potential complications. Delayed treatment may lead to the rupture of the appendix, resulting in peritonitis—a serious infection of the abdominal cavity. Therefore, individuals experiencing symptoms suggestive of appendicitis should seek immediate medical attention. Appendix Conditions Beyond Appendicitis: While appendicitis is the most well-known condition associated with the appendix, Dr. Karan R. Rawat emphasizes that other issues can affect this organ. These include tumors, cysts, and infections. Regular medical check-ups and prompt evaluation of any abdominal discomfort are essential for early detection and appropriate management. Preventive Measures: Although the precise cause of appendicitis remains unclear, Dr. Karan R. Rawat advises maintaining a healthy lifestyle to potentially reduce the risk. Adequate fiber intake, staying hydrated, and regular exercise are habits that contribute to overall gut health. Conclusion: Dr. Karan R. Rawat, a respected surgeon in Agra, provides valuable insights into the appendix and its conditions. Through his expertise, he encourages individuals to be vigilant about symptoms, seek timely medical attention, and embrace a healthy lifestyle to safeguard their abdominal health. As the medical field continues to advance, understanding the appendix's intricacies remains crucial for optimal patient care

Percutaneous interventions are performed via vascular access with femoral access being widely used, and it is particularly needed for high-risk procedures requiring large-bore sheaths , ,Postprocedural hemostasis of femoral access site is usually achieved either by manual compression or, increasingly, by the use of vascular closure devices. Though rare, percutaneous arteriotomy for PCP can lead to serious access site complications (ASC), the most common of which are , hematomas, arteriovenous fistulas (AVF), dissections and vascular closure device related local stenoses or occlusions and pseudoaneurysms (PSA). Here , we got patient who underwent high PCI through femoral access successfully after which he became shocked with significant Hb drop , Duplex US showed larged pseudo aneurysm connecting the femoral artery with the specific Yin-Yang sign demonstrating the Tro and Fro flow through the PA. Pseudoaneurysm is the most common femoral access complication following angiography; incidence ranges from 0.2% to 8%. Risk factors include antiplatelet agents, anticoagulants, larger sheath size, puncture site below common femoral artery, and emergency procedures. Patient risk factors include platelet count below 200,000 cells/mm3, obesity, female sex, hypertension, arterial calcification, and age >75 years. Management options include vascular surgery, ultrasound-guided compression, ultrasound-guided thrombin injection. For small, stable pseudoaneurysms (<2 cm), observation with weekly duplex ultrasound until thrombosis occurs is appropriate. Anticoagulation should be held; patients should avoid lifting or bending. More aggressive treatment should be considered if a pseudoaneurysm is >2 cm, has a short (<4 mm) neck width, is enlarging, is associated with significant pain, or occurs within 7 days of femoral access, or if continued anticoagulation is required Here's a case we encountered significant Hb drop with hemodynamic instability, US guided compression was done for 40 minutes under local anaesthesia followed by complete sealing of the PA successfully and follow up after 24 hours shows total thrombosis of the PA. The patient lies flat for 2-4 hours following compression. Repeat duplex ultrasound should be performed in 24-48 hours to verify that the pseudoaneurysm has not reopened. The success rate is 63-88% , Ultrasound-guided thrombin injection is currently preferred to ultrasound-guided compression in most practices.

📢 Attention Patients Treated for Urethral Stricture Disease! 📢 Are you one of the brave individuals who've undergone endoscopic treatment for urethral stricture disease? It's time to shed some light on what to expect during your follow-up journey post-surgery. Let's ensure you're well-prepared and empowered every step of the way! 💪👨⚕️ Follow-Up Protocol After Endoscopic Treatment: Regular Follow-Up Appointments: Your healthcare provider will schedule regular follow-up appointments to monitor your progress and assess the effectiveness of the treatment. These appointments are crucial for ensuring optimal healing and addressing any concerns that may arise. Uroflowmetry/Urodynamic Studies: You may undergo uroflowmetry or urodynamic studies during follow-up visits to evaluate urinary flow and bladder function. These tests help determine the success of the treatment and identify any lingering issues that need attention. Catheter Care and Removal: If a catheter was inserted during the procedure, your healthcare provider will provide guidance on catheter care and schedule its removal at the appropriate time. Following catheter removal, you may experience some discomfort or urinary symptoms temporarily, which is normal and should improve over time. Symptom Monitoring: Pay close attention to any changes in urinary symptoms following the procedure, such as difficulty urinating, increased frequency, or blood in the urine. Notify your healthcare provider promptly if you experience any concerning symptoms. Lifestyle Modifications: Your healthcare provider may recommend certain lifestyle modifications to support your recovery and prevent recurrence of urethral stricture. This may include staying hydrated, avoiding activities that put pressure on the pelvic area, and practicing good urinary habits. What to Expect After Surgery: Improved Urinary Flow: You should notice a significant improvement in urinary flow and a reduction in urinary symptoms following endoscopic treatment. This is a positive sign that the procedure has been successful in alleviating urethral stricture. Gradual Recovery: It's important to understand that recovery from endoscopic treatment may take time. Be patient with yourself and allow your body to heal at its own pace. Follow your healthcare provider's instructions diligently to support the healing process. Open Communication: Keep the lines of communication open with your healthcare provider throughout the follow-up period. Don't hesitate to ask questions or raise any concerns you may have. Your healthcare team is here to support you every step of the way. Remember, you're not alone on this journey. By staying informed, proactive, and engaged in your healthcare, you can navigate the follow-up protocol with confidence and peace of mind. Together, we'll ensure your continued well-being and success in overcoming urethral stricture disease! 🌟💼 #UrethralStrictureAwareness #FollowUpProtocol #PatientEmpowerment #recoveryjourney

Safe and Effective Home Remedies for Enlarged Adenoids Natural treatment for adenoids is safe and sometimes even more effective than traditional surgery. If your child is suffering from adenoids, it can be very uncomfortable. It isn’t a dangerous condition, but it can lead to complications after some time. It’s a fairly common condition, and many people resort to conventional treatments and drugs for treatment. However, many parents have become uncomfortable with allopathic medications and treatments due to the risk of side effects. If you’re one of them, you might want to opt for a natural adenoid treatment. They can provide the same results without any adverse effects. Read more: https://lnkd.in/dDWfMBa #traditionalandalternativemedicine

Sciatic Nerve Block Introduction, Indications, Contraindications, Complications, Clinical Significance The sciatic nerve supplies the vast majority of motor and sensory function to the lower limb. Regional anesthetic blockade of the sciatic nerve can be approached from multiple locations, and ultrasound guidance has become the standard of practice. Indications Sciatic nerve blockade is indicated whenever analgesia or anesthesia of the lower extremity is appropriate. This can range from surgical or nonsurgical procedures to acute or chronic pain relief therapies. Depending on the exact location of the lower extremity coverage required, a sciatic nerve block may need to be combined with blockade of nerves originating from the lumbar plexus to achieve the desired result. Contraindications Sciatic nerve blockade is absolutely contraindicated in two situations: active area of infection where needle puncture will occur and the refusal of a competent patient to undergo the procedure. Other contraindications are relative and include alteration of normal coagulation mechanisms, systemic sepsis or isolated infection, and documented neurological disease or deficit. Before performing a regional anesthetic on these patients, careful consideration must be given to the expected benefit of the block, the potential of a complication occurring, and the expected degree of injury from such a complication. Complications Potential complications related to sciatic nerve blocks include infection at the injection site, bleeding, nerve injury, and local anesthetic toxicity. Fortunately, all of these are rare, but simple precautions can minimize these occurrences if followed regularly. All nerve blocks should be performed under sterile technique to minimize the chance of infection at the injection site. Direct ultrasound visualization of the needle, nerve, and any nearby vascular structures minimizes the chance of nerve injury, local anesthetic toxicity, and accidental puncture of a blood vessel. Frequent negative aspiration during injection of local anesthetic, even when ultrasound visualization is utilized, is recommended. Clinical Significance The sciatic nerve originates from the sacral plexus (L4-S3) and provides most of the motor and sensory innervation to the leg. The long course of the sciatic nerve, from the sciatic notch in the gluteal region to the popliteal fossa, allows for multiple possible sites for an anesthetic blockade. Positioning is an important consideration in sciatic nerve block, with sacral plexus and transgluteal approaches not available in the supine position. The only approach that routinely uses the supine position is the anterior sciatic approach, although both the popliteal and subgluteal approaches can be performed in the supine position also. Consideration must be given to factors such as tourniquet placement, site of surgery, availability of access, and postoperative motor impairment when choosing a sciatic nerve block approach.

WHAT IS XARELTO 20MG TABLET https://lnkd.in/eCSEzenR XARELTO 20MG TABLET contains Rivaroxaban, which belongs to the group of medicines called Antithrombotic agents. It is used to treat deep vein thrombosis (DVT), pulmonary embolism (PE), and venous thromboembolism (VTE). It is also used to reduce the risk of stroke, systemic embolism in nonvalvular atrial fibrillation, recurrence of DVT or PE, major cardiovascular events in patients with coronary artery disease (CAD), and major thrombotic vascular events in patients with peripheral artery disease (PAD). Venous thromboembolism is a condition that occurs due to clot formation in the venous circulation. It can also be used for THE prevention of DVT in patients undergoing knee or hip replacement surgery, VTE in acutely ill medical patients, and thrombosis in children (older than 2 years) with congenital heart disease post the Fontan procedure. Before taking XARELTO 20MG TABLET, inform your doctor if you have any liver, kidney, or bleeding problems or antiphospholipid syndrome. XARELTO 20MG TABLET is not recommended for use in pregnant or breast-feeding women, so consult your doctor before taking it. XARELTO 20MG TABLET is not studied and is not recommended in children less than 6 months of age who were less than 37 weeks of growth at birth, had less than 10 days of oral feeding, or weigh less than 2.6 kg. XARELTO 20MG TABLET should be used with caution in elderly patients (65 years or older). Consult your doctor before taking it. The most common side effects of taking XARELTO 20MG TABLET are bleeding, pain and swelling in the limbs, fever, stomach pain, indigestion, nausea, vomiting, constipation, diarrhea, low blood pressure (feeling dizzy or fainting when standing up), weakness, tiredness, headache, dizziness, rash, and itchy skin. Contact your doctor if any of your symptoms worsen. USES OF XARELTO 20MG TABLET It is used: Treats deep vein thrombosis (DVT), pulmonary embolism (PE), venous thromboembolism (VTE) Reduces the risk of stroke, systemic embolism in nonvalvular atrial fibrillation, recurrence of DVT or PE, major cardiovascular events in patients with coronary artery disease (CAD), and major thrombotic vascular conditions in patients with peripheral artery disease (PAD) Prevention of DVT in patients undergoing knee or hip replacement surgery, VTE in acutely ill medical patients, and thrombosis in children (2 years and older) with congenital heart disease post the Fontan procedure HOW XARELTO 20MG TABLET WORKS XARELTO 20MG TABLET works by competitively inhibiting factor Xa (a clotting factor) and preventing the progression of the coagulation cascade through the final common pathway, thus preventing thrombin generation.

🔴 Perioperative hypothermia in dogs and cats Perioperative Hypothermia is hypothermia under anesthesia. Perioperative hypothermia is a common complication of surgery and can lead to serious, negative patient outcomes. It is subclassified as : mild (98°F to 99.9°F), moderate (96°F to 98°F), severe (92°F to 96°F), and critical (below 92°F) 🔴 Causes: 1) Anesthesia-induced vasodilation: Anaesthetic drugs can cause blood vessels to dilate, leading to heat loss from the body's core to the periphery. 2) Exposure to cold environments: Operating rooms are typically kept cool for the comfort of surgical staff, but this can lead to heat loss in patients. 3) Reduced heat production: Anesthesia can depress the body's ability to regulate temperature and generate heat through processes like shivering. 4) Shaved fur: Preparing the surgical site often involves shaving fur, which reduces the body's natural insulation and increases heat loss. 5) Cool intravenous or irrigation fluids increase heat loss. 🔴 Adverse Outcomes: 1) Delayed recovery: Hypothermia can slow down metabolism and impair organ function, leading to prolonged recovery times. 2) Impaired wound healing: Cold temperatures can reduce blood flow to tissues, compromising their ability to heal properly. 3) Increased risk of infection: Hypothermia weakens the immune system, making patients more susceptible to infections. 4) Morbid Cardiac Events: Thermoregulatory responses effect cold stress on the cardiovascular system 5) Blood Loss: Platelet function & coagulation cascade are impaired 6) Increase Cost of Care 🔴 Prevention and Management: Active warming is required to prevent perioperative hypothermia. Peripheral tissues are heated, decreasing the temperature gradient between the core and periphery. 1) Increasing the room temperature in the OR 2) Heated cotton blankets 3) Circulating water mattress 4) Heating intra-abdominal CO2 during laparoscopy 5) Forced-air warming 6) Radiant warming 🔴 Special Considerations: Pediatric and geriatric patients are particularly susceptible to hypothermia due to their decreased ability to regulate body temperature. Certain breeds, such as those with thin fur or low body fat, may be more prone to hypothermia. Prolonged surgical procedures increase the risk of hypothermia, so extra precautions should be taken in these cases.

Safe and Effective Home Remedies for Enlarged Adenoids Natural treatment for adenoids is safe and sometimes even more effective than traditional surgery. If your child is suffering from adenoids, it can be very uncomfortable. It isn't a dangerous condition, but it can lead to complications after some time. It's a fairly common condition, and many people resort to conventional treatments and drugs for treatment. However, many parents have become uncomfortable with allopathic medications and treatments due to the risk of side effects. If you're one of them, you might want to opt for a natural adenoid treatment. They can provide the same results without any adverse effects. Read more: https://lnkd.in/dDWfMBa

Article about abdominal paracentesis... Historically, paracentesis under ultrasonographic guidance has been used for hospital palliative care. However, some patients may have difficulty reaching the hospital. Home-based palliative paracentesis (HBPP) is a safe, effective, and convenient option for such patients. This was reported by Ota et al. in a case series of patients with ascites.[16] Home-based abdominal paracentesis in refractory congestive heart failure (CHF) cases is a better alternative to periodic percutaneous paracentesis. A study by Kunin et al demonstrated that it improved symptoms in patients on peritoneal dialysis without needing peritoneal exchanges for fluid. Before beginning the procedure, ensure the patient's urinary bladder is empty. Prepare and drape the patient in a sterile fashion. Cleanse the skin with an antiseptic solution. Administer local anesthesia to the skin and soft tissue (down to the peritoneum) at the planned needle or catheter insertion site. Use a 25-gauge needle and the 5 ml syringe to raise a small skin wheal with lidocaine around the skin entry site. Insert the needle or IV catheter attached to a syringe or the prepackaged catheter directly perpendicular to the skin or use the z-track method, which is thought to decrease the chance of fluid leakage after the procedure. This method entails puncturing and pulling the skin caudally before advancing the needle through the soft tissue and peritoneum. If using a catheter kit, making a small nick in the skin using an 11-blade scalpel is recommended to advance the catheter through the skin and soft tissue smoothly. Apply negative pressure to the syringe during needle or catheter insertion until a loss of resistance is felt and a steady flow of ascitic fluid is obtained. This is paramount to detect unwanted entry into a vessel or other structure rapidly. Advance the catheter over the needle into the peritoneal cavity. After collecting sufficient fluid in the syringe for fluid analysis, either remove the needle if performing a diagnostic tap or connect the collecting tubing to it or the catheter's stopcock to drain larger volumes of fluid into a vacuum container, plastic canister, or drainage bag. After draining the desired amount of fluid, remove the catheter and hold pressure to stop bleeding from the insertion site. Kelil et al. reported that wall suction and plastic canisters for drainage and collection of fluid during therapeutic paracentesis were safe alternatives to evacuated glass bottles. They also reduced per-procedure costs. #snsinstitutions #snsdesignthinkers #designthinking

🔍🩹 Post-Surgery Tip Alert! 🚨 An infected surgical incision is something both patients and caregivers need to be vigilant about after surgery. At Beaumont Emergency Hospital, we understand the importance of recognizing the early signs of infection to prevent complications and ensure a smooth recovery. Our latest article delves into everything you need to know, from spotting the signs of an infected surgical incision to understanding its causes and how to take timely action. From redness, swelling, and pain at the site to fever and unusual drainage - being aware could make all the difference. Don’t let an infection stand in the way of your healing. Click the link to learn more about how you can protect yourself and your loved ones post-surgery: https://lnkd.in/g7Jbgka3 💪💉 #PostSurgeryCare #InfectionPrevention #BeaumontEH