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  • ISSN: 2333-6641
    Volume 5, Issue 3
    Short communication
    Rakhee Goyal*
    Epidural analgesia is now being routinely used for thoracic and abdominal surgeries in children including neonates. Continuous infusion can be given through an epidural catheter placed in lumbar or thoracic epidural space.
    Recently, we encountered a rare complication of catheter knotting during removal of an epidural catheter (EC) in a newborn. We report this case and review some paediatric ECs available in the market in order to understand why knotting happens and what can be done to prevent it.
    Abhijit S. Nair*
    Dexmedetomidine is a very commonly used sedative agent for procedural sedation, as a part of balanced anaesthesia and in intensive care units for to facilitate mechanical ventilation or for sedation [1].
    Perspective
    Taormina D and Berry B*
    Improving handoffs among healthcare professionals has been identified as an important element to enhance patient safety as well as a key factor that now impacts Medicare reimbursement [1,2]. Furthermore, the Joint Commission announced the handoff as a National Patient Safety Goal (NPSG) and has required health care providers to develop a standardized approach to the handoff process [3]. A component of the handoff process is situational awareness to avoid preventable adverse events. According to the Agency of Healthcare Research and Quality (AHRQ), handoffs and transitions of care remain highly fragmented in the United States health care industry [3]. Immediately preceding the handoff is often the procedure of patient transport in which a patient travels from one area of the hospital to another area of the hospital. Knight et al., depicted that intra hospital transportation correlates with substantial complications which impact patient safety [4]. Appropriate patient monitoring, including capnograpy monitoring, could facilitate increased awareness during the patient transport and handoff process.
    Editorial
    Antonella Carsana*
    Statins (3-hydroxy-3-methylglutaryl coenzyme-A or HMG Co-A reductase inhibitors) are a very established class of drugs for the treatment of hypercholesterolemia. However, 10%-15% of patients report statin-induced miopathy (SIM) [1];
    Review Article
    Olga Gonzalez-Castro and Ana Arias*
    Local anesthetic injection remains as one of the most anxiety-provoking aspects for both children and adult patients in dentistry, although anesthesia infiltration is needed for almost all dental procedures. Computerized anesthetic injection has been suggested as an alternative to classic dental anesthesia. This review set out to describe current available devices for a controlled flow of dental anesthesia solution to reduce pain and anxiety during its administration and address the supported evidence. Although few studies analyze the topic in detail so far, computer-controlled anesthetic delivery seemed to be statistically superior to traditional dental injections in terms of patient comfort. The use of computer controlled anesthetic may be considered a strategy to reduce patient´s fear and create a positive attitude towards dental treatment in the future. More randomized clinical trials are needed to draw more precise conclusions.
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