What's New | Decker

Improved survival of patients with congenital heart disease requires all anesthesiologists to be familiar with basic pathophysiological concepts and long term problems after repair or palliation of heart defects.
Complex congenital heart defects are nowadays often managed with staged palliations and multiple interventions in the cardiac catheterization laboratory. A thorough understanding of the physiological implications for each of these stages is important for a safe anesthetic management.
Minimal invasive surgical techniques can have major implications for patients with single ventricle physiology.
Recent advances in the treatment of pulmonary arterial hypertension and heart transplantations will increase the number of imaging studies and interventions for surveillance and therapy adjustments.

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, including migraine, although the evidence remains mixed for chronic migraine prophylaxis.
Neurostimulation has emerged as an effective treatment modality for migraine, with both noninvasive and minimally invasive options available.
Safe, effective, and noninvasive neurostimulation therapies available for migraine include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura.
Occipital nerve stimulation may be effective for some patients with intractable chronic migraine, although the evidence is mixed and procedure-related complications are common.
Noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation are emerging treatment options that may be useful for both acute and prophylactic treatment of episodic and chronic migraine.

Arthroscopy technique continues to advance, remaining the ideal method for TFCC tear diagnosis and treatment.
Novel SL ligament repair techniques are being developed (i.e., using FCR, palmaris tendons) with promising results.
Data on conservative versus surgical care for fracture-dislocation of the CMCJ is mixed, requiring further study

Disorders of water and sodium balance are among the most common in the clinical setting and require a clear understanding of osmolality.
Hyponatremia is defined as plasma sodium concentration falling below 135 mEq/L.
Acute hyponatremia has been associated with postoperative complications, oxytocin infusions, cyclophosphamide infusions, exercise, and water intoxication (eg, methylenedioxymethamphetamine).
Chronic hyponatremia can be found in hypovolemic (eg, diarrhea, diuretics, hypoaldosteronism), euvolemic (eg, SIADH, AIDS, hypothyroidism), and hypervolemic states (eg, renal failure, cirrhosis).

Disorders of water and sodium balance are among the most common in the clinical setting and require a clear understanding of osmolality.
Hyponatremia is defined as plasma sodium concentration falling below 135 mEq/L.
Acute hyponatremia has been associated with postoperative complications, oxytocin infusions, cyclophosphamide infusions, exercise, and water intoxication (eg, methylenedioxymethamphetamine).
Chronic hyponatremia can be found in hypovolemic (eg, diarrhea, diuretics, hypoaldosteronism), euvolemic (eg, SIADH, AIDS, hypothyroidism), and hypervolemic states (eg, renal failure, cirrhosis).

Disorders of water and sodium balance are among the most common in the clinical setting and require a clear understanding of osmolality.
Hyponatremia is defined as plasma sodium concentration falling below 135 mEq/L.
Acute hyponatremia has been associated with postoperative complications, oxytocin infusions, cyclophosphamide infusions, exercise, and water intoxication (eg, methylenedioxymethamphetamine).
Chronic hyponatremia can be found in hypovolemic (eg, diarrhea, diuretics, hypoaldosteronism), euvolemic (eg, SIADH, AIDS, hypothyroidism), and hypervolemic states (eg, renal failure, cirrhosis).

Disorders of water and sodium balance are among the most common in the clinical setting and require a clear understanding of osmolality.
Hyponatremia is defined as plasma sodium concentration falling below 135 mEq/L.
Acute hyponatremia has been associated with postoperative complications, oxytocin infusions, cyclophosphamide infusions, exercise, and water intoxication (eg, methylenedioxymethamphetamine).
Chronic hyponatremia can be found in hypovolemic (eg, diarrhea, diuretics, hypoaldosteronism), euvolemic (eg, SIADH, AIDS, hypothyroidism), and hypervolemic states (eg, renal failure, cirrhosis).

Disorders of water and sodium balance are among the most common in the clinical setting and require a clear understanding of osmolality.
Hyponatremia is defined as plasma sodium concentration falling below 135 mEq/L.
Acute hyponatremia has been associated with postoperative complications, oxytocin infusions, cyclophosphamide infusions, exercise, and water intoxication (eg, methylenedioxymethamphetamine).
Chronic hyponatremia can be found in hypovolemic (eg, diarrhea, diuretics, hypoaldosteronism), euvolemic (eg, SIADH, AIDS, hypothyroidism), and hypervolemic states (eg, renal failure, cirrhosis).

Pediatric Anesthesia