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Показаны сообщения с ярлыком medicine. Показать все сообщения

понедельник, 17 июля 2017 г.

Wide-awake heart surgery (Epidural anesthesia)

Wide-awake heart surgery (Epidural anesthesia)
Yulia Kravets (ragneidr) 
http://ragneidr.blogspot.com 
https://www.instagram.com/ragneidr/
Swaroup Anand, 23, from Bangalore, is fully conscious as he undergoes open-heart surgery. An epidural to the neck, administered at the city’s Wockhardt Hospital, has numbed his body. Dr Vivek Jawali pioneered the technique ten years ago and has recently released a tutorial on DVD which gives a step-by-step guide to the procedure – sorry, but you can only get a copy if you’re a surgeon or an anaesthetist. Wired doesn’t recommend you try this at home.
Open-heart surgery in seven easy steps
1. Insert an epidural catheter into the patient the day before the operation.
2. Patient to theatre. Administer a test dose of the epidural below the nape of the neck.
3. Give the patient the full dose and wait 20 minutes for all sensation from the chest to be blocked. Test by prodding the patient’s skin with a needle.
4. Open breastbone using electric saw.
5. Main surgery.
6. Close the breastbone with steel wire and close skin.
7. Transfer patient to intensive care.

четверг, 29 июня 2017 г.

Presumption of consent

Presumption of consent
Yulia Kravets (ragneidr) 
http://ragneidr.blogspot.com 
https://www.instagram.com/ragneidr/
Briefly, the main preamble is this. If death of the brain is established (which is not equivalent to the concept of biological death) then transplantologists have the right to believe that the donor a priori agrees to the removal of their organs and they are not obliged to notify relatives and close donors about this. They simply do not say anything. Naturally, if transplantologists say this is unlikely the relatives will agree. But what about saved lives thanks to surgery?
Цитата "Если коротко основная преамбула вот в чем. Если констатирована смерть мозга (что не равнозначно понятию биологическая смерть) то трансплантологи имеют право считать,что донор априори согласен на изъятие своих органов и,не обязаны извещать об этом родственников и близких донора. Попросту им ничего не говорят. Естественно если им скажут об этом врядли они согласятся (на это и расчет)."