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Watch as neurosurgeon Dr. Shawn Hervey-Jumper performs awake brain surgery on a 31-year-old woman with a brain tumor at UCSF Health.
Learn more here: https://magazine.ucsf.edu/awak....e-brain-cancer-surge
Although it demands an advanced set of skills that remain substantially hard to do, many of the salient steps of “open” surgery, including suturing, are credibly “replicated” in its laparoscopic counterpart with the intention of achieving similar optimal results. This video demonstrates how to tie Laparoscopic Roeder's Knot. Laparoscopic Roeder's Knot is one of the oldest knots used in laparoscopic surgery. It is used most commonly during laparoscopic appendectomy surgery. Recent literature, though abundant with numerous reports pertaining to a variety of endoscopic knotting techniques and technologies, appears to lack scientific data but Roeder's knot is a time tasted extracorporeal slip knot that is secure for 6-8 mm diameter tubular structure.
For more information please contact:
World Laparoscopy Hospital
Cyber City, Gurugram, NCR DELHI
INDIA 122002
Phone & WhatsApp: +919811416838, + 91 9999677788
What is hemodialysis and how does it work? Who needs it? How do you prepare for it? In the United States, over 30 million Americans have kidney disease, and sometimes, kidney disease progresses to kidney failure or end-stage renal disease. When this happens, you cannot survive unless you have a kidney transplant or some form of dialysis. So today we're going to talk about hemodialysis.
Your kidneys are the two kidney bean-shaped organs that are located in your lower back, or in your flanks. And the kidneys are responsible for filtering out or cleaning your blood. They get rid of excess waste, excess toxins, and excess fluids. If your kidneys stop functioning, then you develop renal failure or end-stage renal disease.
What is Hemodialysis?
Hemodialysis, or blood dialysis, is the filtering of your blood outside of your body. So, if your kidneys stop working properly, the hemodialysis acts as a substitute kidney. Now it's important to note that hemodialysis does not actually correct your own kidney function. It does not fix or treat your kidneys.
#hemodialysis #drfrita
What is The Dialyzer?
The dialyzer is actually the filter. It's the main powerhouse of the hemodialysis system, and it is what actually acts as the substitute kidney. In the dialyzer, you have these hollow fibers that run through it, and these fibers are bathed in something called dialysates, or dialysis fluid.
How Often Are Patients Treated With Hemodialysis?
Most patients who are on hemodialysis are on it between three and six hours, about three days a week, especially if they go to a center.
How Does Hemodialysis Work?
So when you are on dialysis, how does your blood get from your body to the hemodialysis machine and then back to your body? Well, it does so through tubes, and those tubes are connected to your access, and we'll talk about access in just a moment. But as far as the tubing, the tubing is connected to your body.
Types Of Hemodialysis Access
Arteriovenous Fistula or AV Fistula
The AV fistula is the gold standard as far as hemodialysis access is concerned because it gives you the most efficient hemodialysis and it is the least likely to be infected.
Arteriovenous Graft or AV Graft
The AV graft is very similar to the AV fistula in that you still have a surgically connected artery and a vein, usually in the arm, but in the case where if you have veins that are rather thin or arteries that are thin and maybe too weak in order to really give you a properly functioning, substantial AV fistula, then the vascular surgeon may opt to add an artificial material in order to make that shunt a little stronger, or little more durable. And so, an AV graft is another option for dialysis access.
Catheter
If you're in a situation where you need temporary dialysis, or if you have acute kidney injury, then you may have a temporary Vascath placed, and it's usually placed in a vein of the neck, the internal jugular vein, or it can be placed in the groin, or in the femoral vein.
Who Needs Hemodialysis Treatment?
How do you know if you need hemodialysis, and when is it time to prepare? Well, if you follow up with your kidney doctor (nephrologist) regularly, he or she will be watching your labs. They'll be able to see those signs of your kidneys not functioning properly.
Dialysis lecture 1. Dialysis Study: EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis https://amzn.eu/d/35Ui1kT
2. Dialysis Study : Q & A: MCQs, Fill in the blanks, True or False https://amzn.eu/d/gGn8u73
1. Dialysis Study :EXPERT NOTES for DHA, Bonent, CHT, B.Sc in Dialysis, Diploma in Dialysis, Naseha Helal.
https://play.google.com/store/....books/details?id=D_7
2. Dialysis Study: Q & A MCQ https://play.google.com/store/....books/details?id=T_3
Whatsapp
https://chat.whatsapp.com/DKCHbgsNwXS1wd7xI31tpr
Telegram
https://t.me/dialysislife PRINCIPLE OF dialysis
https://youtu.be/cfOm0aFmbe8
Dialysis machine alarms
https://youtu.be/-1A1INyDEOg
DDS dialysis disequilibrium syndrome
https://youtu.be/8AqVFiBOkIc
Peritoneal Dialysis
https://youtu.be/iHPPadGmsv0
Itching
https://youtu.be/T83Wm3HHU4M
What is CRRT
https://youtu.be/jPgFnoSEBMU
LVH
https://youtu.be/ZhFL3Z6LHeA
Sorbent dialysis
https://youtu.be/-rie5dC_FkY
RO Water
https://youtu.be/3jlEsK4Lg_I
Carbon filter RO water
https://youtu.be/mJrgtjNafQw
Hemoperfusion
https://youtu.be/UkbBm8rm9Ww
AV fistula or Dialysis fistula
https://youtu.be/uDbyfqCkCbo
Dialysis MCQ
https://youtu.be/zmOj0BL6jVY
AVF cannulation
https://youtu.be/PyqMcHA07zY
Complications of AV fistula
https://youtu.be/a_CXIvuOO_s
Blood clotting during Dialysis
https://youtu.be/9hYNepiO2o8
Muscle crapms
https://youtu.be/09s07Eiqr2k
Hepatitis C
https://youtu.be/qdNj_GhmnSE
Dialysis procedure
https://youtu.be/u1mGqXO5pzQ
Hypotension
https://youtu.be/4EVPmWTSyN8
Heparin free dialysis
https://youtu.be/rFqAn7HcWwM
Plasmapheresis
https://youtu.be/kbgsjjs9krg
Isolated ultrafiltration
https://youtu.be/xp5I5--uWb0
High flux dialyzer
https://youtu.be/gCNsErn1HHM
Urea and Creatinine
https://youtu.be/Id9AIySMQ6c
Practical RO water demo
https://youtu.be/2pXKGMDNS84
Sodium profiling
https://youtu.be/bE_DcBXNB5g
Peritoneal Dialysis
https://youtu.be/vtK6VZsi8AY
Air embolism
https://youtu.be/WJE-xqnQfd8
Dialysate
https://youtu.be/z_nb43bcWsM
How to stop Bleed from fistula
https://youtu.be/N_inLKPhPUc
Dialysis short form
https://youtu.be/3BqB-gODb5o
Dialyzer reprocessing
https://youtu.be/XelfkKsndlc
Dialysis catheter
https://youtu.be/V7y90m4xlv8
How to set KT/V
https://youtu.be/hWXjU8VTQdk
Mircera injection
https://youtu.be/STtd3I3EijA
Dialysis procedure
https://youtu.be/MIdhIgcKRZ8
Dialysis in snake bite poison
https://youtu.be/niA9RI38jyY
Uf profiling
https://youtu.be/wyjpFjD5Hi0
Heparin dose
https://youtu.be/kB56MkzHIQ0
Hyperkalemia
https://youtu.be/1rWWNlcAuio
Change bandages of leaking fistula
https://youtu.be/_0cebWWdjM8
AvF needle
https://youtu.be/GvUxbXxftTk
Polycystic kidney disease
https://youtu.be/IhsMbHFXZG8
Nephrotic syndrome
https://youtu.be/FEEOsIrXxV8
Diabetic nephropathy
https://youtu.be/v-FBIQ7MA4k
Hemodialysis permanent access
https://youtu.be/_YrwxwiR0f8
Sex and dialysis
https://youtu.be/vvl8UT8lK4k
Albumin and dialysis
https://youtu.be/yzG7yD45Nwg
A central venous catheter, also called a central line, is a long, thin, flexible tube used to give medicines, fluids, nutrients, or blood products over a long period of time, usually several weeks or more. A catheter is often inserted in the arm or chest through the skin into a large vein.
One thing we do know: We can live without it, without apparent consequences. Appendicitis is a medical emergency that requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity.
Leopold's Maneuvers are difficult to perform on obese women and women who have hydramnios. The palpation can sometimes be uncomfortable for the woman if care is not taken to ensure she is relaxed and adequately positioned. To aid in this, the health care provider should first ensure that the woman has recently emptied her bladder. If she has not, she may need to have a straight urinary catheter inserted to empy it if she is unable to micturate herself. The woman should lie on her back with her shoulders raised slightly on a pillow and her knees drawn up a little. Her abdomen should be uncovered, and most women appreciate it if the individual performing the maneuver warms their hands prior to palpation. First maneuver: Fundal Grip While facing the woman, palpate the woman's upper abdomen with both hands. A professional can often determine the size, consistency, shape, and mobility of the form that is felt. The fetal head is hard, firm, round, and moves independently of the trunk while the buttocks feel softer, are symmetric, and the shoulders and limbs have small bony processes; unlike the head, they move with the trunk. Second maneuver After the upper abdomen has been palpated and the form that is found is identified, the individual performing the maneuver attempts to determine the location of the fetal back. Still facing the woman, the health care provider palpates the abdomen with gentle but also deep pressure using the palm of the hands. First the right hand remains steady on one side of the abdomen while the left hand explores the right side of the woman's uterus. This is then repeated using the opposite side and hands. The fetal back will feel firm and smooth while fetal extremities (arms, legs, etc.) should feel like small irregularities and protrusions. The fetal back, once determined, should connect with the form found in the upper abdomen and also a mass in the maternal inlet, lower abdomen. Third maneuver: Pawlick's Grip In the third maneuver the health care provider attempts to determine what fetal part is lying above the inlet, or lower abdomen.[2] The individual performing the maneuver first grasps the lower portion of the abdomen just above the symphysis pubis with the thumb and fingers of the right hand. This maneuver should yield the opposite information and validate the findings of the first maneuver. If the woman enters labor, this is the part which will most likely come first in a vaginal birth. If it is the head and is not actively engaged in the birthing process, it may be gently pushed back and forth. The Pawlick's Grip, although still used by some obstetricians, is not recommended as it is more uncomfortable for the woman. Instead, a two-handed approach is favored by placing the fingers of both hands laterally on either side of the presenting part. Fourth maneuver The last maneuver requires that the health care provider face the woman's feet, as he or she will attempt to locate the fetus' brow. The fingers of both hands are moved gently down the sides of the uterus toward the pubis. The side where there is resistance to the descent of the fingers toward the pubis is greatest is where the brow is located. If the head of the fetus is well-flexed, it should be on the opposite side from the fetal back. If the fetal head is extended though, the occiput is instead felt and is located on the same side as the back. Cautions Leopold's maneuvers are intended to be performed by health care professionals, as they have received the training and instruction in how to perform them. That said, as long as care taken not to roughly or excessively disturb the fetus, there is no real reason it cannot be performed at home as an informational exercise. It is important to note that all findings are not truly diagnostic, and as such ultrasound is required to conclusively determine the fetal position.
Multiple sclerosis (MS) involves an immune-mediated process in which an abnormal response of the body’s immune system is directed against the central nervous system (CNS). The CNS is made up of the brain, spinal cord and optic nerves.
“Endo” is the Greek word for “inside” and “odont” is Greek for “tooth.” Endodontic treatment treats the inside of the tooth. Root canal treatment is one type of endodontic treatment. To understand endodontic treatment, it helps to know something about the anatomy of the tooth. Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves, and connective tissue and creates the surrounding hard tissues of the tooth during development.
Multiple sclerosis (MS) is a potentially disabling disease of the brain and spinal cord (central nervous system). In MS, the immune system attacks the protective sheath (myelin) that covers nerve fibers and causes communication problems between your brain and the rest of your body. Eventually, the disease can cause the nerves themselves to deteriorate or become permanently damaged. Signs and symptoms of MS vary widely and depend on the amount of nerve damage and which nerves are affected. Some people with severe MS may lose the ability to walk independently or at all, while others may experience long periods of remission without any new symptoms. There's no cure for multiple sclerosis. However, treatments can help speed recovery from attacks, modify the course of the disease and manage symptoms
Rhabdomyolysis is a condition in which damaged skeletal muscle (Ancient Greek: rhabdomyo-) tissue breaks down rapidly (Greek –lysis). This damage may be caused by physical (e.g. crush injury), chemical, or biological factors. Breakdown products of damaged muscle cells are released into the bloodstream; some of these, such as the protein myoglobin, are harmful to the kidney and may lead to kidney dysfunction. The severity of the symptoms (which may include muscle pains, vomiting and confusion) depends on the extent of the muscle damage, and whether kidney failure develops. The mainstay of treatment is generous intravenous fluids, but could include dialysis or hemofiltration.
Rhabdomyolysis and its complications are significant problems for those injured in disasters such as earthquakes and bombing. Relief efforts in areas struck by earthquakes often include medical teams with skills and equipment for treatment of survivors with rhabdomyolysis. The disease and its mechanisms were first fully elucidated during the Blitz of London in 1941.
Most healthy children are inattentive, hyperactive or impulsive at one time or another. It’s normal for preschoolers to have short attention spans and be unable to stick with one activity for long. Even in older children and teenagers, attention span often depends on the level of interest. The same is true of hyperactivity. Young children are naturally energetic — they often are still full of energy long after they’ve worn their parents out. In addition, some children just naturally have a higher activity level than others do. Children should never be classified as having ADHD just because they’re different from their friends or siblings. Children who have problems in school but get along well at home or with friends are likely struggling with something other than ADHD. The same is true of children who are hyperactive or inattentive at home, but whose schoolwork and friendships remain unaffected.