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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
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Related Experiment Video

Updated: May 25, 2025

Real-Time Monitoring and Modulation of Blood Pressure in a Rabbit Model of Ischemic Stroke
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Peripheral Intravenous (IV) cannulation should be avoided in the stroke affected upper limb.

A Hussain, B Grewal, R Singh

    Irish Medical Journal
    |February 26, 2025
    PubMed
    Summary

    Peripheral Intravenous (IV) cannulation is vital for stroke patient care but poses risks. Specific guidelines are needed for cannulation in the stroke-affected upper limb to prevent complications and aid rehabilitation.

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    Area of Science:

    • Neurology
    • Clinical Medicine
    • Medical Procedures

    Background:

    • Peripheral Intravenous (IV) cannulation is a standard procedure for stroke patients, essential for critical care phases.
    • IV access facilitates treatments, investigations, and management of secondary risks and complications in stroke patients.
    • Standard IV cannulation can lead to complications like infection, thrombosis, and pain.

    Purpose of the Study:

    • To explore the challenges and risks associated with IV cannulation in the stroke-affected upper limb.
    • To highlight the absence of specific guidelines for this patient population.
    • To advocate for careful consideration and alternative strategies to mitigate risks.

    Main Methods:

    • Literature review on IV cannulation practices in stroke patients.
    • Analysis of potential complications in stroke survivors with motor and sensory impairments.
    • Exploration of existing guidelines and their applicability to stroke patients.

    Main Results:

    • IV cannulation in stroke patients, particularly in the affected upper limb, presents unique challenges.
    • Existing protocols may not adequately address the specific needs and risks in stroke survivors.
    • Complications from IV cannulation can negatively impact rehabilitation and increase injury risk.

    Conclusions:

    • There is a critical need for specific guidelines for peripheral IV cannulation in the stroke-affected upper limb.
    • Alternative cannulation sites and techniques should be considered to minimize risks.
    • Implementing tailored strategies is essential for safe and effective stroke patient management.