1/2. Closure of wounds in the upper extremity using a skin stretching device.A skin stretching device (SSD) harnessing the viscoelastic properties of skin using incremental traction has been used in 20 patients with skin deficits in the upper extremity. Complications were few considering the extensive damage to the skin and included slight partial dehiscence, necrosis of skin edges, local infection and hypertrophic scars. All wounds healed without the need for further surgical procedures. Application of the SSD is simple and it can even be used at the bedside under local anaesthesia. It reduces the need for more complicated surgical procedures like grafts or flaps.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/2. Clinics in diagnostic imaging (12). Iatrogenic pneumothorax.A 28-year-old Chinese man was resuscitated following fractures to his left humerus and pelvis. Multiple attempts at internal jugular central venous catheterisation resulted in an undetected pneumothorax, which became clinically apparent during induction of general anaesthesia. The pneumothorax was treated promptly and the patient made a successful recovery post-surgery. The mechanisms, causes, clinical and radiological features of pneumothorax are discussed, with emphasis on anesthetically-related iatrogenic pneumothorax.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |