The Mayo Clinic Scientific Press suite of publications is now available on Oxford Medicine Online. To highlight some of the great resources, we’ve pulled together some interesting facts about anesthesia from James Hebl and Robert Lennon’s Mayo Clinic Atlas of Regional Anesthesia and Ultrasound-Guided Nerve Blockade. Get free access to the Mayo Clinic suite for a limited time with this Facebook offer (watch out, it closes today!).
(1) Egyptian pictographs dating back to 3000 BC showing a physician compressing a nerve in the antecubital fossa while an operation is being performed on the hand.
(2) William Halsted, M.D. (1852–1922; Chair, Department of Surgery, Johns Hopkins Hospital), used cocaine as local infiltration as he dissected down toward major nerve trunks. He then injected cocaine around them, performing regional blockade under direct vision.
(3) In Paris in the early 1920s, a new technique for blocking the brachial plexus from an axillary approach was introduced. M. Reding, M.D., studying the anatomy of the axilla, discovered that the nerves of the plexus surround the artery in a fascial sheath. Thus, using the artery as a landmark, Reding found that the fascial compartment could be filled with local anesthetic to result in brachial plexus blockade. Reding blocked the musculocutaneous nerve, which lay outside the sheath, by infiltrating the coracobrachialis muscle.
(4) Paresthesia technique—the long-preferred method of regional anesthesiologists—was slowly replaced during the 1980s as peripheral nerve stimulation began to emerge. During its development, peripheral nerve stimulation was thought to provide superior localization of neural structures compared with blind paresthesia-seeking techniques. Peripheral nerve stimulators transmit a small electric current through a stimulating needle that, when in proximity to neural structures, causes depolarization and muscle contraction.
(5) In contemporary medical practice, regional anesthetic techniques have expanding socioeconomic and clinical implications. For example, studies evaluating patient satisfaction have found that perioperative analgesia and the avoidance of nausea and vomiting are consistently two of the highest concerns among patients.
(6) Ultrasound guidance may represent the 21st century’s version of Halsted’s anatomical dissection down to the brachial plexus.
Mayo Clinic Atlas of Regional Anesthesia and Ultrasound-Guided Nerve Blockade by James Hebl and Robert Lennon is a practical guide for residents-in-training and clinicians to gain greater familiarity with regional anesthesia and acute pain management to the upper and lower extremity. It emphasizes the importance of a detailed knowledge of applied anatomy to safely and successfully performing regional anesthesia. It also provides and overview of the emerging field of ultrasound-guided regional anesthesia, which allows reliable identification of both normal and variant anatomy. Mayo Clinic Atlas of Regional Anesthesia and Ultrasound-Guided Nerve Blockade contains more than 200 beautifully illustrated anatomic images important to understanding and performing regional anesthesia. Corresponding ultrasound images are provided when applicable.
The Mayo Clinic Scientific Press suite of publications is now available on Oxford Medicine Online. With full-text titles from Mayo Clinic clinicians and a bank of 3,000 multiple-choice questions, Mayo Clinic Toolkit provides a single location for residents, fellows, and practicing clinicians to undertake the self-testing necessary to prepare for, and pass, the Boards and remain up-to-date. Oxford Medicine Online is an interconnected collection of over 250 online medical resources which cover every stage in a medical career, for medical students and junior doctors, to resources for senior doctors and consultants. Oxford Medicine Online has relaunched with a brand new look and feel and enhanced functionality. Our aim is to ensure that the site continues to deliver the highest quality Oxford content whilst meeting the requirements of the busy student, doctor, or health professional working in a digital world.
Subscribe to the OUPblog via email or RSS.
Subscribe to only health and medicine articles on the OUPblog via email or RSS.
The post Six facts about regional anesthesia appeared first on OUPblog.
No, that’s not an ostrich, it’s an EMU.
See, besides this crazy blog, I also belong to EMU’s Debuts, which is even nuttier because it’s run by debut kidlit authors repped by the Erin Murphy Literary Agency. (Get it? Erin MUrphy?) And we’re one bizarre bunch. (C’mon, we named our blog after an Australian flightless bird. It’s worse than vegemite, mate.)
We did something today that took a lot of NERVE for the release of Jeanne Ryan’s YA debut!
We’re playing “Truth or Dare”, video style!
Check it out because I make a complete fool of myself!
(Which, ya know, is pretty easy to do.)
I call my video “Truth or Date”.
If you can, please leave a comment (I realize that’s difficult while making the cuckoo-sign) because we’re hoping to get more comments than ANOTHER BLOG who DARED us to this challenge!
Today, I am so excited to have author Jeanne Ryan on the blog (full confession: she’s also my critique partner). Her YA thriller, NERVE(Dial), releases tomorrow, 9/13/2012. When I read the first draft of this high-tech truth-or-dare game gone very, very wrong, I told her this was going to be her first published book. After getting my very own copy in the mail last week, I can tell you that the finished book is even scarier. Please check out Jeanne’s new website and make sure to follow her on Twitter.
I’m also giving a copy of NERVE to one lucky person. Enter by Tues. Sept 18th for your chance to win through the form below. Either tell us a dare you did (for the brave), or you can enter by less scary means.
Here is the cover for NERVE:
Hi Jeanne—thanks so much for joining us today, and huge congrats on NERVE! As I’ve told you before, I think the concept of a high-tech truth-or-dare game is awesome! Where did you get the idea for this book?
From watching my teenage niece and her phone. Seeing how fluidly she moved between her “real” life and her online life with her friends, with a lot of overlap between the two, got me to thinking about a story where a lot of the excitement and danger would be delivered via phones. I wondered how far a game of Truth or Dare could go if strangers could be brought together to perform and record the dares.
Yeah, this book was a far cry from the dares of my youth, like ringing someone’s doorbell and running. How long did it take you to go from writing it to publication?
I started writing it in May, 2010. It sold in April, 2011 and is being published September, 2012. So two and a half years from start to finish.
Less than a year between starting the book and selling the book is pretty darn impressive. Was this your first book?
Nerve was my fifth manuscript. Although I decided to become a writer at age eleven, many other dreams got in the way between then and the time I started writing a manuscript that I’d actually finish. I got serious about writing in 2004, finished my first manuscript in 2006, signed with an agent in 2009 and got my first deal in 2011. That doesn’t count the years beforehand when I wrote many tortured poems, awful short stories and an unfinished novel (also awful).
It goes to show that persistence pays off, and you always need to be working on the next book. Speaking of which, can you tell us what you’re you working on now?
Two things. One is another YA thriller which is scheduled to come out with Dial in early 2014. It’s called CHARISMA and is about a terribly shy girl who turns to an experimental therapy that's supposed to make people more sociable. It does, but comes with some scary side effects.
The other thing I'm working on between revisions is an MG historical set in 1974 South Korea. It may never see the light of day in the publishing world but it’s a great way to cleanse my mental palate after working on the darker stuff.
Yay for another book deal! I love your MG historical, and definitely hope it sees the light of day…and what I’ve seen of Charisma is fantastic. Writing several things at once seems daunting. Do you have a set writing routine or schedule?
During the school year, I try to get in about four hours a day, Mon-Fri, in the morning. During school breaks and summer vacation, I grab time whenever I can.
What advice do you have for aspiring writers out there?
Keep working on the craft. The writers I’ve seen who eventually landed agents and book deals are the ones who kept producing manuscript after manuscript until they wrote the story that everyone who reviewed it knew was “the one.” (Sometimes, the author is the last to know. J) Sure, there are those lucky few who sell their first attempt, but viewing that as the norm is a good way to set yourself up for misery. I speak from experience.
That’s great advice. So why don’t you finish by sharing something weird or random with us. (It doesn't have to be writing related)
Weird or random. Hmmmm. When I was a little girl living in Honolulu, our house was rumored to have a ghost, which everyone in the neighborhood called a Kahuna. My parents had a difficult time finding babysitters, because everyone was scared. (Their reluctance could also have been due to the fact that the number of kids in my family was already at six and growing.) Anyway, my parents finally solved the babysitter problem by hiring two at a time. And they approached the Kahuna problem the way a lot of things were solved in the hippie days--by throwing a large party that involved lots of chanting and alcohol. Whatever the grown-ups did worked, because we never had any weird bumps in the night after that. And the babysitters were eventually willing to work solo.
That’s a great story. Thanks so much for joining us today and Happy Release Day (a day early!)
Don’t forget to enter below for a chance to win NERVE by Jeanne Ryan.
Today we bring you another sampler of the cool youth media and marketing gigs you can expect to find on our Ypulse Jobs Board. If your company has an open position in the youth media or marketing space, we encourage you to post there or through our... Read the rest of this post
Number 4, Library-sex will make a comeback. This is, as I’m sure you know, the good news and the bad news for many of us. [via]
The SF Chronicle has an interview with Berkeley Breathed, the guy who does the Opus cartoons, about his new children's book. While he has written children's books before, this is the first he has since becoming a parent. In Mars Needs Moms, a mom who has been kidnapped and taken to Mars takes off her own helmet to save her little boy (and is turn saved by the Martians.)
The article says in part, "Breathed's publisher of 25 years, Little, Brown, wanted him to change the story to her just getting sick for the little boy, rather than being willing to die for him. But the author refused, saying that would be "watering down the point," and left for another publisher, Philomel. Breathed knew that this element could cause trouble, but says he, his publisher and his editor were all caught off guard by a couple of what he calls "big" reviews that saw the book as anti-feminist, including the one in Publisher's Weekly that took him to task for "the backward equation of women and domesticity."
"I pricked a delicate vein that courses through our culture right now like a cholera microbe, and that's paternal and especially motherly guilt about sacrifice, and what sacrifice is permissible, and what sacrifice is appropriate for them, and how much guilt should they have when it doesn't meet other people's expectations. ... And that hits right to the present mommy wars ... in our culture."
It is interesting that in the interview he says he was struck by his own willingness to sacrifice his life for his child's, but chose to write about moms. Maybe a teensy bit of stereotyping on his part. [Full disclosure: and if you really want to get picky, how can a vein course through the culture like a cholera microbe - somebody got his metaphors mixed up.] [Fuill disclosure number two: but someone who draws Opus and did Bloom County has earned a lot of slack.]
Read more here.
So how about you? Would you change your story?
Subscribe with
JacketFlap's
Children's
Publishing
Blog Reader
Okay! I’ll be your first commenter! Hope you win the dare!
He sounds hot! And after listening to you, thinking about his dark curls, and his dark eyes, I am too….
Good luck with the dare! Be glad you didn’t get the interpretive dance (Which was amazing BTW).
Well, he was really cute. (We didn’t use “hot” back then.) But I recently found a pic of him online. SO NOT the cute boy I remember. Glad it didn’t work out and I eventually met my husband, who is MUCH CUTER.
Loved your video. If only that kid had been able to see your eyes as you talked about him, he would have been equally smitten! But sounds like you made a much better choice later on.
I don’t even know who the other blogger is that you’re up against, but hey, I hope you win. You look adorable talking to your high school crush — almost like you became your high school self for a moment there. Had to laugh at the “totally not my grandpa” comment. Har har!
Good luck, Tara! I’ve read Jeanne’s book, and these dares are much sweeter. That’s one intense book!
I’ll have to save the videos to watch at home. In the meantime, I heard that the Emu and Kangaroo are on Australia’s seal because they cannot move backwards, always forward. So good luck to the EMUs who will always move forward!
Mary, that’s great! I didn’t know that about emus, thanks!
I better leave a comment before you have to go streaking or whatever losing the dare may entail! Your videos are always amazing. You are going to be a school visit favorite.