Daryl I. Smith
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View article: Continuous Thoracic Paravertebral Block to Treat Electrical Storm
Continuous Thoracic Paravertebral Block to Treat Electrical Storm Open
Continuous ganglion block is increasingly being used to help manage ventricular tachyarrhythmias. We present the cases of 2 patients in whom we used continuous left thoracic paravertebral block to achieve sympathetic denervation and improv…
View article: Cannabis and College Students in British Columbia: Attitudes, Patterns of Consumption and Perception of Harm
Cannabis and College Students in British Columbia: Attitudes, Patterns of Consumption and Perception of Harm Open
Recreational use of cannabis in Canada has recently been legalized. Previous studies indicate long-term neurocognitive and cognitive sensitivity of the adolescent brain to cannabis. The present study investigates cannabis consumption among…
View article: Cannabis Use and Baby Boomers: Attitudes and Patterns of Consumption
Cannabis Use and Baby Boomers: Attitudes and Patterns of Consumption Open
Cannabis consumption, already legal in several American states and other jurisdictions around the world, became legal in Canada in October 2018. The present study examines the patterns of cannabis use in Canada among those born between 194…
View article: <p>Non-inferiority trial of a pedal controlled injection device: a step toward enhancing patient safety and operator independence during neural blockade</p>
Non-inferiority trial of a pedal controlled injection device: a step toward enhancing patient safety and operator independence during neural blockade Open
This confirmation indicates that the use of this device may be feasible when the use of another technique could be cumbersome, or otherwise untenable.
View article: Hemodynamic Considerations in the Pathophysiology of Peripheral Neuropathy
Hemodynamic Considerations in the Pathophysiology of Peripheral Neuropathy Open
Peripheral neuropathic pain presents one of the greatest on going challenges to both acute and chronic pain management yet our understanding of the origins and pathogenesis of this complex disease state are severely lacking. The purpose of…
View article: Hemodynamic Considerations in the Pathophysiology of Diabetic Peripheral Neuropathy
Hemodynamic Considerations in the Pathophysiology of Diabetic Peripheral Neuropathy Open
The problem we encounter as practitioners who must manage the care of patients suffering from DPN and, more specifically, the debilitating pain that results from DPN is that the categorical treatments available for the management of this m…
View article: Delay in Diagnosis of Vertebrobasilar Insufficiency: The Masking Effect of Headache and Coexisting Pain Syndromes
Delay in Diagnosis of Vertebrobasilar Insufficiency: The Masking Effect of Headache and Coexisting Pain Syndromes Open
Headaches of vascular and other origins can develop in the midst of work-ups for benign, long-standing pain conditions. The initial attribution of these headaches to benign conditions in the early evaluative process, especially when non-li…
View article: Comparison of single-injection ultrasound-guided approach versus multilevel landmark-based approach for thoracic paravertebral blockade for breast tumor resection: a retrospective analysis at a tertiary care teaching institution
Comparison of single-injection ultrasound-guided approach versus multilevel landmark-based approach for thoracic paravertebral blockade for breast tumor resection: a retrospective analysis at a tertiary care teaching institution Open
This study compared the ALG approach with the USG approach for patients undergoing mastectomy for breast cancer. Based on our observations, an attending physician is more likely to take over an ALG injection, and more local anesthetic is a…
View article: Sympathetic Blockade for Dysrhythmia Management in Heart Failure: Rationale and Therapeutic Progression to Intervention
Sympathetic Blockade for Dysrhythmia Management in Heart Failure: Rationale and Therapeutic Progression to Intervention Open
Continuous ganglionic blockade is being used increasingly to help manage ventricular tachydysrhythmias. The purpose of this chapter is to discuss the physiologic and anatomic basis of ventricular tachydysrhythmias in detail that are mediat…
View article: Hemodynamic instability and Horner’s syndrome following a labour lumbar neuraxial block: A warning sign of a potentially lethal event?
Hemodynamic instability and Horner’s syndrome following a labour lumbar neuraxial block: A warning sign of a potentially lethal event? Open
The development of Horner’s syndrome during routine neuraxial anaesthesia suggests anatomic, technical or physiologic variance. Even more importantly, it warrants immediate cessation of the anaesthetic intervention.
View article: Epidural Catheter Migration in a Patient with Severe Spinal Stenosis
Epidural Catheter Migration in a Patient with Severe Spinal Stenosis Open
Establishment of appropriate neuraxial catheter positioning is typically a straightforward procedural undertaking. It can, however, lead to deception of even the most experienced clinician and occur despite the most meticulous attention to…