Intrathecal bupivacaine or levobupivacaine: Which should be used for elderly patients?

Different Stroke Scales; Which Scale or Scales Should Be Use?

Background: There has been considerable development in the clinometric of stroke. But, researcher is concerned that some scales are too generic, inherently and the insight may not be provided. The current study was conducted to determine which scale or scales should be used in stroke survivors. Methods: We selected 67 studies which published between January 2010 and December 2018 from Up to d...

Comparison of intrathecal bupivacaine, levobupivacaine for cesarean section.

BACKGROUND Some investigators found a greater incidence of hypotension in patients receiving intrathecal hyperbaric solution than in patients receiving plain solution for cesarean section. OBJECTIVE Compare the effects of intrathecal hyperbaric bupivacaine 10 mg with intrathecal bupivacaine 11 mg and intrathecal levobupivacaine 11 mg, all with 10 microg of fentanyl, for cesarean section. MA...

Which prognostic factors should be used in pulmonary arterial hypertension in elderly patients?

In recent times, the prevalence of pulmonary arterial hypertension (PAH) is more commonly seen among elderly populations. The increased prevalence of hypertension, diabetes, obesity, arterial stiffness, as well as diastolic dysfunction, may cause endothelial dysfunction and affect pulmonary vasculature. Furthermore, older patients have certain differences in clinical characteristics and outcome...

Which treatment option should be used?

Tolvaptan should be used very carefully in very elderly patients

We were very interested to read the article entitled ’The clinical utility of early use of tolvaptan in very elderly patients with acute decompensated heart failure’ by Niikura et al. (1) recently published in the Anatol J Cardiol 2017; 18: 206-12 and the editorial comment entitled 'Tolvaptan in the very elderly with acute decompensated heart failurea therapeutic option worth of consideration' ...