We report a patient with severe pulmonary arterial hypertension (PAH) undergoing tibio-talo-calcaneal fusion due to Charcot joint. Despite the advancement in the management of PAH, the risks of anesthesia, surgery, and postoperative morbidity and mortality still remain high. A 46-year-old female was presented with severe PAH and end stage renal disease requiring hemodialysis three times a week....

The utilization of nerve transfer procedures in the upper extremity following brachial plexus injury, trauma, spinal cord tumors, infection or other etiologies are well established. Nerve injuries lower pose several additional challenges, including longer distance to target motor end plates, far-proximal lumbar pelvis, delayed presentation, and concomitant limb trauma. transfers have potential ...

The corona mortis is defined as the vascular connection between the obturator and external iliac systems [1]. Usually, the obturator vessels originate from the internal iliac vessels and traverse the lateral pelvic wall along with the obturator nerve. There are marked variations of these vessels in relation to their origin, course and the distance from the pubic symphysis [2]. The name “corona ...

PURPOSE The purpose of this narrative review is to summarize the evidence derived from randomized controlled trials (RCTs) regarding approaches and techniques for lower extremity nerve blocks. SOURCE Using the MEDLINE (January 1966 to April 2007) and EMBASE (January 1980 to April 2007) databases, medical subject heading (MeSH) terms "lumbosacral plexus", "femoral nerve", "obturator nerve", "s...