However, OTI is associated with hemodynamic effects that may increase the risk of aneurysm rupture prior to occlusion. 1, 2, 3 The standard of care calls for general anesthesia with Orotracheal Intubation (OTI), muscle paralysis, controlled ventilation, and standard monitoring plus invasive arterial pressure recording to provide absolute immobility and strict hemodynamic control. The efficacy of endovascular intracranial aneurysm treatment has been recognized since the 1970s, and although its safety has been demonstrated in Unruptured Intracranial Aneurysms (UIAs), little has been published about perioperative anesthetic care in this setting. A post-hoc analysis showed that orotracheal intubation was used in 55 patients (44%) in 2010 through 2014 and 2 (3.2%) in 2015 through 2018, parallel to a trend toward less invasive blood pressure monitoring from the earlier to the later period from 34 (27.2%) cases to 5 (8.2%). Two in each group also had intraoperative bleeding. Two patients in each group died during early postoperative recovery. ![]() Thirty-three of them (73.3%) required orotracheal intubation compared to 24 of the 142 (16.9%) with non-complex aneurysms. Forty-five patients (24.1%) had complex aneurysms or a history of subarachnoid hemorrhage. Three orotracheal intubation patients had a bronchospasm or laryngospasm during awakening. Three supraglottic device patients required supraglottic device repositioning and 1 supraglottic device patient required orotracheal intubation due to inadequate ventilation. No adverse incidents were recorded in 97% of the cases. The L-1's success has birthed a flood of imitators, so whether you're shopping for a new or vintage model, take pains to make sure your Luxo is legit.We included 187 patients in two groups: supraglottic device 130 (69.5%) and orotracheal intubation 57 (30.5%). Choose between an edge-clamp base for work tables and standing desks, or a weighted base for larger tables or for use as an accent light. Luxo recently began fitting the L-1 with long-lasting LED bulbs, one of the only upgrades it's ever needed. The L-1 is a favorite of architects, designers, and creative professionals everywhere, not only because its maneuverability allows light to be directed precisely where it's needed, but also because the thing is just so lovely to look at. ![]() The tension of the springs is tuned so that the head of the lamp can be repositioned with very little effort, but it stays firmly place when you take your hand away. The design is enduringly elegant: a jointed armature supported by a quartet of long springs. ![]() I used it just fine on the plane and in a hotel when I needed to get some work done.įirst dreamed up by the Norwegian textile magnate Jac Jacobsen and the British automotive designer George Carwardine, the L-1 lamp has achieved iconic status, selling in the tens of millions since its 1937 debut. The downside is that it's thick and adds bulk, but at least it's easy to take the Duex Plus off when you don't need it. The 13.3-inch 1080p screen is best suited for 13- or 14-inch laptops, and it's not a screen I'd rely on for color correction, but it's great for leaving apps like Slack and another browser window for two-screen productivity. Just connect the included USB-C to USB-C cable and you're good to go. Voilà! You have a second screen that doesn't take up any desk space. Pop the Duex Plus on the magnets and slide out the display so that it floats to the side of your laptop. These are easy to install with the included assembly instructions. It sticks to the back of a laptop screen via magnets, which means you do need to be comfortable with sticking and leaving adhesive magnets on the back of your machine. This is by far my favorite portable display. ![]() Mobile Pixels Duex Plus Portable Slide-Out Monitor for $299
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