Clinical Management of Injured Birds-of-Prey

In the future, veterinarians will play an important role in the maintenance and propagation of predatory birds in captivity. This is partially attributed to the fact that the mortality rate of first year birds in the wild is very high. Falconers are increasingly demanding veterinary attention for their trained birds. Numerous zoological parks display birds-of-prey in exhibits that routinely need veterinary care. For these reasons, veterinary aspects of rehabilitating predatory species are extremely relevant in applied animal medicine today

Evidence-based practice: Use of STOP-BANG questionnaire to identify obstructive sleep apnea

Certified Registered Nurse Anesthetists (CRNAs) provide care for patients with undiagnosed obstructive sleep apnea (OSA). This evidence-based practice project demonstrated that the STOP-BANG Questionnaire (SB) identified patients with OSA preoperatively and reduced hypoxemia in the postanesthesia care unit (PACU). Evidence from the literature is described; based on this evidence, a change in clinical anesthesia practice was made. Four literature databases were searched using keywords from the following PICOT (patient, intervention, comparison, outcome, time) question: Do patients (P) who have high SB scores (I) compared with patients who do not have high SB scores (C) have a higher incidence of pulmonary complications (O) postoperatively (T)? Five observational cohort studies were critically appraised. The results consistently found that patients with an SB score of 3 or greater had significantly greater postoperative pulmonary complications, including lower oxyhemoglobin saturation (SpO2) in the PACU. At the Brooke Army Medical Center in San Antonio, Texas, the SB was implemented during the preanesthesia assessment. A query of the electronic medical record identified patients with undiagnosed OSA and patients with hypoxemia (SpO2 \u3c 94%) in the PACU. Implementation of the SB increased identification of undiagnosed OSA by 78% preoperatively and reduced the incidence of hypoxemia in the PACU

JOURNAL OF PHYSICAL ORGANIC CHEMISTRY

Quantum chemical characterization of cycloaddition reactions between 1,3-butadiene and oxyallyl cations of varying electrophilicity