Medical Bulletin 29/November/2021

Here are Top Medical stories of the day

Glucose electrolyte solution improves kid's safety

Novel 1% glucose isotonic electrolyte solution is beneficial as intraoperative fluid therapy in children, according to a recent study published in the Journal of International Medical Research.

Fluid therapy is fundamental for safe intraoperative anaesthesia management in children. Inappropriate fluid management can result in several serious complications, including brain damage and mortality. Wider intraoperative glycemic fluctuation is associated with an increased incidence of postoperative acute kidney injury after pediatric cardiac surgery. Perioperative hyperglycemia is associated with poor outcomes, including surgical site infections and increased length of hospital stay; hence, glycemic control remains an important consideration in patients undergoing surgery. Hypotonic fluids can cause hyperglycemia and hyponatremia; thus, they should be avoided intraoperatively. Numerous studies and reports stated that physiologically composed isotonic electrolyte solutions containing 1% to 2% glucose are safe for intraoperative maintenance infusion in children. Isotonic solutions are better than hypotonic solutions in children requiring maintenance intravenous infusion in terms of their sodium content.

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Novel 1% Glucose Isotonic Electrolyte Solution Improves Kid's Safety During Intraoperative Period: Study

Primary breast cancer metastasizing to GI tract

Ebrahim Almahmeed and team in a recent study published in the journal Case reports in Surgery have reported a rare case of metastatic breast cancer.

The researchers found a rarest metastatic lobular mammary carcinoma in a 52-year-old Bahraini woman who presented with an obstructing rectal mass which turned out to be a gastrointestinal tract metastasis from primary breast cancer. Though it was considered a rare presentation, doctors state more unusual presentation of metastatic disease has to be predicted nowadays, with survival of breast cancer patients.