Internet of Things (IoT) and Tele-Robotics aremost advanced technologies that provide a vision where anyobject in this world can be connected to anything else. Thesetechnologies enable us to build communication among variousentities such as Wireless Sensor Networks (WSN) devices, homeappliances, medical equipment, RFIDs etc. An intelligent Self-Directed Vehicle (SDV) incorporated with features of Internet ofThings (IoT) is presented in this work. In order to manuallycontrol the SDV, a web page (embedded with google maps) isdeveloped and uploaded on Lighttpd server on Raspberry Pi.Lighttpd server can act like a normal apache server. User cannavigate SDV manually using maneuvering control buttons. Theonboard camera provides visual awareness. This technology canbe utilized and implemented in a number of areas such asmilitary, where SDV can undertake missions like dronesurveillance, border patrol etc. Furthermore, our work highlightsthe use of webservers for interconnecting devices and describesthe use of internet to control SDV from a remote end withRaspberry Pi Lighttpd Web Server.
Internet of Things (IoT) and Tele-Robotics aremost advanced technologies that provide a vision where anyobject in this world can be connected to anything else. Thesetechnologies enable us to build communication among variousentities such as Wireless Sensor Networks (WSN) devices, homeappliances, medical equipment, RFIDs etc. An intelligent Self-Directed Vehicle (SDV) incorporated with features of Internet ofThings (IoT) is presented in this work. In order to manuallycontrol the SDV, a web page (embedded with google maps) isdeveloped and uploaded on Lighttpd server on Raspberry Pi.Lighttpd server can act like a normal apache server. User cannavigate SDV manually using maneuvering control buttons. Theonboard camera provides visual awareness. This technology canbe utilized and implemented in a number of areas such asmilitary, where SDV can undertake missions like dronesurveillance, border patrol etc. Furthermore, our work highlightsthe use of webservers for interconnecting devices and describesthe use of internet to control SDV from a remote end withRaspberry Pi Lighttpd Web Server.
Background
There are few case reports in which non-cardiac surgery under regional anesthesia has been described in a patient with a pulmonary artery aneurysm. We report a case in which we managed a 74-year-old lady with a hip fracture for fixation under spinal anesthesia after thorough evaluation and meticulous planning. The patient was discharged home after 5 days without any perioperative events.
Case presentation
A 74-year-old, hypertensive lady with an incidentally detected pulmonary artery aneurysm was posted for a dynamic hip screw. Two-dimensional echocardiography revealed normal biventricular function with an ejection fraction of 60%, no regional wall motion abnormalities, concentric right ventricular hypertrophy (tricuspid annular plane systolic excursion or TAPSE of 19 mm), severe calcific pulmonary stenosis (PS) with pressures 90/61 mm Hg, pulmonary valve annulus of 12 mm, and pulmonary artery systolic pressure of 35 mm Hg. The left and right pulmonary artery diameters were 17 mm and 20 mm, respectively. She was clinically asymptomatic with an oxygen saturation of 98% on room air. A sequential lumbar epidural anesthesia was planned for this patient given her age, overall frail condition, and to avoid airway instrumentation. As epidural was difficult due to fused spaces, a sub-arachnoid block was administered with continuous monitoring. Surgery was uneventful and the patient was discharged on the 5th postoperative day.
Conclusions
With this case report, we suggest that a central neuraxial blockade could be administered in presence of severe PS with meticulous monitoring and careful planning.
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