Variability of green infrastructure performance due to climatic regimes across Sweden

In the context of increasing urbanization and global warming, there is a growing interest in the implementation of green infrastructure (GI) across different climates and regions. Identifying an appropriate GI design criteria is essential to ensure that the design is tailored to satisfy local environmental requirements. This article aims to compare the hydrological performance of GI facilities in eleven Swedish cities by isolating the effect of climatic conditions using an identical GI design configuration. Long-term simulations based on 23-years of meteorological time-series were used as inputs for the Storm Water Management Model (SWMM) with Low Impact Development (LID) controls representing two types of facilities: a biofilter cell (BC) and a green roof. (GR). Large differences in potential annual and seasonal runoff retention were found between locations, driven mainly by the extent of winter/spring season, and the distribution of precipitation patterns (for BCs) and the sequence of rainy days-dry periods and evapotranspiration rates (for GRs). Winter/spring and summer demonstrated the highest/lowest differences between the seasons, results that suggest that implications for design might be aligned to the spatio-temporal distribution of precipitation patterns, and runoff regimes generated by snowmelt and rain-on-snow events, in locations where snowmelt represent high portion of runoff generation.

Endotracheal intubation through laryngeal Ambu® Auragain™ mask airway mask in paediatric patients affected by congenital infiltrating lipomatosis

Congenital defects that affect paediatric airway could lead to several difficulties for effective ventilation, intubation, or even both, increasing the risk of hypoxaemia. It is essential for the paediatric anaesthesiologist to have accurate knowledge of the anatomy of patient́s airway, as well as judicious preoperative planning. Increasingly, more devices have been designed for the control of difficult airway in the paediatric patient. This case report describes the application of a third-generation laryngeal mask (- Ambu® Auragain ™) for endotracheal intubation of a child with anticipated difficult airway, secondary to congenital diffuse infiltrating facial lipomatosis.

Radiological study to evaluate the spreading of two volumes (10 vs. 20ml) of radiological contrast in the block of cutaneous branches of intercostal nerves in medial axillary line (BRILMA) in a porcine experimental model

OBJECTIVE

Interfascial blocks of the thoracic wall are being developed as an alternative to central blocks in breast surgery. However, there are few studies that have evaluated the anatomical extension of the local anaesthetic. The objective of this study was to analyse, using fluoroscopy, the spreading of two volumes (10 vs. 20ml) of radiological contrast in the serratus-intercostal plane block in an experimental pig model.

MATERIAL AND METHODS

Ten Large-White breed pigs were selected to have a bilateral ultrasound serratus-intercostal plane block performed, with the administering of 10ml and 20ml of iopamidol in the right and left hemithorax, respectively. The spreading of contrast was analysed by fluoroscopy. The Spearman test correlation was used to evaluate the relationship between the administered volume and radiological spreading. A value of P<.05 was considered significant.

RESULTS

Twenty anaesthetic blocks were performed, being able to analyse 18 of them. The administration of 10ml of contrast was associated with a mean spreading of 2.28±0.31 (95% CI; 2.01-2.54) intercostal spaces, while the administration of 20ml showed a spreading of 3±0.25 (95% CI; 2.81-3.18) intercostal spaces. There was a significant correlation between the injected volume and the spreading of the contrast (Spearman correlation coefficient of 0.81; P=.0001).

CONCLUSION

The results showed a spreading of volume subject to the serratus-intercostal plane block, although not maintaining a 1:1 ratio. Doubling the volume increased the blocked segments by 31%. These findings, if corroborated in the clinical practice, would allow a more precise adjustment in the anaesthetic volume administered.