Anesthesia and pain medicine最新文献_第8页

Ensuring patient safety: the importance of prompt pathological examination for foreign bodies in intravenous lines. 确保患者安全：及时对静脉内异物进行病理检查的重要性。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23069

Min Hee Heo, Sang Il Lee, Kyung Woo Kim, Jun Hyun Kim

引用次数: 0

Single and double injection paravertebral block comparison in reduction mammaplasty cases: a randomized controlled study. 单次和双次注射椎旁阻滞在乳房缩小术中的比较：一项随机对照研究。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23029

Vecih Anil Ozonur, Emine Aysu Salviz, Nukhet Sivrikoz, Erol Kozanoglu, Soner Karaali, Huru Ceren Gokduman, Hacer Polat, Ufuk Emekli, Mehmet Kamil Tugrul, Mukadder Orhan-Sungur

{"title":"Single and double injection paravertebral block comparison in reduction mammaplasty cases: a randomized controlled study.","authors":"Vecih Anil Ozonur, Emine Aysu Salviz, Nukhet Sivrikoz, Erol Kozanoglu, Soner Karaali, Huru Ceren Gokduman, Hacer Polat, Ufuk Emekli, Mehmet Kamil Tugrul, Mukadder Orhan-Sungur","doi":"10.17085/apm.23029","DOIUrl":"10.17085/apm.23029","url":null,"abstract":"Background: This study compares the analgesic effects and dermatomal blockade distributions of single and double injection bilateral thoracic paravertebral block (TPVB) techniques in patients undergoing reduction mammaplasty.Methods: After obtaining ethics committee approval, 60 patients scheduled for bilateral reduction mammaplasty were included in the study. Preoperatively, the patients received one of single (Group S: T3-T4) or double (Group D: T2-T3 & T4-T5) injection bilateral TPVBs using bupivacaine 0.375% 20 ml per side. All patients were operated under general anesthesia. The T3-T6 dermatomal blockade distributions on the midclavicular line were followed by pin-prick test for 30 min preoperatively and 48 h postoperatively. All patients received paracetamol 1 g when numeric rating scale (NRS) pain score was ≥ 4, and also tramadol 1 mg/kg when NRS was ≥ 4 again after 1 h. The primary endpoint was NRS pain scores at postoperative 12th h. The secondary endpoints were dermatomal blockade distributions and NRS scores through the postoperative first 48 h, time until first pain and the analgesic consumption on days 1 and 2.Results: Fifty-two patients completed the study. The NRS pain scores at 12th h were similar (right side: P = 0.100, left side: P = 0.096). The remaining NRS scores and other parameters were also comparable within the groups (P ≥ 0.05). Only single injection TPVB application time was shorter (P < 0.001).Conclusions: The single injection TPVB technique provided sufficient dermatomal distribution and analgesic efficacy with the advantages of being faster and less invasive.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"18 4","pages":"421-430"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of using red cell distribution width for prediction of postoperative mortality in severe burn patients: an association with acute kidney injury after surgery. 使用红细胞分布宽度预测严重烧伤患者术后死亡率的可行性：与术后急性肾损伤的相关性。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23046

Ji Hyun Park, Seong-Sik Cho, Jongeun Jung, Seong-Soo Choi

{"title":"Feasibility of using red cell distribution width for prediction of postoperative mortality in severe burn patients: an association with acute kidney injury after surgery.","authors":"Ji Hyun Park, Seong-Sik Cho, Jongeun Jung, Seong-Soo Choi","doi":"10.17085/apm.23046","DOIUrl":"10.17085/apm.23046","url":null,"abstract":"Background: Severe burns cause pathophysiological processes that result in mortality. A laboratory biomarker, red cell distribution width (RDW), is known as a predictor of mortality in critically-ill patients. We examined the association between RDW and postoperative mortality in severe burn patients.Methods: We retrospectively analyzed medical data of 731 severely burned patients who underwent surgery under general anesthesia. We evaluated whether preoperative RDW value can predict 3-month mortality after burn surgery using receiver operating characteristic (ROC) curve analysis, logistic regression, and Cox proportional-hazards regression analysis. Mortality was also analyzed according to preoperative RDW values and incidence of postoperative acute kidney injury (AKI).Results: The 3-month mortality rate after burn surgery was 27.1% (198/731). The area under the ROC curve of preoperative RDW to predict mortality after burn surgery was 0.701 (95% confidence interval [CI], 0.667-0.734; P < 0.001) with a cut-off point of 12.9. The adjusted hazard ratio in patients with RDW > 12.9 was 1.238 (95% CI, 1.138-1.347; P < 0.001). Subgroup analysis showed that the survival rate was 88.8% for the non-AKI group with RDW ≤ 12.9 and 17.6% for the AKI group with RDW > 12.9. Preoperative RDW was considered an independent risk factor for mortality (odds ratio, 1.679; 95% CI, 1.378- 2.046; P < 0.001).Conclusions: Preoperative RDW may predict 3-month postoperative mortality in patients with severe burns, while preoperative RDW > 12.9 and postoperative AKI may further increase mortality after burn surgery.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"18 4","pages":"357-366"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Treatment of postural headache occurred 26 days after spinal pain procedure - A case report. 体位性头痛的治疗发生在脊椎疼痛手术后26天——一例报告。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23082

Seoyoung Park, Yun-Hee Lim, Byung Hoon Yoo

引用次数: 0

Spinal anesthesia in elective lumbar spinal surgery. 选择性腰椎手术中的脊柱麻醉。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23031

Nicholas S Hernandez, Benayas Begashaw, Ron I Riesenburger, James T Kryzanski, Penny Liu

引用次数: 0

Guidewire insertion into the vertebral vein during right internal jugular vein central venous catheterization -A rare case report. 右颈内静脉中心静脉置管期间将导丝插入椎静脉——一例罕见病例报告。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-10 DOI: 10.17085/apm.23052

Jeonghan Lee, Jaewoo Suh, Juseok Oh, Seunghee Ki

{"title":"Guidewire insertion into the vertebral vein during right internal jugular vein central venous catheterization -A rare case report.","authors":"Jeonghan Lee, Jaewoo Suh, Juseok Oh, Seunghee Ki","doi":"10.17085/apm.23052","DOIUrl":"10.17085/apm.23052","url":null,"abstract":"Background: Internal jugular veins are the most frequently accessed site for central venous catheterization in patient management, whereas complications involving vertebral veins are a rare occurrence.Case: A 73-year-old male suspected to have a urothelial carcinoma was scheduled for elective left nephroureterectomy. During central venous catheterization using the anatomic landmark technique to target the internal jugular vein, a guidewire is inadvertently inserted into the suspected vertebral vein. Following the correction of the catheterization, a radiologist reviewed the preoperative enhanced computed tomography and confirmed that the initially punctured vessel was the vertebral vein. On the third day after surgery, the central venous catheter was removed, and the patient did not exhibit any complications, such as bleeding, swelling, and neurological symptoms.Conclusions: The use of ultrasonography during central venous catheterization is recommended to evaluate the anatomy of the puncture site and prevent misinsertion of the catheter, which can lead to several complications.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"18 4","pages":"382-388"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neutrophilia is more predictive than increased white blood cell counts for short-term mortality after liver transplantation in patients with acute-on-chronic liver failure. 对于急慢性肝功能衰竭患者肝移植后的短期死亡率，中性粒细胞增多比白细胞计数增加更具预测性。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23048

Kyoung-Sun Kim, Jae-Hwan Kim, Hye-Mee Kwon, Young-Jin Moon, Won-Jung Shin, Sung-Hoon Kim, In-Gu Jun, Jun-Gol Song, Gyu-Sam Hwang

{"title":"Neutrophilia is more predictive than increased white blood cell counts for short-term mortality after liver transplantation in patients with acute-on-chronic liver failure.","authors":"Kyoung-Sun Kim, Jae-Hwan Kim, Hye-Mee Kwon, Young-Jin Moon, Won-Jung Shin, Sung-Hoon Kim, In-Gu Jun, Jun-Gol Song, Gyu-Sam Hwang","doi":"10.17085/apm.23048","DOIUrl":"10.17085/apm.23048","url":null,"abstract":"Background: Acute-on-chronic liver failure (ACLF) is a life-threatening disease that requires urgent liver transplantation (LT). Accurate identification of high-risk patients is essential for predicting post-LT survival. The chronic liver failure consortium ACLF score is a widely accepted risk-stratification score that includes total white blood cell (WBC) counts as a component. This study aimed to evaluate the predictive value of total and differential WBC counts for short-term mortality following LT in patients with ACLF.Methods: A total of 685 patients with ACLF who underwent LT between January 2008 and February 2019 were analyzed. Total and differential WBC counts were examined as a function of the model for end-stage liver disease for sodium (MELD-Na) score. The association between total and differential WBC counts and 90-day post-LT mortality was assessed using multivariable Cox proportional hazards regression analysis.Results: The total WBC counts and neutrophil ratio were higher in patients with ACLF than in those without ACLF. The neutrophil ratio was significantly associated with 90-day post-LT mortality after adjustment (hazard ratio [HR], 1.04; P = 0.001), whereas total WBC counts were not significantly associated with 90-day post-LT mortality in either univariate or multivariate Cox analyses. The neutrophil ratio demonstrated a relatively linear trend with an increasing MELD-Na score and HR for 90-day post-LT mortality, whereas the total WBC counts exhibited a plateaued pattern.Conclusions: Neutrophilia, rather than total WBC counts, is a better prognostic indicator for short-term post-LT mortality in patients with ACLF.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"18 4","pages":"389-396"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report. 支气管内超声在麻醉监护下发生严重肺水肿一例报告。

Anesthesia and pain medicine Pub Date : 2023-10-01 Epub Date: 2023-10-30 DOI: 10.17085/apm.23085

Hwan Yong Choi, Hyung Koo Kang, Min Hee Heo, Sang Il Lee, Ji Yeon Kim, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Kyung Woo Kim, Jun Hyun Kim

{"title":"Severe pulmonary edema occurred during endobronchial ultrasound under monitored anesthesia care - A case report.","authors":"Hwan Yong Choi, Hyung Koo Kang, Min Hee Heo, Sang Il Lee, Ji Yeon Kim, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Kyung Woo Kim, Jun Hyun Kim","doi":"10.17085/apm.23085","DOIUrl":"10.17085/apm.23085","url":null,"abstract":"Background: Endobronchial ultrasound (EBUS) is widely used to diagnose lung cancer. Monitored anesthesia care (MAC) can enhance patient comfort and procedural conditions during EBUS. EBUS under MAC is usually safe but can lead to various complications.Case: A 34-year-old male who had increased sputum for two months showed an enlarged paratracheal lymph node and planned for lymph node biopsy by EBUS. During EBUS under MAC, an unexpected oxygen saturation decline required intervention. After intubation, copious frothy fluid was suctioned from the bronchi, and oxygenation was recovered. A narrowed trachea and the EBUS bronchoscope might have resulted in upper airway obstruction, and suction performed under these conditions might have caused pulmonary edema. The patient received non-invasive ventilation and high-flow nasal cannula and recovered without complications.Conclusions: When there is an expected risk of upper airway obstruction during EBUS, careful preoperative evaluation and preparation are essential to prevent negative pressure pulmonary edema.","PeriodicalId":101360,"journal":{"name":"Anesthesia and pain medicine","volume":"18 4","pages":"439-444"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10635853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0