发布求助
文献互助 智能选刊 最新文献

Journal of Clinical Research in Anesthesiology最新文献

筛选
英文 中文
“Anesthetic Management of Rare Case of Lung and Liver Hydatid Cyst with Bilateral Pheochromocytoma” – A Case Report 罕见肺肝包虫病合并双侧嗜铬细胞瘤的麻醉处理1例报告
Journal of Clinical Research in Anesthesiology Pub Date : 1900-01-01 DOI: 10.33309/2639-8915.020101
S. Engineer, K. Patel, Labdhi P. Lakhani, J. K. Arivazhagan
{"title":"“Anesthetic Management of Rare Case of Lung and Liver Hydatid Cyst with Bilateral Pheochromocytoma” – A Case Report","authors":"S. Engineer, K. Patel, Labdhi P. Lakhani, J. K. Arivazhagan","doi":"10.33309/2639-8915.020101","DOIUrl":"https://doi.org/10.33309/2639-8915.020101","url":null,"abstract":"Hydatidosis is a parasitic infection caused by the encysted larvae of Echinococcus granulosus known as hydatid cyst. It involves almost all organs. However, it affects liver (55–70%) followed by lungs (18–35%). Pheochromocytoma is a catecholamine secreting tumor that typically occurs in patients of 30–50 years age. Pheochromocytoma represents very significant challenges to the anesthetist. A 48-year-old male patient presented with dyspnea, cough, weakness, chest, and abdominal pain. Clinical examination and investigations revealed hydatid cyst of right lung and right lobe of liver. Accident findings on computed tomography scan abdomen were bilateral suprarenal mass. The patient was scheduled for excision of hydatid cyst of liver, lung, and excision of bilateral suprarenal tumor. The anesthetic technique used was general anaesthesia with epidural analgesia. During thoracotomy, one lung anesthesia was done with double lumen endotracheal tube.","PeriodicalId":144351,"journal":{"name":"Journal of Clinical Research in Anesthesiology","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114416286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Function of Computerized Tomography Head Scans in the Assessment of Patients Who Present with Drug Overdose and a Low Glasgow Coma Scale 计算机断层扫描在评估药物过量和低格拉斯哥昏迷评分患者中的作用
Journal of Clinical Research in Anesthesiology Pub Date : 1900-01-01 DOI: 10.33309/2639-8915.020104
T. Franchi, M. Wiles, S. mofidi
{"title":"The Function of Computerized Tomography Head Scans in the Assessment of Patients Who Present with Drug Overdose and a Low Glasgow Coma Scale","authors":"T. Franchi, M. Wiles, S. mofidi","doi":"10.33309/2639-8915.020104","DOIUrl":"https://doi.org/10.33309/2639-8915.020104","url":null,"abstract":"Background: Drug overdose is a common emergency medical presentation, with most patients presenting with reduced consciousness and a low Glasgow Coma Scale (GCS). Despite there are no guidelines, anecdotal evidence suggests that clinicians often perform computerized tomography (CT) head scans on these patients. While CT imaging is readily available and gives immediate information, we question the functionality of this test and aim to evaluate its place in the management of overdose patients presenting with a low GCS. Methods: We conducted a retrospective database search at the Northern General Hospital, of a 25-month period, to identify patients attending the emergency department with a reduced GCS due to a drug overdose. Data were subsequently collected and analyzed. Results: Our study cohort numbered 114 patients, 48 males and 66 females, with a mean age of 40 years (SD±15). The median GCS on admission was 3 (interquartile range [IQR] 3–10) and 63 (55%) received a CT head scan. However, only 4 (6%) scans were reported as abnormal. Previous overdose attempts were noted for 57 (50%) patients and 90 (79%) had a history of mental health disorder. The most frequently used drugs were amitriptyline in 21 (18%) cases, diazepam in 17 (15%), and paracetamol in 13 (11%). Further, 37 (32%) involved alcohol and 72 (63%) patients took a mixed overdose. Median inpatient length of stay was 2 days (IQR 1–5) and 5 (4%) patients died in hospital. Conclusion: Our data demonstrate a low diagnostic yield from CT head scans in this patient population, and therefore, we suggest that clinicians consider the risk versus benefit of conducting this scan. While management decisions are multifactorial, it appears that CT head scans are of limited value when performed routinely. These findings warrant further studies with the aim of providing definitive guidelines for the management of this patient’s population.","PeriodicalId":144351,"journal":{"name":"Journal of Clinical Research in Anesthesiology","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132143792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nalbuphine and Addiction: From the Basic Science to Clinical Set 纳布啡和成瘾:从基础科学到临床设置
Journal of Clinical Research in Anesthesiology Pub Date : 1900-01-01 DOI: 10.33309/2639-8915.020202
Conter Fs, Oliveira Ar, Weston Ac
{"title":"Nalbuphine and Addiction: From the Basic Science to Clinical Set","authors":"Conter Fs, Oliveira Ar, Weston Ac","doi":"10.33309/2639-8915.020202","DOIUrl":"https://doi.org/10.33309/2639-8915.020202","url":null,"abstract":"Opioid drugs are currently the main treatment for acute and chronic pain control. Over the past three decades, misuse of opioids has led to rising worldwide addiction/dependence rates and overdose deaths. In the United States of America, this opiate crisis scenario, which in 2016 alone resulted in the estimated death of over 64,000 people, was characterized as the Opioid Epidemic and declared as a national public health emergency.1 Nalbuphine (C21H27NO4) is a synthetic kappa receptor agonist opioid and partial Mu receptor antagonist,2,3 which has been synthesized in an attempt to provide analgesia without the undesirable side effects of pure agonists.4 Thus, the central analgesic action and lower Nalbuphine addiction/dependence potential would be exerted by the agonist action on kappa receptors, while its Muopioid agonist action would be responsible for its analgesic potential, equivalent to morphine and its lower respiratory depression.5","PeriodicalId":144351,"journal":{"name":"Journal of Clinical Research in Anesthesiology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123333112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Intraoperative Arrhythmia during Oral Malignancy Surgery in Geriatric Patient with Ischemic Heart Disease – A Case Report 老年缺血性心脏病口腔恶性手术患者术中心律失常1例报告
Journal of Clinical Research in Anesthesiology Pub Date : 1900-01-01 DOI: 10.33309/2639-8915.020103
S. Chavan, K. Chozan, Stephan Jebaraj, Madhu Chavan, Priya Chavre
{"title":"Intraoperative Arrhythmia during Oral Malignancy Surgery in Geriatric Patient with Ischemic Heart Disease – A Case Report","authors":"S. Chavan, K. Chozan, Stephan Jebaraj, Madhu Chavan, Priya Chavre","doi":"10.33309/2639-8915.020103","DOIUrl":"https://doi.org/10.33309/2639-8915.020103","url":null,"abstract":"Advances in medical field have resulted in increased life expectancy. Hence, world is aging due to increased geriatric population resulting in 4-fold rise in surgical diseases in the elderly. Hence, operation theater will be occupied by 25% geriatric population, necessitating need of experienced and skillful geriatric anesthesiologists. Ischemic heart disease remains major cause for perioperative complications among all cardiac events contributing to more than half of post-operative deaths. Knowledge of altered cardiovascular physiology in geriatrics, identification of risk factors, optimization, and skillful selection of anesthesia techniques, and drugs are important during the management of ischemic heart disease (IHD) cases during major non-cardiac surgeries. We report successful management of a geriatric patient with IHD and management of intraoperative episode of premature ventricular contractions during oral malignancy surgery under general anesthesia.","PeriodicalId":144351,"journal":{"name":"Journal of Clinical Research in Anesthesiology","volume":"280 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123303958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electro - Ion Membrane Distress Syndrome induces Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) 电离子膜窘迫综合征诱发慢性疲劳综合征/肌痛性脑脊髓炎(CFS/ME)
Journal of Clinical Research in Anesthesiology Pub Date : 1900-01-01 DOI: 10.33309/2639-8915.020203
M. Vasilieva, I. Vasilieva, I. Vasiliev, M. Malakhova, S. Groppa, L. Tofan-Scutaru, P. Vanevsky, M. Gavriliuk, I. Moldovanu
{"title":"Electro - Ion Membrane Distress Syndrome induces Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME)","authors":"M. Vasilieva, I. Vasilieva, I. Vasiliev, M. Malakhova, S. Groppa, L. Tofan-Scutaru, P. Vanevsky, M. Gavriliuk, I. Moldovanu","doi":"10.33309/2639-8915.020203","DOIUrl":"https://doi.org/10.33309/2639-8915.020203","url":null,"abstract":"Maria Vasilieva1.1a,3,3a,3b,3d,3e,3g,3h,5,5a,5b,5c, Irina Vasilieva1.1a,3,3b,3c,3d,3e,3f,3g,3h,5, I. Vasiliev1.2,4.5,6,9,11, M. Malakhova4,6, S. Groppa2,3,3a,5,5a,5c, L. Tofan-Scutaru3,3c, P. Vanevsky4, M. Gavriliuk2,3,3a,5, I. Moldovanu2,3,3a,5, Tatyana Globa1,1g,3,3e, Ninel Revenco2,3k,5,5b, Mirta D’Ambra1.1i,7, P. Globa2,3,3g, A. Visnevschi1,1c,2,3,3d, Elena Globa3,3g, Larisa Spinei1,1f,2,3,3h, I. Katereniuk1,1e,2,3,3f, G. Karadja3,3j, V. Naku1,1b,2,3,3f, V. Diug3,3i,5,5b, G. Stoleriu1,1d,8, I. Stavrou1,1j,10, V. Vartanov1,1h,11, G. Litarczek12","PeriodicalId":144351,"journal":{"name":"Journal of Clinical Research in Anesthesiology","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125621696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Bilateral Superficial Cervical Plexus Block versus Infiltration Block in Thyroidectomy 双侧颈浅丛阻滞与浸润阻滞在甲状腺切除术中的应用
Journal of Clinical Research in Anesthesiology Pub Date : 1900-01-01 DOI: 10.33309/2639-8915.020201
A. Arslan
{"title":"Bilateral Superficial Cervical Plexus Block versus Infiltration Block in Thyroidectomy","authors":"A. Arslan","doi":"10.33309/2639-8915.020201","DOIUrl":"https://doi.org/10.33309/2639-8915.020201","url":null,"abstract":"","PeriodicalId":144351,"journal":{"name":"Journal of Clinical Research in Anesthesiology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134350386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信