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Vasoplegic syndrome after pediatric cardiac surgery 小儿心脏手术后血管截瘫综合征
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-05-21 DOI: 10.15406/jaccoa.2020.12.00439
A. Akyol
{"title":"Vasoplegic syndrome after pediatric cardiac surgery","authors":"A. Akyol","doi":"10.15406/jaccoa.2020.12.00439","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00439","url":null,"abstract":"Vasoplegic syndrome (VS) is a form of vasodilatory shock that occurs in the early period in patients who undergo cardiac surgery requiring cardiopulmonary bypass (CBP). Vasoplegic syndrome, reported between 9 and 44%, is characterized by severe hypotension,severe decrease in systemic vascular resistance, decreased arteriolar reactivity, need for increased volume, and decreased response to norepinephrine, despite normal cardiac outflow.1,2 Vasoplegia is associated with high mortality and morbidity, especially in pediatric patients. Prolonged use of ACE inhibitor, calcium channel blockers, use of amiodarone and heparin, low cardiac reserve (EF <35%), symptomatic congestive heart failure and diabetes mellitus are among perioperative risk factors in adults.3 On the other hand, preand post-CPB hematocrit, pre-bypass mean arterial pressure (MAP), surgery type, duration of bypass, use of antifibrinolytic and/or vasopressor before bypass, hypothermia and needed dose of vasopressin for terminating bypass have been found intraoperative risk factors in pediatric cases.4","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79446045","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: 1
Airway management in patient with retractable scar in neck: a case report 颈部可伸缩性瘢痕患者的气道管理1例
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-05-05 DOI: 10.15406/jaccoa.2020.12.00437
Barbabosa Balanzario Manuel Alejandro
{"title":"Airway management in patient with retractable scar in neck: a case report","authors":"Barbabosa Balanzario Manuel Alejandro","doi":"10.15406/jaccoa.2020.12.00437","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00437","url":null,"abstract":"44-year-old male patient hospitalized 4 months ago for presenting a 25% body surface burn in thoracic limbs and face; as well as airway. Developing a retractable scar in the anterior neck which progressed, so it was scheduled by plastic surgery service for scar release plus the application of anterolateral free thigh flap. Anesthetic management was given with general anesthetic with intubation in an awake patient with flexible fibroscopy, based on fentanyl and intravenous propanidid, once vocal cords are crossed with the fibroscope endotracheal tube is introduced and balanced general anesthesia is provided. Surgical anterolateral free thigh flap procedure ends, endotracheal tube is removed, without complications. In the late postoperative period, the patient presents favorable evolution with adequate flexion and cervical extension with the use of the flap.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80707330","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
Is pantoprazole associated with proteinuria in intensive care patients? 泮托拉唑与重症监护患者蛋白尿有关吗?
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-04-28 DOI: 10.15406/jaccoa.2020.12.00435
A. Akyol
{"title":"Is pantoprazole associated with proteinuria in intensive care patients?","authors":"A. Akyol","doi":"10.15406/jaccoa.2020.12.00435","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00435","url":null,"abstract":"Proton pump inhibitors (PPIs) are commonly prescribed for different medical reasons. These drugs, which can sometimes be used for months and years, are frequently used for short periods of time.1 In intensive care units (ICU), almost all patients are initiated on PPIs to manage acid-related pathologies and to minimize the role of various treatments, including surgical treatments, due to their strong acid suppressive effects.2,3","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80004724","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
Can routine ultrasound screening performed before percutaneous dilatational tracheostomy prevent dreaded complication like bleeding in intensive care unit? 经皮扩张性气管切开术前常规超声筛查能否预防重症监护室出血等可怕的并发症?
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-04-27 DOI: 10.15406/jaccoa.2020.12.00434
D. Masapu
{"title":"Can routine ultrasound screening performed before percutaneous dilatational tracheostomy prevent dreaded complication like bleeding in intensive care unit?","authors":"D. Masapu","doi":"10.15406/jaccoa.2020.12.00434","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00434","url":null,"abstract":"vascular structures are not monitored with bronchoscopy guided PDT. Paired anterior jugular veins and unpaired thyroid ima artery which are variable in their course and size are commonly injured and are frequent site of bleeding, leading to dreadful complication As intensivist, we should urge to improve safety and understand the vascular anatomy in a better way using ultrasound as a tool in screening the neck. Here, we present a case where on routine ultrasound screening of the anterior neck has aided in modifying plan of PDT.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73423076","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
Antegrade airway catheterization, an alternative to endotracheal intubation in the severe patient with mixed respiratory failure and septic shock. report of 2 cases 顺行气管插管，在混合性呼吸衰竭和感染性休克的重症患者中替代气管插管。报告2例
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-03-16 DOI: 10.15406/JACCOA.2020.12.00432
Adrian Vazquez Lesso
{"title":"Antegrade airway catheterization, an alternative to endotracheal intubation in the severe patient with mixed respiratory failure and septic shock. report of 2 cases","authors":"Adrian Vazquez Lesso","doi":"10.15406/JACCOA.2020.12.00432","DOIUrl":"https://doi.org/10.15406/JACCOA.2020.12.00432","url":null,"abstract":"","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"86 1","pages":"62-64"},"PeriodicalIF":0.0,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87685987","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
Develop a validated anesthesia quality assessment to evaluate patients postoperatively 制定有效的麻醉质量评估，以评估术后患者
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-02-26 DOI: 10.26226/morressier.5aeb0acc07b0d6001a79ac56
Somchai Amornyotin., S. Parakkamodom, P. Vichitvejpaisal, Papiroon Noitasaeng, S. Udompunturak
{"title":"Develop a validated anesthesia quality assessment to evaluate patients postoperatively","authors":"Somchai Amornyotin., S. Parakkamodom, P. Vichitvejpaisal, Papiroon Noitasaeng, S. Udompunturak","doi":"10.26226/morressier.5aeb0acc07b0d6001a79ac56","DOIUrl":"https://doi.org/10.26226/morressier.5aeb0acc07b0d6001a79ac56","url":null,"abstract":"Objective: The study is aimed to develop a well-validated anesthesia quality assessment to evaluate patients postoperatively. Materials and Methods: After securing Institutional Review Board approval, the study was registered via ClinicalTrials.gov (NCT 0307996). The Siriraj Anesthesia Quality Assessment Questionnaire was developed and validated under the conceptual/theoretical framework of Maslow’s hierarchy of needs, Hospital Consumer Assessment of Healthcare Providers and System, Patient Satisfaction Questionnaire, Service Quality Questionnaire and Quality of Recover after Anesthesia. A total of 476 qualified responses with obtained consent were included in the study to verify the appropriateness of the tool. Results: The study involved 397 qualified patients (83.4%), aged 47.6±16.6, representing all anesthesia services. Significantly, a binary logistic regression revealed the predicted dependent variables as Process of Care (4.39±0.51) and Physical Support (4.35±0.66) in comparison with a sequence of Accessibility and Convenience (4.33±0.56), Communication and Information (4.00±0.70), Technical Quality (4.46±0.45) Psychological Support (4.57±0.65) and Loyalty (4.52±0.68) in anesthesia quality assessment. Conclusion: Process of Care and Physical Support appeared to be significantly valued features, whereas Communication and Information, Accessibility and Convenience, Technical Quality and Psychological Support were found to be weak points in anesthesia quality assessment.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88685240","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
A prospective randomised double blinded comparative study between nasal atomized dexmedetomidine and midazolam as premedicants in paediatric adenotonsillectomy 鼻雾化右美托咪定与咪达唑仑作为儿科腺扁桃体切除术前用药的前瞻性随机双盲比较研究
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-02-03 DOI: 10.15406/JACCOA.2020.12.00427
S. Philip, S. Jacob
{"title":"A prospective randomised double blinded comparative study between nasal atomized dexmedetomidine and midazolam as premedicants in paediatric adenotonsillectomy","authors":"S. Philip, S. Jacob","doi":"10.15406/JACCOA.2020.12.00427","DOIUrl":"https://doi.org/10.15406/JACCOA.2020.12.00427","url":null,"abstract":"Exclusion criteria: 1. Children with organ dysfunction (ASA 3&4), 2. Children with anatomical defects of nose and upper airway which can pose difficulty in mask holding/intubation, 3. Children with known allergy to the study drugs or any drug used in the standard protocol for balanced anaesthesia in adenotonsillectomy, 4.Children on long term phenobarbitone therapy or any drug which is a hepatic enzyme inducer, 5.Children with ongoing respiratory infection or a blocked nose, 6.Children with H/O febrile seizures Materials and methodology","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"3 1","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81896797","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
Clinical efficacy of the brachial plexus via posterior approach for orthopedic surgery 臂丛后路入路在骨科手术中的临床疗效
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-02-03 DOI: 10.15406/JACCOA.2020.12.00426
L. E. Imbelloni, Douglas M. P. Teixeira, Umberto Lima, Marcos Guedes Miranda Junior, Ana Raquel Araruna Soares, Geraldo Borges de Morais Filho
{"title":"Clinical efficacy of the brachial plexus via posterior approach for orthopedic surgery","authors":"L. E. Imbelloni, Douglas M. P. Teixeira, Umberto Lima, Marcos Guedes Miranda Junior, Ana Raquel Araruna Soares, Geraldo Borges de Morais Filho","doi":"10.15406/JACCOA.2020.12.00426","DOIUrl":"https://doi.org/10.15406/JACCOA.2020.12.00426","url":null,"abstract":"The study was submitted and approved by the Ethics Research Committee (Number 05787/2014) and all patients were explained the method and obtained their consent by signing the informed consent form. The study was conducted between January 2015 to December 2018 with 50 patients of physical status I and II (ASA) of both sexes who underwent elective clavicle, shoulder and proximal humeral procedures in beach chairs associated with general anesthesia. The protocol was registered in the Brazil Platform (CAAE: 33373214.1.0000.5179). As part of Program ACERTO, all patients drank a single 200 mL liquid oral hypercaloric nutritional supplement (1.5 Kcal /mL) without residue, clarified and without addition of lipid and fiber (Fresubin Jucy®) about 2 to 4 hours before surgery. The sample size was based on the conservative calculation the population size of 95% and with a margin of error of 10%, obtaining the number of 50 patients, ages 18 to 60 years, weighing 60 to 80 kg, 160 to 180 cm tall.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"16 1","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2020-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73515537","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
A novel ultrasound guided approach for lumbar periradicular injections with investigating the radicular artery nearby (IRAN) technique 一种新的超声引导下腰椎根周注射的方法，研究根动脉附近(伊朗)技术
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-01-22 DOI: 10.15406/JACCOA.2020.12.00425
H. Gharaei
{"title":"A novel ultrasound guided approach for lumbar periradicular injections with investigating the radicular artery nearby (IRAN) technique","authors":"H. Gharaei","doi":"10.15406/JACCOA.2020.12.00425","DOIUrl":"https://doi.org/10.15406/JACCOA.2020.12.00425","url":null,"abstract":"Ultrasound as a portable and accessible device has attracted the attention of pain specialists and is now used for spine injections. As spine injection is more difficult compared to other pain injection techniques, it did not find a routine place in practice. But the transforaminal injection(TF) is still challenging and pain interventionists are always searching for new techniques to decrease the chances of intravascular injection .Intravascular injection has always been a barrier when it comes to choosing ultrasound as a sole modality for spine injection.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"19 1","pages":"24-28"},"PeriodicalIF":0.0,"publicationDate":"2020-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91289907","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: 1
What an editor wants from your manuscript 编辑想从你的手稿中得到什么
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2020-01-21 DOI: 10.15406/JACCOA.2020.12.00424
V. Whizar-Lugo
{"title":"What an editor wants from your manuscript","authors":"V. Whizar-Lugo","doi":"10.15406/JACCOA.2020.12.00424","DOIUrl":"https://doi.org/10.15406/JACCOA.2020.12.00424","url":null,"abstract":"","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"43 3 1","pages":"21-22"},"PeriodicalIF":0.0,"publicationDate":"2020-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77108988","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
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