Journal of Anesthesia & Critical Care: Open Access最新文献

{"title":"Alcohol abuse and acute lung injury and acute respiratory distress syndrome","authors":"Fadhil Kadhum Zwer Aliqa","doi":"10.15406/jaccoa.2018.10.00393","DOIUrl":"https://doi.org/10.15406/jaccoa.2018.10.00393","url":null,"abstract":"who retrospectively examined 351 patients at risk for ARDS.1 In this cohort, 43% of patients who chronically abused alcohol developed ARDS compared to only 22% of those who did not abuse alcohol, with the effect most pronounced in patients with sepsis. This study was limited by its retrospective design, particularly since this design required that alcohol use history be obtained by chart review and documented history; furthermore, this study did not adjust for concomitant cigarette smoking. Encouraged by these findings, Moss et al conducted a multicenter prospective study of 220 patients with septic shock to further assess this relationship. Methodologically, this study improved on its predecessor by using the Short Michigan Alcohol Screening Test (SMAST), which has previously been validated as a screening test for chronic alcohol abuse. A multivariate analysis again found that those who chronically abused alcohol developed ARDS more frequently than those who did not, 70% vs. 31%, respectively. These two key studies thus served as the first major evidence that alcohol use was a risk factor for the development of ARDS.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78886762","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}

{"title":"Chronic health conditions in the disparities population, the impact on practice settings, sociopolitical factors and stakeholders; one US city’s solutions to address the issues and how nurses can advocate for change–a DNP nurse reflection","authors":"Reezena H Malaska","doi":"10.15406/JACCOA.2018.10.00392","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00392","url":null,"abstract":"more needs to be done, that providing social support and services, and partnering with healthcare systems are strategies that will decrease the disparities, improve health equity, and reduce healthcare spending. The US Department of Health and Human Services2 in its efforts to bridge the disparities gap launched Healthy People 2020, a continuation of Healthy People 2010, with a goal to improve the health of all populations. Along with this are a growing number of initiatives and partnerships aimed at addressing the many issues including the social determinants of health to improve population health and wellbeing. These initiatives outline the actions that cities and communities across the nation in partnership with healthcare systems are taking to deal with the problems.3","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"188 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84333729","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}

{"title":"Audit on documentation completeness after regional nerve blocks at University of Gondar referral hospital, 2018","authors":"Wubie Birlie Chekol, Zewditu Abdissa Denu, H. Tawuye, Abatneh Feleke","doi":"10.15406/JACCOA.2018.10.00390","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00390","url":null,"abstract":"A nerve block is the injection of local anaesthetic agent near to the specific nerves to decrease pain in a certain part of patient’s body during and after surgery.1,2 Regional nerve blocks are increasingly used as a component of multimodal analgesia and may be administered as single injection, catheter placement techniques or nerve stimulator technique. 3,4 One excellent means of postoperative pain management with nerve block is that recording its conduct in the chart in a location separate from the anaesthetic record sheet.1,2,5 However, lack of adequate perioperative documentation has legal implications and can potentially affect the quality and safety of patient care.6 The importance of maintaining an adequate, accurate and legible documentation has been emphasized by different guidelines such as American Society of Anaesthesiologists (ASA) guidelines and New York Society of Regional Anaesthesiologists (NYSORA) guidelines","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80127999","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}

{"title":"Issues and challenges of pediatric anesthesia in Bangladesh","authors":"A. Azad, M. S. Ullah","doi":"10.15406/JACCOA.2018.10.00389","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00389","url":null,"abstract":"","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82505047","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}

{"title":"The effect of melatonin on the incidence rates of agitation and delirium in the traumatic brain injury patients","authors":"A. Ashraf, J. Javan","doi":"10.15406/JACCOA.2018.10.00388","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00388","url":null,"abstract":"One of the common causes of intensive care unit (ICU) admission is traumatic brain injury (TBI). During the healing process with increased level of consciousness, TBI patients develop complications with decreased sedation and doses of analgesics, the most common of which are agitation and delirium.1−3 The mentioned complications can put patients at risk, deteriorate prognosis and prolong hospitalization.4 Agitation is characterized by sudden awakening, irritability and akathisia caused by a sense of discomfort or an internal stimulation and is a behavioural response to physical or mental stimulations such as pain, dyspnea and anxiety. On the other hand, delirium is an acute condition, recognized by impaired consciousness, perceptual alterations, attention deficit and disorganization of behaviour, impaired psychomotor activity and sleep-wake cycle, as well as abnormal awakening.5","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88568298","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}

{"title":"The association between kidney function and efficacy of sugammadex in the reversal of neuromuscular blockade train-of-four and kidney functions","authors":"E. Çanakçı, A. Karataş","doi":"10.15406/jaccoa.2018.10.00387","DOIUrl":"https://doi.org/10.15406/jaccoa.2018.10.00387","url":null,"abstract":"Abbreviations: TOF, train of four; TOF0, time required to achieve a train-of-four ratio of 0; TOF25, time required to achieve a train-of-four ratio of 25%; TOF90, time required to achieve a train-of-four ratio of 90%; TOF25-90, time required to achieve a train-of-four ratio from 25% to 90%; TOFend, train-of-four % ratio at the end of surgical procedure; CrCl, creatinine clearance; BUN, blood urea nitrogen; BMI, body mass index; IBW, ideal body weight; BUN/Cr ratio, BUN/creatinine ratio; PORC, postoperative residual curarization; PACU, post-anesthesia care unit","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74527553","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}

{"title":"Easy way to ultrasound guided spine injection","authors":"H. Gharaei","doi":"10.15406/JACCOA.2018.10.00386","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00386","url":null,"abstract":"The ultrasound is of particular interest in medicine, especially in the field of pain intervention. Pain injection initially was performed with the help of landmarks which caused many faults and complications.1 After, fluoroscopy was carried out and became the standard of care. Next, CT scan was introduced and there are studies that show longer-term efficacy for symptom relief after CT-guided injection.2 However, the fact that x-rays hazard always exists in these cases attracted the specialist’s attention to the ultrasound. There are other advantages for ultrasound compare to fluoroscopy that makes it adsorbent .For example, presentation of vessels and tissues, pleural movements and the portability of ultrasound which the probe easily moves by interventionist and gives the axial and longitudinal view and unlike fluoroscopy there is no need for assistant help to move the C-ARM and makes it applicable in the outpatient and its feasibility in cases where the patient cannot position properly as a result of internal or anatomical problems. It is arduous to obtain a proper view by the fluoroscopy as ultrasound is in the hands of the interventionist who hasn’t met this limitation. Ultrasound is helpful in difficult surface anatomic landmarks or anatomical scatterings such as scoliosis or previous laminectomy with rods and screws where fluoroscopy cannot easily get an actual AP or real lateral view.3,4 Ultrasound is effective for caudal injections due to the anatomical differences in the sacral hiatus which causes errors in landmark or fluoroscopy methods.5,6 The number of first pass needle success rate will increase with ultrasound.4,7 Studies on spine sono-intervention and CT scan confirmation of the needle target location showed feasibility and validity of ultrasound in spine injections.8−12 Successful ultrasound guided spine injection needs preliminary information about spine anatomy, ultrasound device software , its capabilities and limitation, scanning technique and probe maneuvers. Ultrasound screening of the vessels and sometimes nerve will make needle insertion easier. Injection of the dose test and searching for its spread at or near the target point (note that in intravascular injection or wrong injection distribution of the test dose will not see) improve safety. Spine ultrasound due to its specific anatomy and the acoustic shadow of the vertebrae and the depth of the target structures is debatable. This is particularly evident in injections at L5.13,14 Spine ultrasound is a bit difficult due to the lack of clarity of skin marking and depth measurement chiefly for viewing the nerve roots. On the other hand, the anatomical difference of each vertebra made it more difficult.15 Despite the introduction of newer and less consuming times methods with the possibility of intravascular injection, there is still insufficient clinical evidence to prove safety of the ultrasound as a sole image guide intervention.10,16−21 The purpose of this study is to ","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78844617","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}

{"title":"Combined adductor canal and i-PAK blocks is better than combined adductor canal and periarticular injection blocks for painless ACL reconstruction surgery","authors":"N. Amer","doi":"10.15406/JACCOA.2018.10.00381","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00381","url":null,"abstract":"The target of the present study is dual. First, to test the hypothesis of combined nerve block addressing different sites of nerve course can result in more successful distribution and prolongation of block whenever lower concentration local anesthetic mixture is used. Secondly to compare effectiveness of combined Adductor Canal and i-PAK Blocks versus Combined Adductor Canal and Periarticular Injection Blocks for ameliorating postoperative ACL Reconstruction Surgery pain.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"89 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79726076","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}

{"title":"Epidural blood patch for an eight-months’ history of post-dural puncture headache: case report","authors":"J. Mumba","doi":"10.15406/jaccoa.2018.10.00373","DOIUrl":"https://doi.org/10.15406/jaccoa.2018.10.00373","url":null,"abstract":"","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86256323","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}

{"title":"Severe morbid obese patient undergoing laparoscopic sleeve gastrectomy and abdominoplasty","authors":"J. Matsi, D. Nicolaou, R. Ivanoviene","doi":"10.15406/JACCOA.2018.10.00365","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00365","url":null,"abstract":"Obesity is a chronic disease characterized by an increase of body fat with increased morbidity, disability and mortality and impairs quality of life Surgery is the most effective treatment for morbid obesity in terms of long-term weight loss that improves comorbidities and quality of life. A 50 year old woman weighing 250 kg with a height of 160cm (BMI 97, 66) was presented to the bariatric surgery department. The last two years she was unable to move because of her obesity and cruciate ligament rupture on","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81322382","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}