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The Anaesthetic Management of a Compromised Airway Secondary to Lemierre’s Syndrome Lemierre综合征继发气道受损的麻醉处理
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-12-11 DOI: 10.15406/JACCOA.2017.09.00342
D. Levy, K. Flower, T. Hinde, T. Ali, C. Vinall, A. Varvinskiy
{"title":"The Anaesthetic Management of a Compromised Airway Secondary to Lemierre’s Syndrome","authors":"D. Levy, K. Flower, T. Hinde, T. Ali, C. Vinall, A. Varvinskiy","doi":"10.15406/JACCOA.2017.09.00342","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00342","url":null,"abstract":"Lemiere’s syndrome is a life-threatening soft tissue infection of the neck. We describe the anaesthetic management of a patient presenting with a compromised airway due to severe soft tissue swelling associated with Lemierre’s syndrome. In this case, preoperative computed tomography and nasal endoscopy delineated the anatomy. The otolaryngology team were prepared for an airway emergency. High flow humidified nasal oxygen maximised oxygenation during awake fibreoptic intubation and the time available for rescue tracheostomy if required.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83656115","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
Hyperuricemia as a Factor Associated with the Progression of Cardiovascular Complications in Patients with Chronic Glomerulonephritis 高尿酸血症与慢性肾小球肾炎患者心血管并发症进展相关
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-28 DOI: 10.15406/jaccoa.2017.09.00341
IlkhomMurkamilov, V. Fomin, K. Aitbaev, Murmakilova Zhamila Abdilalimovna, IbragimSabirov, F. Yusupov, ZiabidinAidarov
{"title":"Hyperuricemia as a Factor Associated with the Progression of Cardiovascular Complications in Patients with Chronic Glomerulonephritis","authors":"IlkhomMurkamilov, V. Fomin, K. Aitbaev, Murmakilova Zhamila Abdilalimovna, IbragimSabirov, F. Yusupov, ZiabidinAidarov","doi":"10.15406/jaccoa.2017.09.00341","DOIUrl":"https://doi.org/10.15406/jaccoa.2017.09.00341","url":null,"abstract":"The question of the mechanisms of the progression of cardiovascular complications (MTR) in chronic glomerulonephritis (GV) is one of the central in modern nephrology [1-3]. Among non-immune factors associated with the progression of GBV, an important role is played by hyperuricemia [1,4,5]. As early as 1948, E.M. Tareyev wrote in his monograph “Hypertonic Disease” about the frequent combination of arterial hypertension (AH) and metabolic disorders, including not only lipid and carbohydrate disturbances, but also purine metabolism [6]. It is well known that a decrease in the glomerular filtration rate (GFR) is accompanied by a slowing of the uricosauric function of the kidneys. Uric acid (MC) has the ability to initiate and maintain endothelial dysfunction, as well as stimulate the proliferation of smooth muscle cells, both in the systemic vascular bed and in the renal vessels [4,7]. Along with this, the widespread use of loop, thiazide diuretics and cyclosporine [1,8,9] also has a significant effect on the degree of excretion of uric acid in chronic kidney disease (CKD). In addition, at the stage of pronounced decrease in the nitrogen excretory function of the kidneys, AH occurs in almost every second patient [1,2]. Cardiovascular risk in GBV is increased several hundred fold, and finding out the pathogenetic mechanisms of heart damage is of great practical importance in the development of new therapeutic strategies for preventing and/r reducing adverse cardiac complications in the stage of dialysis therapy [1,2,10,11]. In this connection, the purpose of the present work was to study the role of hyperuricemia in the progression of cardiovascular complications in the course of the pre-dialysis stage of the disease. Volume 9 Issue 2 2017","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79052431","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
2-Octyl Cyanoacrylate Adhesive for the Prevention of Central Venous Catheter Infections: A Proof of Concept 2-氰基丙烯酸酯胶粘剂用于预防中心静脉导管感染:概念验证
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-24 DOI: 10.15406/JACCOA.2017.09.00339
A. Dahl, Z. Cohen, D. Warren, T. Graetz
{"title":"2-Octyl Cyanoacrylate Adhesive for the Prevention of Central Venous Catheter Infections: A Proof of Concept","authors":"A. Dahl, Z. Cohen, D. Warren, T. Graetz","doi":"10.15406/JACCOA.2017.09.00339","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00339","url":null,"abstract":"Colonization of central venous catheters (CVC)s by microorganisms is an event that precedes central line associated bloodstream infection (CLABSI). The average rate of CLABSI among critically ill patients in the United States is 0.9-3.4 infections per 1000 catheter days [1,2]. With 250,000 cases of CLABSI occurring annually and costing $6000 to $90,000 per event, there is significant interest in reducing this occurrence [2,3]. CLABSI originates from both intraluminal and extraluminal sources. Extraluminal colonization is thought to be due to organisms present at the catheter insertion site and likely reflects the quality of aseptic technique utilized upon catheter insertion in addition to insertion site care [4]. Daily maintenance of the sterility of the catheter insertion site is an intervention that may be underappreciated. Currently recommended catheter insertion site maintenance techniques for the prevention of CLABSI involve using either sterile gauze or sterile, transparent, semipermeable dressings to cover the site [5].","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"279 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77582580","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
Repeated Coronary Artery Bypass Grafting of Circumflex Artery Branches on a Beating Heart through the Left Lateral Thoracotomy 经左外侧开胸在跳动心脏上重复冠状动脉旁路移植术
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-24 DOI: 10.15406/JACCOA.2017.09.00340
Sigaev Iy, A. V. Kazaryan, M. V. Starostin, Pilipenko
{"title":"Repeated Coronary Artery Bypass Grafting of Circumflex Artery Branches on a Beating Heart through the Left Lateral Thoracotomy","authors":"Sigaev Iy, A. V. Kazaryan, M. V. Starostin, Pilipenko","doi":"10.15406/JACCOA.2017.09.00340","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00340","url":null,"abstract":"","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83855090","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
Polyneuropathy in Patients Undergoing Cardiac Surgery 心脏手术患者的多神经病变
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-17 DOI: 10.15406/JACCOA.2017.09.00338
Davidov Nr, Vinogradova Oi, G. Yi, Kuznetsov An
{"title":"Polyneuropathy in Patients Undergoing Cardiac Surgery","authors":"Davidov Nr, Vinogradova Oi, G. Yi, Kuznetsov An","doi":"10.15406/JACCOA.2017.09.00338","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00338","url":null,"abstract":"Submit Manuscript | http://medcraveonline.com cardiopulmonary bypass surgery were examined. The cohort was divided into two groups. Twenty patients (9 male, 11 female) who debuted polyneuropathy in early postoperative period after the heart surgery were included in the 1st (main) group. The patients of the 2nd control group (n=40) had also been undergone cardio-surgical interventions, but had no signs of polyneuropathy in early postoperative period.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89603239","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
Management of Pain in the Immediate Post-Operative Patient with Patients Submitted to General Anesthesia 全麻患者术后疼痛的处理
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-16 DOI: 10.15406/JACCOA.2017.09.00337
Oliveira Júnior, Nery José Rivers, Jessica Petry Stachelski, M. Fachi
{"title":"Management of Pain in the Immediate Post-Operative Patient with Patients Submitted to General Anesthesia","authors":"Oliveira Júnior, Nery José Rivers, Jessica Petry Stachelski, M. Fachi","doi":"10.15406/JACCOA.2017.09.00337","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00337","url":null,"abstract":"","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80968138","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
Patient Safety in Surgical Centers - An Integrated Review 外科中心的患者安全-综合评价
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-15 DOI: 10.15406/JACCOA.2017.09.00336
Oliveira Júnior, Nery José de Silva, R. Becker, Gabriella E. Rosner
{"title":"Patient Safety in Surgical Centers - An Integrated Review","authors":"Oliveira Júnior, Nery José de Silva, R. Becker, Gabriella E. Rosner","doi":"10.15406/JACCOA.2017.09.00336","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00336","url":null,"abstract":"Submit Manuscript | http://medcraveonline.com patient safety during surgery began during the early 19th century before the discovery of anesthesia. Safety issues became the focus of discussion and concern, leading to standardized protocols with respect to monitoring, morbidity and mortality analysis in all health institutions. This had an positive impact and a significant reduction in adverse events in the perioperative period [4]. The National Patient Safety Program adopted in Brazil established the standards and strategies for patient safety in surgical care settings [5,6].","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81099533","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
Trigeminal Neuralgia in a Patient with Vascular Loop Triggered by Hypertension 高血压引发血管袢患者的三叉神经痛
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-14 DOI: 10.15406/JACCOA.2017.09.00335
S. Sahin, Y. Kılınç, N. B. Karan, Semih Ayrikçi̇l, D. Yılmaz
{"title":"Trigeminal Neuralgia in a Patient with Vascular Loop Triggered by Hypertension","authors":"S. Sahin, Y. Kılınç, N. B. Karan, Semih Ayrikçi̇l, D. Yılmaz","doi":"10.15406/JACCOA.2017.09.00335","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00335","url":null,"abstract":"Trigeminal neuralgia (TN) is characterized by paroxysms of severe, lancinating, electric shock-like bouts of pain restricted to the distribution of the trigeminal nerve. The pain predominantly occurs unilaterally and involves the mandibular and /or maxillary branch or, rarely, the ophtalmic branch [1]. Most cases are classic or primary TN, which lacks objective evidence of motor or sensory deficit and is not attributed to another disorder, while a minority of cases are symptomatic or secondary TN, which is related to underlying causes such as multiple sclerosis, vascular compression and tumors [2,3]. However most cases are not associated with abnormalities on conventional MRI taken with inappropriate techniques. It has been mentioned in the literature that TN is usually caused by vascular compression of the trigeminal nerve root at the brainstem by a tortuous vessel. This compression results in demyelination of the nerve root entry zone, leading to ectopic impulse generation, ephaptic transmission of impulses, and the symptoms of TN [2].","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83471852","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
Cochlear Implantaion in Cases of Inner Ear Pathology 内耳病理病例的人工耳蜗植入术
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-14 DOI: 10.15406/JACCOA.2017.09.00334
M. DiabKh, Dayhes Na, Kondratchikov Ds, Yusifov Kd, Paschinina Oa
{"title":"Cochlear Implantaion in Cases of Inner Ear Pathology","authors":"M. DiabKh, Dayhes Na, Kondratchikov Ds, Yusifov Kd, Paschinina Oa","doi":"10.15406/JACCOA.2017.09.00334","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00334","url":null,"abstract":"The inner ear pathology remains one of the most common problem in CI surgery [1,2]. Most of the complication after CI surgery main occurs specially in case of inner malformation and ossified cochlea [3,4]. The main purpose to determine the features of inner ear structure based on data of preoperatively imaging studies (high-resolution computer tomography and magnetic resonance imaging) and adequate approach which provide successful surgery and minimize the risk of postoperative complication [5].","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"9 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75208449","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
Anesthetic Implications for the Hispanic Population 麻醉对西班牙裔人口的影响
Journal of Anesthesia & Critical Care: Open Access Pub Date : 2017-11-10 DOI: 10.15406/JACCOA.2017.09.00333
A. Schneider
{"title":"Anesthetic Implications for the Hispanic Population","authors":"A. Schneider","doi":"10.15406/JACCOA.2017.09.00333","DOIUrl":"https://doi.org/10.15406/JACCOA.2017.09.00333","url":null,"abstract":"Submit Manuscript | http://medcraveonline.com to provide optimal care. There is currently a tremendous amount of diversity within the Hispanic population [3]. The basics for the Hispanic culture include aspects of personalismo, (personal/ genuine relationships), respecto (respect), confianza (trust/ confidence), and familiaismo (familial/group emphasis). The Hispanic population’s overall health often has multiple factors that have impact, including language barriers, lack of access of preventive care, and lack of health insurance [4]. An anesthetist’s awareness of Hispanic belief system including religion, familism, language, natural remedies, and physical differences among ethnic groups can have a positive impact on the quality of anesthesia delivered.","PeriodicalId":14916,"journal":{"name":"Journal of Anesthesia & Critical Care: Open Access","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90665753","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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