Journal of Anesthesia and Critical Care: Open access最新文献_第10页

Anesthesia management for emergency cesarean section in a rabbit 兔急诊剖宫产术的麻醉处理

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-10-10 DOI: 10.15406/jaccoa.2018.10.00385

Saroj Kumar Yadav

{"title":"Anesthesia management for emergency cesarean section in a rabbit","authors":"Saroj Kumar Yadav","doi":"10.15406/jaccoa.2018.10.00385","DOIUrl":"https://doi.org/10.15406/jaccoa.2018.10.00385","url":null,"abstract":"Caesarean section (C-section) is one of the most rear operations in rabbit. The present case study represents the efficacy of the surgical outcome and anesthetic protocol of C-section in rabbit. A 1.2 years old, local and non-descriptive breed of rabbit was presented to the SAQ Teaching Veterinary Hospital (SAQTVH), Chittagong Veterinary and Animal Sciences University (CVASU) with a history of one kit normally delivered and remains straining and treated with oxytocin. Problem on physical examine included abdominal distension and vaginal secretion. Based on the clinical examination, X-Ray and Ultrasonography report, it was decided to perform surgery. The surgery was aseptically control under general anesthesia combination with xylazine and ketamine with the dose rate 5mg/kg and 30mg/kg respectively. The rabbit became unconscious within 3 minutes of intramuscular injection. Laparotomy midline incision (1cm) was performed behind the umbilicus. Two dead fetuses were removed and proper apposition of abdomen was done. The rabbit was recovered fully after 50 minutes of injection. As a part of post operative treatment which was maintained with antibiotic, pain killer for 7 days. The wound healing was noticed after 10 days of operation. So, the case report suggests that rabbit C-section can be performed successfully with xylazine and ketamine anesthesia with recommended doses.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116444535","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

Safe surgery control list: it is following a challenge, checklist of safe surgery: still a challenge, checklist of safe surgery: already um challenge 安全手术控制表，它遵循一个挑战，安全手术检查表，仍然是一个挑战，安全手术检查表，已经是一个挑战

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-10-08 DOI: 10.15406/jaccoa.2018.10.00384

引用次数: 0

Intraoperative blood glucose level changes between obese and non-obese non-diabetic patients undergoing general anaesthesia for creniotomy surgeries 肥胖与非肥胖、非糖尿病患者全麻开颅术中血糖水平的变化

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-09-04 DOI: 10.15406/JACCOA.2018.10.00383

Soumya Chakrabarti, S. D. Gupta, I. Chakraborty, A. Bhattacharya

{"title":"Intraoperative blood glucose level changes between obese and non-obese non-diabetic patients undergoing general anaesthesia for creniotomy surgeries","authors":"Soumya Chakrabarti, S. D. Gupta, I. Chakraborty, A. Bhattacharya","doi":"10.15406/JACCOA.2018.10.00383","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00383","url":null,"abstract":"Background: Surgery causes a considerable metabolic stress in the non-diabetic and more so in a diabetic subject. In non-diabetic subjects the stress response is more in obese population than in non-obese due to the presence of insulin resistance. The severity of surgery as well as the type of anesthesia influences the magnitude of the counter regulatory response The study was undertaken to observe the effect of stress of surgery in obese and non-obese non-diabetic patients undergoing craniotomy under general anesthesia. Methods: A Prospective randomized parallel group study was done on a total of 100 patients. They were divided into two groups non-obese patients and obese patients comprising of 50 patients in each group depending on their BMI. If at any time intraoperative CBG was found to be more than or equal to 150mg/dL calculated dose of human soluble insulin was given as intravenous bolus equal to the amount of CBG/100 units. Results: 36% patients in obese population developed at least one episode of hyperglycemia (CBG ≥150 mg/dL) but only 20% in non-obese population did so. Insulin consumption was significantly higher in obese population than in non-obese population to maintain normoglycemia. The relative risk of becoming hyperglycemic in obese compared to non-obese is 1.80 (95% CI 0.92 to 3.51) Conclusion: We conclude that stress induced hyperglycemic response in patients undergoing craniotomy surgery under general anaesthesia is common in non-diabetic obese non-obese population.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128871513","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

A case report of menstrual catatonia causing delayed emergence from anaesthesia: a diagnostic dilemma 月经紧张症引起麻醉延迟出现的病例报告:诊断困境

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-09-04 DOI: 10.15406/JACCOA.2018.10.00382

H. Hegde, Vijaya Kumar

引用次数: 1

Late diagnosis and surgical treatment of bronchial bean aspiration - case report 支气管吸豆术的晚期诊断与手术治疗1例

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-07-26 DOI: 10.15406/JACCOA.2018.10.00380

I. Petrov, M. Rosić, D. Simić, I. Šimić, Nevena J. Jovičić

引用次数: 1

Voice professionals and associated anaesthetic risk: a proposal to a perioperative airway-protective care bundle 语音专业人员和相关麻醉风险:围手术期气道保护护理包的建议

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-07-24 DOI: 10.15406/JACCOA.2018.10.00379

Raquel Fonseca, Eunice Silva, S. Bento, D. Gonçalves, Elisabete Valente

{"title":"Voice professionals and associated anaesthetic risk: a proposal to a perioperative airway-protective care bundle","authors":"Raquel Fonseca, Eunice Silva, S. Bento, D. Gonçalves, Elisabete Valente","doi":"10.15406/JACCOA.2018.10.00379","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00379","url":null,"abstract":"Background: Voice professionals subjected to surgical procedures or anaesthesia are particularly susceptible, considering the multi-factor potential for damaging the vocal system. Such injuries are the most common reasons for anaesthetic morbidity and have even more serious repercussions for singers. Surgery in the abdominal region is singularly important, considering the vital role that abdominal support plays for respiratory dynamics and vocalisation. Perioperative management and planning and strict anaesthetic practices are fundamental for minimising this risk and promoting an optimum clinical outcome. The lack of guidelines adapted to this context justifies the need to gather together and review all existing evidence, which this case study aims to do. Case presentation: The clinical case concerns a 46year old female, a light opera singer, admitted for laparoscopic cholecystectomy. It describes the ample pre-anaesthetic assessment and education and lists the protective technical and pharmacological choices adopted during the surgery. The subsequent follow-up serves as the starting point for reflecting on the results obtained, preparing a suggested sequential approach for each perioperative stage. Conclusion: Even though vocal damage depends on the surgical and anaesthetic approach during the operation, anaesthesia for voice professionals requires rigorous planning beforehand, often being more complex than the surgical procedure. A multifaceted intervention including counselling, less invasive anaesthetic practices and systematic follow-up promote the key strategy – overall protection.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124263437","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 anatomy of the spine for pain interventionist 脊柱疼痛介入治疗的临床解剖学

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-07-23 DOI: 10.15406/JACCOA.2018.10.00378

Helen Gharries

引用次数: 0

Is ultrasound guided spine injection safe? 超声引导下脊柱注射安全吗?

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-07-23 DOI: 10.15406/JACCOA.2018.10.00377

Helen Gharries

{"title":"Is ultrasound guided spine injection safe?","authors":"Helen Gharries","doi":"10.15406/JACCOA.2018.10.00377","DOIUrl":"https://doi.org/10.15406/JACCOA.2018.10.00377","url":null,"abstract":"Ultrasound has gained recognition within the field of pain intervention owing to its definite advantage of visually localizing the specified target and additionally owing to perceived advantages of safety, accuracy, and potency. Ultrasound permits satisfactory imaging of the posterior parts of the spine and paraspinal soft tissues. Despite the introduction of newer and less consuming time’s methods with the possibility of intravascular injection, there is still insufficient clinical evidence to prove the safety of the ultrasound as a sole image guide intervention, especially for transforaminal injection. It is essential to considering safety tips and be aware of complications that are typically terribly unpleasant and cause unwanted social and legal consequence. The most important injection warnings are damage to the spinal cord and nerve roots, intravascular injection and vascular damage, loss of consciousness, paraplegia and incontinence. The object of this review article is to discuss the untoward dangerous complication which can happen after ultrasound-guided spine injections and explain how to diagnosis and manage them. Further technical and equipment advancements are needed to improve and reduce the existing limitations associated with the ultrasound-guided spine injection technique until that time the multimodality imaging guidance is safer.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"191 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132431635","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: 8

A meta-analysis of injury to collateral ligaments of metacarpo-phalangeal joints other than the thumb: incidence, management and outcome 除拇指外掌指关节副韧带损伤的meta分析:发生率、处理和结果

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-07-19 DOI: 10.15406/jaccoa.2018.10.00376

S. Hayek, A. E. Khatib, A. Ibrahim, T. Kabakian-Khasholian

{"title":"A meta-analysis of injury to collateral ligaments of metacarpo-phalangeal joints other than the thumb: incidence, management and outcome","authors":"S. Hayek, A. E. Khatib, A. Ibrahim, T. Kabakian-Khasholian","doi":"10.15406/jaccoa.2018.10.00376","DOIUrl":"https://doi.org/10.15406/jaccoa.2018.10.00376","url":null,"abstract":"Background: The incidence for the injury to the collateral ligament of the metacarpophalangeal joint (MCPJ) of fingers other than the thumb is unknown. Methods: We carried out a systematic review of the literature using several search engines and several MeSH terms. A meta-analysis of the incidence, mechanism of injury, diagnosis, management, and outcome was performed. Results: A total of 164 injuries were reported. A lot of the data was missing. The mean age was 43.32 years with no gender differences. The majority of the injuries were for the right hand, little finger and index finger. In 31.1% of the collateral ligament injuries cited in the literature, the radial collateral ligament (RCL) was the injured site. Surgical intervention was the main reported type of management and 30% of those who underwent conservative management required a surgical intervention. Conclusion: This is the first meta-analysis of all the case reports and case series in the literature. It highlights the importance of early diagnosis and treatment and calls for standardizing the reporting of these injuries to avoid data gaps in future reviews.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124904369","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 rare case of adrenal pheochromocytoma discover by accident in a CT scan 一个罕见的肾上腺嗜铬细胞瘤病例意外发现在CT扫描

Journal of Anesthesia and Critical Care: Open access Pub Date : 2018-07-18 DOI: 10.15406/JACCOA.2018.10.00375

Julieta Cervellera Agrelo

引用次数: 0