Journal of Anesthesia and Critical Care: Open access最新文献_第5页

Molecular basis of pain: Membrane receptors involved in pain 疼痛的分子基础:参与疼痛的膜受体

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-08-09 DOI: 10.15406/jaccoa.2022.14.00522

Claudia I. Gutiérrez-Román

引用次数: 0

The war in Ukraine: the invasion of genocide 乌克兰战争:种族灭绝的入侵

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-08-01 DOI: 10.15406/jaccoa.2022.14.00521

V. Whizar-Lugo

引用次数: 0

Cardiac Redo operation, complication rate and risk predictors, a cross sectional study 心脏重做手术，并发症发生率和风险预测因素，横断面研究

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-07-20 DOI: 10.15406/jaccoa.2022.14.00520

Seyed Mohammad Hossein Sakhaee, K. Saberi, M. Alemohammad, Hossein Saberi, Shahnaz Sharifi

{"title":"Cardiac Redo operation, complication rate and risk predictors, a cross sectional study","authors":"Seyed Mohammad Hossein Sakhaee, K. Saberi, M. Alemohammad, Hossein Saberi, Shahnaz Sharifi","doi":"10.15406/jaccoa.2022.14.00520","DOIUrl":"https://doi.org/10.15406/jaccoa.2022.14.00520","url":null,"abstract":"Background: Considering the effect of heart disease and its post-surgical complications on the patient's quality of life, identifying risk predictors for complications after surgery and the patient's clinical course can help us to improve the quality of primary care after surgery, reduce complications and improve the patient's recovery after surgery. This study aims to determine postoperative complication prevalence and related risk predictors. Material and methods: In this cross-sectional study, the clinical course after cardiac reoperation of patients in the cardiac operating room of Imam Khomeini Hospital during the years 2014-2021was studied. Patients who have had a stroke in the past six months, heart failure, and EF less than 25% were excluded from the study. This study investigates the relationship between preoperative and intraoperative conditions of patients (age, sex, hemoglobin, serum creatinine, blood product transfusion, and pump time) and postoperative complications (death, AKI, bleeding, CVA, and pulmonary complication. Results: This study examined 461 cardiac reoperation patients with a mean age (44.54±18.35). The most common complications were bleeding (8.24%), death (8.2%), and AKI (19.65$), respectively. In this study, there was a significant difference in terms of age, hemoglobin level, creatinine level, pump time, and blood product transfusion in patients faced with death and AKI compared to uncomplicated patients. Patients with postoperative bleeding received more blood products and had a longer pump time than uncomplicated patients, which was statistically significant. Conclusion: In this study, there was a significant difference between deceased and uncomplicated patients after cardiac reoperation in terms of age, anemia, pre operative renal failure, and receiving more blood products during surgery. This difference, however, does not necessarily create a causal relationship; but suggests some risk predictors for redo cardiac surgery.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124107287","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

Development of a computer-based communication tool for voiceless patients: AyMeSES 为失声患者开发一种基于计算机的交流工具:AyMeSES

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-07-18 DOI: 10.15406/jaccoa.2022.14.00519

Melek Ertürk Yavuz, Ayla Gürsoy

引用次数: 1

Cardiorespiratory parameters monitoring during moderate sedation at different oxygen flow rates in patients undergoing endoscopic intervention 内镜干预患者不同氧流量下中度镇静期间心肺参数监测

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-07-13 DOI: 10.15406/jaccoa.2022.14.00518

Josef Zekry Attia, Abeer A.M. Hassanin

{"title":"Cardiorespiratory parameters monitoring during moderate sedation at different oxygen flow rates in patients undergoing endoscopic intervention","authors":"Josef Zekry Attia, Abeer A.M. Hassanin","doi":"10.15406/jaccoa.2022.14.00518","DOIUrl":"https://doi.org/10.15406/jaccoa.2022.14.00518","url":null,"abstract":"Background: Cardiorespiratory parameters before, during and after administration of sedation/analgesia in patients undergone endoscopic procedure should have monitored. Aim of the study: In this study we evaluated the effect of different O2 flow rates on the non-invasive CO2 monitoring (EtCO2) in patients that are breathing spontaneously under moderate sedation undergoing endoscopic procedures. Methods: 120 patients of both sexes aged between 25 and 60 years with ASA- I and II scheduled for undergoing upper GIT endoscopy for gastric ulcer patients. Patients were randomized to three equal groups. Group I: 40 patients will receive O2 supply at rate of 2 liters per minute and then cabnographic and other measures will be recorded throughout the procedure. Group II: 40 patients will receive O2 supply at rate 4 liters per minute and then cabnographic and other measures will be recorded throughout the procedure. Group III: 40 patients will receive O2 supply at rate 6 liters per minute and then cabnographic and other measures will be recorded throughout the procedure. Results: EtCO2 differences between the three studied groups were statistically significant at preoperative, induction, 5, 10, 20 and 30 min but with no any clinical significance or adverse outcome. HR, MBP, RR and Spo2 difference between group were statistically insignificant throughout the procedure with no serious complications were recorded and patients satisfaction results were comparable between the three studied groups. Conclusion: Our study demonstrated that different O2 flow rates did not affect noninvasive EtCO2 measurement during moderate sedation in patients undergoing upper GIT endoscopy for gastric ulcer patients.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121838011","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 retrospective study assessing different techniques for Suprascapular Nerve Block for chronic shoulder pain 一项回顾性研究评估肩胛上神经阻滞治疗慢性肩痛的不同技术

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-06-28 DOI: 10.15406/jaccoa.2022.14.00516

I. Azher, S. Bustamante

{"title":"A retrospective study assessing different techniques for Suprascapular Nerve Block for chronic shoulder pain","authors":"I. Azher, S. Bustamante","doi":"10.15406/jaccoa.2022.14.00516","DOIUrl":"https://doi.org/10.15406/jaccoa.2022.14.00516","url":null,"abstract":"Shoulder pain is a common complaint associated with significant pain and disability. Chronic shoulder pain is common cause of functional disability in the community. A supra scapular nerve block is a safe and effective technique for treatment of both acute and chronic shoulder pain, resulting from inflammatory and degenerative disorders. It can be done using a number of different techniques including but not limited to landmark technique, USG guided, X-ray guided and CT guided and PRF. Methods: We did a retrospective study looking at efficacy of supra-scapular nerve block done in our centre over the last 2 years using different techniques. We audited a total of 80 procedures over two years. We looked at effective pain relief and any potential complications over 3- 6 months. Result and conclusion: This was a retrospective study looking at a number of patients over 2 years having had multiple procedures. Because of the nature and the limitations of an audit, it was not possible to suggest that any particular technique is superior over the other. We need to do at prospective study with better randomization, follow up and more specific disability and pain scoring tools like shoulder pain and disability index (SPADI) and VAS scoring systems.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124874480","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

Comparing the accuracy of POC vers. Lab. (Capillary,Venous and arte-rial) blood glucose level in severely shocked verse non-shocked critically Ill patients 比较POC over的精度。实验室。严重休克和非休克危重病人的(毛细血管、静脉和动脉)血糖水平

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-06-27 DOI: 10.15406/jaccoa.2022.14.00515

A. Alshaer, Basma A. Badgheish, Zahra Alsadah, Khalid Sewify, Sarah Alghazal, Sarah Alzahrani, A. Qadi, Reham Alqahtani, A. Shilash

{"title":"Comparing the accuracy of POC vers. Lab. (Capillary,Venous and arte-rial) blood glucose level in severely shocked verse non-shocked critically Ill patients","authors":"A. Alshaer, Basma A. Badgheish, Zahra Alsadah, Khalid Sewify, Sarah Alghazal, Sarah Alzahrani, A. Qadi, Reham Alqahtani, A. Shilash","doi":"10.15406/jaccoa.2022.14.00515","DOIUrl":"https://doi.org/10.15406/jaccoa.2022.14.00515","url":null,"abstract":"Background: Glucose monitoring among critically-ill patients has been a topic of attention for long time to prevent both hyperglycemia and hypoglycemia, which is important in an intensive care unit. Use of point of care blood glucose meters within some critically ill patient populations has resulted in varying degrees of confusion about off-label use and potential discrepancies in results. The aim of this study was to compare the accuracy of point of care capillary and venous/arterial samples verse venous/arterial samples by laboratory testing in critically ill both shocked and non-shocked patients. Methodology: This is prospective case control study that was conducted among 268 critical ill patients among whom, capillary, Venous and arterial Blood Sample during routine care which is requested by treating physician will be done by the same bedside nurse. The study was conducted in King Fahd Miliary Medical Complex Dhahran Saudi Arabia. Results: In this study, we were able to collect data for 268 patients. The results showed no significant difference between POCT and lap results of both of venous and central blood (P=0.389 and 0.208) where POCT showed slightly higher results with venous glucose concentration of 10.18 and 10.05 (POCT and lab tests respectively) and 9.18 and 9.54 in POCT and lab tests respectively. Moreover, the mean difference between POC and lab analysis of venous, arterial and central glucose were 1.03, -1.8 and 0.7 mmol. Conclusion: We did not find a significant difference between results of POCT and regular laboratory analysis of glucose concentrations in critically ill patients except for arterial blood glucose. Using of POCT is slightly accurate with no difference between shocked and non-shocked patients compared to lab blood analysis.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122904419","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

Esophageal perforation with double lumen tracheal cannula 食管穿孔伴双腔气管插管

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-06-20 DOI: 10.15406/jaccoa.2022.14.00514

Dante Ranieri Junior, Diogo Valandro Longoni, Sergio Malburg Filho

引用次数: 0

Notes on the epidemiology of artificial mechanical ventilation and stroke 人工机械通气与脑卒中流行病学综述

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-04-29 DOI: 10.15406/jaccoa.2022.14.00511

Ariel Sosa Remón, A. Naranjo

引用次数: 0

The use of ultrasound in ICU: the new stethoscope of intensive care physicians 超声在ICU的应用:重症监护医师的新型听诊器

Journal of Anesthesia and Critical Care: Open access Pub Date : 2022-04-29 DOI: 10.15406/jaccoa.2022.14.00512

B. Ramamurthy

引用次数: 0