Journal of Anesthesia and Critical Care: Open access最新文献

{"title":"Relation between liposuction volume and perioperative intravenous fluid","authors":"L. Carreto, Maria T Higuera, Erandy G. Rangel, S. Castaneda","doi":"10.15406/jaccoa.2021.13.00481","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00481","url":null,"abstract":"Balance in fluids as in any other surgical procedure, is obtained by having a balance between losses during surgery and fluids administered for replacement. The challenge in liposuction is to quantify bleeding with certainty, as well as the ingress and loss of transoperative fluid. Objective: To find relation between vacuum volume and fluid replenishment in the perioperative of liposuction surgery. Studio and design Observational, retrospective, longitudinal study. Material and methods: Patients undergoing lipodystrophy of the abdomen or back under general anesthesia who were underwent to liposuction with conventional liposupctor or VASER type during August 2013 to May 2016. Demographic data such as ; age, gender, body mass index (BMI), anesthetic risk estimation by ASA classification (American Society of Anesthesiologists),liposuction technique performed, liposuction volume, administered IV fluids and diuresis in the trans and postoperative were recorded. Statistical analysis: ni-varied descriptive analysis throughout the sample, the estimation of mean and standard deviation for numerical variables that follow a normal distribution and frequencies for qualitative variables. As well as a simple linear regression with Pearson correlation coefficient, perfect=1, to find a relation between lipoaspirated volume and intra and postoperative fluids IV, being considered significant with a p< 0.05. Results: 112, clinical records were included, mostly for women 97.3%,with a mean of 34.46 years and a body mass index (BMI) of 25.4, 75% were ASA I, There is no significant relationships between transoperative solutions IV and lipoaspired. A low correlation was obtained between liposuction volume and postoperative solutions IV (r.216; with p<.05) as well as the correlation of trans operative solutions IV and diuresis (r.224; p<.05). Conclusion: In this observational and retrospective study there was no direct and significant correlation between liposuction volume and the amount of trans operative fluids. Correlation with postoperative fluids IV was significant but low.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128542518","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":"Knowledge and attitudes towards the management of chronic pain among healthcare providers in outpatient departments at the University Teaching Hospital of Butare (CHUB)","authors":"Nyirigira Gaston, Mahoro Jean de Dieu, Rwamugema Elias, Buteera M. Alex, Tuyishime Eugene","doi":"10.15406/jaccoa.2021.13.00479","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00479","url":null,"abstract":"Introduction: Chronic pain is a major source of suffering and is a leading reason for many patients to consult health care personnel. It interferes with, and disrupts, activities of daily living and may be accompanied by distress. Irrespective of its etiology or classification, health care professionals require a good understanding of chronic pain in order to provide appropriate treatment and care. Methods: A cross-sectional study was conducted involving a sample of 80 participants obtained by using a convenience sampling method. Data were obtained by completing a questionnaire entitled “Knowledge and attitude survey towards pain” and analyzed by using descriptive statistics, chi-square, Pearson correlation coefficient and cross tabulation using SPSS. Results: Overall knowledge was inadequate. More than two thirds of participants obtained a score below 50%. There was also negative attitude, almost 51% of the participants have negative attitude to pain management. Higher level of knowledge was associated with medical profession, highest of qualification and training on pain management. Conclusion: The knowledge and attitudes of this sample of health care professionals regarding the management of chronic pain was inadequate to provide appropriate quality care for patients presenting with chronic pain conditions. This study identified the need for appropriate training for all health care professionals in order to assure adequate knowledge and skills to manage chronic pain using a multidisciplinary approach.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123444716","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":"Diabetes insipidus and pediatric craniopharyngioma excision: perioperative challenges","authors":"Dr. Shubhi Singhal, Devang Bharti, Dr. Vijay Swamy, Dr. Uma Hariharan","doi":"10.15406/jaccoa.2021.13.00480","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00480","url":null,"abstract":"","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129585991","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":"Successful treatment with transesophageal pacemaker for medically refractory bradycardia during endovascular thoracoabdominal aortic aneurysm surgery: 2 case reports","authors":"Elizabeth R Larsen MD, K. H. K. Luk MD MS","doi":"10.15406/jaccoa.2021.13.00476","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00476","url":null,"abstract":"We present two cases of external pacing using esophageal atrial pacing for the treatment of medically refractory bradycardia during endovascular treatment of thoracoabdominal aortic aneurysms (TAAA) under general anesthesia. TAAA are life-threatening medical emergencies. Prompt management is required to prevent rupture or further dissection. Management focuses on impulse and blood pressure control followed by endovascular repair. Beta-blockers and antihypertensives are considered first line agents. General anesthetics can potentiate the effect of these medications intraoperatively. In our patients, favorable outcome was achieved using transesophageal pacing. Currently, there is limited literature supporting the use of transesophageal pacing in the perioperative setting.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"209 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115552330","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":"First generation of residents in the era of Covid-19. Giving honor to whom honor is due","authors":"Víctor M. Whizar-Lugo, Karen Iñiguez- López","doi":"10.15406/jaccoa.2021.13.00475","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00475","url":null,"abstract":"Since its first report in December 2019, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has become the most recent pandemic rapidly affecting all countries of the planet, leaving until today a balance of 118 754 336 infected persons and 2 634 370 fatalities in the world. As the COVID-19 pandemic progresses, it has modified our way of life, the economy has been severely damaged, and health systems have been insufficient throughout the planet. The COVID-19 pandemic had in a short time rapid and unavoidable effects on the training and work plans of all new healthcare personnel, especially residents, interns, and nurses, as well as undergraduate students from medicine and nursing. The first generation of specialists and subspecialists trained under these changes have just graduated. The last year of their medical training was damaged due to the time they had to spend managing COVID-19 patients. Many of these young doctors lost their lives in the line of fire. The training of the fellows who survived should be complemented in their first years of their practice as specialists, but their knowledge and skills acquired during their residency will benefit global health by having doctors properly trained in the fight against COVID-19.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134409076","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":"Safety and efficacy of Fibroquel® (polymerized type I collagen) in adult outpatients with moderate COVID-19: an open-label study","authors":"Hilda Adriana Castro-Rocha MD","doi":"10.15406/jaccoa.2021.13.00478","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00478","url":null,"abstract":"Background: SARS-CoV-2 infection induces a hyperinflammatory syndrome, causing acute respiratory distress syndrome, and clinical deterioration. The current therapeutic investigation has been focusing on the development of novel immunosuppressant therapies to control cytokine production. Objective: To evaluate the safety and clinical effect of intramuscular administration of polymerized type I collagen in adult outpatients with moderate COVID-19. Design, setting, and participants: This was an open-label study that recruited 20 adult patients with confirmed COVID-19 diagnosis, from June 16, 2020 to September 20, 2020. The final date of follow-up was November 4, 2020. Interventions: Patients received intramuscularly 1.5 ml of polymerized type I collagen (12.5 mg of collagen) every 12 h for 3 days and then every 24 h for 4 days. Main outcomes and measures: The primary outcome was oxygen saturation >92% on room air without supplemental oxygen. The secondary outcome was the duration of symptoms. Results: Of 20 patients who were recruited, 9 (45%) were male, with mean age of 49.5±11.2 years. Oxygen saturation >92% on room air without supplemental oxygen was achieved by 18 (90%) and 19 (95%) of patients at day 1 and 8 post-treatment with polymerized type I collagen (P=0.001). Most of the symptoms improved from day 3 of treatment concerning baseline. The neutrophil-to-lymphocyte ratio (NLR) and lactate dehydrogenase (LDH) (predictive biomarkers for moderate-severe COVID-19) decreased to statistically significant levels at day 8 post-treatment (P=0.023 and P=0.011, respectively). No serious adverse events were detected. Conclusion and relevance: In the study more than 90% of the patients had mean oxygen saturation >92%. A shorter duration of the symptoms was determined. A significant decrease in NLR and LDH was also found. The study is limited by small sample size and short follow-up duration, and determination of clinical efficacy would require larger randomized trials with more definitive outcome measures.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123243705","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":"Anesthesia in rural Cameroon","authors":"Linda Takwi, G. Bwelle, Leonid Daya","doi":"10.15406/jaccoa.2021.13.00474","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00474","url":null,"abstract":"","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126468446","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":"Spontaneous rupture of oesophagus: Boerhaave syndrome","authors":"B. Ramamurthy, Dhekane Amit","doi":"10.15406/jaccoa.2021.13.00473","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00473","url":null,"abstract":"","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114454681","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":"Effect of perioperative intravenous lignocaine infusion on postoperative pain in laparoscopic cholecystectomy","authors":"Dr. Anish Augustine, Dr. Shoba Philip","doi":"10.15406/jaccoa.2021.13.00465","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00465","url":null,"abstract":"Background and Aims: Postoperative pain delays recovery after laparoscopic cholecystectomy which is done as a daycare surgery. Opioid analgesia carries adverse effects like nausea, vomiting and respiratory depression which can affect postoperative recovery. Our aim was to compare lignocaine infusion with saline infusion as perioperative ERAS measure for postoperative analgesia in laparoscopic cholecystectomy. Method: After obtaining ethical clearance, 40 patients undergoing laparoscopic cholecystectomy were randomised by computer generated codes in to two groups A and B. In group B two subjects were moved out of study, so two in group A were also excluded to make the two groups equal. Group A received saline and group B received 2mg/kg/h lignocaine infusion intravenously which were stopped at the end of the surgery. Postoperative pain was assessed by NRS score at definite time intervals 0 (admission to postoperative anesthesia care unit), 2nd, 4th, 6th, 8th, 10th, 12th and 24th hours. Time at which first rescue analgesia was requested, total analgesic requirements, mean NRS score and side effects were noted. Results: At every time interval, patients in lignocaine group had delayed time to request for rescue analgesia, less analgesic requirements and mean NRS. (P value <0.05). No side effects or signs of toxicity were noted in lignocaine group. Conclusion: Perioperative lignocaine infusion is an efficient, safe and cost-effective armamentarium in implementing ERAS in laparoscopic cholecystectomy.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"323 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115256373","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":"Experience of using epidural labour analgesia in developing countries: effects to feotus and mother","authors":"N. Mohammad, Han Xueping, Tarikul Hasan, Chen Miao, Samim Ara","doi":"10.15406/jaccoa.2021.13.00462","DOIUrl":"https://doi.org/10.15406/jaccoa.2021.13.00462","url":null,"abstract":"Background: Epidural analgesia is regarded one of the one techniques used to relieve pains associated with labor among women used and recommended by many among the 21st century modern obstetric practitioners. The technique has advantages and disadvantages but also there is myth surrounding the practice such as its impact towards the mother and the baby. Objectives: The major objective of this study was to investigate and assess the effect(s) of epidural analgesia in regard to labor progress, baby, mother and the mode of delivery. The study further aimed at finding out complications associated with the technique in regard to neonate and the effect of the practice in regard to APGAR score. Methods: This study was conducted in a period of one year from April 2016 to February 2018 at Square Hospital Limited, Panthapath, Dhaka Bangladesh. 50 women were given epidural analgesia as a technique to relieve pains during labour, and other 50 women were put in group serving as a control. Key areas of interest during the study were; the duration of active first and second stage(s), The APGAR score, the mode of delivery, reaction after giving epidural analgesia, and Mother’s satisfaction rate. Results: There was no huge difference in the two groups in regard to deliveries as a result of operation; control group stood at 8%, while study group was at 6%. There was also comparable need of oxytocin. The study also observed no life threatening side effect with very good rating of satisfaction in regard to relieving pains. The study credits Epidural analgesia is for high rate normal delivery and a small percentage of lower segment caesarean option.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131651668","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}