Journal of Anesthesia and Critical Care: Open access最新文献_第8页

Augmented renal clearance in the intensive care units: concepts to considerate in drug dosing 强化肾清除率在重症监护病房:概念考虑的药物剂量

Journal of Anesthesia and Critical Care: Open access Pub Date : 2021-01-29 DOI: 10.15406/jaccoa.2020.13.00461

L. M. Charco-Roca

引用次数: 0

sTREM-1 as a severity marker in patients with septic shock with abdominal surgery sTREM-1作为脓毒性休克合并腹部手术患者的严重程度标志

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-12-31 DOI: 10.15406/jaccoa.2020.12.00459

Chávez-Pérez Juan Pedro, Bautista Carbajal Patricia, García-León Miguel Leonardo, Cabrera-Sanchez José Arturo, Baltazar Lopez Neyla, Zaldivar- Ramirez Felipe Rafael, Angel-Ambrocio Antonio Humberto, Wong-Chew Rosa María

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Considerations on liver transplantation. concise literature review and update 肝移植的注意事项。简明的文献回顾和更新

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-12-30 DOI: 10.15406/jaccoa.2020.12.00460

Ahmed Fouad Mady, W. Aletreby, O. Ramadan, Mohammed Ali Alodat, A. Alharthy, D. Karakitsos

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Physiological effects of acupuncture in the anaesthetic time 针刺在麻醉时的生理效应

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-12-14 DOI: 10.15406/jaccoa.2020.12.00458

Diego Díaz Rodríguez, C. S. Blanco, Bartolome Fernández Torres

{"title":"Physiological effects of acupuncture in the anaesthetic time","authors":"Diego Díaz Rodríguez, C. S. Blanco, Bartolome Fernández Torres","doi":"10.15406/jaccoa.2020.12.00458","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00458","url":null,"abstract":"Introduction: Traditional chinese (Chinese) medicine (TCM) is one of the oldest medical systems in the world. It hypothesizes the existence of many points in the way of channels, where the vital energy (Qi) flows. These points have therapeutic actions and many of them can be used in the anaesthetic time to improve the perioperative patient management. Materials and methods: A bibliographic research was conducted to identify the evidence based of acupuncture benefits during the anaesthetic time and the physiological mechanisms implicated in these actions. Results and discussion: The main areas where acupuncture showed evidence based benefits during the anaesthetic time were anxiety,sedation, hypnosis, analgesic requirements and nausea and vomiting. Almost all these actions are mediated by the nervous system and chemical substances such as endogenous opioids and some neurotransmitters. Despite the great knowledge it has been reached in this review on the basic mechanisms that explain actions of acupuncture during anaesthesia, more studies are needed to allow us to know in detail and precision the physiological mechanisms and the structures involved. Conclusion: The understanding of the mechanisms underlying the actions of acupuncture during anaesthesia has advanced greatly in recent years, however more studies are needed to identify them more precisely.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114529301","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

Bracing a prudent anesthetic challenge: a super-morbidly obese patient posted for an emergency laparotomy: a case report 准备一个谨慎的麻醉挑战:一个超级病态肥胖的病人发布了紧急剖腹手术:病例报告

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-11-11 DOI: 10.15406/jaccoa.2020.12.00457

Dr. Nigel Kuriakose, Dr. Anzar Shoukkath Ali, Dr. Rahul Shabad, Dr. Mohamed Al Ismaili, Dr. Ali Al Abady

引用次数: 0

Tocilizumab in patients with severe COVID-19 pneumonia in Veracruz, Mexico 托珠单抗在墨西哥韦拉克鲁斯州重症COVID-19肺炎患者中的应用

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-11-11 DOI: 10.15406/jaccoa.2020.12.00456

L. Carpio-Orantes, Sergio García Méndez, Manuel Martínez-Rojas, Jorge Samuel Cortés-Román, O. R. Jiménez-Flores, Samuel Pascual-Epigmenio, Raymundo Ramírez-Rojas, M. A. Ataxca-González, J. S. Sánchez Díaz, Álvaro Efrén Munguía-Sereno, Zeltzin Olivia Guerrero-Mancinas, Azael Ahumada- Zamudio, Andrés Realino Velasco-Caicero, Elisa Estefanía Aparicio-Sánchez, Orlando Israel Segura-Rodríguez, E. R. Contreras-Sánchez, Ada Lili Rosas-Lozano, Alejandro Escobar-Huerta, Omar García- Hernández, Olga González-Segovia, Ernesto Javier Pacheco-Perez, Andrés Aguilar-Silva, Daniel Laguna-Arellano

引用次数: 1

International mourning day of anesthesiology: year 2020 and Covid-19 国际麻醉学哀悼日:2020年与2019冠状病毒病

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-10-30 DOI: 10.15406/jaccoa.2020.12.00454

V. Whizar-Lugo

引用次数: 0

Update on anesthesia for patients undergoing post-bariatric body contouring surgical procedures 接受减肥后身体轮廓外科手术的患者麻醉的最新进展

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-09-19 DOI: 10.15406/jaccoa.2020.12.00450

V. Whizar-Lugo, Jaime Campos- León, Karen L. Íñiguez-López, Roberto Cisneros-Corral

{"title":"Update on anesthesia for patients undergoing post-bariatric body contouring surgical procedures","authors":"V. Whizar-Lugo, Jaime Campos- León, Karen L. Íñiguez-López, Roberto Cisneros-Corral","doi":"10.15406/jaccoa.2020.12.00450","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00450","url":null,"abstract":"Individuals who have undergone bariatric surgery and have lost a considerable amount of weight tend to seek consultation with plastic surgeons for body contouring surgery. This growing population is overweight, and they still have some of the co-morbidities of obesity, such as hypertension, ischemic heart disease, pulmonary hypertension, sleep apnea, iron deficiency anemia, hyperglycemia, among other pathologies. They should be considered as high anesthetic risk and therefore, should be thoroughly evaluated. If more than one surgery is planned, a safe operative plan must be defined. The anesthetic management is adjusted to the physical condition of the patient, the anatomical and physiological changes, the psychological condition, as well as the surgical plan. Anemia is a frequent complication of obesity and bariatric procedures and should be compensated with appropriate anticipation. Pre-anesthetic medications may include benzodiazepines, alpha-2 agonists, anti-emetics, antibiotics, and pre-emptive analgesics. Regional anesthesia should be used whenever possible, especially subarachnoid blockade, since it has few side effects. General anesthesia should be left as the last option and can be combined with regional techniques. It is prudent to use conscious sedation for facial and neck surgery, maintaining strict control, especially with respect to the airway management. Thromboprophylaxis is mandatory and should continue for several days after the operation.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128321090","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

Lack of compassion and health teams: compassionate absence turns into empathic distress 缺乏同情心和医疗团队:同情心的缺失变成了同理心的痛苦

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-08-31 DOI: 10.15406/jaccoa.2020.12.00449

Dr. Guillermo Eduardo Aréchiga Ornelas

引用次数: 0

The benefits of premedication for small surgical interventions in one-day surgery in children 儿童一日手术小手术干预前药物治疗的益处

Journal of Anesthesia and Critical Care: Open access Pub Date : 2020-08-27 DOI: 10.15406/jaccoa.2020.12.00448

E. Nasibova, C. N. Pashaev

{"title":"The benefits of premedication for small surgical interventions in one-day surgery in children","authors":"E. Nasibova, C. N. Pashaev","doi":"10.15406/jaccoa.2020.12.00448","DOIUrl":"https://doi.org/10.15406/jaccoa.2020.12.00448","url":null,"abstract":"Material and research methods:Midazolam at a dose of 0.4 mg/kg per os or 0.3 mg/kg intramuscularly 20 minutes before anesthesia was used as a sedative drug for sedation. The necessity of prescribing a sedative drug in premedication was determined individually and was guided by the obtained data of the Kerdo vegetative index. The results of the study: Analysis of the depth of sedation showed that 5 minutes after sedation in 7 children (8.4%), the degree of sedation was at the RO level, and in 67 children (80.7%) at the RI level, in 9 children (10.8%) at R2 level. After 10 minutes, 72.3% of the children began to experience drowsiness, but at the same time they were in contact, performed simple commands, opened their eyes to treatment, which corresponded to the R3 degree of sedation. The remaining 27.7% of the children did not experience drowsiness, while they were calm and contact (sedation degree R2). At the 20th minute of the study, 84.3% of the children reached R3 sedation. And 15.7% of children at the time of separation from their parents corresponded to degree R2.Thus, in the light of the above information, each anesthetist should carefully plan all aspects of the preoperative introduction of each individual child, including premedication means in this plan, if there is a clear need for them. The point of view of some doctors \"applying\" standard premedication is extremely erroneous, since there are no two identical patients. It is necessary to choose the method of sedation that is optimal and ideal for the child.","PeriodicalId":228896,"journal":{"name":"Journal of Anesthesia and Critical Care: Open access","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115113351","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