The Open Anesthesiology Journal最新文献

{"title":"Analgesic Benefits of Ultrasound-Guided Thoraco-Abdominal Wall Peripheral Nerve Blocks","authors":"Jaime Ortiz, Lisa Mouzi Wofford","doi":"10.2174/1874321801610010040","DOIUrl":"https://doi.org/10.2174/1874321801610010040","url":null,"abstract":"Received: August 05, 2016 Revised: November 04, 2016 Accepted: November 16, 2016 Abstract: Background and Objectives: Peripheral nerve blocks have been associated with decreased opiate consumption along with decreased associated side effects, improved pain scores, improved patient satisfaction scores, and decreased hospital length of stay. The aim of this review is to describe the use of ultrasound-guided thoraco-abdominal wall peripheral nerve blocks for perioperative analgesia.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114589656","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":"Predictors of difficult tracheal intubation on adult elective patients in a teaching hospital","authors":"Dawit Tafesse, Getu Ataro","doi":"10.2174/1874321801610010034","DOIUrl":"https://doi.org/10.2174/1874321801610010034","url":null,"abstract":"Received: July 25, 2016 Revised: October 07, 2016 Accepted: October 13, 2016 Abstract: Background: During routine preoperative assessment of patients one of the commonest practices is predicting difficulty of tracheal intubation from various factors detected. Whether the factors reliably predict the difficulty is subject of argument. This study was conducted to assess the predictors of difficult tracheal intubation in adult patients.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127266151","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 Midazolam and 0.5% Levobupivacaine Combination in Ultrasound-guided Supraclavicular Brachial Plexus Block for Upper Limb Surgeries - A Clinical Study","authors":"Bhawana Rastogi, Ankush Arora, K. Gupta, Manish Jain, V. Singh, A. Rastogi","doi":"10.2174/1874321801610010027","DOIUrl":"https://doi.org/10.2174/1874321801610010027","url":null,"abstract":"RESEARCH ARTICLE Effect of Midazolam and 0.5% Levobupivacaine Combination in Ultrasound-guided Supraclavicular Brachial Plexus Block for Upper Limb Surgeries A Clinical Study Bhawana Rastogi, Ankush Arora, Kumkum Gupta, Manish Jain, Vijendra Pal Singh and Avinash Rastogi Department of Anaesthesiology and Critical Care, Subharti Medical College, Meerut, India Lok Nayak Jai Prakash Hospital, New Delhi, India Department of Orthopedics, Subharti Medical College, Meerut UP, India","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122077057","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":"Book Review: Drugs in Anaesthesia and Intensive Care","authors":"R. Garg","doi":"10.2174/1874321801610010025","DOIUrl":"https://doi.org/10.2174/1874321801610010025","url":null,"abstract":"The description of drugs has been paragraphed and bulleted for all relevant properties of the drug required for its understanding. This makes it useful not only for acquiring knowledge easily, but also the subheading makes it prompt reference for the specific use in time of need of the drug usage in clinical practice. The search within the text book has been made easier. The drugs are indexed in two ways: based on name of the drug and also based on uses of the drugs. This allows easy search of an individual drug and also easy search of all drugs for a specific use. This allows the user to refer with ease and promptness in times of need. The editors (authors) have very concisely but comprehensively documented all relevant details about the drug. It would help clinicians, paramedics including nursing personnel to use these drugs with better understanding. It would help them for the cautions in specific groups of person due to associated co morbidity. It would allow them to look for any adverse effects. This goes by well known dictum “Eyes sees what the brain knows”. Hence identifying drug related issues would be better managed. Also descriptions of the systemic effects of drugs have been briefly described. This would allow observing for the systemic effects specifically and further managed if body functions become compromised. This would also prepare the clinicians and nursing staff to make the adequate arrangements based on the systemic effects of the drugs prior to its administration. The pharmacokinetics would help to cautiously use the drugs in patients having systemic disease affecting liver metabolism or kidney excretion of the drugs. The dosage may require alteration by better drug pharmacokinetics understanding. At times, preparation of drugs for infusion and its administration may lead to mishaps. This hand book has described the drugs precisely and evidence based for various aspects of drugs including method for drug dilution, its administration including its speed and duration for infusion. This is of utmost important specifically with highly potent drug or drugs with significant adverse drug profile and may cause harm if not administered as per norms. The section on 'special points' appears to be a very important clinical pearl. No drugs are without special precautions for its use. It may relate to its use, dosages, routes, associated patient co-morbidity or drug interaction. The editors have concisely included all these clinical pearls and key points comprehensively under this heading.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121375001","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":"Comparison of Endotracheal Intubation Through I-gel and Intubating Laryngeal Mask Airway","authors":"Bharat Choudhary, Rakesh Karnawat, S. Mohammed, Monika Gupta, B. Srinivasan, Rakesh Kumar","doi":"10.2174/1874321801610010018","DOIUrl":"https://doi.org/10.2174/1874321801610010018","url":null,"abstract":"Received: February 11, 2016 Revised: June 24, 2016 Accepted: June 24, 2016 Abstract: Background: Supraglottic airway devices (SADs) are very useful airway adjunct in managing anticipated and unanticipated difficult airway and can be used as a ventilating aid and as a conduit for tracheal intubation. The new versions of SADs like i-gel and intubating laryngeal mask airway (ILMA), have advantage of hands-free airway maintenance without the need for tracheal intubation, they can be placed easily without direct visualization of the larynx, ensure predictable ventilation and can be used as conduit for tracheal intubation.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132987821","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 Dexmedetomidine on Postoperative Hemodynamics and Outcome of Free Flaps in Head and Neck Reconstructive Surgeries","authors":"S. Rajan, Sumana Moorthy, J. Paul, L. Kumar","doi":"10.2174/1874321801610010012","DOIUrl":"https://doi.org/10.2174/1874321801610010012","url":null,"abstract":"Received: November 16, 2015 Revised: February 12, 2016 Accepted: February 16, 2016 Abstract: Background and Aims: Dexmedetomidine is less frequently used during free flap surgeries for fear of causing vasoconstriction leading to flap failure as it is an α2 agonist. But most patients following major resections with free flap reconstruction develop uncontrolled hypertension postoperatively which could lead to complications resulting in reduced flap perfusion. We aimed to compare the effects of dexmedetomidine on postop haemodynamics, re-exploration rates and final outcome of free flaps in patients who underwent reconstructive surgeries.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123580376","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":"Technical Challenges of Spinal Cord Stimulation Lead Placement in Morbidly Obese Patients","authors":"S. Sastry, D. Nussear, A. Gillespy, K. Berger","doi":"10.2174/1874321801610010008","DOIUrl":"https://doi.org/10.2174/1874321801610010008","url":null,"abstract":"Technical Challenges of Spinal Cord Stimulation Lead Placement in Morbidly Obese Patients Sanjay Sastry, David Nussear, Albert Gillespy and Kristina Berger Pain Management, Coastal Neurology & Pain Centers, 801 Beville Road, South Daytona, Florida 32119, United States Anesthesiology Lake Mary Surgery Center 460 St. Charles Court, Lake Mary, Florida 32748, United States Orthopedic Clinic of Daytona Beach, 1890 LPGA Boulevard, Suite 24, Daytona Beach, Florida 32117, United States Lake Mary Family Practice, 755 Rinehart Rd. #100, Lake Mary, Florida 32746, United States","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116568009","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":"Acquired-Hypernatraemia in the Intensive Care Units","authors":"S. Premaratne, H. Jagoda, M. Ikram, A. Abayadeera","doi":"10.2174/1874321801610010001","DOIUrl":"https://doi.org/10.2174/1874321801610010001","url":null,"abstract":"Objectives: Determine the incidence and predisposing factors of acquired-hypernatraemia in the intensive care units (ICU) and its impact on the outcome.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134010723","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":"Low-dose Bupivacaine with Dexmedetomidine Prevents Hypotension After Spinal Anesthesia","authors":"Y. Chang, Ji-Eun Kim, Tae-yun Sung","doi":"10.2174/1874321801509010039","DOIUrl":"https://doi.org/10.2174/1874321801509010039","url":null,"abstract":"Background: We assessed whether intrathecal low-dose bupivacaine with dexmedetomidine could reduce the incidence of spinal anesthesia (SA)-related hypotension. Methods: In total, 47 patients undergoing urological or orthope- dic surgery under SA were randomized into two groups. SA was induced using 12.5 mg of hyperbaric bupivacaine alone (Group B; n = 24 patients) or 6 mg of hyperbaric bupivacaine plus 4 μg of dexmedetomidine and 0.3 ml of saline (Group BD; n = 23 patients). At 10 min after SA, dexmedetomidine was infused in both groups at a loading dose of 0.5 μg/kg, administered over 10 min, and then maintained at a dose of 0.2 μg/kg/h for 40 min. Results: The incidence of hypotension was significantly higher in Group B than in Group BD (50.0 vs. 17.4%, P = 0.018). The amount of ephedrine used to treat hypotension was significantly higher in Group B than in Group BD (median (range), 3 (0-30) vs. 0 (0-12) mg, P = 0.014). Conclusion: Low-dose bupivacaine plus dexmedetomidine SA reduced the incidence of hypotension compared to conven- tional bupivacaine SA.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125089722","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":"Clinical Pearls in Anesthesia for Xeroderma Pigmentosum: A Case Report","authors":"S. Shah, U. Hariharan, B. K. Naithani, A. Bhargava","doi":"10.2174/1874321801509010036","DOIUrl":"https://doi.org/10.2174/1874321801509010036","url":null,"abstract":"Xeroderma Pigmentosum (XP) is a rare autosomal recessive (AR) disease characterized by hypersensitivity of the skin to ultra violet (UV) radiation, resulting in a high frequency of UV induced skin tumors and progressive neuro- logical complications at an early age. Through the following case report we emphasize that perioperative management of xeroderma patients entails meticulous evaluation for neurological abnormalities, shielding the skin from OT (operation theatre) lights by using protective clothing, sunscreen and UV blocking film as well as avoidance of genotoxic drugs like volatile anaesthetics and paracetamol. One must be prepared for the possibility of difficult mask ventilation (we used a mask one size larger), difficult intubation and prolonged effect of muscle relaxants (as in our case) due to skin atrophy, neoplasia, joint contracture and neuronal dysfunction.","PeriodicalId":272376,"journal":{"name":"The Open Anesthesiology Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117168337","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}