EAS Journal of Anaesthesiology and Critical Care最新文献_第5页

The Effect of Isotonic and Hypotonic Fluid on Serum Sodium in the Pediatric Patient during Surgery 等渗液和低渗液对小儿手术患者血清钠的影响

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2022-03-31 DOI: 10.36349/easjacc.2022.v04i02.002

N. Nahar, A. Ferdous, Amn Kabir, Millat-E- Ibrahim

{"title":"The Effect of Isotonic and Hypotonic Fluid on Serum Sodium in the Pediatric Patient during Surgery","authors":"N. Nahar, A. Ferdous, Amn Kabir, Millat-E- Ibrahim","doi":"10.36349/easjacc.2022.v04i02.002","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i02.002","url":null,"abstract":"Introduction: Patients need intravenous fluids during Surgery to maintain adequate intravascular volume, cardiac output, and ultimately tissue Oxygen delivery. Aim of the study: Aim of the study was to evaluate serum sodium after infusion of isotonic fluid containing 131 mEq/L sodium with no glucose versus that after infusion of hypotonic fluids containing 75 mEq/L sodium with 5% dextrose. Methods: This study was conducted on pediatric patients of Bangladesh Shishu Hospital and Institute who underwent hernia operations between January 2021 and September 2021. Data are given as mean+standard deviation. P-value <0.05 was considered to be significant. continuous demographic variables were compared using the unpaired t-test, and the chi-square test was used for categorical variables. Result: There were no adverse events and all 40 patients enrolled in this study completed the procedures. The pre-anesthesia and post-anesthesia induction blood sodium concentration. Pre-anesthesia sodium (mEq/L), Isotonic was 138.7 + 1.4 and Hypotonic was 138.9 + 1.5, the charges from pre-anesthesia to postanesthesia induction was - 0.20 + 1.6. Post-anesthesia sodium (mEq/L), Isotonic was 138.5 + 1.5 and Hypotonic was 137.3 + 1.2, the charges from pre-anesthesia to postanesthesia induction was - 1.60 + 1.8. Conclusion: The administration of hypotonic fluids tends to reduce serum sodium absorption in pediatric cases, indeed when administered for a short period. But the use of isotonic fluids helps to avoid a reduction in serum sodium in pediatric and so may enhance patient safety.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121455027","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

“Comparison Study between Conservative Treatment and Nerve Block Treatment in Foot Pain” 《保守治疗与神经阻滞治疗足部疼痛的比较研究》

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2022-03-22 DOI: 10.36349/easjacc.2022.v04i02.001

D. Shihab, Dr. Khaled Ali Khaleel, Dr. Nibras Sameer Hameed, Dr. Mortada Jubara, Dr. Zaid Al-Attar

{"title":"“Comparison Study between Conservative Treatment and Nerve Block Treatment in Foot Pain”","authors":"D. Shihab, Dr. Khaled Ali Khaleel, Dr. Nibras Sameer Hameed, Dr. Mortada Jubara, Dr. Zaid Al-Attar","doi":"10.36349/easjacc.2022.v04i02.001","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i02.001","url":null,"abstract":"Objective: Ultrasound guidance nerve block in foot pain management is a new method in management of foot pain. It is simple, safe and cheap. We did this trial to compare the pain scores during both rest and activity and the functional ability after doing nerves block in comparison to patients who received non steroid anti-inflammatory drugs (conservative treatment). Materials and methods: We choose 90 patients in this double blind study, all are suffering of foot pain. Their ages ranging between35 and 80years, their weight ranging between 50 and 105 and their VAS pain scores between 6 and 9. We divided them into 2 groups, first group which has 45 patients who received NSAID only while the second group which also contain 45 patients who underwent nerve block. Results: The intensity of pain using VAS pain scores was small in the nerve block group after 6months, 1 year and 2 years in comparison with first group. The function scores of foot using American orthopedics of foot and ankle society scores (AOAFS) also was better in the second group (nerve block group). Conclusion: Ultrasound guidance ankle nerves block is better than using conservative anti-inflammatory drugs in reducing pain scores and improve the function capacity of the patients in patients with foot pain.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125087069","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

“Low Dose Spinal Anaesthesia and Its Safety in Cardiac Compromised and Highly Risk Patients” 低剂量脊髓麻醉对心脏受损及高危患者的安全性研究

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2022-02-16 DOI: 10.36349/easjacc.2022.v04i01.002

R. Mondal, Shafiul Alam Shaheen, Raju Ahmed, Md. Azizul Gafur

{"title":"“Low Dose Spinal Anaesthesia and Its Safety in Cardiac Compromised and Highly Risk Patients”","authors":"R. Mondal, Shafiul Alam Shaheen, Raju Ahmed, Md. Azizul Gafur","doi":"10.36349/easjacc.2022.v04i01.002","DOIUrl":"https://doi.org/10.36349/easjacc.2022.v04i01.002","url":null,"abstract":"Background: Spinal anaesthesia consists of inserting a spinal needle into the subarachnoid space and, when a free flow of cerebrospinal fluid (CSF) is obtained, injection of a solution of local anaesthetic directly into the CSF. In SA Patients is used for subumbilical surgeries but still there is a concern about its safety & feasibility. Objective: To assess low dose spinal anaesthesia and its safety in cardiac compromised and highly risk patients. Materials and Methods: In this prospective study was conducted in the Dept. of Anaesthesia, Ibrahim Cardiac Hospital, Dhaka, Bangladesh from September 2021 to January 2022. Forty patients of aged 20-80 years were included undergoing. All patients age group American society of anesthesiology grade III-IV, with any cardiorespiratory abnormility scheduled for elective infraumbilical surgeries like ATK amputation, BTK amputation, LASER surgeries & other Vascular surgeries ete. Patients with known contraindication to spinal anaesthesia were excluded. Relevant investigation was done e.g. haemoglobin, complete blood count, kidney function test etc. Special investigation like chest x-ray, coagulation profile only Echo, ETT if needed. On the day of surgery in preoperative room vital parameters (Heart Rate, Respiration, Blood Pressure, liver function test, Spo2) were noted & CV line and arterial line can be done if needed. Demographic data, vital parameters, sensory –motor block characteristics & complications were noted. Results: In our study mean and standard deviation of mean age is 43.76±10.33 and Mean Weight (Kg) 69.7±7.4. Out of the 40 cases, 27 were males whereas the remaining 13 were females. Forty patients of different age group, sex and weight of ASA III and IV categories were included in this study, out of which 10 patients were in age group 18-25 years (5%), 10 patients were in age group 41-50 years (25%) and 17 patients were in age group 51-60 years (42%). In this study indication high perception LASER surgery........","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132481998","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

Peripartum Cerebral Thrombophlebitis: Cases Report 围生期脑血栓性静脉炎1例报告

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2022-01-22 DOI: 10.36349/easjacc.2022.v04i01.001

oussef Haouas, Y. Hafiani, Ihsane Moussaid, S. .. Youssoufi, S. Salmi

引用次数: 0

“Comparison between Propofol and Dexmedetomidine for Conscious Sedation in Patients Undergoing Outpatient Colonoscopy” 异丙酚与右美托咪定在门诊结肠镜患者清醒镇静中的比较

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2021-03-30 DOI: 10.36349/easjacc.2021.v03i02.003

Sabia Siddika, Syed Altaf-Uz-Zaman, Khondaker Md. Masud, Md. Abdul Hakim Choudhury

引用次数: 0

D-Dimer Trends as a Prognostic Factor of Critical Illness in COVID-19 Patients d -二聚体趋势与COVID-19危重症患者预后的关系

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2021-03-19 DOI: 10.36349/easjacc.2021.v03i02.002

Amina Ali Baomar, Abdullah Al Jadidi, N. Kaul, Rashid M Khan

{"title":"D-Dimer Trends as a Prognostic Factor of Critical Illness in COVID-19 Patients","authors":" Amina Ali Baomar, Abdullah Al Jadidi, N. Kaul, Rashid M Khan","doi":"10.36349/easjacc.2021.v03i02.002","DOIUrl":"https://doi.org/10.36349/easjacc.2021.v03i02.002","url":null,"abstract":"Quick Response Code Abstract: Raised levels of D-dimer have been noted in patients with COVID-19. The existing evidence emplies that the highest levels of D-dimer in the critically ill Covid-19 patient shows a linear relationship between the D-dimer measurement and the severity of the disease. However, that should also mean a patient on the road to recovery would have decrease in prothrombotic state and hence lower D-dimer readings. This study hypothesized that D-dimer trend would start to return towards normal as patients recovered from this illness. The present study included 43 patients with COVID-19 infection treated in the ICU at Khoula Hospital, Muscat, Oman from 10th May to 5th August 2020. Six readings of D-dimer were taken from the time of admission of Covid-19 npatient to their discharge from the ICU or demise. The data was statistically analyzed using generalized linear model, paired ‘t’ test and Wilcoxon Signet Ranks test. D-dimer demonstrated a statistically significant difference by the value of 4 μg/ml in patients who were eventually extubated compared to those who died while in the ICU, despite that, as a trend over time was insignificant. In conclusion, this study suggests that D-dimer would be noteworthy in assessing severity as a single time-point, however not as a prognostic value in evaluating improvement of critically ill patients of COVID-19.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116347733","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

COVID 19 - Concerns for the Intensive Care Physician- A Review COVID - 19 -重症监护医生的关注-综述

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2021-03-06 DOI: 10.36349/easjacc.2021.v03i02.001

Dr. Padmakumar V Arayamparambil, Mrs. Deepa C Velayudhan

{"title":"COVID 19 - Concerns for the Intensive Care Physician- A Review","authors":" Dr. Padmakumar V Arayamparambil, Mrs. Deepa C Velayudhan","doi":"10.36349/easjacc.2021.v03i02.001","DOIUrl":"https://doi.org/10.36349/easjacc.2021.v03i02.001","url":null,"abstract":"Quick Response Code Abstract: COVID-19 is most well-known for causing respiratory pathology. It can also result in other organ involvement. These include thrombotic complications like myocardial infarction and stroke. Cardiac arrhythmias, acute kidney injury, gastrointestinal symptoms, hepatocellular injury, pancreatitis, neurologic disorders including demyelination, endocrine issues like hyperglycemia and ketosis have been reported. Individually and in combination, these can add to mortality and morbidity. This review is primarily focussing on the potential life threatening problems that physicians can encounter during the course of COVID 19 patients‘ stay in intensive care unit. Electronic literature search was done to study COVD-19 and its pathophysiology, different organ involvement other than lungs, ICU management and mortality. The search engines used to conduct the electronic literature searches were PubMed, PubMed Central, Google Scholar and CAS. A combination of keywords was used to make the searches such as COVID-19 AND (Pathology OR Pathophysiology OR Complications OR Organ failure OR Intensive care OR Risk factors OR Mortality).The articles published in English language between the years 2019 and 2020 were considered in the review. Few cross references of previous years were also reviewed and included. The findings of these studies were synthesized into a narrative review.","PeriodicalId":347630,"journal":{"name":"EAS Journal of Anaesthesiology and Critical Care","volume":"182 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134387601","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

Acute Pancreatitis in COVID-19 Patients: Two Case Reports and Review of Literature 新冠肺炎患者急性胰腺炎2例报告及文献复习

EAS Journal of Anaesthesiology and Critical Care Pub Date : 2020-12-18 DOI: 10.36349/EASJACC.2020.V02I06.001

Sreenivas Reddy Madhurantakam, Padmakumar V Arayamparambil, G. Chandan, P. Sarada

引用次数: 2