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Middle East Journal of Anesthesiology最新文献

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Amniotic fluid embolism. 羊水栓塞。
Middle East Journal of Anesthesiology Pub Date : 2020-06-24 DOI: 10.5772/intechopen.85726
J. Suidan
{"title":"Amniotic fluid embolism.","authors":"J. Suidan","doi":"10.5772/intechopen.85726","DOIUrl":"https://doi.org/10.5772/intechopen.85726","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"10 3 1","pages":"279-90"},"PeriodicalIF":0.0,"publicationDate":"2020-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5772/intechopen.85726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42328747","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
THE EFFECT OF ETHNICITY ON THE INCIDENCE OF POSTOPERATIVE NAUSEA AND VOMITING IN MODERATE TO HIGH RISK PATIENTS UNDERGOING GENERAL ANESTHESIA IN SOUTH AFRICA: A CONTROLLED OBSERVATIONAL STUDY. 种族对南非接受全身麻醉的中高风险患者术后恶心和呕吐发生率的影响:一项对照观察性研究。
Middle East Journal of Anesthesiology Pub Date : 2017-06-01
A Alli, S Omar, S Tsang, B I Naik
{"title":"THE EFFECT OF ETHNICITY ON THE INCIDENCE OF POSTOPERATIVE NAUSEA AND VOMITING IN MODERATE TO HIGH RISK PATIENTS UNDERGOING GENERAL ANESTHESIA IN SOUTH AFRICA: A CONTROLLED OBSERVATIONAL STUDY.","authors":"A Alli,&nbsp;S Omar,&nbsp;S Tsang,&nbsp;B I Naik","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>We conducted this prospective controlled observational study to compare the effect of ethnicity on the risk of postoperative nausea and vomiting (PONV) between moderate to high-risk African and non-African patients undergoing general anesthesia.</p><p><strong>Methods: </strong>Using Apfel score risk factors and predicted length of surgery (>30 minutes), 89 moderate to high risk patients undergoing general anesthesia were recruited in a university hospital between March 2009 and November 2010. Thirty patients in the non-African group and 59 patients in the African group were allocated using an ethnicity self identification questionnaire. Intraoperative anesthesia was standardized. PONV was assessed at 0 minutes, 15 minutes, 90 minutes, 180 minutes, and 24 hours. Generalized linear mixed effects models was used to determine the effect of ethnicity on PONV.</p><p><strong>Results: </strong>Despite similar Apfel scores, cumulative incidence of postoperative nausea was higher in the non-African group at 0 minutes (46.67% vs 22.03%, <i>P =</i> 0.019), 15 minutes (70% vs 23.73%, p<0.001) and 90 minutes (36.67% vs 16.95%, <i>P</i> = 0.04). The non-African group had more episodes of vomiting over 24 hours (13.33% vs 1.69%, <i>P</i> = 0.055). Non-Africans had a 25 times higher reported nausea incidence than Africans over 24 hours.</p><p><strong>Conclusion: </strong>The incidence of PONV in non-Africans is significantly higher than in Africans. Non-African ethnicity is an independent risk factor for PONV. Current risk prediction models may be limited in multi-ethnic populations and further investigations are warranted to examine ethnicity as a risk factor.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"24 2","pages":"119-129"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103314/pdf/nihms932288.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36423101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Circuit Leak Development Over Time and Response During Low-Flow Volume and Pressure-Controlled Ventilation. 回路泄漏随时间发展的影响和响应在低流量和压力控制通风。
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
Roland Kaddoum, Chadi I Yaacoub, George M McKelvey, Hong Wang
{"title":"Effects of Circuit Leak Development Over Time and Response During Low-Flow Volume and Pressure-Controlled Ventilation.","authors":"Roland Kaddoum,&nbsp;Chadi I Yaacoub,&nbsp;George M McKelvey,&nbsp;Hong Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Study Objective: To study the effects of circuit leak development over time and response during volume and pressure controlled ventilation using low flow in human patient simulator and to examine the minimum fresh gas flow needed to compensate for such a leak.\u0000\u0000Design/Setting: Prospective study using a patient Simulation Lab at Wayne State University.\u0000\u0000Measurements: A human patient simulator was endotracheally intubated. The endotracheal\u0000tube (ETT) was connected to the Datex-Ohmeda AS/3 Anesthesia machine. The tidal volume was\u0000set to 500ml in the volume controlled trial and the pressure to 6cm H2O in the pressure controlled\u0000trial. A hole was created in each experiment placed 10 cm after the inspiratory valve. Leaks were\u0000simulated from holes using 4 different needle diameters: 25, 21, 18 and 16G. A series of data were\u0000collected using fresh gas flow at 4 different flow rates (0.5, 1, 1.5 and 2 liters.min-1). Data was\u0000measured at different time points (baseline, 1, 3 and 5 minutes) in the series of simulated leaking\u0000breathing circuits.\u0000\u0000Results: Leak alarms were only detected with 16G hole at 5 minutes in the volume control\u0000mode versus leaks at 3 minutes with 16G hole and at 5 minutes with 18G hole in the pressure\u0000control mode.\u0000\u0000Conclusion: When a very low flow of 0.5 L/min is used, volume control is safer than pressure control modes.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"631-37"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36254800","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
Perimortem Cesarean Section. 剖宫产术
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
Anis Baraka
{"title":"Perimortem Cesarean Section.","authors":"Anis Baraka","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"603-4"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36254927","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
The Use of Flexible Fiberoptic Cystoscope for Difficult Endotracheal Intubation in TMJ Ankylosis Patients: A Case Series. 柔性纤维膀胱镜在TMJ强直患者气管插管困难中的应用:一个病例系列。
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
Taiseer Hussain Al-Khateeb, Daher K Rabad
{"title":"The Use of Flexible Fiberoptic Cystoscope for Difficult Endotracheal Intubation in TMJ Ankylosis Patients: A Case Series.","authors":"Taiseer Hussain Al-Khateeb,&nbsp;Daher K Rabad","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Fiberoptic bronchoscopes might be vital for the safe performance of difficult\u0000endotracheal intubations. However, many hospitals in low or middle-income countries are unable\u0000to afford the equipment. We describe the use of a flexible fiberoptic cystoscope, as an alternative\u0000to a bronchoscope, for difficult nasoendotracheal intubation in patients with temporomandibular joint ankyloses.</p><p><strong>Methods: </strong>Eight Jordanian patients (five females and three males) with severe restriction of\u0000mouth opening, due to ankylosis of the temporomandibular joint, underwent awake nasoendotracheal\u0000intubation using a flexible fiberoptic cystoscope under local anesthesia.</p><p><strong>Results: </strong>The procedure was successful and well tolerated in all eight patients.</p><p><strong>Conclusion: </strong>A flexible cystoscope can be a successful alternative to a flexible bronchoscope,\u0000for difficult nasoendotracheal intubation in hospitals at rural areas in low-or middle-income countries with limited financial resources.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"679-83"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36254802","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
Erratum: Anesthetic considerations for the neonate with tracheoesophageal fistula. 勘误:新生儿气管食管瘘的麻醉注意事项。
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
{"title":"Erratum: Anesthetic considerations for the neonate with tracheoesophageal fistula.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"693"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36255230","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
Postoperative Pain Management Practice at Teaching Hospitals in Jordan. 约旦教学医院术后疼痛管理实践
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
Aboud Al Jabari, Islam Massad, Khaled Al Zaben, Ibrahim Habebeh
{"title":"Postoperative Pain Management Practice at Teaching Hospitals in Jordan.","authors":"Aboud Al Jabari,&nbsp;Islam Massad,&nbsp;Khaled Al Zaben,&nbsp;Ibrahim Habebeh","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"685-6"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36255231","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
SPQ (Self Promoter Questionnaire) or Spec (Self Promotion Evaluator Collector). SPQ(自我推销问卷)或Spec(自我推销评估者收集者)。
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
Deepak Gupta, Sarwan Kumar
{"title":"SPQ (Self Promoter Questionnaire) or Spec (Self Promotion Evaluator Collector).","authors":"Deepak Gupta,&nbsp;Sarwan Kumar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Healing hospitals have evolved into business companies (institutions). Therefore, the need arises to evaluate the care rendered not only for the sake of adequacy of healing among patients but also for the sake of self-promotions to ensure returning customers. This letter brings forth our\u0000post-hoc objective method that can be an answer and/or replacement to pre-hoc subjective scoring of services by Net Promoter Score® or The National Health Service Friends and Family Test. Both the abovementioned scores work on the flawed avenue based on the satisfaction perceived\u0000immediate post-care/service by consumers (employees or patients). The reason for this flaw is that these scores do NOT look into whether the scored satisfactions and consequent presumptions actually shape into direct reality for the evaluated institutions. Herein our SPQ: Self Promoter\u0000Questionnaire or SPEC: Self Promotion Evaluator Collector comes in handy. This yet to be validated objective assessment of institutions definitely looks encouraging.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"687-90"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36255232","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
Analgetic Efficacy of Flurbiprofen Axcetil in Rigid Cystoscopy for Men: a Prospective Study. 氟比洛芬酯在男性硬性膀胱镜检查中的镇痛效果:一项前瞻性研究。
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
Jinguo Wang, Haichun Ma, Lei Wang, Honglan Zhou, Yang Gao, Na Wang
{"title":"Analgetic Efficacy of Flurbiprofen Axcetil in Rigid Cystoscopy for Men: a Prospective Study.","authors":"Jinguo Wang,&nbsp;Haichun Ma,&nbsp;Lei Wang,&nbsp;Honglan Zhou,&nbsp;Yang Gao,&nbsp;Na Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the analgesic effect of preprocedural flurbiprofen axetil on rigid\u0000cystoscopy-associated pain for men.</p><p><strong>Methods: </strong>Fifty-two men scheduled for cystoscopy were recruited in this study. The effects\u0000of oxybuprocaine jelly alone or in combination with preprocedural flurbiprofen axetil, were\u0000compared. The pain intensity was assessed using visual analogue scale (VAS) scores during\u0000injecting oxybuprocaine jelly into the urethra, during inserting rigid cystoscope into the urethra,\u0000during viewing inside the urinary bladder, at the first urination after cystoscopy and at the first\u0000urination on the following morning at home.</p><p><strong>Results: </strong>VAS scores with preprocedural flurbiprofen axetil were significantly lower as\u0000compared with the control group at the time periods of inserting rigid cystoscope into the urethra,\u0000viewing inside the urinary bladder, the first urination after cystoscopy and at the first urination on\u0000the following morning at home. No side effects associated with flurbiprofen axetil were observed.</p><p><strong>Conclusion: </strong>Preprocedural flurbiprofen axetil can decrease cystoscopy-associated pain.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"619-23"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36254822","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
Ultrasound Guided In-Plane Penile Nerve Block for Circumcision: A New, Modified Technique Suggests Lower Anesthetic Volume and Narcotic Use. 超声引导下阴茎平面神经阻滞用于包皮环切术:一种新的改良技术，建议减少麻醉量和麻醉剂的使用。
Middle East Journal of Anesthesiology Pub Date : 2016-10-01
M-Irfan Suleman, Anita N Akbar Ali, Valbona Kanarek, Ming Li, Ashay Patel
{"title":"Ultrasound Guided In-Plane Penile Nerve Block for Circumcision: A New, Modified Technique Suggests Lower Anesthetic Volume and Narcotic Use.","authors":"M-Irfan Suleman,&nbsp;Anita N Akbar Ali,&nbsp;Valbona Kanarek,&nbsp;Ming Li,&nbsp;Ashay Patel","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Context: </strong>Circumcision is one of the most common surgical procedures in pediatric males.\u0000Anesthesia is often the classic dorsal penile nerve block (DPNB), which is based on landmark\u0000identification and tactile feel of tissue resistance during needle advancement. However, this\u0000technique is associated with technical failures and vascular complications.</p><p><strong>Objective: </strong>We used an ultrasound-guided in-plane technique to avoid injury of penile\u0000vascular and neural tissues during DPNB. The aims of this retrospective study were to compare the\u0000success rate and efficacy of these two penile block techniques.</p><p><strong>Methods: </strong>Male pediatric patients undergoing circumcision received general anesthesia\u0000before the penis and surrounding area were prepared with 0.5% chlorhexidine in 70% alcohol.\u0000Sixteen patients underwent classic DPNB, and 16 underwent the modified ultrasound-guided inplane\u0000technique. The ultrasound machine was adjusted to the musculoskeletal setting, and a linear\u0000ultrasound probe with a frequency range of 5 to 10 MHz was placed transversely along the base of the penis, which received gentle traction.</p><p><strong>Results: </strong>Though not statistically significant, patients who underwent the classic DPNB were\u0000approximately 1.8 times more likely to require rescue analgesia and approximately 2 times more\u0000likely to have a complication than those in the ultrasound-guided group. Results also showed lower\u0000volume requirements for local anesthetic and intraoperative narcotics, longer time until rescue\u0000analgesic, and lower incidence of vomiting in the ultrasound-guided group than in the landmark-guided group.</p><p><strong>Conclusions: </strong>The ultrasound-guided DPNB technique appears to offer advantages over\u0000classic DPNB and warrants a prospective controlled trial to confirm these findings.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 6","pages":"647-53"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36254827","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
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