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Middle East Journal of Anesthesiology最新文献

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ARTERIAL CANNULATION: SIMPLE SWAYING MANEUVER MAY BE AN ANSWER TO COUNTER FAILURE/COMPLICATION RATES. 动脉插管:简单的摇摆操作可能是对抗失败/并发症发生率的一个答案。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Deepak Gupta, Hassan H Amhaz
{"title":"ARTERIAL CANNULATION: SIMPLE SWAYING MANEUVER MAY BE AN ANSWER TO COUNTER FAILURE/COMPLICATION RATES.","authors":"Deepak Gupta, Hassan H Amhaz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"591-4"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34339190","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
PALPATE INTERCRISTAL LINE CORRECTLY: NOT TRANSGRESS TOO HIGH: CAN BE TOO CLOSE TO CONUS MEDULLARIS. 正确触诊椎间线:不能越界过高，可离髓圆锥太近。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Deepak Gupta, David H Rustom, Shushovan Chakrabortty
{"title":"PALPATE INTERCRISTAL LINE CORRECTLY: NOT TRANSGRESS TOO HIGH: CAN BE TOO CLOSE TO CONUS MEDULLARIS.","authors":"Deepak Gupta, David H Rustom, Shushovan Chakrabortty","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"595-8"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34339191","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
REMIFENTANIL VS FENTANYL DURING DAY CASE DENTAL SURGERY IN PEOPLE WITH SPECIAL NEEDS: A COMPARATIVE, PILOT STUDY OF THEIR EFFECT ON STRESS RESPONSE AND POSTOPERATIVE PAIN. 雷芬太尼与芬太尼在日间病例牙科手术中有特殊需要的人:他们对应激反应和术后疼痛的影响的比较，试点研究。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Eirini Sklika, Konstantinos Kalimeris, Despina Perrea, Nikolaos Stavropoulos, Georgia Kostopanagiotou, Paraskevi Matsota
{"title":"REMIFENTANIL VS FENTANYL DURING DAY CASE DENTAL SURGERY IN PEOPLE WITH SPECIAL NEEDS: A COMPARATIVE, PILOT STUDY OF THEIR EFFECT ON STRESS RESPONSE AND POSTOPERATIVE PAIN.","authors":"Eirini Sklika,&nbsp;Konstantinos Kalimeris,&nbsp;Despina Perrea,&nbsp;Nikolaos Stavropoulos,&nbsp;Georgia Kostopanagiotou,&nbsp;Paraskevi Matsota","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>People with special needs undergoing dental surgery frequently require general anesthesia. We investigated the effect of remifentanil vs fentanyl on stress response and postoperative pain in people with special needs undergoing day-case dental surgery.</p><p><strong>Methods: </strong>Forty-six adult patients with cognitive impairment undergoing day-case dental surgery under general anesthesia were allocated to receive intraoperatively either fentanyl 50 μg iv bolus (group F, n = 23) or continuous infusion of remifentanil 0.5-1 μg/kg/min (group R, n = 23). Iintraoperative hemodynamic parameters were recorded and serum inflammatory mediators [tumor necrosis factor-α, substance-P], stress hormons (melatonin, cortisol) and β-endorphin were measured. Postoperative pain was assessed during the first postoperative 12 hours with the Wong-Baker faces pain-rating scale.</p><p><strong>Results: </strong>Demographics were similar in two groups. The two groups did not differ regarding their effects on inflammatory mediators, stress hormons and postoperative pain scores. However, the use of remifentanil prevented intraoperative increases of arterial blood pressure and heart rate.</p><p><strong>Conclusions: </strong>Remifentanil and fentanyl did not affect differently stress and inflammatory hormones during day-case dental surgery, although remifentanil may render intraoperative management of hemodynamic responses easier. Both opioids are equally efficient for postoperative pain management following dental surgery in people with special needs.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"509-15"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34619526","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
NEOSTIGMINE VERSUS SUGAMMADEX FOR REVERSAL OF NEUROMUSCULAR BLOCK. 新斯的明与糖胺酮对神经肌肉阻滞的逆转作用。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Anis Baraka
{"title":"NEOSTIGMINE VERSUS SUGAMMADEX FOR REVERSAL OF NEUROMUSCULAR BLOCK.","authors":"Anis Baraka","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"507-8"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34619525","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
PERIOPERATIVE CARE OF A CHILD WITH CRISPONI SYNDROME. 1例克里斯波尼综合征患儿围手术期护理。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Mahmood Rafiq, Shadi Almasry, Anas Abdulrahman, Mazen Al-Sohabani, Joseph D Tobias
{"title":"PERIOPERATIVE CARE OF A CHILD WITH CRISPONI SYNDROME.","authors":"Mahmood Rafiq,&nbsp;Shadi Almasry,&nbsp;Anas Abdulrahman,&nbsp;Mazen Al-Sohabani,&nbsp;Joseph D Tobias","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Crisponi syndrome is an autosomal recessive disorder characterized by intermittent episodes of muscular contraction of the facial muscles with trismus and excessive salivation simulating a tetanic spasm. These episodes occur in response to tactile stimulation or during crying. Associated physical and constitutional findings include characteristic facial anomalies, camptodactyly, intermittent hyperthermia, and feeding difficulties. We present a 15-month-old girl who required anesthetic care during laparoscopic fundoplication and gastric tube insertion. The perioperative implications of the disorder are reviewed and suggestions for anesthetic management provided.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"563-7"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34632515","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 OF THE BONFILS INTUBATION FIBRESCOPE VERSUS C-MAC VIDEOLARYNGOSCOPE. bonfils插管纤维镜与c-mac视频喉镜的比较。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Ai H Lee, Nadia M Nor, Azarinah Izaham, Nurlia Yahya, Shereen S P Tang, Norsidah A Manap
{"title":"COMPARISON OF THE BONFILS INTUBATION FIBRESCOPE VERSUS C-MAC VIDEOLARYNGOSCOPE.","authors":"Ai H Lee,&nbsp;Nadia M Nor,&nbsp;Azarinah Izaham,&nbsp;Nurlia Yahya,&nbsp;Shereen S P Tang,&nbsp;Norsidah A Manap","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This prospective, randomized, single blind, single operator study was conducted to compare hemodynamic responses when endotracheal intubation was performed using the Bonfils intubation fibrescope versus the C-MAC videolaryngoscope.</p><p><strong>Method: </strong>Forty-four ASA I patients aged between 18 and 60 years, scheduled for elective surgery requiring endotracheal intubation were recruited. They were randomized into the Bonfils group or C-MAC group. Hemodynamic changes, laryngeal view, duration of intubation and post intubation complications were evaluated. Mean arterial pressure, heart rate and oxygen saturation were monitored pre and post-induction, pre and post-intubation, and at 1 minute intervals thereafter for 10 minutes.</p><p><strong>Results: </strong>Endotracheal intubation was successful at first attempt in 90.9% in both groups. Heart rate was significantly higher in the Bonfils group (p < 0.05) compared to the C-MAC group and values were sustained throughout the study. There was no difference in the mean arterial pressure (MAP) between the two groups. Mean time to intubation was significantly longer in the Bonfils group (28.8 vs. 24.7 seconds, p = 0.02). There were no significant differences in laryngeal view and post intubation complications between the groups.</p><p><strong>Conclusion: </strong>Intubation using the Bonfils intubation fibrescope took longer, and resulted in significantly higher heart rate when compared with the C-MAC videolaryngoscope.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"517-25"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34619527","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
SHORT-TERM POSTOPERATIVE COGNITIVE FUNCTION OF ELDERLY PATIENTS UNDERGOING FIRST VERSUS REPEATED EXPOSURE TO GENERAL ANESTHESIA. 首次与多次全身麻醉老年患者术后短期认知功能的比较。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Petros Tzimas, Efstratios Andritsos, Eleni Arnaoutoglou, Georgios Papathanakos, Georgios Papadopoulos
{"title":"SHORT-TERM POSTOPERATIVE COGNITIVE FUNCTION OF ELDERLY PATIENTS UNDERGOING FIRST VERSUS REPEATED EXPOSURE TO GENERAL ANESTHESIA.","authors":"Petros Tzimas,&nbsp;Efstratios Andritsos,&nbsp;Eleni Arnaoutoglou,&nbsp;Georgios Papathanakos,&nbsp;Georgios Papadopoulos","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>General anesthesia (GA) may affect cognitive functions and result in postoperative cognitive dysfunction. The aim of our prospective pilot study was to compare the short-term postoperative cognitive function of unimpaired elderly patients undergoing first versus repeated exposure to GA.</p><p><strong>Methods: </strong>After approval from the Hospital Ethics Committee and informed consent of all participants, 46 patients, 70.1 ± 7.1 years of age, 20 men and 26 women were enrolled in the study. Twenty-five patients belonged to group A (never received GA before) and 21 patients belonged to group B (received at least once GA the last 5 years). Each patient was evaluated preoperatively and the 8th day postoperatively by a blinded examiner with a battery of neurocognitive tests.</p><p><strong>Results: </strong>Group B patients performed preoperatively worse in Trail Making Test Part A, Stroop Color and Word Test and Three Words-Three Shapes Test. Postoperatively there were differences in almost every neurocognitive test, with group B patients again achieving the worse scores. This came along with increased Beck Depression Inventory Test score and increased incidence of delirium in Group B patients.</p><p><strong>Conclusion: </strong>Our pilot study suggests that prior exposure of elderly patients to GA might lead to prolonged cognitive impairment and repeated GA exposure seems to be a potential risk factor for greater short-term postoperative cognitive impairment.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"535-42"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34632511","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
TORSADES DE POINTES ASSOCIATED WITH TAKOTSUBO CARDIOMYOPATHY IN AN ANOREXIA NERVOSA PATIENT DURING EMERGENCE FROM GENERAL ANESTHESIA. 神经性厌食症患者全麻苏醒时与takotsubo型心肌病相关的点扭转。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Hiroaki Kawano, Michiko Kinoshita, Akio Kondo, Yasuhito Yamada, Masaya Inoue
{"title":"TORSADES DE POINTES ASSOCIATED WITH TAKOTSUBO CARDIOMYOPATHY IN AN ANOREXIA NERVOSA PATIENT DURING EMERGENCE FROM GENERAL ANESTHESIA.","authors":"Hiroaki Kawano,&nbsp;Michiko Kinoshita,&nbsp;Akio Kondo,&nbsp;Yasuhito Yamada,&nbsp;Masaya Inoue","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is a disease in which the patient exhibits transient, reversible left ventricular dysfunction that is triggered by physical or emotional stress. Prolongation of QT interval, a risk factor for arrhythmia and sudden death, has been reported to be prevalent among patients with Takotsubo cardiomyopathy and is also observed in those with severe anorexia nervosa. In this report, we describe the rare case of a 30-year-old female patient with anorexia nervosa who developed Torsades de Pointes associated with Takotsubo cardiomyopathy during emergence from general anesthesia for emergency exploratory laparotomy.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"557-61"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34632514","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
PERIOPERATIVE CARE OF AN INFANT WITH GOMEZ-LOPEZ-HERNANDEZ SYNDROME. 1例婴儿gomez-lopez-hernandez综合征的围手术期护理。
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Onur Balaban, Joseph D Tobias
{"title":"PERIOPERATIVE CARE OF AN INFANT WITH GOMEZ-LOPEZ-HERNANDEZ SYNDROME.","authors":"Onur Balaban,&nbsp;Joseph D Tobias","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gomez-Lopez-Hernandez syndrome, also known as cerebello-trigeminal dermal dysplasia, is a rare neurocutaneous syndrome classically characterized by the triad of rhombencephalosynapsis, trigeminal anesthesia, and bilateral parietal alopecia. Associated clinical features include a characteristic facial appearance (mid-face hypoplasia, hypertelorism, and low-set, posteriorly rotated ears), brachycephaly, strabismus, ataxia, developmental delay, short stature, and corneal opacities. Given the associated congenital anomalies, anesthetic care may be required for various surgical interventions. We report a 7-month-old with Gomez-Lopez-Hernandez syndrome scheduled for laparoscopic gastrostomy with tube placement and frenulotomy under general anesthesia. The potential perioperative implications of such patients are reviewed and options for anesthetic care discussed.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"581-5"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34339188","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
ANESTHESIA FOR CHARCOT-MARIE-TOOTH DISEASE: CASE REPORT. 麻药治疗乳牙缺失症1例报告
Middle East Journal of Anesthesiology Pub Date : 2016-06-01
Khalid R Alzaben, Omar Q Samarah, Salameh S Obeidat, Oday Halhouli, Murad Al Kharabsheh
{"title":"ANESTHESIA FOR CHARCOT-MARIE-TOOTH DISEASE: CASE REPORT.","authors":"Khalid R Alzaben,&nbsp;Omar Q Samarah,&nbsp;Salameh S Obeidat,&nbsp;Oday Halhouli,&nbsp;Murad Al Kharabsheh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Charcot-Marie-Tooth disease comprises a group of disorders characterized by progressive muscle weakness and wasting. Reviewing the anaesthetic literature produced conflicting reports about the best anaesthetic options for patients with CMTD; as they are at increased risk of prolonged response to muscle relaxants, malignant hyperthermia and risks of regional anaesthesia. We present a case of the successful use of total intravenous anaesthesia with dexmedetomidine and propofol combined with caudal block using bupivacaine mixed with dexmedetomidine without any complications, for a 17 year old male patient with Charcot Marie-Tooth disease who underwent a lower limb orthopedic surgery.</p>","PeriodicalId":35975,"journal":{"name":"Middle East Journal of Anesthesiology","volume":"23 5","pages":"587-90"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34339189","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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