International Journal of Anesthesia and Clinical Medicine最新文献

Anesthesia Management in a Low Weight Patient with Parkinson's Disease: A Case Report 帕金森病低体重患者的麻醉管理：病例报告

International Journal of Anesthesia and Clinical Medicine Pub Date : 2024-07-23 DOI: 10.11648/j.ijacm.20241202.11

Hong Tu

{"title":"Anesthesia Management in a Low Weight Patient with Parkinson's Disease: A Case Report","authors":"Hong Tu","doi":"10.11648/j.ijacm.20241202.11","DOIUrl":"https://doi.org/10.11648/j.ijacm.20241202.11","url":null,"abstract":"Background: Parkinson's disease (PD) is a progressive neurological disease related to the destruction of dopaminergic neurons in the substantia nigra, basket spot and other brain regions, which is mainly characterized by motor neurological disorders and non-motor neurological disorders. Middle-aged and elderly people are more common, with more women than men. Polypharmacy in PD patients may lead to potential interactions with anesthetic drugs, so perioperative management is very important. Case presentetion: An 80-year-old female with a medical history of PD weighing 28kg, planed to undergo elective peritoneoscopically assisted transvaginal uterine abdominal wall suspension under general anesthesia. Antiparkinsonian medications continued until just before the induction of anesthesia. Preoperative examinations were completed and they showed no obvious abnormality. Vital signs, train-of-four (TOF) and bispectral index (BIS) were monitored to guide the administration of anesthesia. Appropriate sedatives, analgesics, muscle relaxants and antiemetics were selected after fully assessed the patient's condition and drug interactions during the perioperative period. The patient successfully completed the surgery and discharged from hospital. Conclusions: General anesthesia (GA) is the main anesthesia method for patients with Parkinson's disease undergoing surgery. When patients with PD undergo surgery, the anesthesiologists should fully and carefully evaluate the patient's status and preoperative combination of medications. Perioperative drugs that aggravate Parkinson's disease should be avoided in order to facilitate a smooth recovery after surgery.\u0000","PeriodicalId":414868,"journal":{"name":"International Journal of Anesthesia and Clinical Medicine","volume":"80 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141812780","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 the Cerebroprotective Effect of Sevoflurane and Propofol in Patients with Carotid Artery Stenosis Undergoing Coronary Artery Bypass Grafting: A Randomized Clinical Study 比较七氟醚和异丙酚对颈动脉狭窄冠状动脉旁路移植术患者的脑保护作用：随机临床研究

International Journal of Anesthesia and Clinical Medicine Pub Date : 2024-05-10 DOI: 10.11648/j.ijacm.20241201.18

Rabie Nasr, Ahmed Soliman

{"title":"Comparison the Cerebroprotective Effect of Sevoflurane and Propofol in Patients with Carotid Artery Stenosis Undergoing Coronary Artery Bypass Grafting: A Randomized Clinical Study","authors":"Rabie Nasr, Ahmed Soliman","doi":"10.11648/j.ijacm.20241201.18","DOIUrl":"https://doi.org/10.11648/j.ijacm.20241201.18","url":null,"abstract":"Objective: The Objective of the study was to evaluate the perioperative cerebral protective effect of sevoflurane and propofol in patients with carotid artery stenosis undergoing coronary artery bypass grafting. Materials and Methods: A randomized clinical study included 200 patients with preoperative carotid artery stenosis <50% scheduled for cardiac surgery with cardiopulmonary bypass. The patients were classified into 2 groups (each=100), Sevoflurane group: The patients received sevoflurane (concentration 1% to 4%) as an inhalational agent. Propofol group: The patients received propofol infusion (4-6 mg/kg/hr). The sevoflurane and propofol were given during the whole procedure (before, during, and after cardiopulmonary bypass). The monitors included heart rate, mean arterial blood pressure (MAP), central venous pressure and cerebral near-infrared spectroscopy (NIRS), the incidence of postoperative cognitive dysfunction and stroke. Results: There was no significant difference in the perioperative heart rate, mean arterial blood pressure, central venous pressure, and the right or left regional cerebral oxygen saturation between the two groups (P>0.05). The incidence of postoperative neurological complication was significantly lower with sevoflurane than propofol (P=0.012). The incidence of delirium was significantly lower with sevoflurane than propofol (P=0.023). The incidence of stroke was lower with sevoflurane than propofol, but the difference was insignificant (P=0.682). The ICU and hospital length of stay were shorter with sevoflurane than propofol (P=0.013, P=0.033 respectively). Conclusions: The sevoflurane was associated with a lower incidence of postoperative cognitive dysfunction than propofol in patients with carotid artery stenosis undergoing coronary artery bypass grafting.\u0000","PeriodicalId":414868,"journal":{"name":"International Journal of Anesthesia and Clinical Medicine","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140993408","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

A Study on Pre-clinical Anaesthesia Elective in Shaping Medical Students' Knowledge and Career Perspectives 关于临床前麻醉选修课在塑造医学生的知识和职业前景方面的研究

International Journal of Anesthesia and Clinical Medicine Pub Date : 2024-03-19 DOI: 10.11648/j.ijacm.20241201.15

Jeffrey Hauck, Ivan Angelov, Kelli Silcox, Ali Khalifa

{"title":"A Study on Pre-clinical Anaesthesia Elective in Shaping Medical Students' Knowledge and Career Perspectives","authors":"Jeffrey Hauck, Ivan Angelov, Kelli Silcox, Ali Khalifa","doi":"10.11648/j.ijacm.20241201.15","DOIUrl":"https://doi.org/10.11648/j.ijacm.20241201.15","url":null,"abstract":"Anesthesiology stands out as one of the rapidly growing and highly competitive medical specialties, necessitating students to cultivate an interest in anesthesia early and prepare extensively for clinical electives. Pre-clinical electives that introduce students to anesthesia and ready them for clinical settings in the early stages of their academic journey may confer benefits and enhance their competitiveness as residency applicants. This study implemented an eight-week pre-clinical elective titled \"The History of Anesthesia\" for first- and second-year students at Baylor College of Medicine. Eighty-eight students participated in the elective, with thirteen completing both pre-course and post-course surveys. The survey, consisting of thirteen questions related to anesthesia interest and relevant clinical knowledge, was analyzed, and statistical significance was calculated. The survey results demonstrated significantly elevated levels of self-assessed knowledge in the post-course survey compared to the pre-course survey (p < .05). Notably, topics considered more clinically relevant, such as modern anesthetic techniques, regional anesthesia, and obstetric anesthesia, exhibited significantly higher average survey results in the post-course compared to the pre-course results. The implementation of pre-clinical electives focusing on success in clinical settings appears beneficial for students aspiring to apply to an anesthesiology residency. Institutions should consider exposing students to anesthetic topics earlier in their academic journey to adequately prepare them for the competitive residency application process.\u0000","PeriodicalId":414868,"journal":{"name":"International Journal of Anesthesia and Clinical Medicine","volume":"10 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140230810","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

Timely Surgical Intervention for Absent Pulmonary Valve Syndrome with an Intact Ventricular Septum in a Patient with a Long-Term Survival: A Case Report 及时手术干预无肺动脉瓣综合征伴完整室间隔患者的长期存活：病例报告

International Journal of Anesthesia and Clinical Medicine Pub Date : 2024-02-29 DOI: 10.11648/j.ijacm.20241201.14

Yunyi Zhang, Shuhua Luo, Enping Wang

{"title":"Timely Surgical Intervention for Absent Pulmonary Valve Syndrome with an Intact Ventricular Septum in a Patient with a Long-Term Survival: A Case Report","authors":"Yunyi Zhang, Shuhua Luo, Enping Wang","doi":"10.11648/j.ijacm.20241201.14","DOIUrl":"https://doi.org/10.11648/j.ijacm.20241201.14","url":null,"abstract":"Absent pulmonary valve syndrome with an intact ventricular septum (APVS with IVS) is a rare congenital heart defect that is associated with a high perinatal mortality. Most fetuses can hard to survive without inotropic support or heart transplantation due to the severe respiratory dysfunction, heart failure and serious infections resulting from tracheobronchial compression and right ventricular dilation. Almost one-third of the patients opted for a termination of pregnancy. The etiology of APVS patients is still unknown. Previous research only noted an enhancement in the long-term survival of APVS with tetralogy of Fallot patients over the past decade. However, the timeliness of surgical intervention and survival status in APVS with IVS patients remains unclear. In our case, we described a 27-year-old patient with a rare combination of the rudimentary pulmonary valve, intact ventricular septum and absent superior vena cava who successfully developed biventricular physiology without any medical intervene. And he received a timely pulmonary valve implantation in our centre to prevent further right ventricular dysfunction. Thus, we highlighted that biventricular circulation can be successfully achieved in this rare subtype of APVS with IVS patients. However, more multicentre studies and lifelong follow-up are required to determine the timeliness for pulmonary valve surgery to avoid over-dilatation of the right ventricle in APVS with IVS patients.","PeriodicalId":414868,"journal":{"name":"International Journal of Anesthesia and Clinical Medicine","volume":"8 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140408780","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

Thrombosis of Prosthetic Tricuspid Valve During Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case Report 静脉-动脉体外膜氧合支持过程中人工三尖瓣血栓形成：病例报告

International Journal of Anesthesia and Clinical Medicine Pub Date : 2024-02-20 DOI: 10.11648/j.ijacm.20241201.13

Yunyi Zhang, Shuhua Luo

{"title":"Thrombosis of Prosthetic Tricuspid Valve During Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case Report","authors":"Yunyi Zhang, Shuhua Luo","doi":"10.11648/j.ijacm.20241201.13","DOIUrl":"https://doi.org/10.11648/j.ijacm.20241201.13","url":null,"abstract":"Extracorporeal membrane oxygenation (ECMO) is frequently used for severe postcardiotomy cardiogenic shock in patients with bioprosthetic valves. Acute prosthetic valve thrombosis (PVT) is a rare complication after valve replacement surgery and significantly increases morbidity and mortality. Patients who develop PVT on ECMO could significantly influence the long-term durability of the bioprosthetic valves. However, previous studies only analyzed risk factor and treatment of the mitral valve thrombosis during ECMO support. The mechanism of thrombosis on the tricuspid valve was still unknown. Here we describe the symptoms and treatment of a valve replacement patient who developed bioprosthetic tricuspid valve thrombosis during veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Meanwhile, the patient’s mechanical prosthetic mitral valve functioned normally. An emergency re-do tricuspid prosthesis replacement was performed, and the patient finally developed the successful decannulation. At 6 months follow-up, the patient showed asymptomatic and had a reasonable quality of life. The pathophysiology of tricuspid valve thrombosis may be different from the left heart. Our case highlights that the risk of thrombosis associated with a prosthesis in the tricuspid position can be even higher in the setting of VA-ECMO support. In such patients, promoting forward blood flow across the prosthesis and improving levels of anticoagulation may be particularly important.","PeriodicalId":414868,"journal":{"name":"International Journal of Anesthesia and Clinical Medicine","volume":"158 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140446696","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

Analgesic and Opioid Sparing Effects of Tramadol, Ketamine, and Bupivacaine Following Wound Infiltration After Caesarean Section 剖腹产术后伤口浸润后曲马多、氯胺酮和布比卡因的镇痛和阿片类药物稀释效果

International Journal of Anesthesia and Clinical Medicine Pub Date : 2024-01-18 DOI: 10.11648/j.ijacm.20241201.11

Olayinka Olumide Ajiboye, Adeyemi William Osebequin, Agu Edith, Olateju Simeon Olugbade, Achi Joseph, Oyewole Ezekiel

引用次数: 0

Involuntary Movement of the Lower Limbs Following Subarachnoid Block in a Diabetic Patient: A Case Report 糖尿病患者蛛网膜下腔阻滞后下肢不自主运动：病例报告

International Journal of Anesthesia and Clinical Medicine Pub Date : 2023-12-06 DOI: 10.11648/j.ijacm.20231102.20

Agwu Nnanna Uchechukwu, Asudo Felicia, Adeyemi William Osebequin

引用次数: 0

Inventory of the Practice of Sedation Procedural Analgesia in Digestive Endoscopy: Case of Hospitals in the City of Kinshasa 消化内镜检查镇静镇痛实践盘点：金沙萨市医院案例

International Journal of Anesthesia and Clinical Medicine Pub Date : 2023-11-21 DOI: 10.11648/j.ijacm.20231102.19

Jean de Dieu Muamba, Wilfrid Mbombo, C. Nantulu, Gibency Mfulani, R. Mubunda, Didier Kandongo, Eric Landu, Didier Mayemba, Arthur Isamba, Etienne Ngombe, Ivan Ebondo, Gabriel Makeya, Augustin Bananga, Sylvain Kabudisa, Gauthier Ngiay, Antoine Tshimpi, Alex Ngalala, Berthe Barahiga

引用次数: 0

Electric Pulp Testing Evaluation of Dental Anesthesia After 660-nm Laser-Photoiomodulation Therapy: Results of a Double-Blind Randomized, Placebo-Controlled Clinical Trial 660nm激光光调节治疗后牙麻醉的电髓测试评价:一项双盲、随机、安慰剂对照临床试验的结果

International Journal of Anesthesia and Clinical Medicine Pub Date : 2023-08-05 DOI: 10.11648/j.ijacm.20231102.15

Arash Ebrahimi, Iman Sokouti Emamzade Hashemi, M. Ramazani

引用次数: 0

An Unexpected Case of Difficulty in Weaning from Cardiopulmonary Bypass 一例体外循环脱机困难的意外病例

International Journal of Anesthesia and Clinical Medicine Pub Date : 2023-08-05 DOI: 10.11648/j.ijacm.20231102.14

Min Xu, Meng Dai, Xuejie Li, Xiao Wang

引用次数: 0