麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.1310019

John Nivar, Dennerd Ovando, Lawrence Chinn

引用次数: 0

Postoperative Analgesia for Abdominal Laparoscopic Surgery: Tap Block vs Peri-Orificial Infiltrations 腹腔腹腔镜手术术后镇痛:龙头阻滞vs口周浸润

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.1310017

Moustapha Diedhiou, Ndiamé Sarr, Elhadji Boubacar Ba, Abdourahmane Ndong, Fallou Galass Niang, Jacques Noel Tendeng, Ibrahima Konaté, Mohamed Lamine Fall

{"title":"Postoperative Analgesia for Abdominal Laparoscopic Surgery: Tap Block vs Peri-Orificial Infiltrations","authors":"Moustapha Diedhiou, Ndiamé Sarr, Elhadji Boubacar Ba, Abdourahmane Ndong, Fallou Galass Niang, Jacques Noel Tendeng, Ibrahima Konaté, Mohamed Lamine Fall","doi":"10.4236/ojanes.2023.1310017","DOIUrl":"https://doi.org/10.4236/ojanes.2023.1310017","url":null,"abstract":"Introduction/Purpose: The “transverse abdominal plane block” or TAP block was described by Rafi in 2001. It describes an approach to the neurofascial plane of the transverse abdominal muscle via the Jean-Louis Petit triangle and provides analgesia of the entire homolateral hemi abdomen. The aim of our study was to compare post-operative analgesia and post-operative morphine requirements between transverse abdominal plane block (TAP) and peri-orificial infiltration during laparoscopic abdominal surgery. Material and method: Prospective, randomized study conducted over a 2-year period. The study was conducted in the operating theatre of the Saint Louis Regional Hospital in Senegal. All adult patients undergoing laparoscopic abdominal surgery were included. Clinical aspects, pain scales and morphine consumption were analyzed. Results: A total of 60 patients were enrolled: 30 patients in the TAP group and 30 patients in the infiltration group. The average age was 32.9 years. The indications for laparoscopy were acute appendicitis in 50% of cases, gallbladder stones in 16% and inguinal hernia in 8%. For the TAP group, the mean numerical pain scale was 3.9 at 6 hours post-operatively and 2.1 at 24 hours post-operatively. For the infiltration group, the mean numerical pain scale was 4.3 at 6 hours post-op and 3 at 24 hours post-op. Morphine consumption at 6 hours post-op was on average 0.4 mg/patient for the TAP group and 0.9 mg/patient for the infiltration group. Discussion/conclusion: Analgesia provided by ultrasound-guided TAP block for laparoscopic abdominal surgery appears to be identical to periorificial infiltration. However, the simplicity and reproducibility of ultrasound-guided TAP block gives it a definite advantage.","PeriodicalId":56551,"journal":{"name":"麻醉学期刊(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136052941","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

Anesthetic and Obstetric Considerations of Moyamoya Disease in Pregnancy after Intracranial Bypass Grafting: A Case Report and Literature Review 颅内旁路移植术后妊娠期烟雾病的麻醉及产科考虑:1例报告及文献复习

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.135010

Dennerd Ovando Jr., Arit Ntekim, Ming Xiong

引用次数: 0

Liposomal Bupivacaine in Erector Spinae Plane Block and Interscalene Block for Scapular and Proximal Humerus Resections 布比卡因脂质体对肩胛骨和肱骨近端切除的竖脊肌平面阻滞和斜角肌间阻滞的影响

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.137013

M. Ayoub, S. Kolli, Husien Taleb

引用次数: 0

Peritonitis: Perioperative Care in Surgical Emergencies CHU Ignace Deen 腹膜炎:外科急诊的围手术期护理

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.134008

A. Touré, A. Camara, Almamy Bangoura, M. Camara, Marie Paul Sidohon Okou

引用次数: 0

Takotsubo Cardiomyopathy—A Rare but Serious Complication Following Microwave Ablation of the Liver—Case Report 肝脏微波消融后罕见但严重的并发症Takotsubo心肌病1例报告

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.138015

Miqi Mavis Teo

引用次数: 0

Effects of Coronavirus Disease 2019 and Frailty on Delirium in the Intensive Care Unit: A Propensity Score Analysis 2019冠状病毒病和虚弱对重症监护病房谵妄的影响:倾向评分分析

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.132003

Takayuki Yamanaka, M. Ida, Taichi Kotani, M. Kawaguchi

{"title":"Effects of Coronavirus Disease 2019 and Frailty on Delirium in the Intensive Care Unit: A Propensity Score Analysis","authors":"Takayuki Yamanaka, M. Ida, Taichi Kotani, M. Kawaguchi","doi":"10.4236/ojanes.2023.132003","DOIUrl":"https://doi.org/10.4236/ojanes.2023.132003","url":null,"abstract":"Purpose: The association between frailty and delirium has emerged as a research topic. Neurological symptoms have been reported among patients with coronavirus disease 2019 (COVID-19), but its effects on delirium remain unclear. This study aimed to compare the incidence of delirium between patients with COVID-19 and those without COVID-19, and to evaluate the impact of COVID-19 and frailty on delirium. Methods: This retrospective study included patients aged ≥ 20 years who were admitted to our intensive care unit (ICU) between January 2020 and February 2022. An inverse probability of treatment weighting using stabilized inverse propensity scores was adopted to minimize bias. After patient demographics were adjusted, the incidence of delirium, assessed using the Confusion Assessment Method for ICU, was compared be-tween patients with COVID-19 and those without COVID-19. The effects of COVID-19 and the Clinical Frailty Scale score on delirium were analyzed by adjusting some covariates, including the sequential organ failure assessment (SOFA) score, using a generalized estimating equation. Results: Among 260 eligible patients, 226 patients were included. The weighted incidence of delirium was 56.9% and 61.9% in patients with and without COVID-19, respectively (p = 0.67). The generalized estimating equation revealed that the odds ratios (95% confidence interval) for COVID-19, the CFS score, and the SOFA score were 1.49 (0.62 - 3.57), 1.46 (1.11 - 1.91), and 1.22 (1.10 - 1.36), respectively. Conclusion: CFS and SOFA scores on ICU admission may be associated with delirium, with no significant difference between patients with COVID-19 and those without COVID-19.","PeriodicalId":56551,"journal":{"name":"麻醉学期刊(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70571806","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

Optimizing Surgical Conditions with the Use of a Modified Spontaneous Respiration, Intravenous Anesthesia and High-Flow Nasal Oxygen for Pediatric Laser Laryngeal Surgery 优化手术条件与使用改良的自主呼吸，静脉麻醉和高流量鼻氧在儿科激光喉手术

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.1311022

Dennis E. Feierman, Daniel Escobar, Kim T. Lam, Mark Kronenfeld, Jacob Sutton, Evan P. Salant

引用次数: 0

Effect of Transcranial Direct Current Stimulation of Motor Cortex versus Insula Cortex on Chronic Post-Mastectomy Pain: Randomized Sham-Controlled Trial 经颅直流电刺激运动皮质与脑岛皮质对乳房切除术后慢性疼痛的影响:随机假对照试验

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.1310018

Shereen Mamdouh Kamal, Khaled Mohamed Fares, Sahar Abdel-Baky Mohamed, Mohanad Ahmed Mohamed, Fatma Adel El Sherif

{"title":"Effect of Transcranial Direct Current Stimulation of Motor Cortex versus Insula Cortex on Chronic Post-Mastectomy Pain: Randomized Sham-Controlled Trial","authors":"Shereen Mamdouh Kamal, Khaled Mohamed Fares, Sahar Abdel-Baky Mohamed, Mohanad Ahmed Mohamed, Fatma Adel El Sherif","doi":"10.4236/ojanes.2023.1310018","DOIUrl":"https://doi.org/10.4236/ojanes.2023.1310018","url":null,"abstract":"Background: Transcranial direct current stimulation (tDCS) across cortical brain areas appears to improve various forms of pain, yet evidence of tDCS efficiency and ideal stimulation target is lacking. This study aimed to compare the add-on analgesic efficacy of concentric electrode transcranial direct current stimulation (CE-tDCS) stimulation over the primary motor cortex versus the insular cortex on the management of chronic postmastectomy pain. Method: Prospective randomized double-blind sham-controlled study enrolled eighty patients with chronic postmastectomy pain that were randomly assigned to four groups: active motor (AM), sham motor (SM), active insula (AI) and sham insula (SI) group, each received 5 sessions for 20-minute duration with 2 mA tDCS over the targeted area of the contralateral side of pain. Our primary outcome was VAS score, the secondary outcomes were VDS score, LANSS score and depression symptoms by HAM-D scores, assessment was done at 4 time points (prestimulation, after 5th session, 15th day and one month after the last session). Results: Both active tDCS groups (motor and insula) showed reduction of VAS (P Conclusion: Active tDCS stimulation either targeting the primary motor cortex or the insula cortex has add-on analgesic effect for controlling neuropathic chronic post mastectomy pain and the maximum effect was at 15 days after the last session.","PeriodicalId":56551,"journal":{"name":"麻醉学期刊(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135156729","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

Examining Knowledge Decay in the Anesthesia Provider—An Integrative Review 检查麻醉提供者的知识衰减-一项综合综述

麻醉学期刊(英文) Pub Date : 2023-01-01 DOI: 10.4236/ojanes.2023.139016

Robert Spafford

{"title":"Examining Knowledge Decay in the Anesthesia Provider—An Integrative Review","authors":"Robert Spafford","doi":"10.4236/ojanes.2023.139016","DOIUrl":"https://doi.org/10.4236/ojanes.2023.139016","url":null,"abstract":"Background: Knowledge decay can be present in a lot of different careers but it is especially important when affecting the anesthesia provider. Knowledge decay can lead to skill decay. Therefore, it leads to worse patient outcomes. It is important to know how knowledge decay occurs and to know how to prevent it. Purpose: The purpose of this review was to explore the contributing factors of knowledge decay while also examining how different learning activities can be used to prevent it from occurring. Methods: A systematic literature search was performed in PubMed, Cochrane databases, and Embase. The American Association of Nurse Anesthesiology website was also examined. Findings: Knowledge decay usually occurs when either the anesthesia provider is in a new area of practice or when the provider has had a significant amount of time pass since the latest implementation of an anesthesia skill. The type of activity shown to best combat knowledge decay is the use of a simulation-based learning activity. Classroom learning can also help combat knowledge decay, but not to the same extent. Conclusions: The most significant way to prevent knowledge decay in the anesthesia provider is to implement simulation-based learning activities, as well as keep anesthesia providers comfortable with the skills that they practice.","PeriodicalId":56551,"journal":{"name":"麻醉学期刊(英文)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135441939","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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