Journal of clinical anesthesia and intensive care最新文献

The role of hybrid arch repair with thoracic endovascular repair for contemporary management of complex arch and descending thoracoabdominal aortopathies 混合拱形修复术与胸腔内血管修复术在当代复杂拱形和降主动脉疾病治疗中的作用

Journal of clinical anesthesia and intensive care Pub Date : 2024-06-03 DOI: 10.46439/anesthesia.4.019

Adham Ahmed, Irbaz Hameed, P. Vallabhajosyula

引用次数: 0

Commentary on ‘Late presentation of right coronary artery stent infection as left empyema and pleuro-pericardial fistula’ 关于 "右冠状动脉支架感染晚期表现为左肺水肿和胸膜-心包瘘 "的评论

Journal of clinical anesthesia and intensive care Pub Date : 2024-02-14 DOI: 10.46439/anesthesia.4.018

Kishore Gupta, D. Naik

引用次数: 0

Case Report of a Contained Ascending Aortic Rupture 隐伏性升主动脉破裂1例报告

Journal of clinical anesthesia and intensive care Pub Date : 2023-05-08 DOI: 10.46439/anesthesia.3.017

Jack, Welch, Ewing, Kristen, Cardonell, Bradford

{"title":"Case Report of a Contained Ascending Aortic Rupture","authors":"Jack, Welch, Ewing, Kristen, Cardonell, Bradford","doi":"10.46439/anesthesia.3.017","DOIUrl":"https://doi.org/10.46439/anesthesia.3.017","url":null,"abstract":"Aortic aneurysm rupture is typically the failure of the aortic wall to withstand the tension placed upon it by a patient’s blood pressure. Along with clinical judgement and an assessment of signs and symptoms, a computed topography angiogram (CTA) is amongst the first line of diagnostic studies having 87-94% sensitivity for rupture. Therefore, while the possibility of a CTA not catching an aortic rupture is present, the chance is very low. Usually a missed or delayed diagnosis for this type of pathology is catastrophic resulting in patient death. We present the case report of a 68-year-old male with a contained aortic rupture that was initially missed on CTA. He presented to the ED with shock like symptoms after a syncopal episode at home. Initial computed topography (CT) scan revealed a pericardial effusion with concern for hemopericardium and mass effect on the right ventricle. A follow up CTA was obtained; however, it was negative for any acute process. Given patient’s continued instability, a TTE was performed which showed concern for a dissection flap. Subsequently, a TEE was performed showing an aortic dissection at the anterior aortic root as well as severe aortic insufficiency with a perforated right coronary cusp. The patient underwent emergent cardiac surgery and recovered well despite the delay in diagnosis. This case demonstrates the importance of a high index of suspicion for acute aortic dissection despite an initial negative CTA.","PeriodicalId":73662,"journal":{"name":"Journal of clinical anesthesia and intensive care","volume":"108 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75809480","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

Mind-body approaches for reducing the need for post-operative opioids: Evidence and opportunities 减少术后阿片类药物需求的身心方法:证据和机会

Journal of clinical anesthesia and intensive care Pub Date : 2022-08-28 DOI: 10.46439/anesthesia.3.016

Bethany D. Pester, R. Edwards, M. Martel, C. Gilligan, S. Meints

{"title":"Mind-body approaches for reducing the need for post-operative opioids: Evidence and opportunities","authors":"Bethany D. Pester, R. Edwards, M. Martel, C. Gilligan, S. Meints","doi":"10.46439/anesthesia.3.016","DOIUrl":"https://doi.org/10.46439/anesthesia.3.016","url":null,"abstract":"While opioids remain our most potent analgesics in the management of pain, the many potential harms of prescription opioids have become increasingly clear. Despite the analgesic benefits for people with acute and chronic pain [1], opioid therapy (especially long-term opioid treatment) can result in significant problems such as opioid misuse, the development of opioid use disorder, and overdose. Some authors report that up to 20-30% of patients in primary and tertiary care settings who are maintained on long-term opioid therapy misuse opioids (i.e., use them in a manner other than how the opioids are prescribed) [2,3]. Misuse of opioids can cause or exacerbate additional health problems in people with chronic pain [1,4], and in fact, roughly 10% of patients prescribed long-term opioid therapy may develop an opioid use disorder (OUD), although prevalence estimates vary between studies depending on differences in methodology and operational definitions [3]. Surgery is a common point of exposure to opioids for many individuals, and recent data suggest that substantial percentages of opioid-naive patients will go on to long-term opioid use following a surgery (e.g., approximately 6% in one large national survey [5]). With over 50 million surgeries performed in the US each year [6], the periand post-operative period represents an important window of opioid-related risk for many Americans.","PeriodicalId":73662,"journal":{"name":"Journal of clinical anesthesia and intensive care","volume":"97 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2022-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79775373","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: 1

Mind-body approaches for reducing the need for post-operative opioids: Evidence and opportunities. 减少术后阿片类药物需求的身心方法:证据和机会。

Journal of clinical anesthesia and intensive care Pub Date : 2022-01-01

Bethany D Pester, Robert R Edwards, Marc O Martel, Christopher J Gilligan, Samantha M Meints

引用次数: 0

Anesthetic considerations for previously COVID-19 positive patients: design and rapid implementation of a perioperative surgical home (PSH) program 先前COVID-19阳性患者的麻醉注意事项:围手术期外科之家(PSH)计划的设计和快速实施

Journal of clinical anesthesia and intensive care Pub Date : 2021-11-05 DOI: 10.46439/anesthesia.2.014

引用次数: 0

Dexmedetomidine’s influence on autophagy and its possible link to the cholinergic anti- Inflammatory pathway 右美托咪定对自噬的影响及其与胆碱能抗炎途径的可能联系

Journal of clinical anesthesia and intensive care Pub Date : 2021-11-05 DOI: 10.46439/anesthesia.2.015

引用次数: 0

The expedient awake intubation 权宜之计清醒插管

Journal of clinical anesthesia and intensive care Pub Date : 2021-11-05 DOI: 10.46439/anesthesia.2.013

S. J. Bost, Pamela L. Zollinger, J. E. Reynolds

引用次数: 0

Anesthetic drugs: a comprehensive overview for anesthesiologists 麻醉药物:麻醉师的全面概述

Journal of clinical anesthesia and intensive care Pub Date : 2021-11-05 DOI: 10.46439/anesthesia.2.012

ZI Merhavy, CE Merhavy, Thomas Varkey

{"title":"Anesthetic drugs: a comprehensive overview for anesthesiologists","authors":"ZI Merhavy, CE Merhavy, Thomas Varkey","doi":"10.46439/anesthesia.2.012","DOIUrl":"https://doi.org/10.46439/anesthesia.2.012","url":null,"abstract":"document as it continues to ‘live and breathe’ for the most pertinent information. Similar to that of a Wikipedia page, the intention of this document is to exist for the purpose of being modified and added to over time. The rationale behind the need for this type of paper is the increasing difficulty in finding this information in one centralized location. Often times, the newest and most pertinent clinical information is restricted behind pay walls as a way to force the purchase a subscription to individual journals to gain access to the information. Additionally, this information may also be buried under small randomized control trials or lost in the never-ending list of novel studies that show minor benefits. The hope of the authorial team is to create a centralized document that gets updated and edited as necessary with the potential for growth and modification based on the information as it becomes available. This first, improves patient safety; second, ease in teaching and educating on the topic of the different and numerous anesthetic drugs is increased; and third, providers feel more comfortable with utilizing a more diverse array of medications to treat the specific individualized needs of the patients. Abstract The purpose of this document is to provide a unique white paper on the use of different anesthetic drugs and the key clinical pearls for ensuring patient safety in humans. This paper is designed to be a convenient guide that can be placed in work rooms for residents and medical school trainees to improve their learning and to provide reminders about drug-drug interactions. Finally, it is designed to be a potential living document - the first of its kind within the field. Unlike other white papers, this could be added to and modified based on the current literature and amended as newer drugs are discovered and made available. This document is intended to become a ‘go-to-guide’ for clinical anesthetic drug use on humans that houses an in depth, yet condensed encyclopedia of the most pertinent, necessary information for anesthesiologists.","PeriodicalId":73662,"journal":{"name":"Journal of clinical anesthesia and intensive care","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85657071","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: 2

Craniovertebral junction abnormalities in children: Surgical, anesthetic and intensive care implications 儿童颅椎交界处异常:外科、麻醉和重症监护意义

Journal of clinical anesthesia and intensive care Pub Date : 2021-11-05 DOI: 10.46439/anesthesia.2.011

引用次数: 0