Anesthesia progress最新文献

Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits. α-和β-肾上腺素能受体参与麻醉兔高/低碳酸血症时骨骼肌血流变化

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-02-02

Kyotaro Koshika, Rumi Kaneko, Mai Shionoya, Kotaro Shimizu, Yuka Sendai, Nobutaka Matsuura, Yui Akiike, Tatsuya Ichinohe

{"title":"Involvement of α- and β-Adrenergic Receptors in Skeletal Muscle Blood Flow Changes During Hyper-/Hypocapnia in Anesthetized Rabbits.","authors":"Kyotaro Koshika, Rumi Kaneko, Mai Shionoya, Kotaro Shimizu, Yuka Sendai, Nobutaka Matsuura, Yui Akiike, Tatsuya Ichinohe","doi":"10.2344/anpr-70-02-02","DOIUrl":"10.2344/anpr-70-02-02","url":null,"abstract":"Objective: This study investigated the involvement of α1- and β2-adrenergic receptors in skeletal muscle blood flow changes during variations in ETCO2.Methods: Forty Japanese White rabbits anesthetized with isoflurane were randomly allocated to 1 of 5 groups: phentolamine, metaproterenol, phenylephrine, butoxamine, and atropine. Heart rate (HR), systolic blood pressure (SBP), common carotid artery blood flow (CCBF), masseter muscle tissue blood flow (MBF), and quadriceps muscle tissue blood flow (QBF) were recorded and analyzed at 3 periods: (1) baseline, (2) during hypercapnia (phentolamine and metaproterenol groups) or hypocapnia (phenylephrine, butoxamine, and atropine groups), and (3) during or after receiving vasoactive agents.Results: MBF and QBF decreased during hypercapnia. The decrease in MBF was smaller than that in QBF. SBP and CCBF increased, while HR decreased. Both MBF and QBF recovered to their baseline levels after phentolamine administration. MBF became greater than its baseline level, while QBF did not fully recover after metaproterenol administration. MBF and QBF increased during hypocapnia. The increase rate in MBF was larger than that in QBF. HR, SBP, and CCBF did not change. Both MBF and QBF decreased to ∼90% to 95% of their baseline levels after phenylephrine or butoxamine administration. Atropine showed no effects on MBF and QBF.Conclusion: These results suggest the skeletal muscle blood flow changes observed during hypercapnia and hypocapnia may mainly involve α1-adrenergic but not β2-adrenergic receptor activity.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 2","pages":"58-64"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121758","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: 1

Anesthetic Management Using Remimazolam in a Hemodialysis Patient. 雷马唑仑在血液透析患者中的麻醉管理。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-02-06

Yukiko Nishioka, Saki Miyake, Midori Hamaoka, Kota Miyake, Maki Fujimoto, Hitoshi Higuchi, Takuya Miyawaki

{"title":"Anesthetic Management Using Remimazolam in a Hemodialysis Patient.","authors":"Yukiko Nishioka, Saki Miyake, Midori Hamaoka, Kota Miyake, Maki Fujimoto, Hitoshi Higuchi, Takuya Miyawaki","doi":"10.2344/anpr-70-02-06","DOIUrl":"10.2344/anpr-70-02-06","url":null,"abstract":"Remimazolam, an ultra-short-acting benzodiazepine, is a new intravenous anesthetic used for sedation and general anesthesia. Because remimazolam is primarily metabolized by carboxylesterases in the liver and other tissues including the lung and has metabolites with little or no bioactivity, its anesthetic effect is not significantly influenced by renal dysfunction. Therefore, remimazolam may be considered an appropriate agent for hemodialysis patients and may have added benefits beyond midazolam and propofol. Remimazolam has also been suggested to cause less cardiac depression than propofol. This case report presents an 82-year-old female hemodialysis patient with chronic heart failure who underwent partial glossectomy for squamous cell carcinoma of the tongue under general anesthesia with remimazolam and remifentanil. Hemodynamic control was stable during the anesthetic, which was safely completed without any adverse events and resulted in a rapid, clear emergence without flumazenil. Remimazolam and remifentanil may be appropriate as first-line general anesthetic agents for hemodialysis patients with heart failure.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 2","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121757","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

Ultrasound-Guided Maxillary Nerve Block and Superficial Cervical Plexus Block During Surgery for Maxillary Malignancy: A Case Report. 超声引导下上颌神经阻滞和颈浅丛阻滞治疗上颌恶性肿瘤1例。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-02-07

Atsuki Yamaguchi, Yuki Kojima, Kazuya Hirabayashi

引用次数: 0

Hypotension Without Skin Symptoms at Local Anesthesia in Dental Treatment: Anaphylaxis? Or Vasovagal Reaction? 牙科治疗局麻时无皮肤症状的低血压:过敏反应?还是血管迷走神经反应?

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-03-02

Takuro Sanuki, Naotaka Kishimoto, Hidetaka Kuroda, Kanta Kido

引用次数: 0

The Physical Compatibility of Glycopyrrolate and Rocuronium. 甘罗罗酸盐与罗库溴铵的物理相容性。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-69-04-02

Austen L Weeks, John Sotos, Bryce Woolsey, William M Johnston, Bryant W Cornelius

{"title":"The Physical Compatibility of Glycopyrrolate and Rocuronium.","authors":"Austen L Weeks, John Sotos, Bryce Woolsey, William M Johnston, Bryant W Cornelius","doi":"10.2344/anpr-69-04-02","DOIUrl":"10.2344/anpr-69-04-02","url":null,"abstract":"Objective: Scientific evidence has rarely, if at all, been reported in the literature demonstrating analytical confirmation of the physical compatibility and stability of glycopyrrolate and rocuronium combined. The purpose of this experiment was to determine if glycopyrrolate and rocuronium are physically compatible.Methods: Glycopyrrolate and rocuronium were combined in various containers, observed over a 60-minute period, and compared against positive and negative controls. Measured metrics included color change, precipitate formation, Tyndall beam test, turbidity, and pH. Statistical analyses were used to assess significance of data trends.Results: The combination of glycopyrrolate and rocuronium did not result in any color change, precipitate formation, a positive Tyndall beam test, or a significantly positive turbidity and did not result in any significant change in pH, regardless of container.Conclusion: Per the protocol used in this study, glycopyrrolate and rocuronium were determined to be physically compatible.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 2","pages":"53-57"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121761","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

Evaluation of Sedation Levels Using SedLine During Intravenous Sedation for Dental Procedures: A Case-Series Study. 评估镇静水平使用SedLine在静脉镇静牙科手术:一个病例系列研究。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-01-01

Kota Miyake, Hitoshi Higuchi, Saki Miyake, Yukiko Nishioka, Maki Fujimoto, Erika Kurita, Akiko Kawase, Yuka Wakasugi, Takuya Miyawaki

引用次数: 0

Successful Premedication With Sublingual Midazolam Using a Suction Toothbrush. 使用吸式牙刷成功地进行舌下咪达唑仑预用药。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-01-05

Jun Hirokawa, Naomi Kimata

{"title":"Successful Premedication With Sublingual Midazolam Using a Suction Toothbrush.","authors":"Jun Hirokawa, Naomi Kimata","doi":"10.2344/anpr-70-01-05","DOIUrl":"10.2344/anpr-70-01-05","url":null,"abstract":"Premedication is often used to reduce the stress associated with anesthesia-related procedures. However, in some cases, patients may not cooperate with medication delivery because of significant fear and anxiety. We report a case of an uncooperative patient with severe intellectual disabilities who was successfully premedicated with the unique technique of sublingual midazolam administration using a suction toothbrush. The 38-year-old male patient was planned to receive dental treatment under deep intravenous sedation (IVS), but he refused both intravenous cannulation and mask induction. Preanesthetic medication delivery using other routes was attempted but not accepted. As the patient tolerated toothbrushing, we used repeated practice with sublingual water administration through the toothbrush's suction hole to gradually desensitize the patient. Using that same method, sublingual midazolam was administered as a successful premedication to allow placement of a face mask for inhalational induction without distress and completion of the dental treatment under IVS. For patients who refuse other premedication routes, sublingual administration during toothbrushing with a suction toothbrush may provide a successful alternative.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 2","pages":"80-84"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10140440","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

Management of Anaphylaxis in Dental Practice 过敏反应在牙科诊所的管理

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-02-16

Takashi Goto

引用次数: 0

A New Dental Specialty in Canada. 加拿大新的牙科专业。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-02-15

Kyle J Kramer

引用次数: 0

Postoperative Epistaxis Following Dental Treatment With Nitrous Oxide/Oxygen Sedation. 氧化亚氮/氧镇静牙科治疗术后鼻出血。

Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-01-04

Ishfaq Khan

引用次数: 1