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Cardiac Arrest Due to Pacing Failure From Pilsicainide Poisoning. 匹西卡因中毒致起搏衰竭的心脏骤停。
Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-69-04-04
Toshiyuki Kishimoto, Yoshiaki Takitani, Tomoka Ichikawa, Kaho Shiraishi, Hiroki Yamada, Shoko Oya, Makoto Kume, Satoru Sakurai
{"title":"Cardiac Arrest Due to Pacing Failure From Pilsicainide Poisoning.","authors":"Toshiyuki Kishimoto, Yoshiaki Takitani, Tomoka Ichikawa, Kaho Shiraishi, Hiroki Yamada, Shoko Oya, Makoto Kume, Satoru Sakurai","doi":"10.2344/anpr-69-04-04","DOIUrl":"10.2344/anpr-69-04-04","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 2","pages":"70-74"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758814","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
Literature Review for Office-Based Anesthesia. 办公室麻醉的文献综述。
Anesthesia progress Pub Date : 2023-06-01 DOI: 10.2344/anpr-70-02-14
Mark A Saxen
{"title":"Literature Review for Office-Based Anesthesia.","authors":"Mark A Saxen","doi":"10.2344/anpr-70-02-14","DOIUrl":"https://doi.org/10.2344/anpr-70-02-14","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 2","pages":"106-108"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10051292","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
Nothing After Midnight? 午夜过后什么都没有?
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-70-02-03
Kyle J Kramer
{"title":"Nothing After Midnight?","authors":"Kyle J Kramer","doi":"10.2344/anpr-70-02-03","DOIUrl":"https://doi.org/10.2344/anpr-70-02-03","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069534/pdf/i1878-7177-70-1-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190557","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
Lidocaine Tape Application for 3 Hours Prevents Vasovagal Syncope During Venipuncture: A Case Series. 利多卡因胶带应用3小时预防静脉穿刺时血管迷走神经性晕厥:一个案例系列。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-70-01-03
Kaho Shiraishi, Takashi Goto, Shoko Oya, Shintaro Hayashi, Satoru Sakurai
{"title":"Lidocaine Tape Application for 3 Hours Prevents Vasovagal Syncope During Venipuncture: A Case Series.","authors":"Kaho Shiraishi, Takashi Goto, Shoko Oya, Shintaro Hayashi, Satoru Sakurai","doi":"10.2344/anpr-70-01-03","DOIUrl":"https://doi.org/10.2344/anpr-70-01-03","url":null,"abstract":"Vasovagal syncope (VVS) or reflex is usually caused by physical and mental stress-related factors, like pain, anxiety, and fear, and it is one of the most frequent complications during dental treatment. Two patients, both with histories of dental phobia and of VVS during vaccination, venipuncture, and dental treatment with local anesthetics, were scheduled for dental treatment under intravenous (IV) sedation. However, both experienced episodes of VVS that occurred during venipuncture using a 24-gauge indwelling needle. We determined that pain was the main trigger of VVS for these patients and attempted to reduce venipuncture-associated pain using 60% lidocaine tape applied 3 hours before venipuncture at their next dental visits, respectively. Use of the lidocaine tape was successful and permitted comfortable placement of the IV catheter without any onset of VVS.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"34-36"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069530/pdf/i1878-7177-70-1-34.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134825","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
Perforation of the Nasal Septum Identified During a Preoperative Otorhinolaryngology Consultation: A Case Report. 术前耳鼻喉科会诊中发现的鼻中隔穿孔:1例报告。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-69-04-03
Takeshi Nakamura, Takuya Uchida, Yozo Manabe, Yoshihiro Momota
{"title":"Perforation of the Nasal Septum Identified During a Preoperative Otorhinolaryngology Consultation: A Case Report.","authors":"Takeshi Nakamura,&nbsp;Takuya Uchida,&nbsp;Yozo Manabe,&nbsp;Yoshihiro Momota","doi":"10.2344/anpr-69-04-03","DOIUrl":"https://doi.org/10.2344/anpr-69-04-03","url":null,"abstract":"<p><p>Nasal intubation is often required during oral surgery; however, nasal intubation can cause various complications including bleeding associated with nasal mucosal trauma during intubation and obstruction of the endotracheal tube. Two days before surgery, a nasal septal perforation was identified using computed tomography during a preoperative otorhinolaryngology consultation for a patient planned to undergo a nasally intubated general anesthetic. Subsequently, nasotracheal intubation was successfully performed after confirming the size and location of the nasal septal perforation. We used a flexible fiber optic bronchoscope to safely perform the nasal intubation while assessing for inadvertent migration of the endotracheal tube or soft-tissue damage around the perforation site. Careful preoperative planning in cooperation with the otorhinolaryngology department and use of computed tomography is recommended when a nasal abnormality is suspected.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"31-33"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069536/pdf/i1878-7177-70-1-31.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137427","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
Literature Review for Office-Based Anesthesia. 办公室麻醉的文献综述。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/1878-7177-70.1.49
Mark A Saxen
{"title":"Literature Review for Office-Based Anesthesia.","authors":"Mark A Saxen","doi":"10.2344/1878-7177-70.1.49","DOIUrl":"https://doi.org/10.2344/1878-7177-70.1.49","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9227271","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
Preoperative and Postoperative Hyperalgesia in Dental Patients on Chronic Opioid Therapy: A Pilot Study. 牙科患者慢性阿片类药物治疗的术前和术后痛觉过敏:一项初步研究。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-69-03-03
Peggy Compton, Steven Wang, Camron Fakhar, Stacey Secreto, Olivia Halabicky Arnold, Brian Ford, Elliot V Hersh
{"title":"Preoperative and Postoperative Hyperalgesia in Dental Patients on Chronic Opioid Therapy: A Pilot Study.","authors":"Peggy Compton,&nbsp;Steven Wang,&nbsp;Camron Fakhar,&nbsp;Stacey Secreto,&nbsp;Olivia Halabicky Arnold,&nbsp;Brian Ford,&nbsp;Elliot V Hersh","doi":"10.2344/anpr-69-03-03","DOIUrl":"https://doi.org/10.2344/anpr-69-03-03","url":null,"abstract":"<p><strong>Objective: </strong>Opioid-induced hyperalgesia, a paradoxical increase in pain sensitivity associated with ongoing opioid use, may worsen the postoperative pain experience. This pilot study examined the effect of chronic opioid use on pain responses in patients undergoing a standardized dental surgery.</p><p><strong>Methods: </strong>Experimental and subjective pain responses were compared prior to and immediately following planned multiple tooth extractions between patients with chronic pain on opioid therapy (≥30 mg morphine equivalents/d) and opioid-naïve patients without chronic pain matched on sex, race, age, and degree of surgical trauma.</p><p><strong>Results: </strong>Preoperatively, chronic opioid users rated experimental pain as more severe and appreciated less central modulation of that pain than did opioid-naïve participants. Postoperatively, chronic opioid-using patients rated their pain as more severe during the first 48 hours and used almost twice as many postoperative analgesic doses during the first 72 hours as the opioid-naïve controls.</p><p><strong>Conclusion: </strong>These data suggest that patients with chronic pain taking opioids approach surgical interventions with heightened pain sensitivity and have a more severe postoperative pain experience, providing evidence that their complaints of postoperative pain should be taken seriously and managed appropriately.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069537/pdf/i1878-7177-70-1-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10136944","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
Successful Tracheal Intubation With Airway Scope After Failure With McGrath. McGrath气管插管失败后气管镜插管成功。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-69-03-01
Shiori Sasaki, Hiroshi Hoshijima, Makoto Yasuda, Kentaro Mizuta
{"title":"Successful Tracheal Intubation With Airway Scope After Failure With McGrath.","authors":"Shiori Sasaki,&nbsp;Hiroshi Hoshijima,&nbsp;Makoto Yasuda,&nbsp;Kentaro Mizuta","doi":"10.2344/anpr-69-03-01","DOIUrl":"https://doi.org/10.2344/anpr-69-03-01","url":null,"abstract":"<p><p>The use of video laryngoscopy is growing in patients with anatomical factors suggestive of a difficult airway. This case report describes the successful tracheal intubation of a 54-year-old female patient with limited mouth opening scheduled for third molar extraction under general anesthesia. The Airway scope (AWS) along with a gum-elastic bougie was used to secure the airway after failed direct laryngoscopy and video laryngoscopy using the McGrath MAC with an X-blade. The AWS has a J-shaped structure in which the blade approximates the curvature of the pharynx and larynx. This blade shape makes it easy to match the laryngeal axis with the visual field direction, enabling successful tracheal intubation even for patients with limited mouth opening. A major key to successful video laryngoscopy is to select a video laryngoscope based on the anatomical characteristics of patients with a difficult airway.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"17-19"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069531/pdf/i1878-7177-70-1-17.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134826","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
Perioperative Management of Oral Antithrombotics in Dentistry and Oral Surgery: Part 2. 牙科和口腔外科口腔抗血栓药物的围手术期管理:第2部分。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-70-01-06
Benjamin J Statman
{"title":"Perioperative Management of Oral Antithrombotics in Dentistry and Oral Surgery: Part 2.","authors":"Benjamin J Statman","doi":"10.2344/anpr-70-01-06","DOIUrl":"https://doi.org/10.2344/anpr-70-01-06","url":null,"abstract":"<p><p>Part 1 of \"Perioperative Management of Oral Antithrombotics in Dentistry and Oral Surgery\" covered the physiological process of hemostasis and the pharmacology of both traditional and novel oral antiplatelets and anticoagulants. Part 2 of this review discusses various factors that are considered when developing a perioperative management plan for patients on oral antithrombotic therapy in consultation with dental professionals and managing physicians. Additionally included are how thrombotic and thromboembolic risks are assessed as well as how patient- and procedure-specific bleeding risks are evaluated. Special attention is given to the bleeding risks associated with procedures encountered when providing sedation and general anesthesia within the office-based dental environment.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"37-48"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069535/pdf/i1878-7177-70-1-37.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131991","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
Comparison of Oropharyngeal Oxygen Pooling and Suctioning During Intubated and Nonintubated Dental Office-Based Anesthesia. 口腔插管和非插管麻醉时口咽氧池和吸引的比较。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-70-01-02
Rebecca R Rafla, Mark A Saxen, Juan F Yepes, James E Jones, LaQuia A Vinson
{"title":"Comparison of Oropharyngeal Oxygen Pooling and Suctioning During Intubated and Nonintubated Dental Office-Based Anesthesia.","authors":"Rebecca R Rafla,&nbsp;Mark A Saxen,&nbsp;Juan F Yepes,&nbsp;James E Jones,&nbsp;LaQuia A Vinson","doi":"10.2344/anpr-70-01-02","DOIUrl":"https://doi.org/10.2344/anpr-70-01-02","url":null,"abstract":"<p><strong>Objective: </strong>The risk of a spontaneous surgical fire increases as oxygen concentrations surrounding the surgical site rise above the normal atmospheric level of 21%. Previously published in vitro findings imply this phenomenon (termed oxygen pooling) occurs during dental procedures under sedation and general anesthesia; however, it has not been clinically documented.</p><p><strong>Methods: </strong>Thirty-one children classified as American Society of Anesthesiologists I and II between 2 and 6 years of age undergoing office-based general anesthesia for complete dental rehabilitation were monitored for intraoral ambient oxygen concentration, end-tidal CO2, and respiratory rate changes immediately following nasotracheal intubation or insertion of nasopharyngeal airways, followed by high-speed suctioning of the oral cavity during simulated dental treatment.</p><p><strong>Results: </strong>Mean ambient intraoral oxygen concentrations ranging from 46.9% to 72.1%, levels consistent with oxygen pooling, occurred in the nasopharyngeal airway group prior to the introduction of high-speed oral suctioning. However, 1 minute of suctioning reversed the oxygen pooling to 31.2%. Oropharyngeal ambient oxygen concentrations in patients with uncuffed endotracheal tubes ranged from 24.1% to 26.6% prior to high-speed suctioning, which reversed the pooling to 21.1% after 1 minute.</p><p><strong>Conclusion: </strong>This study demonstrated significant oxygen pooling with nasopharyngeal airway use before and after high-speed suctioning. Uncuffed endotracheal intubation showed minimal pooling, which was reversed to room air ambient oxygen concentrations after 1 minute of suctioning.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069532/pdf/i1878-7177-70-1-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10137426","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
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