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Sudden Cardiac Arrest in a Dental Patient Awaiting Examination. 等待检查的牙科病人心脏骤停。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-69-04-05
Thunshuda Sumphaongern, Erika Yamahara, Ryo Wakita
{"title":"Sudden Cardiac Arrest in a Dental Patient Awaiting Examination.","authors":"Thunshuda Sumphaongern,&nbsp;Erika Yamahara,&nbsp;Ryo Wakita","doi":"10.2344/anpr-69-04-05","DOIUrl":"https://doi.org/10.2344/anpr-69-04-05","url":null,"abstract":"<p><p>Sudden cardiac arrest (SCA) is an uncommon event in dental practice; however, the frequency of dentists encountering SCA and other major medical emergencies is increasing. We report the successful resuscitation of a patient who developed SCA while awaiting examination and treatment at a dental hospital. The emergency response team was called upon, and cardiopulmonary resuscitation/basic life support (CPR/BLS), including chest compression and mask ventilation, was promptly initiated. An automated external defibrillator was used, which indicated that the patient's cardiac rhythm was unsuitable for electrical defibrillation. The patient returned to spontaneous circulation after 3 cycles of CPR and intravenous epinephrine. The knowledge and skill levels of dentists regarding resuscitation under emergency circumstances should be addressed. Emergency response systems must be well established, and CPR/BLS knowledge and training should be updated regularly, including optimal management of both shockable and nonshockable rhythms.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069538/pdf/i1878-7177-70-1-25.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10131982","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
Office-based General Anesthesia for a Patient With a History of Neuroleptic Malignant Syndrome. 有抗精神病药恶性综合征病史患者的办公室全麻治疗。
Anesthesia progress Pub Date : 2023-03-01 DOI: 10.2344/anpr-69-04-01
Zakaria S Messieha
{"title":"Office-based General Anesthesia for a Patient With a History of Neuroleptic Malignant Syndrome.","authors":"Zakaria S Messieha","doi":"10.2344/anpr-69-04-01","DOIUrl":"https://doi.org/10.2344/anpr-69-04-01","url":null,"abstract":"<p><p>First described in 1956 subsequent to a reaction reported to the newly introduced antipsychotic drug chlorpromazine, neuroleptic malignant syndrome (NMS) is a rare, potentially life-threatening reaction to antipsychotic drugs characterized by high fever, muscle rigidity, altered mental status, and autonomic instability. All neuroleptics, including newer antipsychotics, have been linked to this condition. Due to similar symptoms, it is debatable if individuals with NMS can be susceptible to malignant hyperthermia (MH). This case report presents the anesthetic care of a 30-year-old male undergoing general anesthesia in the office-based dental environment. The rationale behind the selected total intravenous anesthesia technique without NMS or MH triggering agents is outlined as well as other agents that may still be questionable regarding their trigger effect for NMS.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"70 1","pages":"20-24"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10069533/pdf/i1878-7177-70-1-20.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190556","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 a Patient With Tongue Cancer Who Developed Pneumomediastinum Following Tracheostomy Performed to Secure the Airway. 1例舌癌患者气管切开术后纵隔气肿的围手术期处理。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.2344/anpr-69-03-02
Ken Takahashi, Tomoka Matsumura, Yushi Abe, Atsushi Nakajima, Takuya Funayama, Thunshuda Sumphaongern, Ryo Wakita, Shigeru Maeda
{"title":"Perioperative Management of a Patient With Tongue Cancer Who Developed Pneumomediastinum Following Tracheostomy Performed to Secure the Airway.","authors":"Ken Takahashi,&nbsp;Tomoka Matsumura,&nbsp;Yushi Abe,&nbsp;Atsushi Nakajima,&nbsp;Takuya Funayama,&nbsp;Thunshuda Sumphaongern,&nbsp;Ryo Wakita,&nbsp;Shigeru Maeda","doi":"10.2344/anpr-69-03-02","DOIUrl":"https://doi.org/10.2344/anpr-69-03-02","url":null,"abstract":"<p><p>Prior to a scheduled operation for a 45-year-old male patient with tongue cancer, a tracheotomy performed under intravenous sedation to prevent asphyxia due to extensive bleeding resulted in pneumomediastinum and subcutaneous emphysema. The planned operations were postponed until reduction of the pneumomediastinum was confirmed. During operation, airway pressure was kept low to prevent tension pneumomediastinum along with a sufficient depth of anesthesia, controlled analgesia, and continuous administration of muscle relaxants. Postoperatively, sedation was used to avoid stress and complications with the vascular anastomosis site. In this case, air leakage into the soft tissues was one of the possible causes of the event associated with increased airway pressure. Although the incidence of such complications is relatively low, caution should be exercised after tracheostomy.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773412/pdf/i1878-7177-69-4-37.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556268","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
Japanese Dental Society of Anesthesiology Celebrates 50 Years. 日本牙科麻醉学会庆祝成立50周年。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.2344/anpr-69-04-09
Steven Ganzberg
{"title":"Japanese Dental Society of Anesthesiology Celebrates 50 Years.","authors":"Steven Ganzberg","doi":"10.2344/anpr-69-04-09","DOIUrl":"https://doi.org/10.2344/anpr-69-04-09","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"40-41"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10413551","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
New-Onset Accelerated Idioventricular Rhythm During Dental Rehabilitation. 牙科康复中新发心室心律加速。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.2344/anpr-69-02-13
Jonathan D Rizner, Heather L Bartlett, Robert E Shaw
{"title":"New-Onset Accelerated Idioventricular Rhythm During Dental Rehabilitation.","authors":"Jonathan D Rizner,&nbsp;Heather L Bartlett,&nbsp;Robert E Shaw","doi":"10.2344/anpr-69-02-13","DOIUrl":"https://doi.org/10.2344/anpr-69-02-13","url":null,"abstract":"<p><p>Accelerated idioventricular rhythm has been documented in several cases involving the induction of general anesthesia; however, it has not previously been known to occur during reversal of neuromuscular blockade with neostigmine and glycopyrrolate. The current understanding of the pathophysiology of accelerated idioventricular rhythm involves enhanced automaticity of ventricular myocardium in the setting of increased vagal tone suppressing sinoatrial node pace making. We present the case of an 8-year-old boy who developed accelerated idioventricular rhythm during dental rehabilitation. In this case, accelerated idioventricular rhythm developed immediately upon reversal of neuromuscular blockade with neostigmine and glycopyrrolate and recurred intermittently during his recovery in the postanesthesia care unit. This was a benign occurrence in our patient who remained asymptomatic and hemodynamically stable, and his arrhythmia eventually subsided without intervention after several hours of telemetry. This case suggests that reversal of neuromuscular blockade with neostigmine and glycopyrrolate may induce accelerated idioventricular rhythm in certain patients without known cardiovascular disease.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773410/pdf/i1878-7177-69-4-32.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556266","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 : 2022-12-01 DOI: 10.2344/anpr-69-04-08
Mark A Saxen
{"title":"Literature Review for Office-Based Anesthesia.","authors":"Mark A Saxen","doi":"10.2344/anpr-69-04-08","DOIUrl":"https://doi.org/10.2344/anpr-69-04-08","url":null,"abstract":"The authors observed a decreased heart rate in the dexmedetomidine groups, but none of the patients required treatment for bradycardia. Ann Surg. 2022;276(5):e265–e272 doi:10.1097/SLA.0000000000005597 This study aimed to determine whether COVID-19 vaccination status or mode of anesthesia modified the temporal harms associated with surgery following coronavirus disease-2019 (COVID-19) infection. The authors recommend a thorough consideration of risks and benefits as requests for family presence in the operating environment continue to grow.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"48-49"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10410613","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
An Objective Measure of Recovery. 恢复的客观衡量。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.5555/1878-7177-69.4.42
Norman Trieger, Michael G Newman, James C Miller
{"title":"An Objective Measure of Recovery.","authors":"Norman Trieger,&nbsp;Michael G Newman,&nbsp;James C Miller","doi":"10.5555/1878-7177-69.4.42","DOIUrl":"https://doi.org/10.5555/1878-7177-69.4.42","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"42-45"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10795262","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
Erratum. 勘误表。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.2344/anpr-69-04-10
{"title":"Erratum.","authors":"","doi":"10.2344/anpr-69-04-10","DOIUrl":"https://doi.org/10.2344/anpr-69-04-10","url":null,"abstract":"Leider ist uns beim Titelbild der Ausgabe 2 ein Fehler unterlaufen, wir bitten um Entschuldigung. Das Foto zeigt nicht den Schwarzkümmel (Nigella sativa L.), sondern die „Jungfer im Grünen“ (Nigella damascena L.) mit ihren feiner gefiederten, spitzeren, sehr reduzierten Blättern. Sie ist deutlich weniger klinisch untersucht als der Schwarzkümmel, die Samen liefern ebenfalls ein ätherisches Öl, es enthält u. a. das Alkaloid Damascenin. Die Pflanze stammt aus dem Mittelmeerraum, sie findet sich aber mindestens seit dem 16. Jh. in Bauerngärten nördlich der Alpen.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773413/pdf/i1878-7177-69-4-50.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10795260","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
Severe Bleeding During Orthognathic Surgery for a Noonan Syndrome Patient. 努南综合征患者正颌手术中严重出血。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.2344/anpr-69-02-02
Haruka Sasaki, Kentaro Mizuta
{"title":"Severe Bleeding During Orthognathic Surgery for a Noonan Syndrome Patient.","authors":"Haruka Sasaki,&nbsp;Kentaro Mizuta","doi":"10.2344/anpr-69-02-02","DOIUrl":"https://doi.org/10.2344/anpr-69-02-02","url":null,"abstract":"<p><p>Noonan syndrome (NS) is a genetic disorder characterized by craniofacial dysmorphism, chest deformities, congenital heart defects, and bleeding disorders. Although patients with NS have a high prevalence of orofacial deformity, few reports are available on their anesthetic management during orthognathic surgery. This case report describes a 31-year-old female with NS, anemia, hypertrophic cardiomyopathy, and mild mitral valve regurgitation who experienced severe bleeding during orthognathic surgery. After treating her anemia with oral iron therapy and subcutaneous epoetin β, 4 units of autologous blood was deposited prior to surgery. General anesthesia was induced with remifentanil and propofol and maintained with sevoflurane, remifentanil, and fentanyl. Despite mild hypotensive anesthesia (targeted mean arterial pressure of 65 mm Hg) with nitroglycerine and intravenous tranexamic acid for bleeding, adequate hemostasis was difficult to achieve and led to severe blood loss (1442 mL). Therefore, the 4 units of autologous blood and 2 units of packed red blood cells were transfused. Her postoperative course proceeded uneventfully without abnormal postoperative bleeding. Because patients with NS can have difficulty with hemostasis, vascular malformations, and fragile blood vessels, extensive hematologic evaluation and thorough preparation for unexpected bleeding are crucial to accomplish orthognathic surgery.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"22-25"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773416/pdf/i1878-7177-69-4-22.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556270","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
No Shortage of Stress. 不缺乏压力。
Anesthesia progress Pub Date : 2022-12-01 DOI: 10.2344/anpr-69-04-07
Kyle J Kramer
{"title":"No Shortage of Stress.","authors":"Kyle J Kramer","doi":"10.2344/anpr-69-04-07","DOIUrl":"https://doi.org/10.2344/anpr-69-04-07","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 4","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773407/pdf/i1878-7177-69-4-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9556267","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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