Anesthesia progress最新文献

{"title":"Usefulness of Tulip Airway in Edentulous Elderly Patients.","authors":"Yasuhiko Imashuku,&nbsp;Hirotoshi Kitagawa,&nbsp;Takayoshi Mizuno","doi":"10.2344/anpr-69-01-01","DOIUrl":"https://doi.org/10.2344/anpr-69-01-01","url":null,"abstract":"<p><strong>Objective: </strong>Mask ventilation can be difficult in elderly edentulous patients. Various solutions have been proposed to address this challenge. This study assessed the use of a new airway-securing device called the Tulip Airway and investigated its application in simulated edentulous patients.</p><p><strong>Methods: </strong>This pilot study utilized a modified edentulous airway training mannequin and a high-performance simulator. Participants attempted to ventilate the edentulous mannequin using a Guedel oropharyngeal airway and face mask (M method) or the Tulip Airway (T method). Successful inflation of the mannequin model lung was confirmed visually. The time required for the insertion of the Tulip Airway was also assessed. A high-performance simulator was then used to compare ventilation volumes achieved using the M and T methods, and data subsequently analyzed.</p><p><strong>Results: </strong>In the edentulous mannequin, lung inflation was not achieved by any participants using the M method, but all were successful using the T method. Insertion time for the Tulip Airway was ∼8 seconds. Median ventilation volumes achieved using the high-performance simulator were higher for the T method (308 mL) compared with the M method (192 mL; P &lt; .05).</p><p><strong>Conclusion: </strong>The results of this pilot study indicate that the Tulip Airway is an effective airway device for use in edentulous patients with difficult mask ventilation.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 3","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552620/pdf/i1878-7177-69-3-9.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801418","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}

{"title":"Perioperative Management of Oral Antithrombotics in Dentistry and Oral Surgery: Part 1","authors":"B. J. Statman","doi":"10.2344/anpr-69-03-05","DOIUrl":"https://doi.org/10.2344/anpr-69-03-05","url":null,"abstract":"Increasing numbers of patients seeking dental care are at heightened thrombotic or thromboembolic risk and are therefore taking either oral antiplatelet (OAP) or oral anticoagulant (OAC) agents that disrupt the coagulation process. In addition, the arsenal of OAP and OAC agents in use has continued to expand as new drug development persists. The impairment of functional coagulation by these agents can lead to prolonged and/or major blood loss from surgical sites during invasive dental procedures. To properly manage these patients perioperatively, sedation and anesthesia providers for dentistry and oral surgery must understand the pharmacokinetics and pharmacodynamics of these agents as well as the factors that influence and augment bleeding and thrombotic risk. Part 1 of this review will present a summary of the coagulation processes and discuss the pharmacokinetic and pharmacodynamic properties of oral antithrombotics currently approved for use in the United States. Part 2 will focus on factors that affect perioperative management of antithrombotic agents with special consideration given to procedures typically encountered when providing sedation and anesthesia in the dental setting.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48160066","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}

{"title":"A Review of Current Literature of Interest to the Office-Based Anesthesiologist.","authors":"Mark A Saxen","doi":"10.2344/1878-7177-69.3.48","DOIUrl":"https://doi.org/10.2344/1878-7177-69.3.48","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 3","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552627/pdf/i1878-7177-69-3-48.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814887","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}

{"title":"Risk Factors for Postoperative Sore Throat After Nasotracheal Intubation.","authors":"Masanori Tsukamoto,&nbsp;Shiori Taura,&nbsp;Sayuri Kadowaki,&nbsp;Takashi Hitosugi,&nbsp;Yoichiro Miki,&nbsp;Takeshi Yokoyama","doi":"10.2344/anpr-69-01-05","DOIUrl":"https://doi.org/10.2344/anpr-69-01-05","url":null,"abstract":"<p><strong>Objective: </strong>Postoperative sore throat is relatively frequent complication after orotracheal intubation. However, there are few reports about postoperative sore throat in nasotracheal intubation. In this retrospective study, we investigated the risk factors of postoperative sore throat in nasotracheal intubation.</p><p><strong>Methods: </strong>Anesthesia records of patients 16 to 80 years of age who underwent nasotracheal intubation were included. Patients underwent oral and maxillofacial surgery from February 2015 until September 2018. Airway device (Macintosh laryngoscope, Pentax-AWS, or McGRATH video laryngoscope, or fiberoptic scope), sex, age, height, weight, American Society of Anesthesiologists classification, intubation attempts, duration of intubation, intubation time, tube size, and fentanyl and remifentanil dose were investigated. Fisher exact test, Wilcoxon rank sum test, Welch t test, and Steel-Dwass multiple test were used, and a multivariable analysis was performed using stepwise logistic regression to determine the risk factors of postoperative sore throat.</p><p><strong>Results: </strong>A total of 169 cases were analyzed, and 126 patients (74.6%) had a postoperative sore throat. Based on the univariate analysis of the data, 12 factors were determined to be potentially related to the occurrence of a postoperative sore throat. However, after evaluation using stepwise logistic regression analysis, the 2 remaining variables that correlated with postoperative sore throat were airway device (P &lt; .05) and intubation attempts (P = .04). In the model using logistic regression analysis, the fiberoptic scope had the strongest influence on the incidence of sore throat with reference to Pentax-AWS (odds ratio = 5.25; 95% CI = 1.54-17.92; P &lt; .05).</p><p><strong>Conclusion: </strong>Use of a fiberoptic scope was identified as an independent risk factor for postoperative throat discomfort. Compared with direct laryngoscopy and other video laryngoscopes, the use of a fiberoptic scope had a significantly higher incidence of sore throat.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 3","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552625/pdf/i1878-7177-69-3-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801422","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}

{"title":"ACE-Inhibitor or ARB-Induced Refractory Hypotension Treated With Vasopressin in Patients Undergoing General Anesthesia for Dentistry: Two Case Reports.","authors":"Caitlin M Waters,&nbsp;Kristen Pelczar,&nbsp;Edward C Adlesic,&nbsp;Paul J Schwartz,&nbsp;Joseph A Giovannitti","doi":"10.2344/anpr-69-02-06","DOIUrl":"https://doi.org/10.2344/anpr-69-02-06","url":null,"abstract":"Two case reports present the use of vasopressin for treating refractory hypotension associated with continued angiotensin-converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB) therapy prior to general anesthesia for oral surgery. Both patients were treated in an ambulatory dental surgery clinic and took either their ACEI or ARB medication for hypertension within 24 hours prior to undergoing an intubated general anesthetic. Persistent profound hypotension was encountered intraoperatively that was refractory to treatment with traditional methods. However, the ACEI- or ARB-induced refractory hypotension was successfully managed with the administration of vasopressin.","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 3","pages":"30-35"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552622/pdf/i1878-7177-69-3-30.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801421","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}

{"title":"Anesthesia Management of a Patient With Familial Cold Autoinflammatory Syndrome: A Case Report.","authors":"Ruri Teshima,&nbsp;Akiko Nishimura,&nbsp;Akira Hara,&nbsp;Yuhei Ubukata,&nbsp;Sayaka Chizuwa,&nbsp;Mone Wakatsuki,&nbsp;Takehiko Iijima","doi":"10.2344/anpr-69-02-04","DOIUrl":"https://doi.org/10.2344/anpr-69-02-04","url":null,"abstract":"<p><p>Familial cold autoinflammatory syndrome (FCAS) is a rare phenotype of cryopyrin-associated periodic syndrome (CAPS) and is characterized by repetitive systemic inflammation triggered by cold stimulation. Recently, we treated a 13-year-old female with FCAS/CAPS scheduled to undergo removal of an impacted tooth. To minimize perioperative heat loss, a forced-air warming system was utilized to prewarm the patient for 10 minutes before induction of general anesthesia. The patient's core and peripheral temperatures were monitored with axillary, superficial temporal artery, and rectal thermometers. The difference in temperatures at these 3 locations decreased to 0.4° C within 60 minutes as a result of the forced-air warming system before induction. Perioperative use of the warming system successfully prevented the occurrence any significant redistribution hypothermia and any symptoms of FCAS/CAPS.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 3","pages":"38-39"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552617/pdf/i1878-7177-69-3-38.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10814889","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}

{"title":"Reliability and Validity of the Dental Anxiety Question Used With Children.","authors":"Masahiro Heima,&nbsp;Kelsey Stehli","doi":"10.2344/anpr-69-01-04","DOIUrl":"https://doi.org/10.2344/anpr-69-01-04","url":null,"abstract":"<p><strong>Objective: </strong>Dental fear screening is an important part of providing a positive pediatric dental experience. To improve efficiency, the development of a single-item dental fear assessment tool for children has been desired. In this psychometric analysis, the reliability and validity of the Dental Anxiety Question (DAQ) is studied when used in children aged 7 to 18 years.</p><p><strong>Methods: </strong>Participants completed the DAQ (pre-tx-DAQ), the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS), and a demographic information questionnaire before treatment. Participants repeated the DAQ after treatment (post-tx-DAQ) and once more at least 2 weeks later (follow-up-DAQ). Stability reliability within the DAQ scores and criterion validity with the CFSS-DS were evaluated.</p><p><strong>Results: </strong>Stability reliability analyses between pre-tx-DAQ/post-tx-DAQ and post-tx-DAQ/follow-up-DAQ demonstrated significant positive correlations: Spearman rank correlation coefficient (rs) = 0.420, rs2 = 0.18, P &lt; .001, and rs = 0.563, rs2 = 0.32, P &lt; .001, respectively. Criterion validity analysis between the pre-tx-DAQ and CFSS-DS also demonstrated a significant correlation: Pearson correlation coefficient (r) = 0.584, r2 = 0.34, P &lt; .001.</p><p><strong>Conclusion: </strong>The stability reliability and criterion validity of the DAQ was proved among children.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":"69 3","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552619/pdf/i1878-7177-69-3-13.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10801426","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}

{"title":"A Case of Wide QRS Tachycardia After the Local Administration of Epinephrine to Reduce Bleeding During General Anesthesia.","authors":"Nayuka Usami,&nbsp;Midori Tooyama,&nbsp;Wakana Oda,&nbsp;Yuu Kawamoto,&nbsp;Saki Kishimoto,&nbsp;Ayano Minamide,&nbsp;Hitoshi Niwa","doi":"10.2344/anpr-68-03-05","DOIUrl":"https://doi.org/10.2344/anpr-68-03-05","url":null,"abstract":"<p><p>We report a case of wide QRS tachycardia or ventricular tachycardia with a pulse after the administration of epinephrine under general anesthesia. After induction and achieving a sufficiently deep plane of general anesthesia, gauze soaked in a 1:100,000 epinephrine solution was applied to the patient's nasal mucosa and 1% lidocaine with 1:100,000 epinephrine was administered via intraoral infiltration. Several minutes after the start of surgery, the patient's blood pressure and heart rate suddenly increased and a wide QRS tachycardia was observed on the electrocardiogram, which then reverted to a normal sinus rhythm. According to the past reports, similar arrhythmias have occurred after administration of epinephrine in the head and neck. These findings suggest that anesthesia providers must be aware of the risks associated with epinephrine and local anesthetic use, particularly in the head and neck region.</p>","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":" ","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301532/pdf/i1878-7177-69-2-38.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40516411","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}

{"title":"Tooth Technician or Oral Health Doctor?","authors":"Kyle J Kramer","doi":"10.2344/anpr-69-02-15","DOIUrl":"https://doi.org/10.2344/anpr-69-02-15","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":" ","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301539/pdf/i1878-7177-69-2-1.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40516408","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}

{"title":"General Anesthesia for a Dissociative Identity Disorder Patient With 20 Personalities: A Case Report.","authors":"Izumi Kuroda,&nbsp;Mayumi Hashimoto,&nbsp;Aiji Sato,&nbsp;Naoko Tachi,&nbsp;Nozomi Okuni,&nbsp;Hikari Tashiro,&nbsp;Hiroka Hattori,&nbsp;Hidemitsu Hasegawa,&nbsp;Masahiro Yamada,&nbsp;Masahiro Okuda","doi":"10.2344/anpr-68-04-04","DOIUrl":"https://doi.org/10.2344/anpr-68-04-04","url":null,"abstract":"","PeriodicalId":7818,"journal":{"name":"Anesthesia progress","volume":" ","pages":"30-34"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9301536/pdf/i1878-7177-69-2-30.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40533930","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}