Seminars in anesthesia最新文献

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Fat Embolism Syndrome 脂肪栓塞综合征
Seminars in anesthesia Pub Date : 2010-01-01 DOI: 10.1007/978-0-387-77893-8_25
J. M. O'donnell
{"title":"Fat Embolism Syndrome","authors":"J. M. O'donnell","doi":"10.1007/978-0-387-77893-8_25","DOIUrl":"https://doi.org/10.1007/978-0-387-77893-8_25","url":null,"abstract":"","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51691101","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
Misaligned mechanical ultrasound transducer contributes to carotid puncture 机械超声换能器错位导致颈动脉穿刺
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.08.001
Robert S. Weller MD
{"title":"Misaligned mechanical ultrasound transducer contributes to carotid puncture","authors":"Robert S. Weller MD","doi":"10.1053/j.sane.2007.08.001","DOIUrl":"10.1053/j.sane.2007.08.001","url":null,"abstract":"<div><p>This report describes a complication from the use of a mechanical ultrasound transducer and needle guide to perform internal jugular cannulation<span>. Misalignment of the probe led to an inability to visualize the needle and accidental carotid puncture. Placement of the central line was successful with landmark technique, and there were no sequelae. The transducer design explains how such misalignment may occur if the crystal oscillation is not symmetric. The manufacturer recommends periodic testing for probe alignment, and awareness of this potential problem may help other users avoid patient injury with this type of ultrasound transducer.</span></p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133274521","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: 3
Acoustic reflectometry imaging of the airway 气道声反射成像
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.09.001
David T. Raphael MD, PhD
{"title":"Acoustic reflectometry imaging of the airway","authors":"David T. Raphael MD, PhD","doi":"10.1053/j.sane.2007.09.001","DOIUrl":"10.1053/j.sane.2007.09.001","url":null,"abstract":"<div><p><span>This review deals with time-domain acoustic reflectometry, which is a dynamic, real-time imaging modality that can be used to generate an easily interpretable area-distance profile of a cavity, such as the breathing tube/lower airway system or the esophagus. Without resorting to </span>capnography<span><span>, the acoustic reflectometry profile allows for instant diagnosis of the site of placement of the breathing tube: tracheal, bronchial, or esophageal. Additional applications include: evaluation of sleep apnea, septal disorders, plus the site and the severity of breathing tube obstruction (kinks, </span>mucus plugs) and of lower airway abnormalities (bronchospasm, pulmonary edema). Other applications of the acoustic reflectometer are discussed.</span></p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.09.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128471675","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: 6
Sedation and anesthesia for magnetic resonance imaging in pediatric patients: is dexmedetomidine the answer? 小儿磁共振成像患者的镇静和麻醉:右美托咪定是答案吗?
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.09.002
Peter Szmuk MD , Jeffrey W. Steiner DO , Paul W. Sheeran MD , Alan C. Farrow-Gillespie MD , Tiberiu Ezri MD
{"title":"Sedation and anesthesia for magnetic resonance imaging in pediatric patients: is dexmedetomidine the answer?","authors":"Peter Szmuk MD ,&nbsp;Jeffrey W. Steiner DO ,&nbsp;Paul W. Sheeran MD ,&nbsp;Alan C. Farrow-Gillespie MD ,&nbsp;Tiberiu Ezri MD","doi":"10.1053/j.sane.2007.09.002","DOIUrl":"10.1053/j.sane.2007.09.002","url":null,"abstract":"<div><p><span>We reviewed the current state of knowledge regarding pediatric sedation mainly for nonpainful procedures, such as MRI studies. The increasing number of requests for pediatric sedation has triggered intense research for finding various solutions that would enable the safe administration of sedation by nonanesthesiologist physicians, supervised trained nursing personnel (CRNAs and/or RNs), or sedation teams combining different provider types. We also reviewed the current data on the use of </span>dexmedetomidine<span> in children, as a sedative agent in the MRI suite. Dexmedetomidine is an excellent sedative, has analgesic properties, and appears to be clinically safe from a respiratory point of view even at high doses, although instances of bradycardia and hypotension have been reported. Dexmedetomidine appears to be a promising option for sedation in the pediatric population in the MRI setting.</span></p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125913784","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
Ultrasound imaging in anesthesia: an overview of vascular access and peripheral nerve blocks 麻醉中的超声成像:血管通路和周围神经阻滞的概述
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.10.003
NavParkash S. Sandhu MD
{"title":"Ultrasound imaging in anesthesia: an overview of vascular access and peripheral nerve blocks","authors":"NavParkash S. Sandhu MD","doi":"10.1053/j.sane.2007.10.003","DOIUrl":"10.1053/j.sane.2007.10.003","url":null,"abstract":"<div><p>High-resolution ultrasound imaging<span><span> is being progressively used in the perioperative period by anesthesiologists. Current applications include diagnostic </span>echocardiography<span>, vascular access<span>, and peripheral/neuraxial neural blockade. In central and peripheral vessel cannulation, ultrasound guidance is used both as a primary technique and as a rescue method when conventional techniques fail. For many nerve block techniques, ultrasound imaging has resulted in better procedural success rates and improved safety. This review discusses the use of ultrasound guidance for vascular access procedures and nerve blocks.</span></span></span></p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125187486","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: 11
Ultrasound imaging in brachial plexus blockade 臂丛神经阻滞的超声成像
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.10.002
Steven L. Orebaugh MD, Paul Bigeleisen MD
{"title":"Ultrasound imaging in brachial plexus blockade","authors":"Steven L. Orebaugh MD,&nbsp;Paul Bigeleisen MD","doi":"10.1053/j.sane.2007.10.002","DOIUrl":"10.1053/j.sane.2007.10.002","url":null,"abstract":"<div><p><span>Ultrasonography has provided anesthesiologists with the opportunity to visualize </span>anatomy<span> and guide needle insertion to peripheral nerves<span><span>, as well as ensuring deposition of local anesthetic solutions accurately. Potential benefits include improved efficiency of nerve blockade, reduced patient discomfort, improved block efficacy, and avoidance of undesirable needle trauma or injection trauma to nerves or surrounding structures. Methods of blocking the </span>brachial plexus using ultrasound guidance are reviewed and the existing literature summarized.</span></span></p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115042748","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: 6
Use of multi-imaging modalities in detection of false passage of TEE probe 多成像方式在TEE探针假通检测中的应用
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.09.003
Tawfik Ayoub MD, Steven Haddy MD
{"title":"Use of multi-imaging modalities in detection of false passage of TEE probe","authors":"Tawfik Ayoub MD,&nbsp;Steven Haddy MD","doi":"10.1053/j.sane.2007.09.003","DOIUrl":"10.1053/j.sane.2007.09.003","url":null,"abstract":"<div><p><span><span>Intraoperative transesophageal echocardiography (TEE) is an invaluable tool for the management of cardiac surgical procedures. It allows evaluation of myocardial function, valvular pathology, atheromatous disease, dissection of the aorta, and estimation of </span>pulmonary artery pressure<span>. Despite its relative safety, TEE has a reported estimated risk of 0.18%. Esophageal injury is the major risk associated with TEE placement. This is a case report of a patient who sustained a contained esophageal dissection during insertion of a TEE probe prior to minimally invasive </span></span>mitral valve repair. It is also a demonstration of use of the multi-imaging modalities used to evaluate and manage patients until full recovery.</p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126207058","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
Evidence-based review of ultrasound imaging for regional anesthesia 区域麻醉超声成像的循证回顾
Seminars in anesthesia Pub Date : 2007-12-01 DOI: 10.1053/j.sane.2007.08.003
Paul H. Ting MD , John G. Antonakakis MD
{"title":"Evidence-based review of ultrasound imaging for regional anesthesia","authors":"Paul H. Ting MD ,&nbsp;John G. Antonakakis MD","doi":"10.1053/j.sane.2007.08.003","DOIUrl":"10.1053/j.sane.2007.08.003","url":null,"abstract":"<div><p><span>Use of ultrasound guidance for regional anesthesia has grown in popularity recently. Advocates claim many benefits, including higher success rates, a decrease in block performance time, a decrease in onset time, a higher quality block, the ability to use less </span>local anesthetic, and a longer duration of block. Many also believe that the ability to visualize critical structures decreases the rate of complications. This article reviews the current evidence for these claimed benefits. In addition, discussion of how clinical practice patterns are affected and how ultrasound can add to the knowledge base of regional anesthesia practice is presented.</p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129822127","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: 11
Can medicine really learn anything from aviation? Or are patients and their disease processes too complex? 医学真的能从航空中学到什么吗?还是病人和他们的疾病过程太复杂了?
Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.07.003
Captain Carlyle “Jai” Rampersad, Sally E. Rampersad MB, FRCA
{"title":"Can medicine really learn anything from aviation? Or are patients and their disease processes too complex?","authors":"Captain Carlyle “Jai” Rampersad,&nbsp;Sally E. Rampersad MB, FRCA","doi":"10.1053/j.sane.2007.07.003","DOIUrl":"10.1053/j.sane.2007.07.003","url":null,"abstract":"<div><p>Much has been written in the medical and human factors literature in recent years about the similarities between aviation and medicine (especially anesthesiology). In this discussion, we ask whether medicine really can learn lessons from aviation and what those lessons are. In particular we will focus on error management, the root causes of adverse events, including fatigue, barriers for safety, and the personality traits that may contribute to adverse outcomes (for which we have coined the term “Shiva factor”—named for the Hindu god who can be both the preserver of life and the destroyer).</p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127206963","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: 3
Situational awareness in the operating room: a primer for the anesthesiologist 手术室的态势感知:麻醉师入门
Seminars in anesthesia Pub Date : 2007-09-01 DOI: 10.1053/j.sane.2007.06.001
William B. McIlvaine MD
{"title":"Situational awareness in the operating room: a primer for the anesthesiologist","authors":"William B. McIlvaine MD","doi":"10.1053/j.sane.2007.06.001","DOIUrl":"10.1053/j.sane.2007.06.001","url":null,"abstract":"<div><p>The concept of situational awareness (SA) is well known in the field of aviation, human factors and psychology. Understanding of its importance in the daily practice of anesthesiology is beginning to appear. All perioperative team members have a responsibility to identify both the presence and absence of SA to protect our patients as we attempt to deliver the highest quality and safest care. This article introduces the reader to some of the fundamental concepts of SA and its application to anesthesiology.</p></div>","PeriodicalId":82686,"journal":{"name":"Seminars in anesthesia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2007-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.sane.2007.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129372734","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: 22
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