Asian journal of anesthesiology最新文献_第5页

Truncal Blocks for Emergency Laparotomy in a High-Risk Patient: A Case Report and Literature Review. 高危病人急诊剖腹手术的截骨阻滞:1例报告及文献复习。

Asian journal of anesthesiology Pub Date : 2023-03-01 DOI: 10.6859/aja.202303_61(1).0004

Yukihide Koyama, Kei Morita, Yoriko Murase, Haruko Nishikawa, Koichi Tsuzaki

{"title":"Truncal Blocks for Emergency Laparotomy in a High-Risk Patient: A Case Report and Literature Review.","authors":"Yukihide Koyama, Kei Morita, Yoriko Murase, Haruko Nishikawa, Koichi Tsuzaki","doi":"10.6859/aja.202303_61(1).0004","DOIUrl":"https://doi.org/10.6859/aja.202303_61(1).0004","url":null,"abstract":"In critically ill patients undergoing laparotomy, both general anesthesia (GA) and central neuraxial block (CNB) may pose significant risks. Peripheral truncal blocks have been reported to provide effective postoperative analgesia following laparotomy. However, there are a limited number of reports describing this technique as surgical anesthesia for laparotomy. An 86-year-old man with non-specific interstitial pneumonia under home oxygen therapy and aortic valve stenosis was diagnosed with an incarcerated inguinal hernia. Because of these comorbidities, both GA and CNB were considered relatively contraindicated. Thus, we chose an ultrasound-guided transverse abdominis plane block and ilioinguinal/iliohypogastric block supplemented with neuroleptanesthesia as surgical anesthesia for emergency laparotomy. The surgery was uneventful using this technique. Truncal blocks supplemented with titrated intravenous sedatives/analgesics could be an alternative in high-risk patients undergoing laparotomy in whom both GA and CNB are considered relatively contraindicated.","PeriodicalId":8482,"journal":{"name":"Asian journal of anesthesiology","volume":"61 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10261314","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

Injection Site Reactions Before and After Intramuscular Injection Technique Revision: A Postmarketing Analysis of NALDEBAIN® From 2017 to 2022. 肌内注射技术修订前后注射部位反应:2017 - 2022年NALDEBAIN®上市后分析

Asian journal of anesthesiology Pub Date : 2023-03-01 DOI: 10.6859/aja.202303_61(1).0002

Kee-Ming Man, Sing-Ong Lee, Chueng-He Lu, Chih-Shung Wong, Wei-Zen Sun

{"title":"Injection Site Reactions Before and After Intramuscular Injection Technique Revision: A Postmarketing Analysis of NALDEBAIN® From 2017 to 2022.","authors":"Kee-Ming Man, Sing-Ong Lee, Chueng-He Lu, Chih-Shung Wong, Wei-Zen Sun","doi":"10.6859/aja.202303_61(1).0002","DOIUrl":"https://doi.org/10.6859/aja.202303_61(1).0002","url":null,"abstract":"Background: The NALDEBAIN® has been available since 2017, and high incidence of injection reactions in the phase 3 study has been reported. Since the first year in the market, the injection site reactions were still the majority of adverse drug reactions (ADRs) in pharmacovigilance reports. The new intramuscular (IM) instruction and package was introduced in the middle of 2018. In this retrospective study, we analyzed the pharmacovigilance data and published postmarketing studies to investigate the impact of IM injection-related reactions in Taiwan between the period of 2017-2022.Methods: Individual case safety reports (ICSRs) and ADRs were classified by system organ class and preferred term. The reporting rate of ICSRs was used to evaluate the impact of the new IM instruction and package.Results: A total of 37 ICSRs were identified from pharmacovigilance reports. Among them, 51% of IM injection-related reactions were reported after one single dose of NALDEBAIN administration. The reporting rate of IM injection-related reactions in pharmacovigilance data dropped from 125.00 to 3.56 per ten thousand exposures after IM instruction and package revision in 2018. In addition, the percentage of IM injection-related reactions also reduced in postmarketing studies from 27.5% to 4.5%. There were no serious IM injection-related reactions found in the pharmacovigilance and postmarketing dataset.Conclusion: Injection site reactions were common after intramuscularly administered oil-based agents during the first year which is later markedly reduced by changing the length of the needle and injection education.","PeriodicalId":8482,"journal":{"name":"Asian journal of anesthesiology","volume":"61 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126370","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

Occupational Risks to Pregnant Anesthesia Trainees and Physicians: Are We Ignoring Something Important? 怀孕麻醉培训生和医生的职业风险:我们是否忽视了一些重要的事情?

Asian journal of anesthesiology Pub Date : 2023-03-01 DOI: 10.6859/aja.202303_61(1).0001

Mishu Mangla, Deepak Singla

引用次数: 0

Low Versus High Stroke Volume Variation-Guided and Reduction of Postoperative Complications After Liver Resection: A Randomized Clinical Trial. 肝脏切除术后，低冲程量与高冲程量变化引导并减少术后并发症：随机临床试验。

Asian journal of anesthesiology Pub Date : 2023-03-01 Epub Date: 2023-01-01 DOI: 10.6859/aja.202303_61(1).0003

Kai-Wei Hsieh, Wei-Yu Chen, Yuan-Yi Chia

{"title":"Low Versus High Stroke Volume Variation-Guided and Reduction of Postoperative Complications After Liver Resection: A Randomized Clinical Trial.","authors":"Kai-Wei Hsieh, Wei-Yu Chen, Yuan-Yi Chia","doi":"10.6859/aja.202303_61(1).0003","DOIUrl":"10.6859/aja.202303_61(1).0003","url":null,"abstract":"Background: Liver surgery is a major abdominal operation associated with a dramatic change in intraoperative hemodynamics; thus, the infusion strategy is challenging for anesthesiologists. Studies have demonstrated that stroke volume variation (SVV) can be used to predict fluid responsiveness during major abdominal surgery. SVV can be used as a guide for the administration of intraoperative fluids to improve postoperative prognosis. In the present study, we planned to investigate whether high- or low-SVV in liver surgery is associated with fewer postoperative complications.Methods: This study was a prospective randomized trial of 74 patients who underwent hepatectomy. The patients were divided into two groups for SVV-guided infusion during tumor resection surgery using a low-SVV (≤ 10%, n = 37) or high-SVV (> 10%, n = 37) strategy. The primary outcome was postoperative complications, namely infection, pleural effusion, and atelectasis. The secondary outcomes were differences in perioperative physiological variables and postoperative pain.Results: No differences in postoperative complications within 30 days of surgery were observed between the low-SVV and high-SVV groups. However, we observed lower estimated glomerular filtration rates (eGFRs) and higher alanine transaminase (ALT) levels in the high-SVV group after surgery.Conclusion: Patients who underwent major liver tumor resection with the low-SVV or high-SVV strategy exhibited no differences in postoperative complications (48.6% vs. 45.9%; P > 0.999). However, in the high-SVV group, postoperative eGFRs were lower and ALT levels were higher.","PeriodicalId":8482,"journal":{"name":"Asian journal of anesthesiology","volume":"61 1","pages":"21-31"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139563377","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

Monitored Anesthesia Care With High Flow Nasal Cannula: An Orthopnea Patient Undergoing Subcutaneous Venous Port Implantation. 高流量鼻插管的监护麻醉:一例骨科病人接受皮下静脉口植入术。

Asian journal of anesthesiology Pub Date : 2023-03-01 DOI: 10.6859/aja.202303_61(1).0005

Ying-Tzu Chen, Zhi-Fu Wu

引用次数: 0

Comparative Evaluation of the Intravenous Dexmedetomidine and Nalbuphine for Treatment of Post Spinal Shivering-A Randomized Prospective Trial. 静脉注射右美托咪定和纳布平治疗脊柱后颤的比较评价——一项随机前瞻性试验。

Asian journal of anesthesiology Pub Date : 2022-12-01 DOI: 10.6859/aja.202212_60(4).0004

Harpreet Kaur, Sarvjeet Kaur, Kewal Krishan Gupta, Amanjot Singh

{"title":"Comparative Evaluation of the Intravenous Dexmedetomidine and Nalbuphine for Treatment of Post Spinal Shivering-A Randomized Prospective Trial.","authors":"Harpreet Kaur, Sarvjeet Kaur, Kewal Krishan Gupta, Amanjot Singh","doi":"10.6859/aja.202212_60(4).0004","DOIUrl":"https://doi.org/10.6859/aja.202212_60(4).0004","url":null,"abstract":"Background: Shivering is one of the most common complications of spinal anesthesia because of inhibition of the thermoregulatory control. Dexmedetomidine and nalbuphine are the two commonly used drugs for treatment of perioperative shivering, but owing to paucity of their comparative data, we planned this study to compare the efficacy of these two drugs for treatment of post spinal shivering.Methods: This study was conducted on 80 American Society of Anesthesiologists physical status I or II patients aged from 18 to 60 years who developed post-spinal shivering of grade III or IV during elective surgeries. These patients were randomly allocated into two groups (40 each). In group D, dexmedetomidine 0.50 μg/kg, and in group N, nalbuphine 0.08 mg/kg was given intravenously for treatment of shivering. Data regarding response time, recurrence rate and success rate along with their adverse effects were noted, and statistical analysis was performed using SPSS software version 17.0 (SPSS Inc., Chicago, IL, USA).Results: The mean response time was significantly shorter in group D as compared to Group N (1.9 ± 0.6 min and 4.7 ± 1.1 min, respectively; P ＜ 0.001), but the success rate in both groups was 100%. Recurrence of shivering was greater in group N as compared to group D, but this difference was statistically insignificant. Although hypotension and bradycardia were observed more in group D and nausea was observed more in group N, the difference among both the groups was statistically insignificant.Conclusions: Dexmedetomidine is a better alternative than nalbuphine for treatment of post spinal shivering with quicker response time and comparable side effects.","PeriodicalId":8482,"journal":{"name":"Asian journal of anesthesiology","volume":"60 4","pages":"146-154"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10502622","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

Neostigmine Treats Postoperative Akinesia in a Restless Legs Syndrome Patient. 新斯的明治疗不宁腿综合征患者术后肌动症。

Asian journal of anesthesiology Pub Date : 2022-12-01 DOI: 10.6859/aja.202212_60(4).0006

Ying-Tzu Chen, Tsai-Shan Wu, Wan-Jung Cheng, Zhi-Fu Wu

引用次数: 0

Evaluation of Analgesic Efficacy of Ultrasound-Guided Adductor Canal Block With 20 mL of 0.5% Ropivacaine in Patients Undergoing Knee Surgeries-A Randomized Control Trial. 超声引导下20ml 0.5%罗哌卡因内收管阻滞对膝关节手术患者镇痛效果的评价——随机对照试验。

Asian journal of anesthesiology Pub Date : 2022-12-01 DOI: 10.6859/aja.202212_60(4).0001

Pavithra Arumugam, Saravanan Ravi, Sundaram Ln, Prasanna Manickam, Karthik Kanthan

{"title":"Evaluation of Analgesic Efficacy of Ultrasound-Guided Adductor Canal Block With 20 mL of 0.5% Ropivacaine in Patients Undergoing Knee Surgeries-A Randomized Control Trial.","authors":"Pavithra Arumugam, Saravanan Ravi, Sundaram Ln, Prasanna Manickam, Karthik Kanthan","doi":"10.6859/aja.202212_60(4).0001","DOIUrl":"https://doi.org/10.6859/aja.202212_60(4).0001","url":null,"abstract":"Background: Adductor canal block (ACB) is a motor sparing block providing analgesia for surgeries involving anterior part of the knee. The aim of our study was to evaluate the analgesic efficacy of ACB to reduce pain in arthroscopic knee surgeries done under spinal anesthesia. Our primary objective was to evaluate the 24 hours postoperative morphine consumption. The secondary objectives were to evaluate the visual analog scale (VAS) scores at rest and during knee flexion, hemodynamics and side effects of the block.Methods: In this prospective randomised controlled trial, 70 patients who underwent arthroscopic knee surgeries were randomly divided into two groups, A and C. Surgeries were done under spinal anesthesia. Group A patients received ACB with 20 mL of 0.5 % ropivacaine using ultrasound postoperatively. Block was not performed in group C. The amount of morphine consumption in PCA pump, duration of analgesia, mean VAS scores at rest and flexion, hemodynamics and adverse effects were monitored.Results: The average morphine consumption was significantly lesser with a P-value ＜ 0.001 in group A (8.628 ± 2.001 mg) when compared to group C (21.914 ± 5.118 mg). The duration of analgesia was longer in group A (365.71 ± 53.648 min vs. 150.429 ± 22.537 min) with highly significant P-value of ＜ 0.001. Group A patients had significantly decreased VAS scores at rest and knee flexion and better haemodynamic stability.Conclusions: We conclude that ultrasound-guided ACB resulted in significantly lesser morphine consumption after arthroscopic knee surgeries. ACB prolonged the duration of analgesia with better hemodynamics, lesser VAS pain scores and with no complications.","PeriodicalId":8482,"journal":{"name":"Asian journal of anesthesiology","volume":"60 4","pages":"123-130"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10860545","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

Incidence and Predictive Factors Associated With Delayed Extubation After Pediatric Neurosurgery. 小儿神经外科术后延迟拔管的发生率和预测因素。

Asian journal of anesthesiology Pub Date : 2022-12-01 DOI: 10.6859/aja.202212_60(4).0005

Sunisa Sangtongjaraskul, Nalin Chokengarmwong, Palita Pornwilaikun, Paweena Paarporn

{"title":"Incidence and Predictive Factors Associated With Delayed Extubation After Pediatric Neurosurgery.","authors":"Sunisa Sangtongjaraskul, Nalin Chokengarmwong, Palita Pornwilaikun, Paweena Paarporn","doi":"10.6859/aja.202212_60(4).0005","DOIUrl":"https://doi.org/10.6859/aja.202212_60(4).0005","url":null,"abstract":"Introduction: Decisions on appropriate time of extubation after pediatric neurosurgery are often challenging for anesthesiologists. The primary goal was to investigate the incidence of delayed extubation after pediatric neurosurgery. The secondary goal was to identify the factors affecting delayed extubation in these patients.Methods: This retrospective study was done in pediatric patients who underwent neurosurgery at a university hospital in a 5-year period from April 2015 to March 2020. Delayed extubation was that the patients who were not extubated at the end of procedure before leaving the operating room. Demographic data, preoperative and intraoperative factors associated with delayed extubation were collected and analyzed.Results: A total of 539 pediatric patients were included in our study. There were 56 children in delayed extubation group with the incidence of 10.4%. In the multivariate analysis, the factors associated with delayed extubation were including neonates (adjusted odds ratio [aOR], 3.743; 95% confidence interval [CI], 1.076-13.028), American Society of Anesthesiologists physical status III-IV (aOR, 3.010; 95% CI, 1.057-8.573), preoperative oxygen supplement (aOR, 6.033; 95% CI, 1.713-21.243), intracranial surgery (aOR, 4.494; 95% CI, 1.458-13.847), estimated blood loss (EBL) ≥ 40% of total blood volume (TBV) (aOR, 5.465; 95% CI, 1.640-18.210), and finishing operation after official hours (aOR, 3.810; 95% CI, 1.633-8.889).Conclusions: There were the preoperative and intraoperative factors associated with delayed extubation such as preoperative oxygen supplement, intracranial surgery, or EBL ≥ 40% of TBV. These might be useful for anesthesiologists in making decisions about the planning of extubation after neurosurgery in children.","PeriodicalId":8482,"journal":{"name":"Asian journal of anesthesiology","volume":"60 4","pages":"155-163"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10502619","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

Secondary Takotsubo Syndrome: What Anesthesiologists Should Know. 继发性Takotsubo综合征:麻醉师应该知道什么。

Asian journal of anesthesiology Pub Date : 2022-12-01 DOI: 10.6859/aja.202212_60(4).0007

Chao-Wei Ma, Zhi-Fu Wu, Guan-Yu Chen, Yi-Wei Ni

引用次数: 0