Journal of clinical anesthesia and pain management最新文献

{"title":"Endotracheal Tube Cuff Pressure Measurement Techniques: Safety and Reliability: A Randomized Comparative Study","authors":"K. Sylvanus, Anabah Thomas Winsum, Bayer Fidelis, Buunaaim Alexis DB, Hechavarria Maite Esquijarosa, Osman Salia, Kuugbee Eugene Dogkotenge, Ziem Juventus B","doi":"10.36959/377/376","DOIUrl":"https://doi.org/10.36959/377/376","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79326395","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":"Liposomal Bupivacaine is not Clinically Superior to a Standard Bupivacaine Mixture for Interscalene Nerve Block for Postoperative Pain Control in Shoulder Arthroplasty/Arthroscopy, but may Still be Beneficial","authors":"Demma Linda, Scribani Melissa, Victory Jennifer, Jenkins Paul, Herbst Kristen","doi":"10.36959/377/373","DOIUrl":"https://doi.org/10.36959/377/373","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82793772","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":"Postoperative Analgesia in Laparoscopic and Robotic Rectal Cancer Surgeries Compared to Laparotomy Approach: A Retrospective Analysis","authors":"W. Xiao, Elmawieh Jamie, Sitbon Philippe, Bourgain Jean-Louis","doi":"10.36959/377/375","DOIUrl":"https://doi.org/10.36959/377/375","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"45 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72961074","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":"Chronic Pain after COVID-19: A Case Report","authors":"Lion IV Paul L, Lin Yong-Jian, Rosner Howard L","doi":"10.36959/377/374","DOIUrl":"https://doi.org/10.36959/377/374","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79086488","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":"Intraoperative Analgesia Guided by the Nociception Level (NOL) in Laparoscopic Colorectal Surgery: A Preliminary Outcome Study","authors":"Tzour Arik, González Olalla Figueiredo","doi":"10.36959/377/368","DOIUrl":"https://doi.org/10.36959/377/368","url":null,"abstract":"Introduction: Most of postoperative patients report moderate to severe pain, possibly related to opioid underdosing or overdosing during surgery. Nociception Level (NOL) Index has been proposed for the evaluation of the nociceptionantinociception balance in the perioperative period and by that, may lead to a more appropriate analgesic regimen. NOL-index is scaled from 0 to 100; with previous studies suggesting that values >25 can indicate inadequate analgesia. We designed a NOL-guided and Observational study, 2-cohort (retrospective and prospective) trial to test the hypothesis that protocol-driven intraoperative analgesia guided by NOL during laparoscopic colorectal surgery would improve and reduce titration of intraoperative analgesics. Method: This monocentric, observational, and guided study aimed to compare perioperative data during laparoscopic colorectal surgery with or without the use of NOL monitor (NOL-guided vs. Control group). Intraoperative analgesia was provided by injection of fentanyl, which was performed according to the clinician’s assessment in the Control group or to the NOL monitor in the NOL-guided group. The primary outcome was a reduction in fentanyl consumption during surgery in the NOL-guided group. Results: Between 2017 and 2019, 70 patients (i.e., 36 in the Control group and 34 patients in the NOL-guided group) were included. The mean consumption fentanyl was significantly lower in the NOL-guided group (450mg) versus 600mg in the Control group (P = 0.005). Median postoperative pain score in T0, when the patient woke up in the operation room, was2 (inter-quartile range 0-5) and 0 (0-4) in Control and NOL-guided group, respectively (p=0.132). Conclusion: The NOL index in laparoscopic colorectal surgery decreased with incremental fentanyl doses during sevoflurane anaesthesia. This reduction in the intraoperative analgesia suggests its interesting potential as a nociception monitor during general anaesthesia (GA). Future studies should employ more robust design, be appropriately powered and seek to follow longer term outcomes.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74685264","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":"The Combination of Sufentanil and Remifentanil on Hemodynamic Changes During Anesthetic Induction and Endotracheal Intubation","authors":"Kang Mia, Cobb Kathryn","doi":"10.36959/377/369","DOIUrl":"https://doi.org/10.36959/377/369","url":null,"abstract":"In presenting their results comparing the use of sufentanil alone (Group S) versus sufentanil with the addition of remifentanil (Group R) we would like to point out a significant source of potential bias in their study design and reporting of results. Specifically, the authors note that in their protocol atropine was administered in the event of bradycardia and dopamine was administered for hypotension. They present the data comparing the hemodynamic parameters using the two protocols but do not present any data regarding administration of these vaso active agents. This seems like an important omission when presenting data on hemodynamic stability during induction since this would be a significant confounder. Examining the administration of atropine and Letter to the Editor","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72627167","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":"General Anesthesia for Dental Treatment in a Patient with Subcortical Band Heterotopia: A Case Report","authors":"Kamekura Nobuhito, Nitta Yukie, Takuma Shigeru, Fujisawa Toshiaki","doi":"10.36959/377/367","DOIUrl":"https://doi.org/10.36959/377/367","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84106989","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":"Chronic Pain Patient Satisfaction with Telemedicine Compared to In-person Visits during the COVID-19 Pandemic","authors":"Pouldar Tiffany M, Vajdi Tina, Siegel Keith, M. Omar, Wiegers Jeffrey J, Rosner Howard, Vijjeswarapu Alice M","doi":"10.36959/377/366","DOIUrl":"https://doi.org/10.36959/377/366","url":null,"abstract":"Objectives: During the COVID-19 pandemic, many outpatient clinics temporarily closed. Telemedicine appointments, which refer to the remote delivery of healthcare services through audio or visual means, were offered as an alternative to in-person visits in an effort to continue delivering quality patient care while practicing social distancing recommendations in a safe manner. We hypothesize that patient satisfaction with telemedicine visits is similar when compared to in-person office visits during the COVID-19 pandemic. Methods: A retrospective, single institution analysis was conducted to assess patient satisfaction with telemedicine and in-person visits with a chronic pain provider during the COVID-19 pandemic. A total of 170 patient visits were included in the study, including 42 telemedicine and 128 in-person patient visits. Results: Both telemedicine and in-person patients rated the provider similarly on a scale of 0-10, with means of 9.0 and 9.2 respectively [p = 0.56]. A majority of patients in each group, 83.3% for telemedicine and 87.5% for in-person, expressed a high degree of confidence that the care provider knew their medical history [p = 0.6]. Similarly, 83.3 % of telemedicine and 93.0% of in-person expressed a high degree of confidence that the provider listened to them [p = 0.07]. Lastly, 83.3% of telemedicine and 93.0% in-person patients would “definitely recommend” the provider’s office to family and friends [p = 0.07] (Table 1). Discussion: The post appointment surveys were not statistically different between the two studied populations. This supports the notion that telemedicine appointments are potentially non-inferior to in-person appointments in regard to patient satisfaction and provider rating.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90678970","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":"Acute Epiglottitis in a Patient with COVID-19 and C1 Esterase Deficiency: A Case Report","authors":"Chowdhuri Sampreeti, Cheng Michael S, Baxter Peter C, Torres Fernando A, Agatep Christian Mark, Rudikoff Andrew G, Conte Antonio Hernandez","doi":"10.36959/377/372","DOIUrl":"https://doi.org/10.36959/377/372","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83972418","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 New Theory Explaining \"Aspiration\" in The Epidural Hanging - Drop Method","authors":"Miyabe Masayuki","doi":"10.36959/377/371","DOIUrl":"https://doi.org/10.36959/377/371","url":null,"abstract":"The hanging-drop method whereby a drop of saline hanging in the hub of an epidural needle is aspirated when the needle entered the epidural space. The theory behind this maneuver has been controversial. Recently I reported this phenomenon might be explained by the release of compressed air inside of the epidural needle into the epidural space [1]. The reason why I reached this theory is that a drop of saline placed within the hub of an epidural needle is sucked in when the needle is advanced and penetrates through a polyurethane foam cube. And I also showed the pressure inside of the epidural needle increased according to the distance the needle traveled to penetrate the polyurethane foam. Furthermore, once we stop advancing the needle, the pressure inside of the needle drops to zero. This may be explained by the leakage of the air inside of the needle. This means the amount of “aspiration” of saline drop differs according to the distance of the needle tip reaches the epidural space through the ligament after advancing the needle. In this way, knowing that the degree of attraction of the saline droplet may change depending","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74593864","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}