Journal of clinical anesthesia and pain management最新文献

{"title":"The Combination of Sufentanil and Remifentanil on Hemodynamic Changes during Anesthetic Induction and Endotracheal Intubation","authors":"Huang Qian, Zhang Le, Mou Yan, Tang Yixun, Kong Gaoyin, W. Lai, Z. Yi","doi":"10.36959/377/362","DOIUrl":"https://doi.org/10.36959/377/362","url":null,"abstract":"The of and on Hemodynamic Changes during Anesthetic Induction and Intubation. Abstract Introduction: A low dose of sufentanil was insufficient to suppress endotracheal intubation (ETI) induced cardiovascular response. This study investigated the effects of combined sufentanil and remifentanil on hemodynamic changes during anesthetic induction and ETI. Methods: 70 adult patients were divided into two groups (n = 35). General anesthesia was induced by sufentanil, propofol, and cisatracurium. Group S received sufentanil 0.3 mcg/kg, while Group R received sufentanil 0.3 mcg/kg and remifentanil 1 mcg/kg. The systolic arterial pressure (SAP), diastolic arterial pressure (DAP), mean arterial pressure (MAP), and heart rate (HR), incidence and severity of hypotension, hypertension, bradycardia, and tachycardia, doses of propofol during anesthetic induction and ETI were compared. Results: After anesthetic induction, the changes of SAP, DAP, MAP and HR were comparable between the groups ( p > 0.05). Right after ETI, the HR in Group R was significantly lower than Group S ( p < 0.001). 5 min after ETI, the SAP, DAP, and MAP in Group R was significantly higher than Group S ( p < 0.03). The incidence and severity of hypotension, hypertension, bradycardia, and tachycardia was comparable between the groups ( p > 0.07). The dose of propofol used in Group R was significantly lower than Group S ( p = 0.001). and remifentanil is superior to sufentanil alone for attenuating ETI induced cardiovascular response without cardiovascular compromise.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81050441","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":"Anesthesia in A Patient With an Internal Carotid Artery Aneurysm Presenting as Massive Recurrent Projectile Epistaxis: A Case Report","authors":"Su Karl Matthew C Sy","doi":"10.36959/377/361","DOIUrl":"https://doi.org/10.36959/377/361","url":null,"abstract":"Severe projectile epistaxis due to non-traumatic internal carotid artery aneurysms is potentially life threatening but extremely rare, with hardly any report existing in the literature. We present the case of a 21-year old male with a history of recurrent torrential epistaxis associated with headache and dizziness. Catheter angiography revealed two aneurysmal dilatations at the cavernous and supraclinoid segments of the right internal carotid artery.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90291055","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":"Investigating Determinants for Woman's Choice to Accept An Epidural for Labour Analgesia at The Delivery Unit of The Tamale Teaching Hospital","authors":"Anabah Thomas Winsum, K. Sylvanus, Falagán Aglais Arredondo","doi":"10.36959/377/360","DOIUrl":"https://doi.org/10.36959/377/360","url":null,"abstract":"The epidural labour analgesia service at the delivery unit of the Tamale Teaching Hospital has recorded low patronage. Low patronage of epidural labour analgesia in poor resource Countries could partially be attributed to lack of awareness, limited resources or lack of equipment such as patient monitors, local anaesthetics or analgesics and overwhelming patient numbers. This study aimed to assess factors that influence epidural labour analgesia acceptance or refusal at the maternity unit of the Tamale Teaching Hospital.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"187 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75604329","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":"Accidental Intrathecal Administration of Tranexamic Acid: A Case Report","authors":"Mateus Cardin Marquezani","doi":"10.36959/377/359","DOIUrl":"https://doi.org/10.36959/377/359","url":null,"abstract":"Medication errorsare still one of the contributing factors leading to morbidity and mortality in anesthesia, despite measures to ensure patient safety. A 14-year-old male inadvertently received intrathecal tranexamic acid instead of hyperbaric bupivacaine for an elective herniorrhaphy. Shortly after induction, patient complained of severe back and lower limb pain, restlessness, tachycardia, hypertension, and generalized myoclonic seizures.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74855469","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":"Anesthesiologists' Conduct Assessment towards the User of Cocaine at SUS Hospital with Accreditation. Knowledge through Questionnaire","authors":"Marquezani Mateus Cardin, Imbelloni Luiz Eduardo, Pöttker Davi, Viana Eduardo Piccinini, Sakamoto Jaime Weslei, Araujo André Augusto de, Filho Geraldo Borges de Morais","doi":"10.36959/377/358","DOIUrl":"https://doi.org/10.36959/377/358","url":null,"abstract":"In 1860, Albert Niemann isolated cocaine from leaves and reported that by placing the crystals on his tongue, and his tongue became benumb. In the Brazil is a country with greatest annual consumption rates becoming one of the biggest consumer markets of cocaine worldwide. The objective of this study, carried out through a questionnaire survey, was to find out the degree of knowledge of anesthesiologists from a tertiary hospital in their conduct towards a cocaine user.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"2003 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86246552","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 Case Report: Trans-Thoracic Pigtail Catheter with Diaphragm Perforation","authors":"I. Summaiya, Mane Paresh, Mayer Dita","doi":"10.36959/377/357","DOIUrl":"https://doi.org/10.36959/377/357","url":null,"abstract":"Pigtail catheters are commonly used as effective alternative to traditional large bore chest tubes. However, the pigtail catheter placement does not come without possible complications. Pneumothorax, hemothorax and rarely visceral or vascular injury were all reported previously. Here we report a case of an 80-year-old patient who presented with right-sided rib fractures and right hemothorax post mechanical fall. A pigtail drainage catheter (PC) was placed; however, minimal drainage was obtained and there was no resolution of hemothorax. CT evaluation showed the PC located between the liver and the underside of right hemidiaphragm.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78901242","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 Craniotomy Pain Management in Pediatric Patients: A Systematic Review","authors":"S. EndenciaMarieChristelle, C. PiñeraMaryGold, Su Sy","doi":"10.36959/377/355","DOIUrl":"https://doi.org/10.36959/377/355","url":null,"abstract":"Post-craniotomy pain is predominantly superficial, sug gesting somatic origin [8] originating from the scalp, muscles, and soft tissue, with subsequent activation of the pain path way from manipulation of the dura mater [9] . Post-cranioto my pain is usually localized to the surgical site and surround ing structures and results from incision and traction during surgery [10] . The nature of post-craniotomy pain is described Abstract Background: There is increasing evidence supporting increased pain intensity following neurosurgical procedures. There are different approaches to analgesia following craniotomy and cranioplasty, but there is limited consensus on postcraniotomy pain management especially in the pediatric population. Methods: A comprehensive online search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Literature was taken from PubMed, EMBASE, Science Direct, ProQuest, and Google Scholar databases. Human comparative studies including randomized controlled trials and cohort studies evaluating pain scores after neurosurgery in pediatric patients were included in the review. Results: A total of 3 RCTs and 6 cohort studies met the inclusion criteria. The heterogeneity of the studies included did not allow for data pooling and statistical analysis. All studies evaluated the efficacy of pharmacologic interventions in pediatric patients who underwent craniotomy by measuring postoperative pain scores. Continuous opioid infusions postoperatively provided favorable postoperative pain control in pediatric patients without serious opioid-induced adverse complications. Intraoperative doses of opioids for preemptive analgesia had favorable outcomes but still lack evidence. Non-opioid analgesics are suitable adjuncts to postoperative opioids to enhance analgesia and minimize adverse events use of local anesthetics as local scalp infiltration or nerve block for children resulted in lower postoperative pain scores and longer time to first rescue analgesia compared to placebo, but still need further studies. Conclusion: Opioids remain as mainstay treatment for children who underwent neurosurgery but specific recommendation on the method and timing of delivery of opioids cannot be drawn from this review. The use of non-opioid analgesics and local anesthetics for local infiltration and nerve block need further research. There is a lack of high-quality evidence on this field, and additional research is necessary to improve pain management after craniotomy in the pediatric population.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90742609","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 Qualitative Exploration of Consultant Anaesthetists Attitudes to, and Experiences of, Perioperative Medication Errors in Emergency and Elective Theatre Settings","authors":"N. Wilson-Baig, R. Isba","doi":"10.36959/377/354","DOIUrl":"https://doi.org/10.36959/377/354","url":null,"abstract":"In the UK, medication errors account for up to 20% of all reported adverse events in hospitalised patients. The potential for medication errors to occur during the peri-operative period is greater than in some other clinical settings and there is a paucity of good-quality evidence examining contributing factors.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81583024","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":"Opioid Pseudoaddiction in a Patient with Long-Term Oxycodone Use for Chronic Pain","authors":"P. Lakshmi, C. Fei, Sidhu Jaskirat, M. Jeffery, Farhan Muhammad","doi":"10.36959/377/353","DOIUrl":"https://doi.org/10.36959/377/353","url":null,"abstract":"Pseudoaddiction is a term to describe drug-seeking behaviors in a patient that has inadequate pain control. It is the result of the medical undertreatment of pain, which poses iatrogenic harm to patients by withholding analgesic treatment [1]. The case presented is of a 26-year-old female with chronic back pain from a motor vehicle accident who was unable to find a physician to prescribe opioids after leaving the care of her primary care physician. She resulted to drug-seeking behaviors and alcohol use to relieve her severe pain.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82320751","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":"Perioperative Factors Associated with Tracheostomy use following Esophagectomy Surgery","authors":"Gerstman Michelle, B. John, Friedlaender Gemma, M. Kabir, H. Matthew, Wigmore Timothy","doi":"10.36959/377/352","DOIUrl":"https://doi.org/10.36959/377/352","url":null,"abstract":"Esophagectomy surgery remains high risk with 36% of patients in the UK having a complication. Tracheostomy insertion can aid weaning from ventilation post-operatively and can be inserted at the time of surgery (elective) or post-operatively (delayed). We aimed to identify factors associated with elective and delayed tracheostomies, as well as differences in outcomes in each group.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"8 9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90330213","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}