Anesthesia progress最新文献

General Anesthesia for a Child With a Living Donor Liver Transplant After Hepatoblastoma and Metastatic Lung Tumor Resection. 儿童肝母细胞瘤及转移性肺肿瘤切除后活体肝移植的全身麻醉。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/24-0015

Keiko Fujii-Abe, Erika Yaguchi, Hiroko Harigaya, Yoshio Hayakawa, Takumi Nagumo, Fumi Okamoto, Hiroshi Kawahara

{"title":"General Anesthesia for a Child With a Living Donor Liver Transplant After Hepatoblastoma and Metastatic Lung Tumor Resection.","authors":"Keiko Fujii-Abe, Erika Yaguchi, Hiroko Harigaya, Yoshio Hayakawa, Takumi Nagumo, Fumi Okamoto, Hiroshi Kawahara","doi":"10.2344/24-0015","DOIUrl":"10.2344/24-0015","url":null,"abstract":"Few reports exist in dentistry about the use of general anesthesia in children after liver transplant. In this paper, we report our experience utilizing general anesthesia for oral surgery in a 9-year-old girl who had undergone living donor liver transplantation. She was diagnosed with hepatoblastoma at 4 months of age and underwent a living donor liver transplant at 7 months of age. Due to a maxillary odontoma, impacted maxillary supernumerary teeth, and retained maxillary primary teeth, the patient was scheduled for general anesthesia. Preoperative blood tests revealed mild liver dysfunction, but no other abnormalities were noted. General anesthesia was administered with sevoflurane, rocuronium, fentanyl, and remifentanil, and no complications arose during the perioperative period. The patient was discharged without any significant issues the day after surgery. Precautions for the anesthetic management of children who have undergone living donor liver transplantation include assessing the patient for preoperative liver dysfunction and avoiding liver dysfunction caused by drugs used in conjunction with general anesthesia. Anesthetic agents and adjunctive medications should be carefully considered for use in patients with liver disease.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"72 3","pages":"172-176"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031553","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}

引用次数: 0

Comparison of the Length and Shape of Various Preformed Nasotracheal Tubes. 各种预成型鼻气管管长度和形状的比较。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/24-0019

Naotaro Nakamura, Natsuki Kobayashi, Ryohei Okazawa, Manabu Miki, Takeshi Ohno, Mutsumi Nonaka, Kentaro Ouchi

{"title":"Comparison of the Length and Shape of Various Preformed Nasotracheal Tubes.","authors":"Naotaro Nakamura, Natsuki Kobayashi, Ryohei Okazawa, Manabu Miki, Takeshi Ohno, Mutsumi Nonaka, Kentaro Ouchi","doi":"10.2344/24-0019","DOIUrl":"10.2344/24-0019","url":null,"abstract":"Objective: We aimed to investigate the differences in the lengths and shapes of several preformed nasotracheal tubes (NTTs) among different manufacturers and compare our findings with a previous report.Methods: Using reference points at the tube tip, the proximal edge of the cuff, and the flexion point, we measured tube lengths for NTTs with inner diameters of 6.5, 7.0, and 7.5 mm from 4 manufacturers: the Parker Preformed Cuffed Endotracheal Tube (Parker), the Medtronic Taper Guard RAE (RAE), the Rusch AGT Nasal Preformed Cuffed Endotracheal Tube, and the Portex Polar Preformed Tracheal Tube. Cuff lengths and shapes were also assessed. A historical comparison was then performed using a previous report from 2012.Results: The effective lengths (distance between tube tip and flexion point) were largest for the Parker tubes (295-315 mm). The RAE and Rusch tubes had the shortest effective lengths (270-290 mm). Cuff lengths ranged from 30 to 39 mm, and cuff shapes were cylindrical, tapered, and oval. Comparison with the past data revealed substantial changes in tube lengths for Parker and RAE tubes, modest increases in cuff lengths, and a change in cuff shape from oval to tapered in RAE tubes.Conclusion: Several changes in tube lengths and cuff lengths/shapes were noted among manufacturers relative to the historical data. These findings demonstrate that manufacturer specifications can change over time. In dentistry and oral surgery, Parker tubes may be more ideal due to their longer effective lengths because extension and/or rotation of the neck can decrease NTT insertion depth.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"72 3","pages":"180-186"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031578","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}

引用次数: 0

Perioperative Management of Patients With Seizure Disorders: Part II. 癫痫患者的围手术期管理：第二部分。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/25-0028

Megann Smiley, Brandon Key, Caroline M Sawicki, Spencer D Wade

引用次数: 0

A Case in Which the Hole in the Inflation Line Was Not Closed at the Tip of the Tracheal Tube. 气管管尖端充气管孔未闭合一例。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/24-0042

Yoshinari Morimoto, Megumi Hayashi, Kanae Tsukawaki, Kouji Takano, Hiroko Kubo, Eri Iida

引用次数: 0

Commentary: Are Anesthesiologists Still "Darting" Their Patients? 评论：麻醉师还在“射”他们的病人吗？

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/25-0001

Jesse West Manton

引用次数: 0

Single-Agent Total Intravenous Anesthesia With Remimazolam for an Elderly Man Undergoing Ambulatory Oral Surgery: A Case Report. 雷马唑仑单药全静脉麻醉用于老年人门诊口腔手术：1例报告。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/24-0017

Alexander J DeBernardo, Huda A Aziz, Kira Douglas, Michael A Cuddy, Mark Sosovicka, Mark Saxen, Joseph A Giovannitti, Craig McKenzie, Andrew Herlich

{"title":"Single-Agent Total Intravenous Anesthesia With Remimazolam for an Elderly Man Undergoing Ambulatory Oral Surgery: A Case Report.","authors":"Alexander J DeBernardo, Huda A Aziz, Kira Douglas, Michael A Cuddy, Mark Sosovicka, Mark Saxen, Joseph A Giovannitti, Craig McKenzie, Andrew Herlich","doi":"10.2344/24-0017","DOIUrl":"10.2344/24-0017","url":null,"abstract":"Remimazolam is an ultrashort-acting benzodiazepine approved for procedural sedation in 2020 by the US Food and Drug Administration; however, dosing information originating from the US is limited. No existing literature details infusion rates of remimazolam delivered by manually adjusted infusion pumps. This case report describes the administration of manually infused remimazolam to an 86-year-old man for the surgical extraction of third molars under procedural sedation. Following an initial dose of 4 mg delivered over 1 minute, the remimazolam infusion was titrated according to the patient's response from a starting rate of 15 mg/h to achieve deep sedation/general anesthesia. The maximum infusion rate was 30 mg/h, and a total dose of 14.1 mg of remimazolam was administered over 28 minutes. The surgery was successfully completed, the patient was satisfied with the anesthetic postoperatively, and he recovered and was discharged home without incident. Further studies are needed to fully characterize remimazolam infusions for a variety of patients using manually adjusted infusion pumps for use in the US.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"72 3","pages":"159-166"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031541","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}

引用次数: 0

Effect of Thermomechanical Stimulation on Pain During IANB Injections. 热机械刺激对IANB注射疼痛的影响。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/23-0047

Dharanshi Amlani, Devendra Nagpal, Pooja Rathi, Gagandeep Lamba, Purva Chaudhari, Prabhat Singh

{"title":"Effect of Thermomechanical Stimulation on Pain During IANB Injections.","authors":"Dharanshi Amlani, Devendra Nagpal, Pooja Rathi, Gagandeep Lamba, Purva Chaudhari, Prabhat Singh","doi":"10.2344/23-0047","DOIUrl":"10.2344/23-0047","url":null,"abstract":"Objective: There are very few studies on the use of a thermomechanical device for reducing injection pain in pediatric dentistry, especially for inferior alveolar nerve blocks (IANBs). The purpose of this study was to assess the efficacy of a thermomechanical device (Buzzy, Pain Care Labs) for reducing pain associated with an IANB for pediatric dental patients.Methods: A total of 30 children, 5 to 8 years of age undergoing bilateral mandibular dental treatment requiring IANBs, were included in this randomized crossover study. The test group received an IANB with the use of the thermomechanical device and the control group received the IANB without the device. The groups were randomized, and the IANB was readministered after a 1-week washout interval. Subjective evaluation of pain was done utilizing the Wong-Baker Faces Pain Rating Scale, and objective evaluation of pain was assessed using the Faces, Leg, Activity, Consolability, Cry (FLACC) scale.Results: Significant reductions in pain for the objective and subjective measures were noted in the thermomechanical device group (P ≤ .00016). No differences in pain ratings were noted in groups based on treatment sequence.Conclusions: Less pain was observed when the thermomechanical device (Buzzy) was used during IANB injections vs without the device.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"72 3","pages":"137-142"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031510","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}

引用次数: 0

A New ACLS Option for Anesthesia Providers. 麻醉提供者的ACLS新选择。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/Editorial_72_3

Kyle J Kramer

引用次数: 0

A Review of Current Literature of Interest to the Office-Based Anesthesiologist. 对办公室麻醉师感兴趣的当前文献综述。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/72.3.199

Mark A Saxen, Craig P McKenzie

引用次数: 0

Virtual Reality Distraction vs Nitrous Oxide for Reducing Anxiety and Injection Pain. 虚拟现实分心与一氧化二氮减少焦虑和注射疼痛。

Anesthesia progress Pub Date : 2025-09-09 DOI: 10.2344/24-0036

Kinnison Edmunds, Melissa Drum, Sara Fowler, John Nusstein, Al Reader

{"title":"Virtual Reality Distraction vs Nitrous Oxide for Reducing Anxiety and Injection Pain.","authors":"Kinnison Edmunds, Melissa Drum, Sara Fowler, John Nusstein, Al Reader","doi":"10.2344/24-0036","DOIUrl":"10.2344/24-0036","url":null,"abstract":"Objective: The purpose of this study was to compare nitrous oxide (N2O) vs virtual reality (VR) as methods for reducing pain and anxiety during a dental injection. The primary objectives were to assess acute changes in stress responses by comparing salivary cortisol levels between the 2 groups and differences in injection pain scores.Methods: A total of 132 female subjects serving as their own control received maxillary lateral incisor infiltration injections with the use of either N2O or a VR headset during separate appointments spaced at least 2 weeks apart. Salivary cortisol samples were collected at 6 times throughout each appointment. Pain scores for needle insertion and solution deposition were recorded. Data were analyzed statistically using Wald and paired t tests.Results: N2O significantly lowered salivary cortisol concentrations and subsequent physiologic anxiety as compared with VR (P = .0089). However, no significant differences in needle insertion or solution deposition pain scores were found.Conclusion: Although VR and N2O may be comparable in terms of perceived pain reduction, N2O was a more effective method than VR for physiologic analgesia and anxiolysis.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"72 3","pages":"143-150"},"PeriodicalIF":0.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031575","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}

引用次数: 0