Anesthesia progress最新文献_第3页

Delayed Rocuronium Onset in a Patient Taking Levetiracetam for Epilepsy: A Case Report. 一名服用左乙拉西坦治疗癫痫的患者的罗库溴铵起效延迟：病例报告。

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/23-00018

Toru Yamamoto, Yuhei Koyama, Yutaka Tanaka, Kenji Seo

引用次数: 0

General Anesthetic Management of a Patient With Spondyloepiphyseal Dysplasia Congenita Undergoing Palatoplasty Revision. 对一名接受腭成形术翻修手术的先天性脊柱骺发育不良患者的全身麻醉管理。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/23-0005

Hiroka Hattori, Aiji Sato Boku, Mayuko Kanazawa, Erika Harada, Mami Asai, Yuko Shikama, Hiroko Kobayashi, Makoto Hirohata, Naoko Tachi, Masahiro Okuda

{"title":"General Anesthetic Management of a Patient With Spondyloepiphyseal Dysplasia Congenita Undergoing Palatoplasty Revision.","authors":"Hiroka Hattori, Aiji Sato Boku, Mayuko Kanazawa, Erika Harada, Mami Asai, Yuko Shikama, Hiroko Kobayashi, Makoto Hirohata, Naoko Tachi, Masahiro Okuda","doi":"10.2344/23-0005","DOIUrl":"10.2344/23-0005","url":null,"abstract":"Spondyloepiphyseal dysplasia congenita (SEDC) is a type of short-limbed dwarfism characterized by platyspondylia, delayed metaphyseal ossification, and irregularly shaped bones. Anesthetic issues in patients with SEDC have reportedly included airway stenosis caused by laryngotracheal hypoplasia, ventilation difficulty due to facial hypoplasia, and intubation difficulty attributed to microgenia. Furthermore, atlantoaxial instability can lead to cervical dislocation due to excessive or violent manipulation of the head and neck. We present the case of a 5-year-old girl with SEDC scheduled for palatoplasty revision. Airway difficulties were anticipated because of microgenia and the cervical collar she wore for atlantoaxial instability. However, mask ventilation and video laryngoscopy proved relatively easy. The patient was placed in Trendelenburg position (approximately 10°) without head tilt for surgical access. A combination of formulas based on the patient's age and height was used to determine tracheal tube size. However, the 4.5-mm oral Ring, Adair, Elwyn (RAE) tube selected resulted in 1-lung intubation when the tube bend was fixed at the lip, requiring further depth adjustment. Successful anesthetic management of this patient with SEDC incorporated several factors, including an individualized airway management plan, use of a video laryngoscope, careful posturing to avoid excessive cervical strain, and appropriate tube sizing and positioning.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 1","pages":"19-23"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583404","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

The Necessity of Self-Care. 自我保健的必要性

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/586940

Kyle J Kramer

引用次数: 0

A Review of Current Literature of Interest to the Office-Based Anesthesiologist. 办公室麻醉师感兴趣的最新文献综述。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/348194

Mark A Saxen, Craig P McKenzie

引用次数: 0

How Safe Is Anesthesia Management by Dentist Anesthesiologists? The Need for an International Collaborative Study on the Safety of Anesthesia Management by Dentist Anesthesiologists. 牙科麻醉师进行麻醉管理的安全性如何？就牙科麻醉师进行麻醉管理的安全性开展国际合作研究的必要性。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/23-00043

Takuro Sanuki, Shota Tsukimoto, Hidetaka Kuroda, Uno Imaizumi, Naotaka Kishimoto

引用次数: 0

Retrospective Study on the Incidence of Postoperative Nausea and Vomiting and Hypotension During Orthognathic Surgery Using Propofol or Remimazolam. 使用异丙酚或雷马唑仑进行正颌外科手术时术后恶心呕吐和低血压发生率的回顾性研究

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/23-00002

Rumi Kaneko, Kyotaro Koshika, Mai Shionoya, Kotaro Shimizu, Yuka Sendai, Nobutaka Matsuura, Tatsuya Ichinohe

{"title":"Retrospective Study on the Incidence of Postoperative Nausea and Vomiting and Hypotension During Orthognathic Surgery Using Propofol or Remimazolam.","authors":"Rumi Kaneko, Kyotaro Koshika, Mai Shionoya, Kotaro Shimizu, Yuka Sendai, Nobutaka Matsuura, Tatsuya Ichinohe","doi":"10.2344/23-00002","DOIUrl":"10.2344/23-00002","url":null,"abstract":"Objective: This study aimed to evaluate the incidence of early (up to 2 h) and late (2-24 h) postoperative nausea and vomiting (PONV) and hypotension in patients who underwent general anesthesia for orthognathic surgery using propofol or remimazolam along with remifentanil.Methods: This retrospective chart review included healthy adult patients under the age of 60 who underwent orthognathic surgery using propofol (P group) or remimazolam (R group) from January 2021 to March 2022. Records were reviewed to gather PONV and intraoperative hypotension data as well as patient characteristics and other variables.Results: Early PONV was significantly lower in the P group vs the R group (9.5% vs 34.1%, respectively; P = .002), although the difference in late PONV was insignificant (36.9% vs 51.2%, respectively; P = .13). A higher incidence of intraoperative hypotension was noted in the P group (22.6%) vs the R group (2.4%; P = .004); however, there were no differences in average intraoperative systolic blood pressure or vasopressor administration.Conclusion: These results suggest that propofol is associated with a lower incidence of early PONV as compared to remimazolam; however, antiemetics are still recommended given the frequency of late PONV in both groups. Propofol also caused more episodes of intraoperative hypotension vs remimazolam, but the increase in transient hypotension is likely to be irrelevant during orthognathic surgery in healthy adults under the age of 60.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 1","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583654","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

Three Cases of Persistent Laryngeal Edema Postradiation Therapy. 三例放射治疗后持续性喉水肿病例

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/anpr-70-03-06

Takaya Ito, Ryo Wakita, Yukiko Ichihashi, Chihiro Kutsumizu, Chihiro Suzuki, Naomi Shimada, Shigeru Maeda

引用次数: 0

Perioperative Management of a Patient With Idiopathic Pulmonary Hypertension and a History of Syncope: A Case Report. 特发性肺动脉高压和晕厥史患者的围手术期管理：病例报告。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/anpr-70-03-08

Aiji Sato Boku, MinHye So, Kazuma Fujikake, Motoshi Tanaka, Yuji Kamimura, Haruko Ota, Tomomi Mizutani, Kenichiro Ishibashi, Yasuyuki Shibuya, Kazuya Sobue

引用次数: 0

General Anesthesia for a Child With Methylmalonic Acidemia Undergoing Oral Care and Dental Treatment Before Kidney Transplantation. 肾移植前为患有甲基丙二酸血症的儿童进行口腔护理和牙科治疗的全身麻醉。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/anpr-70-03-10

Kazuhiro Hano, Mizuki Kato, Riho Miyajima, Izumi Kameyama, Yu Oshima, Masanori Tsukamoto, Takeshi Yokoyama

引用次数: 0

A Review of Muscular Dystrophies. 肌肉萎缩症综述。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/673191

Tiffany Hoang, Regina A E Dowdy

{"title":"A Review of Muscular Dystrophies.","authors":"Tiffany Hoang, Regina A E Dowdy","doi":"10.2344/673191","DOIUrl":"10.2344/673191","url":null,"abstract":"Muscular dystrophy encompasses a group of genetic conditions with progressive muscle damage and weakness. Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) are X-linked recessive disorders that affect the production of the protein dystrophin. Emery-Dreifuss muscular dystrophy (EDMD) is typically an X-linked-recessive disorder involving the gene that codes for emerin. Facioscapulohumeral muscular dystrophy and oculopharyngeal muscular dystrophy (OPMD) are both autosomal dominant disorders. Although commonly mistaken as a condition in which patients are susceptible to malignant hyperthermia with volatile inhalational anesthetics, muscular dystrophy is more closely associated with rhabdomyolysis. Providers developing an anesthetic plan for dental patients with muscular dystrophy must take into consideration the patient's baseline cardiac and pulmonary function as well as the potential for abnormalities. Nondepolarizing neuromuscular blocker use is safe but likely to result in prolonged skeletal muscle relaxation. Succinylcholine and volatile anesthetics are generally contraindicated due to the risks of rhabdomyolysis and hyperkalemia with subsequent ventricular fibrillation, cardiac arrest, and death if left untreated. In-depth understanding of the more commonly encountered forms of muscular dystrophy is vital to providing safe and effective ambulatory anesthesia care for patients undergoing dental treatment outside the traditional hospital operating room setting.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 1","pages":"44-52"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142580817","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