Anesthesia progress最新文献

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Multiple Abnormal Cutaneous Findings in a Patient With Hypomelanosis of Ito Undergoing General Anesthesia. 伊藤低黑素症患者接受全身麻醉的多重皮肤异常表现。
Anesthesia progress Pub Date : 2024-12-04 DOI: 10.2344/23-0025
Misato Kobashi, Hiroyo Yoshimoto, Hanako Ohke, Kenji Goh, Naomasa Fujita, Kaho Mizuno, Kaisei Saitoh, Satomi Ando, Masato Saitoh, Makoto Terumitsu
{"title":"Multiple Abnormal Cutaneous Findings in a Patient With Hypomelanosis of Ito Undergoing General Anesthesia.","authors":"Misato Kobashi, Hiroyo Yoshimoto, Hanako Ohke, Kenji Goh, Naomasa Fujita, Kaho Mizuno, Kaisei Saitoh, Satomi Ando, Masato Saitoh, Makoto Terumitsu","doi":"10.2344/23-0025","DOIUrl":"10.2344/23-0025","url":null,"abstract":"<p><p>Hypomelanosis of Ito (HI), a neurocutaneous syndrome, is characterized by skin depigmentation and skeletal, muscular, central nervous system, cardiac, and renal manifestations. A wide variety of cutaneous manifestations besides depigmentation have been reported. Herein we describe a 23-year-old woman with HI whose extracutaneous symptoms included severe mental and motor impairment, convulsions, and deformity of the orofacial region. She also had severe obesity, asthma, multiple allergies, and skin hypersensitivity. Although no extracutaneous manifestations were problematic during perioperative management of dental procedures under general anesthesia, erythema developed at 3 time points: during induction, during emergence, and in recovery. We speculated that mechanical stimuli to the skin and administration of multiple drugs likely caused histamine release, leading to the 3 episodes of erythema. Because patients with HI often have hypersensitivity reactions in the skin, both cutaneous and extracutaneous manifestations should be considered in the anesthetic management of patients with HI.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 4","pages":"188-193"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879183","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
Anesthetic Management of a Patient With a Giant Hemangioma Who Required Urgent Embolization for Bleeding During Third Molar Extractions. 一例巨大血管瘤患者在第三磨牙拔除过程中因出血需要紧急栓塞治疗的麻醉处理。
Anesthesia progress Pub Date : 2024-12-04 DOI: 10.2344/23-0038
Toru Yamamoto, Shigenobu Kurata, Tomoaki Ujita, Naotaka Kishimoto, Yuzo Imai, Emi Sawada, Hiroko Kanemaru, Yutaka Tanaka, Kenji Seo
{"title":"Anesthetic Management of a Patient With a Giant Hemangioma Who Required Urgent Embolization for Bleeding During Third Molar Extractions.","authors":"Toru Yamamoto, Shigenobu Kurata, Tomoaki Ujita, Naotaka Kishimoto, Yuzo Imai, Emi Sawada, Hiroko Kanemaru, Yutaka Tanaka, Kenji Seo","doi":"10.2344/23-0038","DOIUrl":"10.2344/23-0038","url":null,"abstract":"<p><p>Hemangiomas in the head and neck region, especially those that may impact the airway, require special attention perioperatively because of the potential for difficulties with airway management and bleeding control. This case report describes the management of a 31-year-old male with a large hemangioma of the tongue and pharynx undergoing surgical extraction of mandibular third molars under intubated general anesthesia. Despite taking precautions and avoiding traumatizing the hemangioma while securing the airway, massive bleeding occurred during the surgical extractions, which prompted emergent transfer for angiographic embolization and a stay in the intensive care unit until extubation. This case report highlights the additional attention needed for patients with hemangiomas within the oral cavity and upper airway because of the potential for unexpected massive bleeding that can affect airway management and cardiovascular stability.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 4","pages":"183-187"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879057","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
Dental Suction Interference and Acoustic Respiratory Monitoring. 牙吸干扰与呼吸声监测。
Anesthesia progress Pub Date : 2024-12-04 DOI: 10.2344/23-00017
Eimi Tabata, Yoshitaka Shimizu, Kana Oue, Noboru Saeki, Shinichiro Ohshimo, Akari Mukai, Hitomi Ishikawa, Hisanobu Kamio, Mitsuhiro Yoshida, Nobuaki Shime
{"title":"Dental Suction Interference and Acoustic Respiratory Monitoring.","authors":"Eimi Tabata, Yoshitaka Shimizu, Kana Oue, Noboru Saeki, Shinichiro Ohshimo, Akari Mukai, Hitomi Ishikawa, Hisanobu Kamio, Mitsuhiro Yoshida, Nobuaki Shime","doi":"10.2344/23-00017","DOIUrl":"10.2344/23-00017","url":null,"abstract":"<p><strong>Objective: </strong>Previous studies have reported that the noise generated by dental equipment can interfere with the auscultation of respiratory sounds during sedation. Therefore, this study aimed to identify whether positing the acoustic sensor on the chest or cervical position would be least susceptible to interference from dental suction device noise, a prominent noise noted during respiratory sound monitoring during dental sedation.</p><p><strong>Methods: </strong>This prospective cohort study was conducted with 30 students. Sound intensity (dB) and frequency (kHz) levels from the dental suction were recorded from the cervical and chest regions under both oral and nasal breathing conditions and analyzed.</p><p><strong>Results: </strong>The mean intensity of dental suction sounds was significantly lower in the chest region compared with the cervical region, regardless of the breathing condition (P < .001). Furthermore, in the chest region, the mean sound frequency during oral breathing was significantly lower than that during nasal breathing (P < .01).</p><p><strong>Conclusions: </strong>Our study suggests that monitoring respiratory sounds in the chest region can significantly reduce interference from noise generated by dental suction devices compared with monitoring at the cervical region.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 4","pages":"171-175"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879159","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
Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence. 全麻用于婴儿罗宾顺序光论术的体会。
Anesthesia progress Pub Date : 2024-12-04 DOI: 10.2344/anpr-24-0004
Chiaki Yoshikawa, Chizuko Yokoe, Hiroharu Maegawa, Hitoshi Niwa
{"title":"Experience of General Anesthesia for Glossopexy in Infants With Robin Sequence.","authors":"Chiaki Yoshikawa, Chizuko Yokoe, Hiroharu Maegawa, Hitoshi Niwa","doi":"10.2344/anpr-24-0004","DOIUrl":"10.2344/anpr-24-0004","url":null,"abstract":"<p><p>We present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope. This experience suggests that the use of appropriate devices can help ensure airway patency and enhance visualization and maneuverability during intubation.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 4","pages":"197-198"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879157","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
Historical Selection: Lieblich SE, Danesi H. Liposomal bupivacaine use in third molar impaction surgery: INNOVATE study. Anesth Prog. 2017 Fall;64(3):127-135. 历史选择:Lieblich SE, Danesi H.脂质体布比卡因在第三磨牙嵌塞手术中的应用:创新研究。植物学报,2017;64(3):127-135。
Anesthesia progress Pub Date : 2024-12-04 DOI: 10.2344/834693
Karen E Crowley, Mark C Fletcher
{"title":"Historical Selection: Lieblich SE, Danesi H. Liposomal bupivacaine use in third molar impaction surgery: INNOVATE study. Anesth Prog. 2017 Fall;64(3):127-135.","authors":"Karen E Crowley, Mark C Fletcher","doi":"10.2344/834693","DOIUrl":"10.2344/834693","url":null,"abstract":"","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 4","pages":"208-211"},"PeriodicalIF":0.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879174","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
Identification and Management of Dental Anxiety by New Zealand Dentists. 新西兰牙医对牙科焦虑症的识别和管理。
Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/201833
Arthi Veerasamy, Zac Morse, William Murray Thomson
{"title":"Identification and Management of Dental Anxiety by New Zealand Dentists.","authors":"Arthi Veerasamy, Zac Morse, William Murray Thomson","doi":"10.2344/201833","DOIUrl":"10.2344/201833","url":null,"abstract":"<p><strong>Objective: </strong>More than 1 in 8 New Zealand (NZ) adults are dentally anxious, which can lead to avoiding dental care and a higher risk of poor oral health. However, little is known about how dentally anxious patients are identified and managed by NZ general dentists. This survey aimed to investigate how NZ dentists identify and manage dentally anxious patients.</p><p><strong>Methods: </strong>We conducted an email survey of NZ dentists in 2022, obtaining 212 responses. Along with demographic information, respondents were queried about whether they ask patients about past/current dental fears and their likely origin, how they assessed those fears, their usual management of dentally anxious patients, and how the management of dentally anxious patients could be improved.</p><p><strong>Results: </strong>Almost three-quarters reported personally asking patients about past and/or current dental fears, and half enquired about bad life experiences that had led to those fears. Only 6 respondents (2.8%) reported using a formal dental anxiety/phobia assessment tool prior to treatment. For managing severely anxious adult dental patients, all dentists used at least 1 pharmacologic or psychological technique or referral to a colleague.</p><p><strong>Conclusion: </strong>The study identified several weaknesses among NZ dentists in identifying and managing dental anxiety patients. The use of formal dental anxiety/phobia assessment tools prior to treatment needs improvement. Addressing dental anxiety is a complex issue that requires a multipronged approach involving improved education, the development and implementation of better assessment tools, and a greater understanding of how dentists' current assessment and management of dental anxiety can be improved.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585093","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
Intranasal Premedication With Dexmedetomidine in an Adult Patient With Intellectual Disabilities: A Case Report. 在一名成年智障患者中使用右美托咪定进行鼻内预处理:病例报告。
Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/anpr-23-0057
Jotaro Tanaka, Saki Miyake, Maki Fujimoto, Yukiko Nishioka, Hitoshi Higuchi, Takuya Miyawaki
{"title":"Intranasal Premedication With Dexmedetomidine in an Adult Patient With Intellectual Disabilities: A Case Report.","authors":"Jotaro Tanaka, Saki Miyake, Maki Fujimoto, Yukiko Nishioka, Hitoshi Higuchi, Takuya Miyawaki","doi":"10.2344/anpr-23-0057","DOIUrl":"10.2344/anpr-23-0057","url":null,"abstract":"<p><p>Recently, intranasal dexmedetomidine (DEX) has been reported to be effective as a preanesthetic medication, mostly in healthy pediatric patients. We attempted to administer intranasal DEX premedication in this case to an adult patient with intellectual disability who previously had difficulty tolerating premedication with oral midazolam. Using an intranasal atomization delivery device (MAD Nasal, Teleflex), we administered 1.5 µg/kg of DEX intranasally and were able to achieve adequate sedation, which facilitated a smooth mask induction of general anesthesia with sevoflurane. Premedication with intranasal DEX may be a useful method for enabling induction of general anesthesia in adult patients with intellectual disabilities.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"147-148"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585099","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
Efficacy of QuickSleeper Intraosseous Injection of 4% Articaine in Mandibular First Molars With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial. QuickSleeper 骨内注射 4% 阿替卡因对下颌第一磨牙症状性不可逆牙髓炎的疗效:随机对照试验
Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/363591
Mohammadreza Vatankhah, Omid Dianat, Nazanin Zargar, Saeid Gharibian Bejestani, Alireza Akbarzadeh Baghban, Shiva Shojaeian
{"title":"Efficacy of QuickSleeper Intraosseous Injection of 4% Articaine in Mandibular First Molars With Symptomatic Irreversible Pulpitis: A Randomized Controlled Trial.","authors":"Mohammadreza Vatankhah, Omid Dianat, Nazanin Zargar, Saeid Gharibian Bejestani, Alireza Akbarzadeh Baghban, Shiva Shojaeian","doi":"10.2344/363591","DOIUrl":"10.2344/363591","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine via primary intraosseous (IO) injection with the QuickSleeper device vs inferior alveolar nerve block (IANB) for mandibular first molars diagnosed with symptomatic irreversible pulpitis (SIP).</p><p><strong>Methods: </strong>Sixty-four patients with a first mandibular molar with SIP were randomly divided into 2 groups: IO (n = 32) and IANB (n = 32). Each received either an IO injection with the 5th generation QuickSleeper device or a conventional IANB with 1.7 mL 4% articaine with 1:100,000 epinephrine. Success was defined as no/mild pain upon the access cavity preparation and initial filing. Injection pain, anesthetic onset, heart rate (HR) change, HR recovery time, and duration of anesthesia were also recorded and analyzed.</p><p><strong>Results: </strong>The success rates were 40.6% for IANB and 81.2% for IO (P < .001). IO exhibited a significantly lower injection pain (P = .027), a shorter onset of action (P < .001), a greater heart rate increase (P < .001), a faster heart rate recovery time (P < .001), and a shorter duration of action (P < .001) vs IANB.</p><p><strong>Conclusion: </strong>Primary IO anesthesia using the fifth generation of the QuickSleeper device was more successful than IANB when using 4% articaine with 1:100,000 epinephrine to anesthetize mandibular first molars with SIP. The QuickSleeper device appeared to be a viable alternative to IANB for mandibular anesthesia.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"123-130"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585042","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
Intraoperative Endobronchial Intubation After Successful Submental Intubation. 成功进行气门下插管后的术中支气管内插管。
Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/973799
Shivika Nath, Priya Sikka
{"title":"Intraoperative Endobronchial Intubation After Successful Submental Intubation.","authors":"Shivika Nath, Priya Sikka","doi":"10.2344/973799","DOIUrl":"10.2344/973799","url":null,"abstract":"<p><p>In complex maxillofacial fractures in which orotracheal and nasotracheal intubation are otherwise contraindicated, alternatives for airway management include tracheostomy and submental intubation (SMI). In this case, SMI was used successfully, although it did result in accidental endobronchial intubation intraoperatively that was quickly recognized and managed appropriately. SMI can be a useful method for securing a patient's airway, but like all surgical approaches, it does carry the potential for complications. We report a case involving the use of SMI during which an unintended endobronchial intubation occurred.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"136-139"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585102","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
Petroleum Jelly-Based Foreign Body in the Nasopharynx: A Case Report. 鼻咽部的凡士林异物:病例报告。
Anesthesia progress Pub Date : 2024-09-09 DOI: 10.2344/862982
Daniel Lim, Ralph Epstein
{"title":"Petroleum Jelly-Based Foreign Body in the Nasopharynx: A Case Report.","authors":"Daniel Lim, Ralph Epstein","doi":"10.2344/862982","DOIUrl":"10.2344/862982","url":null,"abstract":"<p><p>Nasotracheal intubation can reveal unexpected findings like a foreign body in the airway. In such instances, expeditious decision-making is crucial to achieve ideal outcomes. This case report describes a petroleum jelly-based foreign body discovered in the nasopharynx during nasotracheal intubation and the subsequent airway management. A 64-year-old man with no prior history of adverse anesthetic events presented to an oral surgery office for extraction of teeth and placement of implants. While video laryngoscopy for nasotracheal intubation was performed, a blue foreign body was discovered inside the tip of the nasal endotracheal tube. Subsequent attempts to locate the source of the foreign body revealed in the nasopharynx a strip of blue gelatinous foreign body which was removed with suction. Due to the persistent presence of foreign body residues in the nasopharynx, orotracheal intubation was performed. Nasopharyngeal foreign bodies may elude even the most thorough preoperative medical history review and airway assessment. Therefore, it is reasonable for practitioners to ask explicitly about any foreign bodies in the nasal passages. Practitioners should become familiar with cognitive aids for relevant airway emergency management techniques and equipment for expeditious decision-making when unexpected foreign bodies are found.</p>","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 3","pages":"131-135"},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11387971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585104","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
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