Anesthesia progress最新文献_第4页

Use of a Modified Endotracheal Tube for Postoperative Intranasal Hemorrhage. 使用改良气管导管治疗术后鼻腔内出血。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/anpr-70-03-09

Yasuhiko Sakata, Saori Takagi, Shinnosuke Ando, Ryoko Kono, Yuki Kiyohara, Yuka Oono, Hikaru Kohase

{"title":"Use of a Modified Endotracheal Tube for Postoperative Intranasal Hemorrhage.","authors":"Yasuhiko Sakata, Saori Takagi, Shinnosuke Ando, Ryoko Kono, Yuki Kiyohara, Yuka Oono, Hikaru Kohase","doi":"10.2344/anpr-70-03-09","DOIUrl":"10.2344/anpr-70-03-09","url":null,"abstract":"Orthognathic surgery may induce hemorrhage resulting from nasal mucosal injury or from maxillary osteotomy sites, and if severe, the hemorrhage may cause airway obstruction. The patient in this case report was a 27-year-old woman who underwent Le Fort I and bilateral sagittal split osteotomies under general anesthesia. There were no abnormal intraoperative vital signs. However, immediately after the patient was returned to the ward, significant bleeding that required frequent suctioning was observed in the oral cavity. As the bleeding persisted, the surgeon attempted to insert epinephrine-soaked gauze and polyvinyl acetal sponges into both nasal cavities, but hemostasis was difficult to obtain. To achieve hemostasis by compression/closure at the choana and maintain nasal patency, we inserted a modified cuffed endotracheal tube to serve as a transnasal airway and a choanal hemostatic balloon. This method resulted in hemostasis. The volume of blood loss after returning to the ward was approximately 420 mL. The transnasal airway and choanal balloon was useful for airway management and the prevention of intranasal bleeding into the lower pharyngeal regions. Furthermore, the method was simple and minimally invasive, suggesting its clinical usefulness in similar situations.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 1","pages":"34-38"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584128","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 Midazolam/Meperidine vs Midazolam/Hydromorphone for Enteral Moderate Sedation in the Pediatric Dental Patient. 咪达唑仑/美吡啶与咪达唑仑/氢吗啡酮对小儿牙科患者肠内中度镇静的疗效对比。

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/22-00037

Bryce W Kinard, Andrew S Zale, Kenneth L Reed

{"title":"Efficacy of Midazolam/Meperidine vs Midazolam/Hydromorphone for Enteral Moderate Sedation in the Pediatric Dental Patient.","authors":"Bryce W Kinard, Andrew S Zale, Kenneth L Reed","doi":"10.2344/22-00037","DOIUrl":"10.2344/22-00037","url":null,"abstract":"Objective: The goal of this study was to compare the efficacy of midazolam/meperidine (M/M) vs midazolam/hydromorphone (M/H) for enteral moderate sedation along with inhalational sedation in pediatric dental patients.Methods: This retrospective chart review analyzed the charts of pediatric patients who received dental treatment under enteral moderate sedation with either M/M or M/H in combination with inhalational sedation (nitrous oxide/oxygen) at El Rio Community Health Centers (affiliated with NYU Langone) in Tucson, Arizona, from July 2014 to December 2020. Included subjects were between 2 and 5 years of age, less than 20 kg, and otherwise healthy. In addition to demographic and drug-dosing data, treatment completion, sedation level, behavioral score, overall effectiveness, and sedation duration data were collected and analyzed from each patient's chart.Results: No statistically significant differences were observed when comparing the 2 drug regimens in treatment completion (P = .89), sedation level (P = .74), and overall effectiveness (P = .70). There was a statistically significant difference in behavior scoring, with the M/H group demonstrating higher scores (P = .04) than the M/M group.Conclusion: The combination of midazolam and hydromorphone may provide an effective alternative to midazolam and meperidine when used with inhalational sedation (nitrous oxide/oxygen) for the moderate sedation of pediatric dental patients.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583204","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 Maxillary Buccal Infiltration of Articaine for Palatal Anesthesia: A Prospective, Randomized, Crossover Study. 上颌颊部浸润阿替卡因用于腭部麻醉的疗效：一项前瞻性、随机、交叉研究

Anesthesia progress Pub Date : 2024-05-03 DOI: 10.2344/23-00023

Alexandra Woo, John Nusstein, Melissa Drum, Sara Fowler, Al Reader, Ai Ni

{"title":"Efficacy of Maxillary Buccal Infiltration of Articaine for Palatal Anesthesia: A Prospective, Randomized, Crossover Study.","authors":"Alexandra Woo, John Nusstein, Melissa Drum, Sara Fowler, Al Reader, Ai Ni","doi":"10.2344/23-00023","DOIUrl":"10.2344/23-00023","url":null,"abstract":"Objective: Although there are conflicting data, several authors have proposed that articaine's molecular properties suggest improved perfusion capabilities over other amide anesthetics. The purpose of this prospective, randomized, crossover study was to evaluate the anesthetic efficacy of palatal soft-tissue anesthesia following a buccal infiltration of 1.8 and 3.6 mL of 4% articaine with 1:100,000 epinephrine.Methods: One hundred eighteen adults received 1.8 or 3.6 mL of 4% articaine with 1:100,000 epinephrine as a buccal infiltration of the maxillary first molar at 2 separate appointments. Palatal soft-tissue anesthesia was evaluated with a dental explorer. Anesthetic success was defined as the absence of pain with an explorer stick. For the subjects who achieved palatal anesthesia, mapping was conducted over 70 minutes, and the overall area of palatal anesthesia was calculated. The data were analyzed using chi-square tests.Results: The highest percentage of palatal anesthetic success was 20% for the 1.8-mL volume and 32% for the 3.6-mL volume both at 30 minutes. A statistically significant difference between the 1.8- and 3.6-mL volumes was seen at 40 minutes. There was high variability in area measurements for subjects who achieved palatal anesthesia. The highest area measurements were 92 mm2 for the 1.8-mL volume at 20 minutes and 113 mm2 for the 3.6-mL volume at 10 minutes.Conclusion: Because of the low success rates (20%-32%) and the high variability of the area anesthetized for the subjects who achieved palatal anesthesia, the clinical efficacy of 1.8 or 3.6 mL of articaine via buccal infiltration for palatal anesthesia is of questionable value.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 1","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585448","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

Tracheal Bronchus Detected During General Anesthesia: A Case Report. 全身麻醉期间发现气管支气管：病例报告

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/anpr-70-02-09

Toru Yamamoto, Tatsuru Tsurumaki, Hiroko Kanemaru, Kenji Seo

{"title":"Tracheal Bronchus Detected During General Anesthesia: A Case Report.","authors":"Toru Yamamoto, Tatsuru Tsurumaki, Hiroko Kanemaru, Kenji Seo","doi":"10.2344/anpr-70-02-09","DOIUrl":"10.2344/anpr-70-02-09","url":null,"abstract":"A tracheal bronchus is a congenital abnormality of the tracheobronchial tree in which a displaced or accessory bronchus arises from the trachea superior to its bifurcation. We herein report a case in which a tracheal bronchus was incidentally found after induction of general anesthesia, and we discuss the potential airway management problems that may have ensued. An 80-year-old man was scheduled for buccal mucosa resection and abdominal skin grafting for treatment of squamous cell carcinoma of the left buccal mucosa. Because of trismus and anticipated airway difficulty, an awake intubation was performed under sedation. A 3-branched structure was incidentally observed at the first branching site that was supposed to be the carina. The tip of the endotracheal tube was repositioned 3 cm above the tracheal trifurcation, and the rest of the procedure proceeded uneventfully. A flexible fiberoptic scope is not used in many anesthesia cases, making the identification of such tracheal or bronchial abnormalities more difficult. Therefore, it is important to carefully check the bronchial morphology on any available chest radiographs before surgery, listen to lung sounds after intubation, and assess thoracic lung compliance without neglecting routine safety checks.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 4","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467599","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 Spinocerebellar Ataxia Type 1. 脊髓小脑共济失调 1 型患者的麻醉管理

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/anpr-70-03-05

Sakura Takeda, Sumire Idzuchi, Kentaro Mizuta

引用次数: 0

Ventricular Tachycardia Following Ephedrine During Dexmedetomidine Dental Procedural Sedation. 在右美托咪定牙科手术镇静期间服用麻黄碱后出现室性心动过速。

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/anpr-70-03-04

Shota Abe, Kanami Suzuki, Maki Hamamura, Takashi Tamanoi, Koji Takahashi, Keiichiro Wakamatsu, Kenji Yoshida, Hiroyoshi Kawaai, Shinya Yamazaki

{"title":"Ventricular Tachycardia Following Ephedrine During Dexmedetomidine Dental Procedural Sedation.","authors":"Shota Abe, Kanami Suzuki, Maki Hamamura, Takashi Tamanoi, Koji Takahashi, Keiichiro Wakamatsu, Kenji Yoshida, Hiroyoshi Kawaai, Shinya Yamazaki","doi":"10.2344/anpr-70-03-04","DOIUrl":"10.2344/anpr-70-03-04","url":null,"abstract":"We present the case of a 46-year-old man who received ephedrine for hypotension after surgery for a mandibular lesion under intravenous (IV) moderate sedation with dexmedetomidine (DEX) and experienced transient ventricular tachycardia (VT). The patient was scheduled to have cystectomy and multiple apicoectomies for the mandibular periapical infection and the simple bone cyst. Other than obesity, snoring, and a nonalcoholic fatty liver, he denied any other significant medical history, medications, or allergies. The surgery was successful; however, his blood pressure dropped after stopping the DEX infusion. Ephedrine was administered IV several times, which resulted in the onset of VT on the electrocardiogram (ECG). His blood pressure could not be measured at the time, but he was able to respond and breathe independently. A defibrillator was immediately made available. The ECG revealed a spontaneous transition from VT to atrial fibrillation with ST depression. Because he was unable to revert to a normal sinus rhythm, the patient was transferred to a general hospital, where he underwent additional testing. No abnormalities were observed in his heart or brain. After DEX administration, its long-lasting alpha-2 adrenoceptor agonist effects can cause vasodilation and inhibition of sympathetic activity, leading to hypotension in some patients. Should that occur, ephedrine can be used to increase blood pressure, but it may also provoke transient coronary artery spasms and lead to VT. Consequently, extreme caution should be exercised in patients who develop hypotension following DEX administration. We also recognize the significance of regular training sessions, such as advanced cardiac life support programs.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 4","pages":"184-190"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467601","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 Case of Anterior Arytenoid Cartilage Dislocation During Nasal Tracheal Intubation Using an Indirect Video Laryngoscope. 使用间接视频喉镜进行鼻腔气管插管时发生杓状软骨前脱位的病例。

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/837325

Keiko Fujii-Abe, Maho Ikeda, Manami Yajima, Hiroshi Kawahara

引用次数: 0

The ASDA-AAOMS-AAP Rules Template. ASDA-AAOMS-AAP 规则模板。

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/006302

Kyle J Kramer

引用次数: 0

The Impact of COVID-19 on Dental Anesthesiologists: An Online Survey of Board-Certified Dental Anesthesiology Specialists of the Japanese Dental Society of Anesthesiology. COVID-19 对牙科麻醉师的影响：日本牙科麻醉学会认证牙科麻醉专科医生在线调查。

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/930714

Takuro Sanuki, Hidetaka Kuroda, Uno Imaizumi, Shota Tsukimoto, Norika Katagiri, Ayako Mizutani, Mari Ohnaka, Shinji Kurata, Naotaka Kishimoto, Kanta Kido

{"title":"The Impact of COVID-19 on Dental Anesthesiologists: An Online Survey of Board-Certified Dental Anesthesiology Specialists of the Japanese Dental Society of Anesthesiology.","authors":"Takuro Sanuki, Hidetaka Kuroda, Uno Imaizumi, Shota Tsukimoto, Norika Katagiri, Ayako Mizutani, Mari Ohnaka, Shinji Kurata, Naotaka Kishimoto, Kanta Kido","doi":"10.2344/930714","DOIUrl":"10.2344/930714","url":null,"abstract":"Objective: The impact of the COVID-19 pandemic on dental anesthesiologists has not been examined. This study aimed to determine how the COVID-19 pandemic affected Japanese dental anesthesiologists' professional lives.Methods: An online questionnaire related to the effects of COVID-19 on dental anesthesiologists' professional lives was emailed to 351 board-certified dental anesthesiology specialists from the Japanese Dental Society of Anesthesiology. The endpoints of this study were changes in income and job satisfaction as a dental anesthesiologist from 2019 prior to the COVID-19 pandemic.Results: A total of 141 dental anesthesiologists participated in the survey. Most respondents reported no change in income relative to 2019 for 2020 or 2021. Significantly more dental anesthesiologists reported income decreases relative to 2019 for 2020 (39%) vs 2021 (21.3%; P = .001). Very few dental anesthesiologists reported income increases relative to 2019 for 2020 (2.1%) vs 2021 (15.6%; P < .001). Job satisfaction as a dental anesthesiologist remained unchanged for all 3 years.Conclusion: Even though many Japanese dental anesthesiologist specialists lost income because of COVID-19, they maintained their job satisfaction.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 4","pages":"168-172"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11088202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467592","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 Use of Pharyngeal Throat Packs in Dental Anesthesia. 在牙科麻醉中使用咽喉包。

Anesthesia progress Pub Date : 2023-12-01 DOI: 10.2344/anpr-70-03-07

Takuro Sanuki, Naotaka Kishimoto, Shota Tsukimoto, Kanta Kido

引用次数: 0