Anesthesia progress最新文献_第5页

Management of an Ingested Foreign Body in a COVID-Positive Patient. 对 COVID 阳性患者吞入异物的处理。

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

Tiffany Smith, Rachel Blum, Raquel Rozdolski

引用次数: 0

Tracheostomy Tube Exchange Failure Under General Anesthesia: A Case Report and Retrospective Analysis. 全麻下气管造口换管失败1例报告及回顾性分析。

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-70-02-05

Yuki Kojima, Ryozo Sendo, Kazuya Hirabayashi

{"title":"Tracheostomy Tube Exchange Failure Under General Anesthesia: A Case Report and Retrospective Analysis.","authors":"Yuki Kojima, Ryozo Sendo, Kazuya Hirabayashi","doi":"10.2344/anpr-70-02-05","DOIUrl":"10.2344/anpr-70-02-05","url":null,"abstract":"A 54-year-old man with squamous cell carcinoma of the tongue underwent bilateral cervical lymph node dissection, total tongue resection, forearm flap reconstruction, and tracheostomy. The plan was to replace the oral endotracheal tube (ETT) with a cuffed tracheostomy tube at the end of the surgical case while the patient was still under general anesthesia. No major complications were expected as the tracheal foramen was visible once surgical access was obtained. However, removal of the ETT and subsequent placement of the tracheostomy tube failed twice. Successful ventilation was not observed via capnography, and the patient's peripheral oxygen saturation (SpO2) dropped to 70%. The anesthesiologist concluded that securing the airway through the tracheostomy would be difficult. The patient was immediately reintubated orally at which time his SpO2 was 38%, and he was successfully resuscitated and recovered without any sequelae. This rare situation was one we had not encountered previously, so we retrospectively analyzed all tracheostomy cases performed by our department from the past 3 years. Data from 54 patients who underwent tracheostomy tube exchange after tracheostomy were aggregated from their medical records and compared with our patient. Excluding the conditions during surgery, we surmised that tracheal depth, S/H ratio, and body weight were identified as potentially significant risk factors for failed tracheal tube placement or exchange.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 3","pages":"120-123"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242881","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 Analgesia Using an Indwelling Catheter to Deliver an Inferior Alveolar Nerve Block: A Case Report. 使用留置导管进行下牙槽神经阻滞的围术期镇痛：一例报告。

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-70-02-11

Yuki Kojima, Kazuma Asano, Takeshi Murouchi, Kazuya Hirabayashi

引用次数: 0

Pronounced QT Prolongation During General Anesthesia in a Child with Left Ventricular Noncompaction Cardiomyopathy: A Case Report. 一例左心室非致密性心肌病患儿全麻期间明显QT延长的病例报告。

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

Mika Nishikawa, Kazumi Takaishi, Marina Takata, Osamu Sasajima, Shigeki Joseph Luke Fujiwara, Satoru Eguchi, Shinji Kawahito

引用次数: 0

Suspected Accidental Infiltration of Rocuronium During General Anesthesia Induction: A Case Report. 罗库在全麻诱导过程中疑似意外浸润：一例报告。

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

Yuya Sakurai, Makiko Shibuya, Ryuichi Okiji, Yuri Hase, Takayuki Hojo, Yukifumi Kimura, Toshiaki Fujisawa

{"title":"Suspected Accidental Infiltration of Rocuronium During General Anesthesia Induction: A Case Report.","authors":"Yuya Sakurai, Makiko Shibuya, Ryuichi Okiji, Yuri Hase, Takayuki Hojo, Yukifumi Kimura, Toshiaki Fujisawa","doi":"10.2344/anpr-70-02-01","DOIUrl":"10.2344/anpr-70-02-01","url":null,"abstract":"There are few reports on rocuronium infiltration under general anesthesia. We report a case of suspected accidental rocuronium infiltration during anesthesia induction. A 25-year-old woman with autism spectrum disorder, intellectual disability, and epilepsy was scheduled for the extraction of 4 impacted third molars under general anesthesia. After induction with sevoflurane, an intravenous (IV) line was established in the left cephalic vein. Rocuronium was administered; however, subcutaneous swelling at the IV site was observed immediately. Spontaneous ventilations were maintained until additional rocuronium was administered via a new IV line. After heat pack application, the swelling disappeared 60 minutes after infiltration, and no tissue damage was observed. A strategy was developed to continue neuromuscular monitoring until recovery occurred. Acceleromyography was used, and the train-of-4 ratios at 99, 130, and 140 minutes after infiltration were 0.79, 0.91, and 1.0, respectively. Sugammadex was administered to prevent neuromuscular blockade recurrence. The patient was extubated once adequate return of muscle function and consciousness were observed. No neuromuscular block prolongation or recurrence were observed postoperatively. When rocuronium infiltration is suspected, it is important to eliminate swelling at the infiltration site and determine a management strategy based on neuromuscular monitoring.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 3","pages":"116-119"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242880","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 Review of Current Oral Sedation Agents for Pediatric Dentistry 目前用于儿科牙科的口服镇静药物综述

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-268717

Regina A. E. Dowdy, Sarah Forgy, Oussama Hefnawi, Tiffany A. Neimar

引用次数: 0

Positional Change Used to Manage Postextubation Respiratory Failure in a Child With Cerebral Palsy. 脑瘫患儿拔管后呼吸衰竭的体位改变。

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-70-02-08

Jun Hirokawa, Kouichi Hidaka, Mitsuyo Kanemaru, Takashi Hitosugi, Yu Oshima, Takeshi Yokoyama

{"title":"Positional Change Used to Manage Postextubation Respiratory Failure in a Child With Cerebral Palsy.","authors":"Jun Hirokawa, Kouichi Hidaka, Mitsuyo Kanemaru, Takashi Hitosugi, Yu Oshima, Takeshi Yokoyama","doi":"10.2344/anpr-70-02-08","DOIUrl":"10.2344/anpr-70-02-08","url":null,"abstract":"Dental treatment for patients with cerebral palsy (CP) is often performed under general anesthesia due to involuntary movements that can render dental treatment difficult. Since CP is often accompanied by spasticity, care must be taken when positioning patients during general anesthesia. We report the management of a 14-year-old girl with CP and epilepsy undergoing general anesthesia for dental treatment who experienced respiratory failure due to acute thoracoabdominal muscle hypertonia after extubation. She had a history of cardiac arrest due to respiratory failure caused by acute muscle hypertonia and successful resuscitation. General anesthesia was induced after careful positioning of the patient to prevent spastic muscle stretching, and the dental treatment was completed without complications. However, upon awakening after extubation, the patient developed respiratory failure due to acute muscle hypertonia. The patient was resedated and repositioned from a supine to a sitting position, and her symptoms improved. There was no recurrence of muscle hypertonia, and she recovered fully without complications. In this case, respiratory failure associated with acute muscle hypertonia was successfully managed by position change after initial treatment with positive-pressure ventilation and propofol. It is important to be prepared for the possibility of respiratory failure associated with acute muscle hypertonia and its countermeasures when providing general anesthesia for patients with CP.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 3","pages":"124-127"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242877","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

Visit Las Vegas for the 2024 ADSA/IFDAS Meeting. 访问拉斯维加斯参加2024年ADSA/IFDAS会议。

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-70-03-XX

Kyle J Kramer

引用次数: 0

Success of Pulpal Anesthesia Following Buccal Infiltration of the Maxillary First Molar With 1.8 mL and 3.6 mL of 4% Articaine With 1:100,000 Epinephrine: A Prospective, Randomized Crossover Study. 1.8 mL和3.6 mL 4%阿替卡因和1:100000肾上腺素在上颌第一磨牙颊部浸润后的Pulpal麻醉成功：一项前瞻性随机交叉研究。

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-70-03-01

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

{"title":"Success of Pulpal Anesthesia Following Buccal Infiltration of the Maxillary First Molar With 1.8 mL and 3.6 mL of 4% Articaine With 1:100,000 Epinephrine: A Prospective, Randomized Crossover Study.","authors":"Alexandra Woo, John Nusstein, Melissa Drum, Sara Fowler, Al Reader, Ai Ni","doi":"10.2344/anpr-70-03-01","DOIUrl":"10.2344/anpr-70-03-01","url":null,"abstract":"Objective: The purpose of this prospective, randomized crossover study was to compare the peak incidence of success, onset, and incidence over time of pulpal anesthesia in maxillary first molars following a buccal infiltration of 1.8 mL or 3.6 mL of 4% articaine with 1:100 000 epinephrine.Methods: A total of 118 adults received 1.8 mL or 3.6 mL of 4% articaine with 1:100 000 epinephrine via buccal infiltration of the maxillary first molar at 2 separate appointments. Electric pulp testing (EPT) of the maxillary first molar was performed over 68 minutes.Results: There was no significant difference in the peak incidence of anesthetic success (85% and 92%, respectively) in the maxillary first molar between 1.8 mL and 3.6 mL. The difference in onset times (4.5 min for 1.8 mL vs 4.4 min for 3.6 mL) was not statistically significant. However, the 3.6-mL volume did produce a significantly higher incidence of pulpal anesthesia from minutes 48 to 68 compared with the 1.8-mL volume.Conclusion: There was no significant difference in peak incidence or onset of pulpal anesthesia in the maxillary first molar between 1.8 mL and 3.6 mL of articaine with epinephrine. The incidence of pulpal anesthesia was significantly higher with 3.6 mL of articaine at 48 minutes and beyond, but neither volume provided complete pulpal anesthesia for all subjects that lasted at least 60 minutes.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"70 3","pages":"110-115"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242879","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 Report of Burning Mouth Syndrome with Dry Mouth Managed by Kampo Medicine. Kampo Medicine治疗烧伤口综合征并口干1例报告。

Anesthesia progress Pub Date : 2023-09-01 DOI: 10.2344/anpr-70-02-10

Ichiro Okayasu, Mizuki Tachi, Erika Suzue, Nanae Ito, Yu Ozaki, Gaku Mishima, Shinji Kurata, Takao Ayuse

引用次数: 0