Anesthesia progress最新文献_第6页

Comparison of Anesthetics for Laryngeal Mask Airway Insertion: A Network Meta-Analysis. 喉罩气道插入麻醉剂的比较：网络 Meta 分析

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/22-00033

Cameron Goertzen, Erin Goertzen, Maryam Zanjir, Christopher Dare, Amir Azarpazhooh, Michelle Wong

{"title":"Comparison of Anesthetics for Laryngeal Mask Airway Insertion: A Network Meta-Analysis.","authors":"Cameron Goertzen, Erin Goertzen, Maryam Zanjir, Christopher Dare, Amir Azarpazhooh, Michelle Wong","doi":"10.2344/22-00033","DOIUrl":"10.2344/22-00033","url":null,"abstract":"Objective: This study aimed to establish which anesthetic agents are associated with minimized adverse outcomes during laryngeal mask airway (LMA) insertion.Methods: Databases were searched for randomized controlled trials (RCTs) with American Society of Anesthesiologists I or II adult patients (≥15 years of age) receiving general anesthesia (GA) with an LMA. Propofol only was the comparator to other anesthetics used during LMA insertion. The primary outcome was prolonged apnea, and secondary outcomes were adverse airway events, LMA insertion failure, inadequate depth of anesthesia, and hemodynamic events. A network meta-analysis was conducted to estimate the treatment effects (odds ratios, 95% credible intervals, and surface under the cumulative ranking curve [SUCRA]).Results: A total of 28 anesthetic combinations used on 4695 patients for GA induction and LMA insertion were examined across 53 RCTs. Overall, there was an apnea incidence rate of 33.3% (849 of 2548) with a mean time of 3.74 ± 3.56 minutes (n = 3091). Propofol + dexmedetomidine had the highest overall summed score of SUCRA ranks in reducing adverse outcomes (apnea incidence: SUCRA = 37%, apnea time: SUCRA = 66%, airway adverse event: SUCRA = 67%, insertion failure: SUCRA = 73%, inadequate depth of anesthesia: SUCRA = 84%). In comparison among all propofol combinations, propofol alone ranked lowest for overall summed score of SUCRA in reducing adverse outcomes (apnea incidence: SUCRA = 47%, apnea time: SUCRA = 71%, airway adverse event: SUCRA = 9%, insertion failure: SUCRA = 20%, inadequate depth of anesthesia: SUCRA = 9%).Conclusion: All anesthetic combinations, other than those with thiopental, reduced adverse outcomes as compared with propofol alone. The combination of propofol and dexmedetomidine infused over 10 minutes ranked as the most effective for reducing adverse outcomes during LMA insertion.","PeriodicalId":94296,"journal":{"name":"Anesthesia progress","volume":"71 2","pages":"58-75"},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584508","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 Stenosis Detected During Endotracheal Intubation in a Patient With Down Syndrome. 一名唐氏综合征患者在气管插管时发现气管狭窄。

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/anpr-63-16-65

Tomoaki Ujita, Toru Yamamoto, Yutaka Tanaka, Shigenobu Kurata, Kenji Seo

引用次数: 0

Impact Factor for Journals Specializing in Dental Anesthesiology. 牙科麻醉学专业期刊的影响因子。

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/563377

Takuro Sanuki, Shota Tsukimoto, Hidetaka Kuroda, Kanta Kido

引用次数: 0

Joint Meeting of the IFDAS 17th Triennial Congress and the ADSA Annual Session Held in Las Vegas. 在拉斯维加斯举行的第 17 届国际民主与社会科学联合会（IFDAS）三年一度的大会和 ADSA 年会联席会议。

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/025134

Jason Brady

引用次数: 0

Continued Updates to Anesthesia Progress. 继续更新麻醉进展。

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/746154

Kyle J Kramer

引用次数: 0

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

In Memoriam: Dr Stuart E. LieblichOctober 14, 1955-February 28, 2024. 纪念：Stuart E. lieblich博士1955年10月14日- 2024年2月28日。

Anesthesia progress Pub Date : 2024-07-08 DOI: 10.2344/anpr-566035

Robert C Bosack

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