Anesthesia progress最新文献_第7页

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

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

Respiratory Monitoring for Anesthesia and Sedation. 麻醉和镇静的呼吸监测。

Anesthesia progress Pub Date : 2024-01-15 DOI: 10.2344/862700

Jay A Anderson

引用次数: 0