Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0501001
Benmousa Ali, Ben Salem, Gahbiche
Sevoflurane has been in clinical use for inhalation anesthesia for more than 20 years and has been tested in numerous studies [1]. Sevoflurane has been described as the agent of choice for mask induction in children due to itslack of airway irritation, hemodynamic characteristics, and lower pungency [2]. Inhalation induction (IND) with sevoflurane is the preferred method for anesthetizing children in pediatric anesthesia. The ideal time for intravenous (IV) cannulation following inhalational induction in children is debatable. Its rapid halothane exposure has been reported to be better in terms of safety with fewer side effects than its late location. However, its early exposure to sevoflurane is poorly studied in the literature [3]. The administration of high concentrations from the start to 7 or 8% allows a faster and often preferred IND in children. 1.1 Objective
{"title":"Evaluation of Adequate Time for Intravenous Cannulation in Children during Sevoflurane Induction","authors":"Benmousa Ali, Ben Salem, Gahbiche","doi":"10.20431/2455-9792.0501001","DOIUrl":"https://doi.org/10.20431/2455-9792.0501001","url":null,"abstract":"Sevoflurane has been in clinical use for inhalation anesthesia for more than 20 years and has been tested in numerous studies [1]. Sevoflurane has been described as the agent of choice for mask induction in children due to itslack of airway irritation, hemodynamic characteristics, and lower pungency [2]. Inhalation induction (IND) with sevoflurane is the preferred method for anesthetizing children in pediatric anesthesia. The ideal time for intravenous (IV) cannulation following inhalational induction in children is debatable. Its rapid halothane exposure has been reported to be better in terms of safety with fewer side effects than its late location. However, its early exposure to sevoflurane is poorly studied in the literature [3]. The administration of high concentrations from the start to 7 or 8% allows a faster and often preferred IND in children. 1.1 Objective","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133508882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0501002
Mayo Miyata, Yusuke Naito, Y. Akasaki, M. Ida, Ryohei Fukuba, Shinya, Yokoyama, M. Kawaguchi
Trisomy 18 (Edward’s Syndrome) is the second most common autosomal trisomy, occurring inone in every 3,500-8,500 births.The median postnatal survival of children with trisomy 18 is 3 to 4.5 days [1]. Congenital heart disease is observed in 90% of infants born with trisomy 18and the cardiac malformation varies from a simple left to right shunt, such as arterial septum defect or ventricular septum defect, to more complex malformations, such as hypoplastic left heart syndrome.There is much controversy regarding the performance of cardiac surgery on patients with trisomy 18 because of the high risk of mortality during surgery and the postoperative period [2].
{"title":"Anaesthetic Management during Intracardiac Surgery for Tetralogy of Fallot Associated with Trisomy 18","authors":"Mayo Miyata, Yusuke Naito, Y. Akasaki, M. Ida, Ryohei Fukuba, Shinya, Yokoyama, M. Kawaguchi","doi":"10.20431/2455-9792.0501002","DOIUrl":"https://doi.org/10.20431/2455-9792.0501002","url":null,"abstract":"Trisomy 18 (Edward’s Syndrome) is the second most common autosomal trisomy, occurring inone in every 3,500-8,500 births.The median postnatal survival of children with trisomy 18 is 3 to 4.5 days [1]. Congenital heart disease is observed in 90% of infants born with trisomy 18and the cardiac malformation varies from a simple left to right shunt, such as arterial septum defect or ventricular septum defect, to more complex malformations, such as hypoplastic left heart syndrome.There is much controversy regarding the performance of cardiac surgery on patients with trisomy 18 because of the high risk of mortality during surgery and the postoperative period [2].","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125206256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0402002
W. Schummer, S. Sakka
Still, arterial puncture during central venous catheterization occurs and may cause severe and potentially life-threatening complications. Here, we present three patients in whom severe complications requiring surgical or interventional procedures were required to stop cervical bleeding or occlude aneurysms spuria and re-establish compromised cerebral perfusion. Complications occurred even while ultrasound was used during cannulation attempts. With regard to the dimension and severity of sequelae which may develop after complicated puncture we would like to plead for a low threshold for performing contrast enhanced computed tomography.
{"title":"Failed Internal Jugular Vein Cannulation - Is Contrast-Enhanced Computed Tomography Mandatory?","authors":"W. Schummer, S. Sakka","doi":"10.20431/2455-9792.0402002","DOIUrl":"https://doi.org/10.20431/2455-9792.0402002","url":null,"abstract":"Still, arterial puncture during central venous catheterization occurs and may cause severe and potentially life-threatening complications. Here, we present three patients in whom severe complications requiring surgical or interventional procedures were required to stop cervical bleeding or occlude aneurysms spuria and re-establish compromised cerebral perfusion. Complications occurred even while ultrasound was used during cannulation attempts. With regard to the dimension and severity of sequelae which may develop after complicated puncture we would like to plead for a low threshold for performing contrast enhanced computed tomography.","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129046861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0502002
S. RajkumarJ., J. Aluru, Shreya Rajkumar, R. Anirudh, KR Dharmendra, S. Akbar, J. SilasDanielraj
The frequency of hypothermia occurring during surgery (perioperative hypothermia) is said to be as high as 44.3% of all major intra-op procedures (range of 4-73%) [1,2] .It is defined as a fall of body temperature to 36 C or less [3].This is to report our experience about an episode of hypothermia in a patient who underwent extended abdominoplasty following bariatric surgery. This report is presented, along with a comprehensive review of perioperative hypothermia and available methods of preventing its occurrence
{"title":"An Old Cold Killer...Overview of Perioperative Hypothermia","authors":"S. RajkumarJ., J. Aluru, Shreya Rajkumar, R. Anirudh, KR Dharmendra, S. Akbar, J. SilasDanielraj","doi":"10.20431/2455-9792.0502002","DOIUrl":"https://doi.org/10.20431/2455-9792.0502002","url":null,"abstract":"The frequency of hypothermia occurring during surgery (perioperative hypothermia) is said to be as high as 44.3% of all major intra-op procedures (range of 4-73%) [1,2] .It is defined as a fall of body temperature to 36 C or less [3].This is to report our experience about an episode of hypothermia in a patient who underwent extended abdominoplasty following bariatric surgery. This report is presented, along with a comprehensive review of perioperative hypothermia and available methods of preventing its occurrence","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122228128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0501004
Andrea Díaz Koirif, Alberto Robles Méndez Hernández, Gabriel Enrique Mejía, Terrazas, Lizeth Villalobos Ramírez, María Natalia Denisse García del Mazo, Adriana Díaz, Anzaldúa, Francisco Juárez García, R. A. Lozano, María Leonor González Arrieta, Alberto Juan López Bascopé
The brain is the main site of action of anesthetic drugs. For many years, it was assumed that their effects did not go beyond their pharmacological action and that the brain was restored to its previous state once the agent was removed. However, there is increasing evidence that supports other notion. There may be long-term and even permanent anatomical and functional changes after the administration of anesthetic drugs.The brain may be more vulnerable at the first and final stages of life.
{"title":"Utility of Cognitive Function Assessment in Patients Undergoing Surgery on a Third Level Hospital in Mexico City","authors":"Andrea Díaz Koirif, Alberto Robles Méndez Hernández, Gabriel Enrique Mejía, Terrazas, Lizeth Villalobos Ramírez, María Natalia Denisse García del Mazo, Adriana Díaz, Anzaldúa, Francisco Juárez García, R. A. Lozano, María Leonor González Arrieta, Alberto Juan López Bascopé","doi":"10.20431/2455-9792.0501004","DOIUrl":"https://doi.org/10.20431/2455-9792.0501004","url":null,"abstract":"The brain is the main site of action of anesthetic drugs. For many years, it was assumed that their effects did not go beyond their pharmacological action and that the brain was restored to its previous state once the agent was removed. However, there is increasing evidence that supports other notion. There may be long-term and even permanent anatomical and functional changes after the administration of anesthetic drugs.The brain may be more vulnerable at the first and final stages of life.","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133796898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0801001
Joseph Alape Ariza, Andrea Pinzon Reyes, Arbey Hernan Medina Rocha, Rodrigo Cabrera Perez, Clara Isabel Bermudez Santana
Introduction: The ultrasound-guided erector spinae block is an analgesic option that has shown a positive response in postoperative pain control in spinal surgery. Objective: To evaluate the efficacy of dexmedetomidine plus 0.375% ropivacaine compared with dexamethasone plus 0.375% ropivacaine administered in the ultrasound-guided bilateral erector spinae plane in the management of postoperative pain in patients undergoing lumbar spine surgery at Hospital Civil de Guadalajara. Material and Methods: Fourteen patients scheduled for lumbar spine surgery were included, divided into two groups. Group A received dexmedetomidine plus ropivacaine bilaterally in the plane of the spinal erector guided by ultrasound, while group B received ropivacaine plus Bilateral dexamethasone using the same technique. Results: Post-surgical pain in group A and group B presented an average baseline pain of 3.88 ± 0.84 and 5.17 ± 1.17 on VAS, respectively. At 8 hours, an average value of 3.13 ± 1.64 and 2 ± 1.55 on VAS, at 24 hours. hours was 2.13 ± 0.84 and 2.33 ± 1.03 VAS and at 48 hours it was 1.88 ± 0.641 and 2.33 ± 1.37 VAS. Conclusions: The administration of dexamethasone generates a more effective analgesia at 8 postoperative hours compared to dexmedetomidine in our group. The spinal erector plane block is a good alternative for postsurgical pain, demonstrating efficacy and safety in patients scheduled for lumbar spine surgery. Efficacy of Dexmedetomidine Plus Ropivacaine 0.375% Versus Dexamethasone Plus Ropivacaine 0.375% Administered by Ultrasound-Guided Bilateral Spinal Erector Block on Post-Surgical Patients of Lumbar
超声引导下的直立脊柱阻滞是一种镇痛选择，在脊柱手术术后疼痛控制中显示出积极的反应。目的:评价右美托咪定加0.375%罗哌卡因与地塞米松加0.375%罗哌卡因在超声引导下双侧竖脊平面下治疗瓜达拉哈拉民用医院腰椎手术患者术后疼痛的疗效。材料与方法:选取拟行腰椎手术的患者14例，分为两组。A组在超声引导下在脊柱竖肌平面双侧给予右美托咪定加罗哌卡因，B组采用相同的方法给予罗哌卡因加双侧地塞米松。结果:A组和B组术后疼痛平均基线VAS评分分别为3.88±0.84和5.17±1.17。8 h时VAS平均值为3.13±1.64,24 h时VAS平均值为2±1.55。h时分别为2.13±0.84和2.33±1.03 VAS, 48 h时分别为1.88±0.641和2.33±1.37 VAS。结论:本组患者术后8小时应用地塞米松镇痛效果优于右美托咪定。脊柱竖肌平面阻滞是治疗术后疼痛的一个很好的选择，在腰椎手术患者中证明了其有效性和安全性。右美托咪定加罗哌卡因0.375%与超声引导双侧脊柱竖立器阻滞地塞米松加罗哌卡因0.375%对腰椎术后患者的疗效比较
{"title":"Efficacy of Dexmedetomidine Plus Ropivacaine 0.375% Versus Dexamethasone Plus Ropivacaine 0.375% Administered by Ultrasound-Guided Bilateral Spinal Erector Block on Post-Surgical Patients of Lumbar Spine Surgery","authors":"Joseph Alape Ariza, Andrea Pinzon Reyes, Arbey Hernan Medina Rocha, Rodrigo Cabrera Perez, Clara Isabel Bermudez Santana","doi":"10.20431/2455-9792.0801001","DOIUrl":"https://doi.org/10.20431/2455-9792.0801001","url":null,"abstract":"Introduction: The ultrasound-guided erector spinae block is an analgesic option that has shown a positive response in postoperative pain control in spinal surgery. Objective: To evaluate the efficacy of dexmedetomidine plus 0.375% ropivacaine compared with dexamethasone plus 0.375% ropivacaine administered in the ultrasound-guided bilateral erector spinae plane in the management of postoperative pain in patients undergoing lumbar spine surgery at Hospital Civil de Guadalajara. Material and Methods: Fourteen patients scheduled for lumbar spine surgery were included, divided into two groups. Group A received dexmedetomidine plus ropivacaine bilaterally in the plane of the spinal erector guided by ultrasound, while group B received ropivacaine plus Bilateral dexamethasone using the same technique. Results: Post-surgical pain in group A and group B presented an average baseline pain of 3.88 ± 0.84 and 5.17 ± 1.17 on VAS, respectively. At 8 hours, an average value of 3.13 ± 1.64 and 2 ± 1.55 on VAS, at 24 hours. hours was 2.13 ± 0.84 and 2.33 ± 1.03 VAS and at 48 hours it was 1.88 ± 0.641 and 2.33 ± 1.37 VAS. Conclusions: The administration of dexamethasone generates a more effective analgesia at 8 postoperative hours compared to dexmedetomidine in our group. The spinal erector plane block is a good alternative for postsurgical pain, demonstrating efficacy and safety in patients scheduled for lumbar spine surgery. Efficacy of Dexmedetomidine Plus Ropivacaine 0.375% Versus Dexamethasone Plus Ropivacaine 0.375% Administered by Ultrasound-Guided Bilateral Spinal Erector Block on Post-Surgical Patients of Lumbar","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134323705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0401001
Toshiyuki Sawai, J. Nakahira, Shoko Nakano, R. Mihara, T. Minami
Operative procedures vary widely and full concentration is needed for long periods of time. Anesthesiologists, including trainees and instructors, are therefore becoming increasingly stressed and exhausted. Stress is a physical and psychological response to environmental demands. Burnout of anesthesiologists is not rare [1-3]. Maintenance of anesthesiologists’ mental health has become a major concern that has been frequently reported and discussed throughout Japan [1-11].
{"title":"Assessment of Stress in Anesthesiologists Using Heart Rate Variability during Anesthetic Induction: An Observational Study","authors":"Toshiyuki Sawai, J. Nakahira, Shoko Nakano, R. Mihara, T. Minami","doi":"10.20431/2455-9792.0401001","DOIUrl":"https://doi.org/10.20431/2455-9792.0401001","url":null,"abstract":"Operative procedures vary widely and full concentration is needed for long periods of time. Anesthesiologists, including trainees and instructors, are therefore becoming increasingly stressed and exhausted. Stress is a physical and psychological response to environmental demands. Burnout of anesthesiologists is not rare [1-3]. Maintenance of anesthesiologists’ mental health has become a major concern that has been frequently reported and discussed throughout Japan [1-11].","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128083935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.20431/2455-9792.0402003
A. Belousov
This scientific article is devoted to the study of the effect of magnetite nanoparticles (MCS-B brand) on the functional platelets activity of human. 0.9% NaCl was used as a control. The results of the study showed that the use of NaCl saline solution shifts the colloidal suspension equilibrium of platelets towards a significant (P<0.001) increase in the rate and index of their aggregation. For the first time, the effect of 0.9% NaCl on function of platelets makes us reconsider the concept of safety of infusion solutions in patients with initial signs of platelet disorders hemostasis. On the contrary, the use of MCS-B nanoparticles significantly revealed (P<0.05) an increase in the stability of colloidal suspension of platelets. This is an important pathogenetic factor which affects the occurrence of correction of hemostasis in conditions of blood clotting disorders.
{"title":"Study of the Effect of Nanotechnology Drugs (MСS-B) on the Aggregation of Human Blood Platelets","authors":"A. Belousov","doi":"10.20431/2455-9792.0402003","DOIUrl":"https://doi.org/10.20431/2455-9792.0402003","url":null,"abstract":"This scientific article is devoted to the study of the effect of magnetite nanoparticles (MCS-B brand) on the functional platelets activity of human. 0.9% NaCl was used as a control. The results of the study showed that the use of NaCl saline solution shifts the colloidal suspension equilibrium of platelets towards a significant (P<0.001) increase in the rate and index of their aggregation. For the first time, the effect of 0.9% NaCl on function of platelets makes us reconsider the concept of safety of infusion solutions in patients with initial signs of platelet disorders hemostasis. On the contrary, the use of MCS-B nanoparticles significantly revealed (P<0.05) an increase in the stability of colloidal suspension of platelets. This is an important pathogenetic factor which affects the occurrence of correction of hemostasis in conditions of blood clotting disorders.","PeriodicalId":275441,"journal":{"name":"ARC Journal of Anesthesiology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116660150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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