Pub Date : 2023-10-10DOI: 10.33552/asoaj.2023.04.000588
Timothy Angelotti
Inhalational lung injuries caused by heat, smoke, or chemical irritants are described as causing pulmonary toxicity, ranging from upper airway symptoms to acute respiratory distress syndrome. We are reporting a case of a 25 years old man with accidental massive cement dust inhalation, who developed diffuse lung injury and hypoxic respiratory failure along with skin and mucosal injuries. Management of such cases is challenging in the absence of clinical guidelines. This patient responded well to steroids, antibiotics and supportive care. To the best of our knowledge, effects of acute massive cement dust inhalation have not been reported in English literature so far.
{"title":"Endoscopic Endotracheal Intubation for ERCP In the Era of COVID: An Approach To Minimize Risk of Transmission of Infectious Diseases","authors":"Timothy Angelotti","doi":"10.33552/asoaj.2023.04.000588","DOIUrl":"https://doi.org/10.33552/asoaj.2023.04.000588","url":null,"abstract":"Inhalational lung injuries caused by heat, smoke, or chemical irritants are described as causing pulmonary toxicity, ranging from upper airway symptoms to acute respiratory distress syndrome. We are reporting a case of a 25 years old man with accidental massive cement dust inhalation, who developed diffuse lung injury and hypoxic respiratory failure along with skin and mucosal injuries. Management of such cases is challenging in the absence of clinical guidelines. This patient responded well to steroids, antibiotics and supportive care. To the best of our knowledge, effects of acute massive cement dust inhalation have not been reported in English literature so far.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135043587","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 : 2023-05-24DOI: 10.33552/asoaj.2023.04.000581
Luca De Lipsis
{"title":"Saphenous Nerve Block to the Adductor Canal and IPACK Block In Analgesic Management of Knee Replacements: Our Experience","authors":"Luca De Lipsis","doi":"10.33552/asoaj.2023.04.000581","DOIUrl":"https://doi.org/10.33552/asoaj.2023.04.000581","url":null,"abstract":"","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135139847","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 : 2020-12-14DOI: 10.33552/ASOAJ.2020.02.000539
V. Erikçi
Lymphangioma is a benign tumor of lymphatic vessels. Swelling and cosmetic deformity are the most common symptoms. As a sclerosing agent, bleomycin has been used in the management of patients with these lesions with successful outcomes. In this review the topic is discussed, and a brief literature review is given. Intralesional injection of bleomycin in children with lymphangioma is an effective method of treatment and it usually achieves excellent results in most of the patients with minimal side effects.
{"title":"Intralesional Bleomycin Sclerotherapy in Children with Lymphangiomas: A Review Article","authors":"V. Erikçi","doi":"10.33552/ASOAJ.2020.02.000539","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000539","url":null,"abstract":"Lymphangioma is a benign tumor of lymphatic vessels. Swelling and cosmetic deformity are the most common symptoms. As a sclerosing agent, bleomycin has been used in the management of patients with these lesions with successful outcomes. In this review the topic is discussed, and a brief literature review is given. Intralesional injection of bleomycin in children with lymphangioma is an effective method of treatment and it usually achieves excellent results in most of the patients with minimal side effects.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83947081","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 : 2020-12-02DOI: 10.33552/ASOAJ.2020.02.000538
Raed Madhi
Coronavirus disease 2019 (Covid19) is a viral-provoked respiratory disease that affects many patients worldwide. Clinical manifestations start with mild flu-like symptoms and progress to acute respiratory distress syndrome (ARDS), the trigger of which has been underpinned as cytokine storm. Neutrophil-derived neutrophil extracellular traps (NETs) greatly contribute to development of Covid19 severity. It has been hypothesized that nebulized lidocaine could be used to attenuate the severity of Covid19, however, the mechanism by which this may occur not completely clear. This review addresses the possibility of using nebulized lidocaine as a therapeutic approach for targeting Covid19-induced NETs formation.
{"title":"Consideration of Nebulized Lidocaine For Treatment of Covid19 Severity Via Targeting Neutrophil Extracellular Traps","authors":"Raed Madhi","doi":"10.33552/ASOAJ.2020.02.000538","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000538","url":null,"abstract":"Coronavirus disease 2019 (Covid19) is a viral-provoked respiratory disease that affects many patients worldwide. Clinical manifestations start with mild flu-like symptoms and progress to acute respiratory distress syndrome (ARDS), the trigger of which has been underpinned as cytokine storm. Neutrophil-derived neutrophil extracellular traps (NETs) greatly contribute to development of Covid19 severity. It has been hypothesized that nebulized lidocaine could be used to attenuate the severity of Covid19, however, the mechanism by which this may occur not completely clear. This review addresses the possibility of using nebulized lidocaine as a therapeutic approach for targeting Covid19-induced NETs formation.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"8 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78265649","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 : 2020-11-03DOI: 10.33552/ASOAJ.2020.02.000537
Jitendra Parmar
Introduction: Partial or complete developmental failure to close and absorb the omphalo-mesenteric duct results in a variety of congenital anomalies, Meckel’s Diverticulum (MD) with or without omphalo-mesenteric band being the most common. The Cecal volvulus (CV) caused by MD is extremely rare and only few case reports have been reported so far. Case Summary: In this case report, a case of 40-years-old female patient with features of small bowel obstruction is reported. The patient subsequently diagnosed to have “Meckel’s Diverticulum” and “Loop Type of Cecal Volvulus” with ischemic changes involving cecum, Meckel’s diverticulum, and ascending colon on computed tomography of abdomen performed in emergency. Conclusion: MD is often overlooked, and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management. Meckel’s Diverticulum is often overlooked and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management.
{"title":"Cecal Volvulus Caused by an Omphalo-Mesenteric Band: A Case Report of a Rare Complication of Meckel’s Diverticulum","authors":"Jitendra Parmar","doi":"10.33552/ASOAJ.2020.02.000537","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000537","url":null,"abstract":"Introduction: Partial or complete developmental failure to close and absorb the omphalo-mesenteric duct results in a variety of congenital anomalies, Meckel’s Diverticulum (MD) with or without omphalo-mesenteric band being the most common. The Cecal volvulus (CV) caused by MD is extremely rare and only few case reports have been reported so far. Case Summary: In this case report, a case of 40-years-old female patient with features of small bowel obstruction is reported. The patient subsequently diagnosed to have “Meckel’s Diverticulum” and “Loop Type of Cecal Volvulus” with ischemic changes involving cecum, Meckel’s diverticulum, and ascending colon on computed tomography of abdomen performed in emergency. Conclusion: MD is often overlooked, and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management. Meckel’s Diverticulum is often overlooked and the patient usually presents with complications, appropriate knowledge of various pathophysiology of complications must be kept in mind for a prompt and effective management.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80189258","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 : 2020-10-22DOI: 10.33552/ASOAJ.2020.02.000536
N. Mageed
Objective: Controlled hypotension is considered as an effective technique for reducing blood loss and optimizing the surgical field. This study was designed to compare intravenous infusion of propofol and magnesium sulfate for achieving controlled hypotension during elective endoscopic sinus surgery. Methods: This randomized, double blinded, comparative study was conducted on fifty patients of either sex, aged between 18 and 45 years old underwent elective endoscopic sinus surgery. Patients were randomly categorized into two equal groups (25 patients each). Propofol group: patients were received intravenous infusion 75 mcg/kg/min of propofol for the first 15 minutes post induction and then a maintenance infusion of propofol (50 mcg/kg/min). Magnesium group: before induction of anesthesia, magnesium sulfate intravenous infusion was started at 40 mg/ kg in 100 ml saline over 10 minutes as a loading dose then magnesium sulfate infusion of 167 mcg/kg/min during surgery. Perioperative mean arterial blood pressure and heart rate were recorded. The intra-operative surgical field assessment and surgeon satisfaction score were assessed. The recovery profile was assessed by Ramsay sedation score and modified Aldrete score. Postoperative complications in the terms of postoperative nausea and vomiting and shivering were also recorded. significantly decreased in propofol group at 15, 30, 45, 60 and 75 minutes after induction when compared to magnesium group. However, perioperative heart rate showed no significant changes between both studied groups. No statistical changes between the two studied groups as regard surgeon satisfaction and bleeding scores. Nitroglycerine doses were significantly higher in magnesium group than propofol group (P value<0.001). Postoperative Ramsay sedation scores were statistically significant higher, and the recovery time was significantly longer in magnesium group compared to propofol group (P value <0.001). Postoperatively shivering was significantly higher in propofol group compared to magnesium group while nausea and vomiting showed no significant changes between both groups. Conclusion: This study concluded that intravenous infusion of propofol provided easily controlled hypotension, while intravenous infusion of magnesium sulfate was associated with a better recovery profile and reducing the incidence of postoperative shivering.
{"title":"Controlled Hypotension During Endoscopic Sinus Surgery: A Comparison of Propofol and Magnesium Sulfate","authors":"N. Mageed","doi":"10.33552/ASOAJ.2020.02.000536","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000536","url":null,"abstract":"Objective: Controlled hypotension is considered as an effective technique for reducing blood loss and optimizing the surgical field. This study was designed to compare intravenous infusion of propofol and magnesium sulfate for achieving controlled hypotension during elective endoscopic sinus surgery. Methods: This randomized, double blinded, comparative study was conducted on fifty patients of either sex, aged between 18 and 45 years old underwent elective endoscopic sinus surgery. Patients were randomly categorized into two equal groups (25 patients each). Propofol group: patients were received intravenous infusion 75 mcg/kg/min of propofol for the first 15 minutes post induction and then a maintenance infusion of propofol (50 mcg/kg/min). Magnesium group: before induction of anesthesia, magnesium sulfate intravenous infusion was started at 40 mg/ kg in 100 ml saline over 10 minutes as a loading dose then magnesium sulfate infusion of 167 mcg/kg/min during surgery. Perioperative mean arterial blood pressure and heart rate were recorded. The intra-operative surgical field assessment and surgeon satisfaction score were assessed. The recovery profile was assessed by Ramsay sedation score and modified Aldrete score. Postoperative complications in the terms of postoperative nausea and vomiting and shivering were also recorded. significantly decreased in propofol group at 15, 30, 45, 60 and 75 minutes after induction when compared to magnesium group. However, perioperative heart rate showed no significant changes between both studied groups. No statistical changes between the two studied groups as regard surgeon satisfaction and bleeding scores. Nitroglycerine doses were significantly higher in magnesium group than propofol group (P value<0.001). Postoperative Ramsay sedation scores were statistically significant higher, and the recovery time was significantly longer in magnesium group compared to propofol group (P value <0.001). Postoperatively shivering was significantly higher in propofol group compared to magnesium group while nausea and vomiting showed no significant changes between both groups. Conclusion: This study concluded that intravenous infusion of propofol provided easily controlled hypotension, while intravenous infusion of magnesium sulfate was associated with a better recovery profile and reducing the incidence of postoperative shivering.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90488230","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 : 2020-10-13DOI: 10.33552/ASOAJ.2020.02.000535
N. Mageed
Objective: The aim of the current study was to evaluate the analgesic efficacy of ilioinguinal-iliohypogastric (II/IH) nerve block in inguinal hernia repair surgery under general anesthesia. Methods: This prospective, randomized, double blinded, controlled study was conducted on 70 patients undergoing inguinal hernia repair surgery. Patients were randomly allocated into 2 equal groups, Control group (general anesthesia group) and study group (II/IH group): general anesthesia combined with II/IH nerve block group. The primary outcome measures were the total dose of postoperative fentanyl requirements, time to first analgesic request and the postoperative visual analogue pain score (VAS) in the first postoperative 24 hours. While the secondary outcomes were the hemodynamic parameters, and side effects. Results: The total post-operative fentanyl consumption was significantly lower in the II/IH group (78.00 ± 55.72 μg) than the control group (174.14 ± 27.32 μg). The time to the first request of analgesia was significantly longer in the II/IH (305.57 ± 12.22 min) than the control (49.29 ± 19.45min) group. VAS was significantly lower in the II/IH group at 0,2,4, 8 hours post-operative than the control group. The postoperative nausea and vomiting (PONV) were significantly higher in control group than II/IH group (31.1% versus 5.7% respectively). Conclusion: This study proved that II/IH nerve block in open unilateral inguinal hernia repair under general anesthesia is effective in providing satisfactory analgesia with prolonged time of first analgesic request, decreasing the total dose of fentanyl consumption, improving postoperative VAS values and decreasing incidence of postoperative nausea and vomiting.
{"title":"Ultrasound-guided Ilioinguinal-Iliohypogastric nerve block in inguinal hernia repair surgery under general anesthesia: a randomized controlled study","authors":"N. Mageed","doi":"10.33552/ASOAJ.2020.02.000535","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000535","url":null,"abstract":"Objective: The aim of the current study was to evaluate the analgesic efficacy of ilioinguinal-iliohypogastric (II/IH) nerve block in inguinal hernia repair surgery under general anesthesia. Methods: This prospective, randomized, double blinded, controlled study was conducted on 70 patients undergoing inguinal hernia repair surgery. Patients were randomly allocated into 2 equal groups, Control group (general anesthesia group) and study group (II/IH group): general anesthesia combined with II/IH nerve block group. The primary outcome measures were the total dose of postoperative fentanyl requirements, time to first analgesic request and the postoperative visual analogue pain score (VAS) in the first postoperative 24 hours. While the secondary outcomes were the hemodynamic parameters, and side effects. Results: The total post-operative fentanyl consumption was significantly lower in the II/IH group (78.00 ± 55.72 μg) than the control group (174.14 ± 27.32 μg). The time to the first request of analgesia was significantly longer in the II/IH (305.57 ± 12.22 min) than the control (49.29 ± 19.45min) group. VAS was significantly lower in the II/IH group at 0,2,4, 8 hours post-operative than the control group. The postoperative nausea and vomiting (PONV) were significantly higher in control group than II/IH group (31.1% versus 5.7% respectively). Conclusion: This study proved that II/IH nerve block in open unilateral inguinal hernia repair under general anesthesia is effective in providing satisfactory analgesia with prolonged time of first analgesic request, decreasing the total dose of fentanyl consumption, improving postoperative VAS values and decreasing incidence of postoperative nausea and vomiting.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85007316","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 : 2020-10-01DOI: 10.33552/ASOAJ.2020.02.000534
M. Sucheta
Metastatic nodules of the umbilicus from malignant neoplasms are known as Sister Mary Joseph’s nodule and they represent an advanced malignancy. These nodules are mostly adenocarcinomas with the commonest primary sites in intraabdominal organs. Here, we describe case of a patient with squamous cell carcinoma of lung who presented with metastatic umbilical nodule as the initial presentation of the tumor. Metastatic umbilical nodules from lung carcinoma and that too from squamous cell carcinoma are very rare. Patients presenting with umbilical nodules should be investigated without any delay and metastatic nodule should be included in the differential diagnosis especially in elderly patients.
{"title":"Carcinoma Lung Presenting as Sister Mary Joseph’s Nodule","authors":"M. Sucheta","doi":"10.33552/ASOAJ.2020.02.000534","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000534","url":null,"abstract":"Metastatic nodules of the umbilicus from malignant neoplasms are known as Sister Mary Joseph’s nodule and they represent an advanced malignancy. These nodules are mostly adenocarcinomas with the commonest primary sites in intraabdominal organs. Here, we describe case of a patient with squamous cell carcinoma of lung who presented with metastatic umbilical nodule as the initial presentation of the tumor. Metastatic umbilical nodules from lung carcinoma and that too from squamous cell carcinoma are very rare. Patients presenting with umbilical nodules should be investigated without any delay and metastatic nodule should be included in the differential diagnosis especially in elderly patients.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88125147","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 : 2020-09-25DOI: 10.33552/ASOAJ.2020.02.000533
S. Kampo, T. W. Anabah, A. Buunaaim, E. Kuugbee, J. M. Wumbei, J. Mwinsagra, S. Mohammed, T. Azongo
The number of health workers infected with COVID-19 is increasing exponentially. Recent reports indicate that about 787 frontline health workers died of COVID-19 in the United States of America. In Ghana, not less than 779 health workers especially doctors, certified registered Anaesthetists and nurses have been infected with COVID-19, with nine death. Aerosol and fomite transmission of SARS-CoV-2 to individuals is plausible. Anaesthesia professionals who are in close contact as they help patients breathe through airway equipment are at maximum risk of exposure to COVID-19. This study aimed to assess the knowledge, attitudes, and practices of Anaesthetists towards the prevention of the spread of the COVID-19 infection. Certified Registered Anaesthetists were required to complete a self-administered structured questionnaire. A total of 356 respondents were recruited in this study. The data showed that 73.3 % of the respondents recruited for this study were males and 26.7 % of them were females. The mean age of the respondents was 37.1 ± 5.3 years old. We realized that 4.8% of them always had access to appropriate personal protective equipment, whereas 95.2 % of them had no access during work. The data also showed that 34.0 % of them always had access to a face mask and hand sanitizers, while 66.0 % of them had no access to a face mask and hand sanitizers during work. There is, the need for regular in- service training of Certified Registered Anaesthetists and other health workers on the right attitude and practices to prevent the spread of the virus among health workers. Policymakers should ensure the regular supply of basic PPE at the various hospitals.
{"title":"Exposure to Covid-19: Assessing the Knowledge, Attitudes, and Practices of Anaesthetists in the Prevention of COVID-19 Spread in Ghana-A Multicenter Cross-Sectional Survey","authors":"S. Kampo, T. W. Anabah, A. Buunaaim, E. Kuugbee, J. M. Wumbei, J. Mwinsagra, S. Mohammed, T. Azongo","doi":"10.33552/ASOAJ.2020.02.000533","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000533","url":null,"abstract":"The number of health workers infected with COVID-19 is increasing exponentially. Recent reports indicate that about 787 frontline health workers died of COVID-19 in the United States of America. In Ghana, not less than 779 health workers especially doctors, certified registered Anaesthetists and nurses have been infected with COVID-19, with nine death. Aerosol and fomite transmission of SARS-CoV-2 to individuals is plausible. Anaesthesia professionals who are in close contact as they help patients breathe through airway equipment are at maximum risk of exposure to COVID-19. This study aimed to assess the knowledge, attitudes, and practices of Anaesthetists towards the prevention of the spread of the COVID-19 infection. Certified Registered Anaesthetists were required to complete a self-administered structured questionnaire. A total of 356 respondents were recruited in this study. The data showed that 73.3 % of the respondents recruited for this study were males and 26.7 % of them were females. The mean age of the respondents was 37.1 ± 5.3 years old. We realized that 4.8% of them always had access to appropriate personal protective equipment, whereas 95.2 % of them had no access during work. The data also showed that 34.0 % of them always had access to a face mask and hand sanitizers, while 66.0 % of them had no access to a face mask and hand sanitizers during work. There is, the need for regular in- service training of Certified Registered Anaesthetists and other health workers on the right attitude and practices to prevent the spread of the virus among health workers. Policymakers should ensure the regular supply of basic PPE at the various hospitals.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73928768","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 : 2020-09-16DOI: 10.33552/ASOAJ.2020.02.000532
Ricardo Eliud Cisneros Becerra
Introduction: Severe COVID-19 illness is characterized by the development of Acute Respiratory Distress Syndrome (ARDS), for which the mainstay of treatment is represented by mechanical ventilation. Mortality associated with ARDS due to other causes is in the range of 40-60% but currently available data are not yet sufficient to draw safe conclusions on the prognosis of COVID-19 patients who require mechanical ventilation. Materials and Methods: This is a Cross-sectional and retrospective study in which we want to determine if the new intubation protocol developed in our center is safe and efficient to achieve effective intubation in patients with COVID-19 as well as to avoid the transmission of the virus in anesthesiology specialists. Results: The average time to achieve an effective intubation was 49 seconds (range: 35-75 seconds). The number of patients in whom it was possible to achieve intubation on the first attempt was 55 (92.45%). The number of patients who failed to intubate on the first attempt was 4, corresponding to 7.55%. Conclusion: The protocol for intubation of patients COVID19 that we used demonstrated effective results at the time of its application, ensuring the safety of the participating health personnel, as well as all the intubation procedures that were carried out in an effective way.
{"title":"Efficacy and Safety of a New Protocol for Fast Intubation in Patients With Covid-19 (Sars-Cov-2)","authors":"Ricardo Eliud Cisneros Becerra","doi":"10.33552/ASOAJ.2020.02.000532","DOIUrl":"https://doi.org/10.33552/ASOAJ.2020.02.000532","url":null,"abstract":"Introduction: Severe COVID-19 illness is characterized by the development of Acute Respiratory Distress Syndrome (ARDS), for which the mainstay of treatment is represented by mechanical ventilation. Mortality associated with ARDS due to other causes is in the range of 40-60% but currently available data are not yet sufficient to draw safe conclusions on the prognosis of COVID-19 patients who require mechanical ventilation. Materials and Methods: This is a Cross-sectional and retrospective study in which we want to determine if the new intubation protocol developed in our center is safe and efficient to achieve effective intubation in patients with COVID-19 as well as to avoid the transmission of the virus in anesthesiology specialists. Results: The average time to achieve an effective intubation was 49 seconds (range: 35-75 seconds). The number of patients in whom it was possible to achieve intubation on the first attempt was 55 (92.45%). The number of patients who failed to intubate on the first attempt was 4, corresponding to 7.55%. Conclusion: The protocol for intubation of patients COVID19 that we used demonstrated effective results at the time of its application, ensuring the safety of the participating health personnel, as well as all the intubation procedures that were carried out in an effective way.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73367612","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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