Pub Date : 2019-07-25DOI: 10.33552/asoaj.2019.01.000505
Abdessamad El Kaoukabi
As part of the South-South cooperation, King Mohammed VI gave his high instructions for the deployment of a multi-specialty field hospital in Juba with a capacity of 30 beds expandable to 60, with a staff of 20 specialist doctors and 18 nurses. Visceral surgery was provided by a single general surgeon. We wanted to take stock of more than 3 months of visceral surgery activity. Thus, the purpose of this study was to describe the epidemiological aspects, diagnosis of visceral affections and report the results of the management.
{"title":"Review of Visceral Surgery Activities in A Field Hospital in Juba: Epidemiological, Diagnostic and Therapeutic Aspects","authors":"Abdessamad El Kaoukabi","doi":"10.33552/asoaj.2019.01.000505","DOIUrl":"https://doi.org/10.33552/asoaj.2019.01.000505","url":null,"abstract":"As part of the South-South cooperation, King Mohammed VI gave his high instructions for the deployment of a multi-specialty field hospital in Juba with a capacity of 30 beds expandable to 60, with a staff of 20 specialist doctors and 18 nurses. Visceral surgery was provided by a single general surgeon. We wanted to take stock of more than 3 months of visceral surgery activity. Thus, the purpose of this study was to describe the epidemiological aspects, diagnosis of visceral affections and report the results of the management.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"180 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76258804","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 : 2019-06-28DOI: 10.33552/asoaj.2019.01.000504
N. Jbili, Jaouad Laoutid Lotfi Bibiche, A. Maaroufi, Abdelatif Diai, Nourdine Jebbar, Mounir Khalil Mohamed Ouahidi, H. Kechna, Jaouad Laoutid
Locoregional anesthesia (ALR) is a technique that is increasingly expanding because of its safety and safety compared with general anesthesia and axial blocks. Locoregional anesthesia has several advantages in the context of emergency surgery. They simplify pre- and postoperative management for both the patient and the healthcare team. This is a prospective study conducted over a period of one year in the emergency room of the military hospital Moulay Ismail Meknes. Patients admitted for surgical limb emergencies with severe cardiorespiratory and metabolic impairment and in whom general anesthesia or peripullary anesthesia are considered to be at high risk were included. ALR device has been a very good alternative. Our study included 30 patients including 18 men and 12 women, the mean age was 72.5 years (63-82) all our patients were classified ASA IV. 20 blocks were made at the lower limbs and 10 at the upper limbs. Ultrasound detection was performed in 16 cases and the rest by neurostimulation. The interventions were carried out without affecting the previous state of the patients with good analgesia and satisfaction of the patients. ALR represents anesthetic technique of putting by its good tolerance. This interest differs in emergencies from fragile patients. All this justifies the need for good training and mastery of these techniques by all anesthetists’ doctors.
{"title":"Regional Anesthesia Device Against the “Dead Ends” in the Emergency Unit Peripheral Locoregional Anesthesia in front of “ Therapeutic Impasse” in the Emergency Operating Room","authors":"N. Jbili, Jaouad Laoutid Lotfi Bibiche, A. Maaroufi, Abdelatif Diai, Nourdine Jebbar, Mounir Khalil Mohamed Ouahidi, H. Kechna, Jaouad Laoutid","doi":"10.33552/asoaj.2019.01.000504","DOIUrl":"https://doi.org/10.33552/asoaj.2019.01.000504","url":null,"abstract":"Locoregional anesthesia (ALR) is a technique that is increasingly expanding because of its safety and safety compared with general anesthesia and axial blocks. Locoregional anesthesia has several advantages in the context of emergency surgery. They simplify pre- and postoperative management for both the patient and the healthcare team. This is a prospective study conducted over a period of one year in the emergency room of the military hospital Moulay Ismail Meknes. Patients admitted for surgical limb emergencies with severe cardiorespiratory and metabolic impairment and in whom general anesthesia or peripullary anesthesia are considered to be at high risk were included. ALR device has been a very good alternative. Our study included 30 patients including 18 men and 12 women, the mean age was 72.5 years (63-82) all our patients were classified ASA IV. 20 blocks were made at the lower limbs and 10 at the upper limbs. Ultrasound detection was performed in 16 cases and the rest by neurostimulation. The interventions were carried out without affecting the previous state of the patients with good analgesia and satisfaction of the patients. ALR represents anesthetic technique of putting by its good tolerance. This interest differs in emergencies from fragile patients. All this justifies the need for good training and mastery of these techniques by all anesthetists’ doctors.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87586179","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 : 2019-04-30DOI: 10.33552/asoaj.2019.01.000503
Rayan Itani, G. Ahmed, A. Ibrahim, Naela Elmallahi
Chronic hypertension in pregnancy is associated with increased hospitalization due to new complications or the deterioration of pre-existing comorbidities [1]. Also, there is an increased risk of placental abruption, vascular accidents, gestational diabetes, and C-section [2]. In Qatar, evidence is lacking on the aforementioned issue despite the increasing trend of hypertension and its risk factors. So, we aimed to identify the maternal outcomes among pregnant women with chronic hypertension at a tertiary maternity facility in Doha, Qatar. Methods
{"title":"Maternal Outcomes Among Hypertensive Pregnant Women at A Tertiary Maternity Hospital in Qatar, 2015-2017: A Case-Control Study","authors":"Rayan Itani, G. Ahmed, A. Ibrahim, Naela Elmallahi","doi":"10.33552/asoaj.2019.01.000503","DOIUrl":"https://doi.org/10.33552/asoaj.2019.01.000503","url":null,"abstract":"Chronic hypertension in pregnancy is associated with increased hospitalization due to new complications or the deterioration of pre-existing comorbidities [1]. Also, there is an increased risk of placental abruption, vascular accidents, gestational diabetes, and C-section [2]. In Qatar, evidence is lacking on the aforementioned issue despite the increasing trend of hypertension and its risk factors. So, we aimed to identify the maternal outcomes among pregnant women with chronic hypertension at a tertiary maternity facility in Doha, Qatar. Methods","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78981022","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 : 2019-01-04DOI: 10.33552/asoaj.2019.01.000501
S. Herrero, Luis Rodriguez Redondo
Suddenly episode of loose prickly chest pain that increased with respiratory movements and radiated to the sternum, throat and ear. Increased jugular venous pressure. Poor perfusion, BP 90/45 torr. Pulmonary auscultation with striking tubal murmur 1/3 inferior of the left lung. *Corresponding author: Santiago Herrero, Department of Cardiac Critical Care, The Jilin Heart Hospital, China. Received Date: December 17, 2018 Published Date: January 04, 2019 Anaesthesia & Surgery Open Access Journal Open Access
{"title":"Rupture and Dissection Pulmonary Artery Aneurysm in a patient with a complex Congenital Heart Disease","authors":"S. Herrero, Luis Rodriguez Redondo","doi":"10.33552/asoaj.2019.01.000501","DOIUrl":"https://doi.org/10.33552/asoaj.2019.01.000501","url":null,"abstract":"Suddenly episode of loose prickly chest pain that increased with respiratory movements and radiated to the sternum, throat and ear. Increased jugular venous pressure. Poor perfusion, BP 90/45 torr. Pulmonary auscultation with striking tubal murmur 1/3 inferior of the left lung. *Corresponding author: Santiago Herrero, Department of Cardiac Critical Care, The Jilin Heart Hospital, China. Received Date: December 17, 2018 Published Date: January 04, 2019 Anaesthesia & Surgery Open Access Journal Open Access","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"220 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87020042","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 : 2019-01-01DOI: 10.33552/asoaj.2019.01.000506
I. Murkamilov
Materials and methods: 383 patients with comorbid pathology aged from 25 to 88 years (mean age 58.8±12.0 years) were examined, of whom 51.4% were men and 48.6% women. In the structure of comorbid pathology, arterial hypertension (AH) was observed in 76.5%, coronary heart disease (CHD) in 48.8%, diabetes mellitus (DM) type2 in 29.7%, obesity in 47, 5% and chronic obstructive pulmonary disease (COPD) in 28.9% of patients. The examined patients were divided into 4 groups: 1st persons with hypertension+type2 diabetes (n = 99); 2nd AH + CHD (n = 138); 3rd -AH + COPD (n = 102) and the 4th group patients with severe comorbid pathology, i.e. AH + DM + CHD + COPD (n = 44). All patients were studied for lipid spectrum parameters [total cholesterol (cholesterol), high-density lipoprotein cholesterol (HDL cholesterol), low-density lipoprotein cholesterol (LDL cholesterol), triglycerides (TG)] and cystatin C of blood plasma. The glomerular filtration rate (GFR) was calculated according to the formula F.J. Hoek. The severity of renal dysfunction was assessed according to the recommendation of KDIGO (Kidney Disease: Improving Global Outcomes) 2012. The analysis of the prevalence of reduced GFR in patients with comorbid pathology was also carried out.
{"title":"Cystatin C as the Predictor of Chronic Kidney Disease in Patients with Comorbid Pathology","authors":"I. Murkamilov","doi":"10.33552/asoaj.2019.01.000506","DOIUrl":"https://doi.org/10.33552/asoaj.2019.01.000506","url":null,"abstract":"Materials and methods: 383 patients with comorbid pathology aged from 25 to 88 years (mean age 58.8±12.0 years) were examined, of whom 51.4% were men and 48.6% women. In the structure of comorbid pathology, arterial hypertension (AH) was observed in 76.5%, coronary heart disease (CHD) in 48.8%, diabetes mellitus (DM) type2 in 29.7%, obesity in 47, 5% and chronic obstructive pulmonary disease (COPD) in 28.9% of patients. The examined patients were divided into 4 groups: 1st persons with hypertension+type2 diabetes (n = 99); 2nd AH + CHD (n = 138); 3rd -AH + COPD (n = 102) and the 4th group patients with severe comorbid pathology, i.e. AH + DM + CHD + COPD (n = 44). All patients were studied for lipid spectrum parameters [total cholesterol (cholesterol), high-density lipoprotein cholesterol (HDL cholesterol), low-density lipoprotein cholesterol (LDL cholesterol), triglycerides (TG)] and cystatin C of blood plasma. The glomerular filtration rate (GFR) was calculated according to the formula F.J. Hoek. The severity of renal dysfunction was assessed according to the recommendation of KDIGO (Kidney Disease: Improving Global Outcomes) 2012. The analysis of the prevalence of reduced GFR in patients with comorbid pathology was also carried out.","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"IA-16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84593665","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: 10.33552/asoaj.2019.01.000511
J. Mattsson
Irini Antoniadou1, Marjan Soltannia2, Gunilla Björling3 and Janet Mattsson4* 1,2Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Sweden 3Department of Health Sciences, The Swedish Red Cross University College and Department of Neurobiology, Care Sciences and Society, Sweden 4Department of Health Sciences, Swedish Red Cross University College and Department of Learning, Informatics, Karolinska Institute, Sweden
Irini Antoniadou1, Marjan soltanni2, Gunilla Björling3和Janet Mattsson4* 1,2瑞典卡罗林斯卡大学医院围手术期医学和重症监护部3瑞典红十字大学学院健康科学系和护理科学与社会神经生物学系4瑞典红十字大学学院健康科学系和学习信息学系瑞典卡罗林斯卡学院
{"title":"Moving from Participation towards Partnership in Nursing Care","authors":"J. Mattsson","doi":"10.33552/asoaj.2019.01.000511","DOIUrl":"https://doi.org/10.33552/asoaj.2019.01.000511","url":null,"abstract":"Irini Antoniadou1, Marjan Soltannia2, Gunilla Björling3 and Janet Mattsson4* 1,2Department of Perioperative Medicine and Intensive Care, Karolinska University Hospital, Sweden 3Department of Health Sciences, The Swedish Red Cross University College and Department of Neurobiology, Care Sciences and Society, Sweden 4Department of Health Sciences, Swedish Red Cross University College and Department of Learning, Informatics, Karolinska Institute, Sweden","PeriodicalId":92982,"journal":{"name":"Anaesthesia & surgery open access journal","volume":"18 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82816096","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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