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Anesthesia Progress

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https://www.readbyqxmd.com/read/29509527/one-more-checklist
#1
Steven Ganzberg
No abstract text is available yet for this article.
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509526/recurrent-coronary-artery-spasm-induced-by-vasopressors-during-two-operations-in-the-same-patient-under-general-anesthesia
#2
Naotaka Kishimoto, Munenori Kato, Yasunori Nakanishi, Akari Hasegawa, Yoshihiro Momota
Variant angina is caused by coronary artery spasm (CAS) with ST-segment elevation. We herein report a case of recurrent CAS during 2 operations in the same patient. An 80-year-old woman was scheduled to undergo tracheostomy, submandibular dissection, left partial maxillectomy, and coronoidectomy. We administered ephedrine and phenylephrine to manage hypotension during general anesthesia. Immediately after the administration of these drugs, the ST segment elevated. We decided to cease the operation and transport the patient to the department of cardiology...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509525/a-case-of-rocuronium-induced-anaphylactic-shock-in-an-asthmatic-child
#3
Ryuichiro Tanoue, Yusuke Takei, Yu Hayashida, Hideki Harada
We experienced a case of anaphylactic shock in a young asthmatic child immediately after administering rocuronium during the induction of anesthesia. Because urticaria did not develop immediately after ventilation difficulty, we diagnosed and responded to asthma, rather than to anaphylactic shock. Correct and rapid response to anaphylactic is extremely important.
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509524/facial-artery-pseudoaneurysm-challenges-of-airway-management
#4
Roman Dudaryk, Danielle B Horn, J Marshall Green
A patient with recent jaw reconstruction presented for treatment of postoperative oropharyngeal hemorrhage. Asleep nasal fiberoptic intubation was attempted, but a rare and unanticipated complication ensued: rupture of right facial artery pseudoaneurysm. The difficult airway algorithm was followed up to the point of surgical airway. While nasal or oral fiberoptic intubation is often perceived as the safest approach for management of a difficult airway, we discuss alternative treatment strategies for patients with a facial pseudoaneurysm...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509523/electrophysiology-of-muscle-fatigue-in-cardiopulmonary-resuscitation-on-manikin-model
#5
Carlos Cobo-Vázquez, Gemma De Blas, Pablo García-Canas, María Del Carmen Gasco-García
Cardiopulmonary resuscitation requires the provider to adopt positions that could be dangerous for his or her spine, specifically affecting the muscles and ligaments in the lumbar zone and the scapular spinal muscles. Increased fatigue caused by muscular activity during the resuscitation could produce a loss of quality and efficacy, resulting in compromising resuscitation. The aim of this study was to evaluate the maximum time a rescuer can perform uninterrupted chest compressions correctly without muscle fatigue...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509522/dexmedetomidine-enhances-the-pulpal-anesthetic-effect-of-lidocaine-a-pilot-study
#6
Yoko Tonooka, Katsuhisa Sunada
Dexmedetomidine hydrochloride (DEX) demonstrates analgesic, sedative, and hypotensive effects. DEX may also enhance the effect of local anesthetics used in the oral cavity, although this has not been well established in combination with lidocaine. We conducted a single-blind crossover study in 8 healthy volunteers to investigate whether DEX enhances the anesthetic effect of lidocaine in the oral cavity. DEX or DEX + lidocaine was injected into the labial gingiva corresponding to the root apex of the maxillary left central incisor and into the buccal gingiva corresponding to the root apex of the mandibular right first molar...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509521/practice-patterns-of-dentist-anesthesiologists-in-north-america
#7
Andrew S Young, Michael W Fischer, Nicholas S Lang, Matthew R Cooke
This study provides trends in the discipline of dental anesthesiology. A questionnaire-based survey was sent to 338 members of the American Society of Dentist Anesthesiologists to evaluate practice patterns. One focus of the study was modality of sedation/anesthesia used for dentistry in North America. Age, gender, years in practice, and geographic region of practice were also obtained. Data gathered from the returned questionnaires were entered into an Excel spreadsheet and then imported into JMP Statistical Discovery Software (v12...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509520/the-effects-of-different-levels-of-ambient-oxygen-in-an-oxygen-enriched-surgical-environment-and-production-of-surgical-fires
#8
Leah B Davis, Mark A Saxen, James E Jones, James D McGlothlin, Juan F Yepes, Brian J Sanders
Surgical fires require an oxygen-enriched environment, a flammable substrate, and an ignition source. We hypothesized ambient oxygen concentration is proportional to the latency time to combustion and the incidence of surgical fires that are detected. We examined latency time and number of events, utilizing the VanCleave et al model of intraoral fire ignition under 60, 80, and 100% oxygen concentration and flow rates of 4 and 10 L/min. Results demonstrated that ambient oxygen concentration and flow rate correlated positively to the initiation of combustion...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509519/challenges-of-airway-management
#9
Joel M Weaver
No abstract text is available yet for this article.
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509518/volume-of-anesthetic-agents-and-ianb-success-a-systematic-review
#10
Amin Salem Milani, Mohammad Froughreyhani, Saeed Rahimi, Vahid Zand, Mohammad Asghari Jafarabadi
The aim of this study was to provide an evidence-based answer to the question: "Is 3.6-mL volume of an anesthetic agent more effective than 1.8-mL volume in providing anesthesia for mandibular molars?" Following formulation of research question and keyword selection, a comprehensive search of the following databases was conducted: Cochrane library, PubMed, Scopus, Google Scholar, ProQuest, and Clinicaltrials.gov. Three-phase eligibility appraisal and quality assessment of the studies were carried out by 2 independent reviewers...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509517/airway-management-for-a-pediatric-patient-with-a-tracheal-bronchus
#11
Masanori Tsukamoto, Jun Hirokawa, Takashi Hitosugi, Takeshi Yokoyama
Tracheal bronchus is an ectopic bronchus almost arising from the right side of the tracheal wall above the carina. The incidence of a tracheal bronchus is reported as 0.1 to 3%. We experienced a patient with tracheal bronchus that was incidentally found at induction of anesthesia. Endotracheal intubation in a patient with tracheal bronchus might cause obstruction of the tracheal bronchus, although in this case, ventilation was not impaired.
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509516/a-comparative-study-of-oral-analgesics-for-postoperative-pain-after-minor-oral-surgery
#12
Atsushi Hanzawa, Toshiyuki Handa, Yoshihiko Kohkita, Tatsuya Ichinohe, Ken-Ichi Fukuda
We compared the effects of preoperative administration of diclofenac sodium, celecoxib, and acetaminophen on postoperative pain in patients undergoing minor oral surgery under general anesthesia. One hundred twenty-eight patients were randomly divided into 4 groups preoperatively treated with diclofenac sodium 50 mg, celecoxib 400 mg, acetaminophen 1000 mg, or placebo. Postoperative pain was managed using intravenous patient-controlled infusion of fentanyl. Assessments included levels of postoperative pain by using visual analog scale (VAS) scores at 4, 5, and 6 hours after administration of the test drug; consumption of fentanyl up to each time point; and time to first requirement for fentanyl...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509515/literature-review-for-office-based-anesthesia
#13
Stewart L Cohen, Keira P Mason, Mark A Saxen
No abstract text is available yet for this article.
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29509514/anesthetic-considerations-for-patients-on-antidepressant-therapy-part-ii
#14
Mana Saraghi, Leonard Golden, Elliot V Hersh
Millions of patients take antidepressant medications in the United States for the treatment of depression or anxiety disorders. Some antidepressants are prescribed off-label to treat problems such as chronic pain, low energy, and menstrual symptoms. Antidepressants are a broad and expansive group of medications, but the more common drug classes include tricyclic antidepressants, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and monoamine oxidase inhibitors. A miscellaneous or "atypical" category covers other agents...
2018: Anesthesia Progress
https://www.readbyqxmd.com/read/29235878/literature-review-for-office-based-anesthesia
#15
Mark A Saxen
No abstract text is available yet for this article.
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29200376/anesthetic-considerations-for-patients-on-antidepressant-therapy-part-i
#16
Mana Saraghi, Leonard R Golden, Elliot V Hersh
Millions of patients take antidepressant medications in the United States for the treatment of depression or anxiety disorders. Some antidepressants are prescribed off-label to treat problems such as chronic pain, low energy, and menstrual symptoms. Antidepressants are a broad and expansive group of medications, but the more common drug classes include tricyclic antidepressants, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and monoamine oxidase inhibitors. A miscellaneous or "atypical" category covers other agents...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29200375/a-case-of-laryngeal-granuloma-likely-caused-by-laryngopharyngeal-reflux-disease-following-a-sagittal-split-ramus-osteotomy
#17
Mami Nakamura, Akio Uda, Naokazu Kataoka, Kana Nagasaka, Kazuhisa Tamashige, Daichi Mori, Hideo Niwa, Koh Shibutani
Laryngeal granuloma is an uncommon complication of prolonged endotracheal intubation. A 25-year-old woman with severe jaw deformity underwent sagittal split ramus osteotomy under general anesthesia. Two days after extubation, the patient complained of hoarseness, sore throat, and dyspnea. When symptoms persisted, she was evaluated in the Otolaryngology Department. She was diagnosed with laryngeal granuloma of the bilateral arytenoid cartilages, and conservative treatment was selected. Administration of corticosteroid hormones, proton pump inhibitors, and a subsequent follow-up examination performed in our outpatient clinic showed no evidence of recurrence 10 months after the initial presentation...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29200374/dexmedetomidine-increases-the-latency-of-thermal-antinociception-in-rats
#18
Yukako Tsutsui, Katsuhisa Sunada
Recent reports have stated that dexmedetomidine (DEX), an α2 -adrenoreceptor agonist, enhances the local anesthetic effects of ropivacaine and prolongs its effective duration. However, little is known about the effect of a combination of DEX and lidocaine on anesthetic duration. Therefore, we investigated whether DEX can prolong the local anesthetic effect of lidocaine, using the thermal paw withdrawal test in Wistar rats in order to measure local anesthetic duration. We subcutaneously injected 50 μL of either normal saline, 2% lidocaine, a combination of 0...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29200373/retropharyngeal-dissection-by-parker-flex-tip-nasal-endotracheal-tube
#19
Makoto Terumitsu, Mikiko Hirahara, Kenji Seo
Possible complications of nasotracheal intubation include injury to the nasal or pharyngeal mucosa. Dissection of the retropharyngeal tissue by the endotracheal tube is one of the rarer of the more severe complications. Previous studies have indicated that the Parker Flex-Tip (PFT) tracheal tube (Parker Medical, Highlands Ranch, Colo) reduces the incidence of mucosal injury. We experienced a case involving inadvertent retropharyngeal placement of a PFT tube in a 29-year-old patient during nasotracheal intubation under general anesthesia for elective dental treatment...
2017: Anesthesia Progress
https://www.readbyqxmd.com/read/29200372/anesthetic-efficacy-of-articaine-and-lidocaine-in-a-primary-intraseptal-injection-a-prospective-randomized-double-blind-study
#20
Tera Bonar, John Nusstein, Al Reader, Melissa Drum, Sara Fowler, Mike Beck
Additional studies are needed to evaluate intraseptal anesthesia in the mandibular first molar. The purpose of this study was to compare the anesthetic efficacy of a primary intraseptal injection of articaine and lidocaine, administered with a computer-controlled local anesthetic delivery (CCLAD) system, in asymptomatic mandibular first molars. Using a crossover design, 100 subjects randomly received intraseptal injections of 1.4 mL of 4% articaine and 2% lidocaine, both with 1:100,000 epinephrine, at 2 separate appointments...
2017: Anesthesia Progress
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