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Anesthesiology and Pain Medicine

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https://www.readbyqxmd.com/read/30027067/occlusion-of-the-ascenda-catheter-in-a-patient-with-pump-twiddler-s-sydrome-a-case-report
#1
Jianning Shao, Leonardo Frizon, Andre G Machado, Keith McKee, Francois Bethoux, Jennifer Hartman, Sean J Nagel
Introduction: Intrathecal baclofen (ITB) therapy is an effective way to manage spasticity in numerous conditions, including multiple sclerosis, stroke, and cerebral palsy. While pump failure is a common complication of ITB, improvements in device design have led to reduction of complications. In particular, the Ascenda catheter from Medtronic, Inc. was designed to resist kinking and associated complications; indeed, no incidences of catheter twisting or occlusion have been reported in literature prior to this case...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30027066/effect-of-dexmedetomidine-versus-nalbuphine-as-an-adjuvant-on-paravertebral-block-to-manage-postoperative-pain-after-mastectomies
#2
Mohammad Omar Mostafa, Joseph Makram Botros, Atef Mohammad Sayed Khaleel
Background and Objective: Breast cancer is the commonest cancer in women worldwide. Many patients are frequently admitted to the operating theaters for mastectomies. Thoracic paravertebral block (PVB) is increasingly used as an effective means for post-operative pain relief. The present study aimed at evaluating the effectiveness and safety of dexmedetomidine and nalbuphine as an adjuvant to bupivacaine local anesthetic in thoracic paravertebral block in breast cancer surgeries. Methods: A total of 60 female patients aged 18 to 78 were included in the study, and ASA I, II, III were scheduled for mastectomy...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30009153/a-comparative-study-of-the-amount-of-bleeding-and-hemodynamic-changes-between-dexmedetomidine-infusion-and-remifentanil-infusion-for-controlled-hypotensive-anesthesia-in-lumbar-discopathy-surgery-a-double-blind-randomized-clinical-trial
#3
Fatemeh Javaherforooshzadeh, Seyed Alireza Monajemzadeh, Mansoor Soltanzadeh, Farahzad Janatmakan, Amir Salari, Hesam Saeed
Background: The aim of this study was to compare the volume of blood loss and hemodynamic changes in patients undergoing lumbar discopathy, after continuous infusions of dexmedetomidine versus remifentanil during anesthesia with controlled low blood pressure. Methods: In this randomized double-blind clinical trial, 60 patients aged 20 to 65 years were randomly assigned to control and intervention groups. The intervention group received a continuous infusion of dexmedetomidine at 0...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30009152/the-determination-of-an-appropriate-time-for-placement-of-the-classic-laryngeal-mask-airway-in-patients-undergoing-general-anesthesia
#4
Naghi Abedini, Masoud Parish, Haleh Farzin, Hojjat Pourfathi, Masume Akhsham
Background: The management of the airways is an essential component of anesthesia planning. Laryngeal mask airway (LMA) plays an important role in modern anesthesia, however, intubation by LMA has some complications. It may cause inadequate anesthesia depth, which can lead to adverse events. The aim of this study was to evaluate the optimal time for intubation by LMA under general anesthesia. Methods: This study was conducted on 96 patients, who underwent operation and were appropriate candidates for intubation with appropriate LMA...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30009151/comparison-of-oral-melatonin-and-midazolam-as-premedication-in-children-undergoing-general-anesthesia-for-dental-treatment
#5
Reyhaneh Faghihian, Alireza Eshghi, Hessamoddin Faghihian, Nasser Kaviani
Background: Dental anxiety is prevalent in children. This condition may cause uncooperative behavior and need a treatment under general anesthesia. The perioperative period, especially for children, is a stressing event. Premedication is commonly used to reduce perioperative anxiety and facilitate the induction of anesthesia. Methods: 132 children candidates for dental treatment under GA were enrolled in this study and randomly divided into 3 groups. Oral melatonin, midazolam, and normal saline were administered as premedication...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30009150/effect-of-perioperative-intravenous-lignocaine-infusion-on-haemodynamic-responses-and-postoperative-analgesia-in-laparoscopic-cholecystectomy-surgeries
#6
Krishna Murthy Tk, Vinay Kumar Pv
Background: During general anaesthesia, intubation of trachea and extubation of trachea are often associated with increase in haemodynamic response. Laparoscopic cholecystectomy is a minimal access surgery; postoperatively patients may experience moderate to severe pain. It is well known that lignocaine is useful in attenuating haemodynamic response to intubation and extubation. Previous studies also state that perioperative lignocaine infusion provides postoperative analgesia as well...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30009149/the-effect-of-dexmedetomidine-prescription-on-shivering-during-operation-in-the-spinal-anesthesia-procedures-of-selective-orthopedic-surgery-of-the-lower-limb-in-addicted-patients
#7
Mahshid Ghasemi, Faranak Behnaz, Habibollah Hajian
Background: Shivering during a surgery is common. Recently, Alpha-D-agonist dexmedetomidine has been used to control and prevent shivering during and after surgery. However, the anti-shivering effects of this drug in people are unknown with substance abuse. The purpose of this study was to investigate the anti-shivering effect of this drug in addicted individuals. Methods: After obtaining the required criteria, the criteria were randomized in 2 groups, dexmedetomidine and normal saline (each group n = 30), and were matched in age and sex...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/30009148/a-comparison-of-continuous-thoracic-epidural-analgesia-with-bupivacaine-versus-bupivacaine-and-dexmedetomidine-for-pain-control-in-patients-with-multiple-rib-fractures
#8
Dawood Agamohammdi, Majid Montazer, Maryam Hoseini, Mehdi Haghdoost, Haleh Farzin
Background: The control of pain in traumatic patients with chest injury leading to rib fracture is one of the primary goals in traumatic patients. The efficacy of the thoracic epidural approach in comparison with other approaches for relieving post-thoracotomy pain is unknown. The goal of the present study was to compare thoracic epidural analgesia with bupivacaine alone and in combination with dexmedetomidine in patients with multiple rib fractures. Methods: 64 traumatic patients with multiple rib fractures were selected and randomly assigned to two similar groups...
April 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868463/persistent-hypothermia-and-excessive-sweating-following-intrathecal-morphine-administration-in-a-teenage-boy-a-case-report
#9
Sara Ferraz, Telma Caria, Aline Vaz Da Silva, Maria Jose Candeias, Teresa Cenicante
Introduction: Opioids are used intrathecally to manage surgical pain. There are few reports of hypothermia after spinal morphine injection, none in the pediatric population. We present a teenager's case of mild hypothermia. Case Presentation: A 15-year-old boy was scheduled for elective abdominal laparotomy. General anesthesia was combined with spinal anesthesia, using levobupivacaine and morphine. In the recovery room, he presented a decreased tympanic temperature (34...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868462/relationship-between-anthropometric-findings-and-results-of-corticosteroid-injections-treatment-in-chronic-plantar-heel-pain
#10
Mohammad Amin Valizadeh, Ahmadreza Afshar, Ebrahim Hassani, Ali Tabrizi, Shaghayeg Rezalo, Nilsa Dourandish
Background: Chronic plantar heel pain (CPHP) is one of the common, disabling, and painful problems in the foot. Obesity is one of the known causes of CPHP. The aim of this study is to investigate the relationship between the body mass and the treatment of chronic plantar heel pain. Methods: In a cohort study, 80 CPHP patients, including 16 men and 64 women, who referred to orthopedic clinic from 2014 to 2016, were investigated. All the patients were initially treated by corticosteroid injections...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868461/the-addition-of-a-head-rotation-when-the-ramped-position-fails-to-provide-good-laryngeal-visualization-a-preliminary-study
#11
Wasa Ueda, Shigeto Hatakeyama, Young-Chang P Arai
Although several studies have reported that the ramped position (torso and head elevated) significantly improves laryngoscopic view, in our experience, the ramped position fails to provide good laryngeal visualization in some cases. When the ramped position failed to provide good laryngeal visualization, we added a head rotation in order to improve laryngeal visualization in 62 patients. The method significantly improved laryngeal visualization and did not cause laryngeal disturbances postoperatively.
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868460/anesthesia-preoperative-clinic-evaluation-of-obstructive-sleep-apnea-using-nasal-fiberoptic-videoendoscopy-a-pilot-study-comparison-with-polysomnography
#12
Sandeep Jain, Peter J Kallio, Kenneth Less, Jutta Novalija, Paul S Pagel, Thomas J Ebert
Background: Nasal fiberoptic videoendoscopy is an established technique to assess upper airway pathology in conscious and sedated patients. Objectives: The authors conducted a prospective proof-of-concept pilot study to evaluate whether airway narrowing detected using nasal fiberoptic videoendoscopy in the anesthesia preoperative clinic was capable of defining the severity of obstructive sleep apnea (OSA) in patients scheduled for elective surgery. Methods: After application of topical local anesthesia (4% lidocaine with phenylephrine), sixteen patients (ASA physical status 2 or 3) underwent nasal fiberoptic videoendoscopy in sitting position...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868459/long-lasting-orthostatic-hypotension-and-constipation-after-celiac-plexus-block-a-case-report
#13
Fardin Yousefshahi, Mamak Tahmasebi
This case report presents a 55 years old man, presented with abdominal pain and diagnosed with a metastatic pancreatic tumor, who developed long lasting orthostatic hypotension and constipation following a celiac plexus block.
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868458/unrestricted-and-restricted-access-to-sugammadex-and-side-effect-profile-in-a-teaching-hospital-centre-for-year-2014-database-audit-study
#14
Vasanth Rao Kadam, Stuart Howell
Background: Sugammadex is used for the rapid reversal of neuro muscular block. It was used on an unrestricted basis in our facility prior to July 2014 but has subsequently been restricted due to the removal of cost subsidies. Our aim is to determine the impact of restricting the use of Sugammadex on clinical outcomes. Methods: A retrospective audit was conducted for the period January 1st to December 31st 2014. Sugammadex use was unrestricted during the first 6 months of this period and restricted over the following period...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868457/effect-of-manual-caudal-and-downward-displacement-of-lower-cervical-adipose-tissue-on-laryngoscopic-grade-of-patients-with-morbid-obesity
#15
Sarvin Sanaie, Issa Bilejani, Mirmohammadtaghi Mortazavi, Ata Mahmoodpoor, Sohrab Negargar, Elnaz Faramarzi, Nazanin Hazhir, Qasem Golalizadeh Bibalan, Hassan Soleimanpour
Background: The prevalence of obesity has substantially increased all over the world in the past decades and anesthesiologists more commonly encounter these patients. Excess cervical adipose tissues can result in the narrowing of the pharyngeal opening and affect laryngoscopic grade. Objectives: To evaluate the effect of manual caudal and cervical displacement of cervical adipose tissue on laryngoscopic view of morbid obese patients. Methods: A total of 70 patients with a BMI ≥ 35 were enrolled in this study...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868456/effect-of-honey-on-diarrhea-and-fecal-microbiotain-in-critically-ill-tube-fed-patients-a-single-center-randomized-controlled-study
#16
Zahra Vahdat Shariatpanahi, Fatemeh Jamshidi, Javad Nasrollahzadeh, Zohreh Amiri, Houman Teymourian
Background: In patients admitted to the Intensive Care Unit (ICU), Enteral Nutrition (EN) is the first choice for feeding support, however, it is often complicated by gastrointestinal side effects, such as diarrhea. There are no studies that have specifically evaluated effect of a prebiotic, which prevents diarrhea during enteral nutrition. Objective: This study aimed at evaluating the effect of honey in enteral diet during occurrence of diarrhea and fecal microbiotain in critically ill patients...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29868455/association-between-disease-severity-and-calcium-concentration-in-critically-ill-patients-admitted-to-intensive-care-unit
#17
Sarvin Sanaie, Ata Mahmoodpoor, Hadi Hamishehkar, Kamran Shadvar, Nasim Salimi, Majid Montazer, Afshin Iranpour, Elnaz Faramarzi
Background: Hypocalcemia is very common in critically ill patients admitted to ICU. However, its clinical importance and relation to patient's outcome during early days of ICU admission is questionable. Based on the mentioned problem, it seems that calcium assessment is highly important in these patients. The present study aimed at evaluating the relationship between different calcium concentrations (total/ionized/corrected) and disease severity in critically ill patients. Methods: A total of 100 patients admitted to intensive care units of Imam Reza and Shohada hospitals during Feb 2014 and Apr 2016 were enrolled in this prospective trial...
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29845016/spinal-anesthesia-in-an-infant-with-osteogenesis-imperfecta
#18
Ozkan Onal, Muhammed Emin Zora, Emine Aslanlar, Aysun Ozdemirkan, Jale Bengi Celik
No abstract text is available yet for this article.
February 2018: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696131/letter-to-the-effect-of-different-doses-of-intrathecal-hyperbaric-bupivacaine-plus-sufentanil-in-spinal-anesthesia-for-cesarean-sections
#19
Mahnaz Narimani Zamanabadi
No abstract text is available yet for this article.
December 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29696130/intraperitoneally-located-tip-of-femoral-vein-catheter-clinical-suspicion-for-avoidance-of-unnecessary-laparotomy
#20
Hamed Shafiee, Saeid Safari, Reza Aminnejad
Central venous catheterization is a common procedure in critical care and trauma patients. Complications are not rare and in some studies more than 15% incidence has been reported (1). Femoral vein is one of the commonest site for this purpose yet it carries complications, such as infection and misplacement. The current study reports an unexpected secondary malposition of right femoral CVC in the peritoneal cavity. It was concluded that in any case of acute abdominal issues, following insertion of femoral venous catheter, evaluation of catheter misplacement by the means of contrast injection through it can be helpful for better diagnosis, and may help avoid unnecessary surgical interventions...
December 2017: Anesthesiology and Pain Medicine
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