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Anesthesiology and Pain Medicine

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https://www.readbyqxmd.com/read/27853682/acute-cervical-spontaneous-spinal-epidural-hematoma-presenting-with-minimal-neurological-deficits-a-case-report
#1
Jisoon Huh, Ho-Young Kwak, You-Nam Chung, Sun Kyung Park, Yun Suk Choi
INTRODUCTION: Spontaneous spinal epidural hematoma (SSEH) is an uncommon but potentially fatal condition. The increased bleeding tendency associated with anticoagulant medications has been proven to increase the risk of SSEH. The symptoms of SSEH usually begin with sudden severe neck or back pain and are followed by neurological deficits. However, some cases present with only axial pain or with radicular pain similar to herniated disc disorders. CASE PRESENTATION: A 28-year-old healthy man developed a sudden onset of severe neck and right shoulder pain with mild arm weakness...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27853681/sedative-and-analgesic-effects-of-propofol-fentanyl-versus-propofol-ketamine-during-endoscopic-retrograde-cholangiopancreatography-a-double-blind-randomized-clinical-trial
#2
Fakhroddin Bahrami Gorji, Parviz Amri, Javad Shokri, Hakimeh Alereza, Ali Bijani
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a painful procedure that requires analgesia and sedation. OBJECTIVES: In this study, we compared the analgesic and sedative effects of propofol-ketamine versus propofol-fentanyl in patients undergoing ERCP. METHODS: In this clinical trial, 72 patients, aged 30 - 70 years old, who were candidates for ERCP were randomly divided into two groups. Before the start of ERCP, both groups received midazolam 0...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847704/treatment-of-postoperative-pain-in-pediatric-operations-comparing-the-efficiency-of-bupivacaine-bupivacaine-dexmedetomidine-and-bupivacaine-fentanyl-for-caudal-block
#3
Hashem Jarineshin, Fereydoon Fekrat, Aida Kargar Kermanshah
BACKGROUND: Caudal analgesia is a common method for postoperative pain management in pediatric patients. Additive agents such as opioids and α2 agonists have been used to enhance the analgesic effects of local anesthetics for caudal block. OBJECTIVES: The aim of this study was to compare the additive effects of dexmedetomidine and fentanyl on bupivacaine-induced caudal analgesia in pediatric patients who had undergone elective inguinal hernia repair. METHODS: This randomized, double-blind clinical trial included children aged 1 - 5 years who were divided into three groups: the bupivacaine group (Group B) received 0...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847703/treatment-of-post-latissimus-dorsi-flap-breast-reconstruction-pain-with-continuous-paravertebral-nerve-blocks-a-retrospective-review
#4
Jonathan T Unkart, Jennifer A Padwal, Brian M Ilfeld, Anne M Wallace
OBJECTIVES: The addition of a perioperative continuous paravertebral nerve block (cPVB) to a single-injection thoracic paravertebral nerve block (tPVB) has demonstrated improved analgesia in breast surgery. However, its use following isolated post-mastectomy reconstruction using a latissimus dorsi flap (LDF) has not previously been examined. METHODS: We performed a retrospective review of patients who underwent salvage breast reconstruction with a unilateral LDF by a single surgeon...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847702/central-venous-cannulation-of-the-internal-jugular-vein-both-with-and-without-ultrasound-guidance-in-iran
#5
Hamidreza Karimi-Sari, Niloofar Nikjoo
No abstract text is available yet for this article.
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847701/the-effect-of-desmopressin-on-the-amount-of-bleeding-in-patients-undergoing-coronary-artery-bypass-graft-surgery-with-a-cardiopulmonary-bypass-pump-after-taking-anti-platelet-medicine
#6
Ali Mirmansoori, Farnoush Farzi, Abbas Sedighinejad, Vali Imantalab, Ali Mohammadzadeh, Zahra Atrkar Roushan, Samaneh Ghazanfar Tehran, Maryam Nemati, Afsaneh Dehghan
BACKGROUND: Coronary artery bypass grafting (CABG) is a common surgical intervention at the end-stages of coronary artery occlusion disease. Despite the effectiveness of CABG, it may have particular complications, such as bleeding during and after surgery. So far, there have been many drugs used to reduce bleeding. OBJECTIVES: This study aimed at investigating the effects of desmopressin on the amount of bleeding in patients undergoing CABG with a cardiopulmonary bypass pump (CPBP) who were taking anti-platelet medicine...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847700/the-effect-of-ginger-extract-on-the-incidence-and-severity-of-nausea-and-vomiting-after-cesarean-section-under-spinal-anesthesia
#7
Hossein Zeraati, Javad Shahinfar, Shiva Imani Hesari, Mahnaz Masrorniya, Fatemeh Nasimi
BACKGROUND: Nausea and vomiting are one of the most common complications of cesarean sections under spinal anesthesia. Recently, the use of drugs to treat nausea and vomiting has decreased, and nonpharmaceutical and alternative traditional medicine are often preferred. OBJECTIVES: This study aimed to determine the effect of ginger extract on the incidence and severity of nausea and vomiting after cesarean section under spinal anesthesia. METHODS: In this double-blind randomized clinical trial, 92 pregnant women, each of whom underwent a cesarean section under spinal anesthesia, were divided in two groups: a control group and an intervention group...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847699/ultrasound-for-localization-of-central-venous-catheter-a-good-alternative-to-chest-x-ray
#8
Hamid Kamalipour, Sedigheh Ahmadi, Karmella Kamali, Alireza Moaref, Masih Shafa, Parsa Kamalipour
BACKGROUND: Chest radiography after central venous catheter (CVC) insertion is the main method of verifying the catheter location. Despite the widespread use of radiography for detecting catheter position, x-ray may not always be readily available, especially in the operating room. OBJECTIVES: We aimed to compare contrast-enhanced ultrasonography (CEUS) and chest radiography for detecting the correct location of CVCs. METHODS: One hundred sixteen consecutive patients with indications for CVC before cardiac surgery were enrolled in this observational study...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847698/intrathecal-midazolam-as-an-adjuvant-in-pregnancy-induced-hypertensive-patients-undergoing-an-elective-caesarean-section-a-clinical-comparative-study
#9
Ravichandra Dodawad, Sumalatha G B, Sandeep Pandarpurkar, Parashuram Jajee
BACKGROUND: A pain-free postoperative period is essential following a caesarean section so new mothers may care for and bond with their neonates. Intrathecal adjuvants are often administered during this procedure to provide significant analgesia, but they may also have bothersome side effects. Intrathecal midazolam produces effective postoperative analgesia with no significant side effects. OBJECTIVES: This prospective, randomized, double-blind study was designed to compare the analgesic efficacy and safety of intrathecal midazolam vs...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847697/comparison-of-the-effect-of-open-and-closed-endotracheal-suctioning-methods-on-pain-and-agitation-in-medical-icu-patients-a-clinical-trial
#10
Raziyeh Dastdadeh, Abbas Ebadi, Amir Vahedian-Azimi
BACKGROUND: Endotracheal suctioning is a necessary procedure practiced by nurses in intensive care units to remove lung secretions. This procedure leads to higher oxygenation levels and reduced breathing difficulties. It also prevents atelectasis, pulmonary infections, and the accumulation of secretions. OBJECTIVES: The present study aims to compare the effectiveness of open and closed endotracheal suction tube systems on pain and agitation in patients under mechanical ventilation...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847696/ice-reduces-needle-stick-pain-associated-with-local-anesthetic-injection
#11
Babak Mahshidfar, Salimeh Cheraghi Shevi, Mohsen Abbasi, Mohammad Hosseini Kasnavieh, Mahdi Rezai, Mina Zavereh, Reza Mosaddegh
BACKGROUND: Local anesthetic injections are widely used in the emergency department for different purposes. Pain management for such injections is of great importance to both patients and the healthcare system. OBJECTIVES: Our study aimed to determine the effectiveness and safety of cryotherapy in patients receiving local anesthetic injections. METHODS: Subjects who presented with superficial lacerations were randomly assigned to 2 groups, the first group received ice packing prior to injection and the second did not...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847695/combined-ketamine-tramadol-subcutaneous-wound-infiltration-for-multimodal-postoperative-analgesia-a-double-blinded-randomized-controlled-trial-after-renal-surgery
#12
Mohammad Reza Khajavi, Marzieh Navardi, Reza Shariat Moharari, Pejman Pourfakhr, Narjes Khalili, Farhad Etezadi, Farsad Imani
BACKGROUND: Pain is an important consideration after renal surgery. A multimodal approach to postoperative pain management could enhance analgesia by risking fewer side effects after surgery. OBJECTIVES: The aim of this study was to evaluate the clinical efficacy of the subcutaneous infiltration of ketamine and tramadol at the incision site to reduce postoperative pain. METHODS: Sixty-four patients between 18 and 80 years old who were scheduled for elective renal surgery were enrolled in a double-blind randomized controlled study...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847694/contribution-of-low-dose-computerized-tomography-with-digital-multiplanar-reconstructions-in-thoracic-epidurography-and-correlation-with-sensory-block-in-postoperative-analgesia
#13
Cyrus Motamed, Karin Chedevergne, Frederic Deschamps, Lambros Tselikas, Christian Jayr
BACKGROUND: The level of sensory block in postoperative epidural analgesia has been correlated with conventional contrast epidurography in only one study, while low-dose CT scan epidurography with multiplanar reconstruction may be a better tool for this purpose. OBJECTIVES: The primary objective of this study was to evaluate, by CT imaging and digital multiplanar reconstruction, the spread and distribution of contrast medium injected into the epidural space through a catheter inserted in a low thoracic position for postoperative analgesia...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847693/comparison-of-spinal-needle-deflection-in-a-ballistic-gel-model
#14
Ethan Rand, George Christolias, Christopher Visco, Jaspal R Singh
BACKGROUND: Percutaneous diagnostic and therapeutic procedures are commonly used in the treatment of spinal pain. The success of these procedures depends on the accuracy of needle placement, which is influenced by needle size and shape. OBJECTIVES: The purpose of this study is to examine and quantify the deviation of commonly used spinal needles based on needle tip design and gauge, using a ballistic gel tissue simulant. MATERIALS AND METHODS: Six needles commonly used in spinal procedures (Quincke, Short Bevel, Chiba, Tuohy, Hustead, Whitacre) were selected for use in this study...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27843786/diffuse-alveolar-hemorrhage-in-patients-undergoing-neurointervention-a-case-report
#15
Yun Suk Choe, Na Young Kim, Ae Ryoung Lee
INTRODUCTION: Diffuse alveolar hemorrhage (DAH) is a very rare complication but acute and life-threatening event. Clopidogrel has generally administered for neurointerventional surgery, but there were no reports of DAH related to clopidogrel in patients undergoing neurointervention. CASE PRESENTATION: A 70-year-old male presented with DAH associated with clopidogrel after transfemoral cerebral angiography and coil embolization for cerebral aneurysm. The chest radiography showed bilateral symmetric peribronchial consolidation and bronchoscopy revealed diffuse hemorrhage on the bronchial wall at the bilateral lung...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27843785/comparison-of-successful-spinal-needle-placement-between-crossed-leg-sitting-position-and-traditional-sitting-position-in-patients-undergoing-urology-surgery
#16
Sidharta K Manggala, Aida R Tantri, Darto Satoto
BACKGROUND: The patient's position during spinal anesthesia administration plays a major role in the success of spinal needle insertion into the subarachnoid space. The traditional sitting position (TSP) is the standard position for spinal anesthesia administration, but the success rate for spinal anesthesia administration in the TSP is still quite low. The crossed-leg sitting position (CLSP) is one of the alternative positions for the administration of spinal anesthesia, which can increase the degree of lumbar flexion...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27843784/successful-conservative-management-of-tracheal-injury-after-forceful-coughing-during-extubation-a-case-report
#17
Joo Hyeon Oh, Sung Jun Hong, Sang Soo Kang, Sung Mi Hwang
A-56-year-old woman underwent carpal tunnel release surgery under general anesthesia. Thirty minutes after extubation, the patient complained of chest discomfort with dyspnea. Swelling of the neck and upper anterior chest was observed. Computed tomography of the chest showed tracheal rupture at the brachiocephalic trunk level, and bronchoscopy demonstrated a 5 cm linear tracheal defect in the posterior membranous wall, 6 cm proximal to the carina. Surgical repair of the tracheal injury was impossible due to its location...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27843783/validation-of-a-new-objective-pain-score-vs-numeric-rating-scale-for-the-evaluation-of-acute-pain-a-comparative-study
#18
Xiulu Ruan, Ira W Padnos, Alan D Kaye
No abstract text is available yet for this article.
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27843782/the-use-of-a-stylet-to-aid-the-lifting-of-the-epiglottis-with-a-video-laryngoscope
#19
Wasa Ueda, Young-Chang P Arai
This study involved 154 anesthetized patients requiring endotracheal intubation, in whom the epiglottis was visible but not lifted, which restricted the view of the glottis. A simple stylet was used to lift the epiglottis, thus improving the view of the glottis with the Glide Scope®, allowing tracheal tubes to be inserted into the patients. The stylet easily resolved the difficulty of lifting the epiglottis when using a video laryngoscope, thus facilitating endotracheal intubation in patients undergoing general anesthesia...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27843781/comparison-of-bispectral-index-monitoring-with-the-critical-care-pain-observation-tool-in-the-pain-assessment-of-intubated-adult-patients-after-cardiac-surgery
#20
Zahra Faritous, Arvin Barzanji, Rasoul Azarfarin, Behshid Ghadrdoost, Mohsen Ziyaeifard, Nahid Aghdaei, Mostafa Alavi
BACKGROUND: Detecting pain is crucial in sedated and mechanically ventilated patients, as they are unable to communicate verbally. OBJECTIVES: This study aimed to compare Bispectral index (BIS) monitoring with the Critical-care pain observation tool (CPOT) and vital signs for pain assessment during painful procedures in intubated adult patients after cardiac surgery. MATERIALS AND METHODS: Seventy consecutive patients who underwent cardiac surgery (coronary artery bypass graft or valvular surgery) were enrolled in the study...
August 2016: Anesthesiology and Pain Medicine
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