keyword
https://read.qxmd.com/read/38537186/can-the-width-of-lower-tongue-base-preoperative-sonography-measurements-predict-hypoxemia-during-esophagogastroduodenoscopy-under-sedation-in-asa-i-ii-patients
#1
JOURNAL ARTICLE
Hao Wu, Min Xia, Xu Chen, Sheng Wang, Wei Zhang
The most common complication during esophagogastroduodenoscopy (EGD) under sedation is hypoxemia. There is a scarcity of indicators to predict the risk of hypoxemia during EGD under sedation accurately. The width of the lower tongue base measured by ultrasound (US) is considered to be a significant predictor of the presence and severity of obstructive sleepapnea syndrome (OSAS), which develops hypoxemia by a similar mechanism to EGD under sedation. This study aimed to observe its ability to predict hypoxemia during EGD under sedation...
January 30, 2024: Medical Ultrasonography
https://read.qxmd.com/read/38537086/effect-of-dexmedetomidine-on-the-incidence-of-postoperative-acute-kidney-injury-in-living-donor-liver-transplantation-recipients-a-randomized-controlled-trial
#2
JOURNAL ARTICLE
Hye-Mee Kwon, Sa-Jin Kang, Sang-Bin Han, Jae Hwan Kim, Sung-Hoon Kim, In-Gu Jun, Jun-Gol Song, Gyu-Sam Hwang
BACKGROUND: Acute kidney injury (AKI) is one of the most common complications after living-donor liver transplantation (LDLT) that has great impact on recipient and graft outcomes. Dexmedetomidine is reported to decrease the incidence of AKI. In the current study, we investigated whether intraoperative dexmedetomidine infusion would reduce the AKI following LDLT. MATERIAL AND METHODS: In total, 205 adult patients undergoing elective LDLT were randomly assigned to the dexmedetomidine group (n=103) or the control group (n=102)...
April 3, 2024: International Journal of Surgery
https://read.qxmd.com/read/38536431/enhancing-safety-in-tumescent-liposuction-managing-sedation-related-respiratory-issues-and-serious-complications-under-deep-sedation-with-the-propofol-ketamine-protocol
#3
JOURNAL ARTICLE
Eun Ju Kim, Hyunju Kim, Younchan Park
BACKGROUND: Over the past 4 years, aesthetic surgery, notably liposuction, has substantially increased. Tumescent liposuction, a popular technique, has two variants-true tumescent liposuction (TTL) and semi-tumescent liposuction. While TTL reduces risks, it has limitations. There is no literature reported on semi-tumescent liposuction under deep sedation using the propofol-ketamine protocol, which is proposed as a potentially safe alternative. METHODS: The retrospective analysis covered 8 years and included 3094 patients performed for tumescent liposuction under deep sedation, utilizing the propofol-ketamine protocol...
March 27, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38535104/transferring-surgical-expertise-analyzing-the-learning-curve-of-robotic-cardiac-surgery-operative-time-reduction-when-surgeon-moves-from-one-experienced-center-to-another
#4
JOURNAL ARTICLE
Sherif M Khairallah, Mohamed Rahouma, Stephanie L Mick
BACKGROUND: Robotically assisted cardiac surgery is performed in a team setting and is well known to be associated with learning curves. Surgeon and operative team learning curves are distinct entities, with total operative time representing the entire operative team (surgery, anesthesia, nursing, and perfusion) and cross-clamp time representing mainly the surgical team. Little is known about how a team learning curve evolves when an experienced surgeon transitions from one surgical center to another...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38534990/safety-and-diagnostic-yield-of-medical-pleuroscopy-mp-performed-under-balanced-analgosedation-by-a-pneumological-team-compared-to-video-assisted-thoracic-surgery-vats-a-retrospective-controlled-real-life-study-torapo
#5
JOURNAL ARTICLE
Valentino Allocca, Luca Guidelli, Angela Galgano, Lucia Benedetti, Roberto Fabbroni, Andrea Bianco, Piero Paladini, Raffaele Scala
INTRODUCTION: Medical pleuroscopy (MP) is an invasive technique that provides access to the pleural space with a rigid or semi-rigid work instrument, allowing for visualization and the obtaining of bioptic pleural samples. Using pulmonologist-based analgosedation to perform pleuroscopy is still debated for safety reasons. The aim of this real-life study is to demonstrate the safety and diagnostic yield of MP performed under balanced analgosedation by a pulmonologist team with expertise in the management of critically ill patients in the respiratory intensive care unit (RICU) and interventional pulmonology unit as compared to video-assisted thoracic surgery (VATS) performed by a thoracic surgeon team under anesthesiologist-based analgosedation...
March 7, 2024: Diagnostics
https://read.qxmd.com/read/38533897/the-effect-of-combined-spinal-epidural-anesthesia-on-shoulder-pain-in-laparoscopic-extraperitoneal-hernia-surgery
#6
JOURNAL ARTICLE
Deniz Guzey, Turgut Donmez, Mehmet Karabulut, Ahmet Surek, Nalan Saygi Emir, Can Ertug Cayirci, Hande Kandemir, Engin Hatipoglu
BACKGROUND: Shoulder pain is a condition that seriously discomforts patients and develops caused by a peritoneal tear in laparoscopic extraperitoneal hernia repair (TEP) surgeries. Although surgeons generally prefer general anesthesia for the TEP technique, many studies have been carried out on the use of regional anesthesia in recent years. In our study, we aimed to investigate the efficacy and safety of the combined spinal/epidural anesthesia (CSEA) method to prevent shoulder pain in the TEP technique...
March 27, 2024: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://read.qxmd.com/read/38533167/suture-based-vascular-closure-versus-surgical-closure-of-large-bore-arteriotomies-a-real-world-experience
#7
JOURNAL ARTICLE
Keshava Murthy, Ratheesh Kumar J, Navjyot Kaur, Amitoj Chadha, Rajeev Chauhan, Davinder Chadha
INTRODUCTION: With the introduction of transcatheter aortic valve implantation (TAVI), endovascular abdominal aortic aneurysm repair (EVAR), thoracic endovascular aortic aneurysm repair (TEVAR), and frequent use of left ventricular assist devices in complicated percutaneous coronary interventions, the use of large bore arterial access has become a necessity. In the index study, we compared the percutaneous closure of large arteriotomies with open surgical (OS) closure. METHODS: It was a prospective study in which we compared the technical success and vascular complication rate associated with the use of a suture-based vascular closure device (VCD): Perclose ProGlide (PP) with that of OS closure...
February 2024: Curēus
https://read.qxmd.com/read/38533144/successful-fluid-management-in-respiratory-failure-due-to-clazosentan-following-a-cerebral-aneurysm-clipping-a-case-report
#8
Hirotaka Kinoshita, Kodai Kato, Yuma Yamazaki, Eiji Hashiba, Kazuyoshi Hirota
Clazosentan, a potent selective endothelin receptor subtype A antagonist, has been demonstrated to be effective in preventing cerebral vasospasms after subarachnoid hemorrhage. We report the successful management of respiratory failure due to pulmonary edema associated with clazosentan, with a hemodynamic monitoring system. A 49-year-old Japanese man underwent emergency clipping for a right internal carotid-posterior communicating artery aneurysm. The surgery and general anesthesia for the rupture proceeded with no complications...
February 2024: Curēus
https://read.qxmd.com/read/38532704/causes-of-intraoperative-neuromonitoring-events-in-adult-spine-deformity-surgery-a-systematic-review
#9
REVIEW
Chloe Cottone, David Kim, Christopher Lucasti, Maxwell M Scott, Benjamin C Graham, Nell Aronoff, Bilal Hasanspahic, David Kowalski, Justin Bird, Dil Patel
STUDY DESIGN: Systematic review. OBJECTIVES: Intraoperative neuromonitoring (IOMN) has become a standard practice in the detection and prevention of nerve damage and postoperative deficit. While multicenter studies have addressed this inquiry, there have been no systematic reviews to date. This systematic review identifies the leading causes of IONM alerts during adult spinal deformity (ASD) surgeries. METHODS: Following PRISMA guidelines, a literature search was performed in PubMed and Embase...
March 27, 2024: Global Spine Journal
https://read.qxmd.com/read/38532430/needle%C3%A2-based-gastrocnemius-lengthening-a-novel-ultrasound%C3%A2-guided-noninvasive-technique-part-ii-clinical-results
#10
JOURNAL ARTICLE
A Iborra, M Villanueva, H Fahandezh-Saddi Díaz
BACKGROUND: Isolated gastrocnemius contracture has been associated with more than 30 lower limb disorders, including plantar heel pain/plantar fasciitis, Achilles tendinosis, equinus foot, adult flatfoot, and metatarsalgia. Although many techniques are available for gastrocnemius recession, potential anesthetic, cosmetic, and wound-related complications can lead to patient dissatisfaction. Open and endoscopic recession techniques usually require epidural or general anesthesia, exsanguination of the lower extremities and stitches and can damage the sural nerve, which is not under the complete control of the surgeon at all stages of the procedure...
March 26, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38532332/effects-of-remote-ischemic-preconditioning-in-hepatectomy-a-systematic-review-and-meta-analysis
#11
Chun Tian, Aihua Wang, He Huang, Youwan Chen
BACKGROUND: Animal experiments have confirmed that remote ischemic preconditioning (RIPC) can reduce hepatic ischemia-reperfusion injuries (HIRIs), significantly improving early tissue perfusion and oxygenation of the residual liver after resections, accelerating surgical prognoses, and improving survival rates. However, there is still controversy over the role of RIPC in relieving HIRI in clinical studies, which warrants clarification. This study aimed to evaluate the beneficial effects and applicability of RIPC in hepatectomy and to provide evidence-based information for clinical decision-making...
March 26, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38531714/management-of-multiple-and-displaced-mandibular-fractures-in-a-pediatric-patient-sans-mandibular-immobilization-sans-open-reduction-and-internal-fixation
#12
Elavenil Panneerselvam, Chandini Ravikumar, Trishala Annamalai Rajan, Sasikala Balasubramanian, V B Krishnakumar Raja
Maxillofacial fractures in the pediatric population are generally managed by conservative approaches such as soft diet and medication or semi-invasive procedures namely inter-maxillary fixation or circum-mandibular wiring. These approaches are preferred over any invasive treatment to minimize injury to the growing skeleton and tooth germs. Displaced fractures that cause functional problems such as restricted mouth opening, malocclusion or impaired breathing, mandate open reduction and internal fixation. However, surgical management is associated with morbidity related to general anesthesia, risk of injury to vital structures, and potential, skeletal or dental growth disturbances...
March 8, 2024: Chinese Journal of Traumatology
https://read.qxmd.com/read/38531194/safety-of-local-anesthesia-in-endovascular-treatment-of-aneurysms-a-systematic-review-and-meta-analysis
#13
REVIEW
Sávio Batista, Marcio Yuri Ferreira, Jordana Borges, Leonardo de Barros Oliveira, Eric Slawka, Raphael Bertani, Raphael Muszkat Besborodco, Jhon E Bocanegra-Becerra, Dan Zimelewicz Oberman, José Alberto Almeida Filho
BACKGROUND: Endovascular treatment of intracranial aneurysms (EVTIAs) is increasingly popular due to its minimally invasive nature and high success rate. While general anesthesia (GA) has been the historical preference for EVTIAs, there's growing interest in local anesthesia (LA). However, concerns persist about LA safety for EVTIAs. Therefore, we conducted a systematic review and meta-analysis to assess LA safety for EVTIAs. METHODS: Following PRISMA guidelines, we searched PubMed, Embase, and Web of Science databases...
March 25, 2024: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://read.qxmd.com/read/38531094/syringe-assisted-test-aspiration-with-mechanical-aspiration-thrombectomy-results-in-good-safety-and-short-term-outcomes-in-the-treatment-of-patients-with-deep-venous-thrombosis
#14
JOURNAL ARTICLE
Wanglong Li, Yichen Lin, Kunfeng Su, Fanggang Cai, Jinchi Zhang, Xiaoling Lai, Xiaoqi Zheng, Pingfan Guo, Xinhuang Hou, Yiquan Dai
OBJECTIVE: To evaluate the short-term outcomes and safety of syringe-assisted test-aspiration with mechanical aspiration thrombectomy in the treatment of deep venous thrombosis. METHODS: This was a single-center, retrospective study of hospitalized patients with iliofemoral and/or inferior vena caval deep venous thrombosis, excluding those with pulmonary embolism. We collected the following patient data from the electronic medical records: age, sex, provoked/unprovoked deep venous thrombosis, symptom duration, thrombosed segments, and the presence of a tumor, thrombophilia, diabetes, and/or iliac vein compression syndrome...
March 26, 2024: Vascular
https://read.qxmd.com/read/38530771/clinical-practice-guidelines-for-prevention-and-treatment-of-postoperative-gastrointestinal-disorder-with-integrated-traditional-chinese-and-western-medicine-2023
#15
JOURNAL ARTICLE
Jianjun Xue, Ziqing Xu, Qiang Wang, Huaijing Hou, Lili Wei, Jie Zhang, Xiaohong Zhao, Liping Chen, Fanfan Ding, Li Ma, Yongqiang Zhao, Yingbin Wang, Daqing Ma, Tianjun Wang, Renyu Liu, Tong J Gan, Nicky Robinson, Yurasek Frank, Fan Su, Yongliang Chi, Dianhui Yang, Shujuan Liu, Suyang Cui, Yousong Wei, Zhiqiang Chen, You Qin, Lixing Cao, Guiping Chen, Kuanyong Shu, Zhongqing Xiao, Hui Zhang, Jianbo Yu, Zhiqian Hu, Huakun Cheng, Wuhua Ma, Guokai Liu, Xiuli Wang, Xinghua Cao, Ju Gao, Gaoyin Kong, Qing Tao, Baohua Wang, Junlu Wang, Hong Li, Cuixia Lyu, Zhiming Zhang, Tianzuo Li, Kehu Yang
Postoperative gastrointestinal disorder (POGD) was a common complication after surgery under anesthesia. Strategies in combination with Traditional Chinese Medicine and Western medicine showed some distinct effects but standardized clinical practice guidelines were not available. Thus, a multidisciplinary expert team from various professional bodies including the Perioperative and Anesthesia Professional Committees of the Chinese Association of Integrative Medicine (CAIM), jointly with Gansu Province Clinical Research Center of Integrative Anesthesiology/Anesthesia and Pain Medical Center of Gansu Provincial Hospital of Traditional Chinese Medicine and WHO Collaborating Center for Guideline Implementation and Knowledge Translation/Chinese Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) Center/Gansu Provincial Center for Medical Guideline Industry Technology/Evidence-based Medicine Center of Lanzhou University, was established to develop evidence-based guidelines...
March 26, 2024: Journal of Evidence-based Medicine
https://read.qxmd.com/read/38530454/effectiveness-of-remimazolam-in-preventing-postoperative-delirium-in-elderly-patients-with-proximal-femoral-fractures
#16
JOURNAL ARTICLE
Daichi Fujimoto, Norihiko Obata, Satoshi Mizobuchi
PURPOSE: Elderly patients with proximal femoral fractures are known to be a high-risk group for postoperative delirium (POD). The aim of this study was to determine the association of the benzodiazepine drug remimazolam with POD in elderly patients with proximal femoral fractures. METHODS: In this single-center retrospective observational study, we included patients aged 65 years or older who underwent general anesthesia for proximal femoral fractures. We collected data for the incidence of POD within 3 days after surgery...
March 26, 2024: Journal of Anesthesia
https://read.qxmd.com/read/38530192/in-office-transoral-hilar-sialolithotomy-a-cost-effective-and-patient-centered-procedure
#17
Alexandra E Tunkel, Tatiana Ferraro, Timothy B Shaver, Weston L Niermeyer, Esther Lee, Arjun S Joshi
Transoral sialolithotomy performed in-office under local anesthesia is routinely performed for distal submandibular stones. We demonstrate the senior author's novel practice of in-office transoral sialolithotomy for hilar and intraglandular stones. A review of cases performed by the senior author revealed similar rates of complication and stone recurrence as those reported in the literature from removal under general anesthesia. Laryngoscope, 2024.
March 26, 2024: Laryngoscope
https://read.qxmd.com/read/38529435/double-cystic-ducts-encountered-during-laparoscopic-cholecystectomy-in-a-male-patient-with-cholelithiasis-a-case-report
#18
Aurangzeb Khan, Ghazanfar Khan, Shakeel Khan, Hamza Khan, Muhammad Asfandiyar
One of the most uncommon cystic duct abnormalities is double cystic ducts exiting a single gallbladder. Adequate knowledge of this anomaly should be kept in mind to avoid any surgical complications. We present a case of a 49-year-old Asian Pakistani male patient who had an elective laparoscopic cholecystectomy and was discovered to have two distinct cystic ducts leaving the gallbladder. On examination, there were no other clinically relevant signs except for mild tenderness in the right hypochondrium. Ultrasound of the abdomen and pelvis confirmed the diagnosis of cholelithiasis...
February 2024: Curēus
https://read.qxmd.com/read/38529371/the-learning-curve-and-experience-of-a-novel-multi-modal-image-fusion-targeted-transperineal-prostate-biopsy-technique-using-electromagnetic-needle-tracking-under-local-anesthesia
#19
JOURNAL ARTICLE
Yongjun Yang, Xianya He, Yiming Zeng, Qiang Lu, Yuanwei Li
BACKGROUND: Prostate cancer is the most common malignant tumor of male genitourinary system, and the gold standard for its diagnosis is prostate biopsy. Focusing on the methods and skills of prostate biopsy, we explored the learning curve and experience of a novel magnetic resonance imaging and transrectal ultrasound (mpMRI-TRUS) image fusion transperineal biopsy (TPB) technique using electromagnetic needle tracking under local anesthesia. METHODS: The clinical and pathological data of 92 patients who underwent targeted TPB from January 2023 to July 2023 in our center were prospectively collected...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38528564/anesthesia-decision-analysis-using-a-cloud-based-big-data-platform
#20
REVIEW
Shuiting Zhang, Hui Li, Qiancheng Jing, Weiyun Shen, Wei Luo, Ruping Dai
Big data technologies have proliferated since the dawn of the cloud-computing era. Traditional data storage, extraction, transformation, and analysis technologies have thus become unsuitable for the large volume, diversity, high processing speed, and low value density of big data in medical strategies, which require the development of novel big data application technologies. In this regard, we investigated the most recent big data platform breakthroughs in anesthesiology and designed an anesthesia decision model based on a cloud system for storing and analyzing massive amounts of data from anesthetic records...
March 25, 2024: European Journal of Medical Research
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