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anesthesia and appendicectomy

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https://www.readbyqxmd.com/read/26379861/long-term-action-of-propofol-on-cognitive-function-and-hippocampal-neuroapoptosis-in-neonatal-rats
#1
Dan Han, Jianhua Jin, Hao Fang, Guoxiong Xu
Propofol is a short-acting anesthetic and generally is utilized for the induction and maintenance of anesthesia in pediatrics and adults. However, whether repeated use of propofol affects long-term cognitive function remains unclear. This study investigated the effects of propofol on cognitive function and hippocampal neuroapoptosis in neonatal rat. A total of 112 male newborn 7-day old Sprague-Dawley rats were randomly divided into 8 groups (n=14 rats per group) and intraperitoneally injected either with saline or propofol at 50, 100, and 150 mg/kg/day for 5 consecutive days...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/25007689/comparative-hemodynamic-advantages-of-subarachnoid-administration-of-atypical-and-non-atypical-opioids
#2
RANDOMIZED CONTROLLED TRIAL
Jide Michael Afolayan, Tokunbo O Olajumoke, Frederick E Amadasun, Joseph O Fadare, Peter O Areo
BACKGROUND: Subarachnoid administration of opioids such as pethidine and fentanyl had been proven safe but that oftramadol has been controversial. Tramadol is cheap and readily available, hence the need to further evaluate its intrathecal safety. PURPOSE: The study aimed at determining the hemodynamic and side effect profile of intrathecal tramadol. METHODS: One hundred and eighty six (186) ASA I or II patients scheduled for emergency open appendicectomy under spinal anesthesia were included in the study...
February 2014: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/24714011/intrathecal-tramadol-versus-intrathecal-fentanyl-for-visceral-pain-control-during-bupivacaine-subarachnoid-block-for-open-appendicectomy
#3
RANDOMIZED CONTROLLED TRIAL
J M Afolayan, T O Olajumoke, F E Amadasun, N P Edomwonyi
CONTEXT: Profound side-effects following intrathecal use of local anesthetics as the sole drugs of choice make spinal anesthesia for open appendicectomy uncommon. AIM: The aim of this study was to evaluate the effectiveness of intra-operative analgesia produced by intrathecal tramadol and fentanyl during bupivacaine spinal anesthesia for open appendicectomy. SETTINGS AND DESIGN: A prospective randomized study was performed. MATERIALS AND METHODS: A total of 186 American Society of Anesthesiologists 1 or 11 patients scheduled for emergency open appendicectomy were analyzed...
May 2014: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/23918003/postoperative-laryngeal-symptoms-in-a-general-surgery-setting-clinical-study
#4
Girolamo Geraci, Francesco Cupido, Chiara Lo Nigro, Antonio Sciuto, Carmelo Sciumè, Giuseppe Modica
INTRODUCTION: Vocal cord injuries (VI), postoperative hoarseness (PH), dysphonia (DN), dysphagia (DG) and sore throat (ST) are common complications after general anesthesia; there is actually a lack of consensus to support the proper timing for post-operative laryngoscopy that is reliable to support the diagnosis of laryngeal or vocal fold lesions after surgery and there are no valid studies about the entity of laryngeal trauma in oro-tracheal intubation. Aim of our study is to evaluate the statistical relation between anatomic, anesthesiological and surgical variables in the case of PH, DG or impaired voice register...
July 2013: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/23057502/pre-emptive-intraperitoneal-local-anaesthesia-an-effective-method-in-immediate-post-operative-pain-management-and-metabolic-stress-response-in-laparoscopic-appendicectomy-a-randomized-double-blinded-placebo-controlled-study
#5
RANDOMIZED CONTROLLED TRIAL
Mohana Raj Thanapal, Mahadevan D Tata, Ann J Tan, Thiruselvi Subramaniam, Jenny M G Tong, Kandasami Palayan, Sanjay Rampal, Ramesh Gurunathan
BACKGROUND: Although laparoscopic surgeries are associated with reduced surgical stress response and shortened post-operative recovery, intense pain and high analgesia requirements in the immediate post-operative period are often the chief complaints. AIM: The aim of this study was to evaluate the effect of pre-emptive intraperitoneal local anaesthetic drugs on post-operative pain management and metabolic stress response in laparoscopic appendicectomy. METHOD: The method used was a randomized double-blinded placebo-controlled study...
January 2014: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/22824858/warm-humidified-carbon-dioxide-gas-insufflation-for-laparoscopic-appendicectomy-in-children-a-double-blinded-randomized-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Tzu-Chieh Yu, James K Hamill, Andrew Liley, Andrew G Hill
OBJECTIVE: To investigate clinical benefits of warm, humidified carbon dioxide (CO(2)) insufflation for acute laparoscopic appendicectomy on postoperative pain and recovery in children (age 8-14 years). BACKGROUND: Conventional CO(2) insufflation leads to desiccation-related peritoneal inflammation and injury, which is preventable with warm, humidified CO2 gas. We hypothesized that reduced peritoneal desiccation would improve patient-centered outcomes in children after laparoscopic appendicectomy...
January 2013: Annals of Surgery
https://www.readbyqxmd.com/read/22413050/two-port-laparoscopic-assisted-appendicectomy-under-local-anesthesia-in-adults-a-pilot-study
#7
Saswata Bharati, Dinesh K Singh, Vijay K Shukla
AIM: Nowadays laparoscopic-assisted appendicectomy using the two-port technique is gaining popularity due to its certain benefits over the open version. General anesthesia with positive pressure ventilation is the preferred mode of anesthesia in this technique. We conducted a pilot study using the two-port technique in adult patients, with uncomplicated appendicitis under local anesthesia, to evaluate its feasibility. MATERIALS AND METHODS: In this prospective study 12 consecutive patients of ASA grade I and II, with a mean age of 22...
July 2011: Journal of Surgical Technique and Case Report
https://www.readbyqxmd.com/read/22096282/pre-emptive-oral-dexmethorphan-reduces-fentanyl-induced-cough-as-well-as-immediate-postoperative-adrenocortico-tropic-hormone-and-growth-hormone-level
#8
Avik Mukherjee, Asim Kumar Kundu, Sudipta Ghosh, Rajat Choudhuri, Bijoy Kumar Bandopadhyay, Sugata Dasgupta
BACKGROUND: Fentanyl-induced cough is not always benign and brief and can be remarkably troublesome, spasmodic, and explosive. Dextromethorphan, an opioid derivative with an antitussive action, may be effective in reducing the fentanyl-induced cough. Dextromethorphan, a N-methyl D aspartate receptor antagonist, may have some effect on diminishing the stress response to surgery. This study was undertaken to determine whether preoperative dextromethorphan could effectively attenuate its incidence, severity, and effect on postoperative stress hormone levels...
October 2011: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/21519067/management-of-musculoskeletal-injuries-after-the-2009-western-sumatra-earthquake
#9
COMPARATIVE STUDY
Hee-Nee Pang, Wilfred Lim, Wei-Chong Chua, Benjamin Seet
PURPOSE: To report injury patterns and management of musculoskeletal injuries after an earthquake. METHODS: 94 male and 161 female patients aged 17 to 90 (mean, 53) years underwent surgery for musculoskeletal injuries. Their injury patterns, anaesthesia administered, surgeries undertaken, and development of postoperative complications were reviewed. RESULTS: Of the 255 patients, 155 sustained superficial lacerations with minor soft-tissue contusion, whereas 100 sustained injuries that necessitated surgery under anaesthesia...
April 2011: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/21324384/local-anaesthetic-wound-infiltration-following-paediatric-appendicectomy-a-randomised-controlled-trial-time-to-stop-using-local-anaesthetic-wound-infiltration-following-paediatric-appendicectomy
#10
RANDOMIZED CONTROLLED TRIAL
T J Edwards, S J Carty, A S Carr, A W Lambert
OBJECTIVE: This study sought to determine the efficacy of post-operative wound infiltration with local anaesthetic following paediatric appendicectomy. METHOD: In a randomised, controlled, prospective, clinical trial children aged between five and sixteen years were assigned to one of three treatment arms; infiltration of the surgical wound with bupivicaine, saline, or no infiltration. Anaesthetic and analgesic protocols were employed. Patients and observers were blinded to the treatment group...
2011: International Journal of Surgery
https://www.readbyqxmd.com/read/20865882/what-are-we-telling-our-patients-a-survey-of-risk-disclosure-for-anaesthesia-in-australia-and-new-zealand
#11
A R Braun, K Leslie, A F Merry, D Story
The aim of our study was to determine the range of risks disclosed in four commonly-encountered clinical scenarios: knee arthroscopy, lumbar laminectomy, laparoscopic appendicectomy and laparotomy, and then to determine how often five commonly-disclosed risks were disclosed for each scenario. We conducted a pilot survey of consultant anaesthetists in the Auckland City Hospital, the Royal Melbourne Hospital and the Austin Hospital (response rate 59%). A web survey was then sent to 500 randomly-selected Australian and New Zealand College of Anaesthetists Fellows (response rate 29%)...
September 2010: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/19087008/variation-in-rapid-sequence-induction-techniques-current-practice-in-wales
#12
MULTICENTER STUDY
J P Koerber, G E W Roberts, R Whitaker, C M Thorpe
A questionnaire survey examining rapid sequence induction techniques was sent to all anaesthetists in Wales. The questionnaire presented five common clinical scenarios: emergency appendicectomy; elective knee arthroscopy with a symptomatic hiatus hernia; elective knee arthroscopy with an asymptomatic hiatus hernia; elective Caesarean section; and emergency laparotomy for bowel obstruction. Completed surveys were received from 421 anaesthetists, a 68% response rate. Rapid sequence induction was chosen by 398/400 respondents (100%) for bowel obstruction, 392/399 (98%) for Caesarean section, 388/408 (95%) for appendicectomy, 328/395 (83%) for symptomatic hiatus hernia but only 98/399 (25%) for asymptomatic hiatus hernia (p < 0...
January 2009: Anaesthesia
https://www.readbyqxmd.com/read/18540925/a-case-series-of-the-use-of-the-proseal-laryngeal-mask-airway-in-emergency-lower-abdominal-surgery
#13
J Fabregat-López, B Garcia-Rojo, T M Cook
The ProSeal laryngeal mask airway (PLMA) has been used routinely for anaesthesia and for difficult airway management including airway rescue in non-fasted patients. Compared with the classic laryngeal mask airway the PLMA increases protection against gastric inflation and pulmonary aspiration, by separating the respiratory and gastro-intestinal tracts. The PLMA has potential advantages over use of the tracheal tube including smoother recovery, reduced pharyngolaryngeal morbidity and even reduced postoperative pain...
September 2008: Anaesthesia
https://www.readbyqxmd.com/read/17318050/examination-under-anesthesia-prior-laparoscopic-appendicectomy-does-it-change-the-approach
#14
Saleh Abbas, Alex Ng, Wayne Jones
The clinical finding of a mass in the right iliac fossa during the course of diagnosis of acute appendicitis may affect the management approach. A mass is sometimes only evident when the abdomen is examined under anesthesia. This study was conducted to assess the significance of examination under anesthesia and analyze the outcome of laparoscopic exploration and its correlation with the finding of a mass that can be felt only under anesthesia. We conducted a prospective study over 12 months on patients diagnosed with acute appendicitis who were treated with laparoscopic approach...
February 2007: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/17263738/rsi-in-pediatric-anesthesia-is-it-used-by-nonpediatric-anesthetists-a-survey-from-south-west-england
#15
Judith Stedeford, Peter Stoddart
BACKGROUND: Rapid sequence induction (RSI) is the 'gold standard' technique for preventing aspiration of gastric contents during induction of anesthesia in unfasted patients. We conducted a survey to discover whether the conduct of RSI in children varies amongst anesthetists and if practice alters in relation to the time since training or degree of ongoing experience. METHODS: Six hundred and fifteen questionnaires were sent to anesthetists in the south-west of England...
March 2007: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/16918666/bowel-hematoma-following-an-iliohypogastric-ilioinguinal-nerve-block
#16
Chantal Frigon, Ryan Mai, Teresa Valois-Gomez, Joëlle Desparmet
We report a case of a subserosal small bowel hematoma following an ilioinguinal-iliohypogastric nerve block for an appendicectomy in a 6-year-old girl. The bowel hematoma was noted in the wall of the terminal ileum after opening the peritoneum. The hematoma was nonobstructing and the child remained asymptomatic. We discuss the technical aspects of this block.
September 2006: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/15636035/role-of-parecoxib-in-pre-emptive-analgesia-comparison-of-the-efficacy-and-safety-of-pre-and-postoperative-parecoxib-in-patients-undergoing-general-surgery
#17
RANDOMIZED CONTROLLED TRIAL
P Bajaj, C C Ballary, N A Dongre, V P Baliga, A A Desai
Management of acute postoperative pain remains sub-optimal despite the availability of multiple analgesics and improved pain management strategies (with nearly 80 % of patients reporting moderate to extreme pain following surgery). To evaluate the role of parecoxib as a pre-emptive analgesic in patients undergoing general surgery, the present study was undertaken. Eighty patients of either sex, aged 18 to 70 years, requiring elective ambulatory general surgery like hernioplasty, appendicectomy, cholecystectomy, etc, were enrolled in this prospective, randomised, assessor-blind, parallel-group, comparative trial...
May 2004: Journal of the Indian Medical Association
https://www.readbyqxmd.com/read/15570818/diagnostic-conscious-pain-mapping-using-laparoscopy-under-local-anaesthetic-and-sedation-in-general-surgical-patients
#18
COMPARATIVE STUDY
M G Tytherleigh, R Fell, A Gordon
BACKGROUND: Patients in whom extensive investigations have failed to identify the cause of abdominal pain present a challenge to surgeons. We present our initial experience of using laparoscopy under local anaesthetic and sedation in the diagnosis of chronic abdominal pain. METHODS AND PATIENTS: Nine patients with chronic abdominal pain and multiple normal investigations underwent laparoscopy under local anaesthetic and sedation. By touching and grasping intra-abdominal viscera and peritoneum, an attempt was made to reproduce the patient's pain...
June 2004: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/14612165/-factors-associated-with-laparoscopic-approach-for-cholecystectomy-appendicectomy-and-inguinal-herniorraphy-in-france
#19
A Lienhart, F Péquignot, Y Auroy, D Benhamou, F Clergue, M C Laxenaire, E Jougla
OBJECTIVE: To determine on a national level the factors associated with the use of laparoscopy for digestive surgery. STUDY DESIGN: Nation wide study using a large representative sample (3 days of anaesthesia in France). METHODS: Univariate followed by multivariate analyses of data gathered in 1996 during the survey led by the French Society of Anaesthesia and Intensive care ("SFAR") including 2847 surgical procedures for cholecystectomy, appendicectomy or inguinal herniorraphy...
November 2003: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/12950858/a-french-survey-of-paediatric-airway-management-use-in-tonsillectomy-and-appendicectomy
#20
Claude Ecoffey, Yves Auroy, Françoise Pequignot, Eric Jougla, François Clergue, Marie-Claire Laxenaire, André Lienhart
BACKGROUND: There are no epidemiological data describing tracheal intubation and laryngeal mask airway (LMATM) use in paediatric anaesthesia. This analysis focused on the factors leading to the indication for an airway management procedure, i.e. tracheal intubation and laryngeal mask airway vs face mask during general anaesthesia for tonsillectomy and appendicectomy. METHODS: The data were recorded in the French survey of Practical Anaesthesia performed in 1996...
September 2003: Paediatric Anaesthesia
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