IMPACT FACTOR: 1.4
Short Name: Ann Anesth Pain Med
ISSN: 2690-4004
Publisher: MedDocs Publishers LLC
Poor pain outcomes after surgery can be predicted by factors, include psychological, psychosocial, and physical risks, which may be identified prior to surgery. The preoperative period is often a busy and stressful time for patients. This time, however, can be used to improve preoperative health which can result in better postoperative pain outcomes.
Background: Atrial Septal Defect (ASD) is one of the frequent congenital heart defects in adult population. A large ASD causes a shunting of blood from the left to the right side of the heart, overloading the right ventricle and causing right ventricular hypertrophy, Pulmonary Hypertension (PAH), atrial fibrillation, and shunt reversal (Eisenmenger syndrome).
Background and Aims: Dexmedetomidine is a selective alpha-2 agonist with an alpha-2/alpha-1 selectivity ratio seven times higher than that of clonidine [1]. Its main effects are the analgesic effect, the sedative effect without causing respiratory depression and the anxiolytic effect [1,2,3]. Its use in intensive care and perioperative medicine is not documented in Cameroon. It is in this perspective that we proposed to study the first use of dexmedetomidine in the intensive care unit in Cameroon.
The publication performance of German anaesthesiology university departments should be analyzed. The total number of publications of each department should be measured and the impact factors should be determined.
Anesthesia in pregnant patients appearing for non-obstetric surgeries poses unique challenges. Neurotrauma including intracerebral haemorrhage, severe brain injury and ischemic infarct often warrants the procedure of tracheostomy. After taking written informed consent for publication, we are presenting a case of a mid-term pregnant female who was posted for tracheostomy after sustaining neurotrauma.
The brief video clip demonstrates the collapse of the radial artery in diastole due to severe aortic insufficiency. Aortic insufficiency is a form of valvular heart disease in which the integrity of the aortic valve is compromised leading to insufficient closure of the valve leaflets.
Succinylcholine induced fasciculation, myalgia and hyperkalemia are common complications in surgical procedures. Magnesium (Mg) sulfate is proposed to reduce the negative effects caused by succinylcholine. we aimed to assess the effects of different doses of Mg sulfate on muscle fasciculation, myalgia, hyperkalemia and hemodynamic responses due to intubation by succinylcholine.
The Erector Spinae Plane (ESP) block is a safe and effective analgesic adjunct for a variety of surgeries, including the Whipple procedure. The ESP block works by anesthetizing nerves at the site of injection, but also by diffusing into blood vessels to exert a systemic effect. In patients undergoing abdominal surgery, intravenous lidocaine decreases opioid consumption, ileus, and postoperative nausea and vomiting.
Ketorolac and other nonsteroidal anti-inflammatory drugs are routinely used in the postoperative period. However, their effect on fracture and tissue healing remains unclear and controversial. The primary outcome of this investigation was to assess and compare the potential cytotoxicity of clinically relevant concentrations of ketorolac on human osteo- and fibroblasts.
Empyema thoracis is one of thoracic surgical entities that present with clinical challenges due to significant morbidity and even mortality. Its prevalence is increasing globally. [1,2] it most commonly occurs in the setting of bacterial pneumonia.
Open or VATS pleural decortication is an effective initial approach for advanced empyema. They are both equally effective as they allow to achieve the essential steps for full lung expansion, decortication of pleural peels, disruption of loculation, and fluid evacuationthor..
Spinal anesthesia is one of the most used techniques in elderly patients, with doses varying according to the proposed surgery and the surgeons [1]. Schwannomas are benign, encapsulated, slow-growing neoplasms. made up of neoplastic schwann cells differentiated [2]. The most used diagnosis is Magnetic Resonance Imaging (MRI) and confirmation is obtained through histological and immunohistochemical studies [2]. In order to study the reclassification of Melanotic Schwannomas (MS), a study was carried out in 40 clinicopathologic, immunohistochemical, and gene expression cases [3]...
Background: Design Thinking (DT) describes three stages in the design thinking cycle: 1) inspiration, which embodies the initial problem or opportunity; 2) ideation, which encompasses the development and refinement of ideas; and 3) implementation, which involves the introduction and application of the derived solution...
Wernicke’s encephalopathy is a deficiency pathology caused by a profound deficiency in thiamine (vitamin B1). It most often occurs on an alcoholic ground, but it can occur in other pathological situation, sometimes it is difficult to diagnose but the evolution in the absence of treatment leads to severe cognitive sequelae...
Postoperative Neck Hematoma (PONH) is a potentially life-threatening complication of neck/thyroid procedures due to massive hemorrhage and/or acute airway compromise (often associated with difficult airway management) requiring immediate surgical re-intervention. Patient survival often relies on optimal crisis resource management skills of the care team...
We describe a case of a very difficult intubation in an acute burn injury patient, which was safely navigated through careful planning and teamwork. Multiple techniques were used as described by the difficult airway algorithm and the patient was finally intubated using a fibreoptic intubation technique. In this report, we provide various modes of airway management used and the most efficient technique when it comes to anticipated difficult airway management in an acute burn patient...
Many cardiology procedures require sedation and/or anesthesia, so it is important that the practicing physician be familiar with the use of the pertinent medications to ensure patient safety. Preoperative risk stratification and Mallampati assessments are routinely performed to optimize care...
Background: Ketamine is extensively used for perioperative analgesia, especially in children. It is associated with a high incidence of psychomimetic symptoms and nystagmus, which complicates some procedures including eye examination. In this study, we compared two doses of ketamine as premedication for an eye examination in children...
General anesthesia and surgical stress are known to influence patients’ cellular immunity. Researches suggests that higher tidal volumes can injure healthy lungs, stimulate the release of inflammatory chemicals and predispose animals to organ damage through ventilator-induced lung injury.
The lung can be injured by positive pressure ventilation. Mechanical stretch triggers a pro-inflammatory response within the first 2 hours in healthy animal models...
Background: Subarachnoid block in patients with scoliosis always present a unique challenge to the anesthesiologist owing to the deformity of spine. Difficulty in performing neuraxial anaesthesia may result in neural injury, spinal haematoma, post-dural puncture headache In addition, it may decrease procedure efficiency and increase patient discomfort and dissatisfaction. The most commonly practiced technique is the midline approach...
Most of previous literatures compared drugs; which one saved a favorable condition for LMA insertion (depress airway reflexes, had antiemetic properties and had least side effects e.g. hypotension and myoclonus). Others compared complications of LMA during removal in awake versus deeply anaesthetized patients. Our study was different as it compared technique complications (spontaneous respiration vs relaxed patients during insertion and awake vs asleep during removal of LMA)...
Postmastectomy pain syndrome is a debilitating pain sequalae from inadvertent nerve transection after breast cancer surgery. The pain is neuropathic in nature and often treated with medications that showed benefit in other neuropathic syndrome like post-herpetic neuralgia. However, these conservative treatment modalities often fail. We received the patient after conservative therapy failed and offered a radio frequency ablation to help with her pain. Central sensitization and the associated changes in proinflammatory milieu in the spinal cord make it susceptible to sympathetic sprouting in the dorsal root ganglion...
Background: No studies compared the Air Q/SP with blocker and the Baska airway, in this study we compared both devices regarding their oropharyngeal leak pressure, insertion variables (ease and time of insertion) and complications associated with their insertion or removal.
Methods: A total of 62 patients were enrolled in the study. All patients received 10mg intravenous metoclopramide and atropine 0.6 mg.
This prospective, observational study was designed to moderate post-surgerical acute pain with a multimodal analgesic regimen including liposomal bupivacaine implemented for patients having third molar surgery. We hypothesized that acute pain would be reported no higher than 50% of the maximum possible. Patients and methods: Inclusion criteria: ASA risk classification I or II, age 18-35 years, and at least two mandibular third molars below the occlusal plane.
Pain is a distressing sensation linked to actual or potential tissue damage. The sole purpose of pain is notifying the body’s defense mechanism to react towards a stimulus in order to avoid further tissue damages. The approach to patients with pain begins by identifying the underlying cause and a disease-specific treatment. The first-line pharmacologic agent for the symptomatic treatment of mild to moderate pain is acetaminophen or a non-steroidal anti-inflammatory drug (NSAID).
Children with anatomical and physiological peculiarities in airway often pose challenges to the anaesthesiologist. This predicament is further increased if presentation of upper airway obstruction is atypical especially in this covid pandemic. It requires careful clinical evaluation of the degree of airway obstruction and good communication with surgeons and entire team for the successful outcome.
Arrhythmogenic right ventricular dysplasia is a life-threatening condition. It can be asymptomatic during the first decades of life and debut as ventricular arrhythmias or sudden death. We report a 32-year-old man, scheduled to perform a surgery due to a fracture of the left radius, who was diagnosed with the disease of arrhythmogenic right ventricular dysplasia.
The problem of premedication becomes especially significant in pediatric anesthesiology, since the change of environment associated with placing the child in a hospital, the absence of parents, unfamiliar faces - all this leads to a sharp arousal of the child, accompanied by significant changes in the activity of vital organs and systems.
Unanticipated difficult airway management cases often come in an emergency operating room and management of difficult airway must be done on an emergency basis. In emergency circumstances limited time, and available resources should be used in the management of patients with difficult airway for minimal procedural complications during preoperative and postoperative period.
Endotracheal intubation is one of such development without which general anesthesia cannot be considered safe for any major surgery particularly head and neck, thoracic and abdominal surgeries. Ever since the advent of anesthesia, anesthesiologists have been in search of an ideal muscle relaxants which can provide ideal intubating conditions in ultrashort duration with minimal side effects.
For the purpose of studying of burnout syndrome in anesthesiologists-resuscitators, 61 doctors of the Arkhangelsk region were examined. The following methods were used for the study: questionnaires, psychological testing, and mathematical and statistical processing of empirical data. It was found that 60.6% of anesthesiologists-resuscitators have a high level of professional burnout, characterized by emotional exhaustion and stress at work, deterioration of health and social adaptation.
Pregabalin abuse liability is underestimated and the evidence of abuse and dependence is emerging. It has many health and social consequences especially in patients with chronic pain syndromes. Pregabalin abuse has not been well studied among the Egyptian population. This study aims to estimate the prevalence and associated correlates of pregabalin abuse among patients with chronic pain syndromes in Egypt.
Background and aims: The use of peripheral nerve blocks has been an effective method of anesthesia and postoperative analgesia in high risk patients undergoing lower limb surgeries. The application of combined lumbar plexus and sacral plexus blocks for lower limb surgeries has been introduced with comparable efficacy to neuraxial anesthesia and with less complications, better homeostasis and hemodynamic control than the general anesthesia...
Patients presenting chronic musculoskeletal complaints, dysfunctions and syndromes are advised by various care providers during their recovery process. Most patients present themselves with different comorbidities and underlying dysfunctions. No guideline is available for every dysfunction and every patient’s specific context/comorbidities. Since motivation plays a central role in the change of behavior and therapy compliance, good communication between all partners involved enables the best possible (medical) approach....
Objective: The main goal of this manuscript is to propose new equations to estimate skin to epidural space distance based on parturient data. This information is very useful on epidural anesthesia procedure, which is considered the most challenging procedure to acquire practical skills. The incidence of failure in epidural block is around 23% to 30%. The estimation of skin to epidural space distance (SED) presents a crucial role in such a procedure...
Background: It is difficult to align the oropharyngolaryngeal axes to facilitate intubation in patients anticipated with difficult intubation by conventional laryngoscopy using macintosh blade, which leads to failed intubation. The True view PCD laryngoscope is a device with a unique blade that provides a magnified laryngeal view at 42° anterior reflected view facilitating visualization of the glottis without alignment of oropharyngotracheal axes...
Currently approved indications for the treatment of anti-TNF-α antibodies are increasing. One of the side effects of this treatment is reactivation of the latent tuberculosis. A 49-year-old female patient presented with pleuritic chest pain and dyspnea. She had been receiving TNF-alpha (infliximab) for five years due to an ankylosing spondylitis. The patient received isoniazid prophylaxis for nine months because the PPD test was 11 mm five years ago.
Background and aims: The increased use of regional anaesthesia in recent years has led to an increased need for sedation during surgery in awake patients. Our study aim to compare the hemodynamic, duration of anaesthesia and perioperative adverse events with intravenous Dexmedetomidine and intravenous Propofol when used as an adjuvant to regional anaesthesia in joint replacement surgeries.
Phantom limb pain is an often-seen sequel to amputation, and one which is increasingly encountered by the perioperative medical team. This article aims to offer a comprehensive review of the literature on the proposed mechanisms leading to phantom limb pain and potential therapies. Furthermore, we will provide a summary of the literature regarding investigation of preventative measures prior and during amputation in an effort to decrease the incidence of phantom limb pain development.
Anticholinergic drug overdose is a difficult condition. Atropine or antimuscarinic drug overdose is usually an unwanted development during treatment. Symptoms vary widely from tachycardia to coma. It should be considered especially in unconscious patients.
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Authors
V Vishnu Teja1; Sandeep Kadam2; KR Kulkarni3; Dypatil4
1Department of Anaesthesia, 3RD Year PG Resident, Dr dypatil hospital and research centre, India
2Department of Anaesthesia, Professor, Dr dypatil hospital and research centre, India
3Department, Professor and HOD, Dr dypatil hospital and research centre, India.
4Department of Anaesthesia, Research Centre, Dr dypatil hospital and research centre, India.
Received: Jul 01, 2022
Accepted: Aug 16, 2022
Published Online: Aug 17, 2022
Authors
Luiz Eduardo Imbelloni1*; Claudia Helena Ribeiro da Silva2; Alexandra de Vasconcelos Vieira3; Pedro Marcos Silva e Gonçalves4; Larissa Magalhães Lopes5
1Co-responsible for CET-SBA Hospital Clínicas Municipal de São Bernardo do Campo, SP, Brazil
2Master in Health Sciences from the Teaching and Research Institute of Santa Casa de Belo Horizonte, Belo Horizonte, MG, Brazil.
3Coordinator of the Medical Residency Program at HU Contorno at Unimed, Belo Horizonte, MG, Brazil.
4Master in Sciences Applied to Surgery and Ophthalmology, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
5Anesthesiologist at Hospital São Camilo, Belo Horizonte, MG, Brazil.
Received: Jul 01, 2022
Accepted: Aug 16, 2022
Published Online: Aug 17, 2022
Authors
Patama Gomutbutra1*; Noppon Choosri2; Peerasak Lerttrakarnnon1
1Aging and Aging Palliative care research cluster, Department of Family Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
2The College of Arts, Media and Technology, Chiang Mai University, Thailand.
Received: May 27, 2022
Accepted: Jun 23, 2022
Published Online: Jun 25, 2022
Authors
H Bennani*; M Ababbou; Y Halhoul; A Bouayda; A Baite; A Tazi
Resuscitation Anesthesia Department, CHU ibn sina Rabat, Swiss Maternity Hospital, Maternal Resuscitation service, Morrocco.
Received: May 09, 2022
Accepted: Jun 08, 2022
Published Online: Jun 10, 2022
Authors
Devin Stirling1; Gregory Klar1; Jason Franklin2; Glenio B Mizubuti1*
1Department of Anesthesiology and Perioperative Medicine, Kingston Health Sciences Centre, Queen’s University, Kingston ON, Canada.
2Department of Surgery, Division of Otolaryngology, Kingston Health Sciences Centre, Queen’s University, Kingston ON, Canada.
Received: Feb 08, 2022
Accepted: Feb 28, 2022
Published Online: Mar 04, 2022
Authors
Fahad Salim
Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.
Received: Dec 03, 2021
Accepted: Jan 06, 2022
Published Online: Jan 10, 2022
