Pneumoscrotum after tracheal intubation.
We report an 81-year-old patient who developed severe acute respiratory failure after fiberoptic bronchoscopy and was intubated immediately. After tracheal intubation, excessive subcutaneous emphysema from the head to the scrotum was obvious. Chest tube thoracostomies were placed to treat pneumothorax. The emphysema was absorbed after 13 days without any sequela. Air or gas inside the scrotum may originate from intraperitoneal, extraperitoneal, or local sources. The majority of the cases can be managed conservatively, but emergent intervention is needed in life-threatening situations.
PMID: 25617239 [PubMed - as su...
Source: Acta Anaesthesiologica Taiwanica - January 20, 2015 Category: Anesthesiology Authors: Lostoridis E, Tourountzi P, Pouggouras K, Koutsouki S, Lampiri K, Nagy EO Tags: Acta Anaesthesiol Taiwan Source Type: research
Noise level measurement, a new method to evaluate effectiveness of sedation in pediatric dentistry.
CONCLUSION: Measurement of noise level can be used as an effective guide to quantify the depth of sedation at different stages of the dental procedure. It is a nonsubjective and continuous measurement, which could be useful in clinical practice for the administration of moderate sedation during dental procedures. By using noise level analysis we are able to determine successful, poor, and failed sedation outcome.
PMID: 25577448 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - January 7, 2015 Category: Anesthesiology Authors: Sabouri AS, Firoozabadi F, Carlin D, Creighton P, Raczka M, Joshi P, Heard C Tags: Acta Anaesthesiol Taiwan Source Type: research
Attenuation of morphine-induced dependence and tolerance by ceftriaxone and amitriptyline in mice.
CONCLUSION: Results indicate that the treatment with ceftriaxone and amitriptyline, alone or in combination, could attenuate the development of morphine-induced tolerance and dependence.
PMID: 25557842 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 31, 2014 Category: Anesthesiology Authors: Habibi-Asl B, Vaez H, Najafi M, Bidaghi A, Ghanbarzadeh S Tags: Acta Anaesthesiol Taiwan Source Type: research
Coagulation abnormalities in sepsis.
Abstract
Although the pathophysiology of sepsis has been elucidated with the passage of time, sepsis may be regarded as an uncontrolled inflammatory and procoagulant response to infection. The hemostatic changes in sepsis range from subclinical activation of blood coagulation to acute disseminated intravascular coagulation (DIC). DIC is characterized by widespread microvascular thrombosis, which contributes to multiple organ dysfunction/failure, and subsequent consumption of platelets and coagulation factors, eventually causing bleeding manifestations. The diagnosis of DIC can be made using routinely avail...
Source: Acta Anaesthesiologica Taiwanica - December 25, 2014 Category: Anesthesiology Authors: Tsao C, Ho S, Wu C Tags: Acta Anaesthesiol Taiwan Source Type: research
Anesthetics attenuate ischemia-reperfusion induced renal injury: Effects and mechanisms.
Abstract
Acute kidney injury (AKI) secondary to ischemia-reperfusion injury (IRI) is a major cause of patient morbidity and mortality in the perioperative period. It can lead to new onset of chronic kidney disease and accelerate its progression. Patients with risk factors undergoing cardiac, vascular, and liver transplantation surgeries, which may inevitably involve IRI, are more susceptible to AKI. Anesthetic agents have been postulated to possess renoprotective properties. Thus, exploring the utilization of selective perioperative anesthetic agents with renoprotective properties may be a promising avenue...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2014 Category: Anesthesiology Authors: Khajuria A, Tay C, Shi J, Zhao H, Ma D Tags: Acta Anaesthesiol Taiwan Source Type: research
Review of anesthesia in liver transplantation.
Abstract
Liver transplantation (LT) is a well-accepted treatment modality of many end-stage liver diseases. The main issue in LT is the shortage of deceased donors to accommodate the needs of patients waiting for such transplants. Live donors have tremendously increased the pool of available liver grafts, especially in countries where deceased donors are not common. The main ethical concern of this procedure is the safety of healthy donors, who undergo a major abdominal surgery not for their own health, but to help cure others. The first part of the review concentrates on live donor selection, preanestheti...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2014 Category: Anesthesiology Authors: Jawan B, Wang CH, Chen CL, Huang CJ, Cheng KW, Wu SC, Shih TH, Yang SC Tags: Acta Anaesthesiol Taiwan Source Type: research
Cesarean under general or epidural anesthesia: Does it differ in terms of regional cerebral oxygenation?
CONCLUSION: Combined spinal epidural anesthesia, besides other known advantages, had been shown to be superior to general anesthesia as a means of regional cerebral oxygenation of the newborns.
PMID: 25446195 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - November 7, 2014 Category: Anesthesiology Authors: Ozgen ZS, Toraman F, Erkek E, Sungur T, Guclu P, Durmaz S, Bilgili CO Tags: Acta Anaesthesiol Taiwan Source Type: research
Epidural anesthesia for cesarean section in a primigravida woman with Ebstein's anomaly with recurrent supraventricular tachycardia.
We report on the anesthetic management of a 24-year-old primigravida woman with Ebstein's anomaly with recurrent supraventricular tachycardia for emergency cesarean section.
PMID: 25446193 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - November 6, 2014 Category: Anesthesiology Authors: Theerth KA, Sachidananda R, Shaikh SI Tags: Acta Anaesthesiol Taiwan Source Type: research
An analysis of surgical outcomes in patients aged 80 years and older.
CONCLUSION: Patients over the age of 80 years, of male sex, under general anesthesia, and receiving colloid infusion were at a higher risk of developing respiratory complications. Postoperative respiratory complications occurred in most of the geriatric surgical patients. Efforts to improve the surgical outcomes must include measures to minimize in-hospital complications. Detailed evaluation and better communicating the aforementioned risk factors to these patients are suggested for improving anesthesia quality and surgical outcomes.
PMID: 25446194 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - November 6, 2014 Category: Anesthesiology Authors: Chung JY, Chang WY, Lin TW, Lu JR, Yang MW, Lin CC, Chang CJ, Chou AH Tags: Acta Anaesthesiol Taiwan Source Type: research
Chronic musculoskeletal pain: Ultrasound guided pain control.
Abstract
The review demonstrates the unique advantages of ultrasonography in pain control. Several imaging modalities can be used to guide pain control, such as computed tomography, magnetic resonance imaging, and radiography. Ultrasonography has unique advantages over these other modalities in terms of its non-ionizing radiation, real-time imaging, portability, and cost-effectiveness. Ultrasonography with color Doppler and elastography can provide safer guidance to avoid blood vessels and the nerve trunk when using steroid or xylocaine infusions to encase the nerve trunk. This review focuses on the contro...
Source: Acta Anaesthesiologica Taiwanica - October 7, 2014 Category: Anesthesiology Authors: Chiou HJ, Chou YH, Wang HK, Lai YC Tags: Acta Anaesthesiol Taiwan Source Type: research
Anesthetic premedication: New horizons of an old practice.
Abstract
The practice of anesthetic premedication embarked upon soon after ether and chloroform were introduced as general anesthetics in the middle of the 19(th) century. By applying opioids and anticholinergics prior to surgery, the surgical patients could achieve a less anxious state, and more importantly, they would acquire a smoother course during the tedious and dangerous induction stage. Premedication with opioids and anticholinergics was not a routine practice in the 20(th) century when intravenous anesthetics were primarily used as induction agents that significantly shorten the induction time. Th...
Source: Acta Anaesthesiologica Taiwanica - October 7, 2014 Category: Anesthesiology Authors: Sheen M, Chang FL, Ho ST Tags: Acta Anaesthesiol Taiwan Source Type: research
Ultrasound-guided chronic musculoskeletal pain control.
PMID: 25248468 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - September 20, 2014 Category: Anesthesiology Authors: Huang CC, Lin CS Tags: Acta Anaesthesiol Taiwan Source Type: research
Usefulness of sugammadex in a patient with Becker muscular dystrophy and dilated cardiomyopathy.
Abstract
A 54-year-old patient with Becker muscular dystrophy and dilated cardiomyopathy underwent laparoscopic cholecystectomy under total intravenous anesthesia. Muscle relaxation was induced by rocuronium (0.4 mg/kg body weight) under train-of-four (TOF) ratio monitoring. The TOF ratio was 0 at intubation, and 0.2 at the end of surgery. Residual muscle relaxant activity was successfully reversed by sugammadex (2 mg/kg body weight) without any hemodynamic adverse effects (TOF ratio 1.0 at extubation). The clinical and hemodynamic findings suggest that sugammadex can be safely used in patients with Beck...
Source: Acta Anaesthesiologica Taiwanica - September 5, 2014 Category: Anesthesiology Authors: Shimauchi T, Yamaura K, Sugibe S, Hoka S Tags: Acta Anaesthesiol Taiwan Source Type: research
Is epidural dexamethasone effective in preventing postdural puncture headache?
CONCLUSION: In contrast to other studies that showed the efficacy of intravenous dexamethasone in the prevention and treatment of PDPH, our study did not show any significant effect of prophylactic epidural injection of dexamethasone in prevention of PDPH. However regarding the low number of PDPH in routine cases, evaluation of this intervention in groups with a high incidence of PDPH by using of particulate steroids is recommended to confirm these preliminary findings.
PMID: 25199696 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - September 5, 2014 Category: Anesthesiology Authors: Najafi A, Emami S, Khajavi M, Etezadi F, Imani F, Lajevardi M, Pourfakhr P, Moharari RS Tags: Acta Anaesthesiol Taiwan Source Type: research
Fluoroscopic guidance for placing a double lumen endotracheal tube in adults.
CONCLUSION: The fluoroscopy evidenced the right position of the double lumen tube and allowed a right repositioning in 99.5% of patients with a very simple implementation.
PMID: 25128234 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - August 12, 2014 Category: Anesthesiology Authors: Calenda E, Baste JM, Hajjej R, Rezig N, Moriceau J, Diallo Y, Sghaeir S, Danielou E, Peillon C Tags: Acta Anaesthesiol Taiwan Source Type: research
