Gastric perforation after accidental esophageal intubation in a patient with deep neck infection.
We report an 81-year-old female patient with deep neck infection and impending respiratory failure who suffered gastric perforation after accidental EI in the intensive care unit. After failed attempts of intubation, EI was recognized rapidly as the culprit, although roughly audible bilateral breathing sounds were present but not gastric bubble sounds. A catastrophic complication of gastric rupture occurred due to ambu-bagging and mechanical ventilation. Surgical intervention was performed immediately. Possible mechanisms are discussed.
PMID: 25085018 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - July 30, 2014 Category: Anesthesiology Authors: Chen PN, Shih CK, Li YH, Cheng WC, Hsu HT, Cheng KI Tags: Acta Anaesthesiol Taiwan Source Type: research
Effect of intraoperative amino acids with or without glucose infusion on body temperature, insulin, and blood glucose levels in patients undergoing laparoscopic colectomy: A preliminary report.
CONCLUSION: Intraoperative amino acid infusion without glucose administration maintains body temperature more effectively than combined amino acid and glucose infusion in patients undergoing laparoscopic colectomy, despite unaltered intraoperative insulin levels.
PMID: 25085017 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - July 29, 2014 Category: Anesthesiology Authors: Fujita Y, Tokunaga C, Yamaguchi S, Nakamura K, Horiguchi Y, Kaneko M, Iwakura T Tags: Acta Anaesthesiol Taiwan Source Type: research
A comparative study of three methods of ProSeal laryngeal mask airway insertion in children with simulated difficult laryngoscopy using a rigid neck collar.
CONCLUSION: PLMA insertion with combined IT and stylet technique was more frequently successful than the digital or IT technique in pediatric patients without cervical spine motion.
PMID: 25073752 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - July 26, 2014 Category: Anesthesiology Authors: Das B, Mitra S, Samanta A, Samal RK Tags: Acta Anaesthesiol Taiwan Source Type: research
Unanticipated difficult nasotracheal extubation following oral surgery.
Abstract
Difficult tracheal extubation is a rare but potentially dangerous problem that can be life threatening especially when it is unexpected and there is a lack of preparation. Most of these cases are associated with orofacial surgery. We herein present two patients with oral cavity cancer who experienced unexpected postoperative difficult nasotracheal extubation by a Kirschner pin penetrating the endotracheal tube and fixing the tube at the maxillary bone following tumor resection. The pins were found by fiberoptic bronchoscopy. Both patients were returned to the operating theater immediately for remo...
Source: Acta Anaesthesiologica Taiwanica - July 26, 2014 Category: Anesthesiology Authors: Leong SL, Lin YT, Hsing CH, Lan KM, Lin MC Tags: Acta Anaesthesiol Taiwan Source Type: research
Anesthesia, analgesia and surgical stress.
PMID: 25016506 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Day YJ Tags: Acta Anaesthesiol Taiwan Source Type: research
Comparing the effectiveness of ropivacaine 0.5% versus ropivacaine 0.2% for transabdominis plane block in providing postoperative analgesia after appendectomy.
CONCLUSION: The effectiveness of two different concentrations of ropivacaine (0.5% versus 0.2%) given via TAP block was comparable in providing postoperative analgesia for patients undergoing appendectomy.
PMID: 25016507 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Abdul Jalil RM, Yahya N, Sulaiman O, Wan Mat WR, Teo R, Izaham A, Rahman RA Tags: Acta Anaesthesiol Taiwan Source Type: research
Rapid reversal of neuromuscular blockade by sugammadex after continuous infusion of rocuronium in patients with liver dysfunction undergoing hepatic surgery.
CONCLUSION: Sugammadex can rapidly reverse NMB after continuous infusion of rocuronium in patients with liver dysfunction undergoing hepatic surgery. Sugammadex was found to be safe and well tolerated. However, further studies of sugammadex under similar conditions should be conducted involving a large number of patients with liver dysfunction undergoing hepatic surgery.
PMID: 25016508 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Fujita A, Ishibe N, Yoshihara T, Ohashi J, Makino H, Ikeda M, Setoguchi H Tags: Acta Anaesthesiol Taiwan Source Type: research
Comparison of 4% articaine and 0.5% bupivacaine anesthetic efficacy in orthodontic extractions: Prospective, randomized crossover study.
CONCLUSION: Articaine seemed to have better potency and efficacy in terms of onset of action and lower pain scores compared to the bupivacaine group. Further studies are required to confirm these results.
PMID: 25016509 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Thakare A, Bhate K, Kathariya R Tags: Acta Anaesthesiol Taiwan Source Type: research
Opioid consumption after levobupivacaine scalp nerve block for craniosynostosis surgery.
CONCLUSION: Scalp nerve block can be proposed as a complement to the routine craniosynostosis anesthetic protocol, because it is easy to perform, seems to reduce the need for supplementary opioids during the perioperative period, and can reduce the risk of developing acute opioid tolerance and chronic pain. In the event of trigonocephaly or craniofacial reconstruction, a complementary infraorbital nerve block can be added.
PMID: 25016510 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Pardey Bracho GF, Pereira de Souza Neto E, Grousson S, Mottolese C, Dailler F Tags: Acta Anaesthesiol Taiwan Source Type: research
Hypoxia-inducible factor-1: A possible link between inhalational anesthetics and tumor progression?
Abstract
Cancer remains one of the major causes of death worldwide, and the global burden of the disease is rising continuously. Clinical retrospective data suggested that inhalational anesthetics might affect the prognosis of cancer patients, but the underlying molecular mechanism remained unknown. Hypoxia-inducible factor-1 (HIF-1) is a dimeric transcription factor and mediates various cellular responses to hypoxia, including metabolism, cell death and survival, angiogenesis, oxygen delivery, immune evasion, and genomic adaptation. HIF-1 system has been shown to be the driving force of solid tumor progre...
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Zhao H, Iwasaki M, Yang J, Savage S, Ma D Tags: Acta Anaesthesiol Taiwan Source Type: research
Review of aneurysmal subarachnoid hemorrhage-Focus on treatment, anesthesia, cerebral vasospasm prophylaxis, and therapy.
Abstract
Aneurysmal subarachnoid hemorrhage (aSAH) is a serious and debilitating condition that leads to the development of many complications, which are followed by mortality and morbidity. As anesthesiologists, we may require to manage aSAH at various settings such as in the perioperative period or in a nonoperative setting such as the neuroradiology suite for diagnostic and therapeutic interventions. Therefore, it is important to understand the pathophysiology of aSAH and anesthetic management for operations and interventions. For decades, early brain injury and cerebral vasospasm have played major role...
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Lin BF, Kuo CY, Wu ZF Tags: Acta Anaesthesiol Taiwan Source Type: research
GlideScope-assisted fiberoptic bronchoscope intubation in a patient with severe rheumatoid arthritis.
Abstract
Here, we report that, under the assistance of both the GlideScope and a fiberoptic bronchoscope, tracheal intubation was accomplished successfully in a 50-year-old woman with severe rheumatoid arthritis who underwent tongue lump resection under general anesthesia. Either the GlideScope or the fiberoptic bronchoscope alone failed to secure the airway; the use of both in combination facilitated airway intubation. This case report indicate that, even with careful preoperative assessment, patients who suffer from rheumatoid arthritis may have severe airway difficulty with intubation, and the combined ...
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Gu J, Xu K, Ning J, Yi B, Lu K Tags: Acta Anaesthesiol Taiwan Source Type: research
Arthrogryposis multiplex congenita: Airway concerns in an emergency situation.
We report a "cannot ventilate cannot intubate" situation in a trauma patient who was later diagnosed to have arthrogryposis multiplex congenita, a syndrome known to affect the airway, and in whom all measures of securing a nonsurgical airway failed.
PMID: 25016514 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Gupta B, Suri S, Kohli S, Ahmad S, Gupta S Tags: Acta Anaesthesiol Taiwan Source Type: research
Anesthetic management of a patient with thoracic aortic aneurysm scheduled for cesarean section.
PMID: 25016515 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2014 Category: Anesthesiology Authors: Deoskar S, Date RR, Bhakta P, John N, Kelkar VS Tags: Acta Anaesthesiol Taiwan Source Type: research
Obstructive jaundice-A problem extremely underestimated by anesthesiologists.
PMID: 24999210 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Tsou MY, Ting CK, Mandell MS Tags: Acta Anaesthesiol Taiwan Source Type: research
