Transcatheter aortic valve implantation: Anesthetic experience of retrograde transfemoral approach with CoreValve ReValving System.
CONCLUSION: TAVI is another choice for AS patients who have a high perioperative risk. General anesthesia with endotracheal intubation and application of transesophageal echocardiography can facilitate the use of this new technique by cardiologists. Complete preprocedural evaluation and good intraprocedural cooperation are still the gold standards to achieve successful TAVI and patient safety.
PMID: 24999211 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Chou WH, Wang YC, Huang HH, Cheng HL, Lin YS, Wang MJ, Huang CH Tags: Acta Anaesthesiol Taiwan Source Type: research
Hemodynamic and biochemical changes in liver transplantation: A retrospective comparison of desflurane and total intravenous anesthesia by target-controlled infusion under auditory evoked potential guide.
CONCLUSION: Our results suggest that propofol-based TIVA may provide better hemodynamics and microcirculation during the anhepatic phase in liver transplantation.
PMID: 24999212 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Lu CH, Yeh CC, Huang YS, Lee MS, Hsieh CB, Cherng CH, Wu ZF Tags: Acta Anaesthesiol Taiwan Source Type: research
The hemodynamic effect of an intravenous antispasmodic on propofol requirements during colonoscopy: A randomized clinical trial.
CONCLUSION: The hemodynamic responses to intravenous Buscopan neither affected the effect-site propofol concentration needed to induce LOC, nor the total propofol dosage required for colonoscopy in this study. There is no need to modify the dosage of propofol in patients subject to Buscopan premedication in colonoscopy.
PMID: 24999213 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Pao YY, Chung KC, Chen JP, Lee KC, Hu WH, Juang SE, Lu HF, Tan PH, Hung KC Tags: Acta Anaesthesiol Taiwan Source Type: research
Comparison of 4% and 6% topical cocaine solutions for reduction of epistaxis induced by nasotracheal intubation.
CONCLUSION: The spraying of either 4% or 6% topical cocaine into the nasal cavity gives comparable effects for intubation-related epistaxis. However, 6% cocaine may increase the hemodynamic responses while being sprayed. Therefore spraying with 4% topical cocaine had advantages with respect to 6% cocaine and is recommended for use prior to NTI.
PMID: 24999214 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Lu IC, Hsieh YH, Hsu HT, Chen CH, Hsu CW, Tseng KY, Cheng KI Tags: Acta Anaesthesiol Taiwan Source Type: research
Obstructive jaundice and perioperative management.
This article outlines the association between obstructive jaundice and perioperative management, and reviews the clinical and experimental studies that have contributed to our knowledge of the underlying pathophysiologic mechanisms. Pathophysiology caused by obstructive jaundice involving coagulopathies, infection, renal dysfunction, and other adverse events should be fully assessed and reversed preoperatively. The depressed cardiovascular effects of obstructive jaundice are worth noticing because it has complicated mechanisms and needs to be further explored. Alterations of anesthesia-related drugs induced by obstructive ...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Wang L, Yu WF Tags: Acta Anaesthesiol Taiwan Source Type: research
Acute perioperative pain in neonates: An evidence-based review of neurophysiology and management.
Abstract
Current literature lacks systematic data on acute perioperative pain management in neonates and mainly focuses only on procedural pain management. In the current review, the neurophysiological basis of neonatal pain perception and the role of different analgesic drugs and techniques in perioperative pain management in neonates are systematically reviewed. Intravenous opioids such as morphine or fentanyl as either intermittent bolus or continuous infusion remain the most common modality for the treatment of perioperative pain. Paracetamol has a promising role in decreasing opioid requirement. Howev...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Maitra S, Baidya DK, Khanna P, Ray BR, Panda SS, Bajpai M Tags: Acta Anaesthesiol Taiwan Source Type: research
Co-presentation of Tapia's syndrome and pressure alopecia-A rare event after septorhinoplasty: A case report and literature review.
Abstract
Tapia's syndrome and pressure alopecia (PA) are two rare but distressing complications associated with orotracheal intubation and positioning of the head during surgery. To our knowledge, simultaneous occurrence of both complications after surgery has not been previously reported. To avoid these disturbing complications, the mechanisms of the injury and the preventive measures should be recognized by anesthesiologists and surgeons. We herein present the case of Tapia's syndrome together with PA following open septorhinoplasty under uncomplicated endotracheal general anesthesia in a 27-year-old man...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Ghorbani J, Dabir S, Givehchi G, Najafi M Tags: Acta Anaesthesiol Taiwan Source Type: research
Use of i-gel in magnetic resonance imaging.
Abstract
Anesthesia for magnetic resonance imaging (MRI) requires special equipment that can be used in the presence of a magnetic field. Endotracheal tube and various laryngeal mask airway devices have a variable quantity of ferromagnetic material in the pilot balloon that could reduce image quality and result in artifacts. The i-gel is a reliable, easily inserted airway device, and causes minimal interference in image quality. We used i-gel in 10 anaesthetized adult patients undergoing MRI. The quality of image, evidence of airway, tongue, and dental trauma were assessed throughout the procedure. All sca...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Kaur K, Bhardwaj M, Kumar P, Lal J, Johar S, Hooda S Tags: Acta Anaesthesiol Taiwan Source Type: research
Should abnormal coagulation data found in thromboelastography be corrected during liver transplantation? Experience of two cases.
Abstract
Coagulopathy is common in patients with end-stage liver disease requiring liver transplantation (LT). Thromboelastography (TEG) test results are used for analyzing coagulation data and making a decision about the transfusion requirements. However, whether it is necessary to correct the abnormal coagulation profile during LT is a matter of considerable debate. Herein, we report our experience with two patients who had LT without blood product transfusion despite TEG results showing abnormal coagulation data. The TEG was performed four times during LT. Although blood product transfusion was necessar...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2014 Category: Anesthesiology Authors: Wang CH, Cheng KW, Chen CL, Wu SC, Shih TS, Jawan B, Huang CJ Tags: Acta Anaesthesiol Taiwan Source Type: research
Cannabis in pain medicine still has a long way to go.
PMID: 24529667 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2013 Category: Anesthesiology Authors: Yuan HB, Ho ST Tags: Acta Anaesthesiol Taiwan Source Type: research
Comparison of acromioaxillosuprasternal notch index (a new test) with modified Mallampati test in predicting difficult visualization of larynx.
CONCLUSION: AASI was associated with higher predictive values than MMP and could be used for estimation of DVL.
PMID: 24529668 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2013 Category: Anesthesiology Authors: Kamranmanesh MR, Jafari AR, Gharaei B, Aghamohammadi H, Poor Zamany N K M, Kashi AH Tags: Acta Anaesthesiol Taiwan Source Type: research
Priming with atracurium efficiently suppresses etomidate-induced myoclonus.
CONCLUSION: Low-dose atracurium priming could effectively suppress etomidate-induced myoclonus.
PMID: 24529669 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2013 Category: Anesthesiology Authors: Nooraei N, Solhpour A, Mohajerani SA Tags: Acta Anaesthesiol Taiwan Source Type: research
Perioperative very low-dose ketamine infusion actually increases the incidence of postoperative remifentanil-induced shivering-double-blind randomized trial.
CONCLUSION: Intraoperative infusion of very low-dose ketamine during remifentanil-based anesthesia may increase the incidence of postoperative shivering.
PMID: 24529670 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2013 Category: Anesthesiology Authors: Suzuki M, Osumi M, Shimada H, Bito H Tags: Acta Anaesthesiol Taiwan Source Type: research
Evaluation of the analgesic effect of ketamine as an additive to intrathecal bupivacaine in patients undergoing cesarean section.
CONCLUSION: Intrathecal ketamine 0.1 mg/kg co-administered with spinal bupivacaine elongated the time to the first analgesic request and lessened the total analgesic consumption in the first 24 postoperative hours in comparison with bupivacaine alone in the control group following elective cesarean delivery.
PMID: 24529671 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2013 Category: Anesthesiology Authors: Khezri MB, Ghasemi J, Mohammadi N Tags: Acta Anaesthesiol Taiwan Source Type: research
Targeting the cannabinoid system for pain relief?
Abstract
Marijuana has been used to relieve pain for centuries, but its analgesic mechanism has only been understood during the past two decades. It is mainly mediated by its constituents, cannabinoids, through activating central cannabinoid 1 (CB1) receptors, as well as peripheral CB1 and CB2 receptors. CB2-selective agonists have the benefit of lacking CB1 receptor-mediated CNS side effects. Anandamide and 2-arachidonoylglycerol (2-AG) are two intensively studied endogenous lipid ligands of cannabinoid receptors, termed endocannabinoids, which are synthesized on demand and rapidly degraded. Thus, inhibit...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2013 Category: Anesthesiology Authors: Chiou LC, Hu SS, Ho YC Tags: Acta Anaesthesiol Taiwan Source Type: research
