The skin-to-epidural depth is a useful guide to avoid the rare complication of thoracic epidural anesthesia.
PMID: 24148746 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - September 1, 2013 Category: Anesthesiology Authors: Lee SC, Hung CJ, Lee KC Tags: Acta Anaesthesiol Taiwan Source Type: research

Repetitive transcranial magnetic stimulation-An alternative treatment for chronic refractory pain.
PMID: 23968653 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Cheng JK Tags: Acta Anaesthesiol Taiwan Source Type: research

Different dosing regimens for propofol induction in obese patients.
CONCLUSION: When using single bolus propofol, the CBW60 group showed similar BIS values and hemodynamic effects as the TBW group during the intravenous induction of general anesthesia for obese patients. PMID: 23968654 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Lam F, Liao CC, Lee YJ, Wang W, Kuo CJ, Lin CS Tags: Acta Anaesthesiol Taiwan Source Type: research

A combination of the modified Mallampati score, thyromental distance, anatomical abnormality, and cervical mobility (M-TAC) predicts difficult laryngoscopy better than Mallampati classification.
CONCLUSION: The M-TAC scoring system has provided a higher sensitivity and specificity in predicting difficult laryngoscopy in comparison with Mallampati classification. PMID: 23968655 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Ambesh SP, Singh N, Rao PB, Gupta D, Singh PK, Singh U Tags: Acta Anaesthesiol Taiwan Source Type: research

Addition of dexmedetomidine to ropivacaine improves cervical plexus block.
CONCLUSION: The addition of 1 μg kg(-1) dexmedetomidine to ropivacaine for cervical plexus block could shorten the sensory block onset time and extend the duration of analgesia, and increased the quality of analgesia, with the patients being sedated and arousable. PMID: 23968656 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Lin YN, Li Q, Yang RM, Mao ZX, Liu JC Tags: Acta Anaesthesiol Taiwan Source Type: research

Hyperglycemia is associated with poor outcomes in surgical critically ill patients receiving parenteral nutrition.
CONCLUSION: The blood glucose level was associated with patient outcome and should be intensively monitored in critically ill surgical patients. We suggest that blood glucose levels should be controlled below 180 mg/dL in postoperative critically ill patients. PMID: 23968657 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Yan CL, Huang YB, Chen CY, Huang GS, Yeh MK, Liaw WJ Tags: Acta Anaesthesiol Taiwan Source Type: research

Thalamus and pain.
Abstract The thalamus is a key relay station for the transmission of nociceptive information to the cerebral cortex. We review the input-output connection, functional imaging, direct neuronal recording, stimulation, and lesioning studies on the involvement of thalamus in acute and chronic pain functions. Based on its specific reciprocal connection with the cerebral cortex, strong nociceptive responsiveness, and the severe chronic pain when it is damaged, the thalamus may hold the key to pain consciousness and the key to understanding spontaneous and evoked pain in chronic pain conditions. A work plan is pr...
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Yen CT, Lu PL Tags: Acta Anaesthesiol Taiwan Source Type: research

Efficacy and practical issues of repetitive transcranial magnetic stimulation on chronic medically unexplained symptoms of pain.
Abstract Chronic pain is a common issue worldwide and remains a big challenge to physicians, particularly when the underlying causes do not meet any specific disease for settlement. Such medically unexplained somatic symptoms of pain that lack an integrated diagnosis in medicine have a high psychiatric comorbidity such as depression, and will require a multidisciplinary treatment strategy for a better outcome. Thus, most patients deserted management in spite of being inadequately treated and even presented with high resistance to analgesic drugs. Noninvasive brain stimulation, including repetitive transcra...
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Li CT, Su TP, Hsieh JC, Ho ST Tags: Acta Anaesthesiol Taiwan Source Type: research

Homemade rubber spacer for endotracheal tube holder.
PMID: 23968660 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Ho C Tags: Acta Anaesthesiol Taiwan Source Type: research

A novel modified method of using Trachway intubating stylet for awake tracheal intubation in patients with anticipated difficult airway.
We describe a novel modified method of using Trachway intubating stylet to provide airway topicalization and perform awake orotracheal intubation in two cases with an anticipated difficult airway. The first case was a superobese patient with a cervical spine disorder, whereas the second case was a patient with an enlarged thyroid gland. Transtracheal lidocaine injection was technically difficult in these patients because of neck obesity and thyroid enlargement, respectively. We believe that this modified method can be used to provide effective airway topicalization when Trachway intubating stylet is used for awake orotrach...
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Hung KC Tags: Acta Anaesthesiol Taiwan Source Type: research

Diagnostic dilemma: Rare case of recurrent d-lactic acidosis leading to recurrent acute cardiac failure.
We report a rare case of short bowel syndrome with recurrent episodes of antibiotic-induced d-lactic acidosis with the presentation of transient severe left ventricular failure. The patient's cardiac function returned to normal with the resolution of acidosis under conservative management and a low carbohydrate diet. d-Lactic acidosis has been known to be associated with only neurological symptoms, and cardiac failure has not been previously reported. PMID: 23968662 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Singh PM, Borle A, Trikha A Tags: Acta Anaesthesiol Taiwan Source Type: research

Two-person technique for fiberscope-aided nasotracheal intubation in anesthetized patients.
PMID: 23968663 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Cherng CH, Wu ZF, Yeh CC Tags: Acta Anaesthesiol Taiwan Source Type: research

CobraPLA-guided tracheal intubation for airway rescue in a child with large orofacial arteriovenous malformation.
PMID: 23968664 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - June 1, 2013 Category: Anesthesiology Authors: Bhoi D, Dehran M, Raghavan S, Baidya DK Tags: Acta Anaesthesiol Taiwan Source Type: research

High-mobility group box 1 protein may be a therapeutic target in inflammation.
PMID: 23711597 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2013 Category: Anesthesiology Authors: Yen MH Tags: Acta Anaesthesiol Taiwan Source Type: research

Predictive risk index and prognosis of postoperative reintubation after planned extubation during general anesthesia: A single-center retrospective case-controlled study in Taiwan from 2005 to 2009.
CONCLUSION: The RAP predictive risk index included higher American Society of Anesthesiologists classification, conscious disturbance, COPD, pneumonia, SIRS, room air SpO2 <95%, hypothermia, airway surgery, and head and neck surgeries. The RAP predictive risk index provides us an opportunity to take preventive measures including renewal of risk-reduction protocols for high-risk patients. PMID: 23711598 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2013 Category: Anesthesiology Authors: Lin HT, Ting PC, Chang WY, Yang MW, Chang CJ, Chou AH Tags: Acta Anaesthesiol Taiwan Source Type: research