Flexible gastroendoscope as a rescue device for an anaesthetist
Managing the airway of a patient with temporo-mandibular joint (TMJ) ankylosis is very challenging. Securing the airway by awake fiberoptic bronchoscopy is considered as a gold standard [1]. Easy and ubiquitous availability of the gastroendoscopes in the endoscopy room makes them a good alternative to fiberoptic bronchoscope. So we present a unique case of TMJ ankylosis posted for upper gastrointestinal endoscopy, wherein anaesthesia was given to the patient while the flexible gastroendoscope was also used as a rescue device for emergency airway management. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Neha Garg, Gaurav Sindwani, Aditi Suri, Rafat Shamim, Chandra Kant Pandey Tags: Correspondence Source Type: research
Anesthesia management of a newborn with Pena-Shokeir Syndrome
Perinatal diagnosis of Pena-Shokeir Syndrome (PSS) characterized by multiple joint contractures, intrauterine growth retardation, craniofacial deformities, multiple ankyloses, camptodactilia, short umbilical cord, polyhydramnios, and pulmonary hypoplasia is possible up to 14th week of pregnancy with abnormal position of fetal organs, abnormal fetal movements or fetal akinesia and those anomalies which may lead to mortality are considered to provide reasonable criteria for decision of termination of pregnancy [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Gulcin Aydin, Isin Gencay, Selim Colak Tags: Correspondence Source Type: research
Serratus plane block in thoracoscopic sympathectomy surgery
Video-assisted thoracic surgery (VATS), a minimally invasive procedure, has allowed less impairment of pulmonary function compared with thoracotomy. Besides that, there have been reports of significant acute and chronic pain following it [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Elena Segura-Grau, Joana Santos, Margarete Rocha, Jos é P. Assunção Tags: Correspondence Source Type: research
Supraglottic airway for upper gastrointestinal endoscopy in children: A review of 10years' experience
Children undergoing diagnostic EGD require deep sedation or general anesthesia [1] [2]. The anesthesiologist may choose to protect the airway with an endotracheal tube, or use sedation using a variety or combinations of sedatives and analgesics, while relying on the patient's native airway, and without airway protection [2] [3]. There can, in these instances, however, be serious cardiorespiratory complications; specifically, apnea, hypoventilation and oxygen desaturation; and hypercarbia from periods of apnea during deep sedation go unmeasured. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Audrice Francois, Eric Pedone Tags: Correspondence Source Type: research
Efficacy of ultrasound imaging for differential diagnosis of cervical swelling after brachial plexus block for shoulder arthroscopy
Various complications associated with peripheral brachial plexus nerve block have been reported, such as pneumothorax, hemodynamic collapse, and hematoma leading to airway obstruction [1]. Here, we report the successful use of ultrasound imaging in the differential diagnosis of cervical swelling after brachial plexus block for shoulder arthroscopy. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Sayuri Matsunami, Nobuyasu Komasawa, Hiroyuki Yamasaki, Toshiaki Minami Tags: Correspondence Source Type: research
Laparoscope surgical Instrument usage to manage an extremely difficult airway
Airway management is an integral part of anaesthesia practice. Technical difficulty to intubate the patient may pose some critical challenges. We encountered one such case, a smiling girl of 6years posted for 2nd stage palatal fistula repair. Her tongue was attached to the palate (Fig. 1) four weeks back. After explaining the procedure, informed consent and permission to publication was obtained from the parent (mother), patient was prepared for anaesthesia. Surgeon requested for nasal intubation in view of better exposure. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 27, 2017 Category: Anesthesiology Authors: Bhuwan C. Panday, Savitar Malhotra, Jayashree Sood Tags: Correspondence Source Type: research
Ultrasound guided distal adductor canal block provides effective postoperative analgesia in lower leg surgery
In order to provide adequate postoperative analgesia in patients undergoing lower extremity surgeries, blockage of both lumbar and sacral plexus originating nerves are required as part of multimodal analgesia regimens. Block of the sciatic nerve from the popliteal region is a frequently used regional anesthesia/analgesia technique in lower leg surgery. Additionally, saphenous nerve block at the adductor canal level or femoral nerve block may also be included. Runge et al. reported that local anesthetic injected at the distal of the adductor canal around the femoral artery spread both proximally to the saphenous nerve and d...
Source: Journal of Clinical Anesthesia - December 22, 2017 Category: Anesthesiology Authors: Serkan Tulgar, Onur Selvi Tags: Correspondence Source Type: research
Is CPAP treatment not effective after supratentorial craniotomy? Author's reply
We thank the authors for their comments [1] on our study “Efficacy of continuous positive airway pressure and incentive spirometry on respiratory functions during the postoperative period following supratentorial craniotomy: A prospective randomized controlled study” [2], which was published in your journal. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 22, 2017 Category: Anesthesiology Authors: Hulya Kahraman Sah, Eren Fatma Akcil, Yusuf Tunali, Hayriye Vehid, Ozlem Korkmaz Dilmen Tags: Correspondence Source Type: research
Ultrasound guided distal adductor canal block provides effective postoperative analgesia in lower leg surgery
In order to provide adequate postoperative analgesia in patients undergoing lower extremity surgeries, blockage of both lumbar and sacral plexus originating nerves are required as part of multimodal analgesia regimens. Block of the sciatic nerve from the popliteal region is a frequently used regional anesthesia/analgesia technique in lower leg surgery. Additionally, saphenous nerve block at the adductor canal level or femoral nerve block may also be included. Runge et al. reported that local anesthetic injected at the distal of the adductor canal around the femoral artery spread both proximally to the saphenous nerve and d...
Source: Journal of Clinical Anesthesia - December 22, 2017 Category: Anesthesiology Authors: Serkan Tulgar, Onur Selvi Tags: Correspondence Source Type: research
Is CPAP treatment not effective after supratentorial craniotomy? Author's reply
We thank the authors for their comments [1] on our study “Efficacy of continuous positive airway pressure and incentive spirometry on respiratory functions during the postoperative period following supratentorial craniotomy: A prospective randomized controlled study” [2], which was published in your journal. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 22, 2017 Category: Anesthesiology Authors: Hulya Kahraman Sah, Eren Fatma Akcil, Yusuf Tunali, Hayriye Vehid, Ozlem Korkmaz Dilmen Tags: Correspondence Source Type: research
Intraoperative clevidipine use to manage an acute hypertensive episode in a patient with a simultaneous kidney-pancreatic transplant
Arterial hypertension represents one of the most common diagnoses pathology in general population and usually is associated with a high appearance of complications and an increase in the mortality and morbidity during the perioperative period [1]. Refractory hypertension episodes following a simultaneous kidney-pancreatic transplant (SKPT) are not described by the current literature, and usually are associated with a multifactorial pathogenesis (immunosuppressive drugs use, chronic allograft dysfunction, genetic susceptibility or vascular complications) [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Mar ía J. Pascual, José A. Sastre, José M. Calvo Tags: Correspondence Source Type: research
Anesthetic and pharmacologic considerations in perioperative care of obese children
Anesthetic management of obese pediatric patients is challenging. With increasing prevalence of childhood obesity, more severely obese children with comorbidities present for surgery every day. The purpose of this review is to provide an up-to-date comprehensive narrative review on the impact of pathophysiological changes imposed by pediatric obesity on the perioperative management of obese children, especially drug dosing. This knowledge is necessary to provide safe delivery of anesthesia for severely obese children. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Vidya Chidambaran, Anurag Tewari, Mohamed Mahmoud Tags: Review Source Type: research
The correlation of the depth of anesthesia and postoperative cognitive impairment: A meta-analysis based on randomized controlled trials
To comprehensively evaluate the associations between the depth of anesthesia and postoperative delirium (POD) or postoperative cognitive dysfunction (POCD). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Xing Lu, Xin Jin, Suwei Yang, Yanfei Xia Tags: Original Contribution Source Type: research
Ultrasound guided low thoracic erector spinae plane block for management of acute herpes zoster
Interfascial plane blocks have become very popular in recent years. A novel interfascial plane block, erector spinae plane (ESP) block can target the dorsal and ventral rami of the thoracic spinal nerves but its effect in neuropathic pain is unclear [1]. If acute pain management for herpes zoster is not done aggressively, it can turn into chronic pain. However; ESP block is first described as inject local anesthetics around the erector spinae muscle at the level of T5 spinous process for thoracic region, if the block is performed at lower levels it could be effective for abdominal and lumbar region [2]. (Source: Journal of...
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Ali Ahiskalioglu, Haci Ahmet Alici, Muhammet Ali Ari Tags: Correspondence Source Type: research
