At all hospitals in the State of Iowa over a decade, the number of cases performed during weekends or holidays increased approximately proportionally to the total caseload
We tested the hypothesis that over many years – a decade – hospitals' proportions of surgical cases that were performed on weekends and holidays remained stable. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 26, 2018 Category: Anesthesiology Authors: Franklin Dexter, Richard H. Epstein, Craig Jarvie, Kokila N. Thenuwara Tags: Original Contribution Source Type: research
Unexpected local anesthesia toxicity during the ultrasonography-guided peripheral nerve block
Currently, ultrasonography-guided peripheral nerve blocks decrease complications with ability to display target nerves, prevent unnecessary needle movement, visualize spread of local anesthetic drug, and increase success rate of the block, providing an active role in using lower doses of local anesthetics. Although it has been proven as a safe and valid method, local anesthetics may sometimes lead systemic toxicity (LAST) [1]. Aim of this letter is to introduce the intraoperatively occurred LAST management through a case. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 23, 2018 Category: Anesthesiology Authors: Gulcin Aydin Tags: Correspondence Source Type: research
The novel early use of dexmedetomidine in the management of tetanus
Tetanus is a neurotoxin-mediated disease characterized by muscle spasms, rigidity, airway compromise, and sympathetic overactivity. The incidence of tetanus in developed countries has fallen significantly with the implementation of the tetanus vaccine, with only 233 cases reported in the United States from 2001 to 2008. Due to the decreasing incidence, many providers in developed countries lack experience in the management of tetanus. Autonomic dysfunction, which manifests as intermittent labile tachycardia, hypertension and arrhythmias often followed by periods of hypotension and bradycardia, is a major cause of morbidity...
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Andrea M. Talukdar, Guelay Bilen-Rosas, Michael Wilhelm, Awni Al-Subu Tags: Correspondence Source Type: research
Hyperbaric oxygen treatment resistant carbon monoxide poisoning
In literature, carbon monoxide intoxication (COI) is described by nonspecific symptoms (headache, myalgia, dizziness, weakness, confusion, unconsciousness) like in present patient with unconsciousness [1]. All organs, especially brain and heart, can suffer from COI. On radiological images, hypoxic brain injury can be observed in cerebral cortex and white matter, basal ganglia and especially globus pallidus [2]. In long-term, it can also cause to neuropsychiatric disorders, neurocognitive dysfunctions, and delayed encephalopathy in 0.06 –40% of the survivors. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Gulcin Aydin Tags: Correspondence Source Type: research
Clinical experience of ultrasound-guided single and bi-level erector spinae plane block for postoperative analgesia in patients undergoing thoracotomy
Ultrasound guided erector [1] spinae plane block (ESPB) was recently described by Forero. Literature reports its effective use for postoperative analgesia in thoracotomy and breast surgery as well as treatment of chronic pain [1 –3]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Serkan Tulgar, Onur Selvi, Zeliha Ozer Tags: Correspondence Source Type: research
Failure of ventilation intra-operatively with NIM EMG endotracheal tube
We are presenting a case of failure of ventilation intra-operatively under general anesthesia with neural integrity monitor (NIM) electromyogram (EMG) endotracheal tube (a silicone-based endotracheal tube). A 59-year-old man with bilateral thyroid nodular goiter is scheduled for subtotal thyroidectomy in our facility. His medical record was unremarkable. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Chien-Hsun Chen, Cheng-Yu Chen, Yi-Jer Hsieh Tags: Correspondence Source Type: research
Induction techniques for pediatric patients with congenital heart disease undergoing noncardiac procedures are influenced by cardiac functional status and residual lesion burden
Appropriate agent selection in patients with congenital heart disease (CHD) undergoing cardiac surgery and catheterization have been extensively reviewed in the literature. To date, there has not been an analysis of induction drug choices made in a large group of CHD patients undergoing non-cardiac procedures and intraoperative events.The primary objective was to characterize induction agent selection in CHD patients undergoing non-cardiac procedures and examine its association with intraoperative events. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 21, 2018 Category: Anesthesiology Authors: Koichi Yuki, Sandra Lee, Steven J. Staffa, James A. DiNardo Tags: Original Contribution Source Type: research
Continuous monitoring of ventilation by diaphragm ultrasonography using a new tool during procedural sedation
The number of procedures performed under sedation has increased, and so there is a need for a continuous respiratory monitoring for the initiation of interventions to prevent risk factors due to the ventilatory depression. However, continuous monitoring methods, such as clinical observation, pulse oximetry and capnography, are known to have limitations [1, 2]. The respiration is primarily driven by the diaphragm motion, and ultrasonography (USG) can be used for assessment of the diaphragm [3]. Transthoracic diaphragm USG used for evaluating the thickness, contractile activity, function or predicting extubation during the m...
Source: Journal of Clinical Anesthesia - June 21, 2018 Category: Anesthesiology Authors: Alper Kilicaslan, Funda Gok, Hilmi Gunuc Tags: Correspondence Source Type: research
Comparison of intravenous ibuprofen and acetaminophen for postoperative multimodal pain management in bariatric surgery: A randomized controlled trial
Multimodal analgesic strategies are recommended to decrease opioid requirements and opioid-induced respiratory complications in patients undergoing laparoscopic bariatric surgery. Recent studies have demonstrated that intravenous ibuprofen decreases opioid consumption compared with placebo. The primary aim of this study was to compare the effect of intravenous ibuprofen and intravenous acetaminophen on opioid consumption. We also aimed to compare postoperative pain levels and side effects of the drugs. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 20, 2018 Category: Anesthesiology Authors: Gulay Erdogan Kayhan, Mukadder Sanli, Ulku Ozgul, Ramazan Kirteke, Saim Yologlu Tags: Original Contribution Source Type: research
The importance of monitoring volatile anesthetic concentration
We present here two cases of improper administration of volatile anesthetics to patients during surgery due to malfunctioning anesthetic vaporizer. Despite apparently normal performance of the anesthetic machines, subsequent malfunction of vaporizer was detected. We received written consent forms from the patients for the publication of these cases. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 19, 2018 Category: Anesthesiology Authors: Jae Myeong Lee Tags: Correspondence Source Type: research
Hallermann-Streiff Syndrome: Difficulty in airway increases with increasing age
We present a case of HSS who was operated for bilateral cataract surgery as an infant and then for entropion correction at the age of twelve years. Approximately 150 case have been reported in the world literature [1]. The aetiology of HSS remains unknown. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 18, 2018 Category: Anesthesiology Authors: Lakshmi Prasanna Srinivasan, Jagadeesh Viswanathan Tags: Correspondence Source Type: research
Ultrasound-guided posterior quadratus lumborum block for postoperative pain after laparoscopic cholecystectomy: A randomized controlled double blind study
Laparoscopic techniques are commonly used in surgical operations of the gallbladder. There are very few regional anesthesia methods used to achieve this goal. We aimed to investigate the effect of ultrasound-guided posterior quadratus lumborum block (QLB), administered bilaterally on pain scores after laparoscopic cholecystectomy operations. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 18, 2018 Category: Anesthesiology Authors: Korg ün Ökmen, Burcu Metin Ökmen, Serra Topal Tags: Original Contribution Source Type: research
Editorial Board w/barcode
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Source Type: research
Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Source Type: research
The effect of nonsteroidal anti-inflammatory drugs on bone healing in humans: A qualitative, systematic review
Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used in postoperative pain management. While an increasing number of in vitro and animal studies point toward an inhibitory effect of NSAIDs on bone healing process, the few existing retro- and prospective clinical studies present conflicting data. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Alain Borgeat, Christian Ofner, Andrea Saporito, Mazda Farshad, Jos é Aguirre Source Type: research
