Unanticipated restricted mouth opening after induction of general anesthesia in a patient with parotid gland swelling
We report a case of unanticipated difficult airway management due to restricted mouth opening in a patient with parotid gland swelling. A 47-year-old female (156 cm, 47 kg) who had underwent chemotherapy for MALT lymphoma from 6 years ago developed right parotid gland swelling, which was detected by computed tomography (Fig. 1). Elective open biopsy was scheduled under general anesthesia. She had no pain or difficulty opening her mouth. Mallampati cla ss was 1 and preoperative airway examination showed no airway management risk. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 9, 2018 Category: Anesthesiology Authors: Yuichi Noda, Nobuyasu Komasawa, Kosuke Yasuda, Toshiaki Minami Tags: Correspondence Source Type: research
Postoperative continuous adductor canal block for total knee arthroplasty improves pain and functional recovery: A randomized controlled clinical trial
Investigate the use of a postoperative continuous adductor canal block (cACB) after epidural analgesia to decreases opioid consumption and improve visual analog scale (VAS) scores compared to a sham catheter. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 8, 2018 Category: Anesthesiology Authors: Patrick Leung, David M. Dickerson, Sahitya K. Denduluri, Maryam K. Mohammed, Min Lu, Magdalena Anitescu, Hue H. Luu Tags: Original contribution Source Type: research
Ultrasound-guided multiple nerve block with a small volume local anesthetic at each site for radical mastectomy in day surgery
Ultrasound-guided PEC I, PEC II and serratus anterior blocks are recently used for anesthesia and analgesia for radical mastectomy [1 –3]. We find that the method has two shortcomings. Firstly, surgeons complain the operating field is too watery; secondly, it may not provide complete analgesia because of multiple nerve distribution in the areas of surgery. The involved nerves come from the brachial plexus (the medial pectoral ne rve, the lateral pectoral nerve, the long thoracic nerve, the thoracodorsal nerve, the medial brachial cutaneous nerve), the superficial cervical plexus (the supraclavicular nerve) and the interc...
Source: Journal of Clinical Anesthesia - June 7, 2018 Category: Anesthesiology Authors: Ai-Zhong Wang, Kun Fan, Qiang Niu Tags: Correspondence Source Type: research
The role of ketamine in addressing the anesthesia gap in low-resource settings
In recent decades, preventable intraoperative mortality in developed countries has decreased by a factor-of-ten to fewer than 1 in 100,000 cases [1, 2]. Postoperative mortality is higher, but less than 1% nationwide in the United States [3]. In contrast, intraoperative and postoperative mortality remain high in developing countries. For example, in low Human Development Index countries, perioperative mortality is more than twice as high, and deaths attributed solely to anesthesia are almost 6 times greater [4]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 6, 2018 Category: Anesthesiology Authors: Sebastian Suarez, Thomas F. Burke, Taha Yusufali, Jennifer Makin, Daniel I. Sessler Tags: Editorial Source Type: research
Effect of dexmedetomidine on intraocular pressure in patients undergoing robot-assisted laparoscopic radical prostatectomy under total intravenous anesthesia: A randomized, double blinded placebo controlled clinical trial
To study the effects of intraoperative dexmedetomidine on the intraocular pressure (IOP) in patients undergoing robot-assisted laparoscopic radical prostatectomy (RALRP) under propofol –remifentanil anesthesia. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 5, 2018 Category: Anesthesiology Authors: Sakiko Kitamura, Kenichi Takechi, Tasuku Nishihara, Amane Konishi, Yasushi Takasaki, Toshihiro Yorozuya Tags: Original Contribution Source Type: research
Washing off local anaesthetic induced phrenic dysfunction following interscalene block
We read with great interest the recent article by Smith LM and Barrington MJ [1], who were able to successfully reverse local anaesthetic (LA) induced phrenic nerve paralysis by injecting saline down an interscalene catheter. While we concur their statement about “the technique of saline wash out of an interscalene brachial plexus catheter to reverse respiratory distress is a novel one”, we would like to point out that this “washing off” concept and technique have already been previously reported [2–5]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 5, 2018 Category: Anesthesiology Authors: Ban C.H. Tsui, Darcy Price Tags: Correspondence Source Type: research
Combined quadratus lumborum block and lumbar plexus block for a pediatric patient undergoing Ilizarov procedure
Lumbar plexus block (LPB) is a well known regional anesthesia technique to provide postoperative analgesia for orthopedic procedures. The Shamrock technique is a relatively new LPB method, described by Sauter et al. [1]. G ürkan et al. have shown that using shamrock approach prolonged postoperative analgesia can be provided in children undergoing hip surgery [2]. Using shamrock approach anesthesiologist can have a wide view that allows us to visualize lumbar plexus, the quadratus lumborum, erector spinae and psoas ma jor muscles. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 5, 2018 Category: Anesthesiology Authors: Ufuk H. Y örükoğlu, Yavuz Gürkan Tags: Correspondence Source Type: research
USG guided bilateral erector spinae plane block is an effective and safe postoperative analgesia method for living donor liver transplantation
The erector spinae plane block (ESPB) is a novel technique which was first used to provide analgesia in the thoracic region in 2016 [1].Then, it was shown that ESPB provides somatic and visceral analgesia in abdominal surgeries [2]. Bilateral subcostal incisions, retractions, and wide liver resections in donors cause severe postoperative pain in the lower thoracic and abdominal areas. In this paper, we present our experience in 3 patients undergoing living donor liver transplantation surgery in which ESPB was performed for postoperative analgesia. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 5, 2018 Category: Anesthesiology Authors: Gulcin Hacibeyoglu, Ahmet Topal, Sule Arican, Alper Kilicaslan, Ahmet Tekin, Sema Tuncer Uzun Tags: Correspondence Source Type: research
Intravenous versus inhalational anesthesia for pediatric inpatient surgery – A systematic review and meta-analysis
General anesthesia is commonly used in pediatric inpatient surgery. It can be induced and maintained by either intravenous or volatile anesthetic agents. We aimed to elucidate whether intravenous or volatile anesthetic agents are superior with regards to preventing anesthesia-related complications. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 31, 2018 Category: Anesthesiology Authors: Patrick Scheiermann, Friederike Herzog, Andrea Siebenhofer, Reinhard Strametz, Tobias Weberschock Source Type: research
A comparison of the fascia iliaca block to the lumbar plexus block in providing analgesia following arthroscopic hip surgery: A randomized controlled clinical trial
This randomized controlled single blinded clinical trial compared the fascia iliaca block (FIB) and the lumbar plexus block (LPB) in patients with moderate to severe pain following hip arthroscopic surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 31, 2018 Category: Anesthesiology Authors: Ignacio Badiola, Jiabin Liu, Stephanie Huang, John D. Kelly, Nabil Elkassabany Tags: Original Contribution Source Type: research
The use of continuous Erector Spinae Plane blockade for analgesia following major abdominal surgery in a one-day old neonate
The Erector Spinae Plane block (ESP) is an emerging technique for the provision of thoracolumbar analgesia [1] with reported pediatric applications [2 –4, and] including a single-shot neonatal ESP block for inguinal hernia repair [2]. ESP blockade could be a promising alternative to epidural or paravertebral blockade in neonates as catheter placement occurs under direct vision in a superficial plane devoid of nearby critical structures. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 26, 2018 Category: Anesthesiology Authors: Robert Moore, Irem Kaplan, York Jiao, Andrew Oster Tags: Correspondence Source Type: research
Ultrasound guided Quadratus Lumborum block for pediatric extracorporeal shock wave lithotripsy: Safety and indication?
We read the paper written by Yayik et al. [1] regarding quadratus lumborum block (QLB) for pediatric extracorporeal shock wave lithotripsy (ESWL). QLB block was described by Blanco and performed for intraoperative and postoperative pain management undergoing abdominal, hip and vertebrae surgery [2,3] QLB has risk of serious complications such as infections, blood hematoma, local anesthetic systemic toxicity, organ injuries and serious hypotension due to spread of local anesthetic into paravertebral and epidural space [4]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 25, 2018 Category: Anesthesiology Authors: Ilker Ince, Ozgur Ozmen, Aysenur Dostbil Tags: Correspondence Source Type: research
Ultrasound guided transmuscular quadratus lumborum block for congenital hip dislocation surgery: Report of two pediatric cases
Developmental dysplasia of the hip (DDH) is one of the major disorder of the pediatric population with an incidence of 3 to 5 per 1000 children [1]. Open surgical reduction of congenital hip dislocation (CHD) is typically performed after an ineffective closed reduction or older than 18 months. Multiple femoral or pelvic osteotomies and tenotomies are performed during this surgical treatment and cause severe postoperative pain [2]. Since initial description by Blanco for abdominal surgery, the quadratus lumborum block (QLB) has experienced several surgeries for postoperative pai n management in adults and pediatrics [3,4...
Source: Journal of Clinical Anesthesia - May 25, 2018 Category: Anesthesiology Authors: Ali Ahiskalioglu, Ahmet Murat Yayik, Haci Ahmet Alici, Naci Ezirmik Tags: Correspondence Source Type: research
The effect of oral hydration on the risk or aspiration and hemodynamic stability before the induction of anesthesia: A systematic review and meta-analysis
Preoperative oral rehydration solutions (ORS) are frequently used in clinical practice in Japan, although their effect remains to be explained. The purpose of this study was to investigate the clinical outcomes associated with ORS usage. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 23, 2018 Category: Anesthesiology Authors: Shinji Oshima, Yoshitaka Aoki, Yohei Kawasaki, Junichiro Yokoyama Source Type: research
Isolated pneumopericardium caused by positive pressure ventilation: A rare complication
We present a case of isolated pneumopericardium as a rare complication of mechanical ventilation (MV). A 52-year-old male with hypertension, obesity (BMI 35), impaired glucose tolerance, and a history of heavy smoking, was brought by ambulance to our hospital. He had a one day history of increasing respiratory distress, and presented in a shocked and acidotic state necessitating urgent intubation, MV, fluid resuscitation and noradrenaline infusion. A computerized tomography (CT) scan excluded any pulmonary embolism. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - May 23, 2018 Category: Anesthesiology Authors: Pradipta Bhakta, John Richard McNamara, Brian O'Brien, Robert Plant Tags: Correspondence Source Type: research
