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Short Communication  |   Volume 2, Issue 1

The Concentration for Loss of Consciousness by Propofol does not differ between Morning and Afternoon

Kumiko Tanabe, Shigemi Matsumoto, Mayumi Nakanishi and Hiroki Iida
Abstract

Background: Circadian rhythms influence the pharmacology and effects of anesthetic agents such as local anesthetics, general anesthetics, and muscle relaxants. However, the influences of the circadian rhythm on new anesthetics such as propofol are unknown. Results: Thirty-seven patients underwent induced anesthesia at 8:30. Twenty-eight patients were induced between 14:00 and 16:00.There was no significant difference between the two groups in the predicted blood concentration, the predicted effect-site concentration and the time for LOC.

PDF   |    Full Text | DOI: 10.23937/2377-4630/2/1/1024

Original Research  |   Volume 2, Issue 1

Cost - Benefit Analysis of Focused Pre-Operative Transthoracic Echocardiography in the Pre-Operative Clinic in Patients at Increased Cardiac Risk Presenting for Non-Cardiac Surgery - A Pilot Study

David Neale, Daryl Williams and David Canty
Abstract

In a prospective observational study, focused transthoracic echocardiography (TTE) performed in the preoperative clinic on 100 patients with increased cardiac risk resulted in a change in management of 54% and a net reduction in use of hospital resources. The aims of this study are to apply a cost benefit analysis to demonstrate whether or not this translated into saving money for the hospital.

PDF   |    Full Text | DOI: 10.23937/2377-4630/2/1/1023

Case Report  |   Volume 2, Issue 1

Management of Anesthesia in A Patient with Myasthenia Gravis

Semih Baskan, Dilsen Ornek, Adem Guney, Fahri Acar, Ozlem Sacan and Mustafa Baydar
Abstract

Purpose: This report describes the management of anesthesia in a patient with myasthenia gravis, undergoing thymectomy. Clinical features: The patient was a 22-yr-old female. Thoracic computed tomography revealed a thymoma and a right-side paratracheal lymph node 46x44mm in size. A thymectomy operation was required.

PDF   |    Full Text | DOI: 10.23937/2377-4630/2/1/1022

Case Report  |   Volume 2, Issue 1

Airway Management following Facial Trauma Caused by a Pit Bull Attack

Jaime Ortiz and Kelly A. Frew
Abstract

Airway management of patients following facial trauma poses many challenges to the acute care team. An 80 year old male presented following a pit bull attack with massive trauma to his face, scalp and extremities. After carefully considering the options available, we were able to safely secure his airway by utilizing a WuScope. We confirm that the WuScope is a useful tool for airway management in a case of severe facial trauma.

PDF   |    Full Text | DOI: 10.23937/2377-4630/2/1/1021

Case Report  |   Volume 2, Issue 1

Fontan Physiology: Anaesthetic Implications for Non-Cardiac Surgery: A Case Report

Harikrishnan Kothandan, Lim Michelle Leanne and Shital Kumar Sharad Shah
Abstract

Patients with congenital heart diseases are a growing population and noncardiac surgeries will become an important health care issue. Modification of surgical techniques and medical advances has improved the survival of patients with complex congenital cardiac abnormalities, resulting in more adult patients with fontan physiology presenting for non-cardiac surgery. The older fontan patient is at particular risk of thromboembolism, arrhythmias, progressive ventricular dysfunction, protein losing enteropathy and plastic bronchitis. Understanding the physiology of the fontan circulation is essential for the successful anaesthetic management of these patients. Anaesthesia should be administered only in a centre where the relevant cardiology and intensive care expertise are available.

PDF   |    Full Text | DOI: 10.23937/2377-4630/2/1/1020

Opinion  |   Volume 2, Issue 1

Proposing a Novel Concept to Evaluate Safety of Supraglottic Devices Regarding Seal Pressure during Laparoscopic Surgery

Jose M. Belena, Monica Nunez and Alfonso Vidal
Abstract

It is a fact that Supraglottic Airway Devices (SAD) are currently present at many clinical scenarios in anesthesia and they are also a good alternative to endotracheal intubation in some routine anesthetic procedures. Nowadays, laparoscopy is one of the most common and widely established surgical techniques. This procedures increase airway pressure due to the peritoneal insufflation and consequently the risk of regurgitation and aspiration. Over the last two decades, many studies have established the safety of SADs for this purpose, reporting a very low incidence of aspiration or more serious morbidity associated with the use of these devices in laparoscopy.

PDF   |    Full Text | DOI: 10.23937/2377-4630/2/1/1019


Volume 2
Issue 1