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Original Research Article Open Access

The Effect of Perioperative Restrictive Fluid Therapy on Postoperative Edema and Ecchymosis in Rhinoplasty

Erden V, Sever E, Dagdelen S, Guler C, Kirgezen T, Toprak N and Yigit O
Int J Anesthetic Anesthesiol Volume 2, Issue 4

Abstract: Postoperative edema and ecchymosis can usually occur after rhinoplasty and can cause disgruntled results which influence the satisfaction of patient and surgeon. Prolonged periorbital ecchymosis and severe edema may cause a delay in healing and affect the result of surgery. Many of agents have been used to reduce the influence of edema and ecchymosis developing around the eyes after rhinoplasty, such as corticosteroids, lidocaine and adrenaline combination, melilotus extract.

PDF   | Full Text  DOI: 10.23937/2377-4630/2/4/1038

Original Research Article Open Access

Use of Human Fibrinogen Concentrate in Pediatric Cardiac Surgery Patients

Christopher F. Tirotta, Richard G. Lagueruela, Danielle Madril, Jorge Ojito, Chelsea Balli, Evelio Velis, Marilyn Torres, Francisco Alonso, Robert Hannan and Redmond P. Burke
Int J Anesthetic Anesthesiol Volume 2, Issue 4

Abstract: Bleeding after cardiac surgery can cause increased morbidity and mortality. This is a particularly serious problem in pediatric patients, especially neonates and infants, who may receive multiple units of blood products intra- and postoperatively. The aim of this study is to demonstrate that the use of human fibrinogen concentrate (HFC) during cardiopulmonary bypass (CPB) decreased operative blood loss and the need for perioperative blood component therapy in neonatal, infant and other high-risk bleeding patients.

PDF   | Full Text  DOI: 10.23937/2377-4630/2/4/1037

Original Research Article Open Access

A Comparative study on Efficacy of 10% and 20% Mannitol for Inducing Diuresis During Renal Transplant Surgery

Mohammed Husam Nafie
Int J Anesthetic Anesthesiol Volume 2, Issue 4

Abstract: Mannitol is one of the most commonly used osmotic diuretics during renal transplant surgery. Two concentrations of mannitol, 10% and 20%, are available, however there is no consensus about which concentration is to be preferred. The purpose of this study was to compare between the efficacy of the two concentrations of mannitol for inducing diuresis during renal transplant surgery and the need for further diuretics (furosemide).

PDF   | Full Text  DOI: 10.23937/2377-4630/2/4/1036

Case Report Open Access

Severe Respiratory Suppression Secondary to Buprenorphine Treated with Volume Assured Pressure Support (VAPS)

Robert J Farney, Boaz Markewitz, Amanda M McDonald and Jill Rhead
Int J Anesthetic Anesthesiol Volume 2, Issue 4

Abstract: The optimal therapy of chronic opioid induced sleep disordered breathing (SDB) is unclear. Supplemental oxygen may potentially prolong central apneas and increase respiratory suppression. Continuous positive airway pressure (CPAP) is generally ineffective or may even augment central apneas. Therapy with an Adaptive Servo-Ventilation (ASV) device is the most successful option for most etiologies of central apnea including opioids, but we have observed a subpopulation with OISDB that do not respond well.

PDF   | Full Text  DOI: 10.23937/2377-4630/2/4/1035

Volume 2
Issue 4