International Journal of

Anesthetics and AnesthesiologyISSN: 2377-4630


 Open Access DOI:10.23937/2377-4630/1410083

Dexmedetomidine Infusion an Effective Intra-Operative Medication for Patients Undergoing Laparoscopic Cholecystectomy

Summaira Jan, Tawheed Ahmad and Saima Rashid

Article Type: Research Article | First Published: December 20, 2018

Laparoscopic surgeries involves creation of pneumo-peritoneum with insufflation of gas usually CO2 thereby increasing intra-abdominal pressure. The Intra-abdominal pressure above 10 mmHg causes adverse hemodynamic changes. Various agents have been used to attenuate these adverse effects. Dexmedetomidine alpha-2 agonist has sedative, sympatholytic, analgesic and anxiolytic properties and used in laparoscopic cholecystectomies for attenuation of adverse hemodynamic changes and to maintain hemodyna...

 Open Access DOI:10.23937/2377-4630/1410082

Efficacy and Safety of the Intraosseous Vascular Access in out-of-Hospital Emergencies: A Prospective Study of the Pre-Hospital Emergency Service (SUEM 118) of Padua from 2012 to Today

Andrea Paoli, Marco Lorenzini, Annalisa Boscolo, Andrea Spagna and Carlo Ori

Article Type: Research Article | First Published: December 06, 2018

Several scientific associations recommend the use of the intraosseous access as a valid alternative to the intravenous route, which is often difficult to find in emergency conditions, as a safe and effective way for drugs and fluids administration and for blood sampling. Rapid intravascular access is of paramount importance in both in and out-of-hospital emergency care. Quick treatment of medical and traumatic situations, along with correct resuscitation maneuvers, can decrease the mortality and...

 Open Access DOI:10.23937/2377-4630/1410081

Apneic Oxygenation and High Flow

Ayten Saracoglu, Halime Hanim Pence, Mehmet Yilmaz and Kemal Tolga Saracoglu

Article Type: Review Article | First Published: November 16, 2018

Prevention and minimizing serious complications during difficult airway management is an important goal for anesthesia providers. Using the high flow cannula oxygenation systems it is possible to improve the clinical outcomes, increase patient safety and reduce the rate of complications. A possible mechanism of this method can be explain by 'Aventilatory Mass Flow' which is a physilogical phenomenon. Several methods can be used to implement apneic oxygenation such as nasopharyngeal catheter, nas...

 Open Access DOI:10.23937/2377-4630/1410080

Hemostatic Coagulation Management in Trauma

Ayten Saracoglu and Sermin Tetik

Article Type: Review Article | First Published: November 15, 2018

Trauma is still a leading cause of death in the 21st Century mainly due to uncontrolled hemorrhage. Trauma has also an increasing cost of treatment in patients. Recently we have been aware of the importance of complex hemostatic and immunoinflammatory responses in pathogenesis of "Trauma Induced Coagulopathy". As a result of understanding of changes on coagulation pathway in trauma, different hypotheses put forward explaining the trauma induced coagulopathy. New treatment algorithms also take pl...

 Open Access DOI:10.23937/2377-4630/1410079

Occurrence of Tension Pneumothorax following Fogarty Embolectomy Catheter use for Lung Isolation in a Neonate with Congenital Pulmonary Airway Malformation

Budzinski Jessie and Choudhry Dinesh

Article Type: Case Report | First Published: November 05, 2018

A pneumothorax can arise in a variety of clinical settings in the operating room, from bleb rupture to iatrogenic injury. Should it expand in size and cause increase in intrapleural pressures with resultant diminished venous return, it becomes referred to as a tension pneumothorax. We report a case of a premature infant presenting for repair of congenital pulmonary airway malformation who suffered an iatrogenic tension pneumothorax during lung isolation with fogarty embolectomy catheter used for...

 Open Access DOI:10.23937/2377-4630/1410078

A Rare Case of an Adult Congenital Diaphragmatic Hernia becoming Symptomatic after an Elective Procedure

Stylianos Voulgarelis and Sylvia Y Dolinski

Article Type: Case Report | First Published: November 03, 2018

Congenital diaphragmatic hernias may run undiagnosed for years before a change in symptomatology may lead to the diagnosis and treatment. We present a 63-year-old previously asymptomatic patient that developed progressive symptomatology after a laparoscopic procedure. The increased intraabdominal pressure related to the peritoneal insufflation and Trendelenburg intraoperative positioning in combination with the failure of the surgeon to perform the initial laparoscopic exploration of the whole a...

 Open Access DOI:10.23937/2377-4630/1410077

Iatrogenic Nerve Injury Resulting in Respiratory Failure after Mediastinoscopy

Dustin Hang, Herodotos Ellinas and Sylvia Y Dolinski

Article Type: Case Report | First Published: November 01, 2018

Acute respiratory failure is divided into four categories: hypoxemic (type I), hypercarbic (type II), perioperative (type III) and shock (type IV). We present a case of perioperative respiratory failure in a patient with iatrogenic phrenic nerve injury after mediastinoscopy and the implications for a high index of suspicion as well as appropriate diagnostics. Of the four types of respiratory failure, perioperative (Type III) respiratory failure is often due to hypoxemia or hypercarbia (i.e. Type...

 Open Access DOI:10.23937/2377-4630/1410076

Quality of Life and Anxiety Status following Donor Liver Transplantation

Ayten Saracoglu, Fisun Bulutcu, Levent Oklu, Ercument Yentur, Yaman Tokat and Yildiray Yuzer

Article Type: Original Article | First Published: October 31, 2018

Anxiety disorder, which is encountered in surgical patients receiving general anesthesia is a psychological and physical condition, characterized by sudden onset of hazard perception and extensive fear, and may lead to panic disorder. In this study, we aimed to determine anxiety levels of liver transplantation donors via a questionnaire and reveal their quality of life and anxiety status during the 1st postoperative day and month....

 Open Access DOI:10.23937/2377-4630/1410075

Outcome of Self- and Planned Extubation in Organophosphate-Poisoned Patients

Abbas Aghabiklooei, Omid Mehrpour, Hossein Hassanian-Moghaddam, Shahin Shadnia and Nasim Zamani

Article Type: Original Article | First Published: October 24, 2018

Respiratory failure is the most common cause of morbidity and mortality in organophosphate (OP)-intoxicated patients. We aimed to assess and compare the need for re-intubation and outcome between patients with self-extubation (SE) and planned extubation (PE). All OP-poisoned endotracheally intubated patients admitted to poisoning ICU were included. The frequency and time of SE, need for re-intubation, and its impact on hospital stay and outcome were assessed....

 Open Access DOI:10.23937/2377-4630/1410074

Accidental Perforation of Subarachnoid Space with Spinal Introducer

Luiz Eduardo Imbelloni and Micaela Barbosa L Sales

Article Type: Case Report | First Published: October 17, 2018

The existence of fine gauge needles with a traumatic bevel, pencil tip type; it is possible to increase the indication of spinal anesthesia in young people and to reduce the incidence of post-puncture headache. We present a case of a post-dural puncture headache occurring after perforation dura mater using a 20-gauge needle introducer for spinal anesthesia with Whitacre needle....

 Open Access DOI:10.23937/2377-4630/1410073

Menstrual Cycle Phase May Effect the Thermoregulation during Anesthesia

Veysel Erden, Cihan Guler, Hasan Bulut, Naile Ozsoy Toprak and Nedret Uslu

Article Type: Original Article | First Published: October 12, 2018

This study was registered to Australian New Zealand Clinical Trial Registry with serial number ACTRN12614000286640. After institutional review, board approval and informed consent 50 female patients; ASA (American Society of Anesthesiologists) class 1, ages between 18-45 years old were enrolled in this study. The surgeries performed were septorhinoplasty and tympanoplasty. 25 patients with menstrual cycle days from 1 to 10 (follicular group), 25 patients with menstrual cycle days from 18 to 24 (...

 Open Access DOI:10.23937/2377-4630/1410072

When Equipment Misbehaves: Severe Respiratory Acidosis Resulting from a Compromised Coaxial Circuit

Anh Q Dang, Marc Rozner, Nicole Luongo and Shital Vachhani

Article Type: CASE REPORT | First Published: September 07, 2018

The construction of a coaxial circle breathing circuit encloses the inspiratory limb within the expiratory limb to preserve heat, humidity, anesthetic gas, and oxygen. However, the construction also makes kinks or breaks in the enclosed inspiratory limb difficult to detect. With kinking or disconnection of the central inspiratory limb, the patient may rebreathe expiratory gases, leading to a significant increase in dead space and concomitant respiratory acidosis. We describe a clinical case in w...

 Open Access DOI:10.23937/2377-4630/1410071

Uncommon Complication for Commonly Used Drugs: Cardiac Arrest after Administration of Succinylcholine

Mohd Nazri A, Nor Hidayah ZA, Suryati MP, Wan Nasrudin WI, Azhar M, Mazelan O, Nurul Ashikin H, Fazilawati Z, Maziah M, Khairul Has H and Puzizer S

Article Type: Case Report | First Published: August 04, 2018

Succinylcholine is a depolarizing, muscle relaxant, that commonly used to facilitate endotracheal intubation, especially in emergency surgery or patient with difficult intubation. However succinylcholine is associated with severe hyperkalaemia, arrhythmia and cardiac arrest especially in severe burn and neuromuscular disease and renal failure. We report a case of young boy with underlying Obstructive Sleep Apnoea (OSA) presented for bleeding post tonsillectomy, who developed cardiac arrest follo...

 Open Access DOI:10.23937/2377-4630/1410070

Lumbar Sympathetic Block for Bilateral Post-Prostatectomy Lower Extremity Pain in the Femoral Nerve Distribution

Fadi Farah, Antranig Kalaydjian, Yuen Cheng, Pascal Scemama and Martin Acquadro

Article Type: Case Report | First Published: July 26, 2018

Lower extremities nerves damage is a known complication of prostatectomies. Lumbar sympathetic block is a well-established treatment for sympathetically-mediated lower extremity pain. We report a case of bilateral lower extremity pain in a femoral distribution that developed after a robotic assisted prostatectomy and resolved after a lumbar sympathetic block....

 Open Access DOI:10.23937/2377-4630/1410069

An Accidental Arterial Puncture and Anticoagulation after Internal Jugular Vein Catheterization Resulting in Massive Hematoma and Airway Compromise

Kurt Ruetzler, Till Hauffe, Tobias Piegeler, Alkadhi Hatem and Donat R Spahn

Article Type: Case Report | First Published: July 05, 2018

Central Venous Catheterization is a common procedure in daily clinical practice. The internal jugular, subclavian and the femoral veins are the most frequently catheterized central veins. Pneumothorax, hematothorax, arterial puncture, hematoma, nerve lesions, damage to the left thoracic duct, and air embolism are among the main mechanical complications. Nowadays, there are two techniques in daily clinical use: the traditional technique and the ultrasound guided technique. ...

Volume 5
Issue 2