International Journal of

Anesthetics and AnesthesiologyISSN: 2377-4630


 Open Access DOI:10.23937/2377-4630/1410119

Herpes Zoster in an Immunocompetent Adult in the Tropic with Vitamin D Deficiency: A Case Report

Evaristus Chinonye Ezema, Obioma Onah Ezema and Emmanuel Joachim Nebuwa

Article Type: Case Report | First Published: December 31, 2020

Human herpes virus infection induces lifelong latent infection that most likely reactivates when the immune system deteriorates. It usually presents with localized, painful vesicular rash in one or contiguous dermatomal distributions. Although, more serious manifestations like aseptic meningitis, acute retinal necrosis, herpes zoster ophthalmicus and Ramsay Hunt syndrome especially in the immunocompromised. We report a case of 2-dermatomal cutaneous herpes zoster in an adult in the tropic with v...

 Open Access DOI:10.23937/2377-4630/1410118

The Effect of Single-Dose Preemptive Intravenous Ibuprofen on the Intraoperative Hemodynamic Parameters, Recovery Characteristics, and Acute Pain after Laparoscopic Cholecystectomy: A Randomized Double-Blind, Placebo-Controlled Clinical Trial

Ozlem Sezen, MD, Banu Cevik, MD and Kemal Tolga Saracoglu, MD

Article Type: Original Article | First Published: December 31, 2020

The aim of this study was to investigate the effects of the preemptive administration of a single dose of intravenous (IV) ibuprofen on the intraoperative hemodynamic parameters, recovery characteristics, and postoperative pain management in patients undergoing laparoscopic cholecystectomy. The time to first analgesic requirement during postoperative period was the main goal of this study. Following ethical committee approval, sixty patients scheduled for laparoscopic cholecystectomy with Americ...

 Open Access DOI:10.23937/2377-4630/1410116

Meta-Analysis and Evidence Base for the Efficacy of High Frequency Oscillatory Ventilation (HFOV) in ARDS Management: Systematic Review and Quality Assessment

Mohamed E Awad, MD, MBA, Mohamed Gaber, MD, Suhib I Alhusban, MD, Sung Chu, BS, Colville HB Ferdinand, MD, FACS and Mohamed Ben Omran, MD

Article Type: Original Article | First Published: December 30, 2020

To evaluate the efficacy of high frequency oscillatory ventilation (HFOV) in management of acute respiratory distress syndrome and determine whether if there is any superiority over the conventional mechanical ventilation (CMV). A systematic review and meta-analysis were conducted according to PRISMA checklist and the Cochrane Handbook for Systematic Reviews of Interventions. The search of the literature was performed through several search databases: PubMed, MEDLINE via Ovid, and web of science...

 Open Access DOI:10.23937/2377-4630/1410115

Use of Dexmedetomidine in Pediatric Patients for the Decrease of the Postoperative Delirium: Implementation of a Protocol Approved for Premedication

Patricia Catalán Escudero, Adolfo Ramos Luengo, Eva Delgado Encinas and Ernesto Martínez García

Article Type: Original Article | First Published: November 30, 2020

Delirium is a very frequent alteration of postoperative behavior in children. Tonsillectomy surgery is related to severe sleep apnea and does not indicate benzodiazepine premedication. Non-premedication is directly related to the presence of negative behaviors. Dexmedetomidine is a safe option for children with obstructive sleep apnea (OSA) since it does not affect airway tone. The main aim of this retrospective observational study is determining whether intranasal dexmedetomidine premedication ...

 Open Access DOI:10.23937/2377-4630/1410114

Malignant Tracheal Invasion Masked by COVID-19 Symptoms

Chase D Rose, MD, Andrew W Murray, MD, David G Lott, MD, Patrick A Devaleria, MD and Bradford B Smith, MD

Article Type: Case Report | First Published: November 27, 2020

The coronavirus disease 2019 (COVID-19) pandemic has significantly altered the delivery of healthcare, particularly for patients undergoing perioperative surgical care. We present a case of successful airway and surgical management of a patient with substernal tracheal invasion by thyroid cancer whose care was complicated by a diagnosis of COVID-19. We recommend providers exhibit vigilance in addition to multidisciplinary evaluation and planning to limit exposure and avoid potential morbidity an...

 Open Access DOI:10.23937/2377-4630/1410113

Trans-Thoracic Echocardiography during VA-ECMO: May the Supra-Sternal Notch View Detect a Too-Proximally Watershed Area?

Enrico Giustiniano, MD and Maurizio Cecconi, MD, FRCA, FFICM, MD(Res)

Article Type: Case Report | First Published: November 19, 2020

Veno-Arterial Extra-Corporeal Membrane Oxygenation (VA-ECMO) in adults has grown over the last decades as a life-saving procedure. Trans-thoracic (TTE) and trans-esophageal (TEE) echocardiography are recommended tool to manage such cases. A 35-years-old female patient suffering from myocarditis after bone marrow transplant for lymphoblastic leukemia underwent V-A ECMO due to a severe Left Ventricle disfunction which developed abruptly. Given the rapid clinical worsening we opted for the extracor...

 Open Access DOI:10.23937/2377-4630/1410112

Multimodal Technique to Maximize Perioperative Pain Control and Minimize Opioid Use in a Patient Undergoing Laparoscopic Cholecystectomy: A Case Report

Jaclyn R. Altshuler, MD and Stephanie Ibekwe, MD

Article Type: Case Report | First Published: November 02, 2020

Perioperative opioid sparing techniques are paramount given the current opioid epidemic. A 54-year-old woman presented with medical history of acute cholecystitis for laparoscopic cholecystectomy. Our goal was adequate pain control while limiting opioid administration and opioid-related adverse effects. Pain was managed with preoperative acetaminophen, tramadol, and gabapentin, and intraoperatively with lidocaine, ketamine, and esmolol. Post-operative Visual Analog Score (VAS) was 0/10 immediate...

Volume 7
Issue 4