Current Issue

Case Report Open Access

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
Int J Anesthetic Anesthesiol Volume 5, Issue 2

Abstract: 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.

PDF   Full Text   DOI: 10.23937/2377-4630/1410069

Research Article Open Access

Sevoflurane but not Propofol Induces Immunomodulatory Effects in Patients Undergoing Aortic Valve Replacement and Cardiopulmonary Bypass

Sonia Veiras, Raquel Rodrguez Gonzalez, Tomas Sobrino, Javier Rodriguez, Aurora Baluja and Julian Alvarez
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: Volatile anaesthetics, most of all sevoflurane, have been described as providers of myocardial preconditioning, but few articles are focused on immunomodulatory effects of these agents. We aimed to study the effects of different anaesthetic procotols with sevoflurane and propofol on immunomodulation in patients undergoing cardiopulmonary bypass (CBP).

PDF   Full Text   DOI: 10.23937/2377-4630/1410068

Research Article Open Access

Interdisciplinary Anesthesia Tray Revision Project: Reducing the Opportunity for Human Error

Smith KL, Sharp C, Smith E, Currie M, Hall KP, Vu T, Lee M and Cooper RL
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: Medication errors cause an estimated 100,000 to 400,000 patient deaths in the United States annually (IOM). Previous reviews on this alarming statistic consistently identify human error as the most common etiology. The potential for medication errors is especially high risk in the operating suite, where the provider simultaneously selects, doses and verifies medications to be administered to patients. Additionally, a lack of standardization and error reduction strategies in this setting creates the environment for medication administration errors, prompting multiple recommendations for interventions to minimize human error.

PDF   Full Text   DOI: 10.23937/2377-4630/1410067

Case Report Open Access

Transient Unilateral Lower Limb Palsy after Open Surgery Thoraco-Abdominal Aorta Repair

Francesco Corazzi, Stefania Brusa, Enrico Giustiniano, Efrem Civilini, Giorgio Luca Poletto and Ferdinando Raimondi
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: Anamnesis included cholecystectomy, hypertension and coronary artery by-pass graft (CABG) due to acute myocardial infarction (AMI), dislipidemia, G6PD deficit, allergy to milk proteins, liver steatosis and severe chronic obstructive pulmonary disease (COPD) with FEV1/FVC ratio 0.43 and FEV1 1.12 L (44%).

PDF   Full Text   DOI: 10.23937/2377-4630/1410066

Review Article Open Access

Anesthesia Implications of the Use of Essential Oils in Alzheimer's Dementia

James L Geiger
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: The diagnosis and treatment of Alzheimer's dementia (AD) has gained much attention due to the current and predicted prevalence of the disease. The biomarkers of neural inflammation, oxidative stress, genetics and the multiple medical etiologies of AD coupled with the poly-pharmacy of comorbid conditions and diseases associated with AD are complex.

PDF   Full Text   DOI: 10.23937/2377-4630/1410065

Research Article Open Access

Analyzing Volatile Anesthetic Consumption by Auditing Fresh Gas Flow: An Observational Study at an Academic Hospital

Luis Tollinche, KaySee Tan, Austin Han , Leslie Ojea and Cindy Yeoh
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: In a climate of cost containment, it is critical to analyze and optimize all perioperative variable costs. Fresh gas flow is one important variable that determines utilization of inhalational agents and can be tightly controlled by the anesthesia provider. Manufacturers of inhalational agents have recommendations for minimum gas flow for their respective agents. Any gas flow above these recommendations is considered misuse and leads to unnecessary expense. The purpose of this study was to characterize and quantify the excess use of inhalational agents by analyzing fresh gas flow rates for long duration cases.

PDF   Full Text   DOI: 10.23937/2377-4630/1410064

Case Report Open Access

Acute Pain Management in a Child: A Case Report of 46-Days of Popliteal Sciatic Nerve Catheter

Hertz Laurent, Sola Chrystelle, De La Arena Pablo and Dadure Christophe
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: The use of perineural catheter for more than 72 hours is rare in perioperative practice, but was especially reported for chronic pain, oncologic related pain or palliative care. The main concern remains the risk of neurological or infectious complication. No guideline clearly specifies the maximum duration of perineural catheter maintenance and the safety of long-term catheters is discussed.

PDF   Full Text   DOI: 10.23937/2377-4630/1410063

Case Report Open Access

Perioperative Cardiac Stent Thrombosis Versus Bleeding: A Clinical Dilemma in Trauma Patients

Nwokolo Omonele O and Wegner Robert C
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: Heart disease is prevalent in current patient population at an increasing level. Some of these patients have had interventions such as stent placements to improve quality of life and are started on antiplatelet therapy for a definite period of time or indefinitely based on their risk factors, comorbidities or type of stents placed. When these patients present to the hospital with major trauma, the surgical and anesthetic management threads a delicate line between protection of the stents and preventing life-threatening bleeding.

PDF   Full Text   DOI: 10.23937/2377-4630/1410062

Case Report Open Access

Phenytoin in Topical Formulations Augments Pain Reduction of Other Analgesics in the Treatment of Neuropathic Pain

David J Kopsky and Jan M Keppel Hesselink
Int J Anesthetic Anesthesiol Volume 5, Issue 1

Abstract: Topical analgesic formulations are gaining interest for the treatment of peripheral neuropathic pain since the beginning of 2000. Advantages of topical analgesics over oral medication are the absence of systemic side effects and drug-drug interactions, higher concentrations of active compound at the pain area, fast onset on action, improvement of compliance, and no risk of abuse. In many peripheral neuropathic pain states the pain area is small and thus topical analgesics are suitable. Most patients experience pain reducing effect within 30 minutes after application of compounded topical analgesics, such as creams containing amitriptyline, ketamine, baclofen, or clonidine. This helps to quickly identify responders on selected analgesic creams.

PDF   Full Text   DOI: 10.23937/2377-4630/1410061

Volume 5
Issue 1