International Journal of

Anesthetics and AnesthesiologyISSN: 2377-4630

Early Online

 Open Access DOI:10.23937/2377-4630/1410156

Changing Trends in the Management of Accidental Dural Puncture during Labor Epidural Analgesia: A Narrative Review and Recent Updates

Surjya Prasad Upadhyay and Ajit Kanbur

Article Type: Review Article | First Published: March 31, 2023

Inadvertent or accidental dural puncture while attempting epidural for labor analgesia is a known anaesthetist complication with potential for post dural puncture headache, increased morbidity, prolonged hospitalisation and overall medical cost. Historically, following accidental dural puncture- resitation of the epidural catheter at another level was the norm. Over the last 2-3 decades, there is a paradigm shift in the management of dural puncture while attempting epidural....

 Open Access DOI:10.23937/2377-4630/1410155

A Survey of the Factors Affecting Theatre Turnaround Time in Kenyatta National Hospital Main Theatres

Belinda Adda Namisi, Caroline H karugu and Vernon Mark Gacii

Article Type: Research Article | First Published: March 22, 2023

Operating theatres are heavily budgeted departments in health facilities. Theatre turnaround time (TAT) is used as one modality in determining the efficiency of health service delivery. Factors that correlate with TAT in the Kenyan setting are largely unknown. The main objective of this study was to determine the factors affecting turnaround time in Kenyatta National Hospital’s main theatres. This was a descriptive observational study done in September and October 2021. Data on personnel, surg...

 Open Access DOI:10.23937/2377-4630/1410154

Risk Factors Associated with Somato-Visceral Pain Investigation, in Scheduled Cesarean Section under Epidural Anesthesia with Lidocaine 2% and Adrenaline

BIZIMANA Prudence and Bin Wang

Article Type: Research Article | First Published: March 12, 2023

Epidural anaesthesia with 2% lidocaine has been reported to be more effective in caesarean section, but somato-visceral pain remains a potential complication, and can generate many dire effects including mother psychological impairment and burden. Pain during caesarean deliveries is a challenge, but any study was performed to identify risk factors associated to it. We conducted this study to identify pain risk factors, investigate whether surgical anaesthesia length is sufficient, and discover p...

 Open Access DOI:10.23937/2377-4630/1410153

Gender Equality in High-Quality Anesthesiology Research – A Descriptive Bibliometric Study on Scientific Authorships

Malte L Zipper, Doris Klingelhöfer, David A Groneberg and Michael HK Bendels

Article Type: Original Article | First Published: December 29, 2022

As in other scientific disciplines, medicine has undergone a huge movement in sex distribution due to an increasing number of women entering the field. The effects of this shift on gender equality in anesthesiology research are discussed in this study. Authorships in medical publications provide information of the grade of the author within the medical discipline. As a result, they can be used as indicators for integration within medical research....

 Open Access DOI:10.23937/2377-4630/1410152

A Comparison Study of Anesthetic Techniques in Elderly Patients between General and Regional Anesthesia in a Day Surgery Center: A Retrospective Cohort Study

Janvier Nibaruta, Lyu Xingjiao, Han Xiaoxia, Hou Xiaoyu, Cao Xuefen and Leng Yufang

Article Type: Original Article | First Published: December 21, 2022

The prevalence of geriatric surgery is rapidly increasing and, concomitantly, the procedure of anesthesia in the aging population. As a result, the goal of this research was to compare the efficacy of various anesthetic methods used in an ambulatory elderly population....

 Open Access DOI:10.23937/2377-4630/1410151

Is Peritonsillar Infiltration of Tramadol an Effective Method of Analgesia Following Tonsillectomy? A Systematic Review and Meta Analysis

Dilsher Randhawa, Emma Carnuccio, Fraser Nott, Suzannah Read, Anindya Banerjee and Arnab Banerjee

Article Type: Meta Analysis | First Published: December 15, 2022

Post-tonsillectomy pain is a common concern. This study aimed to assess the effectiveness of peritonsillar infiltration of tramadol during tonsillectomy in terms of analgesia requirement, pain scores and time to commencement of liquid diet, as there is heterogeneity in the randomized controlled trials conducted....

 Open Access DOI:10.23937/2377-4630/1410150

Management of Elective Cesarean Section Anesthesia in HIV-Positive Patients

Pinter Hartono and Yusmein Uyun

Article Type: Retrospective Study | First Published: November 11, 2022

A 23-year-old woman with a weight of 50 kg and a height of 150 cm with a diagnosis of primigravida pregnant at term not yet in labor with HIV positive. Consular patients from the Obstetrics and Gynecology section for elective cesarean section. The patient was diagnosed with HIV positive for 2 years. The patient had been on routine antiretroviral treatment for 2. In the preoperative assessment, which included history taking, physical examination, and investigations, the patient was assessed as ha...

 Open Access DOI:10.23937/2377-4630/1410149

Spinal Anesthesia: Position of Puncture, Ultrasound and Local Anesthetics Solution

Luiz Eduardo Imbelloni, MD, PhD

Article Type: Editorial | First Published: October 24, 2022

With the objective of identifying the best position for performing the lumbar puncture and identifying the distance from the skin to the interspinous space, 16 adult volunteers participating in measuring the distance with ultrasound between the lumbar region and the spinous processes in three positions: lateral decubitus, sitting and leaning forward, and sitting with the feet supported....

 Open Access DOI:10.23937/2377-4630/1410148

Thoracic Spinal Anesthesia is Safe and without Neurological Sequelae: Study with 1,406 Patients

Luiz Eduardo Imbelloni, MD, PhD, Marcos Fornasari, MD, Raphael Sant’Anna, MD and Geraldo Borges de Morais Filho, MSc

Article Type: Retrospective Study | First Published: October 06, 2022

Most anesthesiologists use the thoracic epidural, with a 0.75% incidence of accidental perforation. However, they are reluctant to consider higher levels for spinal anesthesia because of the possibility of direct spinal cord injury. The main objective of this retrospective study was to evaluate the incidence of paresthesia and neurological complications, as well as cardiocirculatory changes after thoracic spinal anesthesia....

 Open Access DOI:10.23937/2377-4630/1410147

Automation of Anesthesiology – Will Artificial Intelligence Replace Clinicians

Dmitry Neymark, BSc

Article Type: Commentary | First Published: October 01, 2022

As technology continues to evolve at an exponential rate, conversations about its innovative promise become increasingly prominent in every sphere of life. Medicine and the field of anesthesiology are no exceptions to this trend. Discussions surrounding the topic of artificial intelligence (AI) elicit a mixture of feelings, ranging from excitement about its potential for enhancing patient care to uncertainty about the impact it may have on the future of the profession among current and prospecti...

 Open Access DOI:10.23937/2377-4630/1410146

Anesthetic Management of a Glycogen Storage Disease Type 1a with Air Embolism During Liver Transplantation: A Case Report

Emre Kandemir, Nedim Çekmen and Adnan Torgay

Article Type: Case Report | First Published: September 08, 2022

Glycogen storage disease type 1a is a rare inborn error of metabolism. It causes severe fasting intolerance and lactic acidosis due to the deficiency of glucose-6-phosphatase enzyme. Anesthetic management of these patients is very difficult due to their course with different system involvements....

 Open Access DOI:10.23937/2377-4630/1410145

Multiple Intubation Trials and Body Weight Increase the Risk of Post-Operative Sore Throat after Tracheal Intubation in National Referral Hospitals in Asmara: A Prospective Observational Study

Yafiet M Ghebremeskel, Eyasu H Tesfamariam, Idris M Idris and Ghirmay Ghebreigziabher Beraki

Article Type: Original Manuscript | First Published: August 10, 2022

This study aimed to estimate the incidence rate and determine the possible associated factors for postoperative sore throat following surgery conducted under general anesthesia using endotracheal intubation....

 Open Access DOI:10.23937/2377-4630/1410144

Electrical Safety Symbols Used in Medical Equipment and Their Implication

Yilkal Tadesse Desta

Article Type: Expert Review | First Published: July 24, 2022

Electrical shock is dangerous event, which can occasionally happen when we are exposed to any of alive conducting materials. Every year people are died or seriously injured by electrical accidents since electric current is not detected. There are two kinds of danger: one from electrical shock and the other caused indirectly by electrical fires....

 Open Access DOI:10.23937/2377-4630/1410143

Prevention and Management of Post- Dura Puncture Headache (PDPH)

Aynalem Befikadu, Sara Timerga, Fasil Mihretu, Fetene Siyoum and Amare Agmuas

Article Type: Narrative Review | First Published: July 21, 2022

Post-Dural puncture headache (PDPH) is the commonest complications during diagnostic, therapeutic or inadvertent lumbar puncture. It is unavoidable problem during dural puncture and what we can do is decreasing the incidence by taking all precautions and if it occurs, manages appropriately. Despite the existence of wide ranges of popular therapies, there is a continuous controversy about their effectiveness....

 Open Access DOI:10.23937/2377-4630/1410142

Review of Literature: Efficacy of Intraoperative Intravenous Methadone in Reducing Postoperative Opioid Consumption

Praveen Karunanidhi

Article Type: Review Article | First Published: July 08, 2022

This article will review the current literature on the efficacy of intraoperative intravenous methadone in reducing postoperative opioid consumption in bariatric, ambulatory, complex spine, and cardiac surgeries....

 Open Access DOI:10.23937/2377-4630/1410141

Intraoperative Transesophageal Echocardiography Leading to Changes in Surgical Management in the Setting of Infective Endocarditis

Stephanie Opusunju Ibekwe, Noel Shaheen Jeffrey and Shannon Walter Schwenke

Article Type: Case Report | First Published: June 29, 2022

Infective endocarditis (IE) is a potentially lifethreatening disease process that may result in several long-term sequelae. Transthoracic echocardiography (TTE) may be inadequate to diagnose IE in up to 20% of patients secondary to poor image quality or the inability to identify all lesions present....

 Open Access DOI:10.23937/2377-4630/1410140

Opioid Free Anesthesia with Goal-Directed Strategies Based On Monitoring For Spine Surgery in a Patient with Opioid Intolerance: A Case Report

Dornelles Marco and Dornelles Larissa

Article Type: Case Report | First Published: June 29, 2022

This study aimed to report the use of a multimodal anesthetic (MA) regimen by combining panoply of drugs without opioids for posterior spinal fusion surgery in a patient with low-back incapacity and opioid intolerance....

 Open Access DOI:10.23937/2377-4630/1410139

Hemodynamic Effects Ketamine versus Ketamine with Thiopental for Patients Undergoing Abdominal Surgery

Andualem Assefa Andibirku, Zewde Zema Kanche, Birhanu Wondimeneh Demissie, Tsegaye Demeke G/Medihin, Ashebir Debalke Gemechu and Kirubel Eshetu Haile

Article Type: Research Article | First Published: June 29, 2022

Hemodynamic instability of patients during induction of anesthesia and intubation, are very important clinical concern. Hemodynamic change after induction of general anesthesia is a common event and associated with negative result in clinical practice....

 Open Access DOI:10.23937/2377-4630/1410138

Corona Pandemic: Individual Perception Assessment from the Perspective of Anesthesiologist

Ezgi ERKILIC, Cihan DOGER, Yasemin AKCAALAN, M Cem YILMAZ, Tulin GUMUS, Orhan KANBAK, Handan GULEC, Eyup Horasanli, Levent OZTURK3 and Nermin Gogus

Article Type: Research Article | First Published: June 20, 2022

Healthcare workers at the forefront during the COVID-19 pandemic faced increased workload and stress. Young doctors who are training in Anesthesiology and Reanimation residency are one of the groups most exposed to this condition....

 Open Access DOI:10.23937/2377-4630/1410137

Prolonged Recovery of Neuromuscular Transmission during General Anaesthesia after Mivacurium Administration - Case Report

Paweł Radkowski PhD, Katarzyna Podhorodecka and Dr Mariusz Keska

Article Type: Case Report | First Published: June 18, 2022

71 years old woman was admitted for an elective laparotomy surgery with an intraoperative examination. Standard monitoring and TOF Scan (both the adductor pollicis muscle and the orbicularis oculi) were used. 8mg dexamethasone, 0.1mg fentanyl, 150mg propofol, and 18mg mivacurium were administered for induction....

 Open Access DOI:10.23937/2377-4630/1410136

Epidural Anesthesia with Opioids in Open Colorectal Surgeries is not Related to Postoperative Ileum

Marina D Ayres, Luana A Ferreira, Davi B Khouri and Jose L Ubaldo

Article Type: Review Article | First Published: May 18, 2022

This is a short review describing recent data on the use of opioids in epidural anesthesia on abdominal surgery. It is known that postoperative pain has nociceptive, inflammatory and neuropathic components and must be prevented. The period following abdominal surgery is particularly challenging because it has other side effects related to the surgery, in addition to pain....

 Open Access DOI:10.23937/2377-4630/1410135

Effects of Ketamine-Fentanyl and Propofol-Fentanyl Combinations on LMA Insertion Conditions in African Children Undergoing Day- Case Herniotomy

Ajibade Okeyemi, Zakari Aliyu Suleiman, Olanrewaju Olubukola Oyedepo, Benjamin Olusomi Bolaji and Abidemi David Akere

Article Type: Original Article | First Published: May 18, 2022

Propofol is used as an induction agent to facilitate laryngeal mask airway (LMA) insertion but unwanted responses such as drop in blood pressure, cough, laryngospasm, movement and apnoea may occur....

 Open Access DOI:10.23937/2377-4630/1410134

General Anesthesia for the Gravid Patient in the Emergency Operating Room at Sanglah General Hospital

Achmad Munif, Kadek Intan Jelita, I Nyoman Santa Wijaya and Pontisomaya Parami

Article Type: Case Report | First Published: May 18, 2022

General anesthesia and regional anesthesia are the anesthetic techniques of choice for caesarian delivery. Anesthetic technique of choice is determined by several factors such as the safety of the parturient (evaluation of the airway and risk of aspiration), technical problems, the wellbeing of the fetus, and the experience of the anesthesiologist....

 Open Access DOI:10.23937/2377-4630/1410133

Unexplained Intraoperative Hypertension and an Electrocautery Burn: A Case Report

Chaeseong Lim, MD, PhD, Yujin Pak, MD, Hanmi Park, MD, Wonhyung Lee, MD, PhD, Seokhwa Yoon, MD, PhD, and Yongsup Shin, MD, PhD

Article Type: Case Report | First Published: March 31, 2022

Inadvertent electrocautery burns can occur in any patient under general anesthesia. Here we report on a 30-yearold man who underwent arthroscopic surgery on his hip under general anesthesia and experienced a deep second-degree burn from the grounding pad. Our aim is to increase awareness of this avoidable risk associated with electrocautery equipment among surgeons and anesthesiologists. Unexplained hypertension during surgery under general anesthesia may suggest an electrocautery burn. Over the...

 Open Access DOI:10.23937/2377-4630/1410132

Incidence and Risk factors of Postoperative Nausea and Vomiting after ENT Surgery

Petros K Yosief, Ghirmay G Beraki, Susanna Mayer, Michael B Mengistu and Eyasu H Tesfamariam

Article Type: Research Article | First Published: March 31, 2022

Ear Nose Throat (ENT) surgery has been the highest risk of postoperative nausea and vomiting. Despite the advancement of the modern anesthetic techniques in the management and understanding of postoperative nausea and vomiting (PONV), the events of nausea and vomiting in ENT surgery still remains a major problem for participants in the postoperative care unit. Therefore, the aim of this study was to determine the incidence and identify the risk factors of PONV among surgical ENT participants in ...

 Open Access DOI:10.23937/2377-4630/1410131

Anesthetic Immunomodulation and the Tumor Recurrence: A Narrative Literature Review

Gabriele F Silveira, Isadora AC Fraga, Larissa RM Castro, José Lucas UM Gomes, Marina A Delgado

Article Type: Narrative Review | First Published: March 30, 2022

Surgical interventions and the anesthesia chosen for the procedure induce immunosuppression in the perioperative period, triggering the release of pro-inflammatory cytokines, favoring tumor growth and recurrence. However, it must be clarified what actually influences immunomodulation: the surgical technique, the anesthetic used, the type of tumor or a combination of all of them. Both the surgery and anaesthetic technique can exert immunomodulatory effects, and, therefore, they may contribute to ...

Volume 9
Issue 1