International Journal of

Anesthetics and AnesthesiologyISSN: 2377-4630

Early Online

 Open Access DOI:10.23937/2377-4630/1410104

Effect of Opioid-Free Anaesthesia on Perioperative Period: A Review

Tatiana Basto and Humberto S Machado

Article Type: Review Article | First Published: April 20, 2020

Balanced anaesthesia relies on the administration of opioids in the perioperative period as antinociceptive agents. There is no clear evidence that intraoperative opioids result in reduction of postoperative pain scores. Opioid-free anaesthesia (OFA), combination of various opioids- sparing techniques leading to no administration of intraoperative systemic, neuraxial or intracavitary opioids, arises from the attempt to develop anti-hyperalgesic techniques to improve postoperative pain control. T...

 Open Access DOI:10.23937/2377-4630/1410106

Protective Measures for Clinical Physicians When Performing Tracheal Intubation for Patients with Acute Respiratory Syndrome of the Coronavirus Disease 2019 (COVID-19)

Xianzeng Chen, Weilan Wu and Xiaodan Wu

Article Type: Short Article | First Published: April 24, 2020

Since December 2019, the outbreaks of COVID-19 global pandemic has occurred, currently considered, first on Wuhan, and appeared successively on many other countries in China. As an acute respiratory infectious disease, it has been defined as a class B infectious disease, according to the regulations of the People’s Republic of China on the prevention and control of infectious diseases, and managed as a top class infectious disease....

 Open Access DOI:10.23937/2377-4630/1410103

Cor Triatriatum Dexter and Patent Foramen Ovale Discovered Following Cardioembolic Stroke

Jacquelin Peck, MD, Nicholas Suraci, MD, Frederick Hasty, MD and Jayanard D'Mello, MD

Article Type: Case Report | First Published: April 06, 2020

Cor Triatriatum (CT) is a seldom-reported cardiac anomaly defined by the presence of an abnormal septation within the right or left atrium. Cor triatriatum usually remain asymptomatic until late adulthood, but depending on the severity of septation and location within the atrium the manifestations can vary in presentation. We present a case of cardioembolic cerebrovascular accident in a patient with cor triatriatum dexter and a patent foramen ovale. To our knowledge, no existing case report desc...

 Open Access DOI:10.23937/2377-4630/1410105

Intraoperative Activation of Very Wide Range Cold Agglutinins during a Cardiac Bypass Case

Saurin J Shah, MD, Juan C Mora, MD, Shashank S Shettar, MD and John P Pirris, MD

Article Type: Case Report | First Published: April 22, 2020

Cold agglutinin disease is a rare form of autoimmune hemolytic anemia mediated mainly by IgM antibodies reacting to surface antigens of the red blood cells at low temperatures causing agglutination and posterior hemolysis on rewarming. Patients with this condition might never be symptomatic, but when they are exposed to hypothermia during cardiovascular procedures, these reactions can be triggered leading to serious organ damage. We describe/discuss a case of a patient with a wide range cold agg...

 Open Access DOI:10.23937/2377-4630/1410096

Incidence of Residual Neuromuscular Blocking in Oncological Patients in the Anesthetic Rescue Room: Importance of Objective Monitoring in the Foundation Center of Control of Oncology of the State of Amazonas - Fcecon

Fernanda Rondon Fonseca Pirangy, Mirlane Guimaraes de Melo Cardoso, Ivandete Pereira Coelho Pimentel, e Mewryane Camara Brandao Ramos and Jamilly Reboucas Demosthenes Marques

Article Type: Research Article | First Published: September 23, 2019

The present research project aims to evaluate the incidence of residual neuromuscular block in the post-anesthetic recovery room in patients who underwent general anesthesia with mechanical ventilation. It is known that neuromuscular blockers are drugs that interrupt the transmission of nerve impulses at the neuromuscular junction causing muscle paralysis. In addition, they facilitate endotracheal intubation during anesthetic induction and allow for adequate surgical management....

 Open Access DOI:10.23937/2377-4630/1410095

Epidural Anesthesia for a Caesarean Delivery in a Parturient with an Intrathecal Baclofen Pump and Sickle Cell Disease: A Case Report

Bastian J, Bauer A, Kern C and Robertson-Baeriswyl M

Article Type: Case Report | First Published: August 23, 2019

A 32-year-old primigravida woman received an epidural anesthetic at 38 weeks of gestation for an elective caesarean delivery. She had for the past 10 years an intrathecal baclofen infusion pump to relieve spastic tetraparesis secondary to perinatal cerebral anoxia. She otherwise also suffered from sickle cell disease complicated by several vaso-occlusive crisis during pregnancy and a recent history of thromboembolic disease. A recent CT scan showed the intrathecal catheter entering the L3-L4 int...

 Open Access DOI:10.23937/2377-4630/1410094

Persistent Lactic Acidosis - Think beyond Sepsis

Emily Pallister and Thogulava Kannan

Article Type: Case Report | First Published: August 21, 2019

A 79-year-old patient with type 2 diabetes mellitus was admitted to the Intensive Care Unit for management of Acute Kidney Injury refractory to fluid resuscitation. She had felt unwell for three days with poor oral intake. Admission bloods showed severe lactic acidosis and Acute Kidney Injury (AKI). The patient was initially managed with fluid resuscitation in A&E, but there was no improvement in her acid/base balance or AKI. The Intensive Care team were asked to review the patient and she was s...

 Open Access DOI:10.23937/2377-4630/1410093

Posterior Quadratus Lumborum Block versus Subcostal Transversus Abdominis Plane Block in Laparoscopic Cholecystectomy

Hazem El Sayed Moawad Weheba, MD, Tamer Abdelsalam, MSc, Sameh Ghareeb, MD and Mohamed Younis Makharita, MD

Article Type: Research Article | First Published: August 08, 2019

Effective perioperative analgesia with laparoscopic cholecystectomy enhances early recovery, ambulation, and discharge. Subcostal TAP block has been shown to reduce perioperative opioid use and provide effective perioperative analgesia. Currently, the QLB is performed as one of the perioperative pain management procedures for patients undergoing abdominal surgery. In the current study, we hypothesized that posterior QLB would be equal to or better than the subcostal TAP block with regard to pain...

 Open Access DOI:10.23937/2377-4630/1410092

A Prospective Observational Study of Air Burden in Intravenous Tubing: Factors that Increase Patient Exposure

Christopher F Tirotta, Richard G Lagueruela, Danielle Madril, Marysory Irizarry, John McBride, Davinder Ramsingh and Jonathan Ho

Article Type: Clinical Study Summary | First Published: August 08, 2019

An observational prospective trial was conducted in operating room settings across multiple study sites. A total of 120 surgical patients undergoing a variety of interventional and surgical procedures were included, representing multiple patient populations, case types and anesthesia setups. The ClearLine IV, a device that detects and removes air from IV tubing, was inserted into the IV circuit. Clinicians followed standard protocols. Blood warmers were used at the practitioner's discretion. IV ...

 Open Access DOI:10.23937/2377-4630/1410091

Transversus Abdominis Plane (TAP) Block as a Potential Diagnostic and Therapeutic Tool for Treatment of Chronic Post Herniorrhaphy Pain: A Case Report

Valentini Pogiatzi, Dimosthenis Petsas, Evripidis Efthymiou, Maria Drogouti, Athanasios Ntonas, and Georgios Ntonas

Article Type: Case Report | First Published: July 27, 2019

The dual nature of CPSP -both nociceptive and neuropathic- can cause confusion regarding comparisons of pain in the literature. Treating this condition can be complicated and difficult. There is a variety of modalities, ranging from medication in pain clinic, revision surgery or invasive procedures (neurolysis, nerve blocks). A feasible and reproducible solution seems to be ultrasound guided nerve block. Nerve blocks might work in multiple ways. First of all providing a temporary break of the vi...

 Open Access DOI:10.23937/2377-4630/1410090

Current Status of Obstetric Anaesthesia Services (Oasis): A Cross-Sectional Survey of Public Hospitals in Khartoum State, Sudan

Sohel MG Ahmed, Amna Mustafa Ali, Tayseer Salih Mohamed, Mohamed Sayed M Hajnour, Hayat O Elfil, et al.

Article Type: Original Article | First Published: May 27, 2019

Medical services in general, and anaesthetic services in particular, in Sudan have been vulnerable to changes secondary to socio-economic factors over the last few decades. This cross-state survey aims to identify the current set up of obstetric anaesthesia services in 19 hospitals - representing all public hospitals in Khartoum State with maternity units- and audit them against internationally set standards....

 Open Access DOI:10.23937/2377-4630/1410089

Inhalation Induction in Tracheostomized Patients: Comparison of Desflurane and Sevoflurane

Kerem Erkalp, MD, Nuran Kalekoglu Erkalp, MD, Veysel Erden, MD, Arzu Yasemin Korkut, MD, and Yesim Cokay Abut, MD

Article Type: Original Article | First Published: May 10, 2019

Inhalation induction (II) of anesthesia is a commonly used method in difficult airway management, pediatric anesthesia and also tracheostomized patients' surgical practices. Sevoflurane and desflurane are the most common inhalation agents for II in these procedures of patients. We demonstrated that II with sevoflurane or desflurane in tracheostomized patients who are not studied up until now and their outcomes. Cardiorespiratory changes in II should be the same in tracheostomized patients with d...

 Open Access DOI:10.23937/2377-4630/1410088

Postoperative Analgesia after Combined Obturator Nerve and Adductor Canal Block in Total Knee Arthroplasty

Melike Seyda Dagdelen, Fatma Yesim Abut, Veysel Erden and Seda Seven

Article Type: Original Article | First Published: April 17, 2019

The purpose of this study was to evaluate adding an obturator nerve block to adductor canal block may reduce tramadol consumption (primary endpoint), improve pain relief, enhance early ambulation ability, and reduce side effects (secondary endpoints) after TKA compared with single adductor canal block. This study was carried out retrospectively in order to compare the effect of the single injection adductor nerve block, which was applied to the patients undergoing total knee arthroplasty (TKA) u...

 Open Access DOI:10.23937/2377-4630/1410087

Spinal Anesthesia for Emergent Testicular Torsion Surgery in a Pediatric Patient with Spinal Muscular Atrophy Type-II

Hande Gurbuz Aytuluk and Hulya Topcu

Article Type: Case report | First Published: April 05, 2019

Spinal muscular atrophy (SMA) is one of the most common inherited diseases in children. The clinical symptoms of this neuromuscular disease vary widely from muscle weakness to death according to the onset of symptoms. There is no specific treatment for the disease. There are many risks for anesthesia, as these patients usually have skeletal deformities, increased sensitivity to opioids and neuromuscular blockers, and pulmonary disease secondary to respiratory muscle dysfunction. There is no evid...

Volume 6
Issue 2