Journal of Clinical Anesthesia and Pain Management Archives

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Original Article | 10.36959/377/376 Volume 6 Issue 2

Endotracheal Tube Cuff Pressure Measurement Techniques: Safety and Reliability: A Randomized Comparative Study

Authors: Sylvanus Kampo, PhD, Thomas Winsum Anabah, MD, Fidelis Bayor, Mphil, Alexis DB Buunaaim, MD, Maite Esquijarosa Hechavarria, MD, Salia Osman, BSc, Eugene Dogkotenge Kuugbee, PhD and Juventus B Ziem, PhD, MD

The purpose of this study was to examine cuff inflation techniques and corresponding pressure estimations, as well as associated complications, in patients undergoing general anaesthesia with intubati... Read more

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Original Article | 10.36959/377/375 Volume 6 Issue 2

Postoperative Analgesia in Laparoscopic and Robotic Rectal Cancer Surgeries Compared to Laparotomy Approach: A Retrospective Analysis

Authors: Xiao WANG1,2, Jamie ELMAWIEH, MD1*, Philippe SITBON, MD1 and Jean-Louis BOURGAIN, MD

Although epidural analgesia (EA) is recommended for laparotomic (LT) rectal surgery, there is no consensus regarding pain management in laparoscopic or robotic (LR) rectal cancer surgery. According to... Read more

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Original Article | 10.36959/377/374 Volume 6 Issue 2

Chronic Pain after COVID-19: A Case Report

Authors: Paul L Lion IV, Yong-Jian Lin and Howard L Rosner

COVID-19 was declared a global pandemic by the WHO in March of 2020. When the COVID-19 pandemic first started, much attention was focused on the respiratory manifestations of the disease. However, as ... Read more

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Original Article | 10.36959/377/373 Volume 6 Issue 2

Liposomal Bupivacaine is not Clinically Superior to a Standard Bupivacaine Mixture for Interscalene Nerve Block for Postoperative Pain Control in Shoulder Arthroplasty/ Arthroscopy, but may Still be Beneficial

Authors: Linda Demma MD, PhD, Melissa Scribani, Jennifer Victory, RN, CCRC, Paul Jenkins, PhD and Kristen Herbst, DO

Interscalene brachial plexus blocks are commonly used to provide adjunctive, non-opioid pain relief as part of a multimodal pain control regimen for shoulder arthroscopy and arthroplasty. The purpose ... Read more

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Case Report | 10.36959/377/372 Volume 6 Issue 2

Acute Epiglottitis in a Patient with COVID-19 and C1 Esterase Deficiency: A Case Report

Authors: Sampreeti Chowdhuri, BS, Michael S Cheng, MD, Peter C Baxter, MD, Fernando A Torres, MD,Christian Mark Agatep, BS, Andrew G Rudikoff, MD and Antonio Hernandez Conte, MD, MBA, FASA

Coronavirus disease 2019 (COVID-19) has been associated with the rare, yet potentially fatal, condition known as epiglottitis. Epiglottitis has the potential to lead to complete airway obstruction, an... Read more

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Letter to the Editor | 10.36959/377/371 Volume 6 Issue 2

A New Theory Explaining “Aspiration” in The Epidural Hanging - Drop Method

Authors: Masayuki Miyabe

The hanging-drop method whereby a drop of saline hanging in the hub of an epidural needle is aspirated when the needle entered the epidural space.... Read more

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Review Article | 10.36959/377/370 Volume 6 Issue 1

Is Cannabis a Viable Treatment of Chronic Non-Cancer Pain? - A Mini Review

Authors: Marc Daryl T Estioko MD, Hannan Khan MD, David Yim MD, Blake Watterworth MD, Ralph Monte PsyD, Lynn G Stansbury MD, MPH, MFA, FACP, Thelma B Wright MD, Esq

The practice of pain medicine today is faced with the ever-rising burden of the nation’s opioid epidemic. There has been a strong push to redefine chronic pain treatments and to find analgesic alter... Read more

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Letter to the Editor | 10.36959/377/369 Volume 6 Issue 1

The Combination of Sufentanil and Remifentanil on Hemodynamic Changes During Anesthetic Induction and Endotracheal Intubation

Authors: Mia Kang, MD, MHS and Kathryn Cobb, MD

In presenting their results comparing the use of sufentanil alone (Group S) versus sufentanil with the addition of remifentanil (Group R) we would like to point out a significant source of potential b... Read more

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Research Article | 10.36959/377/368 Volume 6 Issue 1

Intraoperative Analgesia Guided by the Nociception Level (NOL) Index in Laparoscopic Colorectal Surgery: A Preliminary Outcome Study

Authors: Arik Tzour, PhD and Olalla Figueiredo González, MD

The majority of postoperative patients report moderate to severe pain, possibly related to opioid underdosing or overdosing during surgery. Nociception Level (NOL) Index has been proposed for the eval... Read more

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Case Report | 10.36959/377/367 Volume 6 Issue 1

General Anesthesia for Dental Treatment in a Patient with Subcortical Band Heterotopia: A Case Report

Authors: Nobuhito Kamekura, Yukie Nitta, Shigeru Takuma and Toshiaki Fujisawa

Subcortical band heterotopia (SBH) or double cortex is a classic malformation associated with deficient neuronal migration. The syndrome is characterized by the presence of symmetrical and bilateral b... Read more

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Retrospective Study | 10.36959/377/366 Volume 6 Issue 1

Chronic Pain Patient Satisfaction with Telemedicine Compared to In-person Visits During the COVID-19 Pandemic

Authors: Tiffany M Pouldar MD, Tina Vajdi MD, Keith Siegel, Omar Mostafa MD, Jeffrey J Wiegers MD, Howard Rosner MD and Alice M Vijjeswarapu MD

During the COVID-19 pandemic, many outpatient clinics temporarily closed. Telemedicine appointments, which refer to the remote delivery of healthcare services through audio or visual means, were offer... Read more

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Case Report | 10.36959/377/364 Volume 5 Issue 2

Cardiac Arrest due to Midazolam Induced Kounis Syndrome: A Case Report

Authors: Baris Arslan, Nurdan Unlu and Tayfun SUGUR

A 65-year-old male (90 kg and 178 cm) presented for transurethral resection of bladder tumor surgery. The patient had no history of diabetes mellitus, hyperlipidemia, coronary artery disease, or lung ... Read more

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Research Article | 10.36959/377/363 Volume 5 Issue 2

Interscalene Versus Supraclavicular Approach to Brachial Plexus Nerve Blockade and Local Anesthetic Volume Effect on the Incidence of Phrenic Nerve Dysfunction during Shoulder Surgery

Authors: Hesham M Ezz MBChB, Anna F Dikstein MS-3, Hassan Rayaz MD, Elissa Mastrangelo MS, BC, Michael J Medvecky MD, Thomas M. Halaszynski DMD, MD, MBA and Aymen A Alian MD

Interscalene (ISB) and Supraclavicular (SCB) brachial plexus blockade have been shown to be safe and effective for perioperative analgesia during shoulder surgery. However, potential adverse effects, ... Read more

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Research Article | 10.36959/377/362 Volume 5 Issue 2

The Combination of Sufentanil and Remifentanil on Hemodynamic Changes during Anesthetic Induction and Endotracheal Intubation

Authors: Qian Huang, Le Zhang, Yan Mou, Yixun Tang, Gaoyin Kong, Lai Wei and Yi Zou

A low dose of sufentanil was insufficient to suppress endotracheal intubation (ETI) induced cardiovascular response. This study investigated the effects of combined sufentanil and remifentanil on hemo... Read more

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Case Report | 10.36959/377/361 Volume 5 Issue 2

Anesthesia in A Patient With an Internal Carotid Artery Aneurysm Presenting as Massive Recurrent Projectile Epistaxis: A Case Report

Authors: Karl Matthew C Sy Su MD

Severe projectile epistaxis due to non-traumatic internal carotid artery aneurysms is potentially life threatening but extremely rare, with hardly any report existing in the literature. We present the... Read more

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Original Research | 10.36959/377/360 Volume 5 Issue 2

Investigating Determinants for Woman's Choice to Accept An Epidural for Labour Analgesia at The Delivery Unit of The Tamale Teaching Hospital

Authors: Thomas Winsum Anabah, Sylvanus Kampo, Aglais Arredondo Falagán

The epidural labour analgesia service at the delivery unit of the Tamale Teaching Hospital has recorded low patronage. Low patronage of epidural labour analgesia in poor resource Countries could parti... Read more

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Case Report | 10.36959/377/359 Volume 5 Issue 2

Accidental Intrathecal Administration of Tranexamic Acid: A Case Report

Authors: Karl Matthew C Sy Su MD

Medication errors are still one of the contributing factors leading to morbidity and mortality in anesthesia, despite measures to ensure patient safety. A 14-year-old male inadvertently received intra... Read more

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Questionnaire | 10.36959/377/358 Volume 5 Issue 2

Anesthesiologists' Conduct Assessment towards the User of Cocaine at SUS Hospital with Accreditation. Knowledge through Questionnaire

Authors: Mateus Cardin Marquezani, MD, Luiz Eduardo Imbelloni, MD, PhD, Davi Pöttker, MD, Eduardo Piccinini Viana, MD, Eduardo Piccinini Viana, MD, Jaime Weslei Sakamoto, MD, André Augusto de Araujo, MD and Geraldo Borges de Morais Filho, MSc

In 1860, Albert Niemann isolated cocaine from leaves and reported that by placing the crystals on his tongue, and his tongue became benumb. In the Brazil is a country with greatest annual consumption ... Read more

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Case Report | 10.36959/377/357 Volume 5 Issue 1

A Case Report: Trans-Thoracic Pigtail Catheter with Diaphragm Perforation

Authors: Summaiya Iqbal, Paresh Mane and Dita Mayer

Pigtail catheters are commonly used as effective alternative to traditional large bore chest tubes. However, the pigtail catheter placement does not come without possible complications. Pneumothorax, ... Read more

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Original Article | 10.36959/377/356 Volume 5 Issue 1

In Silico Identification of Apigenin and Narcissin (Food- Flavonoids) as Potential Targets Against SARS-CoV-2 Viral Proteins: Comparison with the Effect of Remdesivir

Authors: Vincent Brice Ayissi Owona, Borris RT Galani and Paul Fewou Moundipa

In this study, we demonstrate the potential role of Narcissin and apigenin, two natural flavonoids found in fruits and foods, as candidate compounds in the treatment against the novel corona virus inf... Read more

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Review Article | 10.36959/377/355 Volume 5 Issue 1

Postoperative Craniotomy Pain Management in Pediatric Patients: A Systematic Review

Authors: Marie Christelle S Endencia, MD, Mary Gold C Piñera, MD and Karl Matthew C Sy Su, MD, FPSA

There is increasing evidence supporting increased pain intensity following neurosurgical procedures. There are different approaches to analgesia following craniotomy and cranioplasty, but there is lim... Read more

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Original Research | 10.36959/377/354 Volume 5 Issue 1

A Qualitative Exploration of Consultant Anaesthetists Attitudes to, and Experiences of, Perioperative Medication Errors in Emergency and Elective Theatre Settings

Authors: N Wilson-Baig and R Isba

In the UK, medication errors account for up to 20% of all reported adverse events in hospitalised patients. The potential for medication errors to occur during the peri-operative period is greater tha... Read more

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Review Article | 10.36959/377/353 Volume 5 Issue 1

Opioid Pseudoaddiction in a Patient with Long-Term Oxycodone Use for Chronic Pain

Authors: Lakshmi Priya, Fei Cao, Jaskirat Sidhu, Jeffery Metzner and Muhammad Farhan

Pseudoaddiction is a term to describe drug-seeking behaviors in a patient that has inadequate pain control. It is the result of the medical undertreatment of pain, which poses iatrogenic harm to patie... Read more

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Retrospective Study | 10.36959/377/352 Volume 5 Issue 1

Perioperative Factors Associated with Tracheostomy use following Esophagectomy Surgery

Authors: Michelle Gerstman, John Batty, Gemma Friedlaender, Kabir Mohammed, Matthew Hacking and Timothy Wigmore

Esophagectomy surgery remains high risk with 36% of patients in the UK having a complication. Tracheostomy insertion can aid weaning from ventilation post-operatively and can be inserted at the time o... Read more

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Case Report | 10.36959/377/342 Volume 4 Issue 2

The Value of Digital Subtraction Angiography in Interlaminar Cervical Epidural Steroid Injections

Authors: Anand Prem, MD, Suwarna Anand, MD and Arvind Chandrashekar, MD

Neck and upper extremity radicular pain is a common indication for ambulatory clinic visits for Chronic pain. By the time a patient presents to a Pain specialist, they have often exhausted all conserv... Read more

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Research Article | 10.36959/377/351 Volume 4 Issue 2

A Consecutive Cohort with COVID-19 in Wuhan, China: Natural History, Clinical Features and Considerations

Authors: Bin Sun, MD, Hao Wang, MD, Hui-Xia Xu and Gui-Jun Zhang, MD

A novel type of coronavirus pneumonia was first reported in Wuhan in December 2019. Clinical features and prognosis of elder patients were still unclear, therefore, this study was on a purpose to prov... Read more

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Case Report | 10.36959/377/350 Volume 4 Issue 2

Treatment of Post-Stroke Shoulder Pain of Multi-Factorial Etiology

Authors: Stephen Hannaford, Varun Channagiri, Mina Gaballa, James Guider, Robert Wayne, Timothy Calvert, Carolyn Kloepping and Andrew G Kaufman

Chronic pain after stroke is a common, yet often overlooked sequela of cerebrovascular injury. Among the syndromes seen in post-stroke pain (PSP) are central post-stroke pain (CPSP) and complex region... Read more

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Review Article | 10.36959/377/349 Volume 4 Issue 2

Impact of Academic Detailing on Opioid Prescribing at the Veterans Health Administration

Authors: Mark Bounthavong, PharmD, PhD, Michael A Harvey, PharmD, BCPS, Daina L Wells, PharmD, MBA, BCPP, BCPS, Julianne E Himstreet, PharmD, BCPS, Marcos K Lau, PharmD, MS, BCPS, Chad L Kay, PharmD, BCPS, Sarah J Popish, PharmD, BCPP, Andrea G Grana JD, MPH, Blake A Freeman, MPH, MBA, Christina Morillo, BPA, Sophia Mullins-Cunningham, AA and Melissa LD Christopher, PharmD

In 2014, the United States Veterans Health Administration (VHA) Pharmacy Benefits Management Academic Detailing Service (ADS) began national implementation of academic detailing (AD), a one-on-one edu... Read more

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Review Article | 10.36959/377/348 Volume 4 Issue 2

Intravenous Iron to Treat Anemia becomes an Essential Service to Conserve Blood during the COVID-19 Pandemic

Authors: Obianuju Okocha, MD, Betty M Luan-Erfe, MD, Jack M Peace, MD and Bobbie Jean Sweitzer, MD, FACP

With the outbreak of Coronavirus Disease 2019 (COVID-19), blood drives have been cancelled, resulting in significantly fewer donations. However, blood components are still being used to treat patients... Read more

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Review Article | 10.36959/377/347 Volume 4 Issue 2

Obstructive Sleep Apnea Syndrome as an Important Risk Factor in Severe Covid-19 Disease

Authors: Calixto Machado, Phillip A DeFina, Yanín Machado, Mauricio Chinchilla, Elena Cuspineda and Yazmina Machado

OSAS has been considered by some authors an important risk factor for severe Covid-19. Risk factors for mortality in COVID-19, such as cardiovascular and cerebrovascular complications or comorbidities... Read more

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Retrospective Study | 10.36959/377/346 Volume 4 Issue 2

Relationship among Preoperative, Pre and Postinduction Blood Pressure in Normotensive and Hypertensive Patients

Authors: Ricardo Caio Gracco De Bernardis, Helena Knebel Vieira De Souza, Jesse Abimael Infante Izquierdo, Mônica Maria Siaulys, Mauro Prado Da Silva, Marcel Veronez Vitoreli, Pedro Ferretti Pinheiro, Silvio Julio Bittencourt Yamamura and Ligia Andrade Da Silva Telles Mathias

This study aimed to verify the relationship between blood pressure (BP) obtained during preoperative evaluation at preinduction and compared to BP at 20 min after induction for normotensive and hypert... Read more

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Pilot Study | 10.36959/377/345 Volume 4 Issue 2

Value of Rotation Thrombelastometry in Cardiac Surgical Patients with Normal Bleeding Risk-A Pilot Study

Authors: Stefan P Wirtz, MD, Florian R Fritzsche, MD, PHD, MPH, Christoph Schmidt, MD, PHD, Benno von Bormann, MD, PHD, Gehard Brodner, MD, PHD and Elmar Berendes, MD, PHD

The ROTEM^® Whole Blood Haemostasis Analyser has been introduced for point-of-care monitoring using computerized rotation thrombelastometry, an enhancement of thrombelastography^{®
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Editorial | 10.36959/377/344 Volume 4 Issue 2

The Use of Cocaine and Derivatives and the Cancellation of Surgery

Authors: Luiz Eduardo Imbelloni, MD, PhD, André Augusto de Araujo, MD, Jaime Weslei Sakamoto, MD, and Eduardo Piccinini Viana, MD

Cocaine or benzoylmethylecgonine is a central nervous stimulant and an anesthetic; it is extracted from the leaves of the Erthroxylon coca plant. This salt is freely soluble in water, which allows it ... Read more

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Case Report | 10.36959/377/343 Volume 4 Issue 2

Case Report: The Combined Spinal and Caudal (CSC) Anesthetic-Is this the New Ideal Anesthetic in a Formerly Preterm, High-Risk Infant with Chronic Lung Disease Undergoing Infraumbilical Surgery?

Authors: Kelly Tseng, MD and Chang Amber Liu, MD, MSc, FAAP

Postoperative apnea is a well-recognized clinical entity commonly occurring in formerly preterm, high-risk infants. Spinal anesthesia has been demonstrated to be an attractive alternative to general a... Read more

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Original Article | 10.36959/377/338 Volume 4 Issue 1

Nursing Students' Knowledge and Attitude toward Pain Management in Gaza Strip, Palestine

Authors: Mohammed Riad Abu Reyala

Pain is considered as one of the most common reasons that oblige people to seek medical care. Graduates in nursing have a vital role in administering medication and have an essential role in pain mana... Read more

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Research Article | 10.36959/377/341 Volume 4 Issue 2

Reduced Opioid Use and Reduced Time in the Postanesthesia Care Unit Following Preoperative Administration of Sublingual Sufentanil in an Ambulatory Surgery Setting

Authors: Christian D Tvetenstrand, MD and Michael E Wolff, MD

As the number of surgeries performed in an outpatient setting continues to rise, it is important to continually optimize perioperative pain management to enhance patient outcomes and optimize efficien... Read more

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Case Report | 10.36959/377/340 Volume 4 Issue 2

Anaesthetic Considerations for Patients with a Vagal Nerve Stimulator

Authors: Grellan Tuohy, Albi Jose Chalissery, Ciara Jean Murphy and Orsolya Solymos

Vagal nerve stimulation is a neurosurgical treatment modality approved for the management of drug-resistant epilepsy. With its increased utilisation, anaesthesiologists will more frequently encounter ... Read more

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Case Report | 10.36959/377/339 Volume 4 Issue 1

Nerve Stimulator Guided Lumbar Plexus and Parasacral Sciatic Nerve Block for above Knee Amputation in a High-Risk Patient: A Case Report

Authors: Penafrancia Catangui Cano, MD, DPBA, FPSA, EDRA

Neuraxial block and general anesthesia are often the preferred anesthetic management for above knee amputation. In high-risk patients, however, with many co-morbidities, they may not be the ideal choi... Read more

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Review Article | 10.36959/377/337 Volume 4 Issue 1

Immersive Virtual Reality Anesthesiology Training: The Next Frontier in Simulation Training

Authors: Merrick M Meese MD, Zina Trost PhD and Todd P Chang MD MAcM

Current literature is unequivocal that simulation training and education are beneficial. While anesthesia training - for physicians and anesthetists - regularly features simulation as part of standard... Read more

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Case Report | 10.36959/377/336 Volume 4 Issue 1

Ulnar Neuropraxia after Cath Procedure

Authors: Morgan Nelson, MD and Michelle Sheth, MD

18-year-old male (132 kg, BMI 40) with a past medical history of Wolf Parkinson White Syndrome presented for an EP study and ablation. The procedure, which was uncomplicated but prolonged, lasted eigh... Read more

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Personal Opinion and Reflection | 10.36959/377/335 Volume 4 Issue 1

Peri-Operative Communication with Patients who have Mental Health Illness or Autism: The Need for Communication Skills Training for Anaesthetists

Authors: Noamaan Wilson-Baig

The peri-operative period can be stressful, and patients can feel vulnerable. This vulnerability can be exacerbated in patients with Mental Health Illness (MHI) or autism. Therefore, as an anaesthetis... Read more

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Case Report and Review Article | 10.36959/377/334 Volume 4 Issue 1

Considerations for Takayasu Arteritis Undergoing General Anesthesia in a Resource-Limited Setting: Case Report and Literature Review

Authors: Corinna Ongaigui, MD and Rosalina B Anasarias, MD

Working in a resource-limited setting in terms of equipment and medication choices is a recurring challenge for anesthesiologists from low-to middle-income countries. Experts in global health highligh... Read more

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Case Report | 10.36959/377/333 Volume 3 Issue 2

Retained Supraclavicular Peripheral Nerve Catheter

Authors: Jimmy Suggs, MD, David Mauro, MD and Ricardo Serrano, MD

The use of continuous peripheral nerve block catheters (CPNB) is widespread for the control of intraoperative and postoperative pain with the benefits espoused in the literature; CPNB catheters provid... Read more

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Case Report | 10.36959/377/332 Volume 3 Issue 2

Split Suction Catheter Stuck in an Endotracheal Tube: A Case Report

Authors: Soo Yeon Kim, Kyu Nam Kim, Sun Jung Eun, Min Kyu Lee and Mi Sun Kang

Suction of the endotracheal tube (ETT) is frequently required for mechanically ventilated patients in the operating room or intensive care unit. It can efficiently remove a mucosal plug or clots, a... Read more

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Case Report | 10.36959/377/331 Volume 3 Issue 1

Epidural Anesthesia Combined with Intravenous Dexmedetomidine Sedation for Elective Ileostomy Closure in a Patient with Bilateral Lung Transplantation: A Case Report

Authors: Jacques de Montblanc, MD, Jamil Elmawieh, MD, Camille Tilly, MD and Dan Benhamou, MD

A patient who had undergone bilateral lung transplantation surgery four years ago and had significant residual pulmonary insufficiency was scheduled for elective ileostomy closure. The procedure was p... Read more

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Case Report | 10.36959/377/330 Volume 3 Issue 1

Effectiveness of Stretching Exercises in TMJ Closed Lock Management - Case Reports

Authors: Marta Miernik and Agnieszka Nowakowska-Toporowska

Internal derangement in temporomandibular joint (TMJ), including disc displacement without reduction with limited mouth opening, is a common TMJ disorder. The main symptoms of closed lock are limited ... Read more

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Review Article | 10.36959/377/329 Volume 3 Issue 1

Perioperative Challenges in Patients with Alpha-Gal Allergy

Authors: Francine J D'Ercole, MD, Vishal H Dhandha, MD, MHA, Marc L Levi, MD, April B Todd, RN and Priya A Kumar, MD

Alpha-gal allergy, also known as, mammalian meat allergy (MMA) is well described in the Allergy literature, however, the Anesthesiology literature remains soft in supporting recommendations for periop... Read more

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Research Article | 10.36959/377/328 Volume 3 Issue 1

Evaluating Perioperative Blood Loss in Cardiac Surgery Patients Receiving High and Low Dose Tranexamic Acid

Authors: A Weingartshofer, MD, H Mingo, NP, B Kent, MD, SP Mackinnon, PhD and MM Kwapisz, MD

Excessive perioperative blood loss is a concern for patients undergoing high risk procedures; thus, tranexamic acid (TXA) is administered at the beginning of surgery to minimize blood loss. Previous s... Read more

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Review Article | 10.36959/377/327 Volume 3 Issue 1

Postoperative Hypertension: When Blood Pressure Cuff and Arterial Line Disagree

Authors: Olga V Storozh, MD, Muhammad A Ashraf, MD and Alan M Smeltz, MD

Hypertension is a commonly encountered condition by anesthesiologists yet there is no clearly defined approach to monitoring and managing blood pressure in the perioperative period. In this review, we... Read more

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Case Report | 10.36959/377/326 Volume 3 Issue 1

Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty

Authors: Drew Jensen, MD and Adam C Young, MD

Patients with severe aortic stenosis represent a serious perioperative challenge for anesthesiologists when presenting for orthopedic surgery. Avoiding general anesthesia can be beneficial by averting... Read more

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Case Report | 10.36959/377/325 Volume 3 Issue 1

Opioid Management and Risk Mitigation

Authors: Mark Gostine, MD, Fred N Davis and Rebecca Risko

Over the span of seven months physicians had to reconcile two very different messages regarding pain and the use of opioids issued by institutions that guide healthcare in the United States. First, in... Read more

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Case Report | 10.36959/377/324 Volume 2 Issue 1

Anesthesia Considerations for the Repair of a Left Ventricular to Right Atrial Shunt (Gerbode Defect) Post Double-Valve Repair

Authors: Koh Li Ying, Loh Kenny and Shah SS

The Gerbode defect is a rare type of ventricular septal defect (VSD) causing a left ventricle (LV) to right atrium (RA) shunt. These are usually congenital but acquired defects are increasingly being ... Read more

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Research Article | 10.36959/377/323 Volume 2 Issue 1

Real-Time Locating Systems and the Effects on Efficiency of Anesthesiologists

Authors: Cindy Yeoh, Jennifer Mascarenhas, Kay See Tan and Luis Tollinche

A retrospective chart review was performed for all outpatient and short-stay patients who received General Anesthesia care at our institution between January 2016 and October 2017. Patients included w... Read more

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CASE REPORT | 10.36959/377/322 Volume 1 Issue 1

Spontaneous Cerebrospinal Hypotension: A Case Report

Authors: SR Gopal, PRAM Depauw, J Peluso and F Van Eijs

Spontaneous cerebrospinal hypotension may be caused by leakage of cerebrospinal fluid. The characteristic symptom is orthostatic headache. MRI scan may yield a number of characteristic abnormalities. ... Read more

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CASE REPORT | 10.36959/377/321 Volume 1 Issue 1

Neuroanesthesia in an Awake Patient in a University Hospital in Latin America: Case Report

Authors: Ocampo Pérez Ana-María, Arenas Villamizar Angel-Ricardo, Gonzalez Solarte Karen-Dayana and Husband Luque Johnnie-Smith

The anesthetic technique for tumors resection that affect extensive motor areas with an awakened patient, poses a challenge for surgical teams. The advancement in neuroimaging and the incursion of neu... Read more

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REVIEW ARTICLE | 10.36959/377/320 Volume 1 Issue 1

Ketamine: New Use for an Old Hat

Authors: Hassan I Khidr and Rif S El-Mallakh

This article aims at examining the available knowledge about ketamine as a novel treatment option for management of treatment-resistant major depression. ... Read more

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CASE REPORT | 10.36959/377/319 Volume 1 Issue 1

Prolonged Cardiac Arrest and Localized Thoracic Spinal Cord Ischemia

Authors: Sridhar Musuku

A 29-year-old man presented to the emergency with a sudden onset of shortness of breath and syncope. Electrocardiogram showed a right bundle branch block, ST elevation in leads V1-V4. A transthoracic ... Read more

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Review Article | 10.36959/377/318 Volume 1 Issue 1

Reasons to Avoid Pain Scales in Newborns, and Reasons to Use Them

Authors: Carlo V Bellieni

Aim of this paper is a critical examination of the use of neonatal pain assessment tools. It emerged that neonatal pain scales for acute pain are complex to use, give a score when the maneuver is over... Read more

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Case Report | 10.36959/377/317 Volume 1 Issue 1

Difficult Direct Laryngoscopy Followed by Easy Video Laryngoscopic Intubation in a Patient with Bilateral Mandibular Tori: Should the Patient be Labeled as Having a "Difficult Airway?"

Authors: Tan J, Joseph R Ruiz, Steven Y Huang, Samara Blair and Carin A Hagberg

Mandibular tori are intraoral bony prominences which can make direct laryngoscopic intubation difficult. We present a case where we were unable to intubate a patient with bilateral mandibular tori usi... Read more

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RESEARCH ARTICLE | 10.36959/377/316 Volume 1 Issue 1

The Preliminary Impact of Pain Management Integration into an HIV Specialty Clinic

Authors: Sheran Mahatme, Timothy J Atkinson, Amy Spallone and Jeffrey Fudin

A significant number of HIV (human immunodeficiency virus) infected patients suffer from chronic pain where providers often lack access to specialty pain management services. Emerging evidence about r... Read more

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ORIGINAL RESEARCH | 10.36959/377/315 Volume 1 Issue 1

Acupuncture in Conjunction with Drug Therapy in the Treatment of Glossopharyngeal Neuralgia

Authors: Dominic P Lu, Gabriel P Lu and Ping-Shi Wu

In this study, 35 patients who suffered from glossopharyngeal neuralgia and received acupuncture with drug therapy were divided into 4 groups according to the medication they were prescribed to take. ... Read more

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