Journal of Clinical Anesthesia and Pain Management

ICV Value = 92.32

 ISSN: 2578-658X

Journal of Clinical Anesthesia and Pain Management

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Table of Content: Volume 5, Issue 2

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Case Report Pages 261-263

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

Authors: Baris Arslan, Nurdan Unlu and Tayfun SUGUR

Abstract: 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 disease. He smoked 10 cigarettes a day for 20 years and had managed to abstinence from smoking for the last 25 years. His physical examination revealed a blood pressure of 130/75 mm Hg, a regular pulse of 76 beats/min, and oxygen saturation of 96%. His preoperative electrocardiography (ECG) showed a sinus rhythm without any ST-T abnormalities. He denied a previous history of asthma, allergic rhinitis, and food or drug allergies. Prior to administering the spinal anesthesia, 1 g of ceftriaxone was

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Research Article Pages 252-260

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

Abstract: 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, including phrenic nerve dysfunction, are usually well tolerated by most patients but may be more compromising in those with limited respiratory reserve. This investigation examined effects of local anesthetic (LA) volumes and incidence of phrenic nerve influences (primary outcome) during ISB and SCB.

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Research Article Pages 246-251

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

Abstract: 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 hemodynamic changes during anesthetic induction and ETI. 70 adult patients were divided into two groups (n = 35). General anesthesia was induced by sufentanil, propofol, and cisatracurium. Group S received sufentanil 0.3 mcg/kg, while Group R received sufentanil 0.3 mcg/kg and

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Case Report Pages 241-245

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

Abstract: 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 case of a 21-year old male with a history of recurrent torrential epistaxis associated with headache and dizziness. Catheter angiography revealed two aneurysmal dilatations at the cavernous and supraclinoid segments of the right internal carotid artery.

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Original Research Pages 235-240

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

Abstract: 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 partially be attributed to lack of awareness, limited resources or lack of equipment such as patient monitors, local anaesthetics or analgesics and overwhelming patient numbers. This study aimed to assess factors that influence epidural labour analgesia acceptance or refusal at the maternity unit of the Tamale Teaching Hospital.

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Case Report Pages 232-234

Accidental Intrathecal Administration of Tranexamic Acid: A Case Report

Authors: Karl Matthew C Sy Su MD

Abstract: 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 intrathecal tranexamic acid instead of hyperbaric bupivacaine for an elective herniorrhaphy. Shortly after induction, patient complained of severe back and lower limb pain, restlessness, tachycardia, hypertension, and generalized myoclonic seizures. Cardiopulmonary support was immediately instituted

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Questionnaire Pages 227-231

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

Abstract: 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 rates becoming one of the biggest consumer markets of cocaine worldwide. The objective of this study, carried out through a questionnaire survey, was to find out the degree of knowledge of anesthesiologists from a tertiary hospital in their conduct towards a cocaine user.

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