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A Rare Case of Varicella Pneumonia with Acute Coronary Syndrome and Lower Limb Arterial Thrombosis-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Abstract Unlike in children, where chickenpox is generally a non-complicated disease, adult chickenpox (varicella) can have serious complications. Thrombotic complications of the varicella zoster are rarely observed. There is one case report of varicella complicated by myocardial infarction.We present a case of adult varicella who developed complications of peripheral artery thrombosis as well as acute coronary syndrome, requiring angioplasty. Introduction Chickenpox (Varicella) is a benign illness caused by VaricellaZoster virus and primarily manifests in childhood and is quite infrequent in adults. Most complications and serious cases are observed in adults [ 1 ]. These include pneumonia, encephalitis, cardiac arrhythmias, seizures, rare neurological sequelae including optic neuritis and transverse myelitis [ 2 ]. Thrombotic complications of the varicella zoster are rare [ 3 , 4 ]. A

Juniper Publishers: Different Effects of Olive Leaf on Purine Metaboli...

Juniper Publishers: Different Effects of Olive Leaf on Purine Metaboli... : Cancer Therapy

Nt-Probnp versus Echocardiography in the Etiologic Diagnosis of Acute Severe Dyspnea-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Abstract Introduction: Acute dyspnea is a common presenting complaint to the emergency department (ED). Etiologic diagnosis is often difficult in the context of emergency. N terminal probrain natriuretic peptide (Nt-proBNP) and echocardiography are actually fundamental tools in the management of patients with heart failure in the ED. The goal of this study was to compare the accuracy of Nt-Pro BNP assay with Doppler echocardiography in differentiating CHF from other causes in patients consulting the ED for severe dyspnea. Results: A total of 65 patients were enrolled in the study. The diagnosis of congestive heart failure (CHF) was retained in 44 cases. The initial diagnosis was wrong in 15 patients (23%): CHF was missed in 10 (15.38%) patients and wrongly diagnosed in 5 (7.69%) patients. The mean Nt-ProBNP concentration was 9188±6338 pg/mL in the CHF group, compared with 416±400 pg/mL in the non-CHF group (p<0.0001

Juniper Publishers: What is Freshness?-JuniperPublishers

Juniper Publishers: What is Freshness?-JuniperPublishers : Journal of Nutrition & Food Science - Juniper Publishers Summary All nutritional advisors recommend that an ample portion of fr...

Total Spinal Blockage after Spinal Anaesthesia for Perianal Fistula-Juniper Publishers

Juniper Publishers - Journal of Anesthesia Abstract Total spinal block is one of the rare complications of regional anaesthesia. It can occur after spinal, epidural or nerve plexus block. Early detection and treatment is essential to prevent mortality. We report a case of total spinal block occurring in a man with perianal fistula after receiving uneventful spinal anaesthesia for caesarean section treated successfully with prompt cardiovascular resuscitation and general anaesthesia. Introduction Spinal anaesthesia is being increasing used as a mode of anaesthesia for performing treatment for perianal fistula [ 1 ]. Although it is a safe and effective means of giving anaesthesia, at times it can lead to complications like hypotension, shivering, respiratory distress, unconsciousness, etc [ 2 ]. Total spinal block is a rare complication of spinal anaesthesia. It is a life threatening complication presenting with symptoms of

Juniper Publishers: Simultaneous Estimation of Aliskiren and Amlodipin...

Juniper Publishers: Simultaneous Estimation of Aliskiren and Amlodipin... : Journal of Organic & Medicinal Chemistry - Juniper Publishers Abstract Simple, sensitive and accurate UV-spectroscopic methods ...

Tourniquet Pain after Ultrasound-Guided Axillary Blockade-Juniper Publishers

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Juniper Publishers - Journal of Anesthesia Abstract Objective: To analyse tourniquet pain after ultrasound guided axillary block (AXB) as the sole anesthetic technique with no injection of local anaesthetic into the subcutaneous tissue of the posterior half of the axilla to prevent tourniquet pain. Material/patients and methods: 84 patients older than 18 years ASA I-IV undergoing surgery at hand, wrist, forearm and elbow under ultrasound guided AXB requiring upper arm tourniquet, we studied prospectively. Exclusion criteria included refusal to participate, communication problems, pre-existing neuropathy, coagulopathy or allergy to local anaesthetics. Tourniquet pain was assessed according to visual analogue scale (VAS) every 15 minutes. We also analysed differences in tourniquet pain between sedated and non-sedated patients. Main results: VAS was 0 during ischemia in 83 patients. One patient reported tourniquet pain. This was mild (VAS = 3) and reported duri