Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Using Ultrasound to Confirm Endotracheal Tube Position in the Intensive Care Unit  Authored by  Ahmad Alwassia This was a prospectively designed study. Eligible patients were 18 years or older, that were admitted to the medical intensive care unit, that required endotracheal intubation due to their underlying clinical condition. An immediate post intubation Ultrasound examination was performed by an intensivist, who was not involved in clinical management of the patient and was blinded to the result of the standard confirmatory methods of endotracheal tube placement. The clinician performing the intubation was blinded to the results of the ultrasound examination findings. To read more Full text in Juniper Publishers   

High Intensity Focussed Ultrasound Therapy for Prostatic Tumors: Anaesthesiologists Perspective  Authored by Shagun Bhatia Shah High intensity focussed ultrasound (HIFU) is a fairly recent and excellent addition to the armamentarium of minimally invasive surgical therapy. It causes thermal ablation of targeted diseased tissue through intense local heat generation without affecting the intervening healthy tissue. It is a promising advancement in onco-surgery with the potential to revolutionize carcinoma prostate therapy. To view Full Text in Juniper Publishers

The Mediterranean Diet as First Medicine Authored by   Rossella Russo The traditional Mediterranean diet, highly rich in fruits and vegetables and limited in saturated fatty acids, has been associated with reduced incidence of cardiovascular, degenerative and cancer diseases and a long life expectancy. Here we review recent acquisitions showing that the adherence to Mediterranean diet have positive impact on age-related cognitive decline and therefore it can improve the quality of life in patients suffering of Alzheimer’s and other types of dementia. To view more Full Text in Juniper Publishers

Focusing on Fundamentals   Authored by Amballur David John In a time of rapid knowledge expansion, technological innovation, emphasis on cost containment and improving efficiency in delivering medical care, it is easy to overlook the fundamentals of medicine. The sudden onset of new diseases, such as the Ebola virus which can cause rapid spread, panic, multisystem failure, and death or the Zika virus which is spread by an abundant common factor the mosquito, and which can cause catastrophic developmental anomalies to pregnant women resulting in children who will bear the consequences of these defects for a life time; emphasizes the importance of acquiring and spreading information, quickly. To view more Full Text in Juniper Publishers

A Prospective Cohort Study Comparing Medical Student Intubation on Cadaveric and Manikin Models Using the King Visionâ„¢ Videolaryngoscope and Direct Laryngoscopy Authored by  Thomas M Triplett 24 medical students with no experience intubating humans were randomized into two groups: DL first or King Visionâ„¢ videolaryngoscope first. Following a short training, techniques were practiced ona manikin model. Intubation success, ease of use, and one timed manikin intubation was recorded. Students crossed, repeated training and trial with other technique. Students then intubated 3 cadavers with their initial technique, crossed over to intubate these same cadavers using their second technique. Cormack-Lehane (C-L) view of the glottic opening, time to intubation, intubation success, ease of use, and preferred technique were recorded. To view more Full Text in Juniper Publishers

Incidence and Prevalence of Anxiety, Depression, and Post-Traumatic Stress Disorder Among Critical Care Patients, Families, and Practitioners Authored by  Michael J Jacka WAnxiety, depression, and post-traumatic stress disorder (PTSD) are common complications of critical illness. Their prevalence is known to be higher among patients than among the general population. Little is known about their prevalence among families and among critical care staff. To view more Full Text in Juniper Publishers

Current State of Pharmacodynamic Target Attainment in Critically Ill Patients with Severe Sepsis in Canadian Icus: Prospective Cohort Study Authored by Clarence Chant In this multicenter observational study, adult Canadian ICU patients with severe sepsis were prospectively followed. The minimum inhibitory concentration (MIC) of the organism was obtained from hospital’s microbiology laboratory, and pharmacodynamic targets (PD) of the prescribed empiric antibiotics were calculated using population pharmacokinetic parameters to estimate the rate of PD target attainment. To view more Fulltext in Juniper Publishers

The Effect on Overall Cost and Health-Related Quality of Life by Inpatient Trajectories 3 Years Before and After Critical Illness Authored by   Lotti Orwelius Pre-existing disease is the most important factor in the prediction of health-related quality of life (HRQoL) after intensive care. We hypothesised that the “inpatient care trajectories” in the years before admission to the ICU is a stronger predictor of HRQoL and mortality after intensive care than pre-existing disease, and that it has significant effects on overall costs. To view more FullText in Juniper Publishers

Effect of A Slow Ramp Rate on Exercise Testing: A Healthy Volunteer Study Authored by Julian Martin Brown Ramp rates for incremental ramp rate exercise testing are not standardised. The ramp rate may influence the values obtained during exercise testing. We compared a slow ramp rate (SR) (3watts/minute) to a fast ramp rate (FR) (20 watts/minute) in 8 fit non elite cyclists using cycle ergometry. We measured peak power ,oxygen consumption (VO2) at anaerobic threshold (AT) and maximum aerobic capacity (VO2 max). A lower mean peak work (369 Watts vs 406 watts, P=0.004), higher mean AT (42.1 ml/min/kg vs 38.6 ml/min/kg, p=0.16) , lower mean VO2 max (51.7 ml/min/kg vs 54 ml/min/kg p=0.25) and higher ratio of AT to VO2 max (0.82 vs 0.71 p = 0.03) were obtained using the SR protocol. To view more FullText in JuniperPublishers

Systemic Lidocaine for Perioperative Analgesia: A Literature Review  Authored by  Fabrício Tavares Mendonça Intravenous lidocaine has been increasingly used as pain treatment in anesthesiology. The aim of this study was to review the scientific literature on the use of lidocaine for perioperative analgesia, a recent technique and still under study to demonstrate its clinical implications. To Read More FullText in JuniperPublishers