Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Juniper Publishers - Journal of Anesthesia Abstract Recognition of patients with Obstructive Sleep Apnea Syndrome (OSAS) in Perioperative period by medical staff is important in terms of preventing complications related to OSAS. As well as pulmonary hypertension, coronary artery disease, hypertension, heart failure, arrhythmia, stroke, and myocardial infarction can be regarded among complications caused by OSAS. All these complications increase morbidity and mortality of OSAS. The gold standard of OSAS is polysomnography. In the literature, it is known that, apart from patients who can be diagnosed with polysomnography; there are patients with OSAS who are not diagnosed yet. These patients pose risk in Perioperative period because they are not diagnosed. Diagnosing patients with additional health problems such as OSAS which can put patients' life in danger in the Perioperative period is important in terms of preventing unnecessary complications in intraoperativ...

Juniper Publishers - Journal of Anesthesia Abstract Introduction: Frequency of lower segment caesarean section (LSCS) is increasing today. All anaesthetic techniques used for LSCS may have certain advantages & disadvantages that affect short and long term neonatal outcome. This study aimed to compare effect of spinal, epidural and general anaesthesia on neonatal outcome in terms of Apgar score and umbilical arterial (UA) blood gas parameters. Method: Total 90 parturients belonging to age group of 20-30 yrs of ASA grade I and II who were scheduled to undergo elective LSCS were randomly allocated by chit method into three groups (n=30). Group SA received spinal anaesthesia, Group EA received epidural anaesthesia and Group GA received general anaesthesia. Duration between induction to skin incision (I-SI), skin incision to delivery (SI-D) and uterine incision to delivery (UI-D) were noted. Intraoperative vitals like HR, SBP, DBP, RR, SPO2 and ETCO2 at various tim...

Juniper Publishers - Journal of Anesthesia Abstract Ryles' tube is generally inserted by anaesthesiologists in the peri-induction period for gastric decompression and other intra- and post-operative uses by the surgeons. It can be inserted both before and after induction. In addition, either the nasal or oral route can be chosen for their introduction. When inserted nasally after endotracheal intubation, its path can be deflected by the presence of the oral part of the tracheal tube. Ryles' tube insertion is associated with several complications like nasal or oropharyngeal bleeding, soft tissue trauma, infection, coiling, inability to enter the pharyngeal opening, esophageal perforation and nose-to-mouth migration. Coiling of the ryles' tube around the endotracheal tube can occur, leading to knot formation, which can be difficult to unwind. We hereby describe an uncommon complication of ryles' tube insertion and its management. Keywords: Ryles...

Juniper Publishers: Geometric Simulation for 3D-Printed Soft Robots-Ju... : Robotics & Automation Engineering Journal Introduction Robots fabricated by soft materials can provide higher flexibility and t...

Juniper Publishers: A Way to Enhance Hail Prevention Technique and to ... : Agricultural Research & Technology: Open Access Journal   Abstract In this article a new method and a station of anti-hail p...

Juniper Publishers - Journal of Anesthesia Abstract We report a series of 3 patients who experienced iatrogenic pneumothoraces in the ICU: these were resolved with a single needle thoracostomy and no patients experienced recurrence. The following criteria were used to determine whether needle thoracostomy was appropriate: all pneumothoraces were unilateral and greater than 30% apical in location; patients did not have effusion, hemothorax, purulence, or other drainage; coagulation and platelet parameters in range; no history of surgeries on the hemithorax; and patient consent was obtained prior to the procedure. A needle thoracostomy can be an appropriate, less invasive alternative to chest tube insertion to resolve post-operative pneumothoraces. Keywords: Resolution of iatrogenic pneumothorax; Needle thoracostomy; Critical care medicine Introduction Due to increased invasive monitoring and treatment modalities in critically il...

Juniper Publishers - Journal of Anesthesia Introduction A 54 year-old man had several months of near-syncope and global weakness occurring typically with walking that worsened after starting antihypertensive medications including a diuretic. He had been treated for Hodgkin's lymphoma, presenting as a nasal mass as a young adult, with chemotherapy and external beam radiation. He had a normal head CT and felt somewhat better after receiving intravenous fluids but his symptoms returned on ambulation. MRI and MRA ( Figure 1 ) of his head and neck showed occlusion of his left common carotid artery, highgrade stenosis (>75%) of his right internal carotid artery, and severe disease of both vertebral arteries; MRI showed numerous scattered punctate infarctions We started a Heparin infusion, held all antihypertensive medications allowing for permissive hypertension, and consulted Vascular Surgery for urgent right carotid endarterectomy. His recovery was complicated...

Juniper Publishers: Effect of Police Confinement Training Period on Re... : International Journal of Pulmonary & Respiratory Sciences Abstract Introduction: Adequate aerobic capacity and muscle strength...

Juniper Publishers: Intra-Thyroidal Thymic Tissue May Display Radiolog... : Journal of Head Neck & Spine Surgery Abstract Introduction: Thyroid “incidentalomas” are increasing in frequency, thought main...

Juniper Publishers: Design of A Roadmap for Implementing A Quality App... : Biostatistics and Biometrics Open Access Journal Abstract The rapid changes in Algeria have had and continue to have a profound imp...

Juniper Publishers: Effect of Police Confinement Training Period on Re... : International Journal of Pulmonary & Respiratory Sciences Abstract Introduction: Adequate aerobic capacity and muscle strength...

Juniper Publishers - Journal of Pediatrics Abstract Classical homocystinuria (CHU) due to Cystathionine Beta-Synthase (CBS) deficiency is rare autosomal recessive inborn error of amino acids metabolism causing accumulation of methionine and homocysteine. The clinical manifestations of CHU may include neurological deficits mostly due to thromboembolic event so the most common brain radiological findings are secondary to stroke. The management is based on pharmacological treatment and dietary restriction of methionine. We present four patients with pyridoxine non-responsive CHU, who were found to have white matter changes on brain MRI, with a review of their clinical characteristics and neurological outcome. All patients had an underlying homozygous mutation of c.1006C>T (p.R336C) in the CBS gene, hypermethioninemia due to poor adherence to diet restriction, and were diagnosed before the implementation of the National Metabolic Newborn Screening Program in Qatar. ...

Juniper Publishers - Journal of Anesthesia Abstract Background: Nalbuphine is a synthetic opioid , with kappa agonist or partial µ antagonist action. When added as an adjuvant to intrathecal bupivacaine, it acts on dorsal horn of spinal cord producing analgesia with decreased incidence of µ receptor side effects. Aims and Objectives: To compare the onset, duration of sensory blockade, duration of motor blockade, 2 segment regression and duration of post operative analgesia achieved, by comparing hyperbaric bupivacaine alone with hyperbaric bupivacaine and nalbuphine after intrathecal administration. Material and Methods: Randomised double blind study done on 60 patients, who were undergoing lower limb surgeries under subarachnoid block. Patients were divided into two groups, group B receiving 15mg of 0.5% hyperbaric bupivacaine+0.1ml of normal saline and group N receiving 15mg of hyperbaric bupivacaine+0.1ml of nalbuphine (1mg). Assessment of duration of motor ...