Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

Juniper Publishers - Journal of Anesthesia Abstract Introduction: The purpose of this study was to compare the discomfort due to residual blocks between distal and proximal blocks. Methods: The study was conducted on a pool of ambulatory patients who had undergone open surgery for carpal tunnel release under peripheral blocks. Patients returned home 2-3hours after surgery. On the third postoperative day. They were called, and asked to determine the discomfort caused by residual obstruction after discharge from the hospital, on a verbal scale (absent, minor, slight, very important and very important). According to the degree of discomfort, we separated the patients into two groups that were compared with Fisher exact tests and Student's t-test. Results: Between November 2006 and January 2008, 185 patients were contacted on Day 3 and analyzed (105 distal BP and 80 proximal BP).The age, sex, body mass index, the dominant side and the operated side, smoking, p

Juniper Publishers: Airway Microbiota and Allergic Diseases: Clinical ... : INTERNATIONAL JOURNAL OF PULMONARY

Juniper Publishers - Journal of Anesthesia Abstract The dynamic parameters, stroke volume variation (SVV) and pulse pressure variation (PPV), are used to guide fluid resuscitation in ventilated patients. We investigated whether SVV, PPV and pleth variability index (PVI), an automatic measurement of the plethysmographic waveform amplitude changes, can be used to predict fluid responsiveness in ventilated patients with severe sepsis or septic shock. We measured cardiac index, (CI, transpulmonary thermodilution PiCCO2) SVV, PPV, global end-diastolic index (GEDI), central venous (CVP), arterial blood pressure and PVI (Masimo Radical 7) before and after infusion of 500ml Gelofusine® over 30min in 31 deeply sedated ventilated patients (tidal volume 8ml/kg) with severe sepsis and septic shock. We obtained one full set of measurements in 30 patients. 10 patients increased CI by at least 15% ("responders”), 20 patients were "non-responders”. Baseline haemodynamic

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Juniper Publishers - Journal of Anesthesia Introduction Hair restoration is one of the commonest cosmetic surgery procedure in men [ 1 ]. The procedure is performed under local anaesthesia. Many of the patients are anxious about the degree of pain to be expected during and after the surgery. The pain of the local anaesthetic agent is dependent on various factors like needle gauge, composition, temperature, pH, speed of injection, anatomical structure/area etc. Various maneuvers are used to decrease the pain during the administration of local anaesthesia like vibration anaesthesia Cryotherapy etc [ 2 - 4 ]. With the introduction of newer drugs for local anaesthesia, the safety is increased. Peripheral nerve blocks constitute a major tool in the armamentarium in the office-based cosmetic surgery procedures. Supraorbital (SO) and supratrochlear (ST) nerve are the terminal branches of the frontal nerve [ 5 ]. These nerves supply mainly the skin of the forehead. These n

Juniper Publishers - Journal of Anesthesia Abstract Noonan's Syndrome (NS) is a multisystem congenital disorder and characterized by fascial and pysical fatures along with congenital heart disease. In these patients, fascial features include short webbed neck, micrognathia, limited mouth opening and high arched palate can be a big problem for the tracheal intubation. Most commonly associated cardiac anomaly is pulmonary stenosis (>50% of cases). In these patients anesthetic management is important because of difficult airway and severe cardiac abnormalities. Here, we have reported the preoperative evaluation and anaesthetic management of a child with NS complicated by pulmonary stenosis and laringomalasia. Keywords: Congenital heart surgery; Noonan's syndrome; Difficult intubation; Pulmonary stenosis Abbreviation: NS: Noonan's Syndrome; PS: Pulmonary Stenosis; HOCM: Hypertrophic Obstructive Cardiomyopathy; ASD: Atrial Septal Defect; RVOTR: Right Ve

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Juniper Publishers - Journal of Anesthesia Abstract Objectives: To evaluate the effects of preoperative thoracic epidural analgesia (TEA) on inflammatory response of patients undergoing on- pump coronary artery bypass graft (CABG) surgery under general anesthesia (GA). Patients & Methods: Eighty-eight patients were divided into two groups; Group TEA received TEA and GA and Group GA received GA alone. Blood samples were collected preoperatively (T 0 ), 4-hr (TJ, and one (T 2 ) and two (T 3 ) days after surgery for ELISA estimation of serum interleukin (IL)-1β, IL-6, IL-10 and tumor necrosis factor (TNF)-α. Intraoperative (IO) and postoperative (PO) data were collected. Results: Patients of group E had significantly lower IO hemodynamic measures, shorter time for hemostasis and wound closure and less IO blood loss than patients of group G. Amount of 1st PO day wound drainage was significantly less, and durations of mechanical ventilation (MV), ICU stay and