Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

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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

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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

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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

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Juniper Publishers - Journal of Anesthesia Abstract A 66 year old man developed sudden apnea and unresponsiveness after a large cerebellopontine angle tumor debulking. Based on the findings of a focused neurologic exam, the patient was emergently mask ventilated with subsequent return of spontaneous ventilation minutes later and recovery without further complications. Remifentanil bolus from residual infusion in an IV line was suspected due to rapid return to baseline and acute neurologic findings. We review remifentanil and highlight a challenging diagnostic dilemma in an acutely apneic patient after major neurosurgery. Keywords: Remifentanil; Neuroanesthesia; Post-op respiratory failure; Neurologic Emergencies Key Messages a. A focused neurologic exam can affect emergent management. b. A high index of suspicion and staff education are necessary for those involved in the care of patients receiving remifentanil. Int

Juniper Publishers: On A Boundary Value Problem for A Singularly Pertu... : Journal of Biostatistics and Biometrics - Juniper Publishers Abstract In a semi-infinite strip we consider a boundary value pro...

Juniper Publishers: Cytotoxicity Effects of LPR-1®, CCE100 and ONCOBLO... : Journal of Complementary Medicine & Alternative Healthcare - Juniper Publishers Abstract LPR-1 ® , CCE100 and ONCOBLOC ®  are L...

Juniper Publishers - Journal of Anesthesia Abstract Invent of cardiopulmonary bypass has revolutionized the modern cardiac surgery. Mishaps during cardiopulmonary bypass, near misses and lethal incidents are known. We share one such rare case of break in polycarbonate connector due to the use of isoflurane in extracorporeal circuit and its successful management. Keywords: Cardiopulmonary bypass; Polycarbonate; Isoflurane; Atrial septal defect Cadiopulmonary bypass (CPB) Cadiopulmonary bypass has undergone many improvements since its first attempt to permit intracardiac surgery in humans at the University of Minnesota Hospital by Dennis et al. on April 5, 1951 [ 1 ]. These improvements have not come without complications. Equipment failure in cardiopulmonary bypass is lethal in most of the cases. In extra-corporeal circulation by CPB, volatile anesthetics are generally administered in the oxygen inlet line using a vaporizer