Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

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Juniper Publishers - Open Access Journal of Journal of Anesthesia & Intensive Care Medicine Monitoring the Depth of Anesthesia and Current Technology Authored by  Daniel Alfonso Botero-Rosas General anesthesia (GA) is defined as a drug-induced loss of consciousness during which patients are not arousable, even by painful stimulation [ 1 ]. GA takes an important role in surgical procedures where an anesthetic overdose may lead to drug-associated toxicities, coma and even death; on the other hand a light anesthetic dose may lead to the well-known event of intraoperative awareness, which can cause sleep disorders, depression, night terrors, hospitals fears and post-traumatic stress disorder [ 2 - 4 ]. In this context, monitoring depth of anesthesia has become an important issue in anesthesiology. Electroencephalographic signal (EEG) reflects the activity of the central nervous system and it has been widely used for monitoring depth of anesthesia. In ge...

Juniper Publishers - Open Access Journal of Journal of Anesthesia & Intensive Care Medicine Postoperative Nausea and Vomiting: 168 Years in Review Authored by Joseph DiLustro DiLustro is the inventor of the multi-modal PONV Pressure Point therapy technique. Research and expanding use of this technique has proven to be a safe and effective multi-modal choice in PONV management. The company's acu-stimulation adhesive technique enhances anesthesiology benefits, such as, nausea and vomiting prophylaxis, elimination of expensive or risk-based rescue drug therapies and broader patient satisfaction, with no reported adverse effects. This evidence-based anesthetic-related technique provides an extended duration (72 hours) of PONV therapy to support Enhanced Recovery after Surgery (ERAS) protocol reimbursement practices. For Read More...  Fulltext  click on:  https://juniperpublishers.com/jaicm/JAICM.MS.ID.555570.php For More Articles in...

Juniper Publishers - Open Access Journal of Journal of Anesthesia & Intensive Care Medicine Management of Intrathecal Pump Site Infection in a Patient with Metastatic Breast Cancer without the Removal of the System, a Case Report Authored by Cyrus Yazdi Background: Intrathecal delivery of pain medication with an implantable infusion pump is being increasingly used for management of intractable pain in cancer patients. Infection of an intrathecal pump system is a rare but dangerous complication and usually leads to the removal of the whole system. Case-Presentation: The author presents the case of a 69 year old woman who was diagnosed with metastatic breast cancer at presentation in 2009. She was treated systematically with chemotherapy and radiotherapy and underwent intrathecal pump implantation for targeted opioid delivery. Seven months after the implant, and a in a location of previous radiotherapy, she developed an infection at the site of the ca...

Juniper Publishers - Open Access Journal of Journal of Anesthesia & Intensive Care Medicine Surviving Major Trauma with Hemipelvectomy Authored by  Christina Müller-Höcker Traumatic hemipelvectomy is a life threatening, however rare injury associated with high lethality. It comes along with excessive blood loss, related hemodynamic instability and injuries of the genitor-urinary system or the rectum. The real incidence is unknown because most patients die before reaching the hospital. The treatment requires a rapid, multidisciplinary team approach focused on hemorrhage control to correct coagulopathy and clear persistent signs of tissue hypoperfusion to save the patient’s life [1]. Improvements in prehospital rescue systems and initial trauma response have resulted in increased chances of survival. Most survivors are young, healthy individuals, who are able to tolerate massive hemorrhage and soft-tissue destruction [2-6]. We present a ca...

Juniper Publishers - Open Access Journals Multimodal Anesthesia for Glaucoma Surgery in a Child with Mitochondrial Disease and Malignant Hyperthermia Authored by Benjamin Pruden Mitochondrial diseases (MD) are characterized by impairments of mitochondrial function that precipitate metabolic acidosis. An 8-year-old MD female with prior anesthesia exposure complicated by metabolic acidosis, seizures and propofol infusion syndrome, presented for glaucoma surgery. We present a multimodal balanced anesthetic technique used to successfully manage this complex case. Mitochondrial disorders (MD) are a heterogeneous group of genetic disorders that impair mitochondrial integrity and result in deficient energy production. The disorder has an incidence of 1:5000 live births [1], and affects tissues with high-energy requirements such as the central nervous system, retina, heart and muscle [2]. Consequently, these patients have multiple co-morbidities that include cardiac...

Juniper Publishers - Open Access Journals Postoperative Analgesia by Transmuscular Quadratus Lumborum Block Catheters Authored by Ashok Jadon Ultrasound guided Quadratus lumborum (QL) block is a relatively new regional anesthetic technique which provides effective postoperative analgesia for abdominal surgeries as a part of multimodal analgesic regimen. We report a case of hysterectomy where effective postoperative analgesia was provided by ultrasound guided bilateral QL-3 block and infusion of local anesthetic through catheters inserted postoperatively. Postoperative analgesia is an integral part of successful surgical outcome. Epidural analgesia with catheter technique remains the most effective analgesic technique after abdominal surgery. However, it haslimitation in patients who are either on anticoagulants and have cardiac morbidity due to significant hemodynamic changes which may be detrimental to such patients [1,2]. Ultrasound guided Quadratus lumbor...

Juniper Publishers - Open Access Journals Multimodal Anesthesia for Glaucoma Surgery in a Child with Mitochondrial Disease and Malignant Hyperthermia Authored by Benjamin Pruden Mitochondrial diseases (MD) are characterized by impairments of mitochondrial function that precipitate metabolic acidosis. An 8-year-old MD female with prior anesthesia exposure complicated by metabolic acidosis, seizures and propofol infusion syndrome, presented for glaucoma surgery. We present a multi modal balanced anesthetic technique used to successfully manage this complex case. To view Full Text in our Journal of Anesthesia & Intensive Care Medicine           

Juniper Publishers - Open Access Journals Clinical Efficacy of Clonidine versus Fentanyl as Spinal Adjuvant to 0.5% Hyperbaric Bupivacaine for Knee Arthroscopy under Subarachnoid Block- A Comparative Evaluation Authored by Kumkum Gupta Neuraxial techniques are safe and possess many benefits with drawback of short duration of anesthetic action. A small mass of local anesthetic can produce profound and reproducible surgical anesthesia. The present was aimed to compare the clinical efficacy and safety of clonidine versus fentanyl as spinal adjuvant to 0.5% hyperbaric bupivacaine for knee arthroscopy. To view 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

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