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 Idiopathic Hyperammonemia after Orthotopic Lung Transplantation Authored by  Tyson Kathleen Idiopathic hyperammonemia is characterized by increased serum ammonia levels (>200umol/L) and is sometimes associated with normal to slightly elevated liver function tests [1]. These patients often present with encephalopathy, cerebral edema, seizures, and coma. Idiopathic hyperammonemia has been reported after high dose chemotherapy, and organ transplants including Orthotopic lung transplant [2]. Hyperammonemia is a rare, severe, and often fatal complication. There are few cases reported in the literature since 1997, including one retrospective analysis of 807 lung transplants; only 8 patients were diagnosed with hyperammonemia [3]. The exact mechanism of idiopathic hyperammonemiais not fully understood with congenital or acquired defects in ammonia metabolism, ...

Juniper Publishers - Open Access Journals Idiopathic Hyperammonemia after Orthotopic Lung Transplantation Authored by Tyson Kathleen Idiopathic hyperammonemia is characterized by increased serum ammonia levels (>200umol/L) and is sometimes associated with normal to slightly elevated liver function tests [1]. These patients often present with encephalopathy, cerebral edema, seizures, and coma. Idiopathic hyperammonemia has been reported after high dose chemotherapy, and organ transplants including Orthotopic lung transplant [2]. Hyperammonemia is a rare, severe, and often fatal complication. There are few cases reported in the literature since 1997, including one retrospective analysis of 807 lung transplants; only 8 patients were diagnosed with hyperammonemia [3]. The exact mechanism of idiopathic hyperammonemiais not fully understood with congenital or acquired defects in ammonia metabolism, as well as bacterial infection having been described [3]. F...

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

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