Juniper Publishers Journal of Anesthesia and Intensive Care Medicine

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 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...

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...

Using Ultrasound to Confirm Endotracheal Tube Position in the Intensive Care Unit  Authored by  Ahmad Alwassia This was a prospectively designed study. Eligible patients were 18 years or older, that were admitted to the medical intensive care unit, that required endotracheal intubation due to their underlying clinical condition. An immediate post intubation Ultrasound examination was performed by an intensivist, who was not involved in clinical management of the patient and was blinded to the result of the standard confirmatory methods of endotracheal tube placement. The clinician performing the intubation was blinded to the results of the ultrasound examination findings. To read more 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

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