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Open Journal of Anesthesiology 2013年第4期3卷 233-236页

作者： Ana Sofia Del Castillo Sardi Marion Britto Janeth Rangel anesthesiologist at Hospital del Nino Panama CityPanama anesthesiologist at Hospital Santo Tomas Panama CityPanama.

Introduction: One of the most important jobs of an anesthesiology is to preserve an adequate gaseous exchange. With the coming in the 80’s of the laryngeal mask airway, a less invasive technique was introduced for this end. There are a lot of variants of these supraglotic issues, being the i-gel a no inflate mask;witch principle is to provide a perilaryngel stamp that reduced the incidence of sore throat, cervical pain compared with the traditional laryngeal mask. Method: A group of 121 ASA I-II patients with general anesthesia administration, where divided in two groups, one of 60 patients where a traditional laryngeal mask airway was used, and a second group of 61 patients where an i-gel mask was used. In both groups the presence of postoperative sore throat, cervical pain and dysphonia;number of attempts and pressure in the airway tract was measured. Results: The group of patients where the i-gel was used present lower incidence of sore throat (11% vs 27%) and cervical pain (3% vs 9%) and lower values of pressure on the airway tract compared with the group in which the conventional laryngeal mask was used. On the other hand there was no difference in the presence of dysphonia, trauma or number of attempts used to insert the mask. Conclusions: The i-gel larygeal mask demonstrated to be a safe issue, with low incidence of morbidity to administrated general anesthesia.

关键词： i-Gel Laryngeal Mask Cervical Pain Sore Throat

Smith's Anesthesia for Infants and Children 7th ed.

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Comparison between the Effects of Alfentanil, Lidocaine and Their Composition in Controlling the Hemodynamic Responses at the Time of Awake Extubation of Patients

2006年

作者： Etsuro K. Motoyama Peter J. Davis

ISBN: (纸本)9780323026475

The gold standard in pediatric anesthesia references is back in a thoroughly revised and updated New Edition. Once again, renowned contributors offer exhaustive discussions of basic science and clinical practice for every aspect of the specialty. A wealth of new chapters, new content, and a new DVD-ROM featuring video and color-slide presenta-tions make this resource a must-have. Anesthesia & Analgesia called the previous edition "a modern classic" and noted that "each chapter is well written, clear, and concise."

关键词： Anesthesia

来源：畅想之星图书光盘版（南... 评论

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International Journal of Clinical Medicine 2017年第6期8卷 430-438页

作者： Ali Alizadeh Mahmoud Aghaziarati Nasim Zarin Assistant Professor of Medical Science University Qazvin Iran anesthesiologist of Medical Science University Tehran Iran Assistant Professor of Anesthesiology Medical Science University Qazvin Iran

Background and aim: Instability in the hemodynamic symptoms has been common at the time of extubation in patients and the cause to create the side effects. The aim of this research was to study the effect of injection of Alfentanil, Lidocaine and their composition in reduction of side effects arising from extubation. Materials and methods: 172 patients (20 - 40 years old) that referred to Shahid Rajaee Hospital in 2014 and had been under the orthopedic surgery, were divided randomly and by using colored cards into four equal groups (43 patients in each group). Alfentanil (5 microgram/kilogram) was injected to the first group. The second group received Lidocaine (1 milligram/ kilogram). The composition of these two drugs was injected to the third group and the normal equal volume of Saline was injected to the fourth group which was the control group. The means of systolic and diastolic blood pressure, average arterial pressure and the number of heartbeat at the time of extubation were measured and registered 1, 5, 10, 15 and 20 minutes after extubation. Also, the amount of situation of bucking after extubation was registered in the groups. Results: The demographic results were similar in all groups. The mean of systolic blood pressure and number of heartbeats in the group of Alfentanil and composition of Alfentanil-Lidocaine had significant reduction (p 0.05). The situation of bucking in three treatment groups had significant reduction in comparison with control group. Conclusion: Alfentanil and composition of it with Lidocaine both had caused reducing the systolic blood pressure and heartbeats.

关键词： Alfentanil Lidocaine Hemodynamic Responses

A Fatal Arterio-Tracheal Fistula Post-Tracheostomy: A Case Report in a Sub-Saharan Setting

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第5期11卷 277-282页

作者： Yannick Mossus Douglas Banga Nkomo Serge Rowling’s Ngouatna Lutresse Thome Roger Christian Meva’a Biouélé Leonel Christophe Atanga Adèle-Rose Ngo Nyeki David Mindja Eko François Djomou Alexis Ndjolo ENT Surgeon Department of Ophthalmology ENT and Stomatology Faculty of Medicine and Biomedical Sciences of University of Yaoundé Yaoundé Cameroon Thoracic Surgeon Department of Surgery and Specialties Faculty of Medicine and Pharmaceutical Sciences of University of Dschang Dschang Cameroon anesthesiologist Resuscitator Department of Surgery and Specialties Faculty of Medicine and Biomedical Sciences of University of Yaoundé Yaoundé Cameroon

Fatal bleeding in patients with tracheostomy is an uncommon incident, in the order of 0.1% to 1% of cases. It is secondary in 70% of cases to the innominate artery fistula in the tracheal lumen. The fistula is generally created after the necrosis of tracheal rings. The incriminated factors are the type of cannula used, the site of tracheal opening below the 3rd tracheal ring, tracheal infections and the proximity of the innominate artery to the tracheal axis. The outcome of this incident is fatal in most cases. We report the case of a 59-year-old patient with a tracheostomy on the 11th day of his admission to intensive care for severe head trauma secondary to a road accident. On the 22nd day of his admission, the occurrence of a cataclysmic and fatal haemorrhage through the tracheostomy tube evoked an arterio-tracheal fistula of the innominate artery.

关键词： Arterio-Tracheal Fistula Innominate Artery Tracheostomy Sub-Saharan Setting Case Report

Perioperative Management of Cleft Palate Repair in a Patient with Williams Syndrome: A Case Report

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Open Journal of Anesthesiology 2013年第1期3卷 57-60页

作者： Balaji Asegaonkar Jiten J. Kulkarni Rajgopal J. Totla Pulkeshi Kulkarni Shilpa Asegaonkar Santosh Totla Consultant anesthesiologist Aurangabad India Consultant Ophthalmologist Aurangabad India Department of Anesthesiology M. G. M. Medical College Aurangabad India Department of Biochemistry Goverment Medical College Aurangabad India Department of Plastic and Pediatric Surgery M. G. M. Medical College Aurangabad India

The Background: Williams syndrome is a neurodevelopmental multisystem genetic disorder characterized by dysmorphic features and a wide range of congenital cardiac, renal, musculoskeletal anomalies. Presence of cleft palate in these patients is an unusual condition. More than 22 cases of sudden cardiac death reported in literature especially during anesthetic management in the patients of Williams syndrome. So these patients present major perioperative challenges to anesthesiologist. The authors report successful anesthetic care for repair of cleft palate in presence of uncorrected patent ductus arteriosus (PDA) and mild supraventricular aortic stenosis (SVAS) in a 3.5-year-old female child diagnosed with Williams syndrome. Case report: Diagnosed case of Williams syndrome with characteristic facial dysmorphic features, SVAS and rare malformation of PDA, was scheduled for cleft palate repair. After keen preoperative assessment, general anesthesia was administered for the procedure with continuous monitoring for vital parameters. Because of dysmorphic features, difficulty was faced during intubation. Otherwise intraoperative procedure was uneventful. Postoperative analgesia was managed with intravenous paracetamol. Conclusion: Being a multisystem disorder, each patient of WS requires meticulous preoperative evaluation and high level of intraoperative and postoperative continuous monitoring regardless of any surgical procedure. Surgical correction of cleft palate in such patients demands very high anesthetic and surgical skills as both share common airway. Present case report highlights the significance of aggressive perioperative management in WS which can result in successful outcome.

关键词： Williams Syndrome PDA SVAS Cleft Palate Repair Perioperative Management

Pheochromocytoma Anesthetic Management

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Open Journal of Anesthesiology 2013年第3期3卷 152-155页

作者： Daniel D. Kim Christiano Matsui Judymara L. Gozzani Ligia A. S. T. Mathias anesthesiologist Santa Casa de Mi- sericordia de Sao Paulo Sao Paulo Brazil Director of Anesthesiology Service Santa Casa de Misericordia de Sao Paulo Sao Paulo Brazil Director of Pain Medicine Santa Casa de Misericordia de Sao Paulo Sao Paulo Brazil Resident in Anesthesiology Santa Casa de Misericordia de Sao Paulo Sao Paulo Brazil

Pheochromocytomas are catecholamine producing tumors and although uncommon present a great challenge to the anesthesiologist since it has nonspecific clinical symptoms and risk of critical events, including death when not previously diagnosed. Clinical manifestation is variable, unspecific and depends on the catecholamine production profile. The classic triad of headache, palpitation and diaphoresis is present in up to 70% of the cases and only 50% have sustained hypertension. The best approach for pheochromocytoma treatment is surgical excision of the affected adrenal gland. The introduction of alpha adrenergic blockade medication, such as phentolamine and phenoxybenzamine had the highest impact in perioperative mortality reduction due to inhibition of the deleterious effect of vasoconstriction. The majority of anesthetic techniques and drugs are considered safe. Post-operative care in intensive care unit is advisable since patients may present instability of blood pressure and hypoglycemia. Genetic testing should be done in first-degree relatives of confirmed cases or when a genetic syndrome is suspected.

关键词： Pheochromocytoma Anesthesia Management

门诊手术麻醉协会关于手术后恶心呕吐的处理指南

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麻醉与镇痛 2008年第6期4卷 12-26,43页

作者： Tong J. Gan, MD Tricia A. Meyer, PharmD, MS Christian C. Apfel, MD, PhD Frances Chung, FRCPC Peter J. Davis, MD Ashraf S. Habib, MB, FRCA Vallire D. Hooper,MSN, RN, CPAN, FAAN Anthony L. Kovac,MD Peter Kranke, MD, PhD, MBA Paul Myles, MD Beverly K. Philip, MD Gregory Samsa, PhD Daniel I. Sessler, MD James Temo, CRNA, MSN, MBA Martin R. Tramer, MD, DPhil Craig Vander Kolk,MD Mehernoor Watcha, MD 谢郭豪(译) 方向明(校) Department of Anesthesiology Duke University Medical Center Durham North Carolina Consultant anesthesiologist University of Wuerzburg WuerzburgGermany Department of Anesthesia and Perioperative Care UCSF Medical Center at Mt. Zion San FranciscoCalifornia Department of Anesthesia University of Toronto Toronto Canada Department of Anesthesi-ology and Pediatrics University of Pittsburgh School of Medicine Pittsburgh Pennsylvania School of Nurs-ing Medical College of Georgia Augusta Georgia Department of Anesthesiology University of KansasMedical Center Kansas City Kansas Consultant anesthesiologist University of Wuerzburg WuerzburgGermam Department of Anesthesia and Perioperative Medicine Alfred Hospital Monash University Mel-bourne Australia Department of Anesthesiology Perioperative and Pain Medicine Brigham and Women'sHospital Harvard Medical School Boston Massachusetts Department of Biometry and Bioinformatics Duke University Medical Center Durham North Carolina Department of OUTCOMES RESEARCH TheCleveland Clinic Cleveland Ohio Duke University Nurse Anesthetist Program Durham North Caro-lina Division of Anesthesiology Geneva University Hospitals and Faculty of Medicine Geneva Switzer-land Department of Surgery Division of Plastic Surgery Johns Hopkins University School of Medicine Bal-timore Maryland Department of Anesthesiology Texas Children's Hospital Houston Texas 不详

本指南是在门诊手术麻醉协会发起下，由国际专家组编撰而成。该专家组成员涉及与手术后恶心、呕吐（PONV）相关的多个学科，他们审慎的评估了当前关于PONV的医学文献，为PONV高风险的成年及儿童外科手术患者提供了循证医学的参考工具。... 详细信息

本指南是在门诊手术麻醉协会发起下，由国际专家组编撰而成。该专家组成员涉及与手术后恶心、呕吐（PONV）相关的多个学科，他们审慎的评估了当前关于PONV的医学文献，为PONV高风险的成年及儿童外科手术患者提供了循证医学的参考工具。指南的重点是识别成人及儿童患者中发生PONV的危险因素；推荐降低PONV基础风险的方法；甄别出对PONV进行预防性治疗最为有效的单一药物及联合用药方案；推荐对已发生的PONV的治疗方法；并为具有较高PONV风险的患者提供了处理流程。

关键词：手术后恶心呕吐手术麻醉指南协会门诊 PONV 外科手术患者联合用药方案

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腹部大动脉手术术后早期和迟发心肌梗塞

国外医学（麻醉学与复苏分册） 2005年第3期26卷 184-188页

作者： Yannick Le Manach Azriel Perel Pierre Coriat Gilles Godet Michèle Bertrand Bruno Riou 马越涛王俊科 Resident in Anesthesiology Department of Anesthesiology and Critical Care Sheba Medical Center Tel Aviv University Tel Hashomer Israel Professor of Anesthesiology and Critical Care and Chairman (on sabbatical) Department of Anesthesiology and Critical Care Sheba Medical Center Tel Aviv University Tel Hashomer Israel Professor of Anesthesiology and Critical Care and Chairman Staff anesthesiologist Department of Anesthesiology and Critical Care Professor of Anesthesiology and Critical Care and Chairmn Department of Emergency Medicine and Surgery 中国医科大学第一临床学院麻醉科

背景:尽管有报道称血管手术术后心肌梗塞(PMI)与局部缺血时间过长有关,但其确切的病理生理机制还不十分清楚。

关键词：术后早期大动脉迟发腹部术后心肌梗塞病理生理机制缺血时间血管手术