Opioid-free general anesthesia and induced recovery from anesthesia in a patient with myotonic dystrophy type-1: a case report

Publication date: Available online 9 October 2020Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Hande Gurbuz Aytuluk, Kemal Tolga Saracoglu
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research

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“…what is the best role for sympathetic neurolysis in the management of pain associated with pancreatic cancer…?”
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Conclusion: Propofol induction results in significant immediate changes in ANS activity that include temporally relative elevation of cardiac sympathovagal balance and reduced sympathetic activity.Clinical Trial Registration: The study was approved by the Institutional Review Board of Taipei Veterans General Hospital (No. 2017-07-009CC) and is registered at ClinicalTrials.gov (https://clinicaltrials.gov/ct2/show/NCT03613961).
Source: Frontiers in Physiology - Category: Physiology Source Type: research
CONCLUSION: Evaluation of infants in the first 48 hours after birth showed that those babies whose mothers received pethidine were less willing to start breast-feeding. However, other components of breast-feeding behaviors were similar.PMID:34488326 | DOI:10.34172/aim.2021.84
Source: Archives of Iranian Medicine - Category: Middle East Health Authors: Source Type: research
Exp Neurol. 2021 Sep 3:113860. doi: 10.1016/j.expneurol.2021.113860. Online ahead of print.ABSTRACTThe goal of this study is to induce low-pressure voiding by stimulation and bilateral 1 kHz post-stimulation block of the pudendal nerves. In anesthetized cats, wire hook electrodes were placed on the left and/or right pudendal nerves. Stimulus pulses (30 Hz, 0.2 ms) were applied to one pudendal nerve to induce a reflex bladder contraction and to produce contractions of the external urethral sphincter (EUS). High frequency (1 kHz) biphasic stimulation was applied to block axonal conduction in both pudendal nerves and block EU...
Source: Experimental Neurology - Category: Neurology Authors: Source Type: research
Palliat Med. 2021 Sep 2:2692163211042770. doi: 10.1177/02692163211042770. Online ahead of print.ABSTRACTBACKGROUND: Palliative sedation is sometimes interrupted by undesired arousals. Pupillometry has been used in anesthesiology to monitor pain and sedation but has never been used during palliative sedation.ACTUAL CASE: A 48 years-old patient, with multi-metastatic cancer, underwent palliative sedation to manage global suffering. On the second day, the patient experienced arousal which required medication adjustments to ensure pain relief and increased sedation.POSSIBLE COURSE OF ACTION: Depth of sedation is monitored with...
Source: Palliative Medicine - Category: Palliative Care Authors: Source Type: research
Conclusion: Persistent clinically significant ptosis was observed in 11% of patients undergoing PPV. No variable was significantly associated with persistent postoperative ptosis after PPV.
Source: Ophthalmic Plastic and Reconstructive Surgery - Category: Opthalmology Tags: Original Investigations Source Type: research
Anaesthesist. 2021 Aug 23. doi: 10.1007/s00101-021-01022-6. Online ahead of print.ABSTRACTThe intraoperative dosing of opioids is a challenge in routine anesthesia as the potential effects of intraoperative overdosing and underdosing are not completely understood. In recent years an increasing number of monitors were approved, which were developed for the detection of intraoperative nociception and therefore should enable a better control of opioid titration. The nociception monitoring devices use either continuous hemodynamic, galvanic or thermal biosignals reflecting the balance between parasympathetic and sympathetic ac...
Source: Der Anaesthesist - Category: Anesthesiology Authors: Source Type: research
CONCLUSION: Based on these biochemical, pharmacological and morphological observations, we conclude that neuroinflammation and microglial activation at RVLM, and their downstream cellular mechanisms, causally underpin cadmium-induced cardiovascular dysregulation.PMID:34408468 | PMC:PMC8364915 | DOI:10.2147/JIR.S325528
Source: Cell Research - Category: Cytology Authors: Source Type: research
BACKGROUND Analysis of pupillary reflex dilation (PRD) assesses the balance of nociception--antinociception. Laparoscopic surgery induces haemodynamic variations that are misleading. During laparoscopy, PRD guidance helps differentiate haemodynamic changes because of excess nociception from secondary changes related to the reflex release of endocrine factors. OBJECTIVE The present study evaluated the effect of PRD-guided antinociception on the administration of intra-operative remifentanil and immediate postoperative morphine consumption in patients undergoing elective laparoscopic surgery. DESIGN The stu...
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Pain Source Type: research
Scand J Urol. 2021 Aug 9:1-7. doi: 10.1080/21681805.2021.1960598. Online ahead of print.ABSTRACTAIMS: In vivo experiments were performed to establish and validate a rat model of urethral sphincter injury and to develop a method for leak point pressure (LPP) measurements performed repeatedly in the same animal.METHODS: Twenty-four Sprague-Dawley female rats underwent bladder and epidural catheter implantation. Five days later, cystometry was performed using continuous infusion. Anesthesia with isoflurane, ketamine-xylazine (KX) or fentanyl-fluanisone-midazolam (FFM) was used. After three micturition cycles, intrathecal bupi...
Source: Scandinavian Journal of Urology - Category: Urology & Nephrology Authors: Source Type: research
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