Editorial Board
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 6, 2018 Category: Anesthesiology Source Type: research

Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 6, 2018 Category: Anesthesiology Source Type: research

Can lateral decubitus cause uvular necrosis after general anesthesia?
Uvular necrosis or ulceration is a rare cause of post-operative sore throat after endotracheal intubation (40%) or Laryngeal Mask Airway (7 –12%) insertion. Till date, only 17 cases of uvular necrosis have been reported. According to literature, overzealous suctioning, upper GI endoscopy, bronchoscopy via nasal approach, long-term intubation and trans-esophageal echocardiography can cause uvular necrosis (2, 3). Patients present with post-operative severe pain and swollen, elongated, erythematous uvula with odynophagia and dysphagia which require urgent attention and treatment. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 4, 2018 Category: Anesthesiology Authors: Arindam Chatterjee, Ashish Kannaujia, Mekhala Paul, Alka Verma Tags: Correspondence Source Type: research

Epidural management for obstetric patient with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) undergoing emergent cesarean section
Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a rare, autosomal dominant disorder that results from mutations of the NOTCH 3 gene on chromosome 19. The resultant dysfunctional NOTCH 3 protein leads to impaired cerebrovascular autoregulation. CADASIL is characterized by recurrent subcortical ischemic infarcts that can lead to migraine, with or without aura; cognitive problems; seizures; psychiatric symptoms; dementia; walking difficulties; and urinary incontinence [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 3, 2018 Category: Anesthesiology Authors: Michael A. Dorbad, Trey B. Creech, Shuchi Jain, Maurlene Baumann, Lei Li Tags: Correspondence Source Type: research

Diagnostic accuracy of radiology (CT, X-ray, US) for predicting difficult intubation in adults: A meta-analysis
The aim of this study was to evaluate the overall accuracy of radiological measurements in prediction of difficult airway and compare the diagnostic value between the radiological measurements and the modified Mallampati score through a meta-analysis of published studies. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 3, 2018 Category: Anesthesiology Authors: Chao Ji, Qiang Ni, Wurong Chen Tags: Original Contribution Source Type: research

Epidural management for obstetric patient with Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) undergoing emergent cesarean section
Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy (CADASIL) is a rare, autosomal dominant disorder that results from mutations of the NOTCH 3 gene on chromosome 19. The resultant dysfunctional NOTCH 3 protein leads to impaired cerebrovascular autoregulation. CADASIL is characterized by recurrent subcortical ischemic infarcts that can lead to migraine, with or without aura; cognitive problems; seizures; psychiatric symptoms; dementia; walking difficulties; and urinary incontinence [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 3, 2018 Category: Anesthesiology Authors: Michael A. Dorbad, Trey B. Creech, Shuchi Jain, Maurlene Baumann, Lei Li Tags: Correspondence Source Type: research

Diagnostic accuracy of radiology (CT, X-ray, US) for predicting difficult intubation in adults: A meta-analysis
The aim of this study was to evaluate the overall accuracy of radiological measurements in prediction of difficult airway and compare the diagnostic value between the radiological measurements and the modified Mallampati score through a meta-analysis of published studies. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - January 3, 2018 Category: Anesthesiology Authors: Chao Ji, Qiang Ni, Wurong Chen Tags: Original Contribution Source Type: research

Obstructive sleep apnea as a risk factor associated with difficult airway management - A narrative review
The objective of this narrative review is to determine if OSA is a risk factor associated with difficult airway. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Siaw May Leong, Akhilesh Tiwari, Frances Chung, David T. Wong Tags: Original Contribution Source Type: research

Flexible gastroendoscope as a rescue device for an anaesthetist
Managing the airway of a patient with temporo-mandibular joint (TMJ) ankylosis is very challenging. Securing the airway by awake fiberoptic bronchoscopy is considered as a gold standard [1]. Easy and ubiquitous availability of the gastroendoscopes in the endoscopy room makes them a good alternative to fiberoptic bronchoscope. So we present a unique case of TMJ ankylosis posted for upper gastrointestinal endoscopy, wherein anaesthesia was given to the patient while the flexible gastroendoscope was also used as a rescue device for emergency airway management. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Neha Garg, Gaurav Sindwani, Aditi Suri, Rafat Shamim, Chandra Kant Pandey Tags: Correspondence Source Type: research

Anesthesia management of a newborn with Pena-Shokeir Syndrome
Perinatal diagnosis of Pena-Shokeir Syndrome (PSS) characterized by multiple joint contractures, intrauterine growth retardation, craniofacial deformities, multiple ankyloses, camptodactilia, short umbilical cord, polyhydramnios, and pulmonary hypoplasia is possible up to 14th week of pregnancy with abnormal position of fetal organs, abnormal fetal movements or fetal akinesia and those anomalies which may lead to mortality are considered to provide reasonable criteria for decision of termination of pregnancy [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Gulcin Aydin, Isin Gencay, Selim Colak Tags: Correspondence Source Type: research

Serratus plane block in thoracoscopic sympathectomy surgery
Video-assisted thoracic surgery (VATS), a minimally invasive procedure, has allowed less impairment of pulmonary function compared with thoracotomy. Besides that, there have been reports of significant acute and chronic pain following it [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Elena Segura-Grau, Joana Santos, Margarete Rocha, Jos é P. Assunção Tags: Correspondence Source Type: research

Supraglottic airway for upper gastrointestinal endoscopy in children: A review of 10years' experience
Children undergoing diagnostic EGD require deep sedation or general anesthesia [1] [2]. The anesthesiologist may choose to protect the airway with an endotracheal tube, or use sedation using a variety or combinations of sedatives and analgesics, while relying on the patient's native airway, and without airway protection [2] [3]. There can, in these instances, however, be serious cardiorespiratory complications; specifically, apnea, hypoventilation and oxygen desaturation; and hypercarbia from periods of apnea during deep sedation go unmeasured. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Audrice Francois, Eric Pedone Tags: Correspondence Source Type: research

Efficacy of ultrasound imaging for differential diagnosis of cervical swelling after brachial plexus block for shoulder arthroscopy
Various complications associated with peripheral brachial plexus nerve block have been reported, such as pneumothorax, hemodynamic collapse, and hematoma leading to airway obstruction [1]. Here, we report the successful use of ultrasound imaging in the differential diagnosis of cervical swelling after brachial plexus block for shoulder arthroscopy. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Sayuri Matsunami, Nobuyasu Komasawa, Hiroyuki Yamasaki, Toshiaki Minami Tags: Correspondence Source Type: research

Obstructive sleep apnea as a risk factor associated with difficult airway management - A narrative review
The objective of this narrative review is to determine if OSA is a risk factor associated with difficult airway. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 29, 2017 Category: Anesthesiology Authors: Siaw May Leong, Akhilesh Tiwari, Frances Chung, David T. Wong Tags: Original Contribution Source Type: research