Ultrasound-guided versus conventional injection for caudal block in children: A prospective randomized clinical study
The aim of this study was to compare the efficacies of ultrasound guided sacral hiatus injection and conventional sacral canal injection performed for caudal block in children. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Ali Ahiskalioglu, Ahmet Murat Yayik, Elif Oral Ahiskalioglu, Mursel Ekinci, Birzat Emre G ölboyu, Erkan Cem Celik, Haci Ahmet Alici, Akgun Oral, Saban Oguz Demirdogen Tags: Original Contribution Source Type: research
Agenesis of the left internal jugular vein: An unusual finding during an ultra-sound guided central venous catheterization
Anatomical variations of the internal jugular vein are relatively frequent, appearing in 0.25% of the general population, mainly consisting of variations in its position regarding the carotid artery and its path near the usual known landmarks [1]. These variations play a major role in the success rate of placing a central venous line as well as the complication risk. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Meryem Essafti, Ayoub Belhadj, Youssef Qamouss, Redouane Rokhsi, Younes Aissaoui Tags: Correspondence Source Type: research
Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair
We describe the management of a patient with symptomatic spinal cord hypoperfusion after thoracoabdominal aortic aneurysm repair, where the neurological insult and associated emotional stress precipitated Takotsubo cardiomyopathy. Transthoracic Echocardiography showed akinetic mid and apical left ventricular segments, while basal segments were spared. Emergent coronary angiography ruled out acute coronary syndrome. Excess catecholamines have been postulated as a contributing mechanism to the disease, therefore, catecholamines were avoided to prevent further myocardial injury. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Mohamed Abdalla, Mohamed Abdel Halim, Vaibhav Bora, Negmeldeen F. Mamoun Tags: Correspondence Source Type: research
Anesthetic management for laparoscopic sleeve gastrectomy to a child
Anesthesia for obese children undergoing weight loss surgery poses a challenge for the anesthetists given that this population has high risk of developing psychosocial and medical comorbidities such as pulmonary and cardiovascular disorders, hypertension, dyslipidemia, obstructive sleep apnea and type 2 diabetes mellitus [1 –3]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Saleh Kanawati, Omar Rajab, Loubna Sinno, Mohamad Hayssam El Fawal Tags: Correspondence Source Type: research
Retroclavicular approach to infraclavicular brachial plexus block for distal radius fracture in a patient with implanted pacemaker
We report a case of successful retroclavicular approach to infraclavicular brachial plexus block (RA-IBPB) in a patient with implanted pacemaker and with requiring open osteosynthesis due to distal radius fracture. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Ali Sait Kavakli, Mevlut Tugrul Durmaz, Zeynep Yasemin Yilmaz, Sadullah Turhan, Lutfi Ozyurek Tags: Correspondence Source Type: research
A simple method for preventing the fog in the videolaryngoscope monitor during awake intubation
The videolaryngoscope designed to provide a clear view of the glottis and its surrounding strucutures [1]. As the non-sightline view characteristics of videolaryngoscopes improves the laryngeal view compared to other laryngoscopes, they may be useful for awake intubation in both operation room or emergency department [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Masanori Haba, Nobuyasu Komasawa Tags: Correspondence Source Type: research
Optimal blood pressure level and acute kidney injury after gastrointestinal surgery
In recent article by Wu and colleagues [1] determining effects of the intraoperative mean arterial pressure (MAP) control levels on the occurrences of acute kidney injury (AKI) after gastrointestinal surgery in elderly patients with chronic hypertension, they showed that controlling intraoperative MAP to 80 to 95mmHg can decrease the incidence of postoperative AKI. Other than the limitations described in their discussion, we note other issues of this study design making interpretation of their findings questionable. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 20, 2017 Category: Anesthesiology Authors: Ya-Yang Liu, Fu-Shan Xue, Hui-Xian Li, Gui-Zhen Yang Tags: Correspondence Source Type: research
Editorial Board
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 18, 2017 Category: Anesthesiology Source Type: research
Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 18, 2017 Category: Anesthesiology Source Type: research
Hepatitis B immunoglobulin-induced hypercoagulability complicating liver transplantation necessitating ECMO, rescue hepatectomy, and retransplantation
With the patient's written informed consent, we describe the course of a 55-year-old Asian male with hepatitis B cirrhosis (+HBsAg, MELD 25), hepatocellular carcinoma (HCC) status post ablation, and chronic kidney disease (non-dialysis dependent) undergoing split liver and kidney transplant from the same deceased donor. We administered hepatitis B immunoglobulin after hepatectomy. After renal reperfusion, the graft became mottled and was explanted with hyperacute rejection suspected. The hepatic graft appeared viable. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 14, 2017 Category: Anesthesiology Authors: Paul N. Frank, Vivek V. Sharma, Avner Gereboff, Maha Guindi, Irene K. Kim, Robert Kariger Tags: Correspondence Source Type: research
Cardiac arrest following anaphylaxis induced by sugammadex in a regional hospital
We describe a case of patient who developed severe sugammadex-induced anaphylaxis and received cardio pulmonary resuscitation (CPR). Written informed consent for publication was obtained from the patient. The case was a 73-year-old male (178cm, 77kg) who underwent osteosynthesis in a regional hospital without intensive care unit. He was on a medication of bisoprolol and pilsicainide hydrochloride for chronic paroxysmal atrial fibrillation. The patient's baseline blood pressure was 108/59mmHg and heart rate was 49beats·min−1. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 14, 2017 Category: Anesthesiology Authors: Shinju Obara, Shin Kurosawa, Jun Honda, Rieko Oishi, Yuzo Iseki, Masahiro Murakawa Tags: Correspondence Source Type: research
Movement of sciatic nerve with dorsiflexion and plantar flexion of foot: A new identification method by ultrasound
Ultrasound guided sciatic nerve block is being performed more than a decade [1]. However, localization of sciatic nerve using ultrasound may be a difficult procedure at midthigh region. The sonogram should be optimized by adjusting the focus, depth, frequency and gain. Essential probe manoeuvres should be applied like pressure, alignment, tilting or rotation. In a previous study, it was noted that 37.5% of patients had a poor or average image quality and required nerve stimulation to confirm ultrasonographic appearance of the sciatic nerve at the midthigh level [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 14, 2017 Category: Anesthesiology Authors: Onur Balaban, Tayfun Ayd ın, Sermet Inal Tags: Correspondence Source Type: research
Ultrasound guided Erector Spinae Plane block at L-4 transverse process level provides effective postoperative analgesia for total hip arthroplasty
First described by Forero in 2016 for the treatment of thoracic neuropathic pain, Erector Spinae Plane (ESP) block is a regional anesthesia technique in which local anesthetic is injected between the erector spinae muscle and transverse process under ultrasound guidance, blocking the dorsal and ventral rami of the thoracic and abdominal spinal nerves [1,2]. Studies have shown that the spread of local anesthetic in the paravertebral space in the cephalic and caudal direction can lead to analgesia from C7-T2 to L2-3 [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 14, 2017 Category: Anesthesiology Authors: Serkan Tulgar, Ozgur Senturk Tags: Correspondence Source Type: research
Valves in internal jugular vein: A reason of difficult central venous catheterization
A three-way central venous catheter (CVC) was inserted for a 57-year-old liver-transplant patient through his left internal jugular vein (IJV) with Seldinger technique. Small resistance was encountered when a guidewire was inserted at 15cm. We removed the guidewire and draw the blood from the syringe to make sure the needle tip is still in the vessel. We re-inserted the guidewire again, but resistance was also found again. Since the guidewire didn't meet any resistance until 15cm, we slightly withdraw the guide wire and insert the CVC into the vein at 12cm without difficulty. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 13, 2017 Category: Anesthesiology Authors: Meng-Sheng Sun, Cheng-Yu Chen, Yi-Jer Hsieh Tags: Correspondence Source Type: research
Lumbar vertebra surgery performed with a bilateral intramuscular iliocostal muscle block
Some methods of perioperative pain management for lumbar vertebrae surgery have remained limited recently [1,2,3]. Intramuscular iliocostal muscle block (IMB), injects local anesthetic into the iliocostal muscle, may block posterior branches of lumbar nerve (Fig. 1). Here, we report the successful uses of bilateral intramuscular IMB in a lumbar vertebrae surgery for perioperative pain management. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 10, 2017 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
