keyword
https://read.qxmd.com/read/35706780/successful-adrenaline-treatment-of-perioperative-severe-bronchospasm-combined-with-a-silent-lung-two-case-reports
#21
Ting Liu, Yu Hong, Yuxuan Peng, Yanan Lu, Lin Cao
BACKGROUND: Silent lung is a rare and potentially fatal disease. It is a critical sign of strong bronchospasm or extensive mucus plug blockage, which can result in the obvious weakening of breathing sounds or even disappearance of breathing sounds. Silent lung has an acute onset and rapid progress, which seriously threatens the life of patients. It needs early diagnosis, timely and effective treatment to reverse the persistent severe bronchospasm of patients. If not handled in time, silent lung can cause rapid onset of severe hypoxemia, hypoxic brain injury, and even cardiac arrest...
May 2022: Translational Cancer Research
https://read.qxmd.com/read/35686538/factors-associated-with-postoperative-respiratory-complications-following-posterior-spinal-instrumentation-in-children-with-early-onset-scoliosis
#22
JOURNAL ARTICLE
Ying Zhang, Yingsong Wang, Jingming Xie, Ni Bi, Zhi Zhao, Tao Li, Zhiyue Shi, Tianyi Huang, Bing Gao, Kaiwen Gu, Wuyao Li
OBJECTIVE: To investigate the incidence and risk factors of postoperative respiratory complications (PRCs) in children with early-onset scoliosis (EOS) following posterior spine deformity surgery (PSDS) based on growth-friendly techniques, so as to help improve the safety of surgery. METHODS: A retrospective study of children with EOS admitted for PSDS based on growth-friendly techniques from October 2013 to October 2018 was reviewed at a single center. There were 73 children (30 boys, 43 girls) who fulfilled the criteria in this research...
July 2022: Orthopaedic Surgery
https://read.qxmd.com/read/35413787/efficiency-of-laryngeal-mask-airway-protectortm-and-i-gel%C3%A2-as-a-conduit-in-aintree-catheter-guided-fibreoptic-tracheal-intubation-a-randomised-clinical-trial
#23
JOURNAL ARTICLE
Kemal T Saracoglu, Ayse Turan, Asli Aydas, Mehmet Yilmaz
BACKGROUND: Fibreoptic intubation through a supraglottic airway device (SAD) is recom-mended in difficult airway management algorithms. The Difficult Airway Society published a guideline describing the details of this technique in 2011. This study was designed to compare the efficiency of two different 2nd generation SADs as a conduit for Aintree catheter-guided fibreoptic tracheal intubation. METHODS: 80 adult patients with an ASA score of 1-3 undergoing elective surgical procedures were included in the study...
May 10, 2022: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/34781421/effect-of-intramuscular-dexmedetomidine-administration-before-extubation-on-post-extubation-haemodynamics-postoperative-sedation-and-analgesic-requirements-a-double-blind-placebo-controlled-study
#24
RANDOMIZED CONTROLLED TRIAL
S P Ambesh, Madhulika Dubey
BACKGROUND: Dexmedetomidine, an α2-adrenoreceptor agonist has been successfully used for attenuating stress response to laryngoscopy. The present study was designed to evaluate the effects of intramuscular dexmedetomidine 30 minutes before extubation on hemodynamic response in patients undergoing laminectomy for prolapsed intervertebral disc (PIVD) under endotracheal intubation and general anesthesia. METHODS: Present double-blinded randomized placebo-controlled study, included 100 patients from either sex with American Society of Anesthesiologists grades I and II and age from 18 to 60 years undergoing laminectomy for PIVD under general anesthesia...
September 1, 2021: Asian Journal of Anesthesiology
https://read.qxmd.com/read/34603720/perioperative-management-of-patients-with-asthma-during-elective-surgery-a-systematic-review
#25
REVIEW
Samuel Debas Bayable, Debas Yaregal Melesse, Girmay Fitiwi Lema, Seid Adem Ahmed
Asthma is one of the commonest respiratory illnesses among elderly patients undergoing surgery. Detailed preoperative assessment, pharmacotherapy and safe anaesthetic measures throughout perioperative period are the keys to decrease complications. Resistance to expiratory airflow results in positive alveolar pressures at the end of expiration, which causes air-trapping and hyperinflation of the lungs and thorax, increased work of breathing, and alteration of respiratory muscle function. This systematic review was conducted according to the Preferred Reporting Items for systematic review and metanalysis (PRISMA) statement...
October 2021: Annals of Medicine and Surgery
https://read.qxmd.com/read/34427566/the-world-federation-of-societies-of-anaesthesiologists-minimum-capnometer-specifications-2021-a-guide-for-health-care-decision-makers
#26
JOURNAL ARTICLE
Adrian W Gelb, Robert J McDougall, Julian Gore-Booth, Phoebe-Anne Mainland
Capnometry, the measurement of respiratory carbon dioxide, is regarded as a highly recommended safety technology in intubated and nonintubated sedated and/or anesthetized patients. Its utility includes confirmation of initial and ongoing placement of an airway device as well as in detecting gas exchange, bronchospasm, airway obstruction, reduced cardiac output, and metabolic changes. The utility applies prehospital and throughout all phases of inhospital care. Unfortunately, capnometry devices are not readily available in many countries, especially those that are resource-limited...
November 1, 2021: Anesthesia and Analgesia
https://read.qxmd.com/read/34377294/the-safety-of-high-dose-rocuronium-bromide-in-general-anesthesia-for-spinal-surgery-and-its-effects-on-muscle-relaxation
#27
JOURNAL ARTICLE
Haibo Yuan, Shaojin Zhang, Lin Yin, Ting Luo, Ronghong Zhang, Shengyang Wu
PURPOSE: This study aimed to investigate the effects of high-dose rocuronium bromide in general anesthesia for spinal surgery and analyze its safety. METHODS: A total of 90 patients with spine diseases who underwent elective spinal surgery in our hospital were enrolled as study subjects, and were divided into 2-fold group (intraoperative administration of 0.6 mg/kg rocuronium bromide, n=30), 3-fold group (0.9 mg/kg rocuronium bromide, n=30) and 4-fold group (1.2 mg/kg rocuronium bromide, n=30)...
2021: American Journal of Translational Research
https://read.qxmd.com/read/34109588/predictive-power-of-modified-frailty-index-score-for-pulmonary-complications-after-major-abdominal-surgery-in-the-elderly-a-single-centre-prospective-cohort-study
#28
JOURNAL ARTICLE
P Aceto, V Perilli, E Luca, C Schipa, C Calabrese, G Fortunato, I Marusco, C Lai, L Sollazzi
OBJECTIVE: The primary aim of this prospective cohort study was to evaluate the usefulness of the modified Frailty Index (mFI) score to predict postoperative pulmonary complications (PPCs) in elderly patients undergoing major open abdominal surgery. The secondary purpose was to compare the prediction power of mFI, Ariscat (Assess Respiratory Risk in Surgical Patients in Catalonia), and American Society physical status classification (ASA) scores. PATIENTS AND METHODS: After local Ethical Committee approval, 105 patients aged ≥65 years undergoing open major abdominal surgery were enrolled...
May 2021: European Review for Medical and Pharmacological Sciences
https://read.qxmd.com/read/33968833/reactive-airways-dysfunction-syndrome-following-inhalation-of-hydrogen-chloride-vapor
#29
Vanessa Simioni Faria, Soraya Abou El Hosn Cordero da Silva, Julio Flávio Meirelles Marchini
Hydrogen chloride is available commercially as an anhydrous gas or an aqueous solution, hydrochloric acid. Exposure to this gas has been associated with the development of reactive airways dysfunction syndrome. However, there are few published reports. A 37-year-old woman developed progressive bronchospasm and acute respiratory failure after cleaning an enclosed space with an unknown concentration of hydrochloric acid gas from a cleaning substance. She had no prior history of asthma or atopy. Severe bronchospasm developed, leading to hypoxemia and diffuse interstitial infiltrates, necessitating orotracheal intubation and admission to the intensive care unit...
April 20, 2021: Autopsy & Case Reports
https://read.qxmd.com/read/33915196/use-of-second-generation-supraglottic-airway-device-for-endovascular-treatment-of-unruptured-intracranial-aneurysms-a-retrospective-cohort
#30
JOURNAL ARTICLE
Paola Hurtado, Marta Garcia-Orellana, Sergi Amaro, Enrique Carrero, Federico Zarco, Anna Lopez, Neus Fabregas, Ricard Valero
BACKGROUND: We aimed to assess the feasibility of using supraglottic devices as an alternative to orotracheal intubation for airway management during anesthesia for endovascular treatment of unruptured intracranial aneurisms in our department over a nine-year period. METHODS: Retrospective single center analysis of cases (2010-2018). Primary outcomes: airway management (supraglottic device repositioning, need for switch to orotracheal intubation, airway complications)...
July 2021: Brazilian Journal of Anesthesiology
https://read.qxmd.com/read/33512908/an-innovative-method-of-delivering-nebulized-medications-for-perioperative-bronchospasm
#31
JOURNAL ARTICLE
Alex M Dekel, Ryan Price, Alexander C Tsai, Eugene Kim
Perioperative bronchospasm is a common challenge to anesthetic care. The timely delivery of inhaled medications can be challenging, particularly in pediatric patients and in locations where dedicated resources and respiratory support teams are limited. The delivery of nebulized medication to an intubated patient in the operating room can be difficult. We present an innovative method for delivery of nebulized solutions, in which a jet nebulizer is paired with a Mapleson hyperinflation system.
January 14, 2021: A&A Practice
https://read.qxmd.com/read/33435939/salbutamol-induced-lactic-acidosis-in-status-asthmaticus-survivor
#32
JOURNAL ARTICLE
Vorakamol Phoophiboon, Parima Singhagowinta, Sangdao Boonkaya, Thitiwat Sriprasart
BACKGROUND: Salbutamol-induced lactic acidosis is a rare presentation that could manifest in specific clinical context as acute asthmatic attack treatment. An increase of glycolysis pathway leading to pyruvate escalation is the mechanism of hyperlactatemia in β2-adrenergic agonist drug. CASE PRESENTATION: A 40-year-old man who had poor-controlled asthma, presented with progressive dyspnea with coryza symptom for 6 days. He was intubated and admitted into medical intensive care unit due to deteriorated respiratory symptom...
January 12, 2021: BMC Pulmonary Medicine
https://read.qxmd.com/read/33295809/a-randomized-trial-comparing-physostigmine-vs-lorazepam-for-treatment-of-antimuscarinic-anticholinergic-toxidrome
#33
RANDOMIZED CONTROLLED TRIAL
George Sam Wang, Keith Baker, Patrick Ng, Gregory C Janis, Jan Leonard, Rakesh D Mistry, Kennon Heard
BACKGROUND: Toxicity from antimuscarinic agents precipitates a constellation of signs and symptoms; two of the most significant are agitation and delirium. Benzodiazepines are commonly used for treatment; physostigmine is also effective but is underutilized due to concerns for safety and short duration of action. The objective of this study was to compare lorazepam to physostigmine for the treatment of antimuscarinic delirium and agitation. METHODS: This was a blinded, randomized clinical trial in patients presenting for antimuscarinic toxidrome...
August 2021: Clinical Toxicology
https://read.qxmd.com/read/33173630/decreased-mortality-in-patients-with-severe-bronchospasm-associated-with-sars-cov-2-an-alternative-to-invasive-mechanical-ventilation
#34
Rafael Salazar, Alejandro Hallo, Sebastian Vasquez, Steffy Reinthaller, Juan Echeverria
The number of patients with acute episodes of severe bronchospasm needing intubation and ventilatory support has increased rapidly during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) coronavirus disease 2019 (COVID-19) pandemic. Although medical consensus upholds the use of ventilatory support in this pathology, its survival benefits remain unclear. To improve the outcomes and survival rates, a bundle of early respiratory therapy with a pharmacological rescue regimen was provided to four patients with bronchospasm secondary to COVID-19...
October 6, 2020: Curēus
https://read.qxmd.com/read/33152965/higher-doses-of-fentanyl-during-bronchoscopy-in-infants-significantly-reduces-perioperative-complication-rates
#35
RANDOMIZED CONTROLLED TRIAL
Marinov Ts, M Belitova, T M Popov
OBJECTIVES: The specific aim of this study was to assess the effect of higher fentanyl doses on reducing perioperative complication rates among infants undergoing rigid bronchoscopy. METHODS: Sixty children who underwent rigid bronchoscopy for foreign body removal were enlisted in our 2-year prospective cohort study at the Department of ENT and Head & Neck Surgery, Medical University - Sofia. Infants were randomly distributed into two groups according to fentanyl dose (group 1 - 1-2 μg/kg vs group 2 - 6-7 μg/kg)...
November 2020: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/33005456/urgent-airway-management-and-postoperative-complications-in-a-patient-with-trichorhinophalangeal-syndrome
#36
Sarvie Esmaeilzadeh, Ryan S D'Souza, Thomas M Stewart, Matthew A Sexton
Trichorhinophalangeal syndrome (TRPS) is a genetic disorder that may pose anesthetic challenges. We present a case of airway management for urgent surgery in a 56-year-old female with TRPS and difficult airway (macroglossia, narrow glottic opening, and hypoplastic epiglottis). Intubation was successful with video laryngoscopy using a size 2.5 pediatric blade and size 5.0 endotracheal tube. During emergence, she experienced bronchospasm and persistent urosepsis, necessitating intensive care unit (ICU) admission...
2020: Case Reports in Anesthesiology
https://read.qxmd.com/read/32876406/determining-airway-complications-during-anaesthesia-induction-a-prospective-observational-cross-sectional-clinical-study
#37
JOURNAL ARTICLE
Mehmet Yilmaz, Ayse Turan, Ayten Saracoglu, Tahsin Simsek, Kemal Saracoglu
BACKGROUND: Although postoperative early airway complications are rarely observed, when they do develop, fatal results such as brain damage and cardiac arrest may occur. The Royal College of Anaesthetists and Difficult Airway Society investigated airway complications developing during anaesthesia over a period of 12 months within the context of the Fourth National Audit Project (NAP4) study. Inspired by that multicentre research project, this study aims to identify early airway complications that can develop in relation to anaesthesia induction in our hospital...
2020: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/32765716/postanesthetic-skin-erythema-due-to-succinylcholine-versus-atracurium
#38
JOURNAL ARTICLE
Oana Roxana Ciobotaru, Gabriela Stoleriu, Octavian Catalin Ciobotaru, Alexandru Grigorovici, Doina Carina Voinescu, Madalina Nicoleta Matei, Roxana Gabriela Cobzaru, Nicuta Manolache, Mary-Nicoleta Lupu
Intraoperative anaphylactic reactions may range from mild, erythema-like to anaphylactic shock, with tension crash and bronchospasm. The substances considered to be most responsible for the occurrence of intraoperative allergic reactions are neuromuscular blocking agents, antibiotics and latex. Recent studies have identified a new receptor, Mas-Related G-Protein-coupled Receptor X2 (MRGPRX2), considered as a target for some neuromuscular blockers such as atracurium, rocuronium or fluoroquinolone, resulting in pseudoallergic or anaphylactoid reactions...
September 2020: Experimental and Therapeutic Medicine
https://read.qxmd.com/read/32726255/adult-patients-with-respiratory-distress-current-evidence-based-recommendations-for-prehospital-care
#39
JOURNAL ARTICLE
Sammy S Hodroge, Melody Glenn, Amelia Breyre, Bennett Lee, Nick R Aldridge, Karl A Sporer, Kristi L Koenig, Marianne Gausche-Hill, Angelo A Salvucci, Eric M Rudnick, John F Brown, Gregory H Gilbert
INTRODUCTION: We developed evidence-based recommendations for prehospital evaluation and treatment of adult patients with respiratory distress. These recommendations are compared with current protocols used by the 33 local emergency medical services agencies (LEMSA) in California. METHODS: We performed a review of the evidence in the prehospital treatment of adult patients with respiratory distress. The quality of evidence was rated and used to form guidelines. We then compared the respiratory distress protocols of each of the 33 LEMSAs for consistency with these recommendations...
June 25, 2020: Western Journal of Emergency Medicine
https://read.qxmd.com/read/32548721/-severe-noncardiogenic-pulmonary-edema-due-to-permeability-disorder-after-i-v-administration-of-ct-contrast-medium-with-subsequent-venovenous-extracorporeal-membrane-oxygenation
#40
JOURNAL ARTICLE
B Poros, J Katchanov, A Curta, T Weig
Hypersensitivity reactions are one of the most feared side effects associated with the use of CT contrast agents. Bronchospasm and lung edema are known manifestations, whereby the latter occurs much less often. In anaphylaxis, numerous mechanisms can lead to cardiac failure with subsequent lung edema. In contrast, the cardiac function is not impaired in noncardiogenic pulmonary edema (NCPE), which is a rare phenomenon but with potentially fatal outcome. The exact pathophysiology of NCPE remains unknown and characteristically response to conventional anaphylaxis treatment is poor...
August 2020: Der Anaesthesist
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