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Anesthetic

Agents Anesthetic


Presentation

  • This article presents an in-depth discussion of a case involving a nearly 10-year-old boy with a history of an unspecified form of MD, who presented for endodontic treatment of tooth No. 30 under deep sedation.[ncbi.nlm.nih.gov]
  • CASE PRESENTATION: A case of an 8 year old child with known Electron Transfer Flavoprotein Dehydrogenase deficiency (ETFDH deficiency) requiring surgery for acute appendicitis is presented.[ncbi.nlm.nih.gov]
  • With the growing rate of left ventricular assist device (LVAD) implantation, patients with end-stage heart failure and LVAD support are presenting for a variety of noncardiac surgeries.[ncbi.nlm.nih.gov]
  • Anesthetic management of high-risk patients with coronary-subclavian steal syndrome presents safety and technical challenges.[ncbi.nlm.nih.gov]
  • We present a 16-year-old adolescent with status asthmaticus who required the therapeutic administration of the volatile anesthetic agent, sevoflurane, in the pediatric intensive care unit (PICU).[ncbi.nlm.nih.gov]
Hypothermia
  • Chills and shivering (hypothermia) – This occurs in up to half of patients as they regain consciousness after surgery, and it might be related to body temperature.[asahq.org]
  • Severe hypothermia may result in coagulopathy, delayed awakening, or arrhythmia.[emedicine.medscape.com]
  • At low enough temperatures, hypothermia per se will also affect anaesthetic end points, but this is in addition to the inevitable increases in binding affinity with temperature.[pubmedcentral.nih.gov]
Atrial Septal Defect
  • In addition, he had atrial septal defect, mild pulmonary artery stenosis, and cleft palate. Palatoplasty was performed without any complication during anesthesia. Close attention was directed to cardiac function, seizure, and airway management.[ncbi.nlm.nih.gov]
Sputum
  • A 44-year-old man with a past surgical history of pancreaticoduodenectomy presented fluctuating fever, jaundice, dyspnea and yellowish sputum.[ncbi.nlm.nih.gov]
Blister
  • Friction or shear forces on the skin and mucosa result in blister, bullae, and scar formation.[ncbi.nlm.nih.gov]
Confusion
  • Postoperative delirium – Confusion when regaining consciousness after surgery is common, but for some people — particularly older patients — the confusion can come and go for about a week.[asahq.org]
  • Other common side effects from the medicine are: Nausea and vomiting Dry mouth Sore throat Hoarse voice Sleepiness Shivering Muscle aches Itching Confusion -- especially in older people Rarely, people can be very confused for a few days after their surgery[webmd.com]
  • You'll probably feel groggy and a little confused when you first wake.[mayoclinic.org]
Amnesia
  • While under general anesthesia, a patient is unable to feel pain and will likely wake with some short-term amnesia ( memory loss ). Experts are unsure exactly how general anesthetics work.[drugs.com]
  • Purpose General anesthesia is intended to bring about five distinct states during surgery: analgesia, or pain relief amnesia, or loss of memory of the procedure loss of consciousness motionlessness weakening of autonomic responses General Anesthesia Precautions[henryschein.com]
  • The authors sought to determine whether unconsciousness and amnesia occur when humans develop rigidity and apnea after intravenous fentanyl (without other concomitant anesthetics).[doi.org]
  • Under general anesthesia, the patient is unable to feel pain and may also have amnesia.[medicalnewstoday.com]
  • Since then, doctors have gotten much better at putting us out with drug combinations that ease pain, relax muscles and, in some cases, put us in a deep state of hypnosis that gives us temporary amnesia.[livescience.com]
Temporary Amnesia
  • Since then, doctors have gotten much better at putting us out with drug combinations that ease pain, relax muscles and, in some cases, put us in a deep state of hypnosis that gives us temporary amnesia.[livescience.com]

Treatment

  • The pain decreased significantly in each group after the treatment (p 0.0001, β 1.0), even though no statistical difference was found between both treatments (p 0.46, β 0.82).[ncbi.nlm.nih.gov]
  • Treatment group patients used 3.6 less morphine equivalents of postoperative pain medication (P .05).[ncbi.nlm.nih.gov]
  • We describe the perioperative management of a complex pediatric patient undergoing a posterior tracheopexy which is a relatively new surgical treatment, with a novel surgical approach-thoracoscopy.[ncbi.nlm.nih.gov]
  • All patients were under the care of the palliative care consultation service in an acute care hospital and refractory to multimodal analgesic treatment, including opioid, non-opioid, and adjuvant analgesics.[ncbi.nlm.nih.gov]
  • Furthermore, isoflurane treatment attenuated NF‑κB activity and inhibited migration and invasion of liver cancer cells.[ncbi.nlm.nih.gov]

Prognosis

  • The resulting prognosis can be excellent after the rapid removal of inciting agents and the application of appropriate treatments.[ncbi.nlm.nih.gov]
  • Prognosis is poor with the majority of patients dying in infancy of sepsis.[ncbi.nlm.nih.gov]
  • This content is for informational purposes only and does not substitute for formal and individualized diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed medical professional.[healdove.com]

Etiology

  • […] poisoning* Antidotes/administration & dosage* Cesarean Section Fat Emulsions, Intravenous/administration & dosage* Female Humans Infusions, Spinal Lidocaine/administration & dosage Lidocaine/poisoning* Poisoning/diagnosis Poisoning/drug therapy* Poisoning/etiology[ncbi.nlm.nih.gov]

Epidemiology

  • The results of single-center and multicenter registries and epidemiologic studies complement this information. Between March 2014 and November 2016, 47 separate cases of LAST were described in 35 peer-reviewed articles.[ncbi.nlm.nih.gov]
  • Since the previous practice advisory, epidemiological data have emerged that suggest a lower frequency of LAST as reported by single institutions and some registries, nevertheless a considerable number of events still occur within the general community[ncbi.nlm.nih.gov]
  • In humans, recent preliminary findings from epidemiological studies suggest an association between surgery and anesthesia early in life and subsequent learning abnormalities.[doi.org]
  • Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. 3 Professor of Endodontics, Dental and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. 4 Associate Professor of Biostatistics, Department of Statistics and Epidemiology[ncbi.nlm.nih.gov]
  • In addition to the above, the feasibility of conducting an epidemiological study in neonatal and young pediatric surgical patients will be considered.[web.archive.org]
Sex distribution
Age distribution

Pathophysiology

  • Obstetric and anesthetic management are particularly challenging, and treatment requires knowledge of pathophysiologic mechanisms in order to provide safe care to this group of patients.[ncbi.nlm.nih.gov]
  • Given the specific pathophysiological changes in this patient, an aesthetic management presented a particular challenge.[ncbi.nlm.nih.gov]
  • A successful CRNA understands all of those things, plus the pathophysiology behind it. Working in an ICU or other critical care areas will also help an RN develop critical thinking skills that are absolutely essential to a CRNA.[nurse.org]

Prevention

  • Spontaneous spinal epidural hematoma during pregnancy is a quite rare event requiring emergent decompressive surgery in the majority of cases to prevent permanent neurological damage.[ncbi.nlm.nih.gov]
  • We hereby report a serious, preventable adverse drug experience in the form of digital gangrene induced by inadvertent intra-arterial cocktail injection of anesthetic agents such as pentazocine, promethazine, and atropine, which seems to be in the radial[ncbi.nlm.nih.gov]
  • On identifying and preventing the use of topical proparacaine, the corneal epithelium healed in both eyes after the use of eye pressure patches. The ring infiltrate resolved in the patient's LE, leaving minor opacity at the inferior cornea.[ncbi.nlm.nih.gov]
  • However, there is no definitive evidence of the utility of these measures for the prevention or diagnosis of RCVS, and further study is needed.[ncbi.nlm.nih.gov]

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