MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Acta Anaesthesiologica Taiwanica' source. Sun, 29 Jan 2012 07:38:23 +0100 http://www.medworm.com/index.php?rid=5578872&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221682%26dopt%3DAbstract Authors: Lu CC, Laiw WJ, Ho ST PMID: 22221682 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578872 Thu, 01 Dec 2011 05:00:00 +0100 5578872 http://www.medworm.com/index.php?rid=5578871&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221683%26dopt%3DAbstract CONCLUSION: A solution of equal volumes of lidocaine and nalbuphine can decrease intravenous nalbuphine-induced injection pain. PMID: 22221683 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578871 Thu, 01 Dec 2011 05:00:00 +0100 5578871 http://www.medworm.com/index.php?rid=5578870&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221684%26dopt%3DAbstract CONCLUSION: The present study proves the feasibility and efficacy of inhalation anesthetic administration through closed-loop control. This is the first system that has been developed to control intravenous and inhalational anesthetic agents in a closed-loop model using BIS. PMID: 22221684 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578870 Thu, 01 Dec 2011 05:00:00 +0100 5578870 http://www.medworm.com/index.php?rid=5578869&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221685%26dopt%3DAbstract CONCLUSION: In children with uncomplicated URI, the administration of inhalation anesthetics in general anesthesia by LMA is likely to cause fewer adverse events than the use of FM. PMID: 22221685 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578869 Thu, 01 Dec 2011 05:00:00 +0100 5578869 http://www.medworm.com/index.php?rid=5578868&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221686%26dopt%3DAbstract CONCLUSION: We conclude that between the groups with and without pre-operative acetyl salicylic acid the occurrence rate of lid hemorrhage was not significant in peribulbar block. PMID: 22221686 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578868 Thu, 01 Dec 2011 05:00:00 +0100 5578868 http://www.medworm.com/index.php?rid=5578867&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221687%26dopt%3DAbstract CONCLUSIONS: Our results indicate that chronic intrathecal gabapentin has beneficial effects on the behaviors of both thermal and mechanical stimulations in the neuropathic pain animals and the NMDA blocker can potentiate this effect. Furthermore, gabapentin has biphasic effect on the expression of PKCγ in the spinal cord on Day 7 and Day 14 for the model rats with CCI. PMID: 22221687 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578867 Thu, 01 Dec 2011 05:00:00 +0100 5578867 http://www.medworm.com/index.php?rid=5578866&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221688%26dopt%3DAbstract Authors: Ologunde R, Ma D Abstract Increasing evidence indicates that inhalational anesthetics may cause or increase the risk of developing postoperative cognitive dysfunction (POCD), especially in the elderly population. POCD may exist as a transient or long-term complication of surgery and anesthesia and is associated with reduced quality of life. There remains great discrepancy between clinical studies investigating the prevalence of POCD and inhalational anesthetics as many fail to show an association. However, numerous animal studies have suggested that inhalational anesthetics may alter cognitive function via amyloid β accumulation, modified neurotransmission, synaptic changes and dysregulated calcium homeostasis. Other factors such as neuroinflammation and pro-inflammatory ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578866 Thu, 01 Dec 2011 05:00:00 +0100 5578866 http://www.medworm.com/index.php?rid=5578865&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221689%26dopt%3DAbstract Authors: Chan YK, Khan ZH Abstract Hemodynamic monitoring provides us with refined details about the cardiovascular system. In spite of increased availability of the monitoring process and monitoring equipment, hemodynamic monitoring has not significantly improved survival outcome. Care providers should be cognizant of the role of the cardiovascular system and its importance in oxygen delivery to the cells in order to sustain life. Effective hemodynamic monitoring should be able to delineate how well the system is performing in carrying out this role. Different hemodynamic monitors serve in this role to a different extent; some provide very little information on this. The cardiovascular system is only one of the many systems that need to function optimally for survival; others of e... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578865 Thu, 01 Dec 2011 05:00:00 +0100 5578865 http://www.medworm.com/index.php?rid=5578864&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221690%26dopt%3DAbstract We present here a 54-year-old man with ankylosing spondylitis, scheduled to undergo total hip replacement. Pre-operative airway assessment revealed a recognized difficult airway. The Trachway was successfully used for oral tracheal intubation at the first attempt. The Trachway can be an alternative choice for intubation in ankylosing spondylitis patients. PMID: 22221690 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578864 Thu, 01 Dec 2011 05:00:00 +0100 5578864 http://www.medworm.com/index.php?rid=5578863&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221691%26dopt%3DAbstract We report here the first case of interference of SpO(2) reading, advent of methemoglobinemia, and blue urine from the use of PB dye, which occurred concurrently in a female undergoing bilateral modified radical mastectomy. The unexpected events might be a consequence of excessive administration of PB dye. We also reviewed the published discourses in literature on the adverse effects of PB dye. PMID: 22221691 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578863 Thu, 01 Dec 2011 05:00:00 +0100 5578863 http://www.medworm.com/index.php?rid=5578862&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22221692%26dopt%3DAbstract Authors: Bharati S, Pal A, Biswas C, Biswas R Abstract Dexmedetomidine has predictable, complex, and negative cardiovascular effects that lead to additional adverse effects such as bradycardia and hypotension in up to 42% of patients and might cause profound left ventricular dysfunction and refractory shock. Usually, these temporary effects can be successfully counteracted with atropine, ephedrine, and volume supplementation. Clinicians need to be well informed about the potential of dexmedetomidine to cause bradycardia, which may progress to pulseless electrical activity, particularly in patients older than 50 years and patients with cardiac abnormalities. Here, we report the clinical characteristics of six patients who were scheduled for various neurosurgical procedures within a ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5578862 Thu, 01 Dec 2011 05:00:00 +0100 5578862 http://www.medworm.com/index.php?rid=5313558&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982166%26dopt%3DAbstract Authors: Lee Y, Tzeng JI PMID: 21982166 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313558 Thu, 01 Sep 2011 04:00:00 +0100 5313558 http://www.medworm.com/index.php?rid=5313557&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982167%26dopt%3DAbstract CONCLUSION: Total intravenous anesthesia with propofol and remifentanil resulted in transient but salient leukocytic alterations in the peripheral blood in terms of N/L ratio compared with inhalational anesthesia with sevoflurane in laparoscopy-assisted vaginal hysterectomy. PMID: 21982167 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313557 Thu, 01 Sep 2011 04:00:00 +0100 5313557 http://www.medworm.com/index.php?rid=5313556&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982168%26dopt%3DAbstract CONCLUSION: The use of the GlideScope(®) for tracheal intubation could be an alternative option in patients with a difficult airway, whose surgery was circumscribed under general anesthesia with tracheal intubation. PMID: 21982168 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313556 Thu, 01 Sep 2011 04:00:00 +0100 5313556 http://www.medworm.com/index.php?rid=5313555&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982169%26dopt%3DAbstract CONCLUSIONS: PVB given before surgery in combination with GA could provide better postoperative analgesia and better QoR than did GA alone in patients undergoing surgery for unilateral breast cancer. PMID: 21982169 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313555 Thu, 01 Sep 2011 04:00:00 +0100 5313555 http://www.medworm.com/index.php?rid=5313554&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982170%26dopt%3DAbstract CONCLUSION: Based on our data, the presence of a parent at induction of sevoflurance anesthesia was as effective as midazolam premedication in decreasing the incidence of postoperative agitation. Midazolam premedication, however, decreased postoperative agitation when halothane was used as the anesthetic agent. PMID: 21982170 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313554 Thu, 01 Sep 2011 04:00:00 +0100 5313554 http://www.medworm.com/index.php?rid=5313553&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982171%26dopt%3DAbstract Authors: Ho CM, Wu HL, Ho ST, Wang JJ Abstract Postoperative nausea and vomiting (PONV) is a common annoying experience after surgery. The overall incidence of PONV in adults is 20-30%; the incidence rate in patients of high-risk groups can be as high as 70-80%. Children are not exempted from attacking either; the incidence rate in children above the age of 3 is more than 40%. The incidence slowly drops after puberty, sharing the same rate with adults. Dexamethasone can be effective in preventing PONV in adults and children. Compared with other preventive medications, dexamethasone has equal or even better efficacy in reducing the incidence of PONV and has the advantages of low cost and longer effectiveness as well. Although the action mechanism of dexamethasone is hitherto not ful... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313553 Thu, 01 Sep 2011 04:00:00 +0100 5313553 http://www.medworm.com/index.php?rid=5313552&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982172%26dopt%3DAbstract Authors: Chang MC, Fan SZ, Hsiao PN, Cheng WF, Sun WZ Abstract Morphine is a widely used drug for analgesia and substance abuse. It has been accepted as a safe medication with great analgesic efficacy. Previous studies have reported that morphine is highly associated with the risk of immunosuppressive effects. Although the observed clinical effects suggest that morphine has the immunomodulatory capabilities, the mechanism of its action is still unclear. Here we review morphine on the bench to improve our understanding of the drug on the host immunity at the bedside. Studies of the effects of morphine on the innate and adaptive immune systems as well as immune responses are also discussed. PMID: 21982172 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313552 Thu, 01 Sep 2011 04:00:00 +0100 5313552 http://www.medworm.com/index.php?rid=5313551&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982173%26dopt%3DAbstract Authors: Chuang TY, Toung TJ Abstract The use of muscle relaxant is an integral part of anesthetic management in present-day practice. Clinically, the neuromuscular blockade is evaluated by determining the thumb twitching to train-of-four (TOF) ulnar nerve stimulation at elbow.(1-3) There are many ways for the assessment of twitch response, such as the use of electromyography(4,5); force displacement transducer techniques(2,6-9); and most recently, the acceleration transducer-based system of neuromuscular monitoring.(10-15) These equipments are, however, bulky, cumbersome, expensive, or time consuming for operation. Because of these limitations, the routine use of such monitors is impractical. The evaluation of neuromuscular blockade, at the present time, relies on either visual or... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313551 Thu, 01 Sep 2011 04:00:00 +0100 5313551 http://www.medworm.com/index.php?rid=5313550&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982174%26dopt%3DAbstract Authors: Nath MP, Gupta S, Kiran U, Chauhan S, Dhawan N Abstract A 45-year-old patient with known history of Aortic arch aneurysm presented in the emergency ward with features of rupture of the aneurysm into the left lung with compressive signs in the pulmonary parenchyma. Diagnosis was confirmed by magnetic resonance imaging. The patient underwent repair of thoracic aortic aneurysm with left upper lobectomy under general anesthesia and cardio-pulmonary bypass support. Transesophageal echocardiography (TEE) was used for an intraoperative monitoring. While imaging the thoracic aorta with TEE was underway, we accidentally visualized an image that was confirmed to be the spinal cord. So, in this article we discuss how the spinal cord monitoring can be made possible with TEE. PMID:... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313550 Thu, 01 Sep 2011 04:00:00 +0100 5313550 http://www.medworm.com/index.php?rid=5313549&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982175%26dopt%3DAbstract We describe the successful management of extravasation injury to the left hand by contrast medium with stellate ganglion block and intra-arterial nitroglycerin in a patient which befell during contrast-enhanced imaging. The incidence of contrast-medium extravasation injury is increasing because of the convenience and availability of contrast-enhanced imaging and ease of injection access. Extravasation of contrast medium may results in severe pain, erythema, cyanosis, and edema or even skin necrosis, which is largely related to the ionization, osmolarity, and volume of the contrast medium. The conservative treatment is often adequate in small amount extravasation, but if the extravasation is overwhelming further energetic management is mandatory. A 29-year-old man was brought to our emergen... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313549 Thu, 01 Sep 2011 04:00:00 +0100 5313549 http://www.medworm.com/index.php?rid=5313548&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21982176%26dopt%3DAbstract Authors: Hsu CT, Shih CK, Chau SW, Tseng KY, Chen MK, Cheng KI Abstract A young female patient scheduled for orthognathic surgery under general anesthesia encountered obstacles during nasotracheal intubation in which the cuff of the nasal endotracheal tube was linearly lacerated and the tube tip impacted against the retropharyngeal wall. Repeated episodes of the event happened rendering the intubation unsuccessful. A technique using modified glove fingers was applied, which successfully protected the cuff from shearing by the sharp nasal crista and redirected the tube tip away from the retropharyngeal wall. It is a simple and applicable technique during nasotracheal intubation to prevent cuff damage and potential retropharyngeal dissection. PMID: 21982176 [PubMed - in process] ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5313548 Thu, 01 Sep 2011 04:00:00 +0100 5313548 http://www.medworm.com/index.php?rid=5058940&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729807%26dopt%3DAbstract Authors: Liaw WJ PMID: 21729807 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058940 Tue, 31 May 2011 23:00:00 +0100 5058940 http://www.medworm.com/index.php?rid=5058939&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729808%26dopt%3DAbstract Authors: Azarfarin R, Sheikhzadeh D, Mirinazhad M, Bilehjani E, Alizadehasl A To study the effect of blood glucose (BG) control with insulin in preventing hyperglycemia during and after coronary artery bypass grafting (CABG) surgery in nondiabetic patients. PMID: 21729808 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058939 Tue, 31 May 2011 23:00:00 +0100 5058939 http://www.medworm.com/index.php?rid=5058938&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729809%26dopt%3DAbstract Authors: Luo CF, Tsai YF, Chang CH, Wu CT, Yu HP To investigate changes in plasma oxidative stress markers associated with prolonged pneumoperitoneum during robot-assisted laparoscopic radical prostatectomy (RALP). PMID: 21729809 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058938 Tue, 31 May 2011 23:00:00 +0100 5058938 http://www.medworm.com/index.php?rid=5058937&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729810%26dopt%3DAbstract Authors: Yang SC, Chen CL, Wang CH, Huang CJ, Cheng KW, Wu SC, Jawan B Liver retransplantation (Re-LT) is the effective therapy for irreversible liver graft failure after primary liver transplantation (LT). The challenges faced by the operative team in the Re-LT setting have been seldom elucidated. Our aim is to analyze the differences in fluid management in primary LT and Re-LT during the surgical procedure. PMID: 21729810 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058937 Tue, 31 May 2011 23:00:00 +0100 5058937 http://www.medworm.com/index.php?rid=5058936&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729811%26dopt%3DAbstract Authors: Khezri MB, Kayalha H Injection pain and hypotension are two main adverse effects of propofol that discourage uniform acceptation. The aim of this study was to compare the effect of ephedrine-lidocaine combination with lidocaine and ephedrine alone on injection pain and hemodynamic changes caused by propofol injection. PMID: 21729811 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058936 Tue, 31 May 2011 23:00:00 +0100 5058936 http://www.medworm.com/index.php?rid=5058935&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729812%26dopt%3DAbstract Authors: Hofer CK, Cannesson M Functional hemodynamic parameters, such as stroke volume variation (SVV) and pulse pressure variation (PPV), are useful hemodynamic monitoring tools for the assessment of fluid responsiveness. These parameters are based on heart-lung interaction during positive mechanical pressure ventilation: Cyclic changes of intrathoracic pressure result in a reduced venous return and a decreased cardiac stroke volume after inspiration followed by a restoration of preload and stroke volume after expiration. Hemodynamic monitoring systems based on pulse wave analysis allow an automatic assessment of SVV and-at least for some of the devices-of PPV. Moreover, PPV is being integrated in the standard monitoring in the operating room and the intensive care unit, and the noni... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058935 Tue, 31 May 2011 23:00:00 +0100 5058935 http://www.medworm.com/index.php?rid=5058934&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729813%26dopt%3DAbstract Authors: Lin CP, Su CF, Lin WY, Jan JY, Jeng CS, Lin FS, Fan SZ This is the case report on a 1-year 9-month-old boy suffering from spondyloepiphyseal dysplasia congenita who was successfully intubated with our modified lightwand intubation procedure for general anesthesia to undergo bilateral herniorrhaphy despite the great likelihood of facing a difficult airway because of unstable cervical spine. We bent the pediatric wand after it was encased in an endotracheal (ET) tube of appropriate diameter. The light tip of the wand was let to protrude just out of the bevel of the ET tube. Once the light bulb properly transilluminated the trachea, the ET tube was threaded gently into the trachea. The patient recovered from anesthesia smoothly and was discharged on the next day. This maneuver ca... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058934 Tue, 31 May 2011 23:00:00 +0100 5058934 http://www.medworm.com/index.php?rid=5058933&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729814%26dopt%3DAbstract We reported a pregnant woman who underwent emergent cesarean section because of intrauterine growth retardation, oligohydramnios, and hypertension. The existence of an undiagnosed pheochromocytoma was suspected by the unusual hemodynamic response to spinal anesthesia, abdominal compressions, and operative stimulus. Hypertensive crisis occurred during the operation and she was sent to the intensive care unit for postoperative care. In the intensive care unit, cardiovascular collapse occurred after nonselective β-adrenergic blockade. Unexpected hypertensive crisis during the perioperative period should alert clinicians to the possibility of a pheochromocytoma. For the treatment of choice, nonselective β-adrenergic blockade should not be used before the α-blockade. PMID: 21729814 [PubM... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058933 Tue, 31 May 2011 23:00:00 +0100 5058933 http://www.medworm.com/index.php?rid=5058932&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729815%26dopt%3DAbstract Authors: Shih YH, Chen CH, Wang YM, Liu K Cardiac toxicity of bupivacaine has long been documented and it could be potentiated in certain circumstances, such as preexisting cardiac conduction abnormality or uremic status. The concept that lipid emulsion acts as a rescue of bupivacaine's toxicity has prevailed pending universal recognition. Herein, we report the successful use of lipid to resuscitate a female uremic patient who sustained junctional bradycardia while she was receiving ultrasound-guided infraclavicular brachial plexus block with the dose of local anesthetics far below the currently recommended maximum one. The possible mechanisms for the occurrence of cardiotoxicity in this case are discussed and the role of lipid emulsion as a treatment is reviewed. PMID: 21729815 [P... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058932 Tue, 31 May 2011 23:00:00 +0100 5058932 http://www.medworm.com/index.php?rid=5058931&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729816%26dopt%3DAbstract We report a case of paraspinal muscle infection shortly after epidural analgesia for labor pain in a nulliparous parturient who was subjected to emergent Cesarean section because of fetal distress. Epidural morphine was administered for 3 days for postoperative pain control. She began to have constant lower back pain on postpartum Day 4. Magnetic resonance image study revealed a broad area of subcutaneous edema with a continuum along the catheter trajectory deep to the paraspinal muscles. An injection-related bacterial infection was suspected; the patient was treated with intravenous antibiotics and was soon cured uncomplicatedly. Epidural analgesia is effective to control labor pain and, in general, it is safe. However, the sequelae of complicated infection may be underestimated. We herei... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5058931 Tue, 31 May 2011 23:00:00 +0100 5058931 http://www.medworm.com/index.php?rid=5011317&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21729817%26dopt%3DAbstract Authors: Umesh G PMID: 21729817 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=5011317 Tue, 31 May 2011 23:00:00 +0100 5011317 http://www.medworm.com/index.php?rid=4711064&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453894%26dopt%3DAbstract Authors: Chien CC PMID: 21453894 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711064 Tue, 01 Mar 2011 00:00:00 +0100 4711064 http://www.medworm.com/index.php?rid=4711063&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453895%26dopt%3DAbstract Authors: Chen YT, Wang MC, Ooi SJ, Liu CC, Chiang CY, Tsai WK, Chau SW Auditory evoked potential (AEP) index is one of the several physiological parameters for assessing the depth of anesthesia. The purpose of this study was to investigate whether the AEP monitoring could provide a better information for assessment of anesthesia level in classic laryngeal mask airway (C-LMA) insertion than the use of clinical signs in general anesthesia with single standard dose of intravenous propofol and fentanyl. PMID: 21453895 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711063 Tue, 01 Mar 2011 00:00:00 +0100 4711063 http://www.medworm.com/index.php?rid=4711062&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453896%26dopt%3DAbstract Authors: Darlong V, Chandrashish C, Chandralekha , Mohan VK Supraglottic airways (SGA) through which blind endotracheal intubation is made possible is an area of considerable interest. Our study aimed at comparing the Cobra Perilaryngeal Airway (CPLA) with the Intubating Laryngeal Mask Airway (ILMA) with regard to the performance of the former as a conduit for facilitating blind endotracheal intubation. PMID: 21453896 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711062 Tue, 01 Mar 2011 00:00:00 +0100 4711062 http://www.medworm.com/index.php?rid=4711061&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453897%26dopt%3DAbstract Authors: Fukuda T, Sugimoto Y, Yamashita S, Toyooka H, Tanaka M We wished to determine whether dental injuries during intubation would occur more frequently when performed by inexperienced beginners. We measured the laryngoscopic force exerted on maxillary teeth of a modified manikin by experienced anesthesiologists and unexperienced medical students and estimated the injury risk. PMID: 21453897 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711061 Tue, 01 Mar 2011 00:00:00 +0100 4711061 http://www.medworm.com/index.php?rid=4711060&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453898%26dopt%3DAbstract Authors: Gong YH, Yu XR, Liu HL, Yang N, Zuo PP, Huang YG The purpose of this study was to establish the streptozotocin (STZ)-induced diabetic model with rats and investigate the antinociceptive effect of combination of Tramadol (TR) and Acetaminophen (NAPA) on the animal model for the first time. PMID: 21453898 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711060 Tue, 01 Mar 2011 00:00:00 +0100 4711060 http://www.medworm.com/index.php?rid=4711059&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453899%26dopt%3DAbstract Authors: Pasternak G, Pan YX Most of the potent analgesics currently in use act through the mu opioid receptor. Although they are classified as mu opioids, clinical experience suggests differences among them. The relative potencies of the agents can vary from patient to patient, as well as the side-effect profiles. These observations, coupled with pharmacological approaches in preclinical models, led to the suggestion of multiple subtypes of mu receptors. The explosion in molecular biology has led to the identification of a single gene encoding mu opioid receptors. It now appears that this gene undergoes extensive splicing, in which a single gene can generate multiple proteins. Evidence now suggests that these splice variants may help explain the clinical variability in responses among... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711059 Tue, 01 Mar 2011 00:00:00 +0100 4711059 http://www.medworm.com/index.php?rid=4711058&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453900%26dopt%3DAbstract Authors: Chen KY, Lin SK, Hsiao CL, Hsu WT, Tsao SL In clinical scenarios, the insertion of double-lumen endobronchial tubes (DLTs) is usually employed as a technique of separation of lungs for treatment purposes inclusive of one-lung ventilation for the ease of thoracic surgery. However, in patients with difficult airways, the DLT intubation can be challenging, even with the aid of a fiberoptic bronchoscope (FOB). Insertion of the FOB itself into the trachea may be relatively simple, but the advancement of the DLT with the FOB enclosed in the lumen may be hindered by the abnormal or diseased laryngeal aperture. Herein, we present an alternative approach by using a 5.5-mm video FOB to monitor the DLT rather than using it to act as an introducer to overcome the difficulties often met in... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711058 Tue, 01 Mar 2011 00:00:00 +0100 4711058 http://www.medworm.com/index.php?rid=4711057&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453901%26dopt%3DAbstract We describe a 1-year-and-8-month-old boy who underwent palatoplasty for left-sided cleft lip palate accompanied by exudative otitis media. Although previous reports have described that tongue edema usually sets in early after surgery, the symptoms of edema persisted more than 4 hours postoperatively in our case. We suggest that careful observation for edema is necessary for 24 hours at least after palatoplasty. PMID: 21453901 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711057 Tue, 01 Mar 2011 00:00:00 +0100 4711057 http://www.medworm.com/index.php?rid=4711056&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453902%26dopt%3DAbstract We present a case of post-operative iatrogenic quadriplegia, which occurred after subtotal parathyroidectomy. This patient was on long-term hemodialysis for 7 years. The need of prolonged neck extension for this procedure was probably the main risk factor for the spinal cord injury. Systemic hypotension which contributed to the injury in this case, should be anticipated and promptly treated to prevent further damage. Spinal deformities associated with end-stage renal disease may make such patients more susceptible. Since appropriate precautions against potential neurologic damage can be undertaken, we suggest that evaluating carefully for the pre-existing spinal stenosis before a procedure requiring prominent and prolonged hyper-extension of the neck, especially in long-term hemodialysis ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711056 Tue, 01 Mar 2011 00:00:00 +0100 4711056 http://www.medworm.com/index.php?rid=4711055&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453903%26dopt%3DAbstract Authors: Umesh G, Jasvinder K, Nanda S PMID: 21453903 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711055 Tue, 01 Mar 2011 00:00:00 +0100 4711055 http://www.medworm.com/index.php?rid=4711054&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21453904%26dopt%3DAbstract Authors: Kapoor D, Singh S, Sharma D PMID: 21453904 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4711054 Tue, 01 Mar 2011 00:00:00 +0100 4711054 http://www.medworm.com/index.php?rid=4350492&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195984%26dopt%3DAbstract Authors: Lui PW PMID: 21195984 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350492 Wed, 01 Dec 2010 00:00:00 +0100 4350492 http://www.medworm.com/index.php?rid=4350491&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195985%26dopt%3DAbstract Authors: Chao IF, Chiu HM, Liu WC, Liu CC, Wang HP, Cheng YJ previous reports showed that CO(2)-insufflated colonoscopy is safe and less discomfortable. However, hypercapnia remains a vital concernment if deep sedation is necessary for difficult colonoscopy with prolonged CO(2) insufflation. This observational study is to measure bodily CO(2) subjected to colonoscopy facilitated by CO(2)- and air- or air-insufflation in conscious-sedation, deep-sedation and awake patients. PMID: 21195985 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350491 Wed, 01 Dec 2010 00:00:00 +0100 4350491 http://www.medworm.com/index.php?rid=4350490&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195986%26dopt%3DAbstract We describe here our implementation of a case-controlled model to identify the risk factors of RAP. PMID: 21195986 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350490 Wed, 01 Dec 2010 00:00:00 +0100 4350490 http://www.medworm.com/index.php?rid=4350489&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195987%26dopt%3DAbstract Authors: Dabbagh A, Rad MP, Daneshmand A airway management is one of the greatest concerns of anesthesiologists and difficult intubation, well known as the anesthesiologist's nightmare, is an event not easy to predict before induction of anesthesia. The aim of this study was to assess the relationship between history of snoring and the Cormack and Lehane grading score. PMID: 21195987 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350489 Wed, 01 Dec 2010 00:00:00 +0100 4350489 http://www.medworm.com/index.php?rid=4350488&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195988%26dopt%3DAbstract Authors: Wong JO, Tan TD, Cheu NW, Wang YR, Liao CH, Chuang FH, Watts MP we compared the clinical efficacy and safety between a new injectable cyclooxygenase-2 selective inhibitor, parecoxib, and an old nonselective, ketorolac combined with morphine in patient-controlled analgesia (PCA) for management of post-cesarean delivery pain. PMID: 21195988 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350488 Wed, 01 Dec 2010 00:00:00 +0100 4350488 http://www.medworm.com/index.php?rid=4350487&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195989%26dopt%3DAbstract Authors: Ho C The PBLADE which is a component used with Pentax-Airway Scope (AWS) has only one size that is essentially for use in adults. It cannot be used in children and neonates. We have made a new device to fit the Pentax-AWS for use in children and neonates. This new device will provide a good indirect visualization for intubation in pediatric patients. PMID: 21195989 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350487 Wed, 01 Dec 2010 00:00:00 +0100 4350487 http://www.medworm.com/index.php?rid=4350486&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195990%26dopt%3DAbstract Authors: Cheng WC, Jimmy-Ong , Lee CL, Lan CH, Chen TY, Lai HY The Airway Scope (AWS) provides better glottic view than the conventional direct laryngoscopy in tracheal intubation. With it, the endotracheal tube can be more easily inserted into the tracheal lumen easily. We hereby presented a 24-year-old ankylosing spondylitis (AS) patient wearing a halo vest who was successfully intubated for undergoing cervical spine surgery involving C1 and C2 under general anesthesia. Pre-operative airway assessment revealed that he was a case of difficult intubation. An AWS was used for oral tracheal intubation which was achieved smoothly in the first attempt. AWS can be an alternative device for airway management in a patient wearing halo vest. PMID: 21195990 [PubMed - in process] (Source: Ac... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350486 Wed, 01 Dec 2010 00:00:00 +0100 4350486 http://www.medworm.com/index.php?rid=4350485&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195991%26dopt%3DAbstract We report a case of sudden onset of paraplegia shortly after thoracic epidural catheterization for postoperative analgesia and discuss the possible causes of this event. A 38-year-old woman was scheduled to receive right lobectomy of liver because of hepatocellular carcinoma. Thoracic epidural catheterization for postoperative analgesia was performed before the induction of anesthesia. After skin disinfection and local anesthetic skin infiltration with lidocaine, epidural catheterization through T(10-11) interspace was performed. Dural puncture without any neurological symptoms was noticed in the attempt and the epidural space was successfully identified through T(9-10) interspace in the second attempt. However, acute motor weakness and sensory impairment were met as the epidural catheter ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350485 Wed, 01 Dec 2010 00:00:00 +0100 4350485 http://www.medworm.com/index.php?rid=4350484&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195992%26dopt%3DAbstract We present our experience in intraoperative wake-up test in a deaf-mute feminine teenager who underwent spine surgery for correction of lordoscoliosis. Inadequate comprehension of the preoperative instructions, together with higher threshold of arousal in deaf-mutism may possibly contribute to lingering of the test. The report implicated direct, painful stimulation of the tested limbs, rather than indirect cues, such as flap on the dorsum of hands would be required for performance of wake-up test in the deaf-mute patients. PMID: 21195992 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350484 Wed, 01 Dec 2010 00:00:00 +0100 4350484 http://www.medworm.com/index.php?rid=4350483&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195993%26dopt%3DAbstract Authors: Lee SO, Li MJ, Ho HM, Chien CC, Guo SL This paper describes the circumstances of a patient who had been receiving long-term warfarin treatment, but ceased it prior to surgical operation, sustained a transient ischemic heart attack post-operatively, which eventuated in delayed extubation and locked-in syndrome. For patients at low risk of perioperative bleeding, anticoagulation with oral vitamin K antagonist can probably be able to maintain the therapeutic range (INR ≤ 2.0) extreme. For patients with a high risk of bleeding, the international normalized ratio (INR) should be kept ≤ 1.5. Within this range, patients at low risk of thrombosis can discontinue warfarin treatment for 2-5 days pre-operatively; patients at high risk for thrombosis can stop warfarin but should proba... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350483 Wed, 01 Dec 2010 00:00:00 +0100 4350483 http://www.medworm.com/index.php?rid=4350482&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195994%26dopt%3DAbstract We report a 24-year-old man who developed postoperative pulmonary edema and desaturation, after open reduction with internal fixation for left femoral shaft fracture sustained in a motorcycle accident. Cardiac catheterization revealed a left anterior descending coronary artery dissection. Review of his present history, showed that he neither had chest discomfort nor suffered from hemodynamic decompensation preoperatively. Only the abnormal 12-lead ECG with moderate tachycardia was suggestive of myocardial ischemia. Coronary artery dissection, although uncommon, is a disastrous complication following blunt chest trauma, and needs thorough preoperative evaluation to exclude its occurrence. PMID: 21195994 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350482 Wed, 01 Dec 2010 00:00:00 +0100 4350482 http://www.medworm.com/index.php?rid=4350481&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21195995%26dopt%3DAbstract Authors: Chen CW, Wu KC, Kuo YC, Chiang YY, Wu RS PMID: 21195995 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4350481 Wed, 01 Dec 2010 00:00:00 +0100 4350481 http://www.medworm.com/index.php?rid=4000854&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864057%26dopt%3DAbstract Authors: Liaw WJ, PMID: 20864057 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000854 Tue, 31 Aug 2010 23:00:00 +0100 4000854 http://www.medworm.com/index.php?rid=4000853&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864058%26dopt%3DAbstract CONCLUSION: Dexmedetomidine-ketamine combination mitigates pulmonary CAT-2 isozymes upregulation in rats with hemorrhagic shock. PMID: 20864058 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000853 Tue, 31 Aug 2010 23:00:00 +0100 4000853 http://www.medworm.com/index.php?rid=4000852&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864059%26dopt%3DAbstract CONCLUSION: This study suggests that a ready-to-use ketorolac-tramadol mixture, either undiluted or diluted in physiological saline solution, can be prepared, with a shelf life of at least 7 days when stored at room temperature under ambient light. PMID: 20864059 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000852 Tue, 31 Aug 2010 23:00:00 +0100 4000852 http://www.medworm.com/index.php?rid=4000851&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864060%26dopt%3DAbstract CONCLUSION: In addition to head and neck surgery, operations in the lateral or prone position, preoperative anemia and intraoperative deliberate hypotension are also precipitating factors for perioperative eye injuries. For patients who are at high risk or for procedures that are apt to cause injury, preoperative recognition and intraoperative caution are of paramount importance. PMID: 20864060 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000851 Tue, 31 Aug 2010 23:00:00 +0100 4000851 http://www.medworm.com/index.php?rid=4000850&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864061%26dopt%3DAbstract CONCLUSION: The tongue traction maneuver is as good as the jaw lift maneuver with regard to the success rate and time taken for Trachlight-guided orotracheal intubation. PMID: 20864061 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000850 Tue, 31 Aug 2010 23:00:00 +0100 4000850 http://www.medworm.com/index.php?rid=4000849&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864062%26dopt%3DAbstract CONCLUSION: Venous blood gas values are an acceptable alternative to arterial blood gas values in patients undergoing lumbar disc surgery. PMID: 20864062 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000849 Tue, 31 Aug 2010 23:00:00 +0100 4000849 http://www.medworm.com/index.php?rid=4000848&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864063%26dopt%3DAbstract We present two patients in whom chronic LBBB reverted to normal sinus rhythm shortly following denitrogenation with inhalation of 100% oxygen during induction of anesthesia. PMID: 20864063 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000848 Tue, 31 Aug 2010 23:00:00 +0100 4000848 http://www.medworm.com/index.php?rid=4000847&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864064%26dopt%3DAbstract Authors: Luo CF, Mao CC, Su BC, Yu HP Here, we report a potentially serious iatrogenic complication of arterial cannulation, and discuss the management and prevention of accidental arterial cannula transection. A 73-year-old man suffered from accidental cannula transection after removal of a radial arterial cannula. Three-dimensional computed tomography was used to confirm and locate the retained catheter. Surgical exploration was performed to remove the retained catheter, and the operation was completed smoothly without residual sequelae. Iatrogenic transection of arterial cannula is rarely reported. However, we should always be aware of the possibility of occurrence of this severe complication. We provide some recommendations for its management and ways to prevent its occurrence. ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000847 Tue, 31 Aug 2010 23:00:00 +0100 4000847 http://www.medworm.com/index.php?rid=4000846&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864065%26dopt%3DAbstract Authors: Wu KC, Chiang YY, Lin BC, Su HT, Poon KS, Shen ML, Wu RS A 40-year-old woman without remarkable medical history received epidural anesthesia for uterine cervix conization. Six hours after the operation, cauda equina syndrome occurred. Magnetic resonance imaging of the spine revealed epidural fluid accumulation around L5, as well as L4/5 herniated intervertebral disc found incidentally. Surgical decompression was performed with H-reflex monitoring. Epidural injection could result in cystic accumulation complicated with cauda equina syndrome. PMID: 20864065 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000846 Tue, 31 Aug 2010 23:00:00 +0100 4000846 http://www.medworm.com/index.php?rid=4000845&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864066%26dopt%3DAbstract We report a patient with mild tetanus who, after being started on magnesium infusion, developed progressive respiratory insufficiency, proximal muscle weakness and ptosis. On discontinuation of magnesium infusion, the muscular weakness improved and respiration became normal. The safety of magnesium sulfate infusion for the management of tetanus needs to be re-evaluated. PMID: 20864066 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000845 Tue, 31 Aug 2010 23:00:00 +0100 4000845 http://www.medworm.com/index.php?rid=4000844&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864067%26dopt%3DAbstract Authors: Horng HC, Ho MT, Huang CH, Yeh CC, Cherng CH Naloxone is commonly used to reverse narcotic intoxication. However, its use is not entirely free of hazards. For instance, pulmonary edema (PE) has been reported to arise with the mechanism of over-sympathetic discharge caused by release of cat-echolamine or central neurogenetic responses to narcotic reversal. Here, we report a healthy young patient who, after undergoing an uneventful uvulopalatopharyngo-plasty for obstructive sleep apnea hypopnea syndrome, developed PE following administration of naloxone. Fentanyl-induced respiratory depression was found during anesthesia emergence and thus naloxone was indicated for reversal. Unfortunately, upper airway obstruction-induced negative pressure PE occurred following naloxone adminis... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000844 Tue, 31 Aug 2010 23:00:00 +0100 4000844 http://www.medworm.com/index.php?rid=4000843&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20864068%26dopt%3DAbstract Authors: Sharma R, Singh BP, Das SN PMID: 20864068 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=4000843 Tue, 31 Aug 2010 23:00:00 +0100 4000843 http://www.medworm.com/index.php?rid=3780618&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643361%26dopt%3DAbstract Authors: Lee TY PMID: 20643361 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780618 Mon, 31 May 2010 23:00:00 +0100 3780618 http://www.medworm.com/index.php?rid=3780617&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643362%26dopt%3DAbstract CONCLUSION: Anesthesia-related mortality was about 10-fold higher in Taiwan than in the United States, Japan and the United Kingdom. Mortality related to quality of anesthesia in Taiwan must be reduced. To achieve this target, we have recommended the following six approaches: (1) decrease the workload of anesthesiologists; (2) increase reimbursement by the BNHI-T for anesthesia; (3) improve the training quality of anesthetist residents; (4) strengthen the quality of board examinations; (5) improve the training quality of nurse anesthetists; and (6) standardize monitoring procedures and equipment. Only once these measures are introduced, in combination with effective quality assurance and subjective improvement systems, can we expect an improvement in the quality of anesthesia in Taiwan. ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780617 Mon, 31 May 2010 23:00:00 +0100 3780617 http://www.medworm.com/index.php?rid=3780616&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643363%26dopt%3DAbstract CONCLUSION: Body weight at the time of operation was the most important factor associated with postoperative ventilatory support among premature infants under-going cryotherapy for ROP. PMID: 20643363 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780616 Mon, 31 May 2010 23:00:00 +0100 3780616 http://www.medworm.com/index.php?rid=3780615&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643364%26dopt%3DAbstract CONCLUSION: Epidural analgesia with low-concentration levobupivacaine plus fentanyl provides satisfactory postoperative analgesia with few side effects for patients after colorectal surgery. PMID: 20643364 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780615 Mon, 31 May 2010 23:00:00 +0100 3780615 http://www.medworm.com/index.php?rid=3780614&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643365%26dopt%3DAbstract CONCLUSION: The number of vertebrae involved was significantly associated with the daily IVPCA requirement. The IVPCA settings, including priming dose, basal infusion rate and bolus dose, did not affect the daily morphine requirements. PMID: 20643365 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780614 Mon, 31 May 2010 23:00:00 +0100 3780614 http://www.medworm.com/index.php?rid=3780613&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643366%26dopt%3DAbstract CONCLUSION: Although this study did not demonstrate adjuvant effects of auricular acupressure on postoperative pain, analgesic dose, analgesic satisfaction and PONV, most subjects were satisfied with the pain management even though they were subjected to moderate pain because of insufficient analgesia. Further studies should reconfirm the effects of auricular acupressure on analgesia provided by intravenous patient-controlled analgesia in postoperative patients, and its influence on the frequency and duration of analgesia administration. PMID: 20643366 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780613 Mon, 31 May 2010 23:00:00 +0100 3780613 http://www.medworm.com/index.php?rid=3780612&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643367%26dopt%3DAbstract We report a parturient with silent hypopharyngeal papilloma, which was associated with severe clinical problems at the induction of general anesthesia. The anesthesiologist considered general anesthesia for this case because of disseminated skin warts and secondary pus across the patient's body. Although the patient's breathing was smooth before starting general anesthesia, it was difficult to maintain positive pressure ventilation despite administration of a muscle relaxant. High air-way resistance without chest wall motion was noted, despite the insertion of an oral airway. Therefore, direct laryngoscopy was immediately performed and an obstructing mass was found. This mass acted as a check valve during positive ventilation. Our report should remind clinicians that human papilloma virus ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780612 Mon, 31 May 2010 23:00:00 +0100 3780612 http://www.medworm.com/index.php?rid=3780611&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643368%26dopt%3DAbstract Authors: Umesh G, Jasvinder K, Nanda S Despite the stringent guidelines laid down by the American Society of Anesthesiologists for equipment checks, there are occasional reports of problems related to the equipment used to administer anesthesia. In this article, we discuss two important, albeit rare, problems associated with breathing equipment that have been reported in the literature. The rarity of these problems in itself may hinder early diagnosis because anesthesiologists do not usually consider these problems to be the cause of an ongoing patient morbidity. The first problem discussed here is the presence of a foreign body within the breathing system used to administer anesthesia. The second problem discussed is a kink in the breathing circuits that can precipitate life-threateni... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780611 Mon, 31 May 2010 23:00:00 +0100 3780611 http://www.medworm.com/index.php?rid=3780610&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643369%26dopt%3DAbstract Authors: Lai PJ, Chen FC, Ho ST, Cherng CH, Liu ST, Hsu CH Intravenous anesthesia is commonly used during endoscopy. This approach greatly improves patient satisfaction with pain control. The risks of anesthesia are usually focused on the cardiopulmonary effects of anesthetics. The risk of pulmonary aspiration is often overlooked, unless there are other risk factors that may increase the incidence of pulmonary aspiration. Here, we report a patient with unexpected aspiration pneumonia after gastroscopy under intravenous anesthesia. We suggest that pulmonary aspiration should be taken into consideration as a risk associated with anesthesia for gastroscopy. PMID: 20643369 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780610 Mon, 31 May 2010 23:00:00 +0100 3780610 http://www.medworm.com/index.php?rid=3780609&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643370%26dopt%3DAbstract We describe the management of labor analgesia in a symptomatic parturient suffering from advanced Takayasu aortoarteritis with dilated cardiomyopathy and a recent episode of congestive cardiac failure. The patient was man-aged with graded epidural analgesia instituted early in labor. Intermittent boluses of 0.0625% bupivacaine with 2 mug/mL fentanyl were administered epidurally, which provided adequate analgesia without impaired hemodynamic status. PMID: 20643370 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780609 Mon, 31 May 2010 23:00:00 +0100 3780609 http://www.medworm.com/index.php?rid=3780608&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643371%26dopt%3DAbstract We report a 27-year-old hemostatically competent female scheduled for partial hepatectomy. During the operation, she experienced an accidental inferior vena cava tear and suffered acute blood loss. After fluid resuscitation and blood transfusion, she developed hypothermia, with a temperature of 33.8 degrees C, and severe coagulopathy with activated clotting time exceeding 1500 seconds measured using the Hemochron Response system (ITC, Edison, NJ, USA). Despite sufficient blood transfusion and correction of her electrolyte imbalance, the poor hemostasis persisted. After per-forming peritoneal lavage with warm saline, her condition dramatically improved and her hypothermia and severe coagulopathy were reversed. PMID: 20643371 [PubMed - as supplied by publisher] (Source: Acta Anaesthesiol... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780608 Mon, 31 May 2010 23:00:00 +0100 3780608 http://www.medworm.com/index.php?rid=3780607&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20643372%26dopt%3DAbstract Authors: Punj J, Narang D, Pandey R, Darlong V PMID: 20643372 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3780607 Mon, 31 May 2010 23:00:00 +0100 3780607 http://www.medworm.com/index.php?rid=3534256&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434105%26dopt%3DAbstract Authors: Sheen MJ, Ho ST PMID: 20434105 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534256 Mon, 01 Mar 2010 00:00:00 +0100 3534256 http://www.medworm.com/index.php?rid=3534255&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434106%26dopt%3DAbstract CONCLUSION: Of the antipsychotic drugs tested, mesoridazine is potentially the best candidate for development into a potent, long-acting local anesthetic. However, toxicity studies are needed before these agents can be used clinically as analgesics. PMID: 20434106 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534255 Mon, 01 Mar 2010 00:00:00 +0100 3534255 http://www.medworm.com/index.php?rid=3534254&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434107%26dopt%3DAbstract CONCLUSION: A single intramuscular injection of bupivacaine induced dose-dependent increases in intramuscular glutamate levels and muscular damage. PMID: 20434107 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534254 Mon, 01 Mar 2010 00:00:00 +0100 3534254 http://www.medworm.com/index.php?rid=3534253&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434108%26dopt%3DAbstract CONCLUSION: The Airtraq laryngoscope is easier to use but it does not have any significant advantages compared with the Macintosh laryngoscope for routine airway management. More studies are needed to evaluate its use in patients with a difficult airway, and in emergency procedures. PMID: 20434108 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534253 Mon, 01 Mar 2010 00:00:00 +0100 3534253 http://www.medworm.com/index.php?rid=3534252&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434109%26dopt%3DAbstract CONCLUSION: In conclusion, bloodless and non-inotropic cardiac surgery is feasible with the aid of a cell-saver and closed-circuit anesthesia in combination with new practice guidelines. PMID: 20434109 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534252 Mon, 01 Mar 2010 00:00:00 +0100 3534252 http://www.medworm.com/index.php?rid=3534251&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434110%26dopt%3DAbstract CONCLUSION: Our results showed that the incidence and severity of fasciculations were significantly decreased by atracurium pretreatment but not by pretreatment with succinylcholine or placebo (p<0.0001 and p=0.0003 respectively). However, atracurium did not exert significant effects on POM. PMID: 20434110 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534251 Mon, 01 Mar 2010 00:00:00 +0100 3534251 http://www.medworm.com/index.php?rid=3534250&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434111%26dopt%3DAbstract Authors: Hsu YC, Huang ST, Ho ST, Lu CC, Lin TC, Huang GS, Liaw WJ Here we report an unusual development of peripartum cardiomyopathy (PPCM) in a parturient woman with preeclampsia. A 36-year-old nulliparous parturient woman underwent elective cesarean section for delivery of twins under spinal anesthesia. Both preoperative workup and past history were unremarkable except for proteinuria and hypertension for 1 week. Approximately 4 hours after cesarean section, progressive orthopnea developed. Chest plain film showed acute pulmonary edema, bilateral pulmonary infiltration with interstitial patches, and cardiomegaly. Postpartum cardiomyopathy was diagnosed afterward by echocardiography. This showed general hypokinesia and severe dysfunction of the left ventricle with ejection fraction o... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534250 Mon, 01 Mar 2010 00:00:00 +0100 3534250 http://www.medworm.com/index.php?rid=3534249&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434112%26dopt%3DAbstract Authors: Chen HS, Liu PH, Chung KC, Hung KC The ProSeal laryngeal mask airway (PLMA) offers a more effective seal and is easier for gastric tube placement to prevent aspiration than the classical laryngeal mask airway. However, it is more difficult to insert with the digital and introducer tooling techniques. The Rusch Flexi-Slip stylet (RFSS) is an accessory intubation tool that consists of a malleable coated wire and a soft atraumatic tip. It has been reported that it can facilitate easier insertion of the PLMA. Here, we report two cases in which the PLMA could not be inserted correctly on the initial attempts, and with successful placement of the PLMA after using an RFSS. In the first case, three attempts to insert the PLMA with the digital and introducer tooling techniques were uns... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534249 Mon, 01 Mar 2010 00:00:00 +0100 3534249 http://www.medworm.com/index.php?rid=3534248&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434113%26dopt%3DAbstract This report describes the successful application of DLTs in two patients with difficult airways, and who were scheduled for pulmonary decortication. Case 1 already had a permanent tracheostomy, while Case 2 had oral cancer with an extremely limited mouth opening and needed elective tracheostomy for anesthesia. Nasal intubation of Case 2 was done with fiberoptic-guided intubation with the patient awake. OLV was achieved uneventfully after inserting the DLT directly through the tracheostomy in both cases. We also describe the appropriate use of airway devices for OLV, focusing on patients with an anticipated difficult airway. PMID: 20434113 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534248 Mon, 01 Mar 2010 00:00:00 +0100 3534248 http://www.medworm.com/index.php?rid=3534247&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434114%26dopt%3DAbstract We report a female patient with osteoarthritis of both knees, who was scheduled for bilateral total knee arthroplasty under spinal and lumbar (L) epidural anesthesia. An epidural catheter was inserted at the L3-L4 intervertebral space and threaded 9 cm cephalad beyond the tip of the Tuohy needle. Attempts to remove the catheter met with resistance. Because changing the patient's position failed to relieve the resistance, we suspected that the epidural catheter had kinked. After explaining to the patient and her family the need for surgical removal of the catheter and its associated risks, the catheter was successfully removed by an orthopedist by laminectomy. A butterfly-like knot was found about 5 cm away from the tip of the epidural catheter. She experienced no complications during surge... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534247 Mon, 01 Mar 2010 00:00:00 +0100 3534247 http://www.medworm.com/index.php?rid=3534246&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434115%26dopt%3DAbstract In this report, we present an instance of difficult removal of epidural catheter in a female patient undergoing open reduction and internal fixation of the femoral neck with patient-controlled epidural analgesia as the means of postoperative pain control. The patient had satisfactory analgesia for 3 days; however, during the removal of the epidural catheter, difficulties were encountered and epidurogram revealed that the epidural catheter had become anchored in the anterior epidural space without kinking or knotting. Subsequently, the patient was requested to lie prone on the surgical table with a pillow placed beneath her lower abdomen and catheter removal was tried again. Fortunately, the epidural catheter was removed easily without the need for a guided stylet. We believe that the cause... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534246 Mon, 01 Mar 2010 00:00:00 +0100 3534246 http://www.medworm.com/index.php?rid=3534245&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20434116%26dopt%3DAbstract Authors: Mishra SK, Krishnappa S, Bhat RR, Badhe A PMID: 20434116 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=3534245 Mon, 01 Mar 2010 00:00:00 +0100 3534245 http://www.medworm.com/index.php?rid=2810435&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762299%26dopt%3DAbstract Authors: Tsou MY PMID: 19762299 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810435 Mon, 31 Aug 2009 23:00:00 +0100 2810435 http://www.medworm.com/index.php?rid=2810434&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762300%26dopt%3DAbstract Conclusion: We conclude that PFA-100 offers a higher sensitivity and specificity than TEG in detection of platelet dysfunction. PMID: 19762300 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810434 Mon, 31 Aug 2009 23:00:00 +0100 2810434 http://www.medworm.com/index.php?rid=2810433&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762301%26dopt%3DAbstract Conclusion: After placement of the ProSeal LMA, the central landmark could not offer a good success rate at the first puncture attempt. When using the central landmark to catheterize the IJV after a ProSeal LMA placement, medial deviation of the central landmark should be considered. Ultrasound guidance may be helpful in difficult cases. PMID: 19762301 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810433 Mon, 31 Aug 2009 23:00:00 +0100 2810433 http://www.medworm.com/index.php?rid=2810432&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762302%26dopt%3DAbstract Conclusion: The closed-loop control of anesthetic delivery adjusted to BIS is feasible and may be useful in open heart surgery under hypothermic CPB. PMID: 19762302 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810432 Mon, 31 Aug 2009 23:00:00 +0100 2810432 http://www.medworm.com/index.php?rid=2810431&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762303%26dopt%3DAbstract Conclusion: Our results support the use of propofol sedation during the early postoperative period after craniotomy in hemorrhagic stroke patients, because it improved both neurologic and clinical outcomes. However, early postoperative use of propofol sedation at larger dosages warrants special attention. PMID: 19762303 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810431 Mon, 31 Aug 2009 23:00:00 +0100 2810431 http://www.medworm.com/index.php?rid=2810430&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762304%26dopt%3DAbstract We present a 37-year-old male patient who, after receiving tonsillectomy, developed cervicofacial subcutaneous emphysema immediately following endotracheal extubation. Valsalva maneuvers evidenced by coughing and straining of the patient, and positive pressure ventilation by mask to alleviate laryngospasm in an emergency were believed to induce and exacerbate the emphysema. Fortunately, the patient was re-intubated and protected from further complication of pneumomediastinum or pneumothorax. The emphysema resolved 7 days later with conservative treatment, including broad-spectrum antibiotics and abstention from enteral intake. This case serves as a reminder that an unusual and unexpected complication can occur in a routine procedure. Methods to prevent this complication are discussed. ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810430 Mon, 31 Aug 2009 23:00:00 +0100 2810430 http://www.medworm.com/index.php?rid=2810429&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762305%26dopt%3DAbstract We describe a case of the sudden onset of cardiovascular collapse during emergence from anesthesia resulting from a massive venous air embolism, which was detected by transesophageal echocardiography. We present this case to remind anesthesiologists to be aware of the risk of a sudden return of air trapped in the venous system during emergence from anesthesia. The air is freed because the sympathetic tone is increased, muscle-pumping power is regained, ventilation shifts from positive-pressure to negative-pressure spontaneous ventilation, and the patient is repositioned after surgery. PMID: 19762305 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810429 Mon, 31 Aug 2009 23:00:00 +0100 2810429 http://www.medworm.com/index.php?rid=2810428&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762306%26dopt%3DAbstract Authors: Lin CY, Yang JM, Chen CT, Hsu YW, Huang CJ, Chen CC, Tsai HJ Methemoglobinemia occasionally causes cyanosis particularly in congenital methemoglobinemia. Avoidance of exposure to oxidizing agents is important for patients with congenital methemoglobinemia because of their deficient enzymatic pathways and decreased oxygen-carrying capacity. Here, we present a patient with preoperatively undiagnosed congenital methemoglobinemia who underwent uterine myomectomy under general anesthesia. The patient was a 35-year-old woman who displayed a low pulse oximetry reading of 91% prior to induction of anesthesia. Methemoglobinemia was first suspected intraoperatively because of a mismatch of SpO2 of finger pulse oximetry and SaO2 of arterial blood, and was later confirmed by multiple-wave... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810428 Mon, 31 Aug 2009 23:00:00 +0100 2810428 http://www.medworm.com/index.php?rid=2810427&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762307%26dopt%3DAbstract Authors: Swei SC, Liou CC, Liu HH, Hung PC Perioperative radial nerve injury is a rare anesthetic complication, and is rarely seen in association with the use of an automatic blood pressure monitor. As far as we know, only one case has been reported. Here, we report a 26-year-old healthy, lean female who sustained acute radial nerve palsy after appendectomy. A dropped wrist improved 5 days later. The cause of the radial neuropathy is discussed. We recommend that when an automatically cycling blood pressure monitor is used on a lean patient, caution should be taken against such a complication. PMID: 19762307 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810427 Mon, 31 Aug 2009 23:00:00 +0100 2810427 http://www.medworm.com/index.php?rid=2810426&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762308%26dopt%3DAbstract We report an 82-year-old male patient who developed complete atrioventricular block (CAVB) with severe bradycardia 1 hour after craniotomy. After emergency placement of a transvenous pacemaker, the patient's heart rate was restored. Serial assays of serum cardiac enzymes, echocardiography and serum digoxin concentration did not show evidence of myocardial infarction, myocardial injury, or drug toxicity. Tracing back past history, neither syncope nor arrhythmia of any form was noted. A neurogenic heart disorder, high vagal tone, and aging possibly contributed to this cardiac event in this patient. CAVB, although uncommon, is a disastrous complication following craniotomy, and needs aggressive and instantaneous management. PMID: 19762308 [PubMed - in process] (Source: Acta Anaesthesiolog... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810426 Mon, 31 Aug 2009 23:00:00 +0100 2810426 http://www.medworm.com/index.php?rid=2810425&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762309%26dopt%3DAbstract Authors: Tagawa T, Sakuraba S, Okuda M PMID: 19762309 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810425 Mon, 31 Aug 2009 23:00:00 +0100 2810425 http://www.medworm.com/index.php?rid=2810424&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19762310%26dopt%3DAbstract Authors: Garg R, Darlong V, Pandey R, Punj J PMID: 19762310 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2810424 Mon, 31 Aug 2009 23:00:00 +0100 2810424 http://www.medworm.com/index.php?rid=2528994&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527964%26dopt%3DAbstract Authors: Day YJ PMID: 19527964 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528994 Sun, 31 May 2009 23:00:00 +0100 2528994 http://www.medworm.com/index.php?rid=2528991&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527965%26dopt%3DAbstract Conclusion: Our findings may help to elucidate the inhibitory role of lidocaine on platelet P-selectin expression and PLA and infer possible therapeutic targets in the treatment of inflammatory diseases. However, further investigations are needed to determine whether the observed attenuation of excessive inflammatory responses has clinical implications. These results suggest that lidocaine might have potential clinical application in the modulation of excessive platelet activation, inflammatory response and septic condition. PMID: 19527965 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528991 Sun, 31 May 2009 23:00:00 +0100 2528991 http://www.medworm.com/index.php?rid=2528988&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527966%26dopt%3DAbstract Conclusion: We concluded that iNOS-induced NO might be involved in the manifestation of the BHF and BLF components of the SAP spectrum during endotoxemia when low-dose propofol is used, and this effect of NO is blunted when high-dose propofol is administered. PMID: 19527966 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528988 Sun, 31 May 2009 23:00:00 +0100 2528988 http://www.medworm.com/index.php?rid=2528985&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527967%26dopt%3DAbstract Conclusion: Our data demonstrated that HES200 and HES130 possess noticeably inhibitory effects on platelet function, especially when the HES replaced proportion was more than 20%. HES200 has a greater effect on blood cells and plasma separation than does HES130. PMID: 19527967 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528985 Sun, 31 May 2009 23:00:00 +0100 2528985 http://www.medworm.com/index.php?rid=2528981&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527968%26dopt%3DAbstract Conclusion: The anesthesia trainers in this study are capable of teaching TT cuff inflation correctly. After practical training, the airway care providers, irrespective of seniority or age, can roughly determine an optimal TT cuff pressure non-instrumentally. PMID: 19527968 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528981 Sun, 31 May 2009 23:00:00 +0100 2528981 http://www.medworm.com/index.php?rid=2528977&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527969%26dopt%3DAbstract Authors: Hsieh MH, Ho JT, Huang CM, Lee MS, Chen TL, Wong CS, Lin JA Removal of the laryngeal mask airway (LMA) can be executed while patients are deeply anesthetized or awake. Recent publications have focused on suitable anesthetic concentrations in the brain for removal of LMA in anesthetized patients. Here, we describe an easy and safe method for removal of LMA during deep anesthesia. PMID: 19527969 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528977 Sun, 31 May 2009 23:00:00 +0100 2528977 http://www.medworm.com/index.php?rid=2528973&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527970%26dopt%3DAbstract Authors: Chang CY, Hung MH, Chang HC, Chan KC, Chen HY, Fan SZ, Lin TY This case report describes a 61-year-old man who developed reexpansion pulmonary edema (RPE) of the collapsed left lung after video-assisted thoracoscopic surgery because of left thoracic empyema, complicated with secondary contralateral pulmonary edema later. The left lung was gently reexpanded after surgery under one-lung ventilation anesthesia for 2.5 hours. The patient developed RPE of the left lung immediately after surgery, and required mechanical ventilation with positive end-expiratory pressure support. RPE was resolved within 24 hours. Nevertheless, delayed onset of contralateral pulmonary edema manifested on chest radiography 4 days later without clinical symptoms such as tachypnea or dyspnea. There was no... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528973 Sun, 31 May 2009 23:00:00 +0100 2528973 http://www.medworm.com/index.php?rid=2528969&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527971%26dopt%3DAbstract Authors: Tsai FF, Wang KY, Chen LK, Fan SZ A 3-month-old male infant underwent rigid bronchoscopy with manual jet ventilation due to persistent right upper lobe collapse under capnographic surveillance. The CO2 waveform abruptly vanished soon after application of jet ventilation, while breath sounds decreased gradually until the left side breath sounds were barely audible. Progressive abdominal distension with protruding umbilicus was also detected at the same time. Under the impression of bilateral tension pneumothorax, emergent needle decompression was carried out. In this case, the sudden onset of CO2 waveform change was the first warning sign of pneumothorax, which is the most common complication of jet ventilation. Therefore, we strongly recommend that continuous capnographic surv... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528969 Sun, 31 May 2009 23:00:00 +0100 2528969 http://www.medworm.com/index.php?rid=2528965&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527972%26dopt%3DAbstract We describe a 78-year-old uremic female who developed unexplained and refractory shock on the completion of percutaneous placement of a hemodialysis catheter in the right subclavian vein under general anesthesia. Bedside transthoracic ultrasound revealed a large anechoic area above the right hemidiaphragm, suggestive of the presence of extensive hemothorax. The diagnosis was further confirmed by prompt drainage of fresh blood from the right thoracostomy tube. Emergent thoracotomy was performed and perforation of the superior vena cava was identified. Hemodynamic stability was restored after surgical repair of the injured vessel, aggressive volume resuscitation and inotropic/vasopressor treatment. This case suggests that portable ultrasonography is an invaluable bedside tool which allows an... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528965 Sun, 31 May 2009 23:00:00 +0100 2528965 http://www.medworm.com/index.php?rid=2528961&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527973%26dopt%3DAbstract Authors: Ho CH, Chen KB, Liu SK, Liu YF, Cheng HC, Wu RS Amniotic fluid embolism occurs rarely but is a leading cause of maternal mortality. Regardless of emergent supportive medical treatment, it is associated with a very high mortality rate. Here, we present the case of a 33-year-old pregnant woman with amniotic fluid embolism, who sustained cardiac arrest and was rescued with early application of extracorporeal membrane oxygenation. The management of amniotic fluid embolism is to initially focus on rapid cardiopulmonary stabilization. Hemodynamic decompensation may be transient and recoverable within a few hours. Early application of extracorporeal membrane oxygenation should be considered in patients who are unresponsive to medical therapy before severe organ damage supervenes. ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528961 Sun, 31 May 2009 23:00:00 +0100 2528961 http://www.medworm.com/index.php?rid=2528957&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19527974%26dopt%3DAbstract We report a case of tracheal ring fracture after external laryngeal manipulation for assisting intubation because of difficult laryngoscopy during induction of anesthesia. The patient was a 64-year-old female suffering from a large multinodular goiter scheduled to undergo general anesthesia with endotracheal intubation for thyroidectomy. Laryngoscopy was performed, which did not visualize the glottis. With application of forceful external laryngeal manipulation, intubation was successfully achieved on the third attempt. But on skin incision and tissue exposure, a single fractured site on the second tracheal ring was noted. Fiberoptic bronchoscopy was performed and showed the tracheal mucosa remaining unmolested without endotracheal lesion or cartilage dislodgement into the trachea. The ope... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2528957 Sun, 31 May 2009 23:00:00 +0100 2528957 http://www.medworm.com/index.php?rid=2303384&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318292%26dopt%3DAbstract Authors: Tsai YC PMID: 19318292 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303384 Sun, 01 Mar 2009 05:00:00 +0100 2303384 http://www.medworm.com/index.php?rid=2303382&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318293%26dopt%3DAbstract Conclusion: We conclude that the combination of prophylactic haloperidol (2 mg) plus ondansetron (4 mg) provides a higher complete response rate and greater patient satisfaction after laparoscopic cholecystectomy than either drug used alone. PMID: 19318293 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303382 Sun, 01 Mar 2009 05:00:00 +0100 2303382 http://www.medworm.com/index.php?rid=2303380&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318294%26dopt%3DAbstract Conclusion: No deleterious or beneficial effects on hemodynamics and organ dysfunction were observed in the endotoxemic rats treated with midazolam at the designated dosage. However, previous reports which showed substantial benefits from the inhibitory effects of midazolam on proinflammatory factors in vitro should be subjected to further elucidation. PMID: 19318294 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303380 Sun, 01 Mar 2009 05:00:00 +0100 2303380 http://www.medworm.com/index.php?rid=2303378&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318295%26dopt%3DAbstract Conclusion: The diclofenac epolamine patch is effective and safe in prevention of sore throat following intubation general anesthesia in cesarean section. PMID: 19318295 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303378 Sun, 01 Mar 2009 05:00:00 +0100 2303378 http://www.medworm.com/index.php?rid=2303376&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318296%26dopt%3DAbstract Conclusion: PCA is safe and effective in alleviating postoperative pain following cesarean section. EPCA offers a faster return of bowel activity, lower VAS scores, and better patient satisfaction than IVPCA. PMID: 19318296 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303376 Sun, 01 Mar 2009 05:00:00 +0100 2303376 http://www.medworm.com/index.php?rid=2303374&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318297%26dopt%3DAbstract Conclusion: The effects of ephedrine on improving intubating conditions following atracurium priming were not statistically significant. Given the risk of exacerbation of coronary ischemia by tachycardia, and the negative results on intubating conditions in our study, we cannot recommend the use of ephedrine for improving intubating conditions following priming with atracurium. PMID: 19318297 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303374 Sun, 01 Mar 2009 05:00:00 +0100 2303374 http://www.medworm.com/index.php?rid=2303372&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318298%26dopt%3DAbstract We describe a case whose phantom pain of the amputated limb stump was twice induced by spinal anesthesia during two consecutive surgeries in the contralateral lower limb. It was revealed that midazolam was successful in treating this rare phantom limb pain after spinal anesthesia. Here, we discuss the management of phantom limb pain during spinal anesthesia and the anesthetic management for subsequent surgery in patients with previous spinal anesthesia-induced phantom limb pain. PMID: 19318298 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303372 Sun, 01 Mar 2009 05:00:00 +0100 2303372 http://www.medworm.com/index.php?rid=2303370&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318299%26dopt%3DAbstract We report the clinical presentations and describe the treatment of a tracheo-innominate artery fistula in our patient. We also reviewed the algorithms of management and the rescue options for treating a tracheo-innominate artery fistula. PMID: 19318299 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303370 Sun, 01 Mar 2009 05:00:00 +0100 2303370 http://www.medworm.com/index.php?rid=2303368&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318300%26dopt%3DAbstract We present a case of successful resuscitation in the lateral position of an infant with a huge anterior mediastinal mass. PMID: 19318300 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303368 Sun, 01 Mar 2009 05:00:00 +0100 2303368 http://www.medworm.com/index.php?rid=2303366&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318301%26dopt%3DAbstract We report the perioperative airway management in a 12-year-old boy suffering from Treacher Collins syndrome (TCS) and severe mental retardation who was scheduled for elective dental treatment under general anesthesia. TSC is also known as mandibulofacial dysostosis or Franceschetti syndrome, usually with a potentially difficult airway presentation. It is a major challenge for the anesthesiologist to manage an uncooperative child with such a congenital airway anomaly. A difficult airway was encountered during induction of general anesthesia, and both oral intubation by direct laryngoscopy and classic laryngeal mask airway (LMA) insertion were unsuccessful. In an expedient critical trial, with the cooperation of two anesthesiologists, one performing nasal fiberoptic intubation and the other ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303366 Sun, 01 Mar 2009 05:00:00 +0100 2303366 http://www.medworm.com/index.php?rid=2303364&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318302%26dopt%3DAbstract Authors: Hung NK, Lee CH, Chan SM, Yeh CC, Cherng CH, Wong CS, Wu CT Perioperative hypoglossal nerve palsy is a rare postoperative complication. Here, we present a case of transient unilateral hypoglossal nerve palsy after shoulder surgery. The cause of the hypoglossal nerve palsy in our patient was assumed to be a complication of oropharyngeal manipulation during orotracheal intubation for general anesthesia. However, direct compression of the hypoglossal nerve beneath the angle of the mandible during mask ventilation and the surgical procedure may have been a concomitant cause. Therefore, in order to prevent this complication, we must perform mask ventilation and direct laryngoscopy carefully. Head and neck manipulation should be gentle during anesthesia for shoulder surgery. PMI... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303364 Sun, 01 Mar 2009 05:00:00 +0100 2303364 http://www.medworm.com/index.php?rid=2303362&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19318303%26dopt%3DAbstract Authors: Garg R PMID: 19318303 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2303362 Sun, 01 Mar 2009 05:00:00 +0100 2303362 http://www.medworm.com/index.php?rid=2061974&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097960%26dopt%3DAbstract Authors: Sheen MJ, Ho ST PMID: 19097960 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061974 Mon, 01 Dec 2008 05:00:00 +0100 2061974 http://www.medworm.com/index.php?rid=2061973&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097961%26dopt%3DAbstract Conclusion: Dexmedetomidine at clinically relevant doses had no significant effect in attenuating VILI. In contrast, dexmedetomidine at a dose approximately 10 times higher than the clinical dose significantly attenuated VILI. These effects of dexmedetomidine were mediated, at least in part, by the alpha2-adrenergic receptor. PMID: 19097961 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061973 Mon, 01 Dec 2008 05:00:00 +0100 2061973 http://www.medworm.com/index.php?rid=2061972&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097962%26dopt%3DAbstract Conclusion: Propofol infusion, compared with isoflurane inhalation, attenuates ROS production and limits it for 20 minutes after resuming 2LV from OLV. Propofol infusion may be beneficial to patients with inadequate antioxidant capacity. PMID: 19097962 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061972 Mon, 01 Dec 2008 05:00:00 +0100 2061972 http://www.medworm.com/index.php?rid=2061971&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097963%26dopt%3DAbstract Conclusion: The prophylactic use of granisetron 40 mug/kg is as effective as meperidine (0.4 mg/kg) and tramadol (0.1 mg/kg) in preventing postanesthetic shivering without prolonging the emergence time from anesthesia. PMID: 19097963 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061971 Mon, 01 Dec 2008 05:00:00 +0100 2061971 http://www.medworm.com/index.php?rid=2061970&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097964%26dopt%3DAbstract Conclusion: This is the first study to evaluate the accuracy of USCOM in the post-liver transplant setting. This device is accurate in measuring CO in liver transplant recipients postoperatively. Possible risks of arrhythmia, infection and pulmonary artery rupture can be avoided because of its noninvasive nature. USCOM should be considered as an alternative in hemodynamic monitoring after liver transplantation. PMID: 19097964 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061970 Mon, 01 Dec 2008 05:00:00 +0100 2061970 http://www.medworm.com/index.php?rid=2061969&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097965%26dopt%3DAbstract Authors: Cheng HW, Chang HH, Chen YJ, Chang WK, Chan KH, Chen PT Cerebral ischemia or infarction caused by several equivocal mechanisms is a major complication after aortic arch replacement. Here, we report a 28-year-old male who underwent total replacement of the aortic arch and concomitant tributaries for hypoplasia of the transverse aortic arch and aortic branches. Continuous cerebral oxygen saturation (rSO2) monitoring was applied throughout the whole surgical course. According to the trend of rSO2, we could not only optimize the cerebral perfusion, but also confirm the patency of graft anastomosis. Therefore, monitoring rSO2 is very useful for determining cerebral perfusion during major surgery, especially in complicated repair of an aortic aneurysm, or replacement of the aortic a... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061969 Mon, 01 Dec 2008 05:00:00 +0100 2061969 http://www.medworm.com/index.php?rid=2061968&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097966%26dopt%3DAbstract Authors: Yang YL, Huang HW, Yip HK, Jawan B, Tseng CC, Lu HF In this case report, we describe a 70-year-old male patient who sustained Kounis syndrome induced by cisatracurium administration immediately following induction of general anesthesia. Acute coronary syndrome combined with anaphylactic shock, termed Kounis syndrome, should be investigated in percutaneous coronary intervention to solve this complex and life-threatening condition. A team effort by cardiologist and anesthesiologist is essential for successful resuscitation. In general, the incidence of an anaphylactic reaction to cisatracurium is low, but a high serum IgE level in combination with a positive skin prick test in our patient was strongly suggestive of cisatracurium-induced Kounis syndrome. In addition, a cross-reac... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061968 Mon, 01 Dec 2008 05:00:00 +0100 2061968 http://www.medworm.com/index.php?rid=2061967&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097967%26dopt%3DAbstract We report a case of severe reexpansion pulmonary edema that occurred immediately after reinflation of a collapsed lung by rapid negative pressure drainage of prolonged malignant pleural effusion and pneumohemothorax. Although hemodynamic stability was difficult to maintain under aggressive treatment with inhalation of nitric oxide, inotropics and prostacyclin infusion, conventional pulmonary artery catheterization was not adequate for surveillance and adjustment of fluid therapy. For balancing the preload and the extent of pulmonary edema, pulse contour cardiac output monitoring using a single transpulmonary thermal dilution technique was applied to achieve optimal cardiac preload for organ perfusion and to prevent worsening of pulmonary edema from fluid overload. PMID: 19097967 [PubMe... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061967 Mon, 01 Dec 2008 05:00:00 +0100 2061967 http://www.medworm.com/index.php?rid=2061966&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097968%26dopt%3DAbstract We present a case of splenic rupture as the cause of a sudden drop in blood pressure soon after mitral valve surgery for infective endocarditis. This case suggests that, in addition to more common causes of unstable vital signs after valvular surgery, such as cardiac tamponade or bleeding at the operation site, splenic rupture, although rare, should be considered in the differential diagnosis. This is particularly important in the case of infective endocarditis. PMID: 19097968 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061966 Mon, 01 Dec 2008 05:00:00 +0100 2061966 http://www.medworm.com/index.php?rid=2061965&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097969%26dopt%3DAbstract We describe a 76-year-old female who underwent surgery for carcinoma of the urinary tract. Postoperative epidural analgesia was performed at the postanesthesia care unit. Neither a repeat attempt nor accidental dural puncture was encountered during the procedure. Unfortunately, she sustained neurological impairment of the bilateral lower limbs following an episode of myocardial ischemia during the early postoperative period. When the neurological deficit was recognized following epidural anesthesia, poor puncture technique was the first to be blamed. In fact, a high level of sensory blockade could markedly decrease blood pressure and heart rate, particularly in the presence of hypovolemia, which might lead to impairment of coronary perfusion and result in myocardial ischemia. Severe system... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061965 Mon, 01 Dec 2008 05:00:00 +0100 2061965 http://www.medworm.com/index.php?rid=2061964&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19097970%26dopt%3DAbstract Authors: Pandey R, Garg R, Chandralekha C, Darlong V, Punj J PMID: 19097970 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=2061964 Mon, 01 Dec 2008 05:00:00 +0100 2061964 http://www.medworm.com/index.php?rid=1826465&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809518%26dopt%3DAbstract Authors: Wu RS PMID: 18809518 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826465 Mon, 01 Sep 2008 04:00:00 +0100 1826465 http://www.medworm.com/index.php?rid=1826464&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809519%26dopt%3DAbstract Conclusion: Both thoracic epidural 0.15% and 0.2% ropivacaine provide effective postoperative pain control in combination with fentanyl without motor block. A 0.15% ropivacaine-1 mug/mL fentanyl solution is preferable considering the lower incidence of adverse events. PMID: 18809519 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826464 Mon, 01 Sep 2008 04:00:00 +0100 1826464 http://www.medworm.com/index.php?rid=1826463&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809520%26dopt%3DAbstract Conclusion: Using spectral entropy monitoring for guiding the depth of sevoflurane anesthesia in total knee replacement surgery can reduce its consumption and the frequency of use of antihypertensive drugs. PMID: 18809520 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826463 Mon, 01 Sep 2008 04:00:00 +0100 1826463 http://www.medworm.com/index.php?rid=1826462&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809521%26dopt%3DAbstract Conclusion: Patients receiving PCEA with a 30-minute lockout and background infusion used the least amount of PCEA infusate and the differences increased over time. Further investigations are recommended to evaluate potential benefits and drawbacks of a longer lockout interval. PMID: 18809521 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826462 Mon, 01 Sep 2008 04:00:00 +0100 1826462 http://www.medworm.com/index.php?rid=1826461&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809522%26dopt%3DAbstract Conclusion: Clonidine enhances CAT-2 transcription in endotoxin-activated murine macrophages. PMID: 18809522 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826461 Mon, 01 Sep 2008 04:00:00 +0100 1826461 http://www.medworm.com/index.php?rid=1826460&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809523%26dopt%3DAbstract In conclusion, caution should be taken against hypercapnia and respiratory acidosis in patients with peritonitis undergoing laparoscopic surgery because of the likelihood of these events occurring during the procedure. PMID: 18809523 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826460 Mon, 01 Sep 2008 04:00:00 +0100 1826460 http://www.medworm.com/index.php?rid=1826459&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809524%26dopt%3DAbstract We present a case of spontaneous intracranial hypotension (SIH) diagnosed from the clinical symptoms and magnetic resonance imaging brain scans. After failure of conservative treatment, and lack of identification of the cerebrospinal fluid leak site, the headache was managed successfully and simply with two applications of an epidural blood patch (EBP). The strategy of our management for the patient was as follows: (1) application of an EBP to the lumbar epidural space initially and manipulating it into the proximity of the possible leak site; (2) a greater volume of autologous blood was injected at the second attempt of EBP; and (3) the patient was required to lie flat for at least 2 hours after the procedure. Better management of SIH is still developing. Traditionally, SIH is initially m... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826459 Mon, 01 Sep 2008 04:00:00 +0100 1826459 http://www.medworm.com/index.php?rid=1826458&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809525%26dopt%3DAbstract We present the case of a 56-year-old female with breast cancer and metastasis to the cervical spine. The surgical procedure involved C2-C3 laminectomy, posterior fixation (C0-C5), and C2 neurectomy. Tracheal extubation was carried out in the intensive care unit, and upper airway obstruction immediately followed. Emergency cricothyrotomy was performed under well-managed ventilation with a laryngeal mask after several failed intubation attempts. Over-flexion of the cervical spine fixation and severe prevertebral soft tissue swelling were the most probable causes of upper airway obstruction. With a well-adjusted angle for fixation of the cervical spine under fluoroscopic guidance before the procedure, such a surgical mishap could be avoided. Reintubation with a fiberscope might be considered ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826458 Mon, 01 Sep 2008 04:00:00 +0100 1826458 http://www.medworm.com/index.php?rid=1826457&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809526%26dopt%3DAbstract We report a 20-year-old male patient with preoperatively undiagnosed myocarditis, who received general anesthesia for laparoscopic appendectomy. Because of arrhythmia, a cardiologist was consulted postoperatively. The 12-lead electrocardiogram showed complete atrioventricular block and the echocardiogram showed global hypokinesia of the left ventricle with impaired contractility, a left ejection fraction of 37%, and a dilated right heart. Subsequently, a permanent pacemaker was implanted and the patient was discharged from hospital without any complications. PMID: 18809526 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826457 Mon, 01 Sep 2008 04:00:00 +0100 1826457 http://www.medworm.com/index.php?rid=1826456&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809527%26dopt%3DAbstract We report an obstetric patient who developed unusual neurological complications after an epidural injection of a local anesthetic and a narcotic in a seemingly faultless manner. Ten minutes after receiving a loading dose, the patient developed aphonia, quadriplegia, and facial palsy while retaining normal consciousness and stable hemodynamics. The episode spontaneously resolved 40 minutes later. We wish to draw attention to anesthesiologists of the possibility that even in the presence of a negative aspiration test or without noticeable dural puncture, the injected drugs may enter the intrathecal or subdural space instead of pooling entirely in the epidural compartment. Once an unexpected high block and unusual symptoms or signs are noted, a prompt differential diagnosis must be made and t... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826456 Mon, 01 Sep 2008 04:00:00 +0100 1826456 http://www.medworm.com/index.php?rid=1826455&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18809528%26dopt%3DAbstract Authors: Punj J, Pandey R, Darlong V PMID: 18809528 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1826455 Mon, 01 Sep 2008 04:00:00 +0100 1826455 http://www.medworm.com/index.php?rid=1575777&cid=s_36918_5_f&fid=36918&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D18593648%26dopt%3DAbstract Authors: Chien CC PMID: 18593648 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575777 Sun, 01 Jun 2008 04:00:00 +0100 1575777