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. Sat, 31 Oct 2009 13:41:46 +0100 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 http://www.medworm.com/index.php?rid=1575776&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%3D18593649%26dopt%3DAbstract Conclusion: Decreases in SV and CI are the main causes of a decrease in BP in the prone position during lumbar spinal surgery. PMID: 18593649 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575776 Sun, 01 Jun 2008 04:00:00 +0100 1575776 http://www.medworm.com/index.php?rid=1575775&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%3D18593650%26dopt%3DAbstract Conclusion: The findings suggest that the sensitivity of the ULBT and TMD for predicting difficult intubations may not be significantly different, but the specificity of the ULBT is significantly higher. The positive predictive value of the ULBT was significantly higher than that of TMD, signifying that a positive ULBT is more predictive of a difficult airway than is a positive TMD. PMID: 18593650 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575775 Sun, 01 Jun 2008 04:00:00 +0100 1575775 http://www.medworm.com/index.php?rid=1575774&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%3D18593651%26dopt%3DAbstract Conclusion: This study demonstrated that vital-capacity induction with a high concentration of sevoflurane is a safe and feasible technique for our female patients. The end-tidal 1.5 minimum alveolar concentration sevoflurane following 4.5 minutes of tidal-volume ventilation did not suppress intubation-induced hemodynamic responses. Pretreatment with fentanyl helped to shorten the induction time and provide better hemodynamic control for tracheal intubation. PMID: 18593651 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575774 Sun, 01 Jun 2008 04:00:00 +0100 1575774 http://www.medworm.com/index.php?rid=1575773&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%3D18593652%26dopt%3DAbstract Authors: Yeh JR, Shieh JS, Lin CP, Sun WZ We have designed a novel apparatus, the Sunscope, which integrates a semiconductor image sensor into a compact video-guided intubation system. This device consists of three separate modules: viewer, console and visual tube. The 4-inch LCD viewer panel displays the real-time video image with optimal view angle. The console is designed with respect to ergonomics allowing comfortable manipulation and internally accommodating the power supply, image processing components and connector platform for both viewer and probe. The distal end of the detachable probe is packaged with a high resolution lens, CMOS sensor, and four LEDs. The proximal end is a 6-pin connector which can be readily removed and attached on demand. The probe is detachable and dispo... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575773 Sun, 01 Jun 2008 04:00:00 +0100 1575773 http://www.medworm.com/index.php?rid=1575772&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%3D18593653%26dopt%3DAbstract In conclusion, TEE can provide us with immediate, accurate and detailed information to evaluate an unexpected circumstance and disclose an operative misadventure during or after cardiac surgery. PMID: 18593653 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575772 Sun, 01 Jun 2008 04:00:00 +0100 1575772 http://www.medworm.com/index.php?rid=1575771&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%3D18593654%26dopt%3DAbstract We present here an AS patient with difficult airway scheduled for hip surgery. General anesthesia with sevoflurane conveyed by an LMA through spontaneous ventilation in the lateral decubitus position was planned, and the induction was smoothly done. Unfortunately, laryngospasm and oxygen desaturation occurred during the operation; the patient was successfully rescued by nasal intubation with a GlideScope in the lateral decubitus position without interrupting the operation. PMID: 18593654 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575771 Sun, 01 Jun 2008 04:00:00 +0100 1575771 http://www.medworm.com/index.php?rid=1575770&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%3D18593655%26dopt%3DAbstract Authors: Sia SL, Chang YL, Lee TM, Lai YY Temporomandibular joint (TMJ) dislocation after general anesthesia is not rare. Most victims usually have a past history of TMJ dysfunction or subluxation. It is possible that incomplete TMJ integrity, inadequate articular eminence shape and anesthetic agents that precipitate masticatory muscle hypotonicity are the main factors leading to dislocation. However, some patients suffer from post-anesthesia TMJ dislocation with no connection to prior history. We propose here different mechanisms that may cause TMJ dislocation. TMJ dislocation has been reported after the placement of a laryngeal mask airway for general anesthesia. After reviewing two such cases between August 2004 and July 2007, we found that some iatrogenic factors might intensify th... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575770 Sun, 01 Jun 2008 04:00:00 +0100 1575770 http://www.medworm.com/index.php?rid=1575769&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%3D18593656%26dopt%3DAbstract We describe a 75-year-old male patient who underwent retrograde ureteroscopic examination under spinal anesthesia. He developed complete paraplegia 24 hours later. Magnetic resonance imaging (MRI) revealed bone metastasis to T10, a vertebral body mass lesion at L3, and an epidural mass at T9-11 with cord compression. The aim of this case report is to highlight the importance of neurological examination of patients undergoing neuraxial block both in the pre-anesthetic interview and postoperative examination in the recovery period. Careful observation of the postoperative course is essential to exclude any possible neurological complications. If motor and sensory functions do not satisfactorily recover, an MRI examination should be undertaken without delay to determine whether the underlying... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575769 Sun, 01 Jun 2008 04:00:00 +0100 1575769 http://www.medworm.com/index.php?rid=1575768&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%3D18593657%26dopt%3DAbstract We present a modified method for arterial cannulation using ultrasound guidance in patients with collapsed circulation. The method makes use of ultrasonographic landmarks that enable cannulation of both the radial and brachial arteries, even when the pulse is extremely faint. PMID: 18593657 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575768 Sun, 01 Jun 2008 04:00:00 +0100 1575768 http://www.medworm.com/index.php?rid=1575767&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%3D18593658%26dopt%3DAbstract Authors: Punj J, Pandey R, Darlong V PMID: 18593658 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1575767 Sun, 01 Jun 2008 04:00:00 +0100 1575767 http://www.medworm.com/index.php?rid=1384013&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%3D18390393%26dopt%3DAbstract Authors: Ho ST PMID: 18390393 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384013 Sat, 01 Mar 2008 05:00:00 +0100 1384013 http://www.medworm.com/index.php?rid=1384012&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%3D18390394%26dopt%3DAbstract Conclusion: Ketamine is able to induce the activities of hepatic GST and UGT in rats. The induced GST and UGT activities persist for at least 4 days after cessation of ketamine. The results suggest the possibility of interactions of drugs related to phase II enzyme induction in chronic ketamine users. PMID: 18390394 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384012 Sat, 01 Mar 2008 05:00:00 +0100 1384012 http://www.medworm.com/index.php?rid=1384011&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%3D18390395%26dopt%3DAbstract Conclusion: In anesthetized adult patients, oral and nasal intubations with the GSVL can result in a similar pressor response. However, the tachycardic response to nasal intubation using a GSVL is smaller and of shorter duration than that to oral intubation using a GSVL. PMID: 18390395 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384011 Sat, 01 Mar 2008 05:00:00 +0100 1384011 http://www.medworm.com/index.php?rid=1384010&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%3D18390396%26dopt%3DAbstract Conclusion: Our current general anesthetic technique appears to provide an inadequate depth of anesthesia, especially before uterine closure as a milestone. Also, we found a moderate correlation between AAI and end-tidal isoflurane concentration and, to a lesser extent, with heart rate and mean blood pressure during isoflurane-N2O anesthesia for C/S. PMID: 18390396 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384010 Sat, 01 Mar 2008 05:00:00 +0100 1384010 http://www.medworm.com/index.php?rid=1384009&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%3D18390397%26dopt%3DAbstract Conclusion: Our study demonstrated the risk factor associated with vomiting for orthopedic patients receiving PCEA was female sex. Other demographic variables and factors related to surgery or anesthesia did not have an influence on vomiting. PMID: 18390397 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384009 Sat, 01 Mar 2008 05:00:00 +0100 1384009 http://www.medworm.com/index.php?rid=1384008&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%3D18390398%26dopt%3DAbstract Authors: Huang ST, Kuo CP, Chen JC, Wu CT, Hsieh CM, Wong CS, Yeh CC Tracheostomy is often performed in patients requiring prolonged ventilatory support. Tracheostomy tube obstruction caused either by blood clots, mucous plugs, tube malposition and tissue granulation can lead to life-threatening complications. The risk of such complications is markedly increased in morbidly obese individuals. Here we report an incident in an 81-year-old, morbidly obese, male patient who sustained airway obstruction which resulted in cardiac arrest 10 days after tracheostomy. A 17-cm 10-ng blood clot in a tracheobronchial configuration was found to cause the obstruction. It was removed and the patient recovered after resuscitation. The etiology of the obstruction, specific management, and recommendation... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384008 Sat, 01 Mar 2008 05:00:00 +0100 1384008 http://www.medworm.com/index.php?rid=1384007&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%3D18390399%26dopt%3DAbstract Authors: Su BC, Yang MW, Lee HC, Chang CH, Lin CC The ProSeal laryngeal mask airway (PLMA) is designed to protect the airway from regurgitated fluid. However, successful channeling of large volumes of regurgitated fluid by PLMA is rarely reported. This case report states that a large volume of regurgitated fluid was successfully channeled by a PLMA. The patient was a healthy 43-year-old male, properly fasted, undergoing transurethral cystolithotomy under general anesthesia with a correctly-placed PLMA. Unexpectedly, a large volume of regurgitated fluid (> 500 mL) spurted out from the PLMA esophageal drainage tube 2 hours after surgery. Careful gastric decompression was performed and airway toilet showed no evidence of aspiration of gastric contents. An endotracheal tube was then pla... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384007 Sat, 01 Mar 2008 05:00:00 +0100 1384007 http://www.medworm.com/index.php?rid=1384006&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%3D18390400%26dopt%3DAbstract Authors: Hsu WT, Tsao SL, Chen KY, Chou WK The GlideScope is used to facilitate exposure of the larynx in both routine and difficult airways. A 38-year-old woman with a flame burn (second/third-degree, 40% total body surface area) and inhalation injury accompanied by acute respiratory failure under mechanical ventilation support presented for wound debridement and split thickness skin grafting. After the surgery, the endotracheal tube was reinserted successfully with a GlideScope because we anticipated a problematic airway. However, direct laryngoscopy revealed the endotracheal tube had pierced through the right palatoglossal arch. Because the consulting otolaryngologist confirmed there was no active bleeding, it was decided that no further management was needed for the wound; the pati... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384006 Sat, 01 Mar 2008 05:00:00 +0100 1384006 http://www.medworm.com/index.php?rid=1384005&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%3D18390401%26dopt%3DAbstract Authors: Yen CR, Tsou MY, Lin SM, Chan KH, Chu YC General anesthesia with one-lung ventilation is a conventional anesthetic strategy for most chest surgery, including resection of pulmonary bullae. However, this anesthetic management may cause alveolar barotrauma, hemodynamic instability, pulmonary atelectasis and long-term ventilator dependency. Here, we report a 64-year-old female with polymyositis and bronchiolitis obliterans organizing pneumonia who was scheduled for surgical intervention for a huge pulmonary bulla over the right upper lung. Under thoracic epidural anesthesia, with the patient maintaining clear consciousness and spontaneous breathing, a mini-thoracotomy was accomplished to unroof and partially resect the bulla. There were no perioperative complications, and the pat... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384005 Sat, 01 Mar 2008 05:00:00 +0100 1384005 http://www.medworm.com/index.php?rid=1384004&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%3D18390402%26dopt%3DAbstract We present a rare case of postpartum eclampsia with overt acute heart and renal failure, in the absence of any precursive signs of preeclampsia. A 41-year-old parturient underwent elective cesarean section for the delivery of twins under spinal anesthesia. Prior to the procedure, preoperative laboratory examination revealed only traceable proteinuria but she had hypertension perioperatively. Approximately 8 hours after the cesarean section, she developed seizures, followed by evident acute heart and renal failure. The diagnosis of postpartum eclampsia with HELLP (hemolysis, elevated liver enzymes and low platelets) syndrome was established and she was admitted to the surgical intensive care unit for close care. Fortunately, the patient recovered fully and was discharged 26 days later. From... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384004 Sat, 01 Mar 2008 05:00:00 +0100 1384004 http://www.medworm.com/index.php?rid=1384003&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%3D18390403%26dopt%3DAbstract Authors: Lin TC, Huang YS, Lee SC, Ho ST, Cherng CH, Lu CC Thoracic epidural analgesia provides adequate postoperative pain relief and favorable outcomes in major operations. However, a small number of devastating complications have been reported. Here we present a case of asymptomatic but potentially life-threatening intrapleural insertion of a thoracic epidural catheter intended for postoperative analgesia. A 39-year-old male diagnosed with esophageal carcinoma was scheduled for esophageal reconstruction. After induction of general anesthesia, a thoracic epidural catheter was inserted with a paramedian approach at the T8-9 interspace, using loss of resistance to ensure correct placement. The administration of a test dose of 2% lidocaine with epinephrine was unremarkable. After right ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384003 Sat, 01 Mar 2008 05:00:00 +0100 1384003 http://www.medworm.com/index.php?rid=1384002&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%3D18390404%26dopt%3DAbstract Authors: Lin CY, Wong CS, Wu CT PMID: 18390404 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384002 Sat, 01 Mar 2008 05:00:00 +0100 1384002 http://www.medworm.com/index.php?rid=1384024&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%3D18251238%26dopt%3DAbstract Authors: Wong CS PMID: 18251238 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384024 Sat, 01 Dec 2007 05:00:00 +0100 1384024 http://www.medworm.com/index.php?rid=1384023&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%3D18251239%26dopt%3DAbstract CONCLUSIONS: The perioperative risk of cardiac surgery increases in older patient groups, and some risk factors have different influences on mortality, morbidity and ICU stay. Risk assessment in older cardiosurgical patients with convenient risk factors helps the clinicians to apply rational and cost-effective treatment strategies into practice. PMID: 18251239 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384023 Sat, 01 Dec 2007 05:00:00 +0100 1384023 http://www.medworm.com/index.php?rid=1384022&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%3D18251240%26dopt%3DAbstract CONCLUSIONS: The cost of TIVA with propofol was less than SEVO or DES anesthesia and moreover, propofol TIVA offered benefit of faster recovery in our study. PMID: 18251240 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384022 Sat, 01 Dec 2007 05:00:00 +0100 1384022 http://www.medworm.com/index.php?rid=1384021&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%3D18251241%26dopt%3DAbstract Authors: Chen CK, Tan PP, Lee HC BACKGROUND: Correct central venous catheter (CVC) insertion avoids serious complications, especially fatal intracardiac impalement. There are only few methods which discussed the depth of CVC insertion previously. Predicting the depth of CVC by body surface landmark is an easy and quick way, which is applied most wildly. Chest X-ray is a standard procedure to examine the depth of CVC. However, chest X-ray is not routinely availale, especially in emergency situations. Recent publications demonstrated that the determination of accurate placement by chest X-ray can be substituted by ECG guidance. We would like to find the correlation between surface anatomic landmarks and the depth of CVC insertion, and a method that could be applied easily and quickly to ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384021 Sat, 01 Dec 2007 05:00:00 +0100 1384021 http://www.medworm.com/index.php?rid=1384020&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%3D18251242%26dopt%3DAbstract CONCLUSIONS: Cervical epidural anesthesia with 2% lidocaine plus epinephrine could reduce lung volumes and capacities, resulting from partially paralytic intercostal muscles and diaphragm innervated respectively by thoracic intercostal nerve and phrenic nerve. Without inadvertant total spinal or intravenous anesthesia or pre-existing pulmonary dysfunction, the patients with normal lungs could tolerate these changes well with the procedure. PMID: 18251242 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384020 Sat, 01 Dec 2007 05:00:00 +0100 1384020 http://www.medworm.com/index.php?rid=1384019&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%3D18251243%26dopt%3DAbstract We report a patient with the admitting diagnosis of severe preeclampsia with fetal distress necessitating an emergency cesarean section. An epidural block was instituted before laboratory data were available. Rapid changes of coagulation profiles occurred after delivery. The peripartum anesthetic care of the pregnant woman is presented. AFLP was confirmed by liver needle biopsy 26 days later. Taking our case as an examplification, clinicians must have a high suspicion that AFLP may exist in concurrence with preeclampsia when a parturient presents manifestations of nausea, jaundice, elevated bilirubin, elevated liver enzyme activities, prolonged PT and PTT, or thrombocytopenia. PMID: 18251243 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384019 Sat, 01 Dec 2007 05:00:00 +0100 1384019 http://www.medworm.com/index.php?rid=1384018&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%3D18251244%26dopt%3DAbstract We present a preeclamptic patient complicated by overwhelming pulmonary edema just prior to cesarean section and the massive edematous fluid production made it an exceptional challenge to the anesthesiologist on airway management. Emergent classic laryngeal mask airway (cLMA) placement was an effective alternative means for ventilation to provide temperate oxygenation in this case. PMID: 18251244 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384018 Sat, 01 Dec 2007 05:00:00 +0100 1384018 http://www.medworm.com/index.php?rid=1384017&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%3D18251245%26dopt%3DAbstract Authors: Lin MC, Hsieh TK, Liu CA, Chu CC, Chen JY, Wang JJ, Shieh JP "Piton-S", a preparation of synthetic hormone of oxytocin, is the most common pharmacologic agent used for the induction and augmentation of labor, as well as preventing postpartum hemorrhage owing to its uterotonic properties. There are many adverse effects reported with oxytocin, including hypotension and tachycardia. Anaphylactoid reaction to oxytocin is extremely rare. Here we bring forth a case who sustained from anaphylactoid shock following oxytocin administration during the act of cesarean section. We would like to discuss the proper management of perioperative anaphylaxis after review of similar cases in the literature. PMID: 18251245 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwani... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384017 Sat, 01 Dec 2007 05:00:00 +0100 1384017 http://www.medworm.com/index.php?rid=1384016&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%3D18251246%26dopt%3DAbstract We report a 7-year-old healthy boy who underwent right inguinal hernia repair under general anesthesia. After induction of anesthesia, a percutaneous ilioinguinal nerve block was performed with 3 mL of 2% lidocaine in single-shot. Before wound closure, the surgeon performed a splash block onto the wound with infiltration of 1.5 mL 0.25% bupivacaine. In the recovery room, quadriceps weakness and sensory loss over the anterior thigh were noted. The patient made a complete recovery 8 hrs after surgery without any treatment. We discuss the mechanism of this complication and strategies to reduce this complication. PMID: 18251246 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384016 Sat, 01 Dec 2007 05:00:00 +0100 1384016 http://www.medworm.com/index.php?rid=1384015&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%3D18251247%26dopt%3DAbstract We report a case of inadvertent endobronchial misplacement of NG tube in a patient intubated with double-lumen endotracheal tube for anesthesia. The NG tube slipped past the high-volume-low-pressure cuff of double-lumen endotracheal tube accidentally, resulting in airway-leakage and ventilatory failure. Traditional methods such as aspiration of gastric contents or auscultation of gastric insufflation air for confirmation are unreliable to exclude misplacement of NG tube. We suggest that using capnography to detect misplacement of NG tube in the trachea or facilitating NG tube insertion by videolayrngoscope (GlideScope) could be considered in the operating rooms to avoid complications. PMID: 18251247 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384015 Sat, 01 Dec 2007 05:00:00 +0100 1384015 http://www.medworm.com/index.php?rid=1384014&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%3D18254204%26dopt%3DAbstract Authors: PMID: 18254204 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384014 Sat, 01 Dec 2007 05:00:00 +0100 1384014 http://www.medworm.com/index.php?rid=1384035&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%3D17972614%26dopt%3DAbstract Authors: Day YJ PMID: 17972614 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384035 Sat, 01 Sep 2007 04:00:00 +0100 1384035 http://www.medworm.com/index.php?rid=1384034&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%3D17972615%26dopt%3DAbstract CONCLUSIONS: These results suggest that CIA, as compared with FPA, provides a significant reduction in the time to extubation after OPCABG surgery with less use of inotropic agents. PMID: 17972615 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384034 Sat, 01 Sep 2007 04:00:00 +0100 1384034 http://www.medworm.com/index.php?rid=1384033&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%3D17972616%26dopt%3DAbstract CONCLUSIONS: The performance of TCI infusion of propofol in Chinese patients is generally acceptable with Marsh's or Schnider's model apart from using Schnider's model in Chinese elderly patients. Further study to investigate the difference of propofol pharmacokinetics between Chinese and non-Chinese elderly patients is necessary. PMID: 17972616 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384033 Sat, 01 Sep 2007 04:00:00 +0100 1384033 http://www.medworm.com/index.php?rid=1384032&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%3D17972617%26dopt%3DAbstract CONCLUSIONS: The results indicated that APEC with group video-teaching could not only make patients more satisfied with process of anesthesia in elective surgery but also reduce the expenditure of hospitalization and anesthetic manpower. PMID: 17972617 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384032 Sat, 01 Sep 2007 04:00:00 +0100 1384032 http://www.medworm.com/index.php?rid=1384031&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%3D17972618%26dopt%3DAbstract CONCLUSIONS: Based on the time-lag pattern between two predictors (MAP and HR) and SrO2 during spinal anesthesia, we ventured to conclude that a change in MAP or HR caused a significant decrease in SrO2. Since no patient developed any neurologic complication perioperatively, further study must be performed to elucidate the clinical importance of our findings. PMID: 17972618 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384031 Sat, 01 Sep 2007 04:00:00 +0100 1384031 http://www.medworm.com/index.php?rid=1384030&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%3D17972619%26dopt%3DAbstract CONCLUSIONS: The basic concept of P value with specified statistical test was not applicable comprehensively in poster abstracts of the annual conferences. Based on our wishful intention, we suggest that the anesthesia administrators and senior anesthesiologists at ATH or MC, and the members of the committee responsible for running academic affairs in TSA, should pay attention to this prodigy and work together to improve our basic statistics in poster presentation. PMID: 17972619 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384030 Sat, 01 Sep 2007 04:00:00 +0100 1384030 http://www.medworm.com/index.php?rid=1384029&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%3D17972620%26dopt%3DAbstract Authors: Lai YY, Chien JT, Huang SJ Flexible fiberoptic endoscope is the most valuable tool for anesthesiologists to manage difficult airways. Correctly positioning of the patient during fiberoptic intubation aids the clinician to rapidly secure the airway, because it not only saves time, but also minimizes the risk of repeated attempts of intubation with possible serious consequences in the wake. In general, fiberoptic intubation is carried out with the patient in the supine position, but there are situations in which the intubation requires the subjects to be in the sitting position. The sitting position also changes the position of performing anesthesiologist relative to the patient, presenting an inverse view contrary to that of traditional laryngoscopy. We can often obtain a super... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384029 Sat, 01 Sep 2007 04:00:00 +0100 1384029 http://www.medworm.com/index.php?rid=1384028&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%3D17972621%26dopt%3DAbstract Authors: Wu SH, Huang SH, Lu IC, Lee SS, Chang YL, Chu KS A 34-year-old man was referred to our hospital for management of multiple trauma in consequence of a car accident. Initial examination showed mild intracranial hemorrhage proven by computed tomographic scan (CT) of the brain and multiple fractures of face and thigh. Surgical repair of the multiple fractures was undertaken with stable vital signs and neurological condition. Anesthesia was induced with fentanyl and thiamylal and rocuronium was used to facilitate oroendotracheal intubation. Sevoflurane in a mixture of oxygen and air and rocuronium were used for maintenance of anesthesia and surgical relaxation, respectively. The surgeon decided to perform fixation of facial bone first, so he infiltrated the nasal mucosa with epinep... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384028 Sat, 01 Sep 2007 04:00:00 +0100 1384028 http://www.medworm.com/index.php?rid=1384027&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%3D17972622%26dopt%3DAbstract We report a 45-year-old obese uremic female, who developed sudden and profound shock followed by cardiac arrest during the percutaneous insertion of a permanently cuffed and tunneled hemodialysis catheter under local anesthesia. Upon our rush to the scene for succor, inspection revealed that she was pale, comatose, and tachypneic, while her peripheral radial pulse was not felt on palpation. In addition to immediate airway management, setting up vital signs monitoring, aggressive fluid resuscitation, we promptly put transesophageal echocardiograph into use. Echocardiography revealed massive right hemothorax which severely compressed the right atrium and right ventricle. Right thoracostomic drainage tube was placed, from which massive blood was drained out, and her vital signs were restored ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384027 Sat, 01 Sep 2007 04:00:00 +0100 1384027 http://www.medworm.com/index.php?rid=1384026&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%3D17972623%26dopt%3DAbstract Authors: Chen LC, Tzao C, Liaw WJ, Horng HC, Cherng CH, Wong CS, Wu CT Pneumomediastinum is a rare event in subclavian central venous catheterization. However in severe thoracotraumatized patients, such as with bilateral hemopneumothorax, the catherization may be hazardous and made complex by occurrence pneumomediastinum, even the procedure is rightly carried out. We suggest that in such a risky condition, if it is mandatory, it should be carried out in a more placid condition, such as avoidance of high PEEP ventilation, setting lower tidal volume, or brief interruption of positive ventilation, to reduce the likelihood of unperceivable pneumomediastinum. PMID: 17972623 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384026 Sat, 01 Sep 2007 04:00:00 +0100 1384026 http://www.medworm.com/index.php?rid=1384025&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%3D17972624%26dopt%3DAbstract We present here a case of rarely-seen delayed MH induced by an inhalation agent of low-inducing probability, sevoflurane, after the second exposure to which within a short period of time. The patient was a five years old boy who received sevoflurane anesthesia for repeat orthopedic surgery within two days. Gradual elevation in heart rate, abrupt hypercarbia and hyperthermia were observed 90 min after induction. Dantrolene was administrated immediately with effective therapeutic response. Eventually, the patient recovered without any complication as an aftermath. Gradually elevated heart rate during the second exposure to sevoflurane was the atypical sign in the episode of MH in this case. One plausible explanation for the development of delayed onset of MH is the latent effect of the volat... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384025 Sat, 01 Sep 2007 04:00:00 +0100 1384025 http://www.medworm.com/index.php?rid=1384046&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%3D17694680%26dopt%3DAbstract Authors: Li CY, Lin FY The p47phox- and Rac 1-dependent NADPH oxidase activation, ROS production, and MAPK signaling pathways play critical roles in endotoxin-enhanced TLR4 expression and TLR4 mRNA stabilization in VSMCs. These evidences provide for the direct involvement of VSMCs in endotoxin-mediated inflammatory activation, which may contribute to the progression of cardiovascular disorders, although targeting TLR4 will prove to be a successful approach for the treatment of these devastating diseases remains to be determined. PMID: 17694680 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384046 Fri, 01 Jun 2007 04:00:00 +0100 1384046 http://www.medworm.com/index.php?rid=1384045&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%3D17694681%26dopt%3DAbstract CONCLUSIONS: Spinal Fos expression could be induced by different mechanisms, and it should not regarded as a reliable marker of pain sensation disorders. NO plays an important role in the development of nociception and spinal Fos expression through central sensitization mediated by peripheral nerve injury. PMID: 17694681 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384045 Fri, 01 Jun 2007 04:00:00 +0100 1384045 http://www.medworm.com/index.php?rid=1384044&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%3D17694682%26dopt%3DAbstract CONCLUSIONS: Whenever we perform interscalene brachial plexus block, the head rotation angle should not exceed 30 degrees. The measured medial deviation of surface landmark should be considered when it is used to approach interscalene brachial plexus. PMID: 17694682 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384044 Fri, 01 Jun 2007 04:00:00 +0100 1384044 http://www.medworm.com/index.php?rid=1384043&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%3D17694683%26dopt%3DAbstract CONCLUSIONS: Implementation of PDA device during APS assessment can provide the anesthesiologists with more time to acquire information during APS visits. Using the PDA technology in clinical settings can increase work efficiency. We can save manpower and are convinced that data collection is more complete with the use of a PDA system. PMID: 17694683 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384043 Fri, 01 Jun 2007 04:00:00 +0100 1384043 http://www.medworm.com/index.php?rid=1384042&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%3D17694684%26dopt%3DAbstract CONCLUSIONS: The occurrence of atrial fibrillation correlates with serum magnesium level. Diabetes mellitus probably hampers prophylactic effect of supplemental magnesium in preventing the occurrence of Af. PMID: 17694684 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384042 Fri, 01 Jun 2007 04:00:00 +0100 1384042 http://www.medworm.com/index.php?rid=1384041&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%3D17694685%26dopt%3DAbstract CONCLUSIONS: Our study results showed that the concurrent combination therapy with proper medications and appropriate nerve blocks could offer satisfactory pain relief in the majority of elderly patients with PHN. PMID: 17694685 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384041 Fri, 01 Jun 2007 04:00:00 +0100 1384041 http://www.medworm.com/index.php?rid=1384040&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%3D17694686%26dopt%3DAbstract Authors: Sung CS, Wong CS Dorsal horn of the spinal cord is important in the transduction and modulation of various pain signals. Interleukin-1beta (IL-1beta) not only plays an important role in the nociceptive modulation but also enhances the spinal cord nociceptive neuron wind-up. Intrathecal (i.t.) administration of IL-1beta activates p38 mitogen-activated protein kinase (MAPK), and leads to induction of inducible nitric oxide synthase (iNOS) and release of nitric oxide (NO), which sensitizes the spinal nociceptors and produces thermal hyperalgesia and allodynia. I.t. pretreatment of IL-1 receptor antagonist (IL-1ra), p38 MAPK inhibitor or iNOS inhibitor, inhibits the i.t. IL-1beta-induced NO levels and thermal hyperalgesia in rats, likely via either inhibiting the IL-1beta-mediated... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384040 Fri, 01 Jun 2007 04:00:00 +0100 1384040 http://www.medworm.com/index.php?rid=1384039&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%3D17694687%26dopt%3DAbstract In conclusion, we must always take the possibility of methemoglobinemia into consideration for differential diagnosis in case of unexplained cyanosis, particularly when patients have prior exposure to methemoglobin-inducing agents. PMID: 17694687 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384039 Fri, 01 Jun 2007 04:00:00 +0100 1384039 http://www.medworm.com/index.php?rid=1384038&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%3D17694688%26dopt%3DAbstract Authors: Li CH, Lee FJ, Shih YJ, Tsai TC, Peng SK, Luk HN, Huang JH A 90-year-old female patient undergoing surgery for knee and hip fractures under general anesthesia sustained cardiac arrest intraoperatively. The transesophageal echocardiography performed during resuscitation revealed massive pulmonary embolism with a 2 x 3 cm oval-shaped thrombus in the bifurcation of pulmonary artery. Anticoagulant therapy was administered immediately. Clinical symptoms were gradually improved, and transthoracic echocardiography performed 5 days later revealed no evidence of residual thromboemboli. Subsequently the patient developed liver and acute renal failures in consequence of hypoperfusion during the intraoperative resuscitation, and died of multiple organ failure 21 days after the procedure. ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384038 Fri, 01 Jun 2007 04:00:00 +0100 1384038 http://www.medworm.com/index.php?rid=1384037&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%3D17694689%26dopt%3DAbstract We report a 9 month-old male infant suffering form holoprosencephaly developed syndrome of inappropriate secretion of antidiuretic hormone followed by diabetes insipidus within a relative short time postoperatively after his third operation. Inability to suppress as well as to stimulate arginine vasopressin secretion and anesthetic and surgical stresses, were thought to be the possible causes of this event. PMID: 17694689 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384037 Fri, 01 Jun 2007 04:00:00 +0100 1384037 http://www.medworm.com/index.php?rid=1384036&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%3D17694690%26dopt%3DAbstract Authors: Ho CC, Kuo CP, Huang ST, Cherng CH, Yeh CC, Wong CS, Wu CT Cardiovascular instability is a common manifestation of spinal cord injury, especially if the upper thoracic or cervical spine is involved. Here we report a case of lower thoracic spinal tumor who developed acute pulmonary edema postoperatively at post-anesthesia room following surgery. This might be caused by injudicious fluid administration after trying to correct intraoperative hypotension due to neurogenic shock. Therefore, meticulous calculation in fluid resuscitation together with vasopressors or inotropics support is important in dealing with neurogenic shock. Comprehensive monitoring of hemodynamic parameters, such as with central venous catheter or pulmonary catheter in this sort of surgery should be establish... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384036 Fri, 01 Jun 2007 04:00:00 +0100 1384036 http://www.medworm.com/index.php?rid=1384057&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%3D17424752%26dopt%3DAbstract CONCLUSIONS: We consider that immediate extubation after cardiac procedures either through thoracotomy or sternotomy is a rather safe practice and if possible minimally invasive technique should be chosen because it causes smaller wound and offers safer immediate extubation and shorter ICU stay. PMID: 17424752 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384057 Thu, 01 Mar 2007 05:00:00 +0100 1384057 http://www.medworm.com/index.php?rid=1384056&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%3D17424753%26dopt%3DAbstract CONCLUSIONS: The neuromuscular blocking potency of atracurium is approximately 17% that of vecuronium in anesthetized Chinese adult patients. Following equipotent doses, the time course of action of atracurium is similar to that of vecuronium. PMID: 17424753 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384056 Thu, 01 Mar 2007 05:00:00 +0100 1384056 http://www.medworm.com/index.php?rid=1384055&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%3D17424754%26dopt%3DAbstract CONCLUSIONS: We recommend the most optimal position for carrying out coracoid infraclavicular brachial plexus block is to abduct the upper arm 90 degrees with external rotation of the shoulder. Though ultrasonographic guidance is suggested for infraclaricular brachial plexus block, an optimal position for puncture site determined by anatomical landmark is also acceptable. PMID: 17424754 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384055 Thu, 01 Mar 2007 05:00:00 +0100 1384055 http://www.medworm.com/index.php?rid=1384054&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%3D17424755%26dopt%3DAbstract CONCLUSIONS: Ceasing desflurane supply earlier in CCA (250 mL/min) significantly shortens emergence time without significant hemodynamic changes. PMID: 17424755 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384054 Thu, 01 Mar 2007 05:00:00 +0100 1384054 http://www.medworm.com/index.php?rid=1384053&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%3D17424756%26dopt%3DAbstract CONCLUSIONS: Ultrasonographic guidance is suggested whenever anatomical precision is inadequate or meeting with great individual bodily variance which renders landmark-based technique difficult. However, if this facility is not available, the gender discrepancy in measurement should be seriously considered when coracoid process is used as the landmark. PMID: 17424756 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384053 Thu, 01 Mar 2007 05:00:00 +0100 1384053 http://www.medworm.com/index.php?rid=1384052&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%3D17424757%26dopt%3DAbstract We present a fatal case of persistent SAE identified by transesophageal echocardiography (TEE) after weaning from cardiopulmonary bypass (CPB). Perplexities in identification of a bronchovascular fistula and hesitation in aggressive management to arrest the resultant continuous air entry into systemic circulation caused death as an aftermath. Related instances in literature have been reviewed and appropriate managements are herein discussed. PMID: 17424757 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384052 Thu, 01 Mar 2007 05:00:00 +0100 1384052 http://www.medworm.com/index.php?rid=1384051&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%3D17424758%26dopt%3DAbstract We report a young healthy adult female patient who underwent removal of fixation implant in the right elbow under general anesthesia, during the emergence of which she bit and severed the airway tube of the laryngeal mask airway (LMA) after cuff deflation and developed upper airway obstruction in consequence of air blockade by the displaced deflated LMA cuff remaining inside the mouth. Removal of residual part of the LMA in the mouth was successful with propofol re-anesthetization without molestation of 02 saturation. We discuss the management of this critical airway condition resulting from fracture of deflated LMA in the closed mouth. PMID: 17424758 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384051 Thu, 01 Mar 2007 05:00:00 +0100 1384051 http://www.medworm.com/index.php?rid=1384050&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%3D17424759%26dopt%3DAbstract We report a GBS patient who after receiving an operation for polycystic liver disease under general anesthesia developed weakness of upper and lower extremities on the 3rd postoperative day, with decreased deep tendon reflex, which ultimately evolved into respiratory failure. Slurred speech and bilateral ptosis were also noted. All these manifested an acute peripheral polyneuropathy combined with bulbar involvement. According to the clinical picture, CSF examination and results of nerve conduction tests, Guillain-Barré syndrome was diagnosed. Plasmapheresis was immediately arranged and her motor weakness problem was soon improved after treatment. No neurological sequelae were found two months after discharge. Postoperative muscle weakness is usually caused by residual effects of anest... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384050 Thu, 01 Mar 2007 05:00:00 +0100 1384050 http://www.medworm.com/index.php?rid=1384049&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%3D17424760%26dopt%3DAbstract We report here two cases of PDPH, who failed to respond to traditional analgesics, but had good response to gabapentin. After treatment with gabapentin 400 mg three times daily, the headache was relieved remarkably in 24 hr. Discussions of the pathophysiology of PDPH, pharmacological actions of gabapentin, and possible mechanisms of action of gabapentin on PDPH are brought forward in the text. PMID: 17424760 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384049 Thu, 01 Mar 2007 05:00:00 +0100 1384049 http://www.medworm.com/index.php?rid=1384048&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%3D17424761%26dopt%3DAbstract Authors: Cheng HC, Chen KB, Liu YC, Wu RS A 26-year-old pregnant woman with a body mass index of 60 was scheduled for cesarean section at 36 weeks' gestation. She was found having affected with gestational diabetes mellitus and hypertension at 17 weeks of pregnancy. The blood glucose level as controlled by subcutaneous injection of insulin was maintained at the level of 110-140 mg/dL. Hypertension was also controlled by methyldopa and hydralazine with the systolic pressure maintaining at 140-180 mmHg during the pregnancy. Abnormal perfusion of umbilical artery without compromise of placental function was found twice by Doppler prenatal examination at gestation of 33 and 34 weeks respectively. The operation was performed under general anesthesia. However, apnea and low Apgar score of th... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384048 Thu, 01 Mar 2007 05:00:00 +0100 1384048 http://www.medworm.com/index.php?rid=1384047&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%3D17424762%26dopt%3DAbstract Authors: Lin BF, Lee SC, Kao CH, Tsung YC, Kuo CP, Wong CS, Wu CT Traumatic intubation, reintubation, intubation with endotracheal tube of inappropriate size, and failure to firmly secure the tube may contribute to the development of subglottic stenosis. Systemic factors such as sepsis, hypotension, autoimmune and granulomatous disorders have all been implicated as contributing causes. In addition, a risky circumstance that might be considered important in the development of airway damage is the occurrence of gastreoesophageal reflux (GER), particularly in thoracotomy operations, where the patients are placed in the lateral position. The purpose of this report is to describe a patient who developed subglottic stenosis following a thoracotomy. The possible causes are macrotrauma due to ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384047 Thu, 01 Mar 2007 05:00:00 +0100 1384047 http://www.medworm.com/index.php?rid=1384070&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%3D17233361%26dopt%3DAbstract Authors: Wu RS PMID: 17233361 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384070 Fri, 01 Dec 2006 05:00:00 +0100 1384070 http://www.medworm.com/index.php?rid=1384069&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%3D17233362%26dopt%3DAbstract CONCLUSIONS: We could evaluate the serial changes of PWV in response to general anesthesia and surgical stimulation using a simple and noninvasive dual-channel photoplethysmography system. The value of PWV, an index of arterial stiffness, has significant correlation with arterial blood pressure. PMID: 17233362 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384069 Fri, 01 Dec 2006 05:00:00 +0100 1384069 http://www.medworm.com/index.php?rid=1384068&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%3D17233363%26dopt%3DAbstract CONCLUSIONS: Our results show that, in younger surgical patients who did not receive large amount of fluid intraoperatively, the incidence of urinary retention was low, although prolonged sensory blockade by both long-acting local anesthetics was evident. Thus, urinary catheterization should not be a routine must for every patient undergoing minor surgery with long-acting spinal local anesthetics. From the viewpoint of financial expense, avoidance of complication and annoyance of urinary catheterization, careful observation of urinary bladder fullness in the form of lower abdominal distension, discomfort, bradycardia, or vomiting after surgery is superior to routine retention urinary catheterization just for ease with work in younger patients under-going minor surgery under long-acting spi... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384068 Fri, 01 Dec 2006 05:00:00 +0100 1384068 http://www.medworm.com/index.php?rid=1384067&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%3D17233364%26dopt%3DAbstract CONCLUSIONS: Compared with the routine clinical practice, AAI monitoring helps to achieve better condition for EI during induction with less hemodynamic changes. The AAI value of 20 is suggested as an optimal indicator for EI. PMID: 17233364 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384067 Fri, 01 Dec 2006 05:00:00 +0100 1384067 http://www.medworm.com/index.php?rid=1384066&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%3D17233365%26dopt%3DAbstract CONCLUSIONS: Oral ketamine may be used to reduce postoperative pain following orthopedic procedures in the traumatic patients. Since only one patient developed psychological side effect (which we can not attribute to ketamine with certainty) it can be concluded that oral ketamine is not so fearsome with respect to emergence reaction. PMID: 17233365 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384066 Fri, 01 Dec 2006 05:00:00 +0100 1384066 http://www.medworm.com/index.php?rid=1384065&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%3D17233366%26dopt%3DAbstract We report a case of pulmonary artery perforation induced by Swan-Ganz catheter. Brisk massive airway hemorrhage occurred after withdrawl of the Swan-Ganz catheter post cardiopulmonary bypass. Early recognition, immediate re-establishment of cardiopulmonary bypass, lobectomy of the sanguineous lobe subsequent to rupture of the involved pulmonary artery, and thorough bronchial toilet were the major determinants contributing to successfully rescuing the patient's life. She was discharged uneventfully in spite of high mortality rate of the catheter-induced pulmonary artery perforation. PMID: 17233366 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384065 Fri, 01 Dec 2006 05:00:00 +0100 1384065 http://www.medworm.com/index.php?rid=1384064&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%3D17233367%26dopt%3DAbstract This report cites the usefulness of fiberoptic scope-guided endotracheal tube intubation through a classical laryngeal mask airway (LMA) during spontaneous breathing. Treacher Collins Syndrome (TCS) is a condition where airway management is stressful to anesthesiologists. We report a pediatric patient with TCS undergoing cleft palate repair. The patient had a history of sleep apnea syndrome, chronic lung disease, and congenital heart disease. Intubation by rigid laryngoscopy was unsuccessful at the first attempt. One month later, under spontaneous ventilation, tracheal intubation was smoothly performed with the use of a fiberoptic scope through an LMA under intravenous anesthesia with propofol. Fiberoptic scope-guided endotracheal intubation through an LMA with the push of another ETT of t... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384064 Fri, 01 Dec 2006 05:00:00 +0100 1384064 http://www.medworm.com/index.php?rid=1384063&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%3D17233368%26dopt%3DAbstract We describe a female patient who had her PDPH successfully treated with epidural saline delivered by a patient-controlled analgesia device (Abbott Pain Management-APM) without molestation of her daily activities. PMID: 17233368 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384063 Fri, 01 Dec 2006 05:00:00 +0100 1384063 http://www.medworm.com/index.php?rid=1384062&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%3D17233369%26dopt%3DAbstract Authors: Tai YP, Wei CK, Lai YY Anesthesiologists currently view laparoscopic cholecystectomy resemblant to other laparoscopic procedures with respect to the necessity of inducing a pneumoperitoneum via abdominal insufflation of carbon dioxide (CO2). The present case report describes a healthy 63-year-old man who while undergoing elective laparoscopic cholecystectomy under general anesthesia, developed hypoxemia in the course in consequence of pneumothorax. This complication, although rare, can be catastrophic if prompt diagnosis and rapid intervention and management do not come in the nick of time. PMID: 17233369 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384062 Fri, 01 Dec 2006 05:00:00 +0100 1384062 http://www.medworm.com/index.php?rid=1384061&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%3D17233370%26dopt%3DAbstract We report a case of MI which occurred either intraoperatively or postoperatively, with symptoms that were masked by high level of sensory block to T4 by spinal anesthesia. This perioperative MI was only diagnosed when the patient recovered from anesthesia in the post-anesthesia care unit (PACU). PMID: 17233370 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384061 Fri, 01 Dec 2006 05:00:00 +0100 1384061 http://www.medworm.com/index.php?rid=1384060&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%3D17233371%26dopt%3DAbstract Authors: Huang SY, Wang CC, Chang WK, Chan KH, Chu CC Administration of improper drugs into epidural space is occasionally present in anesthetic practice. In most instances it would not contribute to significant neurological complications. There had not been severe hypotension reported in the literature in consequence of inadvertent epidural thiopental administration. Here we describe our experience in a case of inadvertent epidural administration of thiopental coinciding with induction of anesthesia with propofol, as a consequence of which profound hypotension was induced, necessitating aggressive inotropic and vasopressive agents to maintain blood pressure. Rapid vascular uptake of thiopental in the epidural space and synergistic action of propofol jointly contributed to the developm... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384060 Fri, 01 Dec 2006 05:00:00 +0100 1384060 http://www.medworm.com/index.php?rid=1384059&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%3D17233372%26dopt%3DAbstract Authors: Hung MH, Wang YM, Chia YY, Chou YM, Liu K Vasopressin has been documented to effectively reduce blood loss in gynecologic practice. However, local infiltration of vasopressin may cause lethal cardiopulmonary complications in spite of rarity of reported cases. Severe bradycardia and cardiac arrest were encountered after intramyometrial injection of vasopressin in our two healthy patients undergoing open uterine myomectomy. We herewith discuss the associated complications and the anesthetic considerations. PMID: 17233372 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384059 Fri, 01 Dec 2006 05:00:00 +0100 1384059 http://www.medworm.com/index.php?rid=1384081&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%3D17036999%26dopt%3DAbstract Authors: Sun WZ PMID: 17036999 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384081 Fri, 01 Sep 2006 04:00:00 +0100 1384081 http://www.medworm.com/index.php?rid=1384080&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%3D17037000%26dopt%3DAbstract CONCLUSIONS: Disease patterns, BMI and age are associated with total PCEA requirements. Gynecologic patients receiving procedures for malignant diseases consumed more PCEA solution than benign cases. Height is not associated with total PCEA demand. There is a close correlation between BMI and PCEA consumption but age is a negative correlate. PMID: 17037000 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384080 Fri, 01 Sep 2006 04:00:00 +0100 1384080 http://www.medworm.com/index.php?rid=1384079&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%3D17037001%26dopt%3DAbstract CONCLUSIONS: These data demonstrate that NO scavenger, carboxy-PTIO, provides significant ischemic neuroprotection when given as a pre-treatment as well as after the onset of permanent focal ischemia in two animal species. PMID: 17037001 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384079 Fri, 01 Sep 2006 04:00:00 +0100 1384079 http://www.medworm.com/index.php?rid=1384078&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%3D17037002%26dopt%3DAbstract CONCLUSIONS: Our results demonstrate a unique pattern of pain, which varies with barometric pressure, in the subtropical region and may provide reference for better pain intervention during change of weather. PMID: 17037002 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384078 Fri, 01 Sep 2006 04:00:00 +0100 1384078 http://www.medworm.com/index.php?rid=1384077&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%3D17037003%26dopt%3DAbstract CONCLUSIONS: Both buprenorphine and morphine by intravenous PCA provided adequate pain relief after posterior lumbar spinal fusion. The incidences of side effects were similar in both groups except for pruritus which did not appear in buprenorphine group. Buprenorphine was as efficient as morphine and safe for intravenous PCA after spine surgery. PMID: 17037003 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384077 Fri, 01 Sep 2006 04:00:00 +0100 1384077 http://www.medworm.com/index.php?rid=1384076&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%3D17037004%26dopt%3DAbstract CONCLUSIONS: Intramuscular injection of the depot of buprenorphine decanoate in guinea pigs produced a dose-related long-lasting antinociceptive effect which was much longer than that of the traditional dosage form of buprenorphine HCl. Moreover, buprenorphine decanoate is a prodrug of buprenorphine. PMID: 17037004 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384076 Fri, 01 Sep 2006 04:00:00 +0100 1384076 http://www.medworm.com/index.php?rid=1384075&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%3D17037005%26dopt%3DAbstract Authors: Hsieh CH, Hung PC, Chien CT, Shih YR, Peng SK, Luk HN, Tsai TC Acute intermittent porphyria (AIP) is an inherited metabolic disorder caused by deficiency of porphobilinogen deaminase, an enzyme found in the synthetic pathway of heme. Acute attack of AIP may be precipitated by many factors during operation and anesthesia, including fasting, dehydration, stress, infection, and drugs. Acute attack of AIP is likely fatal. Therefore, the drugs recommended as being safe in anesthesia for porphyria patients are up-to-dately refreshed and renovated and the identification of whether a drug is safe or not is based on cumulative anecdotal experiences. Here, we report the safe use of rocuronium and sevoflurane for long exposure in a patient affected with acute intermittent porphyria. ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384075 Fri, 01 Sep 2006 04:00:00 +0100 1384075 http://www.medworm.com/index.php?rid=1384074&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%3D17037006%26dopt%3DAbstract We report a case of unusual block caused by postoperative epidural analgesia for laparotomy in a gynecologic patient in consequence of inadvertent epidural catheterization. The clinical manifestation included agitation, spotty distribution of analgesia, wide spread of sensory block and loss of motor power. The radiological findings suggested a multicompartmental block with the anchorage of the catheter tip stretching over the epidural and subdural spaces. The default of catheter position was not detected during routine test dose procedure. PMID: 17037006 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384074 Fri, 01 Sep 2006 04:00:00 +0100 1384074 http://www.medworm.com/index.php?rid=1384073&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%3D17037007%26dopt%3DAbstract We present a 52-year-old male who after undergoing cadaveric kidney transplantation under general anesthesia in combination with epidural analgesia made possible by catheterization via T11-12 interspace for reinforcement of anesthesia and for postoperative patient-controlled epidural analgesia (PCEA) sustained sensory disturbance and muscle weakness of the lower limbs. These symptoms did not improve after discontinuation of the PCEA. Epidural hematoma with secondary radiculopathy was contemplated initially. Serial examinations including thoracic-lumbar CT scan, abdominal sonography, electromyogram and nerve conduction study were thus performed. The final diagnosis turned out to be surgical procedure related femoral neuropathy. We believe this is the first instance ever reported about the d... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384073 Fri, 01 Sep 2006 04:00:00 +0100 1384073 http://www.medworm.com/index.php?rid=1384072&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%3D17037008%26dopt%3DAbstract Authors: Tanwiphongtrakun T, Inoue S, Furuya H We came across a case who because of sustained hypotension with normal cardiac output was given amrinone which offered an initial excellent response but showed impotency later and its replacement by milrinone dramatically improved the hemodynamic status. The ensuing hypotension was thought to be the consequence of the use of amrinone which was given to treat hypotension in conjunction with fluid therapy; besides, it also induced pulmonary hypertension. Therefore, milrinone was given to replace amrinone and was successfully to turn the tide. It is our suggestion that if the use of a phosphodiesterase (PDE) inhibitor is indicated but its side effects are enhanced to refute its use, the application of a different PDE inhibitor should be kept ... Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384072 Fri, 01 Sep 2006 04:00:00 +0100 1384072 http://www.medworm.com/index.php?rid=1384071&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%3D17037009%26dopt%3DAbstract In conclusion, sevoflurane does not induce exacerbation of symptoms and facilitates early postoperative neurologic assessment, therefore, it is one of ideal anesthetics for MS patients. PMID: 17037009 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384071 Fri, 01 Sep 2006 04:00:00 +0100 1384071 http://www.medworm.com/index.php?rid=1384058&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%3D17378088%26dopt%3DAbstract Authors: PMID: 17378088 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384058 Fri, 01 Sep 2006 04:00:00 +0100 1384058 http://www.medworm.com/index.php?rid=1384092&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%3D16845910%26dopt%3DAbstract Authors: Wong CS, Kuo CP, Ko SC PMID: 16845910 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384092 Thu, 01 Jun 2006 04:00:00 +0100 1384092 http://www.medworm.com/index.php?rid=1384091&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%3D16845911%26dopt%3DAbstract CONCLUSIONS: The PMCP knowledge deficits were prevalent in physicians and thus influenced their prescription of opioids for the simulated cases. An active continuing education program on both the international guidelines and the essential practice skills should be implemented and intensified specifically upon subgroup physicians, to correct their misconceptions and consolidate their PMCP knowledge. PMID: 16845911 [PubMed - indexed for MEDLINE] (Source: Acta Anaesthesiologica Taiwanica) Acta Anaesthesiologica Taiwanica journals http://www.medworm.com/rss/comments.php?id=1384091 Thu, 01 Jun 2006 04:00:00 +0100 1384091