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Evaluation of the Platelet Function Analyzer (PFA-100) vs. the Thromboelastogram (TEG) in the Clinical Setting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19762299 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Tsou MY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Platelet Function Analyzer (PFA-100) Offers Higher Sensitivity and Specificity than Thromboelastography (TEG) in Detection of Platelet Dysfunction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Chang YW, Liao CH, Day YJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Accuracy of the Central Landmark for Catheterization of the Right Internal Jugular Vein After Placement of the ProSeal Laryngeal Mask Airway.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Tseng KY, Tsai CJ, Wu SH, Lu DV, Hsu HT, Lu IC, Chu KS Tags: Acta Anaesthesiol Taiwan Source Type: journals

Closed-loop Control of Anesthesia Using the Bispectral Index in Open Heart Surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Puri GD, Mathew PJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Effects of propofol sedation during the early postoperative period in hemorrhagic stroke patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Hung YC, Lee EJ, Chen HY, Ko SW, Shyr MH, Chen TY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Cervicofacial subcutaneous emphysema following tonsillectomy: implications for anesthesiologists.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 int...
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Hung MH, Shih PY, Yang YM, Lan JY, Fan SZ, Jeng CS Tags: Acta Anaesthesiol Taiwan Source Type: journals

Fatal venous air embolism during emergence from anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 proces...
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Hsieh TK, Hsieh JP, Lin MC, Ho ST, Hsing CH, Wang JJ, Chu CC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Anesthetic management of a patient with congenital methemoglobinemia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 o...
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Lin CY, Yang JM, Chen CT, Hsu YW, Huang CJ, Chen CC, Tsai HJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Acute radial nerve injury associated with an automatic blood pressure monitor.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Swei SC, Liou CC, Liu HH, Hung PC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Complete atrioventricular block with bradycardia after craniotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, i...
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Yang SC, Chang WK, Yuan HB, Sung CS, Chan KH Tags: Acta Anaesthesiol Taiwan Source Type: journals

Rapid Sequence Intubation Using Pentax-AWS Without Muscle Relaxants in Patients With Myasthenia Gravis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19762309 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Tagawa T, Sakuraba S, Okuda M Tags: Acta Anaesthesiol Taiwan Source Type: journals

Sub-tenon block and laryngeal mask for anesthesia in a child with isolated pulmonary stenosis undergoing squint surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19762310 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - August 31, 2009 Category: Anesthesiology Authors: Garg R, Darlong V, Pandey R, Punj J Tags: Acta Anaesthesiol Taiwan Source Type: journals

Will Platelets be the Novel Target of Perioperative Inflammation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19527964 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Day YJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Lidocaine Priming Reduces ADP-induced P-selectin Expression and Platelet-Leukocyte Aggregation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Huang GS, Lin TC, Wang JY, Ku CH, Ho ST, Li CY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Influence of propofol on blood pressure spectrum in sepsis and the role of inducible nitric oxide synthase.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Liu YC, Chan JY, Tsai YC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Hydroxyethyl starch interferes with human blood ex vivo coagulation, platelet function and sedimentation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Liu FC, Liao CH, Chang YW, Liou JT, Day YJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Determining an optimal tracheal tube cuff pressure by the feel of the pilot balloon: a training course for trainees providing airway care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Chan SM, Wong CS, Cherng CH Tags: Acta Anaesthesiol Taiwan Source Type: journals

Safe and Easy Emergence from Anesthesia in Adults Following Removal of Laryngeal Mask Airway: Utility of Oral Airway and T-connector.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Hsieh MH, Ho JT, Huang CM, Lee MS, Chen TL, Wong CS, Lin JA Tags: Acta Anaesthesiol Taiwan Source Type: journals

Delayed Onset of Contralateral Pulmonary Edema Following Reexpansion Pulmonary Edema of a Collapsed Lung After Video-assisted Thoracoscopic Surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Chang CY, Hung MH, Chang HC, Chan KC, Chen HY, Fan SZ, Lin TY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Alteration of capnogram as the first sign of pneumothorax in an infant who underwent bronchoscopy with jet ventilation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pneumothora...
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Tsai FF, Wang KY, Chen LK, Fan SZ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Bedside ultrasonic detection of massive hemothorax due to superior vena cava perforation after hemodialysis catheter insertion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 v...
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Wang CY, Liu K, Chia YY, Chen CH Tags: Acta Anaesthesiol Taiwan Source Type: journals

Early application of extracorporeal membrane oxygenation in a patient with amniotic fluid embolism.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 sh...
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Ho CH, Chen KB, Liu SK, Liu YF, Cheng HC, Wu RS Tags: Acta Anaesthesiol Taiwan Source Type: journals

Tracheal ring fracture as a consequence of external laryngeal manipulation during endotracheal intubation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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....
Source: Acta Anaesthesiologica Taiwanica - May 31, 2009 Category: Anesthesiology Authors: Chen KT, Lee SC, Ko TL, Wang KC, Chang Y Tags: Acta Anaesthesiol Taiwan Source Type: journals

Haloperidol, Droperidol, or Neither for PONV Prophylaxis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19318292 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Tsai YC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Haloperidol plus ondansetron prevents postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Feng PH, Chu KS, Lu IC, Shieh JP, Tzeng JI, Ho ST, Wang JJ, Chu CC Tags: Acta Anaesthesiol Taiwan Source Type: journals

Effects of midazolam on organ dysfunction in rats with endotoxemia induced by lipopolysaccharide.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Tsao CM, Wu CC, Liaw WJ, Ho ST Tags: Acta Anaesthesiol Taiwan Source Type: journals

Effects of diclofenac epolamine patch on postoperative sore throat in parturients after cesarean delivery under endotracheal general anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Rahimi M, Makarem J Tags: Acta Anaesthesiol Taiwan Source Type: journals

Comparison of the Effect of Epidural and Intravenous Patient-controlled Analgesia on Bowel Activity After Cesarean Section: A Retrospective Study of 726 Chinese Patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Liu YF, Chen KB, Lin HL, Ho CH, Liu SK, Liu YC, Wu RS Tags: Acta Anaesthesiol Taiwan Source Type: journals

Effects of ephedrine on intubating conditions following priming with atracurium: a randomized clinical trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Alagha AE, Hajimohamadi F, Rahimi I, Rashidi A Tags: Acta Anaesthesiol Taiwan Source Type: journals

Midazolam as an effective drug for severe phantom limb pain in a patient after undergoing spinal anesthesia for two consecutive surgeries in the contralateral lower limb.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Su CJ, Liu K, Wang YM Tags: Acta Anaesthesiol Taiwan Source Type: journals

Endovascular Repair of Tracheo-innominate Artery Fistula.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Wang PK, Yen PS, Shyr MH, Chen TY, Chen A, Liu HT Tags: Acta Anaesthesiol Taiwan Source Type: journals

Cardiopulmonary resuscitation in the lateral position for an infant with an anterior mediastinal mass.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Wang KY, Yeh YC, Jean WH, Fan SZ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Perioperative airway management in a child with treacher collins syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 (...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Lin TC, Soo LY, Chen TI, Lu IC, Hsu HT, Chu KS, Yen MK Tags: Acta Anaesthesiol Taiwan Source Type: journals

Transient unilateral hypoglossal nerve palsy after orotracheal intubation for general anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 c...
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Hung NK, Lee CH, Chan SM, Yeh CC, Cherng CH, Wong CS, Wu CT Tags: Acta Anaesthesiol Taiwan Source Type: journals

Modified continuous cuff pressure monitor/inflator.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19318303 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - March 1, 2009 Category: Anesthesiology Authors: Garg R Tags: Acta Anaesthesiol Taiwan Source Type: journals

Dexmedetomidine: more than a sedative and analgesic.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19097960 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Sheen MJ, Ho ST Tags: Acta Anaesthesiol Taiwan Source Type: journals

Effects of Dexmedetomidine on Regulating Pulmonary Inflammation in a Rat Model of Ventilator-induced Lung Injury.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Yang CL, Tsai PS, Huang CJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Propofol infusion shortens and attenuates oxidative stress during one lung ventilation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Huang CH, Wang YP, Wu PY, Chien CT, Cheng YJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Efficacy of granisetron in preventing postanesthetic shivering.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Sajedi P, Yaraghi A, Moseli HA Tags: Acta Anaesthesiol Taiwan Source Type: journals

Ultrasonic cardiac output monitor provides accurate measurement of cardiac output in recipients after liver transplantation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Su BC, Lin CC, Su CW, Hui YL, Tsai YF, Yang MW, Lui PW Tags: Acta Anaesthesiol Taiwan Source Type: journals

Clinical value of application of cerebral oximetry in total replacement of the aortic arch and concomitant vessels.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 dur...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Cheng HW, Chang HH, Chen YJ, Chang WK, Chan KH, Chen PT Tags: Acta Anaesthesiol Taiwan Source Type: journals

Acute Coronary Syndrome in Cisatracurium-induced Anaphylactic Shock: Kounis Syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 te...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Yang YL, Huang HW, Yip HK, Jawan B, Tseng CC, Lu HF Tags: Acta Anaesthesiol Taiwan Source Type: journals

Application of Pulse Contour Cardiac Output (PiCCO) System for Adequate Fluid Management in a Patient with Severe Reexpansion Pulmonary Edema.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 diluti...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Hung MH, Chan KC, Chang CY, Jeng CS, Cheng YJ Tags: Acta Anaesthesiol Taiwan Source Type: journals

Spleen rupture after mitral valve replacement for infective endocarditis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Yang MH, Wu CC, Jean WH, Lu CW, Chuang YH, Lin TY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Neurological impairment following myocardial ischemia associated with postoperative epidural analgesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 p...
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Liao CC, Day YJ, Yang MW, Lin TS Tags: Acta Anaesthesiol Taiwan Source Type: journals

Vaccination and urgent surgery in children: anesthetic concerns.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19097970 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - December 1, 2008 Category: Anesthesiology Authors: Pandey R, Garg R, Chandralekha C, Darlong V, Punj J Tags: Acta Anaesthesiol Taiwan Source Type: journals

Broadening the dimensions of anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18809518 [PubMed - in process] (Source: Acta Anaesthesiologica Taiwanica)
Source: Acta Anaesthesiologica Taiwanica - September 1, 2008 Category: Anesthesiology Authors: Wu RS Tags: Acta Anaesthesiol Taiwan Source Type: journals

Comparison of Three Different Concentrations of Ropivacaine for Postoperative Patient-controlled Thoracic Epidural Analgesia After Upper Abdominal Surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - September 1, 2008 Category: Anesthesiology Authors: Wang SC, Chang YY, Chang KY, Hu JS, Chan KH, Tsou MY Tags: Acta Anaesthesiol Taiwan Source Type: journals

Use of spectral entropy monitoring in reducing the quantity of sevoflurane as sole inhalational anesthetic and in decreasing the need for antihypertensive drugs in total knee replacement surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - September 1, 2008 Category: Anesthesiology Authors: Wu SC, Wang PC, Liao WT, Shih TH, Chang KA, Lin KC, Chou AK Tags: Acta Anaesthesiol Taiwan Source Type: journals

The Relationship Between Lockout Interval and Requirement for Patient-controlled Epidural Analgesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Acta Anaesthesiologica Taiwanica - September 1, 2008 Category: Anesthesiology Authors: Ho CN, Tsou MY, Chan CT, Kuo IT, Chan KH, Chang KY Tags: Acta Anaesthesiol Taiwan Source Type: journals