Journal of Clinical Anesthesia and Pain Management

ISSN: 2578-658X

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Case Report Volume 3 Issue 1

Epidural Anesthesia Combined with Intravenous Dexmedetomidine Sedation for Elective Ileostomy Closure in a Patient with Bilateral Lung Transplantation: A Case Report

Authors: Jacques de Montblanc, MD, Jamil Elmawieh, MD, Camille Tilly, MD and Dan Benhamou, MD

Abstract: A patient who had undergone bilateral lung transplantation surgery four years ago and had significant residual pulmonary insufficiency was scheduled for elective ileostomy closure. The procedure was performed under epidural anesthesia, intravenous sedation with dexmedetomidine and spontaneous ventilation without tracheal intubation.

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Case Report Volume 3 Issue 1

Effectiveness of Stretching Exercises in TMJ Closed Lock Management - Case Reports

Authors: Marta Miernik and Agnieszka Nowakowska-Toporowska

Abstract: Internal derangement in temporomandibular joint (TMJ), including disc displacement without reduction with limited mouth opening, is a common TMJ disorder. The main symptoms of closed lock are limited mouth opening and pain in the affected TMJ. In such clinical cases, therapeutic management might be administered by physical therapy.

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Review Article Volume 3 Issue 1

Perioperative Challenges in Patients with Alpha-Gal Allergy

Authors: Francine J D'Ercole, MD, Vishal H Dhandha, MD, MHA, Marc L Levi, MD, April B Todd, RN and Priya A Kumar, MD

Abstract: Alpha-gal allergy, also known as, mammalian meat allergy (MMA) is well described in the Allergy literature, however, the Anesthesiology literature remains soft in supporting recommendations for perioperative management. The goal of the Centers for Disease Control and Prevention (CDC) is to better understand the pathogenesis, signs and symptoms, and prevention of this delayed anaphylactic reaction compared to the rapid onset of most food allergies, especially immunoglobulin E (IgE) mediated allergy.

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Research Article Volume 3 Issue 1

Evaluating Perioperative Blood Loss in Cardiac Surgery Patients Receiving High and Low Dose Tranexamic Acid

Authors: A Weingartshofer, MD, H Mingo, NP, B Kent, MD, SP Mackinnon, PhD and MM Kwapisz, MD

Abstract: Excessive perioperative blood loss is a concern for patients undergoing high risk procedures; thus, tranexamic acid (TXA) is administered at the beginning of surgery to minimize blood loss. Previous studies have had mixed results. The aim of this retrospective chart review is to determine whether low or high dose TXA minimizes blood transfusions and post-operative adverse events.

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Review Article Volume 3 Issue 1

Postoperative Hypertension: When Blood Pressure Cuff and Arterial Line Disagree

Authors: Olga V Storozh, MD, Muhammad A Ashraf, MD and Alan M Smeltz, MD

Abstract: Hypertension is a commonly encountered condition by anesthesiologists yet there is no clearly defined approach to monitoring and managing blood pressure in the perioperative period. In this review, we focus on common dilemmas in perioperative management of hypertensive patients including preoperative evaluation and indications for postponement of elective procedures; appraise the commonly used modes of perioperative blood pressure monitoring.

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Case Report Volume 3 Issue 1

Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty

Authors: Drew Jensen, MD and Adam C Young, MD

Abstract: Patients with severe aortic stenosis represent a serious perioperative challenge for anesthesiologists when presenting for orthopedic surgery. Avoiding general anesthesia can be beneficial by averting the dramatic hemodynamic changes that can occur at induction and emergence. However, regional anesthesia can similarly produce significant alterations in sympathetic tone in blocked regions. We discuss the successful use of a continuous spinal anesthetic in a patient with severe aortic stenosis undergoing elective total knee arthroplasty.

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Case Report Volume 3 Issue 1

Opioid Management and Risk Mitigation

Authors: Mark Gostine, MD, Fred N Davis and Rebecca Risko

Abstract: Over the span of seven months physicians had to reconcile two very different messages regarding pain and the use of opioids issued by institutions that guide healthcare in the United States. First, in June of 2011, The Institute of Medicine (IOM) issued a "Blueprint for Relieving Pain" in America. They rightfully pointed out that chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. They also stated that "groups of people currently are underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments".

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Case Report Volume 2 Issue 1

Anesthesia Considerations for the Repair of a Left Ventricular to Right Atrial Shunt (Gerbode Defect) Post Double-Valve Repair

Authors: Koh Li Ying, Loh Kenny and Shah SS

Abstract: The Gerbode defect is a rare type of ventricular septal defect (VSD) causing a left ventricle (LV) to right atrium (RA) shunt. These are usually congenital but acquired defects are increasingly being reported. Direct surgical repair remains one of the treatment options and presents considerable anesthetic challenges. We present a case report on anesthesia considerations for acquired Gerbode defect post mitral and tricuspid valve repair.

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Research Article Volume 2 Issue 1

Real-Time Locating Systems and the Effects on Efficiency of Anesthesiologists

Authors: Cindy Yeoh, Jennifer Mascarenhas, Kay See Tan and Luis Tollinche

Abstract: A retrospective chart review was performed for all outpatient and short-stay patients who received General Anesthesia care at our institution between January 2016 and October 2017. Patients included were over 18 years and had ASA classification scores of 1, 2, and 3. Only first cases of the day for individual anesthesiologists were included. Duration between two perioperative time points was collected and used as a measure of efficiency. Two groups of anesthesiologists were compared.

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CASE REPORT Volume 1 Issue 1

Spontaneous Cerebrospinal Hypotension: A Case Report

Authors: SR Gopal, PRAM Depauw, J Peluso and F Van Eijs

Abstract: Spontaneous cerebrospinal hypotension may be caused by leakage of cerebrospinal fluid. The characteristic symptom is orthostatic headache. MRI scan may yield a number of characteristic abnormalities. Treatment initially is conservative.

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CASE REPORT Volume 1 Issue 1

Neuroanesthesia in an Awake Patient in a University Hospital in Latin America: Case Report

Authors: Ocampo Pérez Ana-María, Arenas Villamizar Angel-Ricardo, Gonzalez Solarte Karen-Dayana and Husband Luque Johnnie-Smith

Abstract: The anesthetic technique for tumors resection that affect extensive motor areas with an awakened patient, poses a challenge for surgical teams. The advancement in neuroimaging and the incursion of neuronavigation as a surgical tool, allow reducing motor sequelae and extending the safety margins in the resection of these types of tumors.

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REVIEW ARTICLE Volume 1 Issue 1

Ketamine: New Use for an Old Hat

Authors: Hassan I Khidr and Rif S El-Mallakh

Abstract: This article aims at examining the available knowledge about ketamine as a novel treatment option for management of treatment-resistant major depression.

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CASE REPORT Volume 1 Issue 1

Prolonged Cardiac Arrest and Localized Thoracic Spinal Cord Ischemia

Authors: Sridhar Musuku

Abstract: A 29-year-old man presented to the emergency with a sudden onset of shortness of breath and syncope. Electrocardiogram showed a right bundle branch block, ST elevation in leads V1-V4. A transthoracic echocardiography showed an embolus in transit at the inferior vena cava and right atrial junction.

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Review Article Volume 1 Issue 1

Reasons to Avoid Pain Scales in Newborns, and Reasons to Use Them

Authors: Carlo V Bellieni

Abstract: Aim of this paper is a critical examination of the use of neonatal pain assessment tools. It emerged that neonatal pain scales for acute pain are complex to use, give a score when the maneuver is over, and they are not validated for levels of pain higher than those due to a heel-prick.

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Case Report Volume 1 Issue 1

Difficult Direct Laryngoscopy Followed by Easy Video Laryngoscopic Intubation in a Patient with Bilateral Mandibular Tori: Should the Patient be Labeled as Having a "Difficult Airway?"

Authors: Tan J, Joseph R Ruiz, Steven Y Huang, Samara Blair and Carin A Hagberg

Abstract: Mandibular tori are intraoral bony prominences which can make direct laryngoscopic intubation difficult. We present a case where we were unable to intubate a patient with bilateral mandibular tori using direct laryngoscopy, but then succeeded using video laryngoscopy.

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The Preliminary Impact of Pain Management Integration into an HIV Specialty Clinic

Authors: Sheran Mahatme, Timothy J Atkinson, Amy Spallone and Jeffrey Fudin

Abstract: A significant number of HIV (human immunodeficiency virus) infected patients suffer from chronic pain where providers often lack access to specialty pain management services. Emerging evidence about risks of chronic opioid use has resulted in closer scrutiny of long-term opioid therapy.

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Acupuncture in Conjunction with Drug Therapy in the Treatment of Glossopharyngeal Neuralgia

Authors: Dominic P Lu, Gabriel P Lu and Ping-Shi Wu

Abstract: In this study, 35 patients who suffered from glossopharyngeal neuralgia and received acupuncture with drug therapy were divided into 4 groups according to the medication they were prescribed to take. Those who took phenytoin were placed in Group I, those took gabapentin were in Group II, those who took carbamazepine were categorized as Group III, and those took amitriptyline and gabapentin belonged to Group IV.

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Journal Details

  • Journal: Journal of Clinical Anesthesia and Pain Management
  • ISSN: 2578-658X
  • ISO abbreviation: J Clin Anesth Pain Manag
  • Other Title: JCAPM
  • Pub Type: Open Access