Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists
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Acta Anaesthesiol Taiwan · Mar 2014
Comparative StudyHemodynamic and biochemical changes in liver transplantation: A retrospective comparison of desflurane and total intravenous anesthesia by target-controlled infusion under auditory evoked potential guide.
Propofol-based total intravenous anesthesia (TIVA) has been used successfully for liver transplantation (LT) in recent years. However, there are few discourses in the literature which focus on the merits and weakness in perioperative management, biochemical changes, and postoperative recovery between TIVA and desflurane anesthesia (DES). ⋯ Our results suggest that propofol-based TIVA may provide better hemodynamics and microcirculation during the anhepatic phase in liver transplantation.
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Acta Anaesthesiol Taiwan · Mar 2014
ReviewAcute perioperative pain in neonates: An evidence-based review of neurophysiology and management.
Current literature lacks systematic data on acute perioperative pain management in neonates and mainly focuses only on procedural pain management. In the current review, the neurophysiological basis of neonatal pain perception and the role of different analgesic drugs and techniques in perioperative pain management in neonates are systematically reviewed. ⋯ However, routine use of ketorolac or other nonsteroidal anti-inflammatory drugs is not usually recommended. Epidural analgesia is safe in experienced hands and provides several benefits over systemic opioids such as early extubation and early return of bowel function.
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Anesthesia for magnetic resonance imaging (MRI) requires special equipment that can be used in the presence of a magnetic field. Endotracheal tube and various laryngeal mask airway devices have a variable quantity of ferromagnetic material in the pilot balloon that could reduce image quality and result in artifacts. The i-gel is a reliable, easily inserted airway device, and causes minimal interference in image quality. ⋯ The quality of image, evidence of airway, tongue, and dental trauma were assessed throughout the procedure. All scans were diagnostically adequate. Therefore, we concluded that i-gel causes the least ferromagnetic interference compared with other devices and improves the quality of imaging and produces minimal artifact while scanning.
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Acta Anaesthesiol Taiwan · Mar 2014
Review Case ReportsCo-presentation of Tapia's syndrome and pressure alopecia--A rare event after septorhinoplasty: A case report and literature review.
Tapia's syndrome and pressure alopecia (PA) are two rare but distressing complications associated with orotracheal intubation and positioning of the head during surgery. To our knowledge, simultaneous occurrence of both complications after surgery has not been previously reported. ⋯ We herein present the case of Tapia's syndrome together with PA following open septorhinoplasty under uncomplicated endotracheal general anesthesia in a 27-year-old man. We review other case reports and discuss the potential underlying mechanisms of injury.
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Acta Anaesthesiol Taiwan · Mar 2014
Comparative StudyComparison of 4% and 6% topical cocaine solutions for reduction of epistaxis induced by nasotracheal intubation.
Nasotracheal intubation (NTI) provides a good field for surgeons in patients undergoing oromaxillofacial surgery; however, NTI is often complicated by epistaxis. The aim of this study was to compare the efficacy of 4% and 6% topical cocaine solutions in reducing epistaxis during NTI. ⋯ The spraying of either 4% or 6% topical cocaine into the nasal cavity gives comparable effects for intubation-related epistaxis. However, 6% cocaine may increase the hemodynamic responses while being sprayed. Therefore spraying with 4% topical cocaine had advantages with respect to 6% cocaine and is recommended for use prior to NTI.