Anesthesia, essays and researches
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Self-extubation is a common clinical problem associated with mechanical ventilation in trauma patients worldwide. ⋯ More than one-tenth of patients with traumatic head injury develop self-extubation; this group of patients is more likely to have prescribed tramadol, develop agitation, and have longer hospital length of stay and less sedation use. Further prospective studies are needed to assess the predictors of self-extubation in TICU.
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Postspinal hypotension remains a frequent complication of subarachnoid block during cesarean section causing further maternal and fetal adverse effects. ⋯ NASG proved to be a more effective device for prevention of postspinal hypotension when compared with application of SCD or no device.
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Erector spinae plane (ESP) block is a promising technique in the field of pediatric postoperative analgesia considering its safety and simplicity. ⋯ The findings suggest that US guided ESP block resulted in a more effective and longer duration of postoperative analgesia following a pediatric unilateral inguinal hernia repair compared to IIN block.
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Functional hemodynamic monitoring using dynamic parameters such as stroke volume variations (SVVs) based on pulse contour analysis is considered more accurate than central venous pressure and mean arterial pressure (MAP) in predicting fluid responsiveness. New device, i.e., Vigileo system, allows automatic and continuous monitoring of cardiac output (CO) based on pulse contour analysis and respiratory stroke volume. ⋯ SVV is a better predictor of preload responsiveness measured with third-generation Vigileo device when compared to BP and HR.
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Adductor canal block is a regional anesthetic block procedure commonly employed for knee surgeries. This study aims at locating the adductor canal precisely which will be of great use for the surgeons operating on knee. ⋯ This study suggests that a point more than 3 cm below the midpoint of thigh will be the ideal location for the approach of adductor canal block.