Middle East journal of anaesthesiology
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Middle East J Anaesthesiol · Feb 2012
Identifying resource needs for sepsis care and guideline implementation in the Democratic Republic of the Congo: a cluster survey of 66 hospitals in four eastern provinces.
The ongoing conflict in the Eastern Republic of the Congo (DRC) has claimed up to 5.4 million lives by 2008. Whereas few deaths were directly due to violence, most victims died from medical conditions such as infectious diseases. This survey investigates the availability of resources required to provide adequate sepsis care in Eastern DRC. ⋯ None of the respondents reported to have constant access to piperacillin, carbapenems, fresh frozen plasma, platelets, dobutamine, activated protein C, echocardiography or equipment to measure lactate levels, invasive blood pressure, central venous pressure, cardiac output, pulmonary artery pressure or endtidal carbon dioxide. No respondent stated that a mechanical ventilator, syringe pump, fluid infuser, peritoneal dialysis or haemodialysis/hemofiltration machine was constantly available at his/her hospital. Resources required for consistent implementation of the SSC guidelines were not available in any hospital. care and implement the SSC guidelines in a cluster of hospitals in the Eastern DRC.
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Middle East J Anaesthesiol · Feb 2012
Comparative StudyA retrospective study of risk factors for cardiopulmonary events during propofol-mediated gastrointestinal endoscopy in patients aged over 70 years.
Because of its rapid onset and recovery profile, propofol-mediated sedation is predominantly used during endoscopy. ⋯ The procedure-specific risk factors for cardiopulmonary events during propofol-mediated gastrointestinal endoscopy in patients aged over 70 years include age and body mass. These factors should be taken into account during future comparative trials.
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Middle East J Anaesthesiol · Feb 2012
Case ReportsAirway management in submandibular abscess patient with awake fibreoptic intubation--a case report.
Securing the airway is a core skill in anaesthesia, the gold standard of which is tracheal intubation. Normally this is achieved after induction of anaesthesia. However, some circumstances demand an awake approach. ⋯ Chances of rupture of abscess intraorally and aspiration under GA is a major threat. During GA, there is no change in mouth opening and loss of airway under muscle relaxation, "difficult to ventilate, difficult to intubate" makes these cases most challenging. On the basis of our experience case was successfully intubated by awake fibreoptic intubation.
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Middle East J Anaesthesiol · Feb 2012
Burnout and coping amongst anesthesiologists in a US metropolitan area: a pilot study.
Anesthesiology is technically complex, caring for sicker patients with growing production pressure on clinicians. Wellbeing and a balanced lifestyle to prevent clinician burnout and improve patient safety have been increasingly recognized. This study assesses burnout and coping strategies in anesthesiologists in a metropolitan area of the Northeastern US. ⋯ Burnout by anesthesiologists in this study is mainly characterized by emotional exhaustion and low personal achievement. An association with severe workload, young age, and moderate number of years in practice (5-15 years) was found. Positive coping strategies which involved planning and reassessment of stressors as a source of personal growth were utilized by older, more experienced and less burned out anesthesiologists.
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Middle East J Anaesthesiol · Feb 2012
Case ReportsThe laryngeal mask airway for difficult airway in temporomandibular joint ankylosis--a case report.
Patients with Temporomandibular Joint Ankylosis are among difficult airways and anesthesia and airway management of these patients encounter anesthesiologists with challenge. Herein we report a case of Temporomandibular Joint Ankylosis with difficult ventilation after failed attempts to intubate with fibroptic broncoscopy a disposable Laryngeal Mask Airway reestablishes the ventilation. The case suggests that the disposable Laryngeal Mask Airway may be useful in airway management of patients with a Temporomandibular Joint Ankylosis.