Esophageal Balloon Dilation in Children Prospective Analysis of Hemodynamic Changes and Complications During General Anesthesia

2008 ◽  
Vol 52 (2) ◽  
pp. 85-86
Author(s):  
&NA;
Keyword(s):  
General Anesthesia ◽  
Balloon Dilation ◽  
Prospective Analysis ◽  
Hemodynamic Changes ◽  
Esophageal Balloon

scholarly journals Transient maintenance of tracheal patency upon the insertion of a flexible bronchoscope in a patient with an anterior mediastinal mass: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Takayuki Hasegawa ◽  
Shinju Obara ◽  
Rieko Oishi ◽  
Satsuki Shirota ◽  
Jun Honda ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Mediastinal Mass ◽  
Balloon Dilation ◽  
Maximum Flow ◽  
Anterior Mediastinal Mass ◽  
Positive Pressure ◽  
Anesthesia Induction ◽  
Flexible Bronchoscope ◽  
Case Presentation ◽  
Tracheal Collapse

Abstract Background Patients with an anterior mediastinal mass are at risk of perioperative respiratory collapse. Case presentation A 74-year-old woman with a large anterior mediastinal mass that led to partial tracheal collapse (shortest diameter, 1.3 mm) was scheduled for tracheobronchial balloon dilation and stent placement under general anesthesia. Although veno-venous extracorporeal membrane oxygenation (V-V ECMO) had been established, maximum flow was limited to 1.6 L/min, and general anesthesia induction was followed by hypoxia probably due to inadequate ventilation. A flexible bronchoscope was inserted through the tracheal lumen that was being compressed by the anterior mass; this not only increased tracheal patency but also enabled positive pressure ventilation and resulted in recovery from hypoxia. Scheduled procedures were successfully performed without complications. Conclusion We describe a case wherein tracheal patency was transiently maintained by inserting a flexible bronchoscope in a patient with an anterior mediastinal mass.

Hemodynamic changes in regular antipsychotic users after adrenaline-containing lidocaine injection under general anesthesia: a prospective study

2020 ◽  
Author(s):  
Yoshiki Shionoya ◽  
Eishi Nakamura ◽  
Gentaro Tsujimoto ◽  
Takayuki Koyata ◽  
Asako Yasuda ◽  
...  
Keyword(s):  
Blood Pressure ◽  
General Anesthesia ◽  
Dental Treatment ◽  
General Anesthetics ◽  
Dental Procedure ◽  
Hemodynamic Changes ◽  
Lidocaine Injection ◽  
A Prospective Study ◽  
Β Adrenergic Receptors ◽  
Circulation Dynamics

Abstract Background: Local anesthetic containing adrenaline is commonly used in many operations to maintain hemostasis and prolong the duration of anesthesia. Antipsychotic drugs have an α-adrenergic receptor blocking action, and it is thought that β-adrenergic receptors predominate when adrenaline is administered in combination, thus inducing hypotension. Many general anesthetics have vasodilatory effects, and it is possible that blood pressure may decrease further if adrenaline-containing lidocaine is administered to antipsychotic users during anesthesia. This study aimed to assess the circulation dynamics in regular antipsychotics users administered adrenaline-containing lidocaine under general anesthesia in a dental procedure. Methods: Participants included 30 patients regularly using antipsychotics (butyrophenone, phenothiazine, and/or atypical antipsychotics) who were scheduled for dental treatment to be performed under general anesthesia. At five minutes after tracheal intubation, the systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and percutaneous oxygen saturation (SpO2) were measured as a baseline. SBP, DBP, HR, and SpO2 were measured 2, 4, 6, 8, and 10 minutes after the injection of 1.8 mL of 2% lidocaine (32 mg) with 1:80,000 adrenaline (22.5 μg) into the oral cavity. Differences in the SBP, DBP, HR, and SpO2 between baseline and at each time point were analyzed using Dunnett’s test.Results: No significant changes were observed in the SBP, DBP, HR, and SpO2 compared to baseline until ten minutes after the administration of adrenaline-containing lidocaine. No adverse events were observed up to one hour after the administration of adrenaline-containing lidocaine.Conclusions: This study demonstrated that adrenaline used at the usual dose for dental treatment under general anesthesia is unlikely to affect the circulation dynamics of regular antipsychotic users.

Hemodynamic Changes during Induction of General Anesthesia with Fentanyl Pretreatment

1991 ◽  
Vol 24 (3) ◽  
pp. 582
Author(s):  
Hwang Do ◽  
Woon Yi Baek ◽  
Jung Gil Hong ◽  
Jin Woong Park ◽  
Byung Kwon Kim
Keyword(s):  
General Anesthesia ◽  
Hemodynamic Changes

scholarly journals Hemodynamic Response to Massive Bleeding in a Patient with Congenital Insensitivity to Pain with Anhidrosis

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Yuki Sugiyama ◽  
Sayako Gotoh ◽  
Masatoshi Urasawa ◽  
Mikito Kawamata ◽  
Koichi Nakajima
Keyword(s):  
General Anesthesia ◽  
Adrenal Glands ◽  
Stress Hormones ◽  
Massive Bleeding ◽  
Hemodynamic Changes ◽  
Compensatory Response ◽  
Congenital Insensitivity ◽  
Autonomic Disturbance ◽  
Congenital Insensitivity To Pain ◽  
Insensitivity To Pain

A patient with congenital insensitivity to pain with anhidrosis (CIPA) underwent revision of total hip arthroplasty under general anesthesia with only propofol. During surgery, neither elevation of stress hormones nor hemodynamic changes associated with pain occurred; however, when blood was rapidly lost, compensatory tachycardia was observed. Although patients with CIPA are complicated with autonomic disturbance due to dysfunction of postganglionic sympathetic fibers, this compensatory response indicated that the adrenal glands in patients with CIPA secrete catecholamine as part of a compensatory response during bleeding under general anesthesia.

scholarly journals General versus general anaesthesia combined with caudal block in laparoscopic-assisted Soave pull-through of Hirschsprung disease: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhixiong Lin ◽  
Yifan Fang ◽  
Lei Yan ◽  
Yu Lin ◽  
Mingkun Liu ◽  
...  
Keyword(s):  
Side Effects ◽  
General Anesthesia ◽  
Operation Time ◽  
Hirschsprung Disease ◽  
Caudal Block ◽  
Hemodynamic Changes ◽  
Significant Difference ◽  
Pull Through ◽  
Laparoscopic Assisted ◽  
Duration Of Operation

Abstract Background Caudal block is one of the most preferred regional anesthesia for sub-umbilical region surgeries in the pediatric population. However, few studies are available on caudal block performed in laparoscopic-assisted Soave pull-through of Hirschsprung disease (HD). We aimed to compare general anesthesia (GA) and general anesthesia combined with caudal block (GA + CA) in laparoscopic-assisted Soave pull-through of HD. Methods A retrospective review was performed in children with HD operated in our hospital between 2017 and 2020. Patients were divided into the GA and GA + CA group. The primary outcome was the duration of operation, and secondary outcomes included intraoperative hemodynamic changes, the Face, Legs, Activity, Cry, Consolability (FLACC) scale, dose of anesthetics, and incidence of side effects. Results A total of 47 children with HD were included in the study, including 20 in the GA group and 27 in the GA + CA Group. The two groups were similar in age, gender, weight and type of HD (P > 0.05). The GA + CA group had significantly shorter duration of operation (especially the transanal operation time) (median 1.20 h vs. 0.83 h, P < 0.01) and recovery time (mean 18.05 min vs. 11.89 min, P < 0.01). The mean doses of sufentanil and rocuronium bromide during the procedure and FLACC scores at 1 h and 6 h after surgery were also lower in the GA + CA group (p < 0.01). The hemodynamic changes in the GA + CA group were more stable at time of t2 (during transanal operation) and t3 (10 min after transanal operation), but there was no significant difference in the incidence of postoperative side effects between the two groups (P = 1.000). Conclusion General anesthesia combined with caudal block can shorten the duration of operation, and provide more stable intraoperative hemodynamics and better postoperative analgesia.

scholarly journals Feasibility analysis of flexible bronchoscopy in conjunction with noninvasive ventilation for therapy of hypoxemic patients with Central Airway Obstruction: a retrospective study

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8687
Author(s):  
Xiaoke Chen ◽  
Yiping Zhou ◽  
Haiqiong Yu ◽  
Yue Peng ◽  
Liping Xia ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
General Anesthesia ◽  
Noninvasive Ventilation ◽  
Argon Plasma Coagulation ◽  
Balloon Dilation ◽  
Flexible Bronchoscopy ◽  
Control Group ◽  
Central Airway Obstruction ◽  
Significant Difference ◽  
Central Airway

Background Interventional bronchoscopy for hypoxemic patients with central airway obstruction (CAO) is typically performed under general anesthesia. This approach poses remarkable challenge for both bronchoscopist and anesthesiologist. Noninvasive ventilation (NIV) during flexible bronchoscopy (FB) has been successfully used in hypoxemic patients, but rarely in the treatment of hypoxemic patients with CAO. Objective To evaluate the feasibility of therapeutic FB assisted with NIV for therapy of hypoxemic patients with CAO. Method Twenty-nine hypoxemic CAO patients treated with FB from December 2010 to May 2016 in our hospital were retrospectively reviewed, either aided with NIV under sedation (NIV group ) or through artificial airway under general anesthesia (control group). Interventional procedures included balloon dilation, electrocautery and argon plasma coagulation Result Fifteen patients were enrolled in the NIV group and 14 in the control group. The success rate (93.3% VS 92.9%, p = 1.0), procedure time (60.5 ± 4.2 min VS 67.8 ± 5.6 min, p = 0.31) and oxygenation improvement between the two groups have no significant difference. Less reduction of systolic blood pressure and heart rate during procedure was observed in the NIV group. The NIV group showed shorter admission time before procedure than the control group (35.1 ± 4.6 h VS 55.6 ± 5.6 h, p < 0.01). In addition, procedure fee in the NIV group was significantly less than that in the control group (540.7 ± 62.8$ VS975.4 ± 69.5$, p < 0.0001). Conclusion FB assisted with NIV is a safe, efficient and economic method for therapy of selected hypoxemic patients with CAO.

Sign in / Sign up

Export Citation Format

Share Document