scholarly journals Management Anesthesia of Esophagostomy in a Patient with a Double Outlet Right Ventricle

2021 ◽  
Vol 2 (2) ◽  
pp. 89-92
Author(s):  
Bimo Kusumo Bhirowo ◽  
◽  
Rudy Vitraludyono ◽  
Keyword(s):  
Right Ventricle ◽  
General Anesthesia ◽  
Esophageal Atresia ◽  
Double Outlet Right Ventricle ◽  
Resonance Imaging ◽  
Atrial Septum Defect ◽  
Proximal Esophagus ◽  
Type C ◽  
Magnetic Resonance Imaging Mri ◽  
Intravenous Ketamine

Background: Esophageal atresia is a congenital disorder in which there is no esophagus because the proximal and distal esophagus is not connected. Babies with esophageal atresia can show several symptoms: foamy mouth, cyanosis, coughing and tightness, flatulence, oliguria, or worse, pneumonia symptoms. Accompanying anomalies occur in greater than 50% of neonates with esophageal atresia. Esophageal atresia is identified by ultrasound at 18 weeks of gestation, ultrasound, and Magnetic resonance imaging (MRI) of the fetal neck, or examination of a nasogastric tube in the neck of a newborn. The management of esophageal atresia is challenging. The main choice remains the surgical procedure, which usually involves making a stoma on the proximal esophagus and gastrostomy. However, surgery has risky complications. Case: In this case, it was reported that a 22-day-old baby with tracheoesophageal fistula (TEF) type C with Ventricular Septum Defect and Atrial Septum Defect and Double Outlet Right Ventricle (DORV) underwent esophagostomy surgery with general anesthesia. Conclusion: Anesthesia management with general anesthesia, intubation using intravenous ketamine 3 mg, fentanyl 3µg, atracurium 1.5 mg gives stability for esophagostomy in a patient with a double outlet right ventricle.

scholarly journals Effect of an Insulation Device in Preventing Hypothermia during Magnetic Resonance Imaging Examinations for Dogs and Cats under General Anesthesia

Animals ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 2378
Author(s):  
Eri Onozawa ◽  
Daigo Azakami ◽  
Seri Seki ◽  
Yuji Hamamoto ◽  
Katsumi Ishioka
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
General Anesthesia ◽  
Room Temperature ◽  
The Body ◽  
Body Temperatures ◽  
Resonance Imaging ◽  
Control Groups ◽  
Before And After ◽  
Magnetic Resonance Imaging Mri

Dogs and cats under general anesthesia may develop hypothermia. When performing a magnetic resonance imaging (MRI) examination, it is not possible to place a magnetic material in the MRI room, and MRI equipment requires a low room temperature. This study investigated the effectiveness of a heat insulating device that prevented hypothermia during MRI examinations in dogs and cats. The animals that underwent MRI examinations under general anesthesia were divided into control groups (no covering) and heat insulating groups (wearing bubble wrap and down cloth blankets), and their body temperatures were measured before and after the MRI examinations. The changes in body temperatures were as follows: control dogs (n = 17), median of −1.0 (from −2.5 to 0.3) °C; heat insulated dogs (n = 7), −0.3 (from −0.8 to 0.2) °C; control cats (n = 14), −1.85 (from −2.7 to −0.6) °C; and heat insulated cats (n = 12), −0.8 (from −1.5 to −0.1) °C. These results revealed that the bubble wrap and down cloth blanket significantly prevented hypothermia and heat loss from the body surface during MRI examinations of dogs and cats.

scholarly journals Correlation between Chondromalacia Patella and Patellofemoral Factors in Middle-Age Population: A Clinical, Functional, and Radiological Analysis

2021 ◽  
Author(s):  
Rashmeet Kaur ◽  
Anshul Dahuja ◽  
Chandanpreet Kaur ◽  
Jagdeep Singh ◽  
Paramdeep Singh ◽  
...  
Keyword(s):  
Middle Age ◽  
Resonance Imaging ◽  
Sulcus Angle ◽  
Clinical Scores ◽  
Chondromalacia Patella ◽  
Type C ◽  
Magnetic Resonance Imaging Mri ◽  
A Prospective Study ◽  
Patellar Morphology ◽  
Radiological Analysis

Abstract Background Despite higher incidence of patellofemoral pain (PFP) and consequently morbidity, the understanding about PF factors leading to PF arthritis is way lacking. Material and Methods A prospective study of first 80 patients who were diagnosed with chondromalacia patella (CMP) on magnetic resonance imaging (MRI) divided into early and late CMP groups were evaluated clinically, radiologically, and in terms of functional outcome. Results : Quadriceps angle, Clark’s test, and Insall–Salvati ratio results were nonsignificant despite greater values were observed in late CMP group, whereas trochlear morphology results (sulcus angle: 153:138 degrees and sulcus depth 3.9:5.4 mm) and clinical scores were significant in late CMP group (Kujala’s score: 61:78, whereas PF pain score: 43:25). Type-C patellar morphology was found in greater number in late CMP cohort. Conclusion Trochlear and patellar morphologies along with clinical scores play a key role in understanding of the CMP.

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