scholarly journals Comparison of hemodynamic changes to nasal application of lignocaine jelly versus lubricant gel and responses to Ryle's tube insertion following their use in patients under general anesthesia

2020 ◽  
Vol 14 (2) ◽  
pp. 331
Author(s):  
Pulak Tosh ◽  
Rajesh Kesavan ◽  
ShyamSundar Purushothaman ◽  
Sindhu Balakrishnan ◽  
Rekha Varghese ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Tube Insertion ◽  
Hemodynamic Changes ◽  
Nasal Application ◽  
Ryle’S Tube

scholarly journals Successful tracheal intubation with video laryngoscope when awake fiberoptic bronchoscopy failed in a patient with hypopharyngeal mass

2017 ◽  
Vol 4 (1) ◽  
pp. 35-37
Author(s):  
Somnath Goyal ◽  
Anita Kulkarni
Keyword(s):  
Computed Tomography ◽  
Fiberoptic Bronchoscopy ◽  
Video Laryngoscope ◽  
Clinical Scenario ◽  
Tube Insertion ◽  
Feeding Jejunostomy ◽  
Difficult Airways ◽  
Difficult Endotracheal Intubation ◽  
Carcinoma Of Hypopharynx ◽  
Ryle’S Tube

Video laryngoscope is one of best alternative in managing difficult airways. Our patient presented with left side neck pain and hoarseness of voice for three months, dysphagia to solids for two months. Computed tomography revealed large hypopharyngeal mass and a diagnosis of carcinoma of hypopharynx was made. As endoscopic Ryle’s tube insertion by gastroenterologist was unsuccessful so he was posted for Feeding jejunostomy under general anaesthesia. We anticipated difficult endotracheal intubation. Our first attempt to secure airway with awake fiberoptic bronchoscopic intubation was unsuccessful. Using an alternative method with bougie and video laryngoscopy, the trachea was successfully intubated. In rare clinical scenario fiberoptic bronchoscopic intubation may fail, hence we need to be prepared with the backup plan for airway management. A video laryngoscope might be useful in such situations.

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.

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