International Journal of Anesthesia and Clinical Medicine

Volume 12, Issue 1, June 2024

  • Research Article

    Analgesic and Opioid Sparing Effects of Tramadol, Ketamine, and Bupivacaine Following Wound Infiltration After Caesarean Section

    Olayinka Olumide Ajiboye, Adeyemi William Osebequin, Agu Edith, Olateju Simeon Olugbade, Achi Joseph, Oyewole Ezekiel

    Issue: Volume 12, Issue 1, June 2024
    Pages: 1-6
    Received: 16 December 2023
    Accepted: 2 January 2024
    Published: 18 January 2024
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    Abstract: Background: Adequate management of pain is considered a fundamental human right and social justice and this may be achieved for women who had caesarean section under subarachnoid block with multi modal means of analgesia. Wound infiltration with different agents may be part of the multi modal means of providing adequate analgesia. The study aimed t... Show More
  • Case Report

    Ultrasound-Guided Quadratus Lumborum Block as a Sole Anesthetic Method for Giant Inguinal Herniorrhaphy in an Elderly Patient with High Risk

    Guangchao Zhang, Min Xu, Xiao Wang*

    Issue: Volume 12, Issue 1, June 2024
    Pages: 7-10
    Received: 14 January 2024
    Accepted: 29 January 2024
    Published: 5 February 2024
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    Abstract: Background: Quadratus lumborum (QL) block is a fascial plane block where local anesthetic is injected adjacent to the quadratus lumborum muscle to provide effective analgesia for abdominal procedures. We presented the feasibility of using this technique as the sole anesthetic technique for giant inguinal herniorrhaphy repair by observing intraopera... Show More
  • Case Report

    Thrombosis of Prosthetic Tricuspid Valve During Veno-Arterial Extracorporeal Membrane Oxygenation Support: A Case Report

    Yunyi Zhang, Shuhua Luo*

    Issue: Volume 12, Issue 1, June 2024
    Pages: 11-14
    Received: 17 January 2024
    Accepted: 31 January 2024
    Published: 20 February 2024
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    Abstract: Extracorporeal membrane oxygenation (ECMO) is frequently used for severe postcardiotomy cardiogenic shock in patients with bioprosthetic valves. Acute prosthetic valve thrombosis (PVT) is a rare complication after valve replacement surgery and significantly increases morbidity and mortality. Patients who develop PVT on ECMO could significantly infl... Show More
  • Case Report

    Timely Surgical Intervention for Absent Pulmonary Valve Syndrome with an Intact Ventricular Septum in a Patient with a Long-Term Survival: A Case Report

    Yunyi Zhang, Shuhua Luo*, Enping Wang

    Issue: Volume 12, Issue 1, June 2024
    Pages: 15-19
    Received: 31 January 2024
    Accepted: 21 February 2024
    Published: 29 February 2024
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    Abstract: Absent pulmonary valve syndrome with an intact ventricular septum (APVS with IVS) is a rare congenital heart defect that is associated with a high perinatal mortality. Most fetuses can hard to survive without inotropic support or heart transplantation due to the severe respiratory dysfunction, heart failure and serious infections resulting from tra... Show More
  • Research Article

    A Study on Pre-clinical Anaesthesia Elective in Shaping Medical Students' Knowledge and Career Perspectives

    Jeffrey Hauck*, Ivan Angelov, Kelli Silcox, Ali Khalifa

    Issue: Volume 12, Issue 1, June 2024
    Pages: 20-25
    Received: 24 February 2024
    Accepted: 7 March 2024
    Published: 19 March 2024
    DOI: 10.11648/j.ijacm.20241201.15
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    Abstract: Anesthesiology stands out as one of the rapidly growing and highly competitive medical specialties, necessitating students to cultivate an interest in anesthesia early and prepare extensively for clinical electives. Pre-clinical electives that introduce students to anesthesia and ready them for clinical settings in the early stages of their academi... Show More
  • Research Article

    Effects of Dexmedetomidine on Oxidative Stress, Inflammatory Response, Coagulation Function and Hemodynamics in Patients Undergoing Hysterectomy

    Liao Ou, Zhang Xian-jie*, Chen Juan

    Issue: Volume 12, Issue 1, June 2024
    Pages: 26-32
    Received: 11 March 2024
    Accepted: 2 April 2024
    Published: 28 April 2024
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    Abstract: Objective To investigate the effects of dexmedetomidine on oxidative stress, inflammatory response, coagulation function and hemodynamics in patients undergoing hysterectomy. Methods 92 patients who underwent hysterectomy in our hospital from January to September 2023 were selected as subjects. According to the difference in anesthesia, 46 patients... Show More
  • Case Report

    Intraoperative Hypoxemia in the Right Lateral Decubitus Position: A Case Report

    Guowei Wu, Hongwei Xu*

    Issue: Volume 12, Issue 1, June 2024
    Pages: 33-37
    Received: 28 March 2024
    Accepted: 11 April 2024
    Published: 28 April 2024
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    Abstract: Platypnea-Orthodeoxia syndrome (POS), an exceptionally uncommon condition, is characterized by decreased oxygen saturation in an upright posture with corresponding improvement in the supine position. Recently, an 85-year-old female patient presented for surgery due to a left femoral neck fracture. Following successful tracheal intubation and anesth... Show More
  • Research Article

    Comparison the Cerebroprotective Effect of Sevoflurane and Propofol in Patients with Carotid Artery Stenosis Undergoing Coronary Artery Bypass Grafting: A Randomized Clinical Study

    Rabie Nasr*, Ahmed Soliman

    Issue: Volume 12, Issue 1, June 2024
    Pages: 38-46
    Received: 29 February 2024
    Accepted: 21 March 2024
    Published: 10 May 2024
    DOI: 10.11648/j.ijacm.20241201.18
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    Abstract: Objective: The Objective of the study was to evaluate the perioperative cerebral protective effect of sevoflurane and propofol in patients with carotid artery stenosis undergoing coronary artery bypass grafting. Materials and Methods: A randomized clinical study included 200 patients with preoperative carotid artery stenosis <50% scheduled for cardiac surgery with cardiopulmonary bypass. The patients were classified into 2 groups (each=100), Sevoflurane group: The patients received sevoflurane (concentration 1% to 4%) as an inhalational agent. Propofol group: The patients received propofol infusion (4-6 mg/kg/hr). The sevoflurane and propofol were given during the whole procedure (before, during, and after cardiopulmonary bypass). The monitors included heart rate, mean arterial blood pressure (MAP), central venous pressure and cerebral near-infrared spectroscopy (NIRS), the incidence of postoperative cognitive dysfunction and stroke. Results: There was no significant difference in the perioperative heart rate, mean arterial blood pressure, central venous pressure, and the right or left regional cerebral oxygen saturation between the two groups (P>0.05). The incidence of postoperative neurological complication was significantly lower with sevoflurane than propofol (P=0.012). The incidence of delirium was significantly lower with sevoflurane than propofol (P=0.023). The incidence of stroke was lower with sevoflurane than propofol, but the difference was insignificant (P=0.682). The ICU and hospital length of stay were shorter with sevoflurane than propofol (P=0.013, P=0.033 respectively). Conclusions: The sevoflurane was associated with a lower incidence of postoperative cognitive dysfunction than propofol in patients with carotid artery stenosis undergoing coronary artery bypass grafting.
  • Research Article

    Assessing the Safety and Efficacy of Spinal Anesthesia in Preterm and Term Neonates: A Multicenter Experience

    Adamu Yusuf Baffah, Abubakar Muhammad Ballah*, Yahaya Halima Bidemi, Jika Mohammed Mohammed, Gyadale Abdulhamid Njidda, Nwokorie Rosemary Mabong, Galadima Hajara Aminu, Hassan Maina Ali, Ibrahim Naziru Joda, Abdullahi Muhammad Maryam, Adam Ibrahim Abdullahi, Andibanbang Franklin

    Issue: Volume 12, Issue 1, June 2024
    Pages: 47-52
    Received: 20 May 2024
    Accepted: 30 May 2024
    Published: 14 June 2024
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    Abstract: Background: Worldwide, the incidence of premature birth is increasing with its attending congenital anomalies, so complex surgical interventions to manage these congenital anomalies or complications are usually performed at early days of life. Neonates are vulnerable to apnea, and congenital cardiopulmonary problems and they have higher morbidity a... Show More
  • Case Report

    Airway Management of Intracranial Aneurysms Associated with Nasopharyngolaryngeal Hemangioma: A Case Report

    Guowei Wu, Hongwei Xu*

    Issue: Volume 12, Issue 1, June 2024
    Pages: 53-56
    Received: 10 May 2024
    Accepted: 3 June 2024
    Published: 19 June 2024
    DOI: 10.11648/j.ijacm.20241201.20
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    Abstract: Intracranial aneurysm is a very common disease, which is an abnormal bulge on the wall of intracranial artery. It is the first cause of subarachnoid hemorrhage. With the development of imaging, the disease is easily diagnosed. A 60-year-old man was diagnosed with anterior communicating artery aneurysm and underwent aneurysm clipping. During routine... Show More
  • Research Article

    The Relationship Between Postoperative Drainage Volume and the Incidence of Postoperative Renal Injury in Infants Undergoing Cardiac Surgery

    Yuan Yuan*

    Issue: Volume 12, Issue 1, June 2024
    Pages: 57-61
    Received: 19 May 2024
    Accepted: 5 June 2024
    Published: 19 June 2024
    DOI: 10.11648/j.ijacm.20241201.21
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    Abstract: Cardiac surgery-related acute kidney injury (CS-AKI) is a serious and frequently encountered complication that occurs in children undergoing cardiac surgery. It is particularly prevalent among those who undergo complex and prolonged surgical procedures. CS-AKI is a complex condition that can lead to significant morbidity and even mortality, and thu... Show More