Recent Articles
-
May 23, 2024 Case Report
Abstract We report the case of a woman undergoing general anaesthesia in whom a gastric tube became knotted within her stomach. This is a relatively unusual phenomenon, particularly when the gastric tube is used in conjunction with a supraglottic airway devic.....
-
February 12, 2024 Research Article
Abstract Spinal anesthesia is a commonly used technique in cesarean section. This technique causes frequent maternal hypotension responsible for a reduction in placental perfusion rate causing fetal acidosis. Prophylactic vasopressor treatment is systematic.....
-
January 24, 2024 Original Research
Abstract Background: High rates of cancellation of surgical procedures are common in hospital settings, which may subsequently lead to economic loss to hospitals besides the burden given to patients, their families, and medical teams. It is well recognized th.....
-
June 15, 2023 Review Article
Abstract Perioperative Anaphylaxis (PA) occurs during the operation. It is a life-threatening systemic allergic reaction. Although rare, it is most severe and has a high mortality and morbidity rate. In the development of PA, the leading causes are antibiotic.....
-
April 15, 2023 Mini Review
Abstract Sevoflurane as an Inhalation anesthetic is one of the most commonly used agents in practice today, for induction and maintenance of general anesthesia in the operating room. Sevoflurane is a fluorine halogenated volatile anesthetic. It is a non-ir.....
-
April 19, 2023 Review Article
Abstract Local anesthetic systemic toxicity (LAST) significantly negatively affects life-threatening anesthesia practice. It arises after the increasing application of local anesthetic (LAs) drugs in clinical practice by various means and many anesthetic tech.....
-
February 13, 2023 Mini Review
Abstract Preoxygenation and apneic oxygenation (AO) are essential in airway management and prevention of low saturation during anesthesia and are very important for patient safety and quality. Preventing and reducing severe complications in airway management .....
-
February 13, 2023 Case Report
Abstract Background: Direct laryngoscopy (DL) may cause hemodynamic changes due to stress response; may cause increased morbidity and mortality in patients. Methods: A 68-year-old patient was scheduled for cordectomy; 12 minutes after DL onset, sudden asysto.....
-
August 13, 2021 Research Article
Abstract Background: Weaning from mechanical ventilation (MV) is a major challenge in the intensive care unit (ICU). We evaluated the use of dexmedetomidine to reduce the duration of weaning, compared standard sedation protocols. Methods: Single-centre, re.....
-
May 13, 2021 Research Article
Abstract Objective: The aim of this study was to evaluate anesthesia practice in low-income country (Niger case) Methods: This is a multicenter, prospective and observational study over a period of 7 days from 9th to 15th January, 2019, carried out in nati.....
-
March 03, 2021 Research Article
Abstract Objectives: The problem is: what is the role of the nurse anesthetist in decision making in the management of optimization of vascular filling, in ASA patients 2 to 4 benefiting from moderate to heavy surgery? The main research hypothesis is that nur.....
-
December 17, 2018 Research Article
Abstract Introduction: Inhalational anaesthesia is the preferred technique of induction in the pediatric age group. Halothane with its negligible pungency and minimal effects on airway reactivity has been the cornerstone of pediatric inhalational induction de.....
-
December 10, 2018 Research Article
Abstract Objective: The dose of thiopental sodium for pediatric sedation has been determined mainly based on the patient’s weight. However, children’s demographic characteristics other than the weight can affect the sedative effect of thiopental sodium. T.....
-
November 19, 2018 Review Article
Abstract Background: The optimal multimodal strategy for the management of postoperative pain in the pediatric population is still unknown; the use of regional blocks such as transverses abdominis block (TAP) in patients undergoing open appendectomy may reduc.....
-
November 12, 2018 Review Article
Abstract Background: Spinal cord stimulation (SCS) has been a time tested and cost-effective treatment to manage intractable chronic pain syndromes following spinal surgery, peripheral neuropathy, complex regional pain syndromes and others. However, the surgi.....
-
October 02, 2018 Research Article
Abstract Total intravenous anesthesia is a technique involving infusion and maintenance of anesthetic state with intravenous drugs alone. Propofol has three important characteristics of ideal TIVA agent, i.e. rapid induction, rapid metabolism and rapid recove.....
-
July 31, 2018 Review Article
Abstract Background: Postoperative analgesia is a sine qua non in current clinical practice. So we are in need for an adjuvant that can prolong the action of local anaesthetics after single- injection blocks. Dexmedetomidine and clonidine are two commonly use.....
-
January 22, 2018 Review Article
Abstract When thinking of patient infection in the operating room setting, the anesthesiologist is not the first vector that comes to mind. However; several studies have demonstrated a connection between infection and the anesthetic clinician. Many of the inf.....
-
November 16, 2017 Case Report
Abstract Pantothenate Kinase – associated neurodegeneration (PKAN) is a rare autosomal recessive disorder. PKAN presents with severe incapacitating dystonias, rigidity and cognitive impairment usually in early childhood. The initial treatment of patients su.....
-
November 16, 2017 Review Article
Abstract Current increase of invasive and noninvasive clinical procedures creates great demand for sedation. This sedation may also provide analgesia, anxiolysis, and hypnosis. Protection of respiratory and cardiovascular system is very crucial in anesthesia .....
-
November 04, 2017 Short Note
Abstract Surgery is the most commonly used treatment for cancer patients, particularly in cases of solid tumors. The perioperative period includes various factors that could adversely affect tumour progression. Tumor growth, progression and recurrence depends.....
-
November 04, 2017 Review Article
Abstract Management of pain, agitation, and delirium in mechanically ventilated patients is one of the foundations of therapy in the intensive care unit (ICU). Dexmedetomidine is a selective, centrally-acting ?2 adrenergic receptor agonist with sedative, anal.....
-
September 29, 2017 Case Report
Abstract Anesthetic management of patient with uncorrected tetralogy of Fallot is a major challenge, especially in developing countries. In these countries, congenital heart diseases are often diagnosed when complications occur. Diagnostic and treatment equip.....
-
September 20, 2017 Research Article
Abstract Background: Non-invasive but painful ambulatory urolithiasis treatment, extracorporeal shock wave lithotripsy [ESWL], necessitates immobilization in pediatric age. Appropriate anesthetic agent is crucial for convenient sedoanalgesia, remifentanil gen.....
-
September 03, 2017 Research Article
Abstract Bronchoscopy is an invasive and annoying procedure for the patient. During the course of the bronchoscopy, catecholamine release may occur, with tachycardia and hypertension, which, in patients with compromised cardiovascular function can lead to com.....
-
August 31, 2017 Review Article
Abstract Dexmedetomidine is highly selective ?2A - adrenergic receptor agonist approved for short-term sedation in an intensive care unit (ICU) setting or in non-intubated patients prior to and/or during surgical and other procedures. Dexmedetomidine is the d.....
-
August 02, 2017 Review Article
Abstract The use of alpha-2 agonists in anesthesia practice is not new and had been started in the late twentieth century. Clonidine, the prototype of alpha-2 agonist, is widely used as an adjunct in anaesthesia and pain medicine. Dexmedetomidine is the next .....
-
July 27, 2017 Case Series
Abstract Background: In the PICU many patients require prolonged sedation with opioids and benzodiazepines. Tolerance to those agents is often problematic. Many of these patients also require adjunct paralysis. Dexmedetomidine is a new sedative agent that may.....
-
July 27, 2017 Short Communication
Abstract Patients admitted in ICUs do frequently need from sedation to mitigate uncomfortable or painful maneuvres. Tracheal intubation, mobilization of the patient for grooming or wound dressing review are some examples of unpleasant experiences. Besides,.....
-
July 25, 2017 Review Article
Abstract Local anesthetic injection remains as one of the most anxiety-provoking aspects for both children and adult patients in dentistry, although anesthesia infiltration is needed for almost all dental procedures. Computerized anesthetic injection has been.....
-
July 13, 2017 Short Communication
-
June 09, 2017 Perspective
-
June 02, 2017 Short Communication
Abstract Epidural analgesia is now being routinely used for thoracic and abdominal surgeries in children including neonates. Continuous infusion can be given through an epidural catheter placed in lumbar or thoracic epidural space. Recently, we encountered.....
-
May 25, 2017 Case Report
Abstract Respiratory malfunction is associated with a variety of intracranial abnormalities. Neurogenic ventilation- perfusion mismatch due to intrapulmonary shunting is a less described phenomenon. Here we report a case of acute or chronic subdural hematoma.....
-
May 25, 2017 Research Article
Abstract Introduction: Propofol is frequently used as part of a deep IV sedation regimen for third molar extractions. Our clinic experienced severe drug shortages during 2012-2013 resulting in the use of alternative sedation plans. This review reports the use.....
-
May 15, 2017 Research Article
Abstract Remifentanil has been widely described for a number of sedation procedures, but concerns of apnea and the relative costs may limit its use. In this study, we substituted remifentanil boluses for fentanyl boluses in an established intravenous sedation.....
-
May 06, 2017 Case Report
Abstract Anxiety worsens pain experienced by patients and positive emotional state decreases the intensity of pain felt by the patient. In the absence of mother, holding nurse’s hand was efficient. In this case report, we aimed to submit three female patien.....
-
April 28, 2017 Review Article
Abstract Chronic pelvic pain (CPP) can result from endometriosis, which can be or over time can become unresponsive to standardized surgical treatment and hormonal therapy- possibly due to excessive pain and sensitivity known as central sensitization. These p.....
-
April 20, 2017 Research Article
Abstract Background: Our sedation service for an Oral maxillo facial surgeon was affected due to widespread drug shortages for regular sedation medications, fentanyl and midazolam, were not available for deep sedation. Procedural sedation was instead provided.....
-
April 17, 2017 Research Article
Abstract Purpose: This study evaluated the adverse events [AEs] rates of sedation with midazolam and fentanyl in ambulatory patients undergoing oral surgery. Methods: 844 consecutive patients aged 8-95 years, ASA class 1-4, undergoing oral surgery [multipl.....
-
April 17, 2017 Research Article
Abstract Background: Hemodynamic stress response to laryngoscopy and intubation produces a significant hemodynamic alteration that may adversely affect patients with cardiac and neurological diseases. Fentanyl before induction attenuates hemodynamic stress re.....
-
March 06, 2017 Research Article
Abstract Purpose: A retrospective chart review was performed to evaluate the effectiveness and safety of fibrinogen concentrate as an additional treatment option for excessive bleeding in cardiac surgery. Methods: Data from patients receiving fibrinogen c.....
-
February 24, 2017 Research Article
Abstract Background: We conducted this study to reach up to a safer and effective spinal anesthetic drug for use in high risk geriatric patients undergoing major lower limb surgery by comparing intrathecal isobaric ropivacaine with the commonly used intrathec.....
-
October 19, 2016 Research Article
Abstract Introduction: The ASA score presents the disadvantage of being subjective and its inter-individual concordance rate is criticized by several authors. This study aims at assessing the concordance between ABCK score and ASA score. Methods: It is a d.....
-
October 01, 2016 Review Article
Abstract Profound analgesia or pain control with local anesthetics is essential for most dental procedures in endodontic and restorative treatments, tooth extraction and minor oral surgery. However, dental clinicians frequently experience that it is difficult.....
-
August 01, 2016 Research Article
Abstract Background: The purpose of the study was to investigate the effects of intra hospital delay and time of admission on mortality and neurological outcome in endovascular coiling of ruptured intracranial aneurysms. Methods: A retrospective analysis o.....
-
July 05, 2016 Research Article
Abstract The optimal medical therapy for patients with chronic noncancer pain (CNCP) continues to be a challenging prospect. The use of oral opioids for the treatment of CNCP continues to be controversial because the true extent of their long-term efficacy, s.....
-
June 01, 2016 Research Article
Abstract Thoracic epidural anesthesia is an important and widely applied clinical procedure, but the injection depth poses a clinical challenge. The anatomical characteristics of the thoracic spinal column demand extreme caution at performing this technique. .....
-
June 01, 2016 Research Article
Abstract Objective: In this study, we aimed to compare the efficacy of low dose bupivacaine vs. bupivacaine plus fentanyl, both administered via PCA, for pain relief during labor. Materials and Methods: A total of 40 healthy pregnant women in the active ph.....
-
May 12, 2016 Research Article
Abstract Background: The purpose of this study was to search the effects of epidural analgesia applied on primiparous pregnant women in case of early and late cervical dilatation, on the phases of labour, interventional labour and the necessity for cesarean d.....
-
May 02, 2016 Research Article
Abstract Objective: Patients undergoing cardiopulmonary by-pass (CPB) often require prolonged mechanical ventilation during the post-operative period. Several observational studies have shown that, in critically ill patients undergoing mechanical ventilation .....
-
March 22, 2016 Research Article
Abstract Introduction: Epidural analgesia is widely recommended as method of choice for pain relief during labor whereas it is recommended to use remifentanil patient controlled analgesia only in the context of a randomized clinical trial. The aim of the s.....
-
March 14, 2016 Research Article
Abstract The aim of this study is to assess the effects of different routes of local anesthetic administration in epidural anesthesia applied to patients undergoing transurethral resection of the prostate (TUR-P). ASA I-III 60 patients were enrolled in th.....
-
January 21, 2016 Case Report
-
December 16, 2015 Case Report
Abstract During pregnancy % 0.75-2 of patients need surgery and anesthesia. Ovarian torsion which requires emergency surgery is one of them. When surgery is needed during pregnancy period, anesthetic management should be planned to protect both mother and fet.....
-
September 14, 2015 Research Article
Abstract Aim: Pain following shoulder surgery can be severe; interscalene brachial plexus blockade (ISB) and high dose opioid analgesia are commonly used management options, however both impair oxygenation by multiple mechanisms. We aimed to quantify the exte.....
-
August 31, 2015 Research Article
Abstract Cardiac or respiratory arrests are common emergencies in adults, children and neonatal period. Resuscitation is the art of restoring life or consciousness of one apparently dead. The main aim of the study was to assess and compare knowledge and pract.....
-
July 20, 2015 Review Article
Abstract Intravenous dexmedetomidine is been increasingly used in perioperative setting including as an adjunct to local anaesthetic in various regional techniques with an intent to either improve the block quality, increase the duration of block or to provid.....
-
July 20, 2015 Case Report
Abstract Acute radial nerve paralysis developed following general anaesthesia for tympanoplasty surgery in a 22-year old male with a 4-year history of manual work. Standard pads were used under the extremities and the patient position was changed at intervals.....
-
July 13, 2015 Case Report
Abstract The number of patients receiving organ transplants is increasing around the world. So, anesthesiologists are often have to manage transplant recipients in hospitals for procedures that are not related to transplantation. There are many possible probl.....
-
November 03, 2014 Review Article
Abstract The length of the human trachea in both awa-e and anesthetized and paralyzed patients is a critical consideration in preventing both endobronchial intubation and tracheal extubation. It is clear from the literature that with the dynamic clinical chan.....
-
November 03, 2014 Research Article
Abstract Background: Tracheostomy is a common surgical procedure performed in the adult intensive care unit (ICU) population etc. Our objective was to identify characteristics associated with one year mortality in adult ICU patients following tracheostomy pla.....
-
November 03, 2014 Case Report
Abstract Management of sphenoid wing meningioma is a big challenge not only for the neurosurgeon, for the anesthesiologist also. It requires extensive preoperative work up and assesement, on toe intraoperative monitoring with quick response skills and effecti.....
-
November 03, 2014 Review Article
Abstract Sequence variations in the RYR1 gene encoding the skeletal muscle sarcoplasmic reticulum calcium release channel are the cause of malignant hyperthermia susceptibility and of several myopathies. This article reviews the RYR1-related myopathies and th.....
-
November 03, 2014 Review Article
Abstract The mechanisms and etiology of post-operative cognitive decline (POCD) are not well understood. POCD is common in older adults undergoing major surgery, particularly following cardiac and orthopedic procedures. Brain reserve, defined as the ability o.....
-
June 06, 2014 Case Report
Abstract Intraoperative acute descending aortic dissection is a rare and potentially fatal complication of open cardiac surgery. We report the case of a 62-year-old female who developed this condition during surgery includingmitral valvuloplasty, tricuspid va.....
-
July 06, 2014 Review Article
Abstract Laparoscopic surgery is a very common and widely established technique. Benefits include decreased postoperative pain, improved patient satisfaction (including cosmetic results), reduced hospital stays and fewer postoperative complications compared w.....
-
July 14, 2014 Case Report
Abstract We report the successful management of Total Intravenous Anesthesia (TIVA) for a narcoleptic patient using propofol and remifentanil under Bispectral Index (BIS) monitoring. A 63-year-old woman with narcolepsy required oral surgery under general anes.....
-
June 06, 2014 Research Article
Abstract Background: Since 1940, pethidine became the most widely used opioid for labor analgesia. However, pethidine administration may cause fetal distress especially if delivery occurred in a short time after administration and due to genetic variations be.....
-
June 06, 2014 Case Report
Abstract We present a case of severe hypotension associated with insertion of an Alexis® wound protector/retractor during lower abdominal surgery in a child. A 3-year old female patient underwent ureteroneocystostomy for vesicoureteral reflux under general a.....
-
June 06, 2014 Research Article
Abstract Background: Recently, the open-lung concept has been used in the respiratory care of patients with Acute Lung Injury (ALI), however, the expiratory phase in ALI patients has not yet been studied in detail. In this study, we paid attention to the pres.....
-
June 06, 2014 Research Article
Abstract Introduction: The incidence and risk factors of Postoperative Acute Kidney Injury (PO-AKI) after liver surgery are not well established. The purpose of the present study was to evaluate the incidence and perioperative risk factors of PO-AKI in patien.....
-
June 06, 2014 Research Article
Abstract Background: Intra-articular injection of lidocaine is a recognized anesthetic technique for closed reduction of Anterior Internal Shoulder Dislocation (AISD), which may be of particular benefit to patients in developing countries. Methods: A pros.....
-
June 11, 2014 Case Report
Abstract The anaesthetic management of patient with craniofacial pathology often presents unique challenges because soft tissue and bony abnormities can affect the airway and influence airway management. In emergency cases having difficult airway it’s alway.....
-
June 16, 2014 Case Report
Abstract Sivelestat is a potent inhibitor of neutrophil elastase activity. We report a patient who suddenly developed hypoxia during surgery, which improved by the administration of sivelestat. A 72-year-old woman underwent emergency resection of a perforated.....
-
January 16, 2014 Research Article
Abstract Objectives: The aim of this study was to evaluate the management of surgical acute abdominal emergencies at the National Hospital of Niamey. Methods: Prospective study was conducted in emergency unit of the Niamey National Hospital, from March to.....
-
January 21, 2014 Case Report
-
January 13, 2014 Case Report
Abstract Venous-venous extracorporeal membrane oxygenation [ECMO] can be life saving in clinical situations where awake, fiberoptic intubation or tracheostomy were indicated but were not feasible because of critical airway obstruction in the lower airways. We.....
-
January 12, 2014 Case Report
Abstract Restrictive familial cardiomyopathy (RCM) is a rare cardiac disease which imposes serious risks on the parturient, especially during labor and delivery. I describe a case of a patient with severe RCM who successfully underwent emergency cesarean sect.....
-
January 15, 2014 Review Article
Abstract This article discusses risk and uncertainty of general anesthesia, taking into account consideration of unknown and random variables and probabilities as well as the acknowledgment of known and possibly controlled variables as it applies to anesthesi.....
-
January 10, 2014 Case Report
Abstract Brugada syndrome (BS) is a rare cardiac channelopathy that was first described in 1992. It accounts for four percent of all sudden deaths and up to twenty percent of sudden deaths in patients without structural cardiac defects. Since known and unknow.....
-
January 17, 2014 Case Report
Abstract The aim of this study was to assess the characteristics of patients admitted to a recovery room [RR] in an oncological department. The secondary outcomes were to evaluate how RR was able to prevent immediate postoperative complications and which are .....
-
December 02, 2013 Research Article
Abstract Background: Patients with end stage renal disease (ESRD) have a high incidence of postoperative cardiac morbidity and mortality. The frequent presence of cardiac disease, extreme states of hydration and reduced ability to excrete a fluid load pose ch.....
-
December 04, 2013 Research Article
Abstract Introduction: Pain is a frequent reason for patients visit in trauma centers, but it care remains insufficient for many reasons. The goal of this study was to assess the care of pain at the trauma center of the Yalgado Ouedraogo University hospital i.....
-
October 04, 2013 Research Article
Abstract Introduction: The gold-standard to diagnose malignant hyperthermia (MH) susceptibility is the in-vitro-contracture test (IVCT) requiring an open muscle biopsy. The aim of the presented investigation was to evaluate intra- and postoperative patients.....
-
September 30, 2013 Review Article
Abstract Despite advances in medical care, hip fracture surgery remains one of the commonest and highest risk surgical procedures (10% in-hospital mortality and 25% at one year), representing a major economic cost to our community and a World health care burd.....
-
September 29, 2013 Review Article
Abstract Bilirubin is a primary product of heme catabolism and exhibits both neuroprotective and neuotoxic effects. When present at physiologic concentrations, bilirubin is a potent antioxidant and serves to protect brain tissue from oxidative stress insults.....
-
September 28, 2013 Case Report
Abstract The transversus abdominis plane (TAP) block is an effective method of providing postoperative analgesia for patients undergoing midline abdominal wall incisions. We evaluated retrospectively, the analgesic efficacy of an ultrasound guided TAP block f.....
-
September 30, 2013 Case Report
Abstract Hereditary angioedema (HAE) is a rare genetic disorder resulting from an inherited deficiency or dysfunction of the C1-esterase inhibitor. It is characterized by recurrent and self-limiting angioedema episodes, most often affecting the skin or the mu.....
-
September 30, 2013 Case Report
Abstract Fracture neck of femur is a common orthopaedic condition which is increasing in incidence in the whole world with the aging of the populations. In this study done in Sri Lanka and the UK over a period of three years a total of 256 fracture neck of fe.....
-
August 20, 2013 Review Article
Abstract MicroRNA is a non-coding single-stranded RNA able to alter and modulate gene expression. Sustained research in animal models increased the knowledge on the regulatory function of microRNA and its effect on gene expression at the posttranscriptional l.....
-
August 20, 2013 Review Article
Abstract Brain surgery carries the risk of intraoperative ischemic damage to the healthy tissues, which may result in significant neurological deficit in the postoperative period and worsen the clinical outcome. Recent advances in neuroimaging, intraoperative.....
-
August 20, 2013 Editorial
-
August 20, 2013 Editorial
Abstract Near infrared spectroscopy (NIRS) is a noninvasive monitor that can be used with clinical skill to help determine cerebral oxygen supply and demand balance even during times when pulsatile flow is absent. Patients for cardiac surgery are at risk for .....
-
August 20, 2013 Editorial
-
November 16, 2017 Case Report
Abstract Pantothenate Kinase – associated neurodegeneration (PKAN) is a rare autosomal recessive disorder. PKAN presents with severe incapacitating dystonias, rigidity and cognitive impairment usually in early childhood. The initial treatment of patients .....
-
November 16, 2017 Review Article
Abstract Current increase of invasive and noninvasive clinical procedures creates great demand for sedation. This sedation may also provide analgesia, anxiolysis, and hypnosis. Protection of respiratory and cardiovascular system is very crucial in anesthesia .....
-
February 24, 2016 Research Article
Abstract Background: We conducted this study to reach up to a safer and effective spinal anesthetic drug for use in high risk geriatric patients undergoing major lower limb surgery by comparing intrathecal isobaric ropivacaine with the commonly used intrathec.....
-
January 05, 2015 Research Article
Abstract Background: Inguinal hernia repair is one of the most common surgeries and can be performed under general, spinal or local anesthesia. The aim of this study was to compare the of inguinal hernia. Methods: We designed a randomized clinical trial stud.....
-
November 03, 2014 Review Article
Abstract The mechanisms and etiology of post-operative cognitive decline (POCD) are not well understood. POCD is common in older adults undergoing major surgery, particularly following cardiac and orthopedic procedures. Brain reserve, defined as the ability o.....
-
January 16, 2014 Research Article
Abstract Objectives: The aim of this study was to evaluate the management of surgical acute abdominal emergencies at the National Hospital of Niamey. Methods: Prospective study was conducted in emergency unit of the Niamey National Hospital, from March to S.....
