fentanyl citrate / Generic mfg. 
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  • ||||||||||  fentanyl citrate / Generic mfg., sevoflurane / Generic mfg.
    [VIRTUAL] Cerebrovascular Effect Of Volatile Anesthetics: Tcd Study On Elderly Patients With High Asa Status () -  Oct 17, 2020 - Abstract #ASA2020ASA_2913;    
    In the present study, we used bilateral measurements and concluded that the right and left cerebral arteries respond differently to anesthetics. Sevoflurane is one of the most common inhalation agents in all age groups and future studies are needed to find out the effect on cerebral blood flow on elderly and high-risk patients .
  • ||||||||||  fentanyl citrate / Generic mfg., ketamine / Generic mfg.
    [VIRTUAL] Dexmedetomidine as a Supplement to Neuraxial Anesthesia in Cesarean Section: A Retrospective Chart Review () -  Oct 17, 2020 - Abstract #ASA2020ASA_2902;    
    Discussion : This study introduces the use of low-dose IV dexmedetomidine for intraoperative rescue analgesia during CD. Further prospective randomized studies should evaluate whether dexmedetomidine in comparison to other analgesics, anxiolytics or anesthetics prevents conversion to general anesthesia when neuraxial anesthesia for CD is suboptimal.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] An Increase In Fentanyl Ampule Size Increases Intraoperative Dosing () -  Oct 17, 2020 - Abstract #ASA2020ASA_2724;    
    An increase in the ampule size significantly affected total fentanyl dosing by anesthesia. This was explained by the clinician's desire to avoid the complex process of narcotic waste disposal and the culture of "use the whole vial".
  • ||||||||||  fentanyl citrate / Generic mfg., remifentanil / Generic mfg.
    [VIRTUAL] PN312. When Neuraxial is a No-No! () -  Oct 17, 2020 - Abstract #ASA2020ASA_2643;    
    Session Learning Objective 4 Review the mechanism of action of dexmedetomidine, an alpha-2 adrenergic agonist, as an adjuvant therapy for labor analgesia. Session Learning Objective 5 Recognize clinical scenarios and indications for intravenous dexmedetomidine in obstetric patients.
  • ||||||||||  Exparel (bupivacaine liposome injectable suspension) / Pacira
    [VIRTUAL] Phase 4 Study Of Transversus Abdominis Plane Block With Liposomal Bupivacaine After Cesarean Delivery (choice) () -  Oct 17, 2020 - Abstract #ASA2020ASA_2197;    
    P4
    All groups received a multimodal analgesic regimen that included intravenous (IV) ketorolac and IV acetaminophen at the end of surgery, IV ketorolac and IV acetaminophen every 6 hours through the first 24 hours after surgery, and oral acetaminophen and ibuprofen every 6 hours thereafter for ≤72 hours or until hospital discharge... TAP block with LB 266 mg as part of a multimodal analgesia regimen significantly reduced postsurgical itching and resulted in fewer TEAEs after CD vs ITM while providing noninferior postsurgical analgesia without exposure to long-acting intrathecal opioids, suggesting improved quality of recovery.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Spinal Morphine & Respiratory Depression: Two Cases Following Eras Colorectal Protocol () -  Oct 17, 2020 - Abstract #ASA2020ASA_1673;    
    They received 25 mcg intrathecal Fentanyl and 150-200 mg intrathecal morphine as part of ERAS protocol...Postoperatively, both patients appeared obtunded despite full neuromuscular reversal, requiring naloxone bolus followed by an infusion in order to maintain adequate respiratory function and to prevent worsening hypercarbia and respiratory acidosis. It is important to recognize patients with elevated risk for prolonged respiratory depression when using intrathecal morphine.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Failed Spinal Anesthesia, Possibly Due To Local Anesthetic Resistance, In A Patient Undergoing Total Knee Arthroplasty () -  Oct 17, 2020 - Abstract #ASA2020ASA_1639;    
    Spinal anesthesia (SA) was easily performed, first attempt in L3-L4 interspace after positive CSF flow at beginning and halfway through injection with unexpired 15mcg fentanyl and 14mg 0.5% bupivacaine...SA typically fails secondary to technical failure, defective medication, or inadequate intrathecal medication spread. However, given this patient's procaine history and SA experience, local anesthetic resistance may be cause for failed SA.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Pulmonary Hypertension And Heart Failure During Hip Arthroplasty: Is Continuous Spinal The Answer? () -  Oct 17, 2020 - Abstract #ASA2020ASA_1626;    
    An intrathecal catheter was placed in the lateral position with an initial bolus of 1mL of 0.75% hyperbaric bupivacaine and 25mcg of fentanyl...Patient was on a face mask and sedated with dexmedetomidine at 0.7 mcg/kg/min. The patient tolerated the procedure without complication and was discharged to a rehabilitation facility 5 days after surgery.
  • ||||||||||  fentanyl citrate / Generic mfg., sevoflurane / Generic mfg.
    [VIRTUAL] Awake Tracheostomy Creation In The Setting Of A Large Subglottic Mass () -  Oct 17, 2020 - Abstract #ASA2020ASA_1601;    
    The patient was then placed under general anesthesia with fentanyl, propofol, rocuronium and sevoflurane. ENT team used laryngoscope to visualize tumor and biopsy, which later revealed aggressive B-cell lymphoma.
  • ||||||||||  citalopram / Generic mfg.
    [VIRTUAL] Post-operative Management Of Patient With Fever, Muscle Rigidity, Tachycardia, Altered Mental Status () -  Oct 17, 2020 - Abstract #ASA2020ASA_1488;    
    After uneventful intraoperative course, notable for fentanyl and haloperidol administration, patient was taken to PACU and found to have tachycardia, hyperthermia, altered mental status, muscle rigidity, and hypercarbia...Patient was admitted to Surgical ICU, ventilated with BiPAP, given fluids and dantrolene. Neurologic status and vital signs returned to normal within 24 hours.
  • ||||||||||  Duragesic (fentanyl) / J&J
    [VIRTUAL] A Case Report Of Alternative Analgesia: Dronabinol () -  Oct 17, 2020 - Abstract #ASA2020ASA_1288;    
    Initial pain regimen included acetaminophen, tramadol, methocarbamol, pregabalin, lidocaine patch and ketorolac for two days before transitioning to celecoxib, which did not control patient's pain. Decision was made to start patient on Dronabinol, which provided significant analgesia.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Severe Vasovagal Syncope After Combined Spinal Epidural Anesthesia For Cesarean Delivery () -  Oct 17, 2020 - Abstract #ASA2020ASA_1265;    
    An uncomplicated combined spinal epidural catheter with 1.6mL bupivacaine 0.75%, 200mcg morphine and 15mcg fentanyl was placed resulting in bilateral T4 sensory level...Phenylephrine and ephedrine were administered, and an emergent cesarean delivery was performed. It was later determined the patient had severe positional syncope due to aortocaval compression in the setting of combined spinal epidural anesthesia.
  • ||||||||||  fentanyl citrate / Generic mfg., epinephrine / Generic mfg.
    [VIRTUAL] Spontaneous Coronary Dissection In A Healthy Pregnant Patient () -  Oct 17, 2020 - Abstract #ASA2020ASA_1201;    
    The patient was induced with fentanyl, propofol, and rocuronium and was an easy intubation. The infant was delivered with minimal bleeding and no complications, but post-delivery EF was 25% and patient was started on epinephrine and norepinephrine.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Severe Thrombocytopenia In A Covid+ Pregnant Patient () -  Oct 17, 2020 - Abstract #ASA2020ASA_1198;    
    Preeclampsia with severe features was diagnosed based on blood pressures and protein/creatinine ratio but her liver enzymes were within normal limits. A fentanyl PCA was ordered for labor pain and the patient delivered vaginally but had significant postpartum hemorrhage of 7.5L requiring transfusion of 12 units PRBCs,12 units FFP, 4 units cryoprecipitate, and 4 packs of platelets.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Anesthesia For Oophorectomy In Obese Morbid Pregnant Women () -  Oct 17, 2020 - Abstract #ASA2020ASA_1136;    
    Injection of 15mg of hyperbaric bupivacaine, 20mcg of fentanyl and 45mcg of clonidine...The pregnancy evolved without complications. Due to the unknown long-term impact of general anesthesia on the fetus, regional anesthesia is preferred in non-obstetric surgery in pregnant.
  • ||||||||||  fentanyl citrate / Generic mfg., sevoflurane / Generic mfg.
    [VIRTUAL] Trigeminal--vagal Reflex During Temporal Cranioplasty! () -  Oct 17, 2020 - Abstract #ASA2020ASA_1086;    
    During surgical dissection in the temporal region patient's heart rate dropped down to low 30's from baseline mid 50's which was promptly ameliorated by stopping the surgical stimulus. The perioperative course was uneventful.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Airway Management Of A Patient With Tracheal Stenosis Due To Residual Esophageal Cyst After Esophagectomy () -  Oct 17, 2020 - Abstract #ASA2020ASA_1045;    
    Bronchoscopic intubation supported by the Pentax-AWS® was performed under sedation with dexmedetomidine and fentanyl...To our knowledge, this is the first reported case of airway management of tracheal stenosis caused by a residual esophageal cyst. Although tracheal compression was severe, the tracheal tube was safely advanced under spontaneous breathing.
  • ||||||||||  fentanyl citrate / Generic mfg., sevoflurane / Generic mfg.
    [VIRTUAL] Primary Anesthetic Challenges In Ehler- Danlos Syndrome () -  Oct 17, 2020 - Abstract #ASA2020ASA_1032;    
    General anesthesia was induced with propofol and anesthesia was maintained with a laryngeal mask airway with sevoflurane /oxygen/nitrous oxide with intermittent fentanyl. Perioperative course was uneventful.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Hemodynamic Instability During A Cervical Lymph Node Biopsy Unmasking Takotsubo Cardiomyopathy () -  Oct 17, 2020 - Abstract #ASA2020ASA_808;    
    After propofol and fentanyl induction and intubation, she developed severe hypotension requiring high dose phenylephrine infusion...Echocardiography showed LVEF 20-25% and left ventricular systolic apical ballooning, consistent with stress (Takotsubo) cardiomyopathy. She was gradually weaned off vasopressors, and was referred to cardiology for long-term management.
  • ||||||||||  quetiapine / Generic mfg.
    [VIRTUAL] Navigating Drug Shortages With Alternative Ventilator Sedation Regimens During Covid-19 Pandemic () -  Oct 17, 2020 - Abstract #ASA2020ASA_773;    
    Faced with hospital shortages of commonly-used fentanyl and midazolam, as well as the concern for propofol's unfavorable hemodynamic effects in setting of septic shock, we primarily utilized ketamine, oxycodone, quetiapine, and clonazepam for sedation and transitioned to dexmedetomidine and quetiapine to accomplish a smooth extubation while managing delirium. Sedation decisions during COVID-19 pandemic are complex, requiring strategic allocation of available resources to optimize ventilation.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] "Epidural Anesthesia Causing Pneumorrhachis" () -  Oct 17, 2020 - Abstract #ASA2020ASA_772;    
    In SICU she was started on incentive spirometry and analgesia with intravenous fentanyl...In next 2 days her tachypnea settled and oxygen saturation improved to normal. She was transferred to ward and discharged home.
  • ||||||||||  Duragesic (fentanyl) / J&J
    [VIRTUAL] Emergent Massive Ascending Aortic Pseudoaneurysm Causing Right Ventricular External Compression () -  Oct 17, 2020 - Abstract #ASA2020ASA_612;    
    Induction with etomidate and fentanyl was complicated by hemodynamic instability requiring phenylephrine, norepinephrine, and resuscitation with blood products...The pseudoaneurysm was patched surgically, and inotropes were initiated to wean from CPB due to moderately reduced RV function. The patient was admitted to the ICU for post-operative management and discharged on POD 18.
  • ||||||||||  fentanyl citrate / Generic mfg.
    [VIRTUAL] Occult Retroperitoneal Hemorrhage Following Ultrasound-guided Transvaginal Oocyte Retrieval () -  Oct 17, 2020 - Abstract #ASA2020ASA_511;    
    During the procedure, the patient developed hypotension, refractory to intravenous fluid bolus, multiple doses of intravenous phenylephrine, and a decreased propofol infusion rate. Despite unremarkable pelvic and abdominal ultrasound examinations, patient was transferred to the hospital and diagnosed with abdominal hematoma requiring emergent surgical intervention and blood transfusion.