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Journal: Thyroid storm following rapid sequence intubation. (Pubmed Central) - Aug 21, 2019 Here, we report a case of a 46-year-old male who presented with a possible food impaction for the past 48 h. The patient developed extreme hypertension, tachycardia, and diaphoresis immediately following rapid sequence intubation (RSI), which, after further work-up, was due to thyroid storm.
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CONSCIOUS SEDATION IN ERCP: A UK PERSPECTIVE FROM A GENERAL HOSPITAL (Poster Exhibition - Hall 7) - Aug 18, 2019 - Abstract #UEGW2019UEGW_3229; In a summery, we concluded that ERCP under conscious sedation is still safe and effective in vast majority of the cases, and on pars with the guidelines (4, 5). However a small number of cases still require GA or propofol, this would need discussion and collaboration between gastroenterologists and anaesthetists base on each case due to the peculiar situation in the UK where propofol should be given only by anaesthetist (1).
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Journal: Low pre-operative heart rate variability and complexity are associated with hypotension after anesthesia induction in major abdominal surgery. (Pubmed Central) - Aug 15, 2019 ...Pre-operative HRV parameters were compared in patients who experienced significant hypotension (fall in systolic and mean arterial pressure (MAP) >30% baseline and MAP ≤60 mmHg) versus those who remained haemodynamically stable after induction of general anesthesia with propofol and fentanyl...Hypotension occurred relatively frequently in our cohort and was associated with a higher ASA grade (36 vs. 6% ASA 3, p = 0.036), hence post-induction hypotension and lower HRV may be associated with severity of illness or poor physiological reserve. Pre-operative HRV was a useful screening tool in identifying patients undergoing major abdominal surgery who were at risk of haemodynamic instability after anesthesia induction.
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Journal: Comparison of forced-air warming systems in prevention of intraoperative hypothermia. (Pubmed Central) - Aug 15, 2019 ...Demographic data, amount of fentanyl, crystalloid and blood products used, duration of operation, type of operation, hemodynamic parameters, shivering and thermal damage information were recorded...Forced air warming underbody blanket can be as effective as forced-air warming upper body blankets in preventing intraoperative hypothermia. They can be alternative in cases where use of forced-air warming upper body blankets is not feasible.
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Journal: Transmucosal fentanyl administration: sublingual, buccal, nasal - all the same? Treatment of breakthrough cancer pain (Pubmed Central) - Aug 15, 2019 The individual preparations differ considerably with regard to their pharmacological (e.g. bioavailability, cand t) and patient-relevant parameters (e.g. onset of action, potency and duration of effect). Fentanyl nasal spray is superior to the other forms of administration in terms of rapid onset of action and clinically relevant pain reduction and can thus be recommended as a treatment option for rapidly evolving and/or spontaneously occurring breakthrough cancer pain.
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Journal: Role of Music for Conscious Sedation During Invasive Cardiac Catheterization. (Pubmed Central) - Aug 15, 2019 42 (86%) of patients receiving music therapy believed music was helpful in reducing their stress/anxiety levels. In conclusion, music may serve as adjunctive/alternative intervention to pharmacotherapy in relieving anxiety and stress for patients undergoing elective ICC.
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Journal: Fentanyl vs fentanyl-dexmedetomidine in lumbar foraminotomy surgery. (Pubmed Central) - Aug 14, 2019 On the other hand, requirement of morphine, and postoperative symptoms and episodes of nausea and vomiting were significantly greater in the Fen group than in the Fen-Dex group (p<0.05). The present study suggests the addition of dexmedetomidine during lumbar foraminotomy surgery at different levels would be beneficial to reduce morphine consumption and any adverse drug reaction.
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Preclinical, Journal: Effect of electroacupuncture on porcine cardiac excitability induced by left stellate ganglion stimulation. (Pubmed Central) - Aug 9, 2019 ...General anesthesia consisted of isoflurane and fentanyl during surgical preparation and was transitioned to α-chloralose during experimental protocols...In conclusion, EA reduces the cardiac excitability induced by LSS through correction of cardiac sympathovagal balance. This study provides mechanistic insights underlying cardiac neuromodulation of EA during sympathoexcitation.
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Journal: Affinity of fentanyl and its derivatives for the σ-receptor. (Pubmed Central) - Aug 9, 2019 The parent compound is a rather poor binder (IC = 4973 nM), but its close derivatives (benzylfentanyl or p-fluorofentanyl) have submicromolar affinities. Modelling provides a structural basis for the observed trends in activity.
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Clinical, Journal: Predictors of operating room extubation in adult cardiac surgery. (Pubmed Central) - Aug 9, 2019 Perioperative factors that are independently associated with successful operating room extubation after adult cardiac operations were identified, and an operating room extubation prediction scoring system was validated. This scoring system may be used to guide safe operating room extubation after cardiac operations.
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Journal: Hypnotic communication for periprocedural analgesia during transcatheter ablation of atrial fibrillation. (Pubmed Central) - Aug 8, 2019 ...Regarding analgesic drug, Group A used only Fentanyl and Paracetamol...No complications occurred. Hypnotic communication during AF ablation was related to a significant reduction of intra-procedural anxiety, perceived pain, procedural analgesic drugs dosage and perceived procedural duration without affecting total RF delivered time and procedural safety.
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Journal: Research on dezocine in peritoneal gynecology operation under the target organ effect. (Pubmed Central) - Aug 8, 2019 ...Another 500 patients who were given with fentanyl as anesthetic in peritoneal gynecology operation were selected as research objects in the control group...Besides, adverse reactions in both of groups during the operation were basically comparative, so there was no significant difference (P>0.05) or statistical value. This research demonstrated that dezocine, as an anaesthetic in gynecology operation, has a good therapeutic effect and value of wide application in clinical anesthesia.
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Clinical, Journal: Effect of Epidural Infusion Bolus Delivery Rate on the Duration of Labor Analgesia: A Randomized Clinical Trial. (Pubmed Central) - Aug 8, 2019 In conclusion, even today, the greatest publication-based academic interest related to postoperative pain is associated with drugs and techniques introduced 40-50 years ago. Labor analgesia quality, assessed by need for provider- and patient-administered supplemental analgesia and hourly bupivacaine consumption was not improved by high-rate epidural bolus administration.
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A Pilot Study on the Recovery Rate in Patients Who Receive Propofol Sedation During Upper Endoscopy (EGD) (Exhibit Halls 3 and 4 (Street Level)) - Aug 8, 2019 - Abstract #ACG2019ACG_2638; Figure 1 All groups showed improvement on the 30 minute post-procedure test, although full recovery was only achieved 40.0 to 90.0% of the time (overall average of 73.3%) with the LCT and 90.0 – 100% of the time (overall average 90%) for the MDT. Table 2 In comparison to previously published results of moderate sedation, propofol sedation demonstrates an improved psychomotor recovery profile.
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Association of Fellow Training Year and Sedative Use During Screening Colonoscopy (Exhibit Halls 3 and 4 (Street Level)) - Aug 8, 2019 - Abstract #ACG2019ACG_2521; This is most likely due to the fact that there was little variability between the doses of each sedative and the small sample size. Data in literature is limited regarding the association between a fellow’s level of training and the amount of sedation used.
- |||||||||| Flagyl (metronidazole) / SLA, Omeprazole RBX (omeprazole) / Generic Mfg.
Endoscopic Management of Ingested Wooden Splinter Impacted in the Duodenum: A Case Report (Exhibit Halls 3 and 4 (Street Level)) - Aug 8, 2019 - Abstract #ACG2019ACG_2193; She was started on short course of levofloxacin and metronidazole, as full-thickness perforation of the duodenum could not be ruled out...The symptoms associated with toothpick or wooden splint ingestion may be non-specific, such as abdominal pain, fever, or nausea caused by localized perforation/impaction. The most common site of toothpick lodgment or perforation is the duodenum (23%).
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Variable Effect on the Sphincter of Oddi From Narcotics (Exhibit Halls 3 and 4 (Street Level)) - Aug 8, 2019 - Abstract #ACG2019ACG_1431; Direct sphincter of Oddi (SO) manometry has demonstrated that the sphincter of Oddi is particularly sensitive to all narcotics including morphine, meperidine, pentazocine, fentanyl, and codeine...In conclusion, SO dysfunction should be considered in patients with pancreatitis reporting worsening of abdominal pain while on opioids. SO manometry is contraindicated during acute pancreatitis, therefore discontinuation of the narcotic helps guide diagnosis.
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