Preface

Bready, Lois L.; Dillman, Dawn; Noorily, Susan H.

doi:10.1016/b978-0-323-03938-3.50003-8

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To manage this situation, the patient’s escape rate and cardiac rhythm should be analyzed. If the rate is slow, intravenous atropine 0.5 mg or isoproterenol infusion (1–2 μg/min) may be considered as medical treatment [ 12 ]. Cardiopulmonary resuscitation and advanced cardiac life support are not contraindicated when hemodynamic instability occurs because of pacemaker malfunction.…”

Section: Discussionmentioning

confidence: 99%

Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report -

Lee

Kim

2023

Anesth Pain Med

View full text Add to dashboard Cite

Background: Pacemakers assist circulation by generating electrical impulses. Patients with pacemakers scheduled to undergo surgery are vulnerable to device-related complications. Therefore, careful perioperative management is required to prevent undesirable events.Case: A 66-year-old man with alcohol-related hepatocellular carcinoma was referred for liver transplantation. The pacemaker was inserted preoperatively to manage sick sinus syndrome and paroxysmal atrial fibrillation. Overall liver transplantation was performed without any adverse events. However, the pacemaker suddenly failed to provide regular pacing rhythm during abdominal closure. Fortunately, the native heart rate was maintained above 70 beats per minute and blood pressure did not fluctuate after pacing failure. After retrospective analysis, the duration setting of preoperative pacemaker reprogramming (24 h) was revealed as the cause of unexpected pacing failure.Conclusions: Anesthesiologists should be alert in patients with pacemakers because minor errors may lead to inadvertent failure of pacing or severe hemodynamic instability.

show abstract

Section: Discussionmentioning

confidence: 99%

Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report -

Lee

Kim

2023

Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…Hepatic dysfunction, also known as liver dysfunction, is a medical condition characterized by impaired liver function. This condition manifests as a chronic or acute subclinical cellular disturbance but can progress into life-threatening hepatic failure with multiple organ failure when left untreated [ 1 ]. Research has shown that in the United States alone, more than 100 million people live with some form of hepatic dysfunction; however, only 4.5 million adults have been diagnosed with this condition [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of Single-Pass Albumin Dialysis (SPAD), Prometheus, and Molecular Adsorbent Recycling System (MARS) liver haemodialysis vs. Standard Medical Therapy (SMT): meta-analysis and systematic review

Gadour,

Kaballo,

Shrwani

et al. 2024

View full text Add to dashboard Cite

Introduction Because not all liver dysfunction patients are suitable for transplantations and there is a shortage of grafts, liver support therapies have gained interest. In this regard, extracorporeal albumin dialysis devices such as single-pass albumin dialysis (SPAD), Prometheus, and molecular adsorbent recycling system (MARS) have been valuable in supplementing standard medical therapy (SMT). However, the efficacy and safety of these devices is often questioned. Aim: We performed a systematic review to summarize the efficacy and safety of MARS, SPAD, and Prometheus as supportive treatments for liver dysfunction. Material and methods PubMed, Medline, Cochrane Library, Web of Science, and Google Scholar electronic databases were extensively searched for all randomized trials published in English. In addition, meta-analytic analyses were performed with Review Manager software, and Cochrane’s risk of bias tool embedded in this software was used for bias assessment. Results Twelve trials including a total of 653 patients were eligible for inclusion. Subgroup analyses of data from these trials revealed that MARS and Prometheus were associated with significant removal of bilirubin (MD = –5.14 mg/dl; 95% CI: –7.26 – –3.02; p < 0.00001 and MD = –8.11 mg/dl; 95% CI: –12.40 – –3.82; p = 0.0002, respectively) but not bile acids and ammonia when compared to SMT. Furthermore, MARS was as effective as Prometheus and SPAD in the reduction of bilirubin (MD = 2.98 mg/dl; 95% CI: –4.26 – 10.22; p = 0.42 and MD = 0.67 mg/dl; 95% CI: –2.22 – 3.56; p = 0.65), bile acids (MD = –17.06 µmol/l; 95% CI: –64.33 – 30.20; p = 0.48 and MD = 16.21 µmol/l; 95% CI: –17.26 – 49.68; p = 0.34), and ammonia (MD = 26 µmol/l; 95% CI: –12.44 – 64.44; p = 0.18). In addition, MARS had a considerable effect in improving hepatic encephalopathy (HE) (RR = 1.54; 95% CI: 1.15–2.05; p = 0.004). However, neither MARS nor Prometheus had a mortality benefit compared to SMTRR (0.86; 95% CI: 0.71–1.03; p = 0.11 and RR = 0.87; 95% CI: 0.66–1.14; p = 0.31, respectively). Conclusions MARS, SPAD, and Prometheus, as liver support therapies, are equally effective in reducing albumin-bound and water-soluble substances. Moreover, MARS is associated with HE improvement. However, none of the therapies was associated with a significant reduction in mortality or adverse events.

show abstract

“…Postoperative nausea and vomiting (PONV) is common in post-anaesthesia care units ( 1 ). PONV prevalence in patients untreated with antiemetic medicines is about 30% ( 2 ), while fatigue originating from PONV is about 38% ( 3 ). Sometimes, the annoyance caused by PONV is more than the postoperative pain after asmall and ambulatory surgery.…”

Section: Introductionmentioning

confidence: 99%

Comparison Between Effects of Acupuncture and Metoclopramide on Postoperative Nausea and Vomiting after Gynaecological Laparoscopy: A Randomized Controlled Trial

et al. 2017

View full text Add to dashboard Cite

BackgroundGynaecological laparoscopy one ofthe most common operations thatis accompanied by postoperative nausea and vomiting (PONV). A non-pharmacological method of preventing PONV is acupuncture therapy.ObjectivesThis study is conducted to compare the effects of acupuncture and metoclopramide on post-operative nausea and vomiting (PONV) after gynaecological laparoscopyMethodsIn this double-blind, randomized, clinical trial study,122female, ASA I, aged 19 - 46, who had been referred to the Imam Khomini Hospital (Ahvaz, Iran) and were candidates for gynaecological laparoscopy were enrolled. Eligible patients were randomly allocated into three groups group I (acupuncture; n = 40), group II (metoclopramide 0.2 mg/kg IV; n = 41), and group III (control; n = 41). In group I, acupuncture was done by inserting a special needle at point P6 in front of the elbow immediately after induction of anaesthesia and removing it before extubation and transfer of the patient to the recovery room. The occurrences of nausea and vomiting during the period of stay in the recovery room (one and two hours after surgery) were recorded through questions or clinical observation. Statistical analysis was conducted using SPSS V. 19, descriptive statistics, and the Chi-square test.ResultsThe acupuncture group (11.1%) showed a significant decrease in the incidence of nausea one hour after surgery compared to the metoclopramide group (33.3%) (P = 0.02), but there was no significant difference between the acupuncture and metoclopramide groups in terms of postoperative vomiting (POV) incidence one and two hours after surgery. Incidence of PONV in the acupuncture group (2.7%) was statistically significantly lower than that in the control group (28.5%), two hours after surgery (P < 0.01).ConclusionsAcupuncture is better for controlling nausea after laparoscopic surgery, compared to metoclopramide. Acupuncture is an effective method for reduction of PONV in gynaecological laparoscopy.

show abstract

Preface

Cited by 3 publications

References 0 publications

Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report -

Sudden mode change of permanent pacemaker during living donor liver transplantation - A case report -

Safety and efficacy of Single-Pass Albumin Dialysis (SPAD), Prometheus, and Molecular Adsorbent Recycling System (MARS) liver haemodialysis vs. Standard Medical Therapy (SMT): meta-analysis and systematic review

Comparison Between Effects of Acupuncture and Metoclopramide on Postoperative Nausea and Vomiting after Gynaecological Laparoscopy: A Randomized Controlled Trial

Contact Info

Product

Resources

About