当前位置： SCI文献检索 > JOURNAL OF CLINICAL ANESTHESIA期刊下所有文献 > Acquired QT interval changes and neck dissections.

Acquired QT interval changes and neck dissections.

Abstract：

STUDY OBJECTIVE:To determine if acquired long QT syndrome following right or left, radical or modified, neck dissections result in malignant arrhythmias or deaths. DESIGN:Prospective study. SETTING:Inpatient head and neck service of the Massachusetts Eye and Ear Infirmary. PATIENTS:69 patients who underwent extensive neck surgery, without congenital long QT syndrome, medications known to prolong the QT interval, preoperative ventricular arrhythmias, or electrolyte abnormalities. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Preoperative and postoperative electrolytes were evaluated. Preoperative and postoperative electrocardiograms and QT intervals were evaluated. Continuous intraoperative and 10- to 12-hour postoperative monitoring of lead II or V5 were evaluated. Twenty-six patients (Group 1) underwent either right radical neck dissection or modified right radical neck dissection, 25 patients (Group 2) underwent either left radical neck dissection or modified left neck dissection, and 18 patients (Group 3) underwent extensive neck surgery without radical or modified neck dissection. Postoperatively, 38 patients (19 Group 1, 11 Group 2, and 8 Group 3 patients) developed a QT interval corrected for heart rate (QTc) of greater than 440 milliseconds. Repeated measures analysis of variance, comparing preoperative and postoperative QTc showed a statistically significant preoperative to postoperative change, but no significant difference among the three groups. No malignant arrhythmias or deaths were recorded in any of the three groups. CONCLUSIONS:Acquired long QT syndrome following radical neck dissection, without congenital, metabolic, or pharmacologic disturbance, is unlikely to trigger malignant arrhythmias, as previously reported for right radical neck dissection.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Acquadro MA,Nghiem TX,Beach TP,Donlon JV Jr,Joseph MP,Ahern DK

doi

10.1016/0952-8180(94)00015-v

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

54-7

issue

1

eissn

0952-8180

issn

1873-4529

pii

095281809400015V

journal_volume

7

pub_type

杂志文章

相关文献

JOURNAL OF CLINICAL ANESTHESIA文献大全
  • Permissive hypercapnia with high-frequency oscillatory ventilation and one-lung isolation for intraoperative management of lung resection in a patient with multiple bronchopleural fistulae.

    abstract：:We report the use of high-frequency oscillatory ventilation in the operating room during repair of multiple bronchopleural fistulae in a 9-year-old boy. In addition, we used principles of permissive hypercapnia to further minimize barotrauma. There were no cardiovascular consequences due to either the high-frequency v...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/S0952-8180(96)00206-1

    authors： Tietjen CS,Simon BA,Helfaer MA

    更新日期：1997-02-01 00:00:00

  • Greater occipital nerve block for postdural puncture headache (PDPH): a prospective audit of a modified guideline for the management of PDPH and review of the literature.

    abstract：STUDY OBJECTIVE:To perform a prospective audit of the modified guideline for the management postdural puncture headache (PDPH) and present the results at 6 months. DESIGN:Prospective single-center audit. SETTING:University hospital. PATIENTS:24 adult, ASA physical status 1, 2, and 3 patients presenting with PDPH in ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2014.03.006

    authors： Niraj G,Kelkar A,Girotra V

    更新日期：2014-11-01 00:00:00

  • Thoracic epidural-general analgesia in scoliosis surgery.

    abstract：STUDY OBJECTIVE:To evaluate the efficacy of thoracic epidural analgesia (TEA) in scoliosis surgery. DESIGN:Descriptive clinical study. SETTING:University hospital. PATIENTS:15 ASA physical status I, II, and III patients undergoing thoracolumbar scoliosis correction. INTERVENTIONS:TEA was performed at three to 5 cm ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2009.10.011

    authors： Sundarathiti P,Pasutharnchat K,Jommaroeng P

    更新日期：2010-09-01 00:00:00

  • The pharmacokinetics of remifentanil.

    abstract：:Opioids decrease the sympathetic and somatic responses to noxious stimulation and can be given in high doses without negative inotropic effects, even in patients with impaired cardiac function. With currently available opioids, precise titration of dose to effect is difficult, and high doses result in drug accumulatio...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/s0952-8180(96)00179-1

    authors： Michelsen LG,Hug CC Jr

    更新日期：1996-12-01 00:00:00

  • Carbetocin for prevention of postcesarean hemorrhage in women with severe preeclampsia: a before-after cohort comparison with oxytocin.

    abstract：STUDY OBJECTIVE:The aim of the study was to compare the incidence of the use of additional uterotonics before and after the change of carbetocin to oxytocin for the prevention of postpartum hemorrhage after cesarean delivery in women with severe preeclampsia. DESIGN:This was an observational retrospective before-and-a...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.08.017

    authors： Nucci B,Aya A,Aubry E,Ripart J

    更新日期：2016-12-01 00:00:00

  • Commercial propofol solutions: is the more expensive also the more effective?

    abstract：STUDY OBJECTIVE:To compare the efficacy and safety of four commercial propofol solutions marketed in Israel. DESIGN:Prospective, randomized, double-blind study. SETTING:University-affiliated medical center. PATIENTS:120 ASA physical status I and II nullipara patients undergoing dilatation and curettage for interrupt...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0952-8180(01)00271-9

    authors： Weksler N,Rozentsveig V,Tarnoploski A,Gurman GM

    更新日期：2001-08-01 00:00:00

  • Respiratory acidosis prolongs, while alkalosis shortens, the duration and recovery time of vecuronium in humans.

    abstract：STUDY OBJECTIVE:To determine the effects of respiratory acidosis and alkalosis by mechanical ventilation on the onset, duration, and recovery times of vecuronium. DESIGN:Randomized, prospective study. SETTING:Operating rooms in the Sapporo Medical University Hospital and Kitami Red Cross Hospital. PATIENTS:90 ASA ph...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0952-8180(01)00361-0

    authors： Yamauchi M,Takahashi H,Iwasaki H,Namiki A

    更新日期：2002-03-01 00:00:00

  • Transcutaneous monitoring of partial pressure of carbon dioxide in the elderly patient: a prospective, clinical comparison with end-tidal monitoring.

    abstract：STUDY OBJECTIVE:To evaluate the accuracy and precision of estimation of partial pressure of carbon dioxide (Pa(CO2)) using end-tidal or transcutaneous CO2 (TcP(CO2)) measurements during mechanical ventilation in the elderly patient. DESIGN:A prospective, observational study was conducted. SETTINGS:The study was done ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2006.02.007

    authors： Casati A,Squicciarini G,Malagutti G,Baciarello M,Putzu M,Fanelli A

    更新日期：2006-09-01 00:00:00

  • Respiratory complications in patients with traumatic cervical spine injuries: case report and review of the literature.

    abstract：:Spinal cord injuries continue to be a devastating medical problem. By impairing voluntary and involuntary nervous system function, virtually every body system function is affected. However, pulmonary function alteration and respiratory complications continue to be the major causes of morbidity and mortality in patient...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(03)00105-3

    authors： Urdaneta F,Layon AJ

    更新日期：2003-08-01 00:00:00

  • Anesthesiology in the Belgian health care environment.

    abstract：:This article focuses on anesthesiology practice in the context of Belgian health care. The first part describes the organization of Belgian health care, the role of private and public initiatives, the division of responsibilities between the different health authorities, the financing mechanisms, and the central role ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/0952-8180(94)90081-7

    authors： Vleugels AM

    更新日期：1994-07-01 00:00:00

  • Multi-disciplinary and pharmacological interventions to reduce post-operative delirium in elderly patients: A systematic review and meta-analysis.

    abstract：STUDY OBJECTIVE:An estimated 80% of older people undergoing surgery develop postoperative delirium (POD) making them a high-risk group. Research in this area is growing fast but there is no established consensus on strategies for POD prevention or management. A systematic review and meta-analysis were conducted to synt...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2020.110004

    authors： Igwe EO,Nealon J,Mohammed M,Hickey B,Chou KR,Chen KH,Traynor V

    更新日期：2020-12-01 00:00:00

  • The opioid-sparing effect of diclofenac sodium in outpatient extracorporeal shock wave lithotripsy (ESWL).

    abstract：STUDY OBJECTIVE:To evaluate the opioid-sparing and analgesic effect of diclofenac sodium in ambulatory nonimmersion extracorporeal shock wave lithotripsy (ESWL). DESIGN:Randomized, double-blind, placebo-controlled study. SETTING:Large referral hospital. PATIENTS:Twenty-seven ASA physical status I and II patients wit...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(93)90142-2

    authors： Fredman B,Jedeikin R,Olsfanger D,Aronheim M

    更新日期：1993-03-01 00:00:00

  • Trimethaphan (Arfonad) control of hypertension and tachycardia during electroconvulsive therapy: a double-blind study.

    abstract：STUDY OBJECTIVE:To ascertain the optimal dose of trimethaphan camsylate administered by intravenous (i.v.) bolus injection for the control of hypertension and tachycardia during electroconvulsive therapy (ECT). DESIGN:Prospective, double blind, within-subject study. SETTING:Treating room of the psychiatric unit of th...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(95)00192-1

    authors： Petrides G,Maneksha F,Zervas I,Carasiti I,Francis A

    更新日期：1996-03-01 00:00:00

  • Case report of a guide wire loss and migration after central venous access.

    abstract：:We report a case of guide wire loss and migration after central venous access for spinal deformity surgery. Guide wire migration was noticed on a follow-up full spine x-ray 69 days postoperatively. Percutaneous retrieval was successfully performed using endovascular techniques. With this case report, we want to highli...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.04.005

    authors： Van Doninck J,Maleux G,Coppens S,Moke L

    更新日期：2015-08-01 00:00:00

  • Correlation between extraction force during tracheal intubation stylet removal and postoperative sore throat.

    abstract：STUDY OBJECTIVE:To examine postoperative sore throat resulting from tracheal intubation stylet removal. DESIGN:Prospective cohort study. SETTING:Operating rooms and hospital ward. PATIENTS:A total of 50 American Society of Anesthesiologists physical status 1 and 2 patients who underwent elective abdominal and/or ort...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2015.12.024

    authors： Kusunoki T,Sawai T,Komasawa N,Shimoyama Y,Minami T

    更新日期：2016-09-01 00:00:00

  • Interaction modeling of propofol and sufentanil on loss of consciousness.

    abstract：STUDY OBJECTIVES:To examine the possible pharmacodynamic interaction of propofol and sufentanil with respect to the induction of loss of consciousness. DESIGN:Prospective, randomized, double-blinded study. SETTING:University hospital. PATIENTS:30 female, ASA physical status I and II patients undergoing elective gyne...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0952-8180(99)00076-8

    authors： Schraag S,Mohl U,Bothner U,Georgieff M

    更新日期：1999-08-01 00:00:00

  • Rapid ventricular pacing: a novel technique to decrease cardiac output for giant basilar aneurysm surgery.

    abstract：:A case of a 49 year old man with a giant basilar artery aneurysm requiring rapid ventricular pacing is presented. Rapid ventricular pacing decreased aneurysm size and increased operative exposure, which aided surgical decision making. It also provided decreased wall tension in the aneurysm. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2012.04.013

    authors： Whiteley JR,Payne R,Rodriguez-Diaz C,Ellegala DB,Reeves ST

    更新日期：2012-12-01 00:00:00

  • Hemodynamic effects during induction, laryngoscopy, and intubation with eltanolone (5 beta-pregnanolone) or propofol. A study in ASA I and II patients.

    abstract：STUDY OBJECTIVE:To evaluate the cardiovascular changes following induction of anesthesia, laryngoscopy, and intubation in patients receiving a bolus dose of either eltanolone or propofol. DESIGN:Randomized, controlled, blind, prospective clinical study. SETTING:General operating theaters of a university hospital. PA...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0952-8180(94)00026-z

    authors： Sear JW,Jewkes C,Wanigasekera V

    更新日期：1995-03-01 00:00:00

  • Effect of tracheal intubation or laryngeal mask airway insertion on intraocular pressure using balanced anesthesia with sevoflurane and remifentanil.

    abstract：STUDY OBJECTIVES:To study the effect of tracheal intubation or laryngeal mask airway (LMA) insertion on intraocular pressure (IOP) in strabismus patients undergoing balanced anesthesia with sevoflurane and remifentanil. DESIGN:Open, prospective, randomized study. SETTING:Tertiary care academic medical institution. P...

    journal_title：Journal of clinical anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0952-8180(01)00259-8

    authors： Eltzschig HK,Darsow R,Schroeder TH,Hettesheimer H,Guggenberger H

    更新日期：2001-06-01 00:00:00

  • Blood, bone, and dura: anesthesia responsibility and pediatric neurosurgery.

    abstract：:In conclusion, providing anesthesia for a small child undergoing craniofacial reconstructive surgery is an enormous challenge. Even with the most experienced pediatric anesthesiologist and pediatric surgeons, problems can develop suddenly and lead, as they did in this case, to serious morbidity and even death. It is d...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/s0952-8180(97)00162-1

    authors： Liang BA

    更新日期：1997-11-01 00:00:00

  • Anesthetic management of the pregnant burn patient: excision and grafting to emergency Cesarean section.

    abstract：:Pregnant patients with burn injuries present a unique challenge for general medical care and require special anesthetic considerations. A 21 year old woman at 28 weeks' gestation, who suffered 45% total burn surface area partial and full-thickness burns during a fire in her home, is presented. Anesthetic management in...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2013.01.019

    authors： Radosevich MA,Finegold H,Goldfarb W,Troianos C

    更新日期：2013-11-01 00:00:00

  • Postoperative analgesia for hip arthroscopy: combined L1 and L2 paravertebral blocks.

    abstract：:Two patients are presented who underwent successful combined L1 and L2 paravertebral blocks as part of an anesthetic technique for hip arthroscopy. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2008.04.012

    authors： Lee EM,Murphy KP,Ben-David B

    更新日期：2008-09-01 00:00:00

  • Pneumothorax after tracheostomy closure with successful nonsurgical management.

    abstract：:A 3-year-old girl presented for routine closure of her tracheostomy site. She was intubated easily for the procedure, and the wound was closed with a drain in place. In recovery, the mother noticed fullness in the patient's submandibular region, and on examination, the girl had subcutaneous emphysema in the neck bilat...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2016.01.033

    authors： Lee BH,Sarah GE,Rosbe KW,Alemi S

    更新日期：2016-06-01 00:00:00

  • Perioperative strokes after coronary artery bypass grafting with staged carotid endarterectomy: A nationwide perspective.

    abstract：STUDY OBJECTIVE:To examine the risk of perioperative stroke on in-hospital morbidity and mortality in staged coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) procedures. DESIGN:The National Inpatient Sample (NIS) database was used to extract data on all patients who underwent staged CABG CEA pro...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2017.03.024

    authors： Cheng H,Udesh R,Mehta A,Thirumala PD

    更新日期：2017-06-01 00:00:00

  • Perioperative management of a patient scheduled for bilateral hand transplant.

    abstract：:The perioperative management of a patient receiving a bilateral hand transplant is presented. The anesthetic management required careful fluid administration, homeothermic temperature maintenance, and postoperative analgesia. The role of different anesthesia subspecialties is highlighted. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2012.11.004

    authors： Elkassabany NM,Fosnot CD,Shaked A,Kanchwala SK,Kovach SJ 3rd,Chang B,Lin IC,Ochroch EA,Baranov DY,Levin LS

    更新日期：2013-05-01 00:00:00

  • Analgesic efficacy of ultrasound-guided regional anesthesia: a meta-analysis.

    abstract：STUDY OBJECTIVE:To determine if the use of ultrasound guidance (vs non-ultrasound techniques) improves the success rate of nerve blocks. DESIGN:Meta-analysis of randomized controlled trials (RCTs) in the published literature. SETTING:University medical center. MEASUREMENTS:16 RCTs of patients undergoing elective sur...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.jclinane.2010.12.005

    authors： Gelfand HJ,Ouanes JP,Lesley MR,Ko PS,Murphy JD,Sumida SM,Isaac GR,Kumar K,Wu CL

    更新日期：2011-03-01 00:00:00

  • Delayed pneumomediastinum and pneumothorax complicating laparoscopic extraperitoneal inguinal hernia repair.

    abstract：:A 53-year-old healthy man underwent elective laparoscopic, extraperitoneal, right-sided herniorrhaphy. Postoperatively, he complained of chest pain on inspiration. Chest x-ray and computed tomographic scan revealed a pneumomediastinum and a right-sided pneumothorax. Previous case reports and possible etiologies are re...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/j.jclinane.2004.05.009

    authors： Bartelmaos T,Blanc R,De Claviere G,Benhamou D

    更新日期：2005-05-01 00:00:00

  • Remifentanil infusion during emergence moderates hemodynamic and cough responses to the tracheal tube: A randomized controlled trial.

    abstract：OBJECTIVE:To examine the severity of cough and straining at the time of emergence from anesthesia. DESIGN:Double-blind randomized, placebo-controlled study. SETTING:University-affiliated hospital. PATIENTS:Sixty-two American Society of Anesthesiologists 2 patients undergoing craniotomy and excision of supratentorial...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2015.09.001

    authors： Ghodraty MR,Hasani V,Bagheri-Aghdam A,Zamani MM,Pournajafian A,Rokhtabnak F,Kholdebarin A,Nader ND

    更新日期：2016-09-01 00:00:00

  • Can we use lower volume of local anesthetic for infraclavicular brachial plexus nerve block under ultrasound guidance in children?

    abstract：OBJECTIVES:To determine if the infraclavicular brachial plexus block can be applied with lower volume of local anesthetic. DESIGN:Randomised, double-blinded clinical trial. PATIENTS:60 patients aged 5-15years with ASA I-II who underwent emergent or elective arm, forearm or hand operations were included in the study. ...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jclinane.2016.12.017

    authors： Ince I,Aksoy M,Dostbil A,Tuncer K

    更新日期：2017-09-01 00:00:00

  • Tracheal width and left double-lumen tube size: a formula to estimate left-bronchial width.

    abstract：STUDY OBJECTIVE:To determine which patient parameters best predict left bronchial width (LBW) when selecting the correct size double-lumen tube (DLT). If LBW is known, a DLT that will fit that bronchus can be chosen. DESIGN:Prospective study. SETTING:University medical center. PATIENTS:Three hundred twenty-one conse...

    journal_title：Journal of clinical anesthesia

    pub_type： 杂志文章

    doi：10.1016/j.jclinane.2004.07.008

    authors： Brodsky JB,Lemmens HJ

    更新日期：2005-06-01 00:00:00