Radiofrequency Ablation for Treatment of Cervicogenic Headache: Where do We Stand?

Zhuo Sun, Martin, Dan C, Anterpreet Dua*

The low socioeconomic level and instability in the southern area of Senegal impact on the social life of women. Thus access to family planning as well as antenatal care is moderate. Many pregnant women come to consultation in obstetric emergencies. These emergencies are very common situations that predominate in anesthetic practice. The anesthesia practiced on pregnant women result in complications. The purpose of our study was to determine the prevalence and anesthetic risk factors during obstetric emergencies. We carried out a retrospective, descriptive and analytical study over the period of twelve months in the Anesthesia and intensive care unit of the Peace Hospital in Ziguinchor. Included were all patients operated under anesthesia for obstetric emergencies. During this study period, 325 patients had been operated. The prevalence of obstetric emergencies was 82.49%. Patients under the age of 20 accounted for 13% and those aged 20 to 34 years 70.9%. General anesthesia was performed in 28%. All anesthetic procedures were performed in an emergency situation with ASA ≥ III at 27.5%. Anesthetic procedures were carried out in 70% by a senior technician in anesthesia. Risk factors for obstetric complications remain a reality in our practice. They are often enameled by complications that may put at stake the maternal and fetal life prognosis

Survey of Anesthesic Risk Factors During Obstetric Emergency at the Peace Hospital in Ziguinchor

Barboza D*, Traoré MM, Gaye I, Leye PA, Diaw M, Ndiaye PI, Ba EHB, Diop EHN, Sine B, Bah MD, Fall ML, Diouf E

The low socioeconomic level and instability in the southern area of Senegal impact on the social life of women. Thus access to family planning as well as antenatal care is moderate. Many pregnant women come to consultation in obstetric emergencies. These emergencies are very common situations that predominate in anesthetic practice. The anesthesia practiced on pregnant women result in complications. The purpose of our study was to determine the prevalence and anesthetic risk factors during obstetric emergencies. We carried out a retrospective, descriptive and analytical study over the period of twelve months in the Anesthesia and intensive care unit of the Peace Hospital in Ziguinchor. Included were all patients operated under anesthesia for obstetric emergencies. During this study period, 325 patients had been operated. The prevalence of obstetric emergencies was 82.49%. Patients under the age of 20 accounted for 13% and those aged 20 to 34 years 70.9%. General anesthesia was performed in 28%. All anesthetic procedures were performed in an emergency situation with ASA ≥ III at 27.5%. Anesthetic procedures were carried out in 70% by a senior technician in anesthesia. Risk factors for obstetric complications remain a reality in our practice. They are often enameled by complications that may put at stake the maternal and fetal life prognosis.

Anesthetic Management of Labial and Palatin Slots During a Humanitarian Mission at Matlaboul Fawzaini Hospital of Touba

Gaye I, Barboza D*, Diop A, Traore Mm, Dia A, Ba Ehb, Diop Ehn, Leye Pa, Ndiaye Pi, Belem Fp, Diaw M, Diouf E

Cleft lip and palate surgery in Senegal is often carried out on humanitarian missions by indigenous specialists supported by humanitarian agencies. Diagnostic and therapeutic delays often linked to poverty and the scarcity of information on these deformities remain among the major challenges. The anesthetic management is confronted with a non-negligible risk of difficult intubation and respiratory complications. The objective of this study was to report the epidemiological, therapeutic and evolutionary data of this first experiment of the anesthetic management of nasolabial slits in the context of a humanitarian mission at the Matlaboul Fawzaini hospital in Touba. Twenty-six patients were scheduled for the mission. Surgery was performed on twenty-four patients and two patients were recused because of a time problem. Sixteen were female and eight were male. The median age was 42 months. The average weight was 18.6 kg. Eleven patients (45.83%) had a cleft lip, eight (33.33%) had cleft palate and five (20.83%) had cleft lip and palate. No associated malformation was found in our patients. Hemoglobin and blood crasis were normal in all of our patients. Two patients had difficult intubation criteria. Fourteen patients (58.33%) were of ASA class 1 and 10 (41.67%) were of ASA class 2. We performed an inhalation induction in 71% of patients. As a surgical gesture, 12 cheiloplasties, 9 palatoplasties and 3 cheiloplasties with palatoplasties were carried out. No incident occurred intraoperatively. The mean duration of surgery was 85.87 min. No complications occurred during extubation or postoperatively. All patients had systemic multimodal analgesia (paracetamol and niflumic acid or tramadol) in addition to a maxillary or infra-orbital analgesic block. The average values of pain evaluation by the CHEOPS scale were of 6, 6, and 5 respectively at the awakening, at the 1st hour, and then at the 2nd hour and finally at the 3rd hour.

Management of Cesarean Section in a Patient with Paraplegia and Difficult Airway with Full Stomach- A Case Report

Gandotra S*, Saxena K N, Sharma K.

This case report describes the anaesthetic management of a paraplegic patient posted for emergency cesarean section. She was full stomach with an anticipated difficult airway and had a history of spinal tuberculosis, as a result of which she had become paraplegic. The obstetrician noted signs of impending scar rupture and fetal distress and immediately posted her for cesarean delivery. We chose epidural anesthesia as the modality of anesthesia. The surgery was performed successfully with favourable maternal and fetal outcome. Thus, epidural anesthesia offers a good management modality which is safe, results in reduced blood loss and helps to circumvent the problem of full stomach with difficult intubation.

Does the Patient Need Lung Protection or Lung Isolation?A Case Report and Literature Review of One-Lung Ventilation Guidelines 

John F. Zaki*, Stephanie F. Tran, Travis Markham, Warren Choi, Rodolfo E. Perez, Timothy R. Pawelek, Ovidiu Moise, Shaina Sheppard, Ali Shahen, Shao F. Zhou, Sreelatha Panthayi, Marty N. Giesecke, Roy Sheinbaum, Jian P. Azimi-Bolourian, Kacie A. Bhushan. 

A case report of difficult one-lung ventilation (OLV) during open thoracotomy, followed by a discussion of indications for OLV and a proposed algorithm for selecting an OLV device appropriate for patient needs and surgical goals.
Abbreviated Title
One-Lung Ventilation Device-Selection Guidelines
Disclosure Statements:
1.Funding provided by the University of Texas Health Science Center at Houston Department of Anesthesiology, Houston, Texas, and the Memorial Hermann Heart & Vascular Institute, Houston, Texas 2.The authors have no conflicts of interest to disclose

Systolic Anterior Motion of the Mitral Valve After Aortic Valve Replacement for Aortic Stenosis Diagnosed by Transesophageal Echocardiography

John F. Zaki*, Stephanie F. Tran, Travis Markham, Warren Choi, Rodolfo E. Perez, Timothy R. Pawelek, Ovidiu Moise, Shaina Sheppard,
Ali Shahen, Shao F. Zhou, Sreelatha Panthayi, Marty N. Giesecke, Roy Sheinbaum.