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Jun 17, 2022Open    AccessArticle

Somite and Brain Nociceptive Coupling in Evolution of Nociceptive-Sympathetic Coupling for Pain Sensations by NBA

Zi-Jian Cai
In May 2016, it was proposed by the US athletes of the National Basketball Association (NBA) on television that the nociceptive-sympathetic coupling be required for pain sensations. Later, it was demonstrated that, via the activation of sympathetic outputs directly by the nociceptive neurons in laminae I and V of the dorsal spinal horn as well as those in periaqueductal grey (PAG) of brain, it was completed the nociceptive-sympathetic coupling in vertebrates. In this article, for the evolutionar...
Open Access Library J.   Vol.9, 2022
Doi:10.4236/oalib.1108867


Oct 18, 2021Open    AccessArticle

Determination of Safe Apnoea Period in Relation to Haemoglobin Concentration at Komfo Anokye Teaching Hospital

Tweneboah George, Jane Acquaye, Tsiri Agbenyega, Lorraine Sallah
The induced cessation of ventilation or suspension of external breathing is a common occurrence in anaesthetic practice. During the period of induced apnoea, there is no movement of the muscles of inhalation and lung volumes initially remain unchanged. Maintaining haemoglobin saturation during airway management is critical to guarantee the safety of patients. However, there has been little quantitative study of apnoea especially on the rate of change in oxygen saturation in relation to haemoglob...
Open Access Library J.   Vol.8, 2021
Doi:10.4236/oalib.1107930


Jun 04, 2021Open    AccessArticle

Aneurysmal Carotid Cavernous Fistula (ACCF), Management and Outcome: Case Report and Review of the Literature

Adil Belhachmi, Yao Christian Hugues Dokponou, Miloud Gazzaz
Carotid cavernous fistula is an abnormal communication between the cavernous portion of the carotid artery and the venous bed of cavernous sinus with secondary increased pressure in the cavernous sinus leading to clinical presentations depending on the vascular and/or nervous structures involved in this injury process. The patient may present in the emergency room with proptosis, cranial nerve palsy, increased intraocular pressure, diplopia, decreased vision, and sometimes blindness in case of a...
Open Access Library J.   Vol.8, 2021
Doi:10.4236/oalib.1107335


Aug 18, 2020Open    AccessArticle

Metabolic Alkalosis Associated Fluid and Electrolyte Disorders Revealing an Upper Digestive Tract Condition

Ameth Dieng, M. A. Ba, A. T. Lemrabott, M. Diop, A. Sy, M. Ndongo, B. Ndiaye, M. S. Diawara, M. Faye, Mo Faye, B. Ba, N. Keita, S. Diagne, M. M. Cissé
We report a case of a 66-year-old female patient with ischemic cardiomyopathy, who was referred in Nephrology Department for the management of a renal impairment associated-severe hyponatremia, hypokalemia and hypochloremia that occurred after vomiting episodes evolving since 1 month. On admission, the patient was calm with a psychomotor retardation occurring in a context of moderate dehydration. Arterial blood gas analysis outlined a severe metabolic alkalosis. An extra-renal cause of these met...
Open Access Library J.   Vol.7, 2020
Doi:10.4236/oalib.1106338


Oct 08, 2019Open    AccessArticle

The Neural Pathways for the Hypothetic Nociceptive-Sympathetic Coupling of NBA for Pain Sensation

Zi-Jian Cai
In May 2016, it was suggested by the US athletes playing games of National Basketball Association (NBA) in television that the pain sensation might result from the post-sensory nociceptive-sympathetic coupling. In this re-view, it is attempted to newly delineate the underlying neural pathways for this post-sensory nociceptive-sympathetic coupling. Based on the con-temporary feedback neural circuits of pain transmission in spinal c
...
Open Access Library J.   Vol.6, 2019
Doi:10.4236/oalib.1105780


Jul 10, 2019Open    AccessArticle

Systemic Thrombolysis for Intraoperative, High Risk Pulmonary Embolism, Clinical Case

Anna Grzanka, Pilar Reboto, Alfredo Plaza, Patricia Gaite
A 68-year-old woman with intercondylar fracture of the femur suffers massive (high risk) pulmonary embolism (PE) during surgery and is suc-cessfully treated with systemic thrombolysis. After limb exsanguinations with Esmarch bandage, the patient presents with sudden oxygen desaturation (99% to 80%) with subsequent dyspnea and hypotension. She is intubated and requires continuous adrenalin perfusion while the surgery is finished an
...
Open Access Library J.   Vol.6, 2019
Doi:10.4236/oalib.1105411


Jan 10, 2019Open    AccessArticle

A Clinical Triad of Digital Clubbing, “Arthritis” and Ossifying Periostitis in a Man: Case Report

Chun-Ruh Ng, Yet-Lin Loh
A 49 year old gentleman presented with intermittent bilateral knee swelling for the past 37 years and was eventually diagnosed as primary hypertrophic osteoarthropathy after secondary forms were excluded. This case illustrates that the disease can present during childhood with an insidious onset and progressively become more severe and that is when medical attention is sought. Furthermore, the patient did not voluntarily report hi
...
Open Access Library J.   Vol.6, 2019
Doi:10.4236/oalib.1105101


Aug 12, 2016Open    AccessArticle

Anesthetic Management of Nasopharyngeal Angiofibroma Resection with Carotid Invasion in a Pediatric Patient

Julia Reich Camasmie, Michele Cristianini, Rafael Moura, Claudia Biasi, Carlos Darcy Bersot
The nasopharyngeal angiofibroma is an aggressive, vascular tumor that may represent a challenge for the anesthesiologist by the risk of profuse bleeding. We report the case of a 13 years old, 52 kg, ASA1, who was scheduled for the resection of an angiofibroma invading facial sinuses and internal carotid artery, and submitted to external carotid and internal maxillary arteries embolization one day before surgery. Mallampati 2, prev
...
Open Access Library J.   Vol.3, 2016
Doi:10.4236/oalib.1102900


Aug 26, 2015Open    AccessArticle

Guillain Barre and Anesthesia— Intraoperative Disaster?

Omonele O. Nwokolo, Semhar J. Ghebremichael, Sara Guzman-Reyes
This is the case of a 76 y/o AA man with a past medical history of Hypertension and Guillain Barre Syndrome (GBS), who presented for a median sternotomy and excision of a thymic mass after workup for multiple episodes of syncope revealed the thymic mass. Intraoperatively, the patient had 2 episodes of cardiac arrest with asystole. He was adequately resuscitated and extubated. He was later determined by Neurology to have severe autonomic dysfunction and not a candidate for any elective surgery.
Open Access Library J.   Vol.2, 2015
Doi:10.4236/oalib.1101822


Jun 29, 2015Open    AccessArticle

Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology

Madhumani N. Rupasingh, Naveen Vanga, Aseem R. Hemmad, Sonya A. Johnson
Following an accidental dural puncture during the placement of epidural anesthesia, leakage of cerebrospinal fluid occurs. This leads to tugging on intracranial pain-sensitive structures and causes a headache that is postural in nature. According to radiology literature, the presence of retro spinal fluid collections has been associated with the diagnosis of spontaneous intracranial hypotension. The characteristic C1-C2 radiographic sign, called the C1-C2 false localizing sign, can be found on m...
Open Access Library J.   Vol.2, 2015
Doi:10.4236/oalib.1101591


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