keyword
https://read.qxmd.com/read/36874697/challenges-in-anaesthetic-management-in-a-case-of-facial-plexiform-neurofibromatosis-posted-for-debulking-surgery
#21
Sambit Dash, Neeta Verma, Sheetal Madavi, Jui A Jadhav, Aruna Chandak
A patient diagnosed with facial plexiform neurofibromatosis type 1 who is 18 years old and is scheduled for tumour resection and debulking surgery of his face is the subject of this study. The purpose of this paper is to describe the anaesthetic treatment that was administered to this patient. In addition, we analyze the relevant literature, with a particular emphasis on the implications of modifying neurofibromatosis to achieve anaesthesia. Our patient was found to have multiple huge tumours all over his face...
January 2023: Curēus
https://read.qxmd.com/read/36511498/regional-anaesthesia-in-the-post-covid-era
#22
JOURNAL ARTICLE
Yavuz Gürkan, Eren Yavuz Açıkalın, Umut Deniz Adanur, Mete Manici
COVID-19 pandemic has changed clinical practice significantly. Trying to avoid airway manipulation to reduce viral transmission favoured regional anaesthesia techniques over general anaesthesia when feasible. In this case report, we share the anaesthetic care of a 45-year-old male with a history of intensive care unit admission due to COVID, positive pressure ventilation, and ECMO support. The patient was diagnosed with cubital tunnel syndrome, and his treatment was successfully applied as surgical release under infraclavicular block...
December 2022: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/36308289/anaesthesia-for-vascular-emergencies-a-state-of-the-art-review
#23
REVIEW
N Boucher, H Dreksler, J Hooper, S Nagpal, A MirGhassemi, E Miller
In this state-of-the-art review, we discuss the presenting symptoms and management strategies for vascular emergencies. Although vascular emergencies are best treated at a vascular surgical centre, patients may present to any emergency department and may require both immediate management and safe transport to a vascular centre. We describe the surgical and anaesthetic considerations for management of aortic dissection, aortic rupture, carotid endarterectomy, acute limb ischaemia and mesenteric ischaemia. Important issues to consider in aortic dissection are extent of the dissection and surgical need for bypasses in addition to endovascular repair...
February 2023: Anaesthesia
https://read.qxmd.com/read/36096943/advanced-diagnostic-and-therapeutic-techniques-for-anaesthetists-in-thoracic-trauma-an-evidence-based-review
#24
REVIEW
Gabriel A Pollock, Jessie Lo, Henry Chou, Michael S Kissen, Michelle Kim, Vida Zhang, Alexander Betz, Ryan Perlman
Anaesthetists play an important role in the evaluation and treatment of patients with signs of thoracic trauma. Anaesthesia involvement can provide valuable input using both advanced diagnostic and therapeutic interventions. Commonly performed interventions may be complicated in this setting including airway management, damage control resuscitation, and acute pain management. Anaesthetists must consider additional factors including airway injuries, vascular injuries, and coagulopathy when treating this population...
January 2023: British Journal of Anaesthesia
https://read.qxmd.com/read/36064498/preliminary-evaluation-of-the-effects-of-a-1-1-inspiratory-to-expiratory-ratio-in-anesthetized-and-ventilated-horses
#25
JOURNAL ARTICLE
Ella Pittman, Manuel Martin-Flores, Martina Mosing, Matias Lorenzutti, Jaime Retamal, Francesco Staffieri, Andy Adler, Mark Campbell, Joaquin Araos
OBJECTIVE: To describe some cardiorespiratory effects of an inspiratory-to-expiratory (IE) ratio of 1:1 compared with 1:3 in ventilated horses in dorsal recumbency. STUDY DESIGN: Randomized crossover experimental study. ANIMALS: A total of eight anesthetized horses, with 444 (330-485) kg body weight [median (range)]. METHODS: Horses were ventilated in dorsal recumbency with a tidal volume of 15 mL kg-1 and a respiratory rate of 8 breaths minute-1 , and IE ratios of 1:1 (IE1:1) and 1:3 (IE1:3) in random order, each for 25 minutes after applying a recruitment maneuver...
November 2022: Veterinary Anaesthesia and Analgesia
https://read.qxmd.com/read/35898529/the-patient-with-obesity-and-super-super-obesity-perioperative-anesthetic-considerations
#26
REVIEW
Alan D Kaye, Brock D Lingle, Jordan C Brothers, Jessica R Rodriguez, Anna G Morris, Evan M Greeson, Elyse M Cornett
Obesity is associated with increased morbidity and mortality related to many complex physiologic changes and the rise worldwide has had far ranging implications in healthcare. According to the World Health Organization, over 2.8 million people die each year from being overweight or obese. Patients who are obese often need surgical procedures or interventional pain procedures and are at higher risk of complications. Patients with super-super obesity are those with body mass index greater than 60 kg/m2 and are at even greater risk for complications...
2022: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/35804435/intubation-success-in-prehospital-emergency-anaesthesia-a-retrospective-observational-analysis-of-the-inter-changeable-operator-model-icom
#27
JOURNAL ARTICLE
James Price, Kate Lachowycz, Alistair Steel, Lyle Moncur, Rob Major, Ed B G Barnard
BACKGROUND: Pre hospital emergency anaesthesia (PHEA) is a complex procedure with significant risks. First-pass intubation success (FPS) is recommended as a quality indicator in pre hospital advanced airway management. Previous data demonstrating significantly lower FPS by non-physicians does not distinguish between non-physicians operating in isolation or within physician teams. In several UK HEMS, the role of the intubating provider is interchangeable between the physician and critical care paramedic-termed the Inter-Changeable Operator Model (ICOM)...
July 8, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/35801330/anaesthetic-management-of-2-micropreemies-with-difficult-airway-case-report-and-review-of-literature
#28
JOURNAL ARTICLE
Anju Gupta, Nishkarsh Gupta, Pooja Singh, Kiran Kumar Girdhar
The infants are explicitly vulnerable to develop anaesthesia-related complications, with micropreemies being at the end of the spectrum because of their unique morphological and physiological features. Airway changes in pediatric patients are most exaggerated in these tiny infants and their immature lungs provide a little reserve, and therefore, securing airways can be challenging in this population. Moreover, many devices available for managing difficult airways in adults are not available for use in this miniature version...
June 2022: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/35728591/-anaesthetic-management-of-non-intubated-video-assisted-thoracic-surgery
#29
JOURNAL ARTICLE
Jérôme Michel Defosse, Frank Wappler, Marc Schieren
Non-intubated thoracic surgery is currently gaining popularity. In select patients and in experienced centres, non-intubated approaches may enable patients to safely undergo thoracic surgical procedures, who would otherwise be considered at high risk from general anaesthesia. While non-intubated techniques have been widely adopted for minor surgical procedures, its role in major thoracic surgery is a topic of controversial debate.This article discusses disadvantages of intubated anaesthetic approaches and advantages of non-intubated thoracic surgery as well as the anaesthetic management...
June 2022: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/35706632/anaesthesia-for-tracheal-resection-and-anastomosis
#30
REVIEW
Ashwin Marwaha, Akhil Kumar, Shikha Sharma, Jayashree Sood
Tracheal resection anastomosis is one of the most challenging surgeries. Notable advances in this field have made possible a variety of surgical, anesthetic, and airway management options. There are reports of newer approaches ranging from use of supraglottic airway devices, regional anesthesia, and extracorporeal support. Endotracheal intubation with cross-field ventilation and jet ventilation are the standard techniques for airway management followed. These call for multidisciplinary preoperative planning and close communication during surgery and recovery...
2022: Journal of Anaesthesiology, Clinical Pharmacology
https://read.qxmd.com/read/35544256/superficial-cervical-plexus-block-for-retroauricular-mass-excision-in-a-patient-with-high-risk-of-general-anaesthesia-a-case-report
#31
JOURNAL ARTICLE
Uğur Peksöz, Fatih Öner, Ali Ahıskalıoğlu
The surgical procedure of lipomas is performed under local, regional, or general anaesthesia depending on the location, number, and size of the lipoma. Anaesthesia can be achieved with a superficial cervical plexus block in the short-term surgery of soft tissue lesions in the dermatome areas of the lesser occipital nerve and great auricular nerve. In this article, we presented a high-risk patient with comorbid diseases and difficult airway who underwent superficial cervical plexus block for retro-auricular lipoma excision...
April 2022: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/35445494/ketamine-dexmedetomidine-combination-for-sedation-in-pediatric-major-surgery-in-a-low-income-country
#32
JOURNAL ARTICLE
Sofia Vila Moutinho Tavares, João C Tavares, Joana Borges Marques, Joana Teixeira de Figueiredo, Renato Lucas Passos de Souza
Anorectal malformations are one of the most frequent congenital malformations treated by pediatric surgeons. In low-income countries, the surgical and anesthetic management of children in need of these procedures can be challenging. Limited oxygen supply, lack of equipment, especially pediatric, and intensive care units make the use of regional anesthesia appealing. We present a series of four cases of anorectal malformations corrections in Guinea Bissau, in children up to 13 months of age, under regional anesthesia and sedation with ketodex, a mixture of ketamine and dexmedetomidine (in a proportion of 1 mg to 1 μg)...
April 2023: Paediatric Anaesthesia
https://read.qxmd.com/read/35384138/comprehensive-risk-assessments-and-anesthetic-management-for-children-with-osteogenesis-imperfecta-a-retrospective-review-of-252-orthopedic-procedures-over-5-years
#33
JOURNAL ARTICLE
Xiyun Liang, Peikai Chen, Chao Chen, Wei Che, Yue Yang, Zhijia Tan, Hechun Li, Yapeng Zhou, Shijie Yin, Michael Kai-Tsun To, Qiang Niu
BACKGROUND: Major anesthetic risks arise in orthopedic surgeries for children with osteogenesis imperfecta, a rare genetically inherited condition presenting diverse skeletal issues. AIM: We aimed to investigate anesthetic risks, including difficult airway, hypo- and hyperthermia, blood loss, and pain, in connection with patient, anesthetic, and surgical factors. METHODS: Both descriptive and inferential statistics were employed to study the anesthetic risks and their predictors...
July 2022: Paediatric Anaesthesia
https://read.qxmd.com/read/35110030/anaesthetic-challenges-in-a-paediatric-patient-with-escobar-syndrome-difficult-airway-and-postoperative-pneumothorax
#34
JOURNAL ARTICLE
Waleed Bin Ghaffar, Irfan Ul Haq, Arham Shahid, Samina Ismail
Escobar syndrome (ES) is an autosomal recessive disorder characterised by the presence of pterygia in cervical, antecubital and popliteal regions. Anaesthesiologist encounter notable challenges in this syndrome, especially airway management due to associated malformations like cleft lip/palate, micrognathia, syngnathia, ankyloglossia, neck contracture, cervical spine fusion, limited neck extension and craniofacial dysmorphism. In addition to difficult airway, anaesthesiologist may encounter other perioperative challenges...
December 2021: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/34945142/how-does-tube-size-affect-patients-experiences-of-postoperative-sore-throat-and-hoarseness-a-randomised-controlled-blinded-study
#35
JOURNAL ARTICLE
Pia Christiansen, Caroline Hornnes Pedersen, Hansjörg Selter, Lillian Odder, Jette Præstholm Riisager, Kjeld Damgaard, Signe Westmark, Niels Henrik Bruun, Dorte Melgaard
Sore throat (POST) and hoarseness (PH) are common complaints after endotracheal intubation (EI). The aim of this study was to investigate whether tube size impacts the experiences of POST and PH after EI in patients undergoing elective surgery, as well as to document a possible role of gender. This randomised, controlled, blinded study was conducted at Aalborg University Hospital, Thisted, Denmark or North Denmark Regional Hospital, Denmark. A total of 236 patients (53.4% female, mean age 50.9 years (SD 14...
December 13, 2021: Journal of Clinical Medicine
https://read.qxmd.com/read/34849218/a-rare-case-of-sinonasal-solitary-fibrous-tumour-in-a-patient-with-concurrent-papillary-thyroid-carcinoma-a-case-report
#36
Nurul Anis Mohd Fauzi, Noor Idayu Ibrahim, Wan Faiziah Wan Abdul Rahman, Sharifah Emilia Tuan Sharif, Muhammad Nasri Abu Bakar, Ramiza Ramza Ramli
Introduction and importance: A solitary fibrous tumour (SFT) is a rare neoplasm that commonly arises in the pleura and can occur in other extrathoracic sites. Extrapleural SFT, particularly in the sinonasal cavity, is extremely rare. There are no definite diagnostic criteria for sinonasal SFT as it is rare. Histologic analysis with immunohistochemistry plays an important role in diagnosing SFT. Case presentation: We report herein a case of SFT of the sinonasal cavity, which later spread to the oral cavity in a 67-year-old male with underlying papillary thyroid carcinoma (PTC) stage IV...
December 2021: Annals of Medicine and Surgery
https://read.qxmd.com/read/34766512/effectiveness-and-safety-of-intravenous-dexmedetomidine-sedation-for-ophthalmic-surgery-under-regional-anesthesia
#37
JOURNAL ARTICLE
Annalisa De Nucci, Antonio Scialdone, Gabriele Lando, Gaspare Monaco, Viviana Cacioppo, Sophia Campbell Davies, Giuseppe Casalino, Marco Gemma
PURPOSE: To assess the effectiveness and safety of intravenous (IV) dexmedetomidine for sedation in ophthalmic surgery. METHODS: Prospective, observational, uncontrolled, single-center study. Patients were sedated with a continuous dexmedetomidine IV infusion started 15 min before regional anesthesia administration and maintained up to the end of surgery. Effectiveness of dexmedetomidine was assessed by the Modified Observer's Assessment of Alertness and Sedation (MOAA/S) targeted at 5...
November 12, 2021: European Journal of Ophthalmology
https://read.qxmd.com/read/34764832/the-hypoxic-pulmonary-vasoconstriction-from-physiology-to-clinical-application-in-thoracic-surgery
#38
REVIEW
Marc Licker, Andres Hagerman, Alexandre Jeleff, Raoul Schorer, Christoph Ellenberger
More than 70 years after its original report, the hypoxic pulmonary vasoconstriction (HPV) response continues to spark scientific interest on its mechanisms and clinical implications, particularly for anesthesiologists involved in thoracic surgery. Selective airway intubation and one-lung ventilation (OLV) facilitates the surgical intervention on a collapsed lung while the HPV redirects blood flow from the "upper" non-ventilated hypoxic lung to the "dependent" ventilated lung. Therefore, by limiting intrapulmonary shunting and optimizing ventilation-to-perfusion (V/Q) ratio, the fall in arterial oxygen pressure (PaO2 ) is attenuated during OLV...
2021: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/34719390/current-practice-of-thoracic-anaesthesia-in-europe-a-survey-by-the-european-society-of-anaesthesiology-part-i-airway-management-and-regional-anaesthesia-techniques
#39
JOURNAL ARTICLE
Jerome Defosse, Mark Schieren, Torsten Loop, Vera von Dossow, Frank Wappler, Marcelo Gama de Abreu, Mark Ulrich Gerbershagen
BACKGROUND: The scientific working group for "Anaesthesia in thoracic surgery" of the German Society of Anaesthesiology and Intensive Care Medicine (DGAI) has performed an online survey to assess the current standards of care and structural properties of anaesthesia workstations in thoracic surgery. METHODS: All members of the European Society of Anaesthesiology (ESA) were invited to participate in the study. RESULTS: Thoracic anaesthesia was most commonly performed by specialists/board-certified anaesthetists and/or senior/attending physicians...
November 1, 2021: BMC Anesthesiology
https://read.qxmd.com/read/34703592/case-report-a-rare-occurrence-of-a-huge-mediastinal-mass-from-disseminated-prostate-carcinoma
#40
Kai Ming Teah, Ching Pei Bong, Kamarudin Mudin, May Zaw Soe, Shankaran Thevarajah, Boon Tat Yeap
BACKGROUND: Prostatic carcinoma is the commonest malignancy among men. It usually metastasizes to the spine and regional lymph nodes. However, it is extremely rare for it to metastasize to the mediastinum. CASE PRESENTATION: An elderly man presented to us with progressive onset of bilateral lower limb weakness which was associated with thoracic radiculopathy and urinary incontinence. An urgent magnetic resonance imaging (MRI) of the spine showed severe cord compression with enlarged prostate and superior mediastinal mass...
November 2021: Annals of Medicine and Surgery
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