Malaysian Journal of Anaesthesiology最新文献

Use of dexmedetomidine and low-dose ketamine as conscious sedation for fibreoptic bronchoscopy intubation for temporomandibular joint ankylosis secondary to an unsuspecting childhood trauma: a case report 使用右美托咪定和小剂量氯胺酮作为纤维支气管镜插管治疗颞下颌关节强直的意识镇静剂：病例报告

Malaysian Journal of Anaesthesiology Pub Date : 2023-12-18 DOI: 10.35119/myja.v2i2.48

Jie Cong Yeoh, Ruwaida Bt Isa, Intan Zarina Fakir Mohamed

引用次数: 0

Green anaesthesia: a review of sustainable perioperative practices and the potential application in Malaysia 绿色麻醉：对可持续围手术期做法及在马来西亚应用潜力的审查

Malaysian Journal of Anaesthesiology Pub Date : 2023-12-18 DOI: 10.35119/myja.v2i2.61

Kwan Tuck Lee, S. Ngoi, I. I. Shariffuddin

{"title":"Green anaesthesia: a review of sustainable perioperative practices and the potential application in Malaysia","authors":"Kwan Tuck Lee, S. Ngoi, I. I. Shariffuddin","doi":"10.35119/myja.v2i2.61","DOIUrl":"https://doi.org/10.35119/myja.v2i2.61","url":null,"abstract":"Global warming and worsening climate change threaten environmental sustainability and exacerbate disease burdens worldwide. Alarmingly, the health care sector emerged as a substantial contributor to this crisis. The operating theatre significantly contributes to hospital waste and greenhouse gas emissions. Anaesthesiologists are morally compelled to combat this crisis, aligning with our oath as physicians of “first, do no harm,” ensuring patient safety extends beyond the operating room by advocating for sustainable practices that safeguard both health and the environment. Understanding the climate change indicators reveals the alarming impact of human actions on escalating greenhouse gas emissions and their dire repercussions, such as global temperature shifts, severe weather events, and heightened natural disasters.\u0000Greener solutions and adaptive policymaking are essential to address procurement, greenhouse gas emissions, and waste management challenges in health care settings. Anaesthesiologists should collaborate with surgeons and hospital management to navigate patient-specific issues analysing the environmental impact of hospital visits, investigations, and comorbidities. Efforts toward sustainable healthcare practices in the preoperative setting, such as telemedicine adoption, promoting eco-friendly transportation, and optimising patient health before surgery should be encouraged.\u0000Anaesthesiologists should focus on the environmental impact of anaesthesia drugs, medical equipment, and electricity usage on the environment. We should be more responsible and able to justify our practices concerning the ecological implications of inhaled anaesthetic gases, propofol disposal, plastic-based equipment, and energy demands in operating rooms. The emphasis lies on adopting the 6Rs—rethink, refuse, reduce, reuse, recycle, and research—within anaesthesia practices to minimise environmental footprints.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"101 S403","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138965167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gastric ultrasound for perioperative prandial status 胃部超声波检查围手术期的餐前状态

Malaysian Journal of Anaesthesiology Pub Date : 2023-12-18 DOI: 10.35119/myja.v2i2.59

Jie Cong Yeoh, Shahridan Mohd Fathil

引用次数: 0

National postgraduate medical curriculum: enhancing anaesthesiology training in Malaysia 国家研究生医学课程：加强马来西亚的麻醉学培训

Malaysian Journal of Anaesthesiology Pub Date : 2023-12-18 DOI: 10.35119/myja.v2i2.60

Azrina Md Ralib, Noorjahan Haneem Md Hashim, I. I. Shariffuddin

引用次数: 0

Monitoring during anaesthesia: beyond minimal standards 麻醉期间的监测:超出最低标准

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.54

Shahridan Mohd Fathil

引用次数: 0

Evaluation of Flexible Tip bougie in simulated difficult intubation: a randomized cross-over manikin study 评估柔性尖端在模拟困难插管中的作用:一项随机交叉模型研究

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.40

Tong Yin Kuan, Abdul Hadi Mohamed

{"title":"Evaluation of Flexible Tip bougie in simulated difficult intubation: a randomized cross-over manikin study","authors":"Tong Yin Kuan, Abdul Hadi Mohamed","doi":"10.35119/myja.v2i1.40","DOIUrl":"https://doi.org/10.35119/myja.v2i1.40","url":null,"abstract":"Introduction: Both video laryngoscopes and bougies play major role in difficult airway management. Even when a video laryngoscope is available to improve intubation view, there are instances when the vocal cords are visible, but intubation cannot be achieved. In these cases, bougies have a role in assisting intubation. This study aimed to compare the efficacy of the Flexible Tip Bougie with others in simulated difficult intubation.\u0000Methods: This study was designed as a randomized, cross-over, simulation manikin study. It involved 42 medical officers from the Department of Anaesthesiology. In the study, participants performed intubation under simulated difficult airway conditions. Three types of bougie were used by each participant in random order: (1) Flexible Tip Bougie, (2) Portex Single-Use Introducer, and (3) Frova Intubating Introducer.\u0000Results: The intubation success rate was 100% for the Flexible Tip Bougie, 78.6% for the Frova Intubating Introducer, and only 50% for the Portex Single-Use Introducer (p < 0.001). The median intubation time was shortest with the Flexible Tip Bougie, at 16.08 s (interquartile range [IQR]: 6.13); 18.25 s (IQR: 18.07) with Frova, and 19.39 s (IQR: 37.60) with Portex (p = 0.449). The ease of use was lowest with Portex (69.64, standard deviation [SD]: 32.45), average with Frova (50.59, SD: 29.98), and highest with Flexible Tip (16.67, SD: 21.86; [p < 0.001]).\u0000Conclusion: In this manikin study, the Flexible Tip Bougie was more efficient in achieving successful intubation and easier to use than the Portex and Frova introducers in a difficult intubation scenario.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132396253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Quality of chest compressions performed by anaesthetic trainees with and without audiovisual feedback 有无视听反馈麻醉受训者胸外按压的质量

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.38

Eng Thye Tan, M. Budiman, Mohamad Mahdi Siti Nidzwani, Raha Binti Abdul Rahman, Su Min Joanna Ooi, Jaafar Md Zain, M. Maaya

{"title":"Quality of chest compressions performed by anaesthetic trainees with and without audiovisual feedback","authors":"Eng Thye Tan, M. Budiman, Mohamad Mahdi Siti Nidzwani, Raha Binti Abdul Rahman, Su Min Joanna Ooi, Jaafar Md Zain, M. Maaya","doi":"10.35119/myja.v2i1.38","DOIUrl":"https://doi.org/10.35119/myja.v2i1.38","url":null,"abstract":"Introduction: The use of audiovisual feedback devices on chest compression (CC) metrics such as the rate and depth has been proven to improve resuscitation quality. This study compared the quality of CC performed by anaesthetic trainees on manikins with audiovisual feedback and subsequent skill retention without the feedback.\u0000Methods: CC metrics measured were the compression rate and depth recorded and reviewed by RescueNet® Code Review software, which recorded compressions in target. Fifty participants performed 2 minutes of CC without audiovisual feedback (CC1), followed by another 2 minutes of CC with audiovisual feedback (CC2), separated by 5 minutes of rest. Those who achieved at least 70% of compressions in target during CC2 performed another 2 minutes of CC without audiovisual feedback at 30 minutes (CC3) and 5–7 days (CC4) later.\u0000Results: The baseline compressions in target during CC1 was 14.43 ± 20.18%, improving significantly to 81.80 ± 7.61% (p < 0.001) with audiovisual feedback (CC2). Forty-five (90%) participants achieved compressions in target of at least 70% during CC2. However, without the feedback, compressions in target decreased significantly to 56.33 ± 27.02% (p < 0.001) and 49.32 ± 33.86% (p < 0.001) at 30 minutes (CC3) and 5–7 days (CC4) later, respectively. The overall effect size for the compressions in target was 0.625.\u0000Conclusion: Audiovisual feedback device usage significantly improves CC performance, but improved skills were not fully retained when CC was performed without the device afterwards. Therefore, real-time audiovisual feedback may ensure better CC, a component of cardiopulmonary resuscitation.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134182902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Perioperative anxiety and depression among adults undergoing elective surgery: a cross-sectional survey 成人择期手术围手术期焦虑和抑郁:一项横断面调查

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.31

Amira Aishah, Che Ani, T. Dharmalingam, Noor Azura, Che Senapi, Puteri Siti, Zaharah Basir, Mohamad Ehsan, A. Halin

{"title":"Perioperative anxiety and depression among adults undergoing elective surgery: a cross-sectional survey","authors":"Amira Aishah, Che Ani, T. Dharmalingam, Noor Azura, Che Senapi, Puteri Siti, Zaharah Basir, Mohamad Ehsan, A. Halin","doi":"10.35119/myja.v2i1.31","DOIUrl":"https://doi.org/10.35119/myja.v2i1.31","url":null,"abstract":"Introduction: Perioperative anxiety and depression are common disorders worldwide. They are not only associated with significant surgical and anaesthetic morbidity, but also mortality. We aim to determine the prevalence and risk factors associated with perioperative anxiety and depression in a single-study centre.\u0000Methods: This cross-sectional study was conducted from April 1 to August 31 2022, among patients undergoing elective surgery in Hospital Tuanku Fauziah, Perlis. Patients scheduled for perioperative assessment in the Anaesthesiology clinic were invited to participate. The validated Hospital Anxiety and Depression Scale (M-HADS) was used to assess anxiety and depression symptoms before the scheduled surgery. Multiple logistic regression was performed to determine the associated factors to perioperative anxiety and depression.\u0000Results: A total of 340 participants were included in analysis: 15.6% scored significant perioperative depression and 17.4% scored significant perioperative anxiety. High levels of self-rated fear were significantly associated with both anxiety (adjusted OR: 27.46, 95% CI: 5.37, 140.38) and depression (adjusted OR: 2.81, 95% CI: 1.08, 7.27). Otherwise, there were no demographic risk factors associated with perioperative anxiety, while male gender was found to be predictive of perioperative depression (adjusted OR: 2.08, 95% CI: 0.36, 12.15).\u0000Conclusions: We found that 1 in every 6 patients undergoing surgery suffers from perioperative anxiety or depression. Self-rated fear was the independent risk factor for perioperative anxiety, while gender and self-rated fear were independent risk factors for perioperative depression. Effective screening strategies to detect patients at risk of perioperative anxiety or depression are essential for appropriate risk stratification and intervention.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"6 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114058084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anaesthesia for a child with α-dystroglycan-related congenital muscular dystrophy α-糖营养不良相关先天性肌营养不良患儿的麻醉治疗

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.28

Hung Xin Teng, S. Chaw

{"title":"Anaesthesia for a child with α-dystroglycan-related congenital muscular dystrophy","authors":"Hung Xin Teng, S. Chaw","doi":"10.35119/myja.v2i1.28","DOIUrl":"https://doi.org/10.35119/myja.v2i1.28","url":null,"abstract":"α-Dystroglycanopathy is a newly emerging subcategory of autosomal recessive inherited muscular dystrophies which encompasses a wide spectrum of clinical severity. Mutation of at least 18 genes which are responsible for O-mannose glycosylation of α-dystroglycan has been linked to these congenital muscular dystrophy phenotypes. α-Dystroglycan-related congenital muscular dystrophy (αDG-CMD), which may be associated with multisystem involvement, poses a challenge in perioperative management. Yet, there is a dearth of resources available for reference. We report successful anaesthesia for a 6-year-old child with αDG-CMD who underwent bilateral hamstring lengthening, left Achilles tendon lengthening, and above-the-knee fibreglass for bilateral hamstring tightness. Anaesthesia was performed using total intravenous anaesthesia (TIVA) without muscle relaxant. Bilateral sciatic nerve blocks were performed for postoperative pain control, allowing opioid-free analgesia. The patient was extubated at the end of the surgery. Perioperative considerations in αDG-CMD include anticipation of difficult airway, maintenance of thermoregulation and precautions against malignant hyperthermia with the employment of TIVA, techniques that avoid opioids and neuromuscular blocking agents (particularly suxamethonium), as well as minimizing the risk of aspiration and of raised intracranial pressure.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123132586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PECS 1 block as analgesic adjuncts in breast augmentation surgery pecs1阻滞在隆胸手术中的镇痛辅助作用

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.22

Z. Beh, Kim Siea Lee

引用次数: 0