Malaysian Journal of Anaesthesiology最新文献_第2页

Total intravenous anaesthesia in neonatal surgery: a case series using the Eleveld model 新生儿手术中的全静脉麻醉:使用Eleveld模型的病例系列

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.36

Weng Ken Chan, Sanah Mohtar, S. Teo

引用次数: 0

Pre-oxygenation in obese patients: facemask versus facemask with nasal prong 肥胖患者的预充氧:面罩与鼻尖面罩

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.42

N. Hamzah, Nadia Md Nor, M. Maaya, Syarifah Noor Nazihah Sayed Masri, Rufinah Teo, A. Masdar

{"title":"Pre-oxygenation in obese patients: facemask versus facemask with nasal prong","authors":"N. Hamzah, Nadia Md Nor, M. Maaya, Syarifah Noor Nazihah Sayed Masri, Rufinah Teo, A. Masdar","doi":"10.35119/myja.v2i1.42","DOIUrl":"https://doi.org/10.35119/myja.v2i1.42","url":null,"abstract":"Introduction: Anatomical and physiological changes of the respiratory system in obese patients predispose them to rapid oxygen desaturation during apnoea. Adequate pre-oxygenation before anaesthesia induction allows a period of safe apnoea. The efficacy of pre-oxygenation with facemask versus facemask with nasal prong was compared. The time taken for expired end-tidal oxygen (FEO2) to reach 0.8 (T0.8) from commencement of pre-oxygenation (T0), and time to oxygen desaturation to 95% (T95%), following apnea (TA) was studied.\u0000Methods: This prospective, randomised study recruited 36 surgical patients of body mass index (BMI) ≥ 30 kg/m2 requiring general anaesthesia with endotracheal intubation. They were randomised to receive pre-oxygenation with oxygen facemask at 12 L/min, or concurrent pre-oxygenation with facemask at 7 L/min and nasal prong at 5 L/min. Oxygen saturation (SpO2) and FEO2 were recorded at T0, T0.8, and at TA following completion of rocuronium administration. Oxygen was then discontinued, and the patient left apnoeic with no ventilation. Intubation was performed 60 seconds after TA, and the patient left apnoeic with the endotracheal tube exposed to room air. Duration from TA until the patient’s SpO2 reached 95% (T95%) was documented.\u0000Results: Pre-oxygenation with facemask and nasal prong resulted in a shorter T0.8 compared to facemask alone (48.61 s ± 23.3 versus 77.72 s ± 26.15), p = 0.001. There was no difference in T95% between the groups.\u0000Conclusion: Pre-oxygenation with facemask plus nasal prong resulted in a shorter time taken to reach FEO2 0.8, but with comparable time to oxygen desaturation between both groups.\u0000 ","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"39 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":"131271577","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

Psychometric examination of the Malay version of the Pain Catastrophising Scale in a Malaysian chronic pain sample 马来文版疼痛灾难量表在马来西亚慢性疼痛样本中的心理测量学检验

Malaysian Journal of Anaesthesiology Pub Date : 2023-06-27 DOI: 10.35119/myja.v2i1.19

Ji Kwan Lee, Zubaidah Jamil Osman, S. I. F. Ismail, K. Tan

引用次数: 0

Wolff-Parkinson-White syndrome: anaesthetic care for meningioma excision Wolff-Parkinson-White综合征:脑膜瘤切除术的麻醉护理

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.9

K. Leong, Maizatulhikma Md Miskan, Vanitha Sivanaser

引用次数: 0

Continuous spinal anaesthesia, an underutilised neuraxial technique in current anaesthesia practice: a timely reminder 持续脊髓麻醉，当前麻醉实践中未充分利用的神经轴技术:及时提醒

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.7

E. Ong, Hui Ping Ng, Muhamad Rasydan Abd Ghani, Shee Ven Wong

引用次数: 0

Monocyte distribution width in the detection of sepsis and prediction of mortality in critically ill patients 单核细胞分布宽度在危重病人脓毒症检测和死亡率预测中的应用

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.16

Ki Yang Soo, N. Ramly, Azrina Md Ralib, J. Liew, N. Talib, M. B. Mat Nor

{"title":"Monocyte distribution width in the detection of sepsis and prediction of mortality in critically ill patients","authors":"Ki Yang Soo, N. Ramly, Azrina Md Ralib, J. Liew, N. Talib, M. B. Mat Nor","doi":"10.35119/myja.v1i2.16","DOIUrl":"https://doi.org/10.35119/myja.v1i2.16","url":null,"abstract":"Introduction: Sepsis is the leading cause of intensive care unit (ICU) admission. Delayed recognition of sepsis is associated with increased morbidity and mortality. Monocyte distribution width (MDW) represents the width of a set of monocyte volume values, which increases as infections progress in severity. This study evaluated the diagnostic and prognostic accuracy of MDW and white cell count (WCC) for sepsis and mortality.\u0000Methods: This was a prospective cohort study of 100 patients who were grouped into sepsis and non-sepsis according to the Sepsis-3 definition. MDW and WCC were collected on admission to ICU and for the subsequent 3 days.\u0000Results: On admission, MDW was diagnostic of sepsis with an AUC of 0.86 (95% CI, 0.7–0.94) with a cut-off threshold of 20.97. Serial MDW on days 1 and 2 were also shown to be predictive of sepsis. MDW has a high sensitivity of 92.1% (95% CI, 82.4–97.4%) but a specificity of only 68.8% (95% CI, 50.0– 83.9%). The positive predictive value and negative predictive value of MDW using the new cut-off threshold in this study were found to be 83.6% (95% CI, 73–91.2 %) and 81.5% (95% CI, 61.9–93.7%), respectively.\u0000Conclusions: MDW is an effective screening tool in the detection of sepsis upon admission to the ICU. As part of the differential in some complete blood count analysis machines, MDW provides a cost-effective and widely available test at present. Early detection of sepsis allows initiation of sepsis care bundle and better clinical outcomes.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117193070","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

Value-based medicine and precision medicine in anaesthesia 麻醉中的价值医学与精准医学

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.35

I. I. Shariffuddin, Azrina Md Ralib

引用次数: 0

Effectiveness of video tutorial on compliance of medical officers to sequence of intubation protocol in simulated Covid-19 patients 模拟Covid-19患者中医护人员遵守插管方案顺序视频教程的效果

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.21

M. Awang, R. H. M. Zaini, W. M. Hassan

{"title":"Effectiveness of video tutorial on compliance of medical officers to sequence of intubation protocol in simulated Covid-19 patients","authors":"M. Awang, R. H. M. Zaini, W. M. Hassan","doi":"10.35119/myja.v1i2.21","DOIUrl":"https://doi.org/10.35119/myja.v1i2.21","url":null,"abstract":"Introduction: The use of full PPE, aerosol box, and video laryngoscope are recommended when performing intubation on a Covid-19 patient. However, this technique may be difficult for medical officers unfamiliar with the intubation protocol sequence, especially for those with less experience in anaesthesia. Video tutorials may play a vital role in improving the technique. This study evaluated the compliance of medical officers in our anaesthesia department to the intubation protocol and the effect on compliance before and after viewing the video tutorial on the protocol.\u0000Methods: A total of 70 medical officers (n = 70) in the Department of Anaesthesia, Hospital Universiti Sains Malaysia, Kelantan participated in this study. The participants performed the intubation protocol sequence on a simulated Covid-19 mannequin. Participants then viewed a video tutorial after their initial attempt and repeated the intubation sequence afterward. The outcomes measured include the proportion of participants compliant with the intubation protocol, the association between years of experience and compliance, and the compliance score before and after the video tutorial.\u0000Results: There was no significant association between years of anaesthesia and compliance score (p = 0.058). A large proportion of the subjects were compliant (n = 57, 81.4%). There was a significant difference between initial and repeatedcompliance score post-video tutorial (p < 0.05).\u0000Conclusion: Years of experience in anaesthesia was not a determining factor for compliance with the intubation protocol sequence on simulated Covid-19 patients. However, the video tutorial played a significant role in improving compliance withthe intubation sequence.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123810034","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

Platelet-rich plasma injection for symptomatic relief of disability associated with traumatic knee arthritis: a case report 富血小板血浆注射缓解外伤性膝关节炎相关残疾的症状:1例报告

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.30

Mei Leng. Yap, Awisul-Islah Ghazali

{"title":"Platelet-rich plasma injection for symptomatic relief of disability associated with traumatic knee arthritis: a case report","authors":"Mei Leng. Yap, Awisul-Islah Ghazali","doi":"10.35119/myja.v1i2.30","DOIUrl":"https://doi.org/10.35119/myja.v1i2.30","url":null,"abstract":"Multimodality is the mainstay of osteoarthritis (OA) treatment and intra-articular platelet-rich plasma (PRP) injection is gaining acceptance due to its regenerative properties and being minimally invasive. We present a young woman with Kellgren-Lawrence grade 3 post-traumatic OA in the left knee who refused surgery and opted for pain clinic follow-up. Five PRP injections in intervals of 4 to 9 months were administered in the past 2 years in addition to oral analgesia when necessary. Five ml of PRP was prepared via the double-spin open method and injected under ultrasound guidance to the left knee joint. Visual analogue scale (VAS) for pain was recorded at pre-procedure, and at 1-week and 1-month post-procedure. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was recorded at pre-procedure and 1-month post-procedure. PRP injection successfully reduced the VAS from 5 to 3 at both 1-week and 1-month post-procedure, and resulted in a WOMAC reduction of 54% with improvement in all WOMAC subscales at 1-month post-procedure. Our case showed that PRP injection demonstrated a positive effect on pain relief and physical function improvement in traumatic knee OA.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"13 Suppl 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126238346","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

Successful emergency separation of premature omphalopagus conjoined twins: an anaesthetic experience 早产脐腹连体双胞胎急诊分离成功:麻醉经验

Malaysian Journal of Anaesthesiology Pub Date : 2022-12-14 DOI: 10.35119/myja.v1i2.32

Intan Zarina Fakir Mohamed, Ye Yun Phang, Zubaidah Zulkipeli, Rohanizah Alias, Ruwaida Isa, Z. Zahari

{"title":"Successful emergency separation of premature omphalopagus conjoined twins: an anaesthetic experience","authors":"Intan Zarina Fakir Mohamed, Ye Yun Phang, Zubaidah Zulkipeli, Rohanizah Alias, Ruwaida Isa, Z. Zahari","doi":"10.35119/myja.v1i2.32","DOIUrl":"https://doi.org/10.35119/myja.v1i2.32","url":null,"abstract":"Anaesthesia for early emergency separation of premature conjoined twins is extremely rare as surgery generally done electively between 2 to 4 months of age. However, urgent separation may be needed due to life-threatening complications. We report a case of successful early separation of premature omphalopagus twins at 36 weeks of gestational age with a combined weight of 2.7 kg. To the best of our knowledge, this was the lowest weight yet reported of successful surgical separation in Malaysia. Early separation was indicated as extrauterine twin-to-twin transfusion with unbalanced blood shunting through the porto-systemic anastomoses within the shared liver parenchyma potentially risked impending life-threatening organ failures. Anaesthesia for the separation of premature conjoined twins in the emergency setting requires extensive multidisciplinary discussion and planning. Factors predicting difficult anaesthesia in this case were the twins’ size and age as well as duration of anaesthesia. Two separate anaesthetic teams were required with all team members well versed in the operative workflow. Simultaneous airway management, prevention of hypothermia, and vigilant haemodynamic monitoring are key to successful anaesthesia in premature conjoined twin separation.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122493663","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