Malaysian Journal of Anaesthesiology最新文献_第3页

Ultrasound-guided caudal epidural anaesthesia for MRI-targeted transperineal prostate biopsy 超声引导下尾侧硬膜外麻醉在mri靶向经会阴前列腺活检中的应用

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

Mohd Aizad Mohd Yusof, M. Mamat, Isnul Hady Ismail, Nurain Shuratman, Izzati Musa, Chong Hin Ng, Shahridan Mohd Fathil

引用次数: 0

Airway management of a neurofibromatosis type 2 with multicompartmental tumours: a case report 2型神经纤维瘤病合并多室肿瘤的气道管理:1例报告

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.15

Chee Wei Tan, Norhafidzah binti Ghazali, Rohani binti Ramliy

{"title":"Airway management of a neurofibromatosis type 2 with multicompartmental tumours: a case report","authors":"Chee Wei Tan, Norhafidzah binti Ghazali, Rohani binti Ramliy","doi":"10.35119/myja.v1i1.15","DOIUrl":"https://doi.org/10.35119/myja.v1i1.15","url":null,"abstract":"Neurofibromatosis type 2 (NF2) is a rare autosomal dominant disorder. We report a case of a 52-year-old woman with underlying NF2 who was scheduled for excision of cervical neurofibromas. The patient had four nerve sheath tumours affecting different parts of the airway, namely, two cervical neurofibromas with spinal cord compression, a large retrosternal goitre extending into the anterior mediastinal compartment causing central airway obstruction, and a large left thoracic paravertebral tumour in the posterior mediastinal compartment. After risk stratification and multidisciplinary discussion, awake nasal fibreoptic intubation with a contingency plan of rigid bronchoscopy and jet ventilation was decided. The patient was intubated successfully with target-controlled infusion remifentanil as the sole sedative and airway topicalization with local anaesthetic. The patient was ventilated in a prone position intraoperatively with no desaturation. The tumours were successfully removed and the patient was discharged well. Awake nasal fibreoptic intubation is the choice of management in difficult airways affected by multicompartmental tumours in a centre that is devoid of extracorporeal membrane oxygenation service.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132861349","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

Transitioning into the postpandemic era in anaesthesia: a reflection of lessons learnt 向大流行后麻醉时代过渡:总结经验教训

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.25

I. I. Shariffuddin, Shahridan Mohd Fathil, Y. Chan

{"title":"Transitioning into the postpandemic era in anaesthesia: a reflection of lessons learnt","authors":"I. I. Shariffuddin, Shahridan Mohd Fathil, Y. Chan","doi":"10.35119/myja.v1i1.25","DOIUrl":"https://doi.org/10.35119/myja.v1i1.25","url":null,"abstract":"The recent COVID-19 pandemic has significantly impacted the country’s anaesthesia and critical care services. Cancellation and postponement of elective surgical cases to curb the spread of infection and redeployment of manpower plus resources for the creation of critical care beds were our main focus. 1 The subsequent human resource challenge to safely staff the beds and the psycho-logical stress suffered by providers due to the hazardous nature of the work dominated the thrust of the administrators during the full force of the pandemic. Anaesthesiologists at the forefront of safety saw to a rapid proliferation of guidelines produced in record time by our fraternity to protect ourselves and our patients from being infected by the SARS-CoV-2 virus. The Malaysian Society of Anaesthesiologists and College of Anaesthesiologists, Academy of Medicine Malaysia (MSA/CoA, AM) produced recommendations on the appropriate protection during aerosol-generating procedures (AGPs), including the use of powered air-purifying respirators whenever available.2 Being a precious commodity during the pandemic, the safety of the anaesthesiologist became a priority. Even in the event of a deteriorating COVID-19 patient, the anaesthesiologist was advised to don full personal protection equipment (PPE) before attending to the patient. Successful intubation at the first attempt has never been more critical. It became obvious that anaesthesiologists could not change the circumstances, but still had","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123647238","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

Magnesium sulphate pretreatment obtunds fentanyl-induced cough during general anaesthesia induction 硫酸镁预处理对芬太尼致全身麻醉诱导咳嗽的影响

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.12

M. Maaya, A. Masdar, Siti Nidzwani Mohamad Mahdi, Mohamad Yusof, Ai Chiah Cheong

{"title":"Magnesium sulphate pretreatment obtunds fentanyl-induced cough during general anaesthesia induction","authors":"M. Maaya, A. Masdar, Siti Nidzwani Mohamad Mahdi, Mohamad Yusof, Ai Chiah Cheong","doi":"10.35119/myja.v1i1.12","DOIUrl":"https://doi.org/10.35119/myja.v1i1.12","url":null,"abstract":"Introduction: Fentanyl-induced cough is common during induction of general anaesthesia. This unpleasant cough may increase the intraocular, intracranial, and intraabdominal pressure. We hypothesised that 30 mg/kg of prophylactic intravenous magnesium sulphate is effective in obtunding 2 μg/kg fentanyl-induced cough.Methods: One hundred and forty patients scheduled for general anaesthesia, aged between 18 to 70 years old with American Society of Anesthesiologists physical status I were randomised into two groups. Group I and Group II patients received 30 mg/kg intravenous magnesium sulphate and normal saline, respectively. The solution studied was infused over 15 minutes followed by a fentanyl bolus 2 μg/kg delivered within 3 seconds. The incidence of cough and severity were documented. Mean arterial pressure and heart rate were recorded every 5 minutes during the infusion.Results: Eight patients (11.4%) had cough in Group II and one (1.4%) in Group I. Compared to Group II, the incidence and severity of cough were significantly lower in Group I (p = 0.003 and p = 0.037), respectively. There was no significant difference regarding the haemodynamic status between the two groups during the infusion of both solutions.Conclusion: During general anaesthesia induction, 30 mg/kg of intravenous magnesium sulphate effectively obtunded fentanyl-induced cough.\u0000 ","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"48 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125732433","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

Clinical evaluation of Ambu® AuraGain™ as a conduit for intubation in paediatric patients: a descriptive study Ambu®AuraGain™作为儿科患者插管导管的临床评价:一项描述性研究

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.13

Suhoon Lim, K. Ng, S. Chaw, Ili Syazana Jamal Azmi, Mayura Hanis Ahmad Damanhuri, I. I. Shariffuddin

{"title":"Clinical evaluation of Ambu® AuraGain™ as a conduit for intubation in paediatric patients: a descriptive study","authors":"Suhoon Lim, K. Ng, S. Chaw, Ili Syazana Jamal Azmi, Mayura Hanis Ahmad Damanhuri, I. I. Shariffuddin","doi":"10.35119/myja.v1i1.13","DOIUrl":"https://doi.org/10.35119/myja.v1i1.13","url":null,"abstract":"Introduction: Many paediatric difficult airway guidelines have recommended supraglottic airway devices (SGAs) as an indispensable tool in the algorithm for managing failed intubation scenarios. It is used for maintaining ventilation in a difficult or failed intubation. The newer generation SGAs can be used as intubating conduits in patients with a difficult airway. The aim of this study was to report the efficacy and safety of Ambu® AuraGain™(Ambu A/S, Ballerup, Denmark) as a conduit for intubation in paediatric patients.Methods: Local ethics approval and informed consent were obtained before patient enrolment. Sixteen patients aged 3–12 years old were recruited. Following the induction of anaesthesia and insertion of the Ambu AuraGain, fibreoptic guided intubation was performed via the SGA. The primary outcome was the time taken for successful tracheal intubation. Secondary outcomes included the number of attempts and the time required for insertion and removal of Ambu AuraGain, oropharyngeal leak pressures, fibre optic grading of glottic views, and complications from the intubation.Results: The overall success rate concerning intubation was 87.5% (14 patients), with a mean intubation time of 57.0 ± 39.4 seconds. Successful first attempt intubations were achieved in 13 patients (81.3%). The results showed easy removal of the Ambu AuraGain device with a mean SGA removal time of 27.2 ± 19.8 seconds. No significant complications occurred throughout the study.Conclusion: The Ambu AuraGain device can be considered safe and effective as a conduit for intubation in paediatric patients.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116033899","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

Message from the Chief Editor 总编辑的留言

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.27

I. I. Shariffuddin

引用次数: 0

Chylothorax and mediastinal haematoma by central venous catheter post-duodenal ulcer and pyloroplasty surgery: a case report 十二指肠溃疡及幽门成形术后经中心静脉导管治疗乳糜胸及纵隔血肿1例

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.10

Hui Ping Ng, Mohd. Nizamuddin Ismail

{"title":"Chylothorax and mediastinal haematoma by central venous catheter post-duodenal ulcer and pyloroplasty surgery: a case report","authors":"Hui Ping Ng, Mohd. Nizamuddin Ismail","doi":"10.35119/myja.v1i1.10","DOIUrl":"https://doi.org/10.35119/myja.v1i1.10","url":null,"abstract":"In handling critically ill patients, central venous catheterization is a fundamental procedure. Incidence of pleural effusion and mediastinal haematoma following central venous placement is rare, with a rate between 0.17% and 1%. We report a frail elderly man who was started on parenteral nutrition administered by left internal jugular vein catheter post-emergency laparotomy surgery for a perforated duodenal ulcer. He developed bilateral chylothorax immediately on the first day of parenteral nutrition supplement. Contrast-enhanced computed tomography of the thorax as part of chylothorax workouts incidentally revealed anterior mediastinal haematoma in communication with the catheter tip, implying likely an iatrogenic injury. Rapid onset of chylothorax may indicate a thoracic duct injury and concurrent parenteral nutrition content leakage from the extravasated catheter. The anatomical connection between the pleural and mediastinal cavities has not been clearly illustrated in the literature. Bilateral chest drains were inserted and the catheter was removed at bedside without complications. Despite using ultrasound guidance, clinical methods and post-procedure chest X-ray, the catheter malposition was not detected before initiation of parenteral nutrition. The learning point is for the clinician to remain vigilant for potential catheter-related complications.","PeriodicalId":132070,"journal":{"name":"Malaysian Journal of Anaesthesiology","volume":"46 46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122801273","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

Atypical presentation of renal cell carcinoma: a case report 肾细胞癌的不典型表现1例

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.3

Gunalan Palari Arumugam, A. Sachithanandan, Mohamad Isa Bikin, Balaiah Mariappan, L. Khoo, Haritharan Thamutaram, C. N. Choy, M. F. A. Abdul Rahman, K. L. Tan, P. Rajadurai, Yogendren Letchumanasamy, M. Md Yusof

引用次数: 0

Anaesthetic management of awake craniotomy in a patient with sick sinus syndrome: a case report 病窦综合征患者清醒开颅术的麻醉处理:1例报告

Malaysian Journal of Anaesthesiology Pub Date : 2022-07-26 DOI: 10.35119/myja.v1i1.8

Naeema S. Masohood, Fadhli Suhaimi Abdul Sukur, Vanitha Sivanaser

引用次数: 0