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Saudi Journal of Anaesthesia最新文献

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Spinal anesthesia with chlorprocaine and ESP block is a valid alternative for ambulatory open inguinal hernia repair. 使用氯丙卡因和 ESP 阻滞进行脊髓麻醉是进行非卧床开放式腹股沟疝修补术的有效替代方法。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_279_24
Marco Giudice, Riccardo Pulitanò, Enrico Di Sabatino, Francesca La Verde
{"title":"Spinal anesthesia with chlorprocaine and ESP block is a valid alternative for ambulatory open inguinal hernia repair.","authors":"Marco Giudice, Riccardo Pulitanò, Enrico Di Sabatino, Francesca La Verde","doi":"10.4103/sja.sja_279_24","DOIUrl":"10.4103/sja.sja_279_24","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"611-612"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of extradiaphragmatic muscles' ultrasound on the diagnosis and follow-up of diaphragmatic dysfunction associated with cervical septic arthritis: A case report and literature review. 膈外肌肉超声对与颈椎化脓性关节炎相关的膈肌功能障碍的诊断和随访的作用：病例报告和文献综述。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_328_24
Alessandro Menozzi, Giovanni Sabbatini, Michele Umbrello, Miriam Gotti, Alessandra Salvioni, Andrea Galimberti, Angelo Pezzi, Paolo Formenti
{"title":"The role of extradiaphragmatic muscles' ultrasound on the diagnosis and follow-up of diaphragmatic dysfunction associated with cervical septic arthritis: A case report and literature review.","authors":"Alessandro Menozzi, Giovanni Sabbatini, Michele Umbrello, Miriam Gotti, Alessandra Salvioni, Andrea Galimberti, Angelo Pezzi, Paolo Formenti","doi":"10.4103/sja.sja_328_24","DOIUrl":"10.4103/sja.sja_328_24","url":null,"abstract":"<p><p>Cervical septic arthritis can lead to complications such as epidural abscess, which may result in respiratory failure. We present a case of a 78-year-old male with cervical septic arthritis complicated by epidural abscess, leading to severe diaphragm dysfunction. Ultrasound evaluation revealed dysfunction of the left hemidiaphragm and compensatory activation of accessory respiratory muscles. Treatment included antibiotic therapy and corticosteroids, alongside respiratory support. After 21 days, improvements were observed in diaphragmatic function and respiratory muscle activation. Our findings highlight the importance of assessing both diaphragm and accessory respiratory muscles in cases of cervical septic arthritis with respiratory complications.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"602-606"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anaphylaxis induced by indocyanine green during abdominal surgery: A case report. 腹部手术中吲哚菁绿诱发的过敏性休克：病例报告。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_260_24
Momoko Sasaki, Yuya Murata
{"title":"Anaphylaxis induced by indocyanine green during abdominal surgery: A case report.","authors":"Momoko Sasaki, Yuya Murata","doi":"10.4103/sja.sja_260_24","DOIUrl":"10.4103/sja.sja_260_24","url":null,"abstract":"<p><p>Since 2011, indocyanine green (ICG) has been increasingly used in surgery as a diagnostic tool. Although allergic reactions to this fluorescent dye are considered rare, they can result in anaphylactic shock. We report the case of a 33-year-old woman who developed anaphylaxis immediately after ICG administration during laparoscopic-assisted high anterior resection. The patient was treated with intravenous adrenaline, and the surgery continued. Elevated plasma histamine and serum tryptase levels immediately after ICG administration and intradermal testing identified ICG as the causative agent. The frequency of ICG use is increasing, and anesthesiologists should recognize ICG as a prevalent perioperative allergen.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"590-592"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of dexmedetomidine as an adjuvant in transverse abdominal plane blocks for cesarean section pain management: A systematic review and meta-analysis. 右美托咪定作为腹横肌阻滞剂用于剖宫产镇痛的疗效：系统回顾和荟萃分析。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_306_24
Dalal Alsultan
{"title":"Efficacy of dexmedetomidine as an adjuvant in transverse abdominal plane blocks for cesarean section pain management: A systematic review and meta-analysis.","authors":"Dalal Alsultan","doi":"10.4103/sja.sja_306_24","DOIUrl":"10.4103/sja.sja_306_24","url":null,"abstract":"<p><p>Postoperative pain management is a key component of care for women undergoing cesarean section. Although the use of dexmedetomidine (DMD) as an adjuvant to local anesthetics in transverse abdominal plane (TAP) blocks has been investigated, its conclusive evidence on its efficacy and safety remains unclear. A standardized data extraction form, under the guidance of the PRISMA protocol, was devised for selecting relevant studies across eight databases, without restrictions on the publication period. In most of the eight studies reviewed, the group receiving DMD demonstrated a significant extension of the duration of analgesia compared to the control group [mean difference (MD) = -3.37 hours, 95% confidence interval (CI) = -6.10 to -0.65 hours, Z = 2.43, <i>P</i> = 0.02]. The DMD group also showed a significant decrease in Visual Analogue Scale pain scores (MD = -1.38, 95% CI = -2.52 to -0.24, Z = 2.37, <i>P</i> = 0.02) in comparison to the control group. Nevertheless, significant heterogeneity was observed across the studies, potentially due to differences in study design, patient demographics, and dosing protocols, among other factors. The results of this meta-analysis indicate that DMD could be an effective adjuvant to local anesthetics in TAP blocks, potentially improving postoperative pain management and decreasing the need for additional analgesia. Nevertheless, the considerable heterogeneity among the studies warrants cautious interpretation of these results.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"545-555"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of complete heart block detected during labor: A case report. 分娩时发现完全性心脏传导阻滞的处理：病例报告
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_253_24
Lucile Hu, Jose L Diz Ferre, Chase Jackson, Jibran Ikram, Sabry Ayad
{"title":"Management of complete heart block detected during labor: A case report.","authors":"Lucile Hu, Jose L Diz Ferre, Chase Jackson, Jibran Ikram, Sabry Ayad","doi":"10.4103/sja.sja_253_24","DOIUrl":"10.4103/sja.sja_253_24","url":null,"abstract":"<p><p>Complete heart block in women of childbearing age is rare, and incidental diagnosis during pregnancy is more uncommon. Hence, there remain no well-established guidelines on the management of patients with complete heart block presenting in labor. Here, we present a 26-year-old full-term primigravida, with no known previous cardiac history, in active labor with asymptomatic bradycardia in the 30-40s unresponsive to atropine augmentation. After multidisciplinary consultation, the decision was to proceed with delivery as planned without indication for a temporary pacemaker. The patient successfully delivered a full-term infant via operative vaginal delivery, with an ensuing cardiac workup completed postpartum.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"583-586"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sugammadex: A savior for an elderly cardiac patient! A case report. 舒降之：老年心脏病患者的救星！病例报告。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_84_24
Gargi Deshpande, Vandana Purandare
{"title":"Sugammadex: A savior for an elderly cardiac patient! A case report.","authors":"Gargi Deshpande, Vandana Purandare","doi":"10.4103/sja.sja_84_24","DOIUrl":"10.4103/sja.sja_84_24","url":null,"abstract":"<p><p>In an elderly patient with known cardiac and pulmonary risk, a reversal agent with a faster onset and least hemodynamic effects is preferable. Being inert, the sugammadex-rocuronium complex is associated with minimal muscarinic effects. We report a successful management with rocuronium and sugammadex in an eighty three year old male patient with a history of Ischemic Heart Disease, atrial fibrillation, and Interstitial Lung Disease posted for a cochlear implant surgery.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"559-561"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report. 一例罕见的移动性声带息肉导致动态气道阻塞的麻醉处理：病例报告。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_229_24
Jaya Choudhary, Ankita Singh, Saikat Chakraborty
{"title":"Anesthetic management of a rare case of mobile vocal cord polyp causing dynamic airway obstruction: A case report.","authors":"Jaya Choudhary, Ankita Singh, Saikat Chakraborty","doi":"10.4103/sja.sja_229_24","DOIUrl":"10.4103/sja.sja_229_24","url":null,"abstract":"<p><p>We report the anesthetic management of a patient presenting with a mobile vocal cord lesion in combination with restricted mouth opening. Fiber-optic laryngoscopy revealed a highly mobile vocal cord lesion, moving in and out of the vocal cords with respiration. A very small tracheal lumen was visible posteriorly during expiration. ASA difficult airway algorithm was applied, and the patient was successfully intubated awake with a # 5 microlaryngeal tube loaded over a pediatric bronchoscope. We aim to highlight the importance of detailed preoperative evaluation, adopting difficult airway algorithms and utilization of devices, with which we have maximum expertise with some modification as the key to avoid airway-related adverse events in such patients.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"580-582"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric sedation outside the operating room integrating dexmedetomidine for MRI and CT scan procedures: A systematic review. 在手术室外使用右美托咪定进行核磁共振成像和 CT 扫描程序的儿科镇静：系统综述。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_236_24
Narjes S Alotaibi
{"title":"Pediatric sedation outside the operating room integrating dexmedetomidine for MRI and CT scan procedures: A systematic review.","authors":"Narjes S Alotaibi","doi":"10.4103/sja.sja_236_24","DOIUrl":"10.4103/sja.sja_236_24","url":null,"abstract":"<p><p>This systematic review evaluates the efficacy and safety of dexmedetomidine as a sedative for pediatric patients undergoing MRI and CT scans outside the operating room. A comprehensive search of databases, including PubMed, MEDLINE, and Cochrane Library, identified relevant studies. Data on sedation success rates, onset and recovery times, adverse events, dosing, administration, and hemodynamic stability were extracted and analyzed. The results indicate that dexmedetomidine has high sedation success rates and a favorable safety profile, effectively achieving the desired sedation level with minimal adverse events, primarily manageable hemodynamic changes. Onset and recovery times were generally acceptable for clinical practice, and the flexibility in administration routes and dosing highlighted its adaptability to various clinical needs and settings. Overall, dexmedetomidine is a reliable and safe sedative for pediatric patients undergoing MRI and CT scans, offering a balanced profile of efficacy and safety, and its use can be optimized based on clinical context, patient characteristics, and procedural requirements.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"540-544"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of central airway collapse following extubation attributable to an undiagnosed endotracheal tumor. 一例因未确诊的气管内肿瘤导致拔管后中央气道塌陷的病例。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_352_24
Shalendra Singh, Manish Singh, Avinash Das
{"title":"A case of central airway collapse following extubation attributable to an undiagnosed endotracheal tumor.","authors":"Shalendra Singh, Manish Singh, Avinash Das","doi":"10.4103/sja.sja_352_24","DOIUrl":"10.4103/sja.sja_352_24","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"618-620"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ESP block with ropivacaine and magnesium sulfate allows opioid sparing after robotic-assisted radical prostatectomy. 使用罗哌卡因和硫酸镁的ESP阻滞可在机器人辅助根治性前列腺切除术后节省阿片类药物。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_323_24
Marco Giudice, Riccardo Pulitanò, Enrico Di Sabatino, Francesca La Verde
{"title":"ESP block with ropivacaine and magnesium sulfate allows opioid sparing after robotic-assisted radical prostatectomy.","authors":"Marco Giudice, Riccardo Pulitanò, Enrico Di Sabatino, Francesca La Verde","doi":"10.4103/sja.sja_323_24","DOIUrl":"10.4103/sja.sja_323_24","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"617-618"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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