Saudi Journal of Anaesthesia最新文献_第4页

External oblique intercostal plain block - A single injection solution to anterolateral upper abdominal wall analgesia. 肋间外斜平块--上腹壁前外侧镇痛的单次注射方案。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_730_23

Priyanka Bansal, Nidhi Sultania, Divesh Arora

引用次数: 0

Reflections on: "Pectointercostal fascial block on stress response in open heart surgery". 反思："胸肋筋膜阻滞对开胸手术应激反应的影响 "的思考。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_2_24

Raghuraman M Sethuraman

引用次数: 0

Retrograde intrarenal surgery with central neuraxial blockade versus general anesthesia: A systematic review and meta-analysis. 逆行肾内手术中枢神经阻滞与全身麻醉的比较：系统回顾和荟萃分析。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_16_24

Amit Jagannath Patil, Aashutosh Ramakant Patel, Bhanupriya Shivshankar Pande

{"title":"Retrograde intrarenal surgery with central neuraxial blockade versus general anesthesia: A systematic review and meta-analysis.","authors":"Amit Jagannath Patil, Aashutosh Ramakant Patel, Bhanupriya Shivshankar Pande","doi":"10.4103/sja.sja_16_24","DOIUrl":"https://doi.org/10.4103/sja.sja_16_24","url":null,"abstract":"Objective: The aim of the article is to assess the impact of retrograde intrarenal surgery under central neuraxial blockade in comparison to general anesthesia (GA).Material and methodology: This systematic review was conducted following the guidelines set out by the preferred reporting items for systematic reviews and meta-analyses. We conducted a comprehensive search across major electronic databases, including various types of studies such as descriptive studies and full-text literature, all of which were incorporated into the current review from 2018 to 2023. We involved those studies, which included the comparative study of spinal anesthesia (SA), epidural anesthesia (EA), and combined spinal epidural anesthesia with GA.Result: In our meta-analysis of 12 studies, it was found that anesthesia technique significantly affected operation time, with neuraxial anesthesia (NA) showing a mean difference of -2.28 (95% confidence interval (CI): -3.5 to -1.04, P = 0.003) compared to GA. However, there were no significant differences in rates of stone clearance, 24-h pain scores and length of hospital stay among patients administered with NA or GA for retrograde intrarenal surgery (RIRS).Conclusion: On the basis of the outcomes of study, NA can serve as a viable alternative to GA for RIRS. Our analysis reveals no significant differences in rates of stone clearance, operation duration, 24-h pain scores, complication rates, and length of hospital stay between NA in addition to GA in the context of RIRS. This suggests that given the potential economic advantages, NA might be a preferable choice over GA, contingent on patient preferences, baseline characteristics, and stone burden.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865004","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

Applications of artificial intelligence in anesthesia: A systematic review. 人工智能在麻醉中的应用：系统综述。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_955_23

Monika Kambale, Sammita Jadhav

{"title":"Applications of artificial intelligence in anesthesia: A systematic review.","authors":"Monika Kambale, Sammita Jadhav","doi":"10.4103/sja.sja_955_23","DOIUrl":"https://doi.org/10.4103/sja.sja_955_23","url":null,"abstract":"This review article examines the utility of artificial intelligence (AI) in anesthesia, with a focus on recent developments and future directions in the field. A total of 19,300 articles were available on the given topic after searching in the above mentioned databases, and after choosing the custom range of years from 2015 to 2023 as an inclusion component, only 12,100 remained. 5,720 articles remained after eliminating non-full text. Eighteen papers were identified to meet the inclusion criteria for the review after applying the inclusion and exclusion criteria. The applications of AI in anesthesia after studying the articles were in favor of the use of AI as it enhanced or equaled human judgment in drug dose decision and reduced mortality by early detection. Two studies tried to formulate prediction models, current techniques, and limitations of AI; ten studies are mainly focused on pain and complications such as hypotension, with a P value of <0.05; three studies tried to formulate patient outcomes with the help of AI; and three studies are mainly focusing on how drug dose delivery is calculated (median: 1.1% ± 0.5) safely and given to the patients with applications of AI. In conclusion, the use of AI in anesthesia has the potential to revolutionize the field and improve patient outcomes. AI algorithms can accurately predict patient outcomes and anesthesia dosing, as well as monitor patients during surgery in real time. These technologies can help anesthesiologists make more informed decisions, increase efficiency, and reduce costs. However, the implementation of AI in anesthesia also presents challenges, such as the need to address issues of bias and privacy. As the field continues to evolve, it will be important to carefully consider the ethical implications of AI in anesthesia and ensure that these technologies are used in a responsible and transparent manner.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866190","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 usefulness of stellate ganglion block with ultrasound-guided lateral paracarotid approach in ventricular arrhythmias: A case series. 星状神经节阻滞与超声引导下侧方颈动脉旁入路对室性心律失常的作用：病例系列。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_657_23

Hansung Ryu, Hyuckgoo Kim

引用次数: 0

Pericapsular nerve group block and lateral femoral cutaneous nerve block versus fascia iliaca block for multimodal analgesia after total hip replacement surgery: A retrospective analysis. 用于全髋关节置换手术后多模式镇痛的包膜神经组阻滞和股外侧皮神经阻滞与髂筋膜阻滞：回顾性分析。

IF 1.3

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_881_23

Alessandro Girombelli, Francesco Vetrone, Francesco Saglietti, Andrea Galimberti, Andrea Fusaro, Michele Umbrello, Angelo Pezzi

{"title":"Pericapsular nerve group block and lateral femoral cutaneous nerve block versus fascia iliaca block for multimodal analgesia after total hip replacement surgery: A retrospective analysis.","authors":"Alessandro Girombelli, Francesco Vetrone, Francesco Saglietti, Andrea Galimberti, Andrea Fusaro, Michele Umbrello, Angelo Pezzi","doi":"10.4103/sja.sja_881_23","DOIUrl":"10.4103/sja.sja_881_23","url":null,"abstract":"Background: Optimal pain control with limited muscle weakness is paramount for a swift initiation of physical therapy and early discharge. Fascia iliaca compartment block (FICB) has been recommended since it offers good pain control with a low risk of motor block. Pericapsular nerve group (PENG) block with lateral femoral cutaneous block (LFCN) has been proposed as an effective alternative to FICB that offers better pain control with a considerably lower risk of motor block. We aimed to compare the aforementioned blocks and determine which one yielded the lowest numeric rating scale (NRS) score.Methods: We designed a retrospective analysis of patients undergoing elective total hip arthroplasty. The primary outcome was the NRS score at 6, 12, and 24 hours. The secondary outcomes were total opioid consumption, time to first PRN opioid, and time to first postoperative ambulation.Results: 52 patients were recruited, (13 PENG plus LFCN, 39 FICB). PENG plus LCFN resulted in a lower NRS at all three-time points (mean difference and 95%CI at 6 h 0.378 [-0.483; 1.240], at 12 h 0.336 [-0.378; 1.050], and at 24 h 0.464 [0.013; 0.914] P = 0.02). Moreover, less PRN opioids were requested in the PENG plus LCFN vs. FICB group (0 [0;7.5] vs 60 [15;80] milligrams of morphine equivalents, P = 0.001). No delay in the first ambulation or initiation of physical rehabilitation was reported in either group.Conclusions: PENG plus LCFN seems to offer better pain control and lead to less PRN opioids. Neither block hindered physical therapy nor ambulation. These results need to be confirmed with a larger prospective and randomized study.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857907","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

Tibial-IPAC block is a new addition to femoral-IPACK block in total knee arthroplasty. 在全膝关节置换术中，胫骨-IPAC 阻滞是股骨-IPACK 阻滞的新补充。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_37_24

Amarjeet Kumar, Chandni Sinha, Ajeet Kumar

引用次数: 0

A rare case of huge frontoethmoidal encephalocele projecting through mouth, with cleft palate. 一例罕见的巨大前齿状颅脑突入口腔并伴有腭裂的病例。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_748_23

Darshana Rathod, Neha Goyal, Ankur Sharma, Kamlesh Kumari, Tanvi Meshram

引用次数: 0

Combined sciatic nerve and sacral erector spinae block in a quadriparetic patient for managing grade IV sacral and trochanteric pressure sores. 联合坐骨神经和骶骨竖脊肌阻滞治疗四肢瘫痪病人，控制骶骨和转子间四级压疮。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_790_23

Ranjay Mahaseth, Bhavna Gupta, Praveen Talawar, V Yuvraj

引用次数: 0

The association between different anesthetic techniques and outcomes in patients undergoing transfemoral aortic valve replacement. 经股动脉主动脉瓣置换术患者不同麻醉技术与预后之间的关系。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_826_23

Ahmad Abuzaid, Ibrahim AbdelAal, Ahmed Galal

{"title":"The association between different anesthetic techniques and outcomes in patients undergoing transfemoral aortic valve replacement.","authors":"Ahmad Abuzaid, Ibrahim AbdelAal, Ahmed Galal","doi":"10.4103/sja.sja_826_23","DOIUrl":"https://doi.org/10.4103/sja.sja_826_23","url":null,"abstract":"Background: There is an increasing number of patients undergoing transfemoral aortic valve replacement (TAVR) with sedation. There is limited data assessing the efficacy and safety of the different types of sedative drugs. The objective was to compare two sedation techniques with regard to the need for vasoactive support, respiratory support, rate of conversion to general anesthesia (GA), common perioperative morbidities, intensive care unit (ICU) stay, and in-hospital mortality.Methods: A retrospective chart review study conducted among patients who underwent TAVR at a specialized cardiac center between January 2016 and December 2019. Data collection included patient diagnosis, preoperative comorbidities, intraoperative outcomes, and postoperative outcomes.Results: A total of 289 patients received local anesthesia; 210 received propofol infusion and 79 received a mixed propofol-ketamine infusion (Ketofol). The average age was 75.5 ± 8.9 years and 58.1% of the patients were females. Comparing propofol and ketofol groups, 31.2% and 34.2% of the patients required drug support, 7.6% and 6.3% required conversion to GA, 46.7% and 59.5% required respiratory support, respectively. These intraoperative outcomes were not significantly different between groups, P = 0.540, P = 0.707, and P = 0.105, respectively. In-hospital 30-day mortality in propofol and ketofol groups were 1.9% and 3.8%, respectively, P = 0.396. In both groups, the median post-procedure coronary care unit stay was 26 hours while post-procedure hospital stay was 3 days.Conclusions: There were no significant differences in perioperative or postoperative outcomes in TAVR patients receiving either propofol or ketofol. Propofol infusion, either alone or with ketamine, is reliable and safe, with minimal side effects.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868322","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