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Saudi Journal of Anaesthesia最新文献

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Regional anesthesia and muscle-wasting diseases in pediatrics: A focused educational review.
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2025-01-01 DOI: 10.4103/sja.sja_567_24
Amr Elhamrawy, Islam Elmitwalli, Candice Burrier, Giorgio Veneziano, Joseph D Tobias
{"title":"Regional anesthesia and muscle-wasting diseases in pediatrics: A focused educational review.","authors":"Amr Elhamrawy, Islam Elmitwalli, Candice Burrier, Giorgio Veneziano, Joseph D Tobias","doi":"10.4103/sja.sja_567_24","DOIUrl":"10.4103/sja.sja_567_24","url":null,"abstract":"<p><p>The muscular dystrophies or muscle-wasting diseases include a diverse group of genetic disorders, which result in progressive degeneration of skeletal muscles, progressive muscle weakness, and comorbid multi-system involvement. Duchenne muscle dystrophy is the most common type of muscular dystrophy with a reported incidence of 1 in every 3500-6000 male live births in the United States. Given the progressive nature of these disorders, skeletal muscle weakness frequently progresses to loss of the ability to ambulate and perform functions of daily life. In addition to affecting the skeletal musculature, many muscular dystrophies have effects on both cardiac and smooth muscles. As respiratory muscles are one of the most frequently affected muscles in patients with muscular dystrophies, progressive respiratory insufficiency may occur with dependance on non-invasive forms of respiratory support. Given the progressive multi-system involvement associated with the muscular dystrophies, perioperative care and the use of general anesthetic agents and opioids may result in postoperative respiratory failure. In an effort to avoid the deleterious effects of anesthetic agents and opioids on hemodynamic and respiratory functions, regional anesthesia may be used as an adjunct to or instead of general anesthesia. This manuscript provides a literature review and educational summary regarding the use of regional anesthetic techniques in pediatric-aged patients with muscular dystrophies.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"19 1","pages":"86-91"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433861","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
Noninvasive pulsed radiofrequency for trigeminal neuralgia: Off the beaten path - Case series. 无创脉冲射频治疗三叉神经痛：不走寻常路--病例系列。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_208_24
Sukanya Mitra, Prateek Upadhyay, Jasveer Singh, Prashant Ahlawat
{"title":"Noninvasive pulsed radiofrequency for trigeminal neuralgia: Off the beaten path - Case series.","authors":"Sukanya Mitra, Prateek Upadhyay, Jasveer Singh, Prashant Ahlawat","doi":"10.4103/sja.sja_208_24","DOIUrl":"10.4103/sja.sja_208_24","url":null,"abstract":"<p><p>Trigeminal neuralgia (TN) is a debilitating condition characterized by excruciating facial pain resulting from dysfunction in the trigeminal nerve. Treatment options are limited. Noninvasive pulsed radiofrequency (PRF) therapy is an emerging promising approach to managing TN. This therapy provides pain control without tissue damage or unpleasant side effects compared to invasive procedures. Here, we present five cases of trigeminal neuralgia successfully managed with noninvasive PRF therapy. Our case series contributes to the existing literature and supports the potential efficacy of noninvasive PRF therapy for TN.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"569-572"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731798","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
Pycnodysostosis and severe laryngomalacia complicating general anesthesia: A case report. 全身麻醉并发 Pycnodysostosis 和严重喉头水肿：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_916_23
Plínio O Holanda, Luciana C Morais, Felipe O Marques, Danielle C Soares, Joao M R Neto, Keyth W B Silva
{"title":"Pycnodysostosis and severe laryngomalacia complicating general anesthesia: A case report.","authors":"Plínio O Holanda, Luciana C Morais, Felipe O Marques, Danielle C Soares, Joao M R Neto, Keyth W B Silva","doi":"10.4103/sja.sja_916_23","DOIUrl":"10.4103/sja.sja_916_23","url":null,"abstract":"<p><p>Pycnodysostosis is a very rare autosomal recessive disease. This disorder presents with osteosclerosis, leading to fragile bones, short stature, craniofacial abnormalities, laryngomalacia, sleep apnea syndrome, and many other findings. Difficulty intubation is very common. In our case, we have a patient scheduled for a plastic surgery on her skull under general anesthesia (GA), but she could not lie in a flat position as this could lead to cyanosis and cardiac arrest. So, we have to intubate her in 45° back-up position. Intubation in positions different from the usual supine one probably because of severe laryngomalacia in this patient is possible but needs skilled anesthesiologists and trained personnel.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"562-564"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731821","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
Superior thyroid artery injury following foreign body ingestion in an intellectually disabled patient: A case report. 智障患者误食异物导致甲状腺上动脉损伤：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_234_24
D A Dharun Jims, Suryanarayanan Soundrarajan, Mekala RanjithKumar, Muthapillai Senthilnathan
{"title":"Superior thyroid artery injury following foreign body ingestion in an intellectually disabled patient: A case report.","authors":"D A Dharun Jims, Suryanarayanan Soundrarajan, Mekala RanjithKumar, Muthapillai Senthilnathan","doi":"10.4103/sja.sja_234_24","DOIUrl":"10.4103/sja.sja_234_24","url":null,"abstract":"<p><p>This case report highlights complexities in an intellectually disabled adult who ingested a chicken bone, resulting in a rare complication-superior thyroid artery injury. Presentation, diagnostic challenges, and a multidisciplinary approach are detailed. Initial attempts at esophagoscopy under general anesthesia were hindered by blood coughing, leading to a change of plan. Subsequent findings revealed mucosal edema and continuous bleeding from the site. Challenges in anesthetizing intellectually disabled individuals are emphasized, stressing tailored induction methods. The case concluded with successful embolization but developed neurological complication which was successfully managed showcasing the significance of a collaborative and adaptable approach.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"576-579"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732094","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
Adrenaline bolus rescue for refractory carcinoid crises during surgical manipulation of metastatic neuroendocrine tumor of pancreas: A case report. 胰腺转移性神经内分泌瘤手术操作过程中肾上腺素栓剂对难治性类癌危象的救治：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_319_24
Aruna Manaswini Murugesan, Nikkila Mai Nandagopan, Muthapillai Senthilnathan, Mekala Ranjith Kumar
{"title":"Adrenaline bolus rescue for refractory carcinoid crises during surgical manipulation of metastatic neuroendocrine tumor of pancreas: A case report.","authors":"Aruna Manaswini Murugesan, Nikkila Mai Nandagopan, Muthapillai Senthilnathan, Mekala Ranjith Kumar","doi":"10.4103/sja.sja_319_24","DOIUrl":"10.4103/sja.sja_319_24","url":null,"abstract":"<p><p>Carcinoid crisis is a potentially fatal condition with severe hemodynamic instability. A 25-year-old female with metastatic pancreatic neuroendocrine tumor with recurrent carcinoid crises was posted for surgical debulking. Intraoperatively, the patient was on crisis during manipulation of the lesion by the surgeon, which was unresponsive to octreotide, infusions of phenylephrine, and norepinephrine agents. The patient was then effectively managed with adrenaline blouses at 10 µg along with infusion of adrenaline. Use of inotropes and vasopressors is not encouraged in carcinoid due to release of inflammatory mediators which can precipitate the hemodynamic instability. Here, we managed her with adrenaline boluses and infusion.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"599-601"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732195","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
Cardiac anaesthetist-cardiac surgeon pairing and outcome of surgery. 心脏麻醉师与心脏外科医生的配对与手术效果。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_231_24
Ashish Gandhi, Jyoti Gandhi
{"title":"Cardiac anaesthetist-cardiac surgeon pairing and outcome of surgery.","authors":"Ashish Gandhi, Jyoti Gandhi","doi":"10.4103/sja.sja_231_24","DOIUrl":"10.4103/sja.sja_231_24","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"607-608"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732201","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
Torrential intraoral bleed in a mandibular arteriovenous malformation: Resuscitation under nonoperating room settings. 下颌动静脉畸形的口腔内汹涌出血：非手术室环境下的复苏。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_320_24
Ravi Chaudhary, Gaurav Jain, Deepak Kumar Arjunan, Ananda Bhattarai
{"title":"Torrential intraoral bleed in a mandibular arteriovenous malformation: Resuscitation under nonoperating room settings.","authors":"Ravi Chaudhary, Gaurav Jain, Deepak Kumar Arjunan, Ananda Bhattarai","doi":"10.4103/sja.sja_320_24","DOIUrl":"10.4103/sja.sja_320_24","url":null,"abstract":"<p><p>Arteriovenous malformation (AVM) of the head and neck, though rare, can present significant clinical challenges, particularly during dental procedures. This case report details the acute management of a 7-year-old girl with an AVM in the right mandible, with sudden, severe, torrential intraoral hemorrhage during an angioembolization procedure, necessitating immediate airway management and hemodynamic stabilization in a nonoperating room anesthesia (NORA) setting. Persistent bleeding led to a multidisciplinary intervention, including external carotid artery ligation and right hemimandibulectomy, achieving hemostasis. The case underscores the importance of meticulous planning, readiness with resuscitation and airway management equipment, and coordinated efforts among anesthesia and surgical teams in NORA settings to manage such critical situations effectively.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"596-598"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732202","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
Correlation of perfusion index change and analgesic efficacy in transforaminal steroid injection for lumbosacral pain, a prospective observational study. 经椎间孔注射类固醇治疗腰骶部疼痛的灌注指数变化与镇痛效果的相关性，一项前瞻性观察研究。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_244_24
Heley Gatorwala, Ananda Bangera
{"title":"Correlation of perfusion index change and analgesic efficacy in transforaminal steroid injection for lumbosacral pain, a prospective observational study.","authors":"Heley Gatorwala, Ananda Bangera","doi":"10.4103/sja.sja_244_24","DOIUrl":"10.4103/sja.sja_244_24","url":null,"abstract":"<p><strong>Background and aims: </strong>Low back pain is a common problem and a major burden to society. Transforaminal epidural steroid injection is one of the most effective treatment modalities for back pain. We aim to objectively quantify pain relief of lumbosacral radicular pain post transforaminal steroid injection by correlating perfusion index (PI), reflecting real-time peripheral blood flow change at the site of monitoring, controlled by sympathetic system with Numerical rate score (NRS) and SLRT improvement.</p><p><strong>Material and methods: </strong>A prospective observational study, conducted at K.S Hegde Medical Academy, Mangaluru, from June 2021 to June 2022 as a time-bound study. After IEC clearance (IEC certificate number) for the procedure and study, patients undergoing transforaminal epidural steroid injection for lumbosacral radicular pain were enrolled, excluding those meeting the exclusion criteria. PI change and NRS score improvement were noted at 0, 5, 10, 15, and 30 minutes along with pre and post-procedure SLRT. Results were analyzed.</p><p><strong>Results: </strong>A total of 40 patients were analyzed. PI change at 30 minutes was 2.113 from a baseline of 0.217. Median NRS of 5, improved to 0 and the mean SLRT of 45.17 to 61.45 at the end of 30 minutes. All changes are statistically significant with <i>P</i> (<0.01). correlation between the PI change with NRS is mild (-0.312).</p><p><strong>Conclusion: </strong>PI change ratio shows an overall improvement in pain levels objectively, in a non-invasive, easy, and reliable way. Simultaneous improvement in both NRS and SLRT is clinically significant but cannot predict a correlated quantitative measure of pain relief.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"509-515"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732208","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
Scorpionism in a fibromyalgia patient: First report. 一名纤维肌痛患者的蝎子症：首次报告。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_233_24
Jozélio Freire de Carvalho
{"title":"Scorpionism in a fibromyalgia patient: First report.","authors":"Jozélio Freire de Carvalho","doi":"10.4103/sja.sja_233_24","DOIUrl":"10.4103/sja.sja_233_24","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"608-609"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731885","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
Airway management during bronchoscopic electrocautery snaring of midtracheal tumor: An anesthesiologist's challenge. 支气管镜电灼抢救气管中段肿瘤时的气道管理：麻醉医师的挑战。
IF 1.3
Saudi Journal of Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.4103/sja.sja_300_24
Amarjeet Kumar, Farheen Ahmed, Saurabh Karmakar, Beenu Alex
{"title":"Airway management during bronchoscopic electrocautery snaring of midtracheal tumor: An anesthesiologist's challenge.","authors":"Amarjeet Kumar, Farheen Ahmed, Saurabh Karmakar, Beenu Alex","doi":"10.4103/sja.sja_300_24","DOIUrl":"10.4103/sja.sja_300_24","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 4","pages":"615-617"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732196","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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