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Saudi Journal of Anaesthesia最新文献

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Postoperative urinary retention (POUR): A narrative review. 术后尿潴留（POUR）：叙述性综述。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_88_24
Chiara Cambise, Roberto De Cicco, Ersilia Luca, Giovanni Punzo, Valeria Di Franco, Alessandra Dottarelli, Teresa Sacco, Liliana Sollazzi, Paola Aceto
{"title":"Postoperative urinary retention (POUR): A narrative review.","authors":"Chiara Cambise, Roberto De Cicco, Ersilia Luca, Giovanni Punzo, Valeria Di Franco, Alessandra Dottarelli, Teresa Sacco, Liliana Sollazzi, Paola Aceto","doi":"10.4103/sja.sja_88_24","DOIUrl":"https://doi.org/10.4103/sja.sja_88_24","url":null,"abstract":"<p><p>Postoperative urinary retention (POUR) is defined as the inability to void in the presence of a full bladder after surgery. Complications include delirium, pain, prolonged hospitalization, and long-term altered bladder contractility. Comorbidities, type of surgery and anesthesia influence the development of POUR. The incidence varies between 5% and 70%. History and clinical examination, the need for bladder catheterization and ultrasonographic evaluation are three methods used to diagnose POUR. The prevention of POUR currently involves identifying patients with pre-operative risk factors and then modifying them where possible. Bladder catheterization is the standard treatment of POUR, however, further studies are necessary to establish patients who need a bladder catheter, bladder volume thresholds and duration of catheterization.</p>","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/PMC11033892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870201","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
Significance of fragility index in meta-analysis. 脆性指数在荟萃分析中的意义。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_749_23
Nitinkumar B Borkar, Abhijit Nair
{"title":"Significance of fragility index in meta-analysis.","authors":"Nitinkumar B Borkar, Abhijit Nair","doi":"10.4103/sja.sja_749_23","DOIUrl":"https://doi.org/10.4103/sja.sja_749_23","url":null,"abstract":"","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/PMC11033885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860672","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 of postburn neck contracture in pediatric patient - A challenge for anesthesiologist! 儿科烧伤后颈部挛缩的气道管理--麻醉师面临的挑战！
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_793_23
Athira Ramesh, Kewal K Gupta, Gagan Deep, Amanjot Singh
{"title":"Airway management of postburn neck contracture in pediatric patient - A challenge for anesthesiologist!","authors":"Athira Ramesh, Kewal K Gupta, Gagan Deep, Amanjot Singh","doi":"10.4103/sja.sja_793_23","DOIUrl":"https://doi.org/10.4103/sja.sja_793_23","url":null,"abstract":"<p><p>Pediatric difficult airway management is more challenging for an anesthesiologist due to anatomical and physiological differences as compared to adults. Moreover, the familiarity with the use of difficult airway equipment in adults does not equate to proficiency for the same in children. So, here we are presenting the management of a unique case of a difficult airway due to postburn neck contracture in a 4-year-old child, which was managed successfully with the help of a video laryngoscope after the failure attempt with a flexible fiberoptic bronchoscope.</p>","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/PMC11033884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857905","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
Challenging airway management in a patient having subglottic tumor with slit tracheal passage. 声门下肿瘤伴气管裂缝患者的气道管理难题。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_821_23
Amarjeet Kumar, M B Shadakshari, Athira Jayan
{"title":"Challenging airway management in a patient having subglottic tumor with slit tracheal passage.","authors":"Amarjeet Kumar, M B Shadakshari, Athira Jayan","doi":"10.4103/sja.sja_821_23","DOIUrl":"https://doi.org/10.4103/sja.sja_821_23","url":null,"abstract":"","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/PMC11033880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851200","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
Preoperative decision-making based on gastric ultrasound. 基于胃超声的术前决策。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_788_23
José A Sastre, Teresa López, Manuel A Gómez-Ríos, Roberto Julián
{"title":"Preoperative decision-making based on gastric ultrasound.","authors":"José A Sastre, Teresa López, Manuel A Gómez-Ríos, Roberto Julián","doi":"10.4103/sja.sja_788_23","DOIUrl":"https://doi.org/10.4103/sja.sja_788_23","url":null,"abstract":"","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/PMC11033906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140850460","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
Blocking the stress response to cardiac surgery: Much to be stress'ed about! 阻断心脏手术的应激反应：有很多值得强调的地方
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_6_24
Rohan Magoon
{"title":"Blocking the stress response to cardiac surgery: Much to be stress'ed about!","authors":"Rohan Magoon","doi":"10.4103/sja.sja_6_24","DOIUrl":"https://doi.org/10.4103/sja.sja_6_24","url":null,"abstract":"","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/PMC11033883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851199","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
Identifying the proximal sciatic nerve is better achieved through the pre-injection of saline at the sub-paraneural popliteal site. 通过在腘窝下部位预先注射生理盐水，可以更好地识别坐骨神经近端。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_65_24
Srinivasan Parthasarathy, Balachandar Saravanan
{"title":"Identifying the proximal sciatic nerve is better achieved through the pre-injection of saline at the sub-paraneural popliteal site.","authors":"Srinivasan Parthasarathy, Balachandar Saravanan","doi":"10.4103/sja.sja_65_24","DOIUrl":"https://doi.org/10.4103/sja.sja_65_24","url":null,"abstract":"","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/PMC11033902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851229","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
Should pipeline nitrous oxide be discontinued in secondary care: A cost-benefit analysis. 是否应在二级护理中停用管道氧化亚氮：成本效益分析。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_791_23
Amer Majeed, Amreen M Awan
{"title":"Should pipeline nitrous oxide be discontinued in secondary care: A cost-benefit analysis.","authors":"Amer Majeed, Amreen M Awan","doi":"10.4103/sja.sja_791_23","DOIUrl":"https://doi.org/10.4103/sja.sja_791_23","url":null,"abstract":"<p><strong>Background: </strong>Nitrous oxide (N<sub>2</sub>O) has seen a marked decline in its usage in recent years due to its adverse clinical effects. We audited the practice in our department to evaluate the N<sub>2</sub>O consumption and cost-effectiveness of its supply.</p><p><strong>Methodology: </strong>Electronic anesthesia records of all patients anesthetized in our main operating rooms in a typical month were reviewed retrospectively, and utilization of N<sub>2</sub>O was noted in addition to the patient demographics, surgical procedure, and specialty.</p><p><strong>Results: </strong>A total of 950 patients were anesthetized, and 3.1% received N<sub>2</sub>O. The annual usage was estimated to be 72,871 liters, with a leakage of 3,883,105 liters to the environment, posing a safety hazard and wasting 149,612.50 SAR.</p><p><strong>Conclusion: </strong>Notable costs and environmental benefits may be achieved by substituting a piped supply of N<sub>2</sub>O with portable E-cylinders on demand in operating rooms for rational use.</p>","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/PMC11033912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862550","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
Determinants of gastric residual volume before elective surgery in diabetic patients: An observational study. 糖尿病患者择期手术前胃残余容积的决定因素：一项观察性研究
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_339_23
Berrak Sebil Aydın, Işıl Köse Güldoğan
{"title":"Determinants of gastric residual volume before elective surgery in diabetic patients: An observational study.","authors":"Berrak Sebil Aydın, Işıl Köse Güldoğan","doi":"10.4103/sja.sja_339_23","DOIUrl":"https://doi.org/10.4103/sja.sja_339_23","url":null,"abstract":"<p><strong>Background: </strong>We investigated factors affecting the low- and high-risk groups for aspiration by measuring gastric volume with ultrasound in diabetic patients who fasted for elective surgery.</p><p><strong>Methods: </strong>The study was conducted as an observational study. Sixty-five patients scheduled for elective surgery, aged 18-86 years, with American Society of Anesthesiologists (ASA) scores II-III, and who have diabetes were included after local ethics committee approval. Written informed consent was obtained from all participants. Demographic data of cases were recorded. Patients whose gastric residual volume (GRV) was calculated using the pupils equal, round, reactive to light, and accommodation (PERLA) formula following gastric antrum measurement in the right lateral decubitus and supine position by ultrasound were categorized as low or high risk for aspiration.</p><p><strong>Results: </strong>Thirty-one patients were in the low-risk group, and 34 patients were in the high-risk group. Sex, weight, body mass index (BMI), hemoglobin A1c (HbA1c) values, and duration of diabetes were not statistically significant (p > 0.5). Age (p = 0.006) and fasting blood glucose (FBG) (p = 0.005) were statistically significant. The risk of aspiration decreases with age. Hyperglycemia is related to delayed gastric emptying and a high risk for aspiration. The duration of fasting, GRV, and cross-sectional area (CSA) were statistically significant (p = 0.017, p = 0.000, and p = 0.000, respectively).</p><p><strong>Conclusion: </strong>Gastric emptying might be delayed in diabetic patients resulting in a high risk for aspiration pneumonia. The risk of aspiration increases in young diabetic patients, and preoperative FBG measurements can provide an idea about gastric emptying in diabetic patients. Gastric ultrasound (USG) may contribute to guidelines for determining more appropriate fasting times for other patient populations, such as obese, pregnant, or child patients.</p>","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/PMC11033908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871171","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
Torsion of the inferior vena cava: An unprecedented variant of post-pneumonectomy syndrome. 下腔静脉扭转：一种前所未有的肺切除术后综合征变异。
IF 1.2
Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_855_23
Raul C Aleixo, Bruna C Oliveira, André L V Drumond, Marina Ayres Delgado
{"title":"Torsion of the inferior vena cava: An unprecedented variant of post-pneumonectomy syndrome.","authors":"Raul C Aleixo, Bruna C Oliveira, André L V Drumond, Marina Ayres Delgado","doi":"10.4103/sja.sja_855_23","DOIUrl":"https://doi.org/10.4103/sja.sja_855_23","url":null,"abstract":"<p><p>Post-pneumonectomy syndrome (PPS) is a rare complication after pneumonectomy defined by mediastinum shift toward the vacated pleural space with compression of the distal trachea or mainstem bronchi, resulting in dyspnea. This report describes a 32-year-old woman who presents with limiting symptoms of progressive dyspnea and chest pain 2 years after a right pneumonectomy. In computed tomography scan, there was no evidence of airway compression but suggested torsion of the inferior vena cava with preload compromise, confirmed during the surgical mediastinum repositioning using a transesophageal echocardiography-guided approach. This case report presents this unprecedented variant of PPS syndrome, highlighting the diagnostic and peri-operative management challenges.</p>","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/PMC11033897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871458","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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