Saudi Journal of Anaesthesia最新文献

{"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":"18 2","pages":"310-311"},"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}

{"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":"18 2","pages":"265-271"},"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}

{"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":"18 2","pages":"314-315"},"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}

{"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":"18 2","pages":"320-321"},"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}

{"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":"18 2","pages":"317-318"},"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}

{"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":"18 2","pages":"327-329"},"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}

{"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 (N₂O) 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 N₂O 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 N₂O 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 N₂O. 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 N₂O with portable E-cylinders on demand in operating rooms for rational use.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 2","pages":"194-196"},"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}

{"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":"18 2","pages":"167-172"},"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}

{"title":"Enhanced recovery after cardiac surgery: A literature review.","authors":"Jose R Navas-Blanco, Austin Kantola, Mark Whitton, Austin Johnson, Nasim Shakibai, Roy Soto, Sheryar Muhammad","doi":"10.4103/sja.sja_62_24","DOIUrl":"https://doi.org/10.4103/sja.sja_62_24","url":null,"abstract":"<p><p>Enhanced recovery after cardiac surgery (ERACS) represents a constellation of evidence-based peri-operative methods aimed to reduce the physiological and psychological stress patients experience after cardiac surgery, with the primary objective of providing an expedited recovery to pre-operative functional status. The method involves pre-operative, intra-operative, and post-operative interventions as well as direct patient engagement to be successful. Numerous publications in regard to the benefits of enhanced recovery have been presented, including decreased post-operative complications, shortened length of stay, decreased overall healthcare costs, and higher patient satisfaction. Implementing an ERACS program undeniably requires a culture change, a methodical shift in the approach of these patients that ultimately allows the team to achieve the aforementioned goals; therefore, team-building, planning, and anticipation of obstacles should be expected.</p>","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":"18 2","pages":"257-264"},"PeriodicalIF":1.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11033890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865853","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}

{"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":"18 2","pages":"296-298"},"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}