Saudi Journal of Anaesthesia最新文献_第8页

Identifying dynamic factors influencing surgery cancellations. 确定影响手术取消的动态因素。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-04-01 Epub Date: 2024-03-14 DOI: 10.4103/sja.sja_75_24

Bhavna Gupta

引用次数: 0

Comparison of nebulized ropivacaine (0.75%) with nebulized dexmedetomidine on the hemodynamic response on intubation in patients undergoing surgery under general anesthesia: A comparative randomized double-blind placebo-controlled study. 雾化罗哌卡因（0.75%）与雾化右美托咪定对全身麻醉手术患者插管时血流动力学反应的比较：随机双盲安慰剂对照比较研究。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_391_23

Puja Saxena, Ravneet Kaur Gill, Richa Saroa, Bharti Sidhu, John Alen, Parul Sood

{"title":"Comparison of nebulized ropivacaine (0.75%) with nebulized dexmedetomidine on the hemodynamic response on intubation in patients undergoing surgery under general anesthesia: A comparative randomized double-blind placebo-controlled study.","authors":"Puja Saxena, Ravneet Kaur Gill, Richa Saroa, Bharti Sidhu, John Alen, Parul Sood","doi":"10.4103/sja.sja_391_23","DOIUrl":"10.4103/sja.sja_391_23","url":null,"abstract":"Background: Laryngoscopy and tracheal intubation lead to sympathetic stimulation resulting in hemodynamic fluctuations. We compared local anesthetic ropivacaine 0.75% with alpha agonist dexmedetomidine through ultrasonic nebulization for direct local action of the drug in the airway.Methods: In our randomized study, 180 patients were prospectively assigned to three groups of 60 each: group R (0.75%), group D (1 microgram/kg), and group C (control). The primary objective was to determine whether nebulized ropivacaine or nebulized dexmedetomidine can cause a reduction in stress response to laryngoscopy and intubation. The secondary objectives were to compare the hemodynamic parameters at extubation, cough response at extubation, and postoperative sore throat.Results: A total of 165 patients were analyzed. Demographically, all the groups were similar. Group R and group D were found to significantly attenuate the heart rate (HR) at intubation and extubation when compared to group C (P < 0.05). A significant reduction in mean arterial pressure (MAP) was seen (P < 0.05; group D: 90 ± 18.4 mmHg, group C: 99.5 ± 15.9 mmHg, group R: 92.4 ± 16.1 mmHg). There was a significant reduction in cough response in both groups in comparison with group C at 0 minutes (P value; group C vs group D: <.0001; group C vs group R:.01) and 5 minutes (P value; group C vs group D: <.0001; group C vs group R: <.0001).Conclusion: Preinduction topical use of ropivacaine or dexmedetomidine, through the nebulization route, effectively attenuated the pressor responses when compared to placebo.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10833030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681449","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

Intracranial hypotension with subdural hematoma after spinal anesthesia in obstetric patient: A rare but fatal complication. 产科病人脊髓麻醉后颅内低血压伴硬膜下血肿：一种罕见但致命的并发症。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_356_23

Sujit J Kshirsagar, Anandkumar H Pande, Sanyogita V Naik, Neha M Kamble

{"title":"Intracranial hypotension with subdural hematoma after spinal anesthesia in obstetric patient: A rare but fatal complication.","authors":"Sujit J Kshirsagar, Anandkumar H Pande, Sanyogita V Naik, Neha M Kamble","doi":"10.4103/sja.sja_356_23","DOIUrl":"10.4103/sja.sja_356_23","url":null,"abstract":"Intracranial bleed in the form of subdural hematoma (SDH) with intracranial hypotension after spinal anesthesia for cesarean section is a rare condition with an incidence of around 1 in 5,00,000 obstetric populations. As its presentation is similar to post-dural puncture headache (PDPH), it can be misdiagnosed sometimes. Persistent headache for more than 5 days, vomiting, blurring of vision, and convulsion can guide the diagnosis of intracranial bleed. Magnetic resonance imaging (MRI) helps to diagnose the location, size, and other abnormalities of bleed in such patients. The management ranges from conservative to surgical management in the form of craniotomy. Here, we present a case of a 19-year-old woman, who operated on for cesarean section under spinal anesthesia presented with SDH and intracranial hypotension on postoperative day (POD) 6. She was managed conservatively with plenty of intravenous (IV) fluids, bed rest, low head position, analgesics, and antiepileptics. A repeat computed tomography (CT) scan was performed after 14 days, which showed resolved SDH, and the patient was discharged.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10833041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681458","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

Ultrasound-guided erector spinae plane block for awake spine surgery: A case report and review of the literature. 超声引导下用于清醒脊柱手术的竖脊肌平面阻滞：病例报告和文献综述。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_548_23

Ashwini Reddy, Amiya K Barik, Nidhi Bhatia, Kajal Jain

{"title":"Ultrasound-guided erector spinae plane block for awake spine surgery: A case report and review of the literature.","authors":"Ashwini Reddy, Amiya K Barik, Nidhi Bhatia, Kajal Jain","doi":"10.4103/sja.sja_548_23","DOIUrl":"10.4103/sja.sja_548_23","url":null,"abstract":"Percutaneous endoscopic lumbar discectomy is increasingly gaining recognition as an alternative to open microdiscectomy for the treatment of intervertebral disk herniation. Apart from the neuraxial blockade, and general anesthesia, there is literature demonstrating the performance of endoscopic lumbar discectomy under sole local anesthesia infiltration. This is particularly advantageous as an awake patient assists the surgeon by verbalizing and preventing any inadvertent nerve root damage. However, marked pain has been reported during key steps such as endoscope port installation and radiculolysis. The erector spinae plane (ESP) block is an interfascial paraspinal block that soaks the spinal nerve roots with epidural spread providing superior analgesia for endoscopic discectomy. The utility of ESP block as a perioperative analgesic technique following spine surgery is well established; there are no reports of successful endoscopic discectomy performed using this block. This article emphasizes the utility of ESP block as the sole anesthetic technique for minimally invasive spine surgery in the awake state.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10833031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681461","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

Neonatal perioperative resuscitation (NePOR) protocol-A comment. 新生儿围手术期复苏（NePOR）协议--评论。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_629_23

Abhilasha Motghare, Amrit Kaur, Raylene Dias

引用次数: 0

Drone a technological leap in health care delivery in distant and remote inaccessible areas: A narrative review. 无人机是在遥远和偏僻地区提供医疗服务的一次技术飞跃：叙述性综述。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_506_23

Sanjana Sharma, Hunny Sharma

引用次数: 0

An audit on surgery cancellation in a teaching hospital. 对一家教学医院取消手术的审计。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_485_23

Baraa Tayeb

{"title":"An audit on surgery cancellation in a teaching hospital.","authors":"Baraa Tayeb","doi":"10.4103/sja.sja_485_23","DOIUrl":"10.4103/sja.sja_485_23","url":null,"abstract":"Background: Operative procedure cancellations are a dilemma for the healthcare system as well as for the patients. It causes increased workload and cost to our system. For patients, it has major financial, psychological as well as medical consequences. We aim to self-identify the causes of cancellations for efficient operation room management.Methods: We performed a retrospective chart review in a tertiary academic medical center for the last 66 months of operative records. Subsequently, we performed thematic coding to categorize causes into distinct categories.Results: Our records showed 5153 cancellations which represent (7.3%) of the total booked procedures. Of these cancellations 91% were ordered before the day of surgery, compared to 9% for same-day cancellations. Cancellations were 58% female patients and 40% male patients. The number one reason for cancellations for both same-day and prior cancellations is the unavailability of the surgical consultant.Conclusion: Surgical procedure cancellations profile is unique among our settings and has changed over time. Over the last 5 years, the number one reason is unavailability of the surgical consultant. Efforts should be made to identify and correct the underlying reasons to improve patient outcomes in our evolving healthcare system.","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10833045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681441","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

Ultrasound-guided continuous retrolaminar block in video-assisted thoracoscopic surgery in pediatric patient. 视频辅助胸腔镜手术中超声引导的连续后束神经阻滞治疗小儿患者。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_156_23

Poonam Kumari, Amarjeet Kumar, P Saravanan, Atul Aman

引用次数: 0

Point of care ultrasound (POCUS) for appropriate head flexion during patient positioning: Role of internal jugular vein outflow grading. 护理点超声检查 (POCUS) 在患者体位摆放过程中适当屈曲头部：颈内静脉流出分级的作用。

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_153_23

Amarjeet Kumar, Chandni Sinha, Ajeet Kumar, Kunal Singh

引用次数: 0

Postoperative pain: What can we do? 术后疼痛：我们能做些什么？

IF 1.2

Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI: 10.4103/sja.sja_346_23

Mariana de Brito Gregório, João Pedro Pires Fonseca, Maria Madalena Oliveira Adrião, Elisabete Oliveira Valente Cavaco

引用次数: 0