Ahmed S Elbashary, Naveed U Kanchi, M Bilal Delvi, Abdulelah I Alhatlan
{"title":"Airway management of a child with mucopolysaccharidosis undergoing cervical spine surgery: A case report.","authors":"Ahmed S Elbashary, Naveed U Kanchi, M Bilal Delvi, Abdulelah I Alhatlan","doi":"10.4103/sja.sja_515_23","DOIUrl":"10.4103/sja.sja_515_23","url":null,"abstract":"<p><p>\"Mucopolysaccharidosis\" (MPS) is a rare, autosomal recessive lysosomal storage disease characterized by deficiencies in 11 different lysosomal enzymes involved in the metabolism of glycosaminoglycans (GAGs) leading to its accumulation, the condition which results in anatomic abnormalities and multi-organ dysfunction that increases the risk of anesthesia complications. The patterns of accumulation form the basis of MPS classification into seven types of progressive diseases. Most of the MPS types have facial and oral characteristics that increase the risk of airway management. We are reporting a case of MPS with a challenging airway, an 11-years-old boy diagnosed with MPS type VI with a prominent facial character planned for cervical spine fixation versus decompression, successfully managed with fiberoptic bronchoscopy (FOB) guided by video laryngoscopy (VL).</p>","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/PMC10833044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681440","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}
Kyung Woo Kim, Min Hee Heo, Sang Il Lee, Jun Hyun Kim
{"title":"When monitoring brain and forearm simultaneously with near infrared spectroscopy: What can be learned?","authors":"Kyung Woo Kim, Min Hee Heo, Sang Il Lee, Jun Hyun Kim","doi":"10.4103/sja.sja_489_23","DOIUrl":"10.4103/sja.sja_489_23","url":null,"abstract":"","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/PMC10833036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681464","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}
Ashutosh Pandey, Zainab Ahmad, Shikha Jain, Abhijit Pakhare, Pramod K Sharma, Vaishali Waindeskar, Pranita Mandal, Sunaina T Karna
{"title":"The analgesic efficacy of ultrasound-guided erector spinae plane block versus ultrasound-guided caudal epidural block for abdominal surgery in pediatric patients - A patient and assessor-blind, randomized controlled study.","authors":"Ashutosh Pandey, Zainab Ahmad, Shikha Jain, Abhijit Pakhare, Pramod K Sharma, Vaishali Waindeskar, Pranita Mandal, Sunaina T Karna","doi":"10.4103/sja.sja_518_23","DOIUrl":"10.4103/sja.sja_518_23","url":null,"abstract":"<p><strong>Background: </strong>Literature on the efficacy and safety of erector spinae plane block (ESPB) in pediatric patients is limited. Hence, we aimed to compare ESPB versus caudal epidural block (CEB) in children undergoing abdominal surgery.</p><p><strong>Methods: </strong>In this patient and assessor-blind study, fifty-two ASA I-II patients, between 1 to 9 years of age, were randomized into groups of 26 each. ESPB group received unilateral or bilateral ultrasound (USG)-guided ESPB with 0.5 ml/kg of 0.25% bupivacaine per side. CEB group received USG-guided CEB with 1 ml/kg of 0.25% bupivacaine. The primary objective was to estimate the proportion of patients requiring postoperative rescue analgesia. The secondary objectives were to assess postoperative Face, Legs, Activity, Cry and Consolability (FLACC) scale scores, duration of analgesia, and consumption of rescue analgesic drugs.</p><p><strong>Results: </strong>More patients in the ESPB group (88.4%), compared to the CEB group (42.3%), required rescue analgesics (<i>P</i> value <0.001). FLACC scores in the ESPB group, though satisfactory, were inferior, to the CEB group. The duration of postoperative analgesia was shorter in the ESPB group by 9.54 h (95% CI: 4.51 to 14.57 h, <i>P</i> value <0.001). The median (IQR) consumption of rescue paracetamol was significantly higher in the ESPB group (20 mg/kg (10,20) compared to the CEB group (0.0 mg/kg (0.0,10) <i>P</i> value <0.001)). No adverse effects were reported.</p><p><strong>Conclusion: </strong>In children undergoing abdominal surgery, both ESPB and CEB were safe and efficacious. CEB provided a longer duration and better quality of analgesia. ESPB may be considered when CEB is contraindicated or difficult.</p>","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/PMC10833007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681535","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":"ChatGPT in anesthesiology practice - A friend or a foe.","authors":"Bhavna Gupta, Pallavi Ahluwalia, Anish Gupta, Ranjay Mahaseth","doi":"10.4103/sja.sja_336_23","DOIUrl":"10.4103/sja.sja_336_23","url":null,"abstract":"","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/PMC10833005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681446","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":"Erector spinae plane block in spine surgeries: Single-level versus bi-level, single-shot versus continuous catheter technique.","authors":"Raghuraman M Sethuraman","doi":"10.4103/sja.sja_775_23","DOIUrl":"10.4103/sja.sja_775_23","url":null,"abstract":"<p><p>Erector spinae plane block (ESPB) is one of the commonly preferred regional anesthesia techniques in the recent past for various procedures including spine surgeries. The main advantages of ESPB are the ease of performing the technique and the lesser chance of complications. Many studies have proven that ESPB plays an important role in reducing perioperative opioid consumption, postoperative nausea and vomiting, as well as the length of stay in the hospital. Thus it has been adopted as one of the measures for the enhanced recovery after surgery (ERAS) protocol. Nevertheless, the role of bi-level ESPB and a continuous catheter technique are the major research gaps and thus require further research in this population. The details of these two methods are discussed elaborately here.</p>","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/PMC10833027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681452","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":"Perioperative concerns in a patient with suspected Creutzfeldt - Jakob disease: A case report and review of literature.","authors":"Kathiravan Thangavel, Chhavi Sawhney, Anjishnujit Bandyopadhyay","doi":"10.4103/sja.sja_503_23","DOIUrl":"10.4103/sja.sja_503_23","url":null,"abstract":"<p><p>A case of Creutzfeldt-Jakob Disease (CJD), a rare prion disease, posted for surgery is a clinically challenging scenario for an anesthesiologist. In addition to weighing in the consequences of using general versus neuraxial anesthesia for a patient of such a progressive neurodegenerative disorder, the anesthesiologist must also meticulously plan and institute a robust infection control protocol, keeping in mind that prion diseases are transmissible and highly resistant to the standard sterilization process. We hereby report the successful anesthetic management of a 57-year-old patient with suspected CJD presented with intertrochanteric fracture femur for closed reduction and internal fixation and also review the existing literature regarding the anesthetic management of a definite or suspected case of CJD.</p>","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/PMC10833012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681526","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":"Comment on: The efficacy of paravertebral block evaluated by pain-related biomarkers and reactive oxygen species (ROS) following surgery for breast cancer: A randomized controlled study.","authors":"Rohan Magoon, Varun Suresh","doi":"10.4103/sja.sja_237_23","DOIUrl":"10.4103/sja.sja_237_23","url":null,"abstract":"","PeriodicalId":21533,"journal":{"name":"Saudi Journal of Anaesthesia","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10833035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681448","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}
A Shanmuga Priya, Vinod Krishnagopal, R Sudhakaran, Raghuraman M Sethuraman
{"title":"Comment on: \"Ultrasound-guided erector spinae plane block compared to serratus anterior muscle block for postoperative analgesia in modified radical mastectomy surgeries: A randomized control trial\".","authors":"A Shanmuga Priya, Vinod Krishnagopal, R Sudhakaran, Raghuraman M Sethuraman","doi":"10.4103/sja.sja_701_23","DOIUrl":"10.4103/sja.sja_701_23","url":null,"abstract":"","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/PMC10833026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681447","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}
Alessandro De Cassai, Sindi Mustaj, Burhan Dost, Marina Munari
{"title":"Limitations of H-index as a measure of academic influence and the importance of innovation in research: Lessons for the anesthesiology community.","authors":"Alessandro De Cassai, Sindi Mustaj, Burhan Dost, Marina Munari","doi":"10.4103/sja.sja_662_23","DOIUrl":"10.4103/sja.sja_662_23","url":null,"abstract":"","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/PMC10833028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681523","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":"Simulating high-fidelity emergency front-of-neck access: Training in an obstetric setting.","authors":"Ben Povey, Vinod Patil","doi":"10.4103/sja.sja_383_23","DOIUrl":"10.4103/sja.sja_383_23","url":null,"abstract":"","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/PMC10833038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681532","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}