Journal of perioperative practice最新文献

Successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult intubation due to limited mouth opening: A case report. 手术切口及视像喉镜下气管插管成功治疗因开口受限而插管困难患者1例报告。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-08 DOI: 10.1177/17504589241276665

Begüm Nemika Gökdemir, Nedim Çekmen, Ahmet Çağrı Uysal

{"title":"Successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult intubation due to limited mouth opening: A case report.","authors":"Begüm Nemika Gökdemir, Nedim Çekmen, Ahmet Çağrı Uysal","doi":"10.1177/17504589241276665","DOIUrl":"https://doi.org/10.1177/17504589241276665","url":null,"abstract":"Difficult ventilation and intubation in anaesthesia are highly complex and challenging for the anaesthetist. We aim to present a case of successful nasotracheal intubation with surgical incision and video laryngoscope in a patient with anticipated difficult ventilation and intubation due to a limited mouth opening. A patient was an 81-year-old female scheduled for oral surgery for lip cancer. The patient's American Society of Anesthesiologists (ASA) physical classification was class III, and the oral airway was assessed as a Mallampati Class IV. A comprehensive preoperative evaluation of the patient revealed limited mouth opening (distance between incisors 1cm) and multiple decayed and broken teeth. A 2cm surgical incision of the skin was performed by plastic surgery under local anaesthesia and sedation without general anaesthesia. A high-flow nasal cannula (HFNO) was used for preoxygenation and to prevent desaturation during a difficult intubation. The oral cavity was topicalised with 2% lidocaine, and after the topical nasal vasoconstrictor to the nasal cavity, we selected a 7.0mm nasal flexible endotracheal tube (ETT). We inserted it into the right nostril with a video laryngoscope under local anaesthesia and sedation without general anaesthesia, and then, the patient's nasotracheal intubation was successfully performed. A multidisciplinary team approach to airway management should include all participants in planned patient care in the operating room, intensive care unit (ICU), post-anaesthesia care unit, or ward.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589241276665"},"PeriodicalIF":1.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of paediatric difficult intubation according to the experience of a university hospital in a low- and middle-income country: A prospective observational study. 根据中低收入国家大学医院的经验预测儿科困难插管的因素：前瞻性观察研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-08-09 DOI: 10.1177/17504589241264404

Anouar Jarraya, Manel Kammoun, Hind Ketata, Hasna Bouchaira, Saloua Ammar, Riadh Mhiri

{"title":"Predictors of paediatric difficult intubation according to the experience of a university hospital in a low- and middle-income country: A prospective observational study.","authors":"Anouar Jarraya, Manel Kammoun, Hind Ketata, Hasna Bouchaira, Saloua Ammar, Riadh Mhiri","doi":"10.1177/17504589241264404","DOIUrl":"10.1177/17504589241264404","url":null,"abstract":"Background: Difficult airway management is one of the main challenges in paediatric anaesthesia, particularly in low- and middle-income countries.Aims: The aim of this study was to investigate the main predictors of difficult paediatric intubation.Methods: In this observational study, we included all children aged less than five years undergoing intra-abdominal surgery with endotracheal intubation. Patients were divided into two groups according to the incidence of difficult intubation. Then, we investigated predictors for difficult paediatric intubation.Results: We included 217 children, and difficult intubation was observed in 10% of them. Predictors were as follows: Mallampati III-IV class (adjusted odds ratio = 2.21; 95% confidence interval = 1.1-6.4), limited mouth opening (adjusted odds ratio = 2.4; 95% confidence interval = 1.8-3.5), facial dysmorphia (adjusted odds ratio = 2.6; 95% confidence interval = 1.32-7.4) and anaesthesia without muscle relaxant (adjusted odds ratio = 1.8; 95% confidence interval = 1.0-5.1) or without opioids during crash inductions (adjusted odds ratio = 1.7; 95% confidence interval = 1.01-4.8).Conclusion: Facial dysmorphia and limited mouth opening were predictors of difficult intubation in children. Furthermore, it seems that Mallampati class and anaesthesia technique may also predict challenging intubation, which may guide us to change our perioperative practice.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"136-142"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

It's all about the visuals. 这都是关于视觉效果。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2025-04-04 DOI: 10.1177/17504589251318505

Jasper Joseph Carag Ballecer

引用次数: 0

A critical appraisal of perioperative sleep apnoea management after nasal surgery: A review of up-to-date literature supplemented by findings of a retrospective observational study. 对鼻腔手术后围手术期睡眠呼吸暂停管理的批判性评估：最新文献综述及回顾性观察研究结果。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-01-11 DOI: 10.1177/17504589231215941

Anne Duvekot, Markus Klimek, Frank R Datema

{"title":"A critical appraisal of perioperative sleep apnoea management after nasal surgery: A review of up-to-date literature supplemented by findings of a retrospective observational study.","authors":"Anne Duvekot, Markus Klimek, Frank R Datema","doi":"10.1177/17504589231215941","DOIUrl":"10.1177/17504589231215941","url":null,"abstract":"Objective: To review the current recommendations on postoperative precautions for obstructive sleep apnoea patients undergoing elective nasal surgery.Design: Retrospective cohort study.Setting: Department of Otorhinolaryngology and Anesthesiology/Intensive Care, University Teaching Hospital, Rotterdam, the Netherlands.Participants: The medical charts of 61 patients with sleep apnoea who were admitted to the post-anaesthesia care unit between 2016 and 2020, following nasal surgery were reviewed.Main outcome measures: Number of respiratory events during post-anaesthesia care unit admission that required medical intervention.Results: In all 61 patients, continuous positive airway pressure could not be used. In 13 patients (8%), decreased oxygen saturation levels were registered during the first postoperative night, and in five of these patients, supplemental oxygen was needed. No other respiratory incidents of medical interventions were registered.Conclusions: The number of clinically relevant respiratory events of obstructive sleep apnoea patients with bilateral nasal packing following nasal surgery is low. We suggest that the safety of less expensive and less scarce alternatives of postoperative observation should be explored.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"96-101"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418235","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

The effect of oral clonidine and intravenous dexmedetomidine administration on the quality of functional endoscopic sinus surgery. 口服氯硝安定和静脉注射右美托咪定对功能性内窥镜鼻窦手术质量的影响。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-09-23 DOI: 10.1177/17504589241268620

Shahram Samadi, Zahra Ghahremaniyeh, Shima Khanahmadi, Somayeh Ghavipanjeh Rezaiy, Shalaleh Bagheri, Ajay Prakash Pasupulla, Shayan Khalilollah, Marius Fassbinder, Behzad Kazemi Haki, Shahriar Khanahmadi, Saghar Mohtashami

{"title":"The effect of oral clonidine and intravenous dexmedetomidine administration on the quality of functional endoscopic sinus surgery.","authors":"Shahram Samadi, Zahra Ghahremaniyeh, Shima Khanahmadi, Somayeh Ghavipanjeh Rezaiy, Shalaleh Bagheri, Ajay Prakash Pasupulla, Shayan Khalilollah, Marius Fassbinder, Behzad Kazemi Haki, Shahriar Khanahmadi, Saghar Mohtashami","doi":"10.1177/17504589241268620","DOIUrl":"10.1177/17504589241268620","url":null,"abstract":"Background: Clonidine and dexmedetomidine are alpha-2 receptor blockers administered for haemorrhage control during surgery in limited settings. Functional endoscopic sinus surgery (FESS) may be associated with bleeding, thus making it challenging. This study aims to evaluate the effect of dexmedetomidine and clonidine on haemorrhage control during FESS and surgical outcomes.Methods: This three-blinded prospective study included 102 patients who underwent FESS at the Imam Khomeini public referral hospital at the Imam Khomeini public referral hospital, in Urmia, Iran. It was either American Society of Anaesthesiologists (ASA) class I or II. They were divided into three groups (clonidine, dexmedetomidine, and placebo). The volume of blood loss, mean arterial pressure, surgical field visualisation, and surgeon satisfaction were assessed in the three groups. Data analysis was performed using SPSS version 23.0.Results: Dexmedetomidine and clonidine decreased mean arterial pressure, heart rate, and blood loss volume while improving surgical field visualisation. The effect of dexmedetomidine was associated significantly statistically with surgeon satisfaction (p < 0.0001). Furthermore, dexmedetomidine improved the surgical field and reduced operating times in the dexmedetomidine group (p < 0.0001).Conclusion: The present clinical trial findings indicated that the administration of dexmedetomidine during FESS decreased mean arterial pressure, provided balanced anaesthesia and appropriate analgesia, and improved the visibility of the surgical field and increased surgeon satisfaction.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"129-135"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dexmedetomidine and surgical field visibility in nasal surgery: A systematic review and meta-analysis. 右美托咪定与鼻腔手术视野能见度：系统回顾和荟萃分析。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-06-03 DOI: 10.1177/17504589241252107

Brendon K Warner, C Cooper Munhall, Shaun A Nguyen, Rodney J Schlosser, George J Guldan, Ted A Meyer

{"title":"Dexmedetomidine and surgical field visibility in nasal surgery: A systematic review and meta-analysis.","authors":"Brendon K Warner, C Cooper Munhall, Shaun A Nguyen, Rodney J Schlosser, George J Guldan, Ted A Meyer","doi":"10.1177/17504589241252107","DOIUrl":"10.1177/17504589241252107","url":null,"abstract":"Introduction: Nasal and sinus surgery, especially using endoscopy, relies upon adequate haemostasis to be safe and effective. Often other haemostatic methods, such as cautery are not viable, and other methods must be employed. This study examines the effectiveness of dexmedetomidine in controlled hypotension and for surgical field visibility in endoscopic sinus surgery and other nasal surgeries.Review methods: A literature search was conducted in PubMed, Scopus, CINAHL and Central for randomised controlled trials using dexmedetomidine for controlled hypotension in adult patients undergoing endoscopic sinus surgery or other nasal surgery. Meta-analysis of mean differences and single means were performed.Results: Of 935 identified studies, 31 met the inclusion criteria. A statistically significant difference in Fromme-Boezaart surgical field visibility scores was found comparing dexmedetomidine to placebo (p < 0.00001) and propofol (p < 0.0001), but not other agents. A significant difference in intraoperative blood loss volume was found compared with placebo (51.5mL, p < 0.00001) and propofol (13.6mL, p < 0.0001), but not other agents.Conclusion: Dexmedetomidine demonstrated significantly improved surgical field visibility and blood loss volume compared with placebo and propofol, but not other agents. Dexmedetomidine is viable and useful for controlled hypotension in nasal surgery. Choice of controlled hypotension agent should follow patient and procedure-specific considerations.","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"112-126"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative lingual nerve injury following airway management: A literature review. 气道管理术后舌神经损伤：文献综述。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-08-27 DOI: 10.1177/17504589241270238

Mohamed Aly, Rohan Dadak, Cheng Lin, Kamal Kumar

引用次数: 0

Unexpected crisis: CO₂ cylinder blast-induced hypercapnia during laparoscopic procedure. 意外危机：二氧化碳气瓶爆炸引起的高碳酸血症在腹腔镜手术。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2025-01-05 DOI: 10.1177/17504589241303110

Kishore Subramanian, Maduri Sivateja, Sohan Lal Solanki

引用次数: 0

Five historical innovations that have shaped modern otolaryngological surgery. 塑造现代耳鼻喉科手术的五项历史性创新。

IF 1.2

Journal of perioperative practice Pub Date : 2025-04-01 Epub Date: 2024-06-03 DOI: 10.1177/17504589241244996

Ravi Patel, Radhika Acharya, Saumil Shah, Chaitya Desai, Dimit Raveshia, Harrypal Panesar, Neil Patel, Greg Mcconaghie, David Charles Cain, Dilen Parmar, Robin Banerjee, Rohit Singh

引用次数: 0

Capnography in the Post Anaesthesia Care Unit: A quality improvement study. 麻醉后护理病房的导管造影：质量改进研究。

IF 1.2

Journal of perioperative practice Pub Date : 2025-03-31 DOI: 10.1177/17504589251330599

Amanda McClanahan, Amanda Hantouli, Leeza Struwe, Kelly Gonzales

引用次数: 0