Journal of Anaesthesia and Critical Care Reports最新文献_第3页

Acute Upper Airway Obstruction Secondary to Retained Respiratory Secretions in a Patient with SARS-CoV-2 Respiratory Failure Treated with Prolonged CPAP 延长CPAP治疗SARS-CoV-2呼吸衰竭患者继发于呼吸道分泌物潴留的急性上气道阻塞1例

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-09-10 DOI: 10.13107/jaccr.2020.v06i03.155

引用次数: 0

Ropivacaine Induced Brachial Plexus Neurotoxicity- A Case Report 罗哌卡因致臂丛神经毒性1例报告

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-09-10 DOI: 10.13107/jaccr.2020.v06i03.160

{"title":"Ropivacaine Induced Brachial Plexus Neurotoxicity- A Case Report","authors":"","doi":"10.13107/jaccr.2020.v06i03.160","DOIUrl":"https://doi.org/10.13107/jaccr.2020.v06i03.160","url":null,"abstract":"Background: Neurotoxicity of the nerves has been reported to be related to the concentration or volume of local anaesthetic used. We report a case wherein the volume and concentration of local anaesthetic used was well within the safe limits. Despite the safe precautions taken, the patient developed a profound motor and sensory block which took nearly 20 weeks to resolve.\u0000Case presentation: A 72-year-old female patient scheduled for a total shoulder arthroplasty received a single shot interscalene block under ultrasound guidance. A total volume of 10mls of ropivacaine 0.375% was injected under direct ultrasound guidance. The patient experienced no pain on injection and neither was there any paraesthesia on needle placement. We encountered no high pressures during the injection. The patient had a profound block which lasted for over 20 weeks. The patient was followed up at regular intervals which showed a slow recovery pattern.\u0000Conclusion: Local anaesthetics are known to cause neurotoxicity. This case highlights the need to be mindful about potential sequelae to nerve blocks despite using a lower concentration and volume of local anaesthetic.\u0000\u0000Key Words: Interscalene block; Neurotoxicity; Ropivacaine","PeriodicalId":448126,"journal":{"name":"Journal of Anaesthesia and Critical Care Reports","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123306735","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

Lessons Learnt From The Pandemic: My Perspective 从大流行中吸取的教训:我的观点

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-09-10 DOI: 10.13107/jaccr.2020.v06i03.153

{"title":"Lessons Learnt From The Pandemic: My Perspective","authors":"","doi":"10.13107/jaccr.2020.v06i03.153","DOIUrl":"https://doi.org/10.13107/jaccr.2020.v06i03.153","url":null,"abstract":"The countdown has begun to end of 2020. A traitor! A wasted year! Worst year! Funny memes were created around it. Nevertheless, it has indeed been a tough year for all of us.\u0000However, in my experience, this year has been one of my best teachers so far. I sit down at my desk to reflect upon the events this year which has significantly reshaped my life.\u0000Here I enumerate the lessons which have empowered me for a lifetime.\u0000Acceptance- I accepted the reality without complaining, however deep down I was worried about the uncertainty of the disease, effects of the disease on myself, my family and humanity in general. However, this never came in my way of performing my duties as a doctor at the frontline.\u0000Resilience- This year was an emergence of an endurable and resilient version of myself. The surreal circumstances I faced during the lockdown compelled me not to lose my cool and carry on, albeit with moments of frustration. I have definitely emerged out stronger.\u0000Realisation- I wasn’t alone in my journey. God has blessed me with beautiful parents, a loving husband, a doting brother and gems whom we call friends who kept checking on my physical and mental wellbeing. I am eternally grateful to one and all for the support.\u0000Health and Wellbeing– Self-care should not be equated with self-indulgence. Rather it should be a priority as one cannot fill from an empty bucket. I decided to transform myself on the fitness front and bring out my strongest version.\u0000Love– Family first always! Distance makes love grow fonder, I have experienced it in a real sense.\u0000Art of Giving- The fact that everything is non-permanent in this world, and nothing belongs to you, has reinforced my faith in charity.\u0000Opportunities- while we were crippled with restrictions, conferences looked like a distant reality. Technological advancements however created a land of opportunities. Our venture AnaesthesiaTV got a new lease on life and since then it’s no looking back.\u0000Collaboration- PainTV was born through co","PeriodicalId":448126,"journal":{"name":"Journal of Anaesthesia and Critical Care Reports","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129566610","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

Absent Bilateral Upper Limb Pulses in Middle Age Male? Takayasu Arteritis 中年男性双侧上肢无脉搏?Takayasu指出动脉炎

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-09-10 DOI: 10.13107/jaccr.2020.v06i03.161

引用次数: 0

Covid-19 and Regional Anaesthesia: Use of Ultrasound guided Popliteal Sciatic Nerve Blocks for Emergency Forefoot Amputation in a High Risk Deaf and Mute Covid-19 Contact Patient Covid-19与区域麻醉:超声引导下腘窝坐骨神经阻滞用于急诊前足截肢1例聋哑高危接触者

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-09-10 DOI: 10.13107/jaccr.2020.v06i03.156

Maria Alexandra Tsoutsou¹, Shiv Kumar Singh¹, Dr. Maria Alexandra Tsoutsou, Dr. Shiv Kumar, Singh

引用次数: 1

A Rare Presentation of Broken Epidural Catheter 一例罕见的硬膜外导管破裂

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-05-10 DOI: 10.13107/jaccr.2020.v06i02.152

Reena Chhabada, S. Rastogi, Sunny Malik, Harshada Pangam

引用次数: 0

Intubating a Treacher Collins Syndrome patient with STRIVE Hi and videolaryngoscopy 1例导管柯林斯综合征患者在超声内镜下插管

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-05-10 DOI: 10.13107/jaccr.2020.v06i02.147

引用次数: 0

Igel Phantom: An Innovative Model for USG Guided Needling Training 伊格尔幻影:美国地质调查局指导针刺训练的创新模型

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-05-10 DOI: 10.13107/jaccr.2020.v06i02.146

引用次数: 0

Cephalosporins – A Friend or Foe? An Uncommon Cause for Encephalopathy: A Case Report 头孢菌素是敌是友?一种罕见的脑病病因:1例报告

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-05-10 DOI: 10.13107/jaccr.2020.v06i02.150

引用次数: 0

COVID-19 & The Art of Unclenching Your Fist COVID-19 &松开拳头的艺术

Journal of Anaesthesia and Critical Care Reports Pub Date : 2020-05-10 DOI: 10.13107/jaccr.2020.v06i02.145

{"title":"COVID-19 & The Art of Unclenching Your Fist","authors":"","doi":"10.13107/jaccr.2020.v06i02.145","DOIUrl":"https://doi.org/10.13107/jaccr.2020.v06i02.145","url":null,"abstract":"Dr. AP, a senior doctor of a large teaching hospital, retired. A happy go lucky person with a large group of admirers consisting largely of fellow doctors, both young & old. He is a great party man, drinks & smoke on the house with his devoted fanfare partaking his lavish offerings.\u0000And then, one fine day, he contacts COVID-19 & is admitted in the very hospital where he had spent 30 years of his life. He develops respiratory distress… As I rush to attend the call, I am appalled by the look of the deserted corridors & waiting areas. I don’t see any known faces, none of his fanfare for sure. He lies struggling for breath on non invasive ventilation, confused & hypoxic. As he is intubated & put on ventilatory support at the insistence of his son, I reflect back on those days when he used to be surrounded by his friends, treating them to drinks. But today, when he needs their support the most, he is left alone, in his suffering, to fend for himself.\u0000Truly, we are indeed a death denying society.\u0000\u0000‘O death, where is your victory? O death, where is your sting?’ (St.Paul, I Corinthians, 15:55)\u0000\u0000When it began, people thought, ‘It can’t affect me’. However, with time, they were increasingly confronted with the looming threat which threatened to disrupt the ‘web of illusion’ that they had created for themselves…an illusion, for the very world of existence is actually akin to an illusion, characterised by its transient nature. No wonder, our ancient sages called the world of existence ‘maya’. Then came the period of ‘lockdowns’ & the web of uncertainity surrounding it. People were in a fix, for in today’s tech-savvy existence, fostered by science & reasoning, they were now unprepared to spend time with ‘themselves’! The very Self was now seen as an alien being & was avoided. But as the lockdown prolonged, the monkey nature of the mind grew increasingly restless, demanding for more stimuli from the outgoing senses…and as the stimuli gradually dwindled amidst the lockdown, most c","PeriodicalId":448126,"journal":{"name":"Journal of Anaesthesia and Critical Care Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130182986","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