Anaesthesia reports最新文献

Fascial plane blocks and conscious sedation for a patient undergoing minimally invasive hemithyroidectomy

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Anaesthesia reports Pub Date : 2025-04-07 DOI: 10.1002/anr3.70007

M. M. Alseoudy, I. A. Elzahaby, D. A. Elebedy

{"title":"Fascial plane blocks and conscious sedation for a patient undergoing minimally invasive hemithyroidectomy","authors":"M. M. Alseoudy, I. A. Elzahaby, D. A. Elebedy","doi":"10.1002/anr3.70007","DOIUrl":"https://doi.org/10.1002/anr3.70007","url":null,"abstract":"<div>\u0000 \u0000 <p>Fascial plane blocks for thoracic and neck surgery provide not only peri-operative analgesia but also serve as an effective alternative to general anaesthesia when combined with procedural sedation. Hemithyroidectomies are commonly performed by an open technique involving a transverse neck incision. Minimally invasive endoscopic approaches can offer cosmetic benefits, quicker recovery and reduced need for analgesia. Avoiding general anaesthesia may reduce complications, such as pulmonary atelectasis and cardiovascular instability, which may be of benefit to patients at increased risk. We describe the use of a combination of fascial plane blocks (superficial cervical plexus block, clavipectoral fascia plane block, interpectoral plane block and pectoserratus plane block) and dexmedetomidine sedation for a 65-year-old patient who had previously experienced accidental awareness under general anaesthesia and was very keen to avoid another general anaesthetic. The procedure was uneventful, with minimal bleeding and stable respiratory and haemodynamic parameters throughout. The patient was extremely satisfied with the anaesthetic technique and the cosmetic results of the surgery. We propose that fascial plane blocks along with dexmedetomidine sedation can be an effective alternative to general anaesthesia for endoscopic hemithyroidectomy in selected patients.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793555","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

Soft palate injury during attempted tracheal intubation using videolaryngoscopy

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Anaesthesia reports Pub Date : 2025-03-20 DOI: 10.1002/anr3.70005

S. Heelan, T. Bhari, W. Smy

引用次数: 0

Managing post-reperfusion syndrome in domino liver transplantation for familial amyloidotic polyneuropathy

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Anaesthesia reports Pub Date : 2025-03-20 DOI: 10.1002/anr3.70006

G. Sindwani, S. L. Ronanki, A. Yadav, U. Dhingra, D. Tempe, V. Pamecha, N. Mohapatra

{"title":"Managing post-reperfusion syndrome in domino liver transplantation for familial amyloidotic polyneuropathy","authors":"G. Sindwani, S. L. Ronanki, A. Yadav, U. Dhingra, D. Tempe, V. Pamecha, N. Mohapatra","doi":"10.1002/anr3.70006","DOIUrl":"https://doi.org/10.1002/anr3.70006","url":null,"abstract":"<div>\u0000 \u0000 <p>Familial amyloidotic polyneuropathy is a rare genetic disorder caused by transthyretin mutations, leading to multi-organ dysfunction, with a significant impact on the nervous and cardiovascular systems. Domino liver transplantation is a unique strategy which increases donor organ availability by transplanting the explanted liver from a patient with familial amyloidotic polyneuropathy into another patient. This report describes a 37-year-old patient with familial amyloidotic polyneuropathy who underwent a living donor liver transplantation as part of a domino liver transplantation, emphasising the lessons learnt about the role of isoprenaline for managing the post-reperfusion syndrome and the considerations regarding prophylactic pacemaker insertion. She developed severe bradycardia following anaesthesia induction and again during graft reperfusion, which was refractory to atropine but successfully managed with isoprenaline. On postoperative day 20, she experienced severe bradycardia which was unresponsive to medical management, necessitating a temporary pacemaker, followed by a permanent pacemaker on postoperative day 26. This case highlights the role of isoprenaline as a preferred agent for managing bradyarrhythmia and conduction blocks during liver graft reperfusion. Additionally, it highlights the potential need for prophylactic pacemaker insertion in select patients with subclinical conduction abnormalities, as stressors, such as liver transplantation, can unmask life-threatening arrhythmias.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143688904","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

Comment on ‘Peri-operative and anaesthetic considerations for gender-affirming vocal surgery’

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Anaesthesia reports Pub Date : 2025-03-03 DOI: 10.1002/anr3.70004

A. Muthukumar, A. Lakda, H. Allouch

引用次数: 0

Hybrid closed loop technology in emergency surgery in a person with type 1 diabetes

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Anaesthesia reports Pub Date : 2025-02-19 DOI: 10.1002/anr3.70003

H. Afridi, P. Olsen, N. Levy, K. Dhatariya

引用次数: 0

Epidural spread of injectate from a costoclavicular catheter due to selective lodging in the middle trunk

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Anaesthesia reports Pub Date : 2025-02-14 DOI: 10.1002/anr3.70002

R. Sripriya, N. Jyotsna, S. Nelluri, P. Sona

引用次数: 0

Ultrasonography guided modified Sellick manoeuvre in post-oesophagectomy patients – a case series*

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Anaesthesia reports Pub Date : 2025-02-14 DOI: 10.1002/anr3.70001

N. Reddivari, V. Naik, B. K. Rayani, S. Adda

{"title":"Ultrasonography guided modified Sellick manoeuvre in post-oesophagectomy patients – a case series*","authors":"N. Reddivari, V. Naik, B. K. Rayani, S. Adda","doi":"10.1002/anr3.70001","DOIUrl":"https://doi.org/10.1002/anr3.70001","url":null,"abstract":"<div>\u0000 \u0000 <p>Oesophagectomy is an established treatment option for the management of oesophageal carcinoma. This procedure results in loss of the lower oesophageal sphincter, which increases the risk of pulmonary aspiration in patients presenting for subsequent surgeries. Consequently, innovative strategies are needed to enhance safety during airway management. Although Sellick manoeuvre (cricoid pressure) is commonly used to mitigate the risk of aspiration, there is limited evidence to support its efficacy. Additionally, cricoid pressure may not be effective in patients who have undergone oesophagectomy because of the altered neck anatomy. In this case series, we present seven post-oesophagectomy patients who underwent ultrasound-guided modified Sellick manoeuvre for airway management. During tracheal intubation with a videolaryngoscope, the gastric conduit in the neck was visualised and compressed with the ultrasound probe, attempting to oppose both walls of the conduit and reduce the risk of regurgitation. This approach addresses the challenges posed by altered anatomy and the limitations of traditional cricoid pressure, potentially enhancing the safety of airway management in these patients. While ultrasound-guided oesophageal compression shows promise as a feasible technique, further studies are needed to validate its effectiveness.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404357","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

Epidural analgesia in an obstetric patient with an intradural lipoma 产科患者硬膜内脂肪瘤的硬膜外镇痛。

IF 0.8

Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.12342

J. M. Windebank, S. A. Traynor

引用次数: 0

Right atrial and ventricular clot as a cause of peri-arrest during caesarean birth requiring immediate thrombectomy 右心房和心室凝块作为剖宫产时围骤停的一个原因，需要立即取栓。

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Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.12339

A. Golan, K. Azem, A. Gogol, L. Weiss, D. Gorfil, S. Fein, S. Orbach-Zinger

{"title":"Right atrial and ventricular clot as a cause of peri-arrest during caesarean birth requiring immediate thrombectomy","authors":"A. Golan, K. Azem, A. Gogol, L. Weiss, D. Gorfil, S. Fein, S. Orbach-Zinger","doi":"10.1002/anr3.12339","DOIUrl":"10.1002/anr3.12339","url":null,"abstract":"<div>\u0000 \u0000 <p>Venous thromboembolic disease remains a leading cause of maternal morbidity and mortality. We report a case of a 30-year-old woman at 37<sup>+6</sup> gestation with a history of thalassaemia intermedia and splenectomy. During pregnancy, she had been managed with frequent blood transfusions and enoxaparin. She was admitted for induction of labour, and during labour, she developed pre-eclampsia with severe features. Despite magnesium sulphate therapy, she had a short self-terminating seizure shortly after an epidural had been sited. A decision to proceed with an urgent caesarean birth under epidural anaesthesia was made. After birth, she had another seizure associated with oxygen desaturation. Bag-valve-mask ventilation was insufficient, prompting conversion to general anaesthesia and tracheal intubation, after which cardiac collapse developed. Resuscitation was initiated and bedside cardiac ultrasound revealed a large clot-in-transit through the right atrium and ventricle, prompting immediate transfer to cardiac theatres for thrombectomy. The thrombus was successfully removed. The patient recovered well and her trachea was extubated the next day. She was discharged in a stable condition 8 days later. This case highlights the critical role of point-of-care ultrasound in the prompt diagnosis of life-threatening conditions and guiding emergency interventions.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959880","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

Anaesthetic management of a large multi-nodular goitre with dynamic bilateral carotid artery compression 大多结节性甲状腺肿伴动态双侧颈动脉压迫的麻醉治疗。

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Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.12340

D. A. Milder, R. Zaklama, K. Wang, J. Harrison, G. Sandler

引用次数: 0