Anaesthesia reports最新文献_第10页

Accidental laryngeal cancer removal during tracheal intubation 气管插管期间意外切除癌症。

Anaesthesia reports Pub Date : 2023-09-20 DOI: 10.1002/anr3.12247

M. Čukman, L. Tkalčec, S. Stevanović, H. Čupić, P. K. Ivkić, A. Košec

引用次数: 0

Management of muscle relaxation with rocuronium in an infant with spinal muscular atrophy with lower extremity predominance type 2B 罗库治疗下肢优势型2B型脊髓性肌萎缩婴儿的肌肉放松。

Anaesthesia reports Pub Date : 2023-09-20 DOI: 10.1002/anr3.12248

Y. Shimazu, A. Sueda, T. Kagawa

引用次数: 0

Low-dose sevoflurane co-administered with propofol-based general anaesthesia obliterates intra-operative neurophysiological monitoring in an infant 低剂量七氟醚与以异丙酚为基础的全身麻醉共同施用，消除了婴儿术中神经生理监测

Anaesthesia reports Pub Date : 2023-09-10 DOI: 10.1002/anr3.12244

H. Nakahari, N. C. T. Wilton, M. Ikeda, T. Kojima

{"title":"Low-dose sevoflurane co-administered with propofol-based general anaesthesia obliterates intra-operative neurophysiological monitoring in an infant","authors":"H. Nakahari, N. C. T. Wilton, M. Ikeda, T. Kojima","doi":"10.1002/anr3.12244","DOIUrl":"10.1002/anr3.12244","url":null,"abstract":"<div>\u0000 \u0000 <p>The influence of general anaesthetic agents on intra-operative neurophysiological monitoring in neonates and infants has rarely been reported. Propofol-based anaesthesia is recommended to avoid suppression of neurophysiological monitoring. However, the administration of propofol in children undergoing prolonged procedures, especially those younger than six months, should be carefully controlled due to the potential risk of propofol infusion syndrome. Adding a small dose of inhalational anaesthetic can be an option to reduce propofol requirements. Recent guidelines in Japan suggest limiting inhalational anaesthetics to less than 0.5 minimum alveolar concentrations when co-administered with low-dose propofol during intra-operative neuromonitoring. However, there is still insufficient evidence regarding the impact of sevoflurane on neurophysiological monitoring when co-administered with propofol in infants. This report describes a case of a three-month-old infant undergoing spinal lipoma resection in which there was a dramatic suppression of neurophysiological monitoring with the addition of 0.35–0.45% sevoflurane to propofol-based anaesthesia.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12244","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10294999","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: 1

Comment on ‘Utilising 3D printing in assessment of anticipated difficult airways’ 关于“利用3D打印技术评估预期困难气道”的评论

Anaesthesia reports Pub Date : 2023-09-08 DOI: 10.1002/anr3.12243

D. Ormandy

引用次数: 1

Tubeless field anaesthesia for surgical removal of an aspirated endoscopy capsule 无管场麻醉用于外科手术中取出抽吸的内窥镜胶囊

Anaesthesia reports Pub Date : 2023-08-14 DOI: 10.1002/anr3.12242

G. S. Grounds, H. Dent, C. Nunes, V. Dhar

{"title":"Tubeless field anaesthesia for surgical removal of an aspirated endoscopy capsule","authors":"G. S. Grounds, H. Dent, C. Nunes, V. Dhar","doi":"10.1002/anr3.12242","DOIUrl":"10.1002/anr3.12242","url":null,"abstract":"<div>\u0000 \u0000 <p>Capsule endoscopy is a safe, minimally invasive procedure used to investigate gastrointestinal bleeding of unknown origin that persists or recurs after a negative initial endoscopy. The most common adverse effects of capsule endoscopy include abdominal pain, nausea and vomiting. Capsule pulmonary aspiration, although a rare complication, has been reported in the literature. Most reported cases resolve without further medical intervention. In these cases, the capsule is either expelled by coughing, or it re-enters the oropharynx and is then swallowed. In a small number of cases, the capsule remains in the lung, unable to be expectorated. This requires prompt diagnosis and emergency bronchoscopic removal under general anaesthesia. Due to the smooth, rounded surfaces of the capsule, it may be difficult to grasp, and consequently extraction may be technically challenging. The existing literature contains limited documentation on anaesthetic and surgical approaches for managing an aspirated endoscopy capsule. In this case report, we present the management of an aspirated endoscopy capsule in a district general hospital, in which thoracic surgery was not available. Local resources were used to manage this potentially life-threatening complication without patient transfer. In our case, we provided a tubeless field to optimise surgical access. This facilitated the successful surgical extraction of the endoscopy capsule from the left main bronchus.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12242","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10373727","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

Spikes in bispectral index, likely due to seizure activity, during intracranial surgery 颅内手术期间，双频谱指数的尖峰，可能是由于癫痫活动引起的

Anaesthesia reports Pub Date : 2023-07-26 DOI: 10.1002/anr3.12241

J. S. Rahul, G. P. Singh, V. Sameera

引用次数: 0

Tracheobronchopathia osteochondroplastica: a rare cause of tracheal tube cuff leak 气管支气管病:一种罕见的气管管袖口泄漏的原因

Anaesthesia reports Pub Date : 2023-07-09 DOI: 10.1002/anr3.12240

L. S. Morax, I. Breitenmoser, C. J. Konrad

{"title":"Tracheobronchopathia osteochondroplastica: a rare cause of tracheal tube cuff leak","authors":"L. S. Morax, I. Breitenmoser, C. J. Konrad","doi":"10.1002/anr3.12240","DOIUrl":"10.1002/anr3.12240","url":null,"abstract":"<div>\u0000 \u0000 <p>We present the case of a patient with the rare disorder tracheobronchopathia osteochondroplastica who underwent laparoscopic cholecystectomy. After induction of general anaesthesia, we faced difficulties passing the tracheal tube beyond the vocal cords despite bronchoscopic assistance. With a smaller tube, and by using rotating movements, we managed to successfully intubate the trachea. Because of the irregular tracheal surface, however, ventilation was challenging due to a massive cuff leak. Repeated repositioning did not improve this leak. Only cuff overinflation led to adequate ventilation, though we were cognisant of the increased risk of tracheal wall injury with this approach. After completion of the surgery, the patient's trachea was extubated without complication. This case showed that even with good preparation, intra-operative problems can occur with abnormal subglottic airway anatomy. In some circumstances, these problems can only be solved by compromise. There are no professional consensus or guidelines that can be followed as guiding references for such a case, which can lead to indecisiveness.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817919","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

Position statement from the Editors of Anaesthesia Reports on equity, diversity and inclusion 《麻醉学报告》编辑关于公平、多样性和包容性的立场声明

Anaesthesia reports Pub Date : 2023-07-06 DOI: 10.1002/anr3.12231

C. Hughes, R. Kearsley, the Editors

引用次数: 0

Reverse takotsubo cardiomyopathy induced by adrenaline-containing irrigation solution during shoulder arthroscopy* 肩关节镜术中含肾上腺素冲洗液致逆行takotsubo心肌病*

Anaesthesia reports Pub Date : 2023-07-06 DOI: 10.1002/anr3.12235

K. Azem, O. Kaplan, B. Zribi, J. Elliston, E. Mangoubi, K. Orvin, S. Fein

{"title":"Reverse takotsubo cardiomyopathy induced by adrenaline-containing irrigation solution during shoulder arthroscopy*","authors":"K. Azem, O. Kaplan, B. Zribi, J. Elliston, E. Mangoubi, K. Orvin, S. Fein","doi":"10.1002/anr3.12235","DOIUrl":"10.1002/anr3.12235","url":null,"abstract":"<div>\u0000 \u0000 <p>Takotsubo cardiomyopathy is characterised by reversible systolic dysfunction resulting from catecholamine-induced vasospasm, mainly triggered by intense emotional or physical stress. Adding adrenaline to arthroscopic irrigation solution enhances visibility by minimising bleeding. However, there is a risk of complications due to systemic absorption. Several severe cardiac consequences have been described. Here, we present a case of a patient who underwent elective shoulder arthroscopy involving an adrenaline-containing irrigation solution. Forty-five minutes after surgery began, he developed ventricular arrhythmias with hemodynamic instability, necessitating vasopressor support. Bedside transthoracic echocardiography revealed severe left ventricular dysfunction with basal ballooning, and emergent coronary angiography revealed normal coronary arteries. These findings correspond to a reverse variant of takotsubo cardiomyopathy. The patient was transferred to the intensive cardiac care unit sedated, ventilated and hemodynamically supported. Three days following the procedure, he was successfully weaned from vasopressors and mechanical ventilation. Transthoracic echocardiography 3 months after surgery demonstrated complete left ventricular function recovery. Although complications due to adrenaline-containing irrigation solutions are rare, a growing body of case reports should prompt consideration of the safety of this practice.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9810655","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

Measuring and maintaining organ perfusion in a patient with Takayasu's arteritis undergoing cardiac surgery* 心脏手术中高须动脉炎患者器官灌注的测量和维持*

Anaesthesia reports Pub Date : 2023-07-04 DOI: 10.1002/anr3.12236

K. Dan, K. Takahashi, A. K. Lefor

{"title":"Measuring and maintaining organ perfusion in a patient with Takayasu's arteritis undergoing cardiac surgery*","authors":"K. Dan, K. Takahashi, A. K. Lefor","doi":"10.1002/anr3.12236","DOIUrl":"10.1002/anr3.12236","url":null,"abstract":"<p>Takayasu's arteritis is a rare vasculitis affecting the aorta and its branches. Disease progression can result in arterial stenosis and subsequent organ dysfunction. Estimating organ perfusion by measuring the peripheral blood pressure can be challenging because it may be altered by arterial stenosis. We report the case of a 61-year-old woman with Takayasu's arteritis with aortic and mitral regurgitation who presented for aortic valve replacement and mitral valvuloplasty. Peripheral arterial pressure was considered a less reliable surrogate for organ perfusion because the patient had diminished blood flow in both the lower and upper extremities. In addition to the bilateral radial arterial pressure, the blood pressure in the ascending aorta was monitored to estimate the patient's organ perfusion pressure during cardiopulmonary bypass. The initial target blood pressure was determined based on the pre-operative baseline and modified by measurement of the aortic pressure. Cerebral oximetry using near-infrared spectroscopy and mixed venous saturation was monitored to estimate oxygen supply-demand balance, which helped evaluate cerebral perfusion and determine the transfusion threshold. The entire procedure was uneventful, and no organ dysfunction was observed postoperatively.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"11 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12236","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9941326","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