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Dexmedetomidine target controlled infusion for awake craniotomy† 用于清醒开颅手术的右美托咪定目标控制输注†。
IF 0.8
Anaesthesia reports Pub Date : 2024-03-07 DOI: 10.1002/anr3.12283
A. Al-Attar, M. Back, J. Sebastian
{"title":"Dexmedetomidine target controlled infusion for awake craniotomy†","authors":"A. Al-Attar,&nbsp;M. Back,&nbsp;J. Sebastian","doi":"10.1002/anr3.12283","DOIUrl":"10.1002/anr3.12283","url":null,"abstract":"<div>\u0000 \u0000 <p>A 73-year-old woman underwent an awake craniotomy for the resection of a supratentorial brain tumour. We provided sedation for the surgery using a dexmedetomidine target controlled infusion using the Dyck pharmacokinetic model. Using a target controlled infusion allowed more rapid titration to the desired plasma level compared with a manual infusion, without any unexpected cardiovascular, respiratory or other complications. Rapid titration of sedation during awake craniotomy is desirable, allowing deeper sedation during stimulating parts of the surgery, followed by lighter sedation – or absence of sedation – during cortical mapping. While this can be performed manually, we found utilising the Dyck model in this case simple and quick to use, avoiding the need to manually calculate infusion rates. We believe this is the first report of using a target controlled infusion model to administer dexmedetomidine for awake craniotomy, and suggest it could be considered as an alternative to administering a manual infusion.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053245","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
Liposomal bupivacaine for ultrasound-guided rectus sheath blocks after midline laparotomy 用于中线开腹手术后超声引导直肠鞘阻滞的脂质体布比卡因
IF 0.8
Anaesthesia reports Pub Date : 2024-03-07 DOI: 10.1002/anr3.12284
M. S. Vereen, F. Harms, R. J. Stolker, M. Dirckx
{"title":"Liposomal bupivacaine for ultrasound-guided rectus sheath blocks after midline laparotomy","authors":"M. S. Vereen,&nbsp;F. Harms,&nbsp;R. J. Stolker,&nbsp;M. Dirckx","doi":"10.1002/anr3.12284","DOIUrl":"10.1002/anr3.12284","url":null,"abstract":"<p>Optimal pain management after open abdominal surgery is essential but can be difficult to achieve. The effects of inadequate analgesia go beyond the first few postoperative days; severe acute postoperative pain may contribute to the development of chronic postsurgical pain. Thoracic epidural analgesia is a traditional approach to the management of acute pain after open abdominal surgery but has multiple possible contraindications and can be technically challenging. In our hospital, we typically offer ultrasound-guided rectus sheath blocks with catheters when epidural analgesia is not feasible. However, the recent registration of long-acting liposomal bupivacaine in the Netherlands as well as logistical and equipment-related issues have led us to consider liposomal bupivacaine as an alternative to the use of catheters. Here, we present a short case series to describe our first clinical experiences with the use of liposomal bupivacaine in ultrasound-guided rectus sheath blocks after midline laparotomy for three patients in whom epidural insertion was contraindicated.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053246","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
A novel association of Legionella pneumophila-induced haemophagocytic lymphohistiocytosis and the ‘atoll’ sign 嗜肺军团菌诱发的嗜血细胞淋巴组织细胞增多症与 "环礁 "征的新关联
IF 0.8
Anaesthesia reports Pub Date : 2024-03-06 DOI: 10.1002/anr3.12285
A. Sotiriou, N. Sivarasan, G. Glover, R. Lewis, S. Agarwal, B. Lams
{"title":"A novel association of Legionella pneumophila-induced haemophagocytic lymphohistiocytosis and the ‘atoll’ sign","authors":"A. Sotiriou,&nbsp;N. Sivarasan,&nbsp;G. Glover,&nbsp;R. Lewis,&nbsp;S. Agarwal,&nbsp;B. Lams","doi":"10.1002/anr3.12285","DOIUrl":"10.1002/anr3.12285","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140043033","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
Prehabilitation in the prison population 监狱服刑人员的康复训练
IF 0.8
Anaesthesia reports Pub Date : 2024-02-15 DOI: 10.1002/anr3.12282
H. Tulloch, J. Clements, M. Shah
{"title":"Prehabilitation in the prison population","authors":"H. Tulloch,&nbsp;J. Clements,&nbsp;M. Shah","doi":"10.1002/anr3.12282","DOIUrl":"10.1002/anr3.12282","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139744955","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
Post-transfusion purpura after cardiac surgery associated with veno-arterial extracorporeal membrane oxygenation* 心脏手术后与静脉-动脉体外膜氧合相关的输血后紫癜*
IF 0.8
Anaesthesia reports Pub Date : 2024-01-31 DOI: 10.1002/anr3.12279
F. Lovisari, T. Gonzenbach, C. Hemmaway, D. Sadani, M. Hogan
{"title":"Post-transfusion purpura after cardiac surgery associated with veno-arterial extracorporeal membrane oxygenation*","authors":"F. Lovisari,&nbsp;T. Gonzenbach,&nbsp;C. Hemmaway,&nbsp;D. Sadani,&nbsp;M. Hogan","doi":"10.1002/anr3.12279","DOIUrl":"10.1002/anr3.12279","url":null,"abstract":"<div>\u0000 \u0000 <p>We report the case of a woman who developed post-transfusion purpura following complicated cardiac surgery requiring multiple blood product transfusions and extracorporeal life support. This case highlights the challenges of managing thrombocytopenia in patients supported with prolonged mechanical cardiovascular and renal support with ongoing blood product transfusion requirements. The differential diagnoses are broad, varied and may overlap. Whilst post-transfusion purpura is very rare, clinical signs may prompt consideration and further specific diagnostic testing. Once confirmed, management is then specific, with some aspects which are at direct variance with standard intensive care and extracorporeal life support guidelines for the management of non-specific thrombocytopenia. Consideration of the diagnosis of post-transfusion purpura early in the clinical course could help anticipate and prevent a vicious cycle of bleeding, transfusion and autoimmune-mediated platelet disruption, and may improve clinical outcomes.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139676808","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 ‘Potential interaction between exogenous anabolic steroids and sugammadex: failed reversal of rocuronium in a patient taking testosterone and trestolone acetate’ 就 "外源性合成代谢类固醇与舒格迈司之间的潜在相互作用：一名服用睾酮和醋酸曲托龙的患者逆转罗库溴铵失败 "发表评论
IF 0.8
Anaesthesia reports Pub Date : 2024-01-20 DOI: 10.1002/anr3.12280
S. Stanley, J. Hansel
{"title":"Comment on ‘Potential interaction between exogenous anabolic steroids and sugammadex: failed reversal of rocuronium in a patient taking testosterone and trestolone acetate’","authors":"S. Stanley,&nbsp;J. Hansel","doi":"10.1002/anr3.12280","DOIUrl":"10.1002/anr3.12280","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139504588","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 parturient with an unrepaired coronary arteriovenous fistula for caesarean section 对剖腹产冠状动静脉瘘未修复产妇的麻醉管理
IF 0.8
Anaesthesia reports Pub Date : 2024-01-17 DOI: 10.1002/anr3.12276
E. King, S. Al-Nahdi, N. Ludwig
{"title":"Anaesthetic management of a parturient with an unrepaired coronary arteriovenous fistula for caesarean section","authors":"E. King,&nbsp;S. Al-Nahdi,&nbsp;N. Ludwig","doi":"10.1002/anr3.12276","DOIUrl":"10.1002/anr3.12276","url":null,"abstract":"<p>Coronary arteriovenous fistulas are an abnormal conduit between a coronary artery and another cardiovascular lumen, without an intervening capillary bed. The reported prevalence is 0.002–0.3%. Physiologic consequences such as congestive heart failure, coronary steal phenomenon and fistula aneurysm formation and rupture are possible. There are limited reports of symptomatic coronary arteriovenous fistulas in association with pregnancy. We describe a 19-year-old woman with symptomatic left circumflex artery to coronary sinus fistula, terminating into a large exophytic varix in the right atrium, presenting for an elective caesarean section at 37 weeks gestational age. Our anaesthetic management strategy aimed to optimise myocardial perfusion, maintain euvolemia, avoid right ventricular obstruction from exophytic varix and avoid sympathetic stimulation or sudden increases in pulmonary vascular resistance. A slowly titrated epidural was used as the primary anaesthetic. Our patient tolerated the procedure well and was discharged home on postoperative day two. Understanding of the potential physiologic consequence of coronary arteriovenous fistulas, and interaction with the physiologic changes of pregnancy and delivery, are essential for the management of these cases.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480485","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
Follow-up to ‘Glycaemic management in a child with ornithine transcarbamylase deficiency undergoing cardiac surgery with hypothermic cardiopulmonary bypass’ 鸟氨酸转氨酶缺乏症患儿接受低体温心肺旁路心脏手术时的血糖管理 "的后续报道
IF 0.8
Anaesthesia reports Pub Date : 2024-01-14 DOI: 10.1002/anr3.12277
Y. Yamauchi, T. Kojima
{"title":"Follow-up to ‘Glycaemic management in a child with ornithine transcarbamylase deficiency undergoing cardiac surgery with hypothermic cardiopulmonary bypass’","authors":"Y. Yamauchi,&nbsp;T. Kojima","doi":"10.1002/anr3.12277","DOIUrl":"10.1002/anr3.12277","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139468296","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
Pulmonary aspiration of gastric contents in two patients taking semaglutide for weight loss 两名服用塞马鲁肽减肥的患者出现胃内容物肺吸入现象
IF 0.8
Anaesthesia reports Pub Date : 2024-01-14 DOI: 10.1002/anr3.12278
S. A. Avraham, J. Hossein, F. Somri, N. Hawash, O. Hochman
{"title":"Pulmonary aspiration of gastric contents in two patients taking semaglutide for weight loss","authors":"S. A. Avraham,&nbsp;J. Hossein,&nbsp;F. Somri,&nbsp;N. Hawash,&nbsp;O. Hochman","doi":"10.1002/anr3.12278","DOIUrl":"10.1002/anr3.12278","url":null,"abstract":"<p>Semaglutide is a new weight loss treatment that has received substantial media attention in recent years. Anaesthetists must be aware of a potentially dangerous side effect of the drug: decreased gastric emptying. This is caused by effects on gastric smooth muscle, mediated by the vagal afferent nerves. This is especially relevant in the peri-operative setting where pulmonary aspiration of gastric contents is a recognised complication. Here, we report two cases of peri-operative regurgitation of gastric contents in patients taking semaglutide. A patient taking semaglutide may have a full stomach despite compliance with routine pre-operative fasting guidelines. We consider how to manage patients receiving glucagon-like peptide-1 agonist therapy in the peri-operative period, including identifying those at high risk of regurgitation. Precautions such as rapid sequence induction and tracheal intubation can be used, but gastric ultrasound may also be useful in the pre-operative environment to help identify patients at high risk of aspiration.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139468297","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
Dexmedetomidine sedation for radiological imaging in conjoined twins 右美托咪定镇静剂用于连体婴儿的放射成像检查
IF 0.8
Anaesthesia reports Pub Date : 2024-01-11 DOI: 10.1002/anr3.12275
Z. Khan, F. Shamim, W. Ghaffar, F. Khan
{"title":"Dexmedetomidine sedation for radiological imaging in conjoined twins","authors":"Z. Khan,&nbsp;F. Shamim,&nbsp;W. Ghaffar,&nbsp;F. Khan","doi":"10.1002/anr3.12275","DOIUrl":"10.1002/anr3.12275","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139435215","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
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