Anaesthesia reports最新文献

{"title":"Association between joint dislocation and malignant hyperthermia","authors":"A. O. Gomes,&nbsp;P. V. Andrade,&nbsp;J. M. Santos,&nbsp;L. S. Souza,&nbsp;A. S. B. Oliveira,&nbsp;M. Vainzof,&nbsp;H. C. A. Silva","doi":"10.1002/anr3.70021","DOIUrl":"10.1002/anr3.70021","url":null,"abstract":"<p>Malignant hyperthermia is a potentially fatal autosomal dominant hypermetabolic pharmacogenetic syndrome resulting from altered intracellular calcium dynamics in skeletal muscle, triggered by halogenated anaesthetics and suxamethonium. Current evidence suggests a degree of association between malignant hyperthermia and joint dislocations. We evaluated 162 patients with a personal or family history of malignant hyperthermia utilising a standardised protocol. We found a significantly higher incidence of joint dislocations in patients with malignant hyperthermia compared to non-susceptible patients (11% versus 0%, p = 0.002). This study contributes to understanding the long-term clinical manifestations of malignant hyperthermia and consequently may help develop clinical management strategies which incorporate the risk of joint dislocations, such as care in positioning during anaesthesia, and therapeutic interventions to improve quality of life.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589941","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}

{"title":"A peri-operative unicorn in severe aortic stenosis","authors":"C. Downes,&nbsp;N. Nwaejike,&nbsp;A. Macnab,&nbsp;E. A. Davies","doi":"10.1002/anr3.70017","DOIUrl":"10.1002/anr3.70017","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524473","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}

{"title":"Correction to “Right trace wrong place: a normal capnography trace despite the tip of the tracheal tube existing outside the airway”","authors":"","doi":"10.1002/anr3.70019","DOIUrl":"10.1002/anr3.70019","url":null,"abstract":"<p>Karmakar A, Khan MJ, Shallik NAH, et al. Right trace wrong place: a normal capnography trace despite the tip of the tracheal tube existing outside the airway. <i>Anaesthesia Reports</i> 2024; <b>12</b>: e12313. https://doi.org/10.1002/anr3.12313</p><p>The funding statement for this article was missing. The below funding statement has been added to the article:</p><p>Hamad Medical Corporation Open Access publishing facilitated by the Qatar National Library, as part of the Wiley Qatar National Library agreement.</p><p>We apologise for this error.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144339470","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}

{"title":"Methylene blue extravasation during parathyroidectomy","authors":"K. I. Birnie,&nbsp;C. Mearns,&nbsp;N. Choudhury,&nbsp;A. Riccoboni","doi":"10.1002/anr3.70018","DOIUrl":"10.1002/anr3.70018","url":null,"abstract":"<div>\u0000 \u0000 <p>We describe an incident of methylene blue extravasation into the hand and forearm of a patient undergoing parathyroidectomy. We discuss the management of this patient, how this compares to other cases in the literature and highlight an ongoing need for national guidance.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144323531","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}

{"title":"Transforming anaesthesia education with extended reality: from preclinical training to independent clinical practice","authors":"A. Rama,&nbsp;K. Wainwright,&nbsp;T. J. Caruso","doi":"10.1002/anr3.70016","DOIUrl":"10.1002/anr3.70016","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273146","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}

{"title":"The fasting and the furious: reconciling fasting guidelines with glucagon-like peptide-1 receptor agonists, ‘Sip-til-Send’ policies and gastric ultrasound","authors":"N. S. Sidhu,&nbsp;R. M. G. Hogg","doi":"10.1002/anr3.70015","DOIUrl":"10.1002/anr3.70015","url":null,"abstract":"&lt;p&gt;Pre-operative fasting recommendations have been a cornerstone of safe anaesthetic care for nearly 150 years. While many international guidelines for elective surgery stipulate a 6-hour fasting period for solid food and 2 hours for clear fluids, this is often exceeded, with patients inadvertently fasting for much longer [&lt;span&gt;1&lt;/span&gt;]. Prolonged fasting can adversely affect patient well-being, causing thirst, nausea and metabolic disturbances which contribute to patient discomfort and anxiety [&lt;span&gt;2&lt;/span&gt;]. The classic ‘nil by mouth from midnight’ mantra, rooted in Mendelson's seminal research on chemical pneumonitis in healthy obstetric patients under anaesthesia, is embedded in today's high-throughput surgical settings, and there remains a tendency to continue with conservative fasting practices [&lt;span&gt;3&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;However, many clinicians now recognise the benefits of reducing fasting times for clear fluids to under 2 hours. More liberal protocols, such as the ‘Sip-til-Send’ policy, where patients may drink up to 170 ml of clear fluid per hour until called for theatre, are gaining traction [&lt;span&gt;4&lt;/span&gt;]. Developed by a team at NHS Tayside and endorsed by the Centre for Peri-operative Care, this approach reduces cognitive load for pre-operative staff through a clear ‘cut-off’ and improves patient comfort. In Australia, similar policies stipulate a 200 ml.h&lt;sup&gt;−1&lt;/sup&gt; limit [&lt;span&gt;5&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Nevertheless, not everyone is prepared to proceed at full speed due to concerns about the risk of aspiration. In the UK Royal College of Anaesthetists' 7th National Audit Project (NAP7), the aspiration or regurgitation incidence in the non-obstetric population undergoing general anaesthesia or sedation was 1 in 698 cases [&lt;span&gt;6&lt;/span&gt;]. In comparison, previously published large cohort studies report a pooled incidence of 1 in 2977 [&lt;span&gt;7-9&lt;/span&gt;], though this excludes regurgitation events that did not result in aspiration. The vast majority of patients do not experience aspiration events around the time of surgery. How can we then balance the need to avoid excessive fasting with identifying patients at higher aspiration risk?&lt;/p&gt;&lt;p&gt;Gastric ultrasound has emerged as a sleek, real-time, non-invasive tool for assessment of gastric contents. It is accurate in both adults and children for detecting solid content and estimating clear fluid volumes. A gastric antral volume under 1.5 ml.kg&lt;sup&gt;−1&lt;/sup&gt; is considered to represent low risk for aspiration in healthy patients [&lt;span&gt;10&lt;/span&gt;]. Moreover, studies using gastric ultrasound show clear fluids empty rapidly and may even boost gastric motility [&lt;span&gt;11&lt;/span&gt;]. Similar findings have been reported in patients with diabetes, obesity and in pregnancy, reinforcing confidence in liberalised pre-operative clear fluid policies [&lt;span&gt;12-14&lt;/span&gt;]. Despite adherence to fasting guidelines, a minority of elective patients will have residual gastric content due to various risk factors, and ga","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244970","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}

{"title":"The psoas sheath block for patients requiring hip surgery: a case series","authors":"B. Cantan,&nbsp;Y. Fahy,&nbsp;É. Walsh,&nbsp;G. A. Sheridan,&nbsp;X. Sala-Blanch,&nbsp;J. G. Laffey,&nbsp;J. McDonnell","doi":"10.1002/anr3.70014","DOIUrl":"10.1002/anr3.70014","url":null,"abstract":"<div>\u0000 \u0000 <p>We present a case series describing a novel approach to the lumbar plexus, which we have named the psoas sheath block. In this technique, we deposited local anaesthetic into the potential space between the psoas major muscle and its surrounding fascia, in a manner similar to the rectus sheath block. We hypothesised this anatomical plane would facilitate the spread of local anaesthetic to the branches of the lumbar plexus, specifically the femoral, obturator and lateral femoral cutaneous nerves, as they traverse the body of the psoas major muscle on their course to innervate the hip and anterior thigh. In this report, we outline the technique and describe its application in six consecutive patients undergoing hip surgery.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949768","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}

{"title":"Management of iatrogenic bronchial tear during one-lung ventilation for robotic thoracic surgery","authors":"C. Y. S. Lee,&nbsp;V. Bennett,&nbsp;S. Tian,&nbsp;F. Femia,&nbsp;A. Patel,&nbsp;F. Arif,&nbsp;G. Christodoulides","doi":"10.1002/anr3.70012","DOIUrl":"10.1002/anr3.70012","url":null,"abstract":"<div>\u0000 \u0000 <p>Intra-operative airway injuries in robotic thoracic surgery pose unique challenges for the anaesthetist and surgeon. Close communication between the anaesthetic and surgical team is vital in providing adequate one-lung ventilation and a successful operation. We describe a case of intra-operative iatrogenic surgical bronchial tear and subsequent bronchial cuff rupture, requiring immediate specialist anaesthetic management. Management priorities include providing safe oxygenation, ventilation and subsequent lung isolation to allow completion of lung resection.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949769","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}

{"title":"Total intravenous anaesthesia with remimazolam in a patient with progressive supranuclear palsy","authors":"T. Oshida,&nbsp;T. Taniguchi","doi":"10.1002/anr3.70011","DOIUrl":"10.1002/anr3.70011","url":null,"abstract":"<p>Progressive supranuclear palsy is a neurodegenerative disease of unknown aetiology; few reports address its anaesthetic management. Remimazolam, a recently approved short-acting benzodiazepine, was used in combination with remifentanil for total intravenous anaesthesia during open cholecystectomy in a patient with progressive supranuclear palsy. Due to its cardiovascular stable profile and rapid reversibility with flumazenil, remimazolam may serve as a viable option for general anaesthesia in patients with this condition.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143919891","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}

{"title":"A case of rapid onset methaemoglobinaemia associated with local anaesthetic use","authors":"K. Zadeh,&nbsp;J. Bui,&nbsp;J. Lakshay,&nbsp;V. Vanam","doi":"10.1002/anr3.70013","DOIUrl":"10.1002/anr3.70013","url":null,"abstract":"<div>\u0000 \u0000 <p>Methaemoglobinaemia is a rare but serious condition which can arise due to the administration of local anaesthetic agents. A 36-year-old woman with metastatic oesophageal adenocarcinoma experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy. The patient was treated with supplementary oxygen, non-invasive respiratory support, methylene blue and ascorbic acid. Early diagnosis and timely treatment of methaemoglobinaemia can result in rapid clinical improvement and prevent long-term complications.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905295","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}