Anaesthesia reports最新文献

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Ultrasound guided pericapsular nerve group (PENG) block resulting in reduction of dislocated prosthetic hip 超声引导下囊包膜神经群阻滞导致人工髋关节脱位复位。
IF 0.8
Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.70000
M. Cuevas, F. Fratebianchi
{"title":"Ultrasound guided pericapsular nerve group (PENG) block resulting in reduction of dislocated prosthetic hip","authors":"M. Cuevas,&nbsp;F. Fratebianchi","doi":"10.1002/anr3.70000","DOIUrl":"10.1002/anr3.70000","url":null,"abstract":"<div>\u0000 \u0000 <p>A 78-year-old woman with a prosthetic hip dislocation underwent a pericapsular nerve group block for regional anesthesia. The hip spontaneously reduced before manual intervention, likely due to the block's analgesic and muscle-relaxing effects. Compared to other techniques, this block effectively targets hip innervation while sparing motor function. This case highlights its potential for managing hip dislocations safely, especially in patients at risk from sedation.</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":"142959881","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 ‘Remimazolam sedation for awake tracheal intubation’ 对“清醒气管插管用雷马唑仑镇静”的评论。
IF 0.8
Anaesthesia reports Pub Date : 2025-01-02 DOI: 10.1002/anr3.12337
L. A. Bruijstens, L. T. van Eijk, J. Bruhn
{"title":"Comment on ‘Remimazolam sedation for awake tracheal intubation’","authors":"L. A. Bruijstens,&nbsp;L. T. van Eijk,&nbsp;J. Bruhn","doi":"10.1002/anr3.12337","DOIUrl":"10.1002/anr3.12337","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933859","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
Epiglottic injury and airway management – a challenging and unexpected diagnosis 会厌损伤和气道管理-一个具有挑战性和意想不到的诊断。
IF 0.8
Anaesthesia reports Pub Date : 2024-12-17 DOI: 10.1002/anr3.12338
M. Gutierres, F. Guedes, F. Rosa, F. Oliveira, R. Castro, V. Fernandes
{"title":"Epiglottic injury and airway management – a challenging and unexpected diagnosis","authors":"M. Gutierres,&nbsp;F. Guedes,&nbsp;F. Rosa,&nbsp;F. Oliveira,&nbsp;R. Castro,&nbsp;V. Fernandes","doi":"10.1002/anr3.12338","DOIUrl":"10.1002/anr3.12338","url":null,"abstract":"<div>\u0000 \u0000 <p>Patients with facial trauma are complex; difficult airway management is often anticipated and challenging for the anaesthetist. Awake tracheal intubation is the gold standard in the management of predicted difficult airway because of its high success rate and safety profile. We present the case of a patient with facial trauma who underwent orotracheal intubation with combined videolaryngoscopy and flexible bronchoscopy, under conscious sedation with intermittent boluses of ketamine and dexmedetomidine. Videolaryngoscopy showed significant oedema and epiglottic laceration, not diagnosed by the computed tomography scan, with visualisation of a false passage that could have led to a failed intubation and further trauma. Airway management in patients with facial trauma is challenging and should be planned and discussed by a multidisciplinary team. A technique combining videolaryngoscopy and flexible bronchoscopy during awake intubation has previously been described and, when used in this case, was successful.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857098","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
Excluding oesophageal intubation versus confirming tracheal intubation 排除食管插管vs确认气管插管。
IF 0.8
Anaesthesia reports Pub Date : 2024-12-11 DOI: 10.1002/anr3.12341
N. Chrimes, A. Higgs
{"title":"Excluding oesophageal intubation versus confirming tracheal intubation","authors":"N. Chrimes,&nbsp;A. Higgs","doi":"10.1002/anr3.12341","DOIUrl":"10.1002/anr3.12341","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830975","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
Strategies for increasing the use of tranexamic acid in patients undergoing major surgery* 大手术患者增加氨甲环酸使用的策略*
IF 0.8
Anaesthesia reports Pub Date : 2024-11-28 DOI: 10.1002/anr3.12335
L. Murphy, S. R. Warnakulasuriya
{"title":"Strategies for increasing the use of tranexamic acid in patients undergoing major surgery*","authors":"L. Murphy,&nbsp;S. R. Warnakulasuriya","doi":"10.1002/anr3.12335","DOIUrl":"https://doi.org/10.1002/anr3.12335","url":null,"abstract":"<p>Tranexamic acid reduces major bleeding events in patients undergoing major surgery without increasing thromboembolic events. In October 2022, the Joint Royal Colleges Tranexamic Acid in Surgery Implementation Group issued recommendations for consideration of tranexamic acid use in all patients having inpatient surgery. National and local audit data shows that a significant portion of eligible patients do not receive tranexamic acid. We designed and implemented a quality improvement project to increase the use of tranexamic acid in patients undergoing major surgery (surgery with the potential for estimated blood loss &gt; 500 ml). Data were collected on baseline tranexamic acid use and stakeholder-reported barriers to tranexamic acid use. This was used to design and implement a sequence of quality improvement interventions. We disseminated Joint Royal Colleges guidance and delivered education sessions to increase understanding of tranexamic acid use. The local World Health Organisation (WHO) surgical checklist was updated to prompt clinical staff to consider the use of tranexamic acid. At baseline tranexamic acid was used in 50 of 100 (50%) major surgical cases. In the third audit cycle, tranexamic acid use had improved to 65 of 96 (68%) cases, with a shift in practice noted on continuous monitoring data indicating sustained improvement. Key factors in successful implementation of this project included stakeholder engagement, widespread dissemination of education and guidance and change of the local WHO surgical checklist.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12335","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749054","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
Peri-operative and anaesthetic considerations for gender-affirming vocal surgery 性别确认发声手术的围手术期和麻醉注意事项
IF 0.8
Anaesthesia reports Pub Date : 2024-11-21 DOI: 10.1002/anr3.12336
A. Lim, J. Myatt, D. Inglis, C. Al Yaghchi
{"title":"Peri-operative and anaesthetic considerations for gender-affirming vocal surgery","authors":"A. Lim,&nbsp;J. Myatt,&nbsp;D. Inglis,&nbsp;C. Al Yaghchi","doi":"10.1002/anr3.12336","DOIUrl":"https://doi.org/10.1002/anr3.12336","url":null,"abstract":"<div>\u0000 \u0000 <p>The number of people identifying as transgender and/or gender diverse has increased significantly in recent years. As there are no pharmacologic options for raising vocal pitch and voice therapy may have limited benefit, vocal feminisation surgery is important for this group of patients. It is important for clinicians to be aware of the procedures which may be carried out and the implications for subsequent airway management. In this article, we present the case of a 46-year-old transgender woman who underwent gender-affirming vocal surgery. We will discuss the modified Wendler glottoplasty surgical technique, anaesthetic management and postoperative recovery. We also discuss future peri-operative implications, including airway management for those undergoing general anaesthesia for subsequent operations.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692111","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
The impact of neck flexion on ventilation and glottic visualisation in a child with Treacher Collins syndrome. 屈颈对特雷撤-科林斯综合征患儿通气和声门视野的影响。
IF 0.8
Anaesthesia reports Pub Date : 2024-11-18 eCollection Date: 2024-07-01 DOI: 10.1002/anr3.12333
V Mazandi, L Grosinger, C Ward, R Daly Guris
{"title":"The impact of neck flexion on ventilation and glottic visualisation in a child with Treacher Collins syndrome.","authors":"V Mazandi, L Grosinger, C Ward, R Daly Guris","doi":"10.1002/anr3.12333","DOIUrl":"10.1002/anr3.12333","url":null,"abstract":"<p><p>We report the airway management of an 11-year-old boy with Treacher Collins syndrome. In three instances under general anaesthesia, ventilation via either anaesthesia facemask or supraglottic airway device proved virtually impossible except when the neck was flexed, which runs counter to what is typically observed during routine anaesthetic care. In this report, the impact of neck flexion on the patient's airway is demonstrated with images obtained on videolaryngoscopy and flexible endoscopy. It is prudent to manage airways using validated techniques and established algorithms. Nonetheless, airway management can benefit from atypical measures.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":"e12333"},"PeriodicalIF":0.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142670074","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
High spinal anaesthesia during local anaesthetic skin infiltration at the cervical facet joint 颈椎面关节局部麻醉皮肤浸润时的高位脊髓麻醉
IF 0.8
Anaesthesia reports Pub Date : 2024-11-18 DOI: 10.1002/anr3.12334
J. C. H. Goh, Y. M. Gn, D. J. A. Tan, Z. W. Lim
{"title":"High spinal anaesthesia during local anaesthetic skin infiltration at the cervical facet joint","authors":"J. C. H. Goh,&nbsp;Y. M. Gn,&nbsp;D. J. A. Tan,&nbsp;Z. W. Lim","doi":"10.1002/anr3.12334","DOIUrl":"https://doi.org/10.1002/anr3.12334","url":null,"abstract":"<div>\u0000 \u0000 <p>Facet joint injections are generally safe to perform with a low incidence of adverse events. There are few published reports of neurological complications occurring following procedures at the facet joint or cervical epidural space. However, complications from local anaesthetic infiltration to the skin and surrounding tissue have not been reported. We report a case of transient tetraplegia after local anaesthetic infiltration to the skin in preparation for cervical facet joint injection. We discuss potential reasons for this complication and suggest practice modifications which could reduce the risk.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142665846","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
The impact of neck flexion on ventilation and glottic visualisation in a child with Treacher Collins syndrome 屈颈对特雷撤-科林斯综合征患儿通气和声门视野的影响
IF 0.8
Anaesthesia reports Pub Date : 2024-11-18 DOI: 10.1002/anr3.12333
V. Mazandi, L. Grosinger, C. Ward, R. Daly Guris
{"title":"The impact of neck flexion on ventilation and glottic visualisation in a child with Treacher Collins syndrome","authors":"V. Mazandi,&nbsp;L. Grosinger,&nbsp;C. Ward,&nbsp;R. Daly Guris","doi":"10.1002/anr3.12333","DOIUrl":"https://doi.org/10.1002/anr3.12333","url":null,"abstract":"<p>We report the airway management of an 11-year-old boy with Treacher Collins syndrome. In three instances under general anaesthesia, ventilation via either anaesthesia facemask or supraglottic airway device proved virtually impossible except when the neck was flexed, which runs counter to what is typically observed during routine anaesthetic care. In this report, the impact of neck flexion on the patient's airway is demonstrated with images obtained on videolaryngoscopy and flexible endoscopy. It is prudent to manage airways using validated techniques and established algorithms. Nonetheless, airway management can benefit from atypical measures.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142665845","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
Cardiac arrest during alveolar recruitment manoeuvre under general anaesthesia for laparoscopic surgery 腹腔镜手术全身麻醉下进行肺泡扩张操作时心脏骤停
IF 0.8
Anaesthesia reports Pub Date : 2024-11-04 DOI: 10.1002/anr3.12332
M. C. Larsen, U. K. Soni
{"title":"Cardiac arrest during alveolar recruitment manoeuvre under general anaesthesia for laparoscopic surgery","authors":"M. C. Larsen,&nbsp;U. K. Soni","doi":"10.1002/anr3.12332","DOIUrl":"https://doi.org/10.1002/anr3.12332","url":null,"abstract":"<p>A 67-year-old woman with no history of cardiovascular disease, undergoing an elective laparoscopic cholecystectomy, experienced severe bradycardia and cardiac arrest immediately following an alveolar recruitment manoeuvre under general anaesthesia. Prompt cardiopulmonary resuscitation restored cardiac output within 2–3 min. Postoperatively, she remained stable and was discharged following 24 h of monitoring. The cardiac arrest was likely triggered by vagal nerve stimulation and activation of intrinsic cardiac reflexes by the alveolar recruitment manoeuvre. The event emphasises a rare, but significant, risk of the routine management of pulmonary atelectasis.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12332","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142574096","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
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