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Paradoxical bradycardia as a sign of silent bleeding resulting in a pelvic haematoma after an elective hernia repair 择期疝修补术后无症状出血导致盆腔血肿的似是而非的心动过缓。
IF 0.8
Anaesthesia reports Pub Date : 2025-12-16 DOI: 10.1002/anr3.70043
C. Murphy, M. Duggan
{"title":"Paradoxical bradycardia as a sign of silent bleeding resulting in a pelvic haematoma after an elective hernia repair","authors":"C. Murphy,&nbsp;M. Duggan","doi":"10.1002/anr3.70043","DOIUrl":"10.1002/anr3.70043","url":null,"abstract":"<div>\u0000 \u0000 <p>We present the case of a 47-year-old man undergoing an elective laparoscopic inguinal hernia repair complicated by intra-operative asystole following pneumoperitoneum and a subsequent delayed intra-abdominal haemorrhage. Notably, he exhibited profound paradoxical bradycardia and hypotension in the context of significant haemorrhage, diverging from the expected tachycardic response. Management required prompt resuscitation, urgent re-exploration and intensive care support. Paradoxical bradycardia presents a diagnostic challenge, as limited awareness among clinicians may confer false reassurance of haemorrhagic resolution, thereby contributing to delayed intervention. This case report seeks to underscore this uncommon deviation from the classical physiological response, with the intention of mitigating diagnostic oversight in the management of peri-operative haemorrhagic shock and offers alternative clinical considerations to support early recognition.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145775971","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
Failed facemask ventilation in a patient with recent dermal filler injections 最近注射真皮填充物的患者面罩通气失败
IF 0.8
Anaesthesia reports Pub Date : 2025-11-25 DOI: 10.1002/anr3.70040
L. A. Whitton, S. Watson
{"title":"Failed facemask ventilation in a patient with recent dermal filler injections","authors":"L. A. Whitton,&nbsp;S. Watson","doi":"10.1002/anr3.70040","DOIUrl":"10.1002/anr3.70040","url":null,"abstract":"<div>\u0000 \u0000 <p>The rising popularity of facial cosmetic procedures presents new challenges for peri-operative anaesthetic care. We report a case of failed facemask ventilation in a woman with recent dermal filler injections to her cheeks and chin and without any well-described predictors of a difficult airway. After pre-oxygenation and induction of anaesthesia, attempts at facemask ventilation failed to achieve an effective seal as the augmented areas were unusually firm and unyielding, preventing proper mask fit. Despite head optimisation and chin lift, insertion of an oropharyngeal airway and the use of a two-person technique effective ventilation could not be achieved. Early insertion of a second-generation supraglottic airway device restored ventilation and allowed surgery to proceed safely. This case illustrates how dermal fillers can alter facial compliance, obscure anatomical predictors of difficulty, and even be mistaken for allergic swelling. Anaesthetists are encouraged to ask specifically about cosmetic procedures, use inclusive language to promote disclosure and adapt airway plans accordingly.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619081","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
Left ventricular assist device management during surgery for a ruptured abdominal aortic aneurysm 腹主动脉瘤破裂手术中的左心室辅助装置管理
IF 0.8
Anaesthesia reports Pub Date : 2025-11-07 DOI: 10.1002/anr3.70035
J. C. Diaz Herrero, M. Alonso Alonso, M. de Miguel Negro, A. Olivella, A. Pelavski Atlas, N. Allegue
{"title":"Left ventricular assist device management during surgery for a ruptured abdominal aortic aneurysm","authors":"J. C. Diaz Herrero,&nbsp;M. Alonso Alonso,&nbsp;M. de Miguel Negro,&nbsp;A. Olivella,&nbsp;A. Pelavski Atlas,&nbsp;N. Allegue","doi":"10.1002/anr3.70035","DOIUrl":"10.1002/anr3.70035","url":null,"abstract":"<div>\u0000 \u0000 <p>This case report discusses the anaesthetic management of a patient reliant on a left ventricular assist device who presented with a contained ruptured aortic aneurysm. The placement and removal of the aortic clamp, as well as the blood loss and replacement, constituted a challenge for maintaining cardiac output, optimal pump flow, left ventricular off-loading and avoiding right ventricular failure. Continuous monitoring with transoesophageal echocardiography was a cornerstone for managing the different stages of surgery and for adapting pump revolutions to preload and afterload fluctuations and right ventricular function. Inodilators and vasoconstrictors were used to stabilise sudden fluctuations in haemodynamic parameters. It is important to develop clinical protocols and guidelines for the use of ventricular assist devices to address the complex haemodynamic changes resulting from their use.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145470119","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
Correction to “Airway obstruction caused by functional failure of a tracheal stent” “气管支架功能失效导致气道梗阻”的纠正
IF 0.8
Anaesthesia reports Pub Date : 2025-11-06 DOI: 10.1002/anr3.70038
{"title":"Correction to “Airway obstruction caused by functional failure of a tracheal stent”","authors":"","doi":"10.1002/anr3.70038","DOIUrl":"10.1002/anr3.70038","url":null,"abstract":"<p>Wong SYP, Tay CK, Saw KME. Airway obstruction caused by functional failure of a tracheal stent. <i>Anaesth Rep</i>. 2025;13:e70032. https://doi.org/10.1002/anr3.70032</p><p>In paragraph 6 of the “Report” Section, the text “<i>Although the rigid bronchoscope was prepared, the anaesthetist intubated the trachea using an 8.0 mm ID tracheal tube, recommenced intravenous anaesthesia and administered rocuronium 50 mg</i>” was incorrect.</p><p>This should have read: “<i>While the rigid bronchoscope was prepared, the anaesthetist intubated the trachea using an 8.0 mm ID tracheal tube, recommenced intravenous anaesthesia and administered rocuronium 50 mg</i>.”</p><p>We apologise for this error.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.70038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145469939","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
Ultrasound-guided pulsed radiofrequency of zygomaticotemporal nerve for refractory temporal headaches 超声引导颧颞神经脉冲射频治疗难治性颞部头痛。
IF 0.8
Anaesthesia reports Pub Date : 2025-10-22 DOI: 10.1002/anr3.70036
R. Mahajan, V. Rishi, S. Gupta, K. Gupta, J. Chowdhary, S. Gupta
{"title":"Ultrasound-guided pulsed radiofrequency of zygomaticotemporal nerve for refractory temporal headaches","authors":"R. Mahajan,&nbsp;V. Rishi,&nbsp;S. Gupta,&nbsp;K. Gupta,&nbsp;J. Chowdhary,&nbsp;S. Gupta","doi":"10.1002/anr3.70036","DOIUrl":"10.1002/anr3.70036","url":null,"abstract":"<div>\u0000 \u0000 <p>Temporal headaches may originate from entrapment of the zygomaticotemporal and the auriculotemporal nerves, which serve as potential trigger points. Conventional interventional management includes local anaesthetic blocks or surgical decompression; however, pulsed radiofrequency of the zygomaticotemporal nerve has not been previously reported. We describe two patients with refractory temporal pain treated with ultrasound-guided pulsed radiofrequency of the zygomaticotemporal nerve. A 54-year-old man with post-traumatic neuralgia achieved sustained relief for over 5 months after two sessions, while a 34-year-old woman with migraine without aura achieved sustained relief for over 4 months after a single session. The block is relatively superficial, has a short learning curve under ultrasound guidance and is well tolerated. Pulsed radiofrequency of the zygomaticotemporal nerve may be considered as a promising minimally invasive and reproducible therapeutic option for patients with temporal headaches.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356961","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
Seizure-induced laryngospasm during a paediatric sevoflurane induction* 小儿七氟醚诱导时癫痫性喉痉挛。
IF 0.8
Anaesthesia reports Pub Date : 2025-10-20 DOI: 10.1002/anr3.70037
L. R. Veronese
{"title":"Seizure-induced laryngospasm during a paediatric sevoflurane induction*","authors":"L. R. Veronese","doi":"10.1002/anr3.70037","DOIUrl":"10.1002/anr3.70037","url":null,"abstract":"<div>\u0000 \u0000 <p>Seizures during anaesthesia are rare, but potentially serious, especially in paediatric patients. This case report describes a 6-year-old child who developed seizure-induced laryngospasm during inhalational induction of anaesthesia with sevoflurane for adenotonsillectomy. The child exhibited rhythmic upper limbs, jaw and facial twitching accompanied by complete laryngospasm, requiring urgent intervention. A bolus of propofol 50 mg (1.9 mg.kg<sup>−1</sup>) terminated the seizure, while suxamethonium 40 mg (1.5 mg.kg<sup>−1</sup>) was required to relieve the laryngospasm and secure the airway. There was no evidence of secretions, regurgitation or inadequate depth of anaesthesia which could have precipitated the laryngospasm. This is the first reported human case of suspected seizure-induced laryngospasm potentially mediated via recurrent laryngeal nerve activation under anaesthesia, a mechanism previously demonstrated only in animals. This observation provides rare clinical support for a neurogenic cause of laryngospasm. Additional cases supporting the proposed mechanism and the pro-epileptogenic potential of sevoflurane are discussed.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350244","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
Airway obstruction caused by functional failure of a tracheal stent 气管支架功能失效引起的气道阻塞。
IF 0.8
Anaesthesia reports Pub Date : 2025-10-14 DOI: 10.1002/anr3.70032
S. Y. P. Wong, C. K. Tay, K. M. E. Saw
{"title":"Airway obstruction caused by functional failure of a tracheal stent","authors":"S. Y. P. Wong,&nbsp;C. K. Tay,&nbsp;K. M. E. Saw","doi":"10.1002/anr3.70032","DOIUrl":"10.1002/anr3.70032","url":null,"abstract":"<div>\u0000 \u0000 <p>Central airway obstruction can be treated with stenting of the airway. A 30-year-old man with known metastatic myxoid liposarcoma presented with central airway obstruction due to tracheal compression from mediastinal metastases. A self-expanding metallic stent was placed under general anaesthesia. During emergence, he developed complete airway obstruction with ensuing hypoxaemia. Emergency intubation was performed and the patient was manually ventilated with high airway pressures to maintain oxygenation. The rigid bronchoscope was reintroduced, which revealed complete collapse of the stent and worsened compression of the upper trachea. The collapsed stent was removed and a silicon stent was deployed, but the compression remained uncorrected. A second partially covered metallic stent was inserted within the silicon stent, overlapping in length. This restored airway patency with an uneventful emergence from anaesthesia.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304769","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
Tracheobronchial calcification 气管支气管的钙化。
IF 0.8
Anaesthesia reports Pub Date : 2025-10-13 DOI: 10.1002/anr3.70033
P. Saikia, D. Bharadwaj
{"title":"Tracheobronchial calcification","authors":"P. Saikia,&nbsp;D. Bharadwaj","doi":"10.1002/anr3.70033","DOIUrl":"10.1002/anr3.70033","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294654","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
Successful spinal anaesthesia for caesarean birth after epidural blood patch for intracranial hypotension headache 硬膜外补血后剖宫产脊髓麻醉成功治疗颅内低血压头痛。
IF 0.8
Anaesthesia reports Pub Date : 2025-10-08 DOI: 10.1002/anr3.70034
R. Grimes, C. Nelson-Piercy, N. Desai
{"title":"Successful spinal anaesthesia for caesarean birth after epidural blood patch for intracranial hypotension headache","authors":"R. Grimes,&nbsp;C. Nelson-Piercy,&nbsp;N. Desai","doi":"10.1002/anr3.70034","DOIUrl":"10.1002/anr3.70034","url":null,"abstract":"<div>\u0000 \u0000 <p>Headache in pregnancy remains a diagnostic challenge. Neuraxial intervention in the antenatal period can lead to complications, such as postdural puncture headache and subdural haematoma, and may have a significant impact on maternal well-being, labour and birth. Here, we describe a case of headache secondary to intracranial hypotension with onset at 32 weeks of gestation in a 40-year-old woman, 12 weeks following spinal anaesthesia for cervical cerclage. It presented novel problems to consider for the performance of lumbar epidural blood patch and the subsequent neuraxial anaesthesia for the birth. A lumbar epidural blood patch was performed at 38<sup>+1</sup> weeks of gestation with full resolution of symptoms, and spinal anaesthesia was subsequently provided the following day for a caesarean birth with good efficacy and no adverse effects. We demonstrated that the low cerebrospinal fluid pressure headache can be effectively and safely managed with a lumbar epidural blood patch, and spinal anaesthesia for caesarean birth may be successfully performed within 24 h of the lumbar epidural blood patch.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260051","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
Exaggerated plethysmography waveforms associated with premature ventricular contractions 与室性早搏相关的体积脉搏波形夸大。
IF 0.8
Anaesthesia reports Pub Date : 2025-10-06 DOI: 10.1002/anr3.70029
J. H. Jones, H. Heyman
{"title":"Exaggerated plethysmography waveforms associated with premature ventricular contractions","authors":"J. H. Jones,&nbsp;H. Heyman","doi":"10.1002/anr3.70029","DOIUrl":"10.1002/anr3.70029","url":null,"abstract":"<div>\u0000 \u0000 <p>This case report describes a 58-year-old man with severe chronic obstructive pulmonary disease and significant cardiac history who underwent laparoscopic appendectomy. During surgery, plethysmography waves with amplitudes exceeding the upper graphical display limit were observed following premature ventricular contractions. These exaggerated waveforms likely resulted from increased stroke volume due to the compensatory pause following each premature ventricular contraction. This phenomenon, though rarely documented, may offer clinical value in understanding peripheral haemodynamic responses to arrhythmia. While similar to the Brockenbrough–Braunwald–Morrow sign described in invasive cardiac studies, this case uniquely demonstrates such findings through non-invasive plethysmography. This observation prompts further exploration into waveform interpretation beyond conventional assumptions in peri-operative monitoring.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"13 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145246094","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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