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Epidural analgesia in an obstetric patient with an intradural lipoma 产科患者硬膜内脂肪瘤的硬膜外镇痛。
IF 0.8
Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.12342
J. M. Windebank, S. A. Traynor
{"title":"Epidural analgesia in an obstetric patient with an intradural lipoma","authors":"J. M. Windebank, S. A. Traynor","doi":"10.1002/anr3.12342","DOIUrl":"10.1002/anr3.12342","url":null,"abstract":"","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":"142959879","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
Right atrial and ventricular clot as a cause of peri-arrest during caesarean birth requiring immediate thrombectomy 右心房和心室凝块作为剖宫产时围骤停的一个原因，需要立即取栓。
IF 0.8
Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.12339
A. Golan, K. Azem, A. Gogol, L. Weiss, D. Gorfil, S. Fein, S. Orbach-Zinger
{"title":"Right atrial and ventricular clot as a cause of peri-arrest during caesarean birth requiring immediate thrombectomy","authors":"A. Golan,&nbsp;K. Azem,&nbsp;A. Gogol,&nbsp;L. Weiss,&nbsp;D. Gorfil,&nbsp;S. Fein,&nbsp;S. Orbach-Zinger","doi":"10.1002/anr3.12339","DOIUrl":"10.1002/anr3.12339","url":null,"abstract":"<div>\u0000 \u0000 <p>Venous thromboembolic disease remains a leading cause of maternal morbidity and mortality. We report a case of a 30-year-old woman at 37<sup>+6</sup> gestation with a history of thalassaemia intermedia and splenectomy. During pregnancy, she had been managed with frequent blood transfusions and enoxaparin. She was admitted for induction of labour, and during labour, she developed pre-eclampsia with severe features. Despite magnesium sulphate therapy, she had a short self-terminating seizure shortly after an epidural had been sited. A decision to proceed with an urgent caesarean birth under epidural anaesthesia was made. After birth, she had another seizure associated with oxygen desaturation. Bag-valve-mask ventilation was insufficient, prompting conversion to general anaesthesia and tracheal intubation, after which cardiac collapse developed. Resuscitation was initiated and bedside cardiac ultrasound revealed a large clot-in-transit through the right atrium and ventricle, prompting immediate transfer to cardiac theatres for thrombectomy. The thrombus was successfully removed. The patient recovered well and her trachea was extubated the next day. She was discharged in a stable condition 8 days later. This case highlights the critical role of point-of-care ultrasound in the prompt diagnosis of life-threatening conditions and guiding emergency interventions.</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":"142959880","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 large multi-nodular goitre with dynamic bilateral carotid artery compression 大多结节性甲状腺肿伴动态双侧颈动脉压迫的麻醉治疗。
IF 0.8
Anaesthesia reports Pub Date : 2025-01-07 DOI: 10.1002/anr3.12340
D. A. Milder, R. Zaklama, K. Wang, J. Harrison, G. Sandler
{"title":"Anaesthetic management of a large multi-nodular goitre with dynamic bilateral carotid artery compression","authors":"D. A. Milder,&nbsp;R. Zaklama,&nbsp;K. Wang,&nbsp;J. Harrison,&nbsp;G. Sandler","doi":"10.1002/anr3.12340","DOIUrl":"10.1002/anr3.12340","url":null,"abstract":"<div>\u0000 \u0000 <p>Dynamic carotid compression arising from a change in patient position is a rare complication of goitre, with the potential for cerebral ischaemia and infarction. In this report, a 37-year-old woman presented with a multi-nodular goitre with clinical features concerning for transient cerebral ischaemia. The anaesthetic management and neurological monitoring used to mitigate the risk of cerebral ischaemia during thyroidectomy is described and the literature surrounding this rare complication is explored.</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":"142959878","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
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":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933859","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
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":"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":"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
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