Anaesthesia reports最新文献_第5页

Plasma exchange and intravenous immunoglobulin for the peri-operative management of type 2 heparin-induced thrombocytopaenia in a patient requiring urgent surgery for critical limb ischaemia 血浆置换和静脉注射免疫球蛋白用于围手术期治疗因严重肢体缺血而需要紧急手术的患者因 2 型肝素引起的血小板减少症。

IF 0.8

Anaesthesia reports Pub Date : 2024-07-08 DOI: 10.1002/anr3.12311

Y. Perera, R. Taylor, K. D. Bera, L. Holman, N. Curry, A. Shah

{"title":"Plasma exchange and intravenous immunoglobulin for the peri-operative management of type 2 heparin-induced thrombocytopaenia in a patient requiring urgent surgery for critical limb ischaemia","authors":"Y. Perera, R. Taylor, K. D. Bera, L. Holman, N. Curry, A. Shah","doi":"10.1002/anr3.12311","DOIUrl":"10.1002/anr3.12311","url":null,"abstract":"<p>We report the case of a 61-year-old female who developed heparin-induced thrombocytopaenia following treatment of a submassive pulmonary embolism, and who then required an above knee amputation for critical limb ischaemia. Heparin-induced thrombocytopaenia is a rare, immune-mediated complication associated with an in-hospital mortality rate of 10%. It is more common in surgical patients, with patients undergoing orthopaedic surgery more likely to develop it than patients undergoing cardiac surgery, but heparin-dependent immunoglobulin G antibodies are more likely to be formed in the latter. Peri-operative management remains a challenge. Ideally, it is preferable to wait for the platelet count to improve; but in certain cases, surgery cannot be delayed. Heparin-induced thrombocytopaenia is usually managed with direct thrombin inhibitors, such as argatroban and bivalirudin. Newer therapeutic modalities, such as plasmapheresis and intravenous immunoglobulin, as used in this case, can rapidly remove antibodies, but the certainty of evidence is low. Our case adds to the literature regarding the use of these modalities and highlights the multidisciplinary team approach required to manage such complex cases.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 2","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11228826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565281","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 resonance sonorheometry guided dose reduction of plasma transfusion in repetitive hip surgery in a patient with a severe factor XI deficiency: a case report 在重度 XI 因子缺乏症患者的重复性髋关节手术中，在共振超声波测量法的指导下减少血浆输注剂量：病例报告。

IF 0.8

Anaesthesia reports Pub Date : 2024-06-24 DOI: 10.1002/anr3.12308

H. Supthut, P. Peck, B. Hertenstein, C. Delle, M. Winterhalter

引用次数: 0

Peripheral regional anaesthesia in an adult with Schwartz-Jampel syndrome 对一名患有施瓦茨-詹佩尔综合征的成人进行外周区域麻醉

Anaesthesia reports Pub Date : 2024-06-18 DOI: 10.1002/anr3.12310

B. U. Gruber, A. Kohler, H. Bomberg, R. Labèr, U. Eichenberger

引用次数: 0

Feasibility of a virtual reality course on adult tracheostomy safety skills* 成人气管造口术安全技能虚拟现实课程的可行性。

Anaesthesia reports Pub Date : 2024-06-17 DOI: 10.1002/anr3.12305

J. R. Abbas, E. Bertram-Ralph, S. Hatton, T. Garth, C. Doherty, I. A. Bruce, B. A. McGrath

{"title":"Feasibility of a virtual reality course on adult tracheostomy safety skills*","authors":"J. R. Abbas, E. Bertram-Ralph, S. Hatton, T. Garth, C. Doherty, I. A. Bruce, B. A. McGrath","doi":"10.1002/anr3.12305","DOIUrl":"10.1002/anr3.12305","url":null,"abstract":"<p>The National Tracheostomy Safety Project has run high-quality, face-to-face skills courses since 2009. The aim of this project was to produce a virtual reality version of the established course and evaluate its impact on participant learning, and participant and faculty satisfaction. Healthcare staff and students were recruited and randomised to attend one of (1) a face-to-face traditional course (control); (2) a virtual reality course at a conference centre with on-site technical support; (3) a fully remote virtual reality course; the virtual reality groups were combined for the analysis of learning outcomes and satisfaction. The primary outcome was the difference in pre/post-course knowledge scores on a 30-item questionnaire; secondary outcomes included knowledge retention, usability, comfort/side effects and participant performance in a simulated tracheostomy emergency. Thirty-seven participants and 15 faculty participated in this study. There was no significant difference between mean pre/post-course scores from the face-to-face (from 21.1 to 23.1; +2) and combined virtual reality (from 17.1 to 21.1; +4) groups, with both showing improvement (p = 0.21). The mean System Usability Scale score for virtual reality was 76.8 (SD 12.6), which is above average; the median Simulator Sickness Questionnaire score was 7.5 (IQR 3.7–22.4), indicating minimal symptoms. All participants resolved the primary clinical problem in the simulated emergency, but the virtual reality (VR) group was slower overall (mean difference 61.8 s, p = 0.003). This technical feasibility study demonstrated that there was no difference in participant knowledge immediately after and 4 weeks following face-to-face and virtual reality courses. Virtual reality offers an immersive experience that can be delivered remotely and offers potential benefits of reducing travel and venue costs for attendees, therefore increasing the flexibility of training opportunities.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11182690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422058","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

Airway fire with use of diathermy in conjunction with high-flow nasal oxygen 在使用高流量鼻氧的同时使用电热治疗法，气道起火

Anaesthesia reports Pub Date : 2024-06-12 DOI: 10.1002/anr3.12309

M. Aldridge

引用次数: 0

Interpretation of chest fluoroscopy: the risk of misdiagnosing atelectasis as pneumothorax due to greyscale inversion 解读胸部透视：灰阶反转导致将气胸误诊为肺不张的风险

Anaesthesia reports Pub Date : 2024-06-01 DOI: 10.1002/anr3.12307

C. Y. Lin, N. B. Cavanaugh, S. Subramani, A. K. Singhal, S. Hanada

引用次数: 0

Combined interscalene, superficial cervical plexus and thoracic intertransverse process blocks for surgical anaesthesia of the shoulder disarticulation 用于肩关节离断手术麻醉的椎间隙、颈浅丛和胸横突联合阻滞术

Anaesthesia reports Pub Date : 2024-05-29 DOI: 10.1002/anr3.12306

A. Kilicaslan, F. Gok, T. S. Colak, O. Keklicek, M. F. Kucuksen

引用次数: 0

Comment on ‘Brachial plexus blockade arising from a combined pectoralis (PECS) 1 and 2 block’ 就 "胸肌（PECS）1 和 2 联合阻滞引起的臂丛阻滞 "发表评论

Anaesthesia reports Pub Date : 2024-05-28 DOI: 10.1002/anr3.12304

Rohan Magoon, Varun Suresh

引用次数: 0

Remimazolam sedation for awake tracheal intubation 清醒气管插管时使用雷马唑仑镇静剂

Anaesthesia reports Pub Date : 2024-05-27 DOI: 10.1002/anr3.12298

B. Kolb, T. Lewis, J. Large, M. Wilson, K. Ode

引用次数: 0

The spread of injectate after deep serratus anterior plane and superficial parasternal intercostal plane blocks: a cadaveric dye study 深层前锯肌平面和浅层胸骨旁肋间平面阻滞后注射剂的扩散：尸体染色研究

Anaesthesia reports Pub Date : 2024-05-24 DOI: 10.1002/anr3.12297

M. A. Perez-Herrero, M. Fajardo, F. Galluccio, E. Yamak Altinpulluk, K. Espinoza

{"title":"The spread of injectate after deep serratus anterior plane and superficial parasternal intercostal plane blocks: a cadaveric dye study","authors":"M. A. Perez-Herrero, M. Fajardo, F. Galluccio, E. Yamak Altinpulluk, K. Espinoza","doi":"10.1002/anr3.12297","DOIUrl":"https://doi.org/10.1002/anr3.12297","url":null,"abstract":"<div>\u0000 \u0000 <p>We investigated the distribution of injected dye after deep serratus anterior plane and superficial parasternal intercostal plane blocks in 15 Thiel embalmed cadavers. We injected 0.4 ml.kg<sup>−1</sup> of 0.25% aqueous methylene blue solution into the deep serratus anterior and superficial parasternal intercostal planes using real-time ultrasound needle visualisation followed by posterior dissection to observe the distribution of the injected dye in the chest wall. The two blocks were performed bilaterally in 15 cadavers at the T5/T6 level, comprising 60 blocks in 30 hemithoraces in total. At dissection, the intercostal nerve territories were observed to be dyed completely from T2 to T6 in 28 of 30 hemithoraces, and extending caudal to T6 in 10 hemithoraces. Following the deep serratus anterior plane blocks in all cadavers, the dye was found to have spread to the axillae. Following the superficial parasternal intercostal plane blocks, the dye reached T7 in four cadaver dissections. We concluded that the territories innervated by the intercostal nerves (T2–T6 dermatomes) are dyed following the combination of the two blocks when performed at the T5–T6 intercostal space level. These techniques might provide an effective option for anaesthesia in breast surgery.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141091471","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