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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
{"title":"Airway fire with use of diathermy in conjunction with high-flow nasal oxygen","authors":"M. Aldridge","doi":"10.1002/anr3.12309","DOIUrl":"https://doi.org/10.1002/anr3.12309","url":null,"abstract":"<div>\u0000 \u0000 <p>Operating theatre fires are rare but can result in significant morbidity. A 76-year-old male with complex airway disease sustained superficial facial burns during an elective airway debulking procedure. His airway was being managed with high-flow nasal oxygen at 70 l.min<sup>−1</sup> and FiO<sub>2</sub> 1.0 delivered by Optiflow™ (Fisher and Paykel Healthcare Limited, Auckland, New Zealand). When suction monopolar diathermy was used to excise hyperkeratotic tissue beside his epiglottis, an arc was created to the tip of the suspension laryngoscope, followed by a jet of flame as the Optiflow circuit ignited. This resulted in burns to the patient's face and shoulder. He required admission to the intensive care unit and had a complicated postoperative course that included the need for surgical tracheostomy to facilitate weaning from mechanical ventilation. This case highlights the dangers of using high-flow nasal oxygen alongside an ignition source.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141315391","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
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
{"title":"Interpretation of chest fluoroscopy: the risk of misdiagnosing atelectasis as pneumothorax due to greyscale inversion","authors":"C. Y. Lin,&nbsp;N. B. Cavanaugh,&nbsp;S. Subramani,&nbsp;A. K. Singhal,&nbsp;S. Hanada","doi":"10.1002/anr3.12307","DOIUrl":"https://doi.org/10.1002/anr3.12307","url":null,"abstract":"<p>Anaesthetists may be required to work in hybrid theatres for procedures using fluoroscopic imaging. Adequate knowledge of fluoroscopic images allows prompt and effective emergency management of complications which arise during procedures. Here, we present a case of severe hypotension and hypoxia occurring shortly after induction of anaesthesia. Atelectasis was mistaken for a pneumothorax due to misinterpretation of fluoroscopic imaging, which demonstrated a dark pleural cavity peripheral to a partially collapsed left lung, leading to an incorrect diagnosis. This case highlights the importance of understanding greyscale inversion in fluoroscopy.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187565","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
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
{"title":"Combined interscalene, superficial cervical plexus and thoracic intertransverse process blocks for surgical anaesthesia of the shoulder disarticulation","authors":"A. Kilicaslan,&nbsp;F. Gok,&nbsp;T. S. Colak,&nbsp;O. Keklicek,&nbsp;M. F. Kucuksen","doi":"10.1002/anr3.12306","DOIUrl":"https://doi.org/10.1002/anr3.12306","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141182274","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 ‘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
{"title":"Comment on ‘Brachial plexus blockade arising from a combined pectoralis (PECS) 1 and 2 block’","authors":"Rohan Magoon,&nbsp;Varun Suresh","doi":"10.1002/anr3.12304","DOIUrl":"https://doi.org/10.1002/anr3.12304","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141165001","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
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
{"title":"Remimazolam sedation for awake tracheal intubation","authors":"B. Kolb,&nbsp;T. Lewis,&nbsp;J. Large,&nbsp;M. Wilson,&nbsp;K. Ode","doi":"10.1002/anr3.12298","DOIUrl":"https://doi.org/10.1002/anr3.12298","url":null,"abstract":"<div>\u0000 \u0000 <p>We present a case of a 55-year-old woman presenting for an elective minor procedure. Following a previous anaesthetic, a ‘can't intubate, can't oxygenate’ incident had been documented. She had since undergone awake tracheal intubation for procedures requiring general anaesthesia. We were able to safely facilitate awake tracheal intubation using remimazolam for sedation. Remimazolam is a novel ultra-short acting benzodiazepine with similar pharmacodynamic effects to its parent compound midazolam, having minimal cardiovascular or respiratory effects and offering excellent anxiolysis and amnesia. It has a significantly shorter duration of action than midazolam, making it a valuable sedative agent for awake tracheal intubation. The patient remained stable throughout the procedure, with minimal effects on the respiratory and cardiovascular systems. The quality of sedation was reported as highly satisfactory by both the patient and the team.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141164849","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 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,&nbsp;M. Fajardo,&nbsp;F. Galluccio,&nbsp;E. Yamak Altinpulluk,&nbsp;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
Uncertainties regarding erector spinae plane block as a primary anaesthetic technique 竖脊肌平面阻滞作为主要麻醉技术的不确定性
Anaesthesia reports Pub Date : 2024-05-22 DOI: 10.1002/anr3.12303
C. C. de Carvalho, J. M. Santos Neto
{"title":"Uncertainties regarding erector spinae plane block as a primary anaesthetic technique","authors":"C. C. de Carvalho,&nbsp;J. M. Santos Neto","doi":"10.1002/anr3.12303","DOIUrl":"https://doi.org/10.1002/anr3.12303","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141085096","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
Postoperative pressure alopecia in a child following the use of a gel horseshoe head pad 一名儿童在使用凝胶马蹄形头垫后出现术后压迫性脱发
Anaesthesia reports Pub Date : 2024-05-22 DOI: 10.1002/anr3.12302
K. Hore, N. Kelgeri
{"title":"Postoperative pressure alopecia in a child following the use of a gel horseshoe head pad","authors":"K. Hore,&nbsp;N. Kelgeri","doi":"10.1002/anr3.12302","DOIUrl":"https://doi.org/10.1002/anr3.12302","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141085097","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 Theatre Recovery and Anaesthetic nurse Capnography Education (TRACE) project* 手术室恢复和麻醉护士气管造影教育（TRACE）项目*
Anaesthesia reports Pub Date : 2024-05-17 DOI: 10.1002/anr3.12301
T. Sweeney, A. Deasy, R. Linehan, E. P. O'Sullivan, A. Cafferkey
{"title":"The Theatre Recovery and Anaesthetic nurse Capnography Education (TRACE) project*","authors":"T. Sweeney,&nbsp;A. Deasy,&nbsp;R. Linehan,&nbsp;E. P. O'Sullivan,&nbsp;A. Cafferkey","doi":"10.1002/anr3.12301","DOIUrl":"https://doi.org/10.1002/anr3.12301","url":null,"abstract":"<div>\u0000 \u0000 <p>The Theatre Recovery and Anaesthetic Nurse Capnography Education (TRACE) project is a multidisciplinary quality improvement project. The overall aim is to educate anaesthetic and recovery nurses on the correct use of capnography and educate non-consultant hospital doctors on the guidelines on <i>Preventing Unrecognised Oesophageal Intubation</i> from the Project for Universal Management of Airways group. This project addresses technical aspects of task performance such as correct waveform identification and interpretation, troubleshooting abnormal waveforms and establishing routine checks of capnography both pre-induction and post-intubation. The pre-induction verification of the correct function of capnography is an essential component of this project. In addition, the project focuses on team aspects of task performance with an emphasis on team psychological safety, empowering nurses to speak up using graded assertiveness and flattening hierarchies. As a result of the project, our nurses' knowledge about capnography and waveform identification improved to over 80% correct answers six months after completion of the project. In addition, over 90% of participants reported feeling confident in speaking up to both consultants and non-consultant hospital doctors when a waveform was not present before induction of anaesthesia or after attempted tracheal intubation.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140952947","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
Selecting laser-resistant tracheal tubes for awake flexible scope intubation 为清醒状态下的柔性镜插管选择抗激光气管导管
Anaesthesia reports Pub Date : 2024-05-17 DOI: 10.1002/anr3.12300
N. R. Cormier, J. Park, N. Kohli, J. B. Hyman
{"title":"Selecting laser-resistant tracheal tubes for awake flexible scope intubation","authors":"N. R. Cormier,&nbsp;J. Park,&nbsp;N. Kohli,&nbsp;J. B. Hyman","doi":"10.1002/anr3.12300","DOIUrl":"https://doi.org/10.1002/anr3.12300","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140952948","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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