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Regional anaesthesia for major orthopaedic trauma surgery in patients with conservatively managed pneumothoraces 为保守治疗的气胸患者进行大型骨科创伤手术的区域麻醉
Anaesthesia reports Pub Date : 2024-05-10 DOI: 10.1002/anr3.12299
H. Yadav, S. Gera, L. Sehgal, V. Minhas
{"title":"Regional anaesthesia for major orthopaedic trauma surgery in patients with conservatively managed pneumothoraces","authors":"H. Yadav,&nbsp;S. Gera,&nbsp;L. Sehgal,&nbsp;V. Minhas","doi":"10.1002/anr3.12299","DOIUrl":"https://doi.org/10.1002/anr3.12299","url":null,"abstract":"<div>\u0000 \u0000 <p>The anaesthetic management of multiple traumatic injuries poses numerous challenges. In this report, we present the cases of two patients with polytrauma including pneumothoraces and multiple rib fractures. The first patient, a 39-year-old man, presented with multiple left upper limb fractures, multiple bilateral rib fractures, bilateral pneumothoraces and fractures of multiple facial and cranial bones. The second patient, a 39-year-old woman, presented with right-sided radial and ulnar fractures, a right-sided pelvic fracture, and multiple right-sided rib fractures with an associated pneumothorax. We used ultrasound-guided superficial cervical plexus, interscalene and supraclavicular blocks in the first case and a combined spinal and epidural after ultrasound-guided fascia iliaca and supraclavicular blocks in the second case. In both cases, the use of multiple regional techniques allowed us to avoid the risks of general anaesthesia in patients with conservatively managed pneumothoraces.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140907069","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
ObsTIVA-UK: a service evaluation of obstetric total intravenous anaesthesia in the United Kingdom ObsTIVA-UK：英国产科全静脉麻醉服务评估。
Anaesthesia reports Pub Date : 2024-05-08 DOI: 10.1002/anr3.12293
Y. Metodiev, H. A. Iliff, B. Sharif, S. F. Bell, C. Oliver, L. de Lloyd, ObsTIVA-UK Collaborators Group
{"title":"ObsTIVA-UK: a service evaluation of obstetric total intravenous anaesthesia in the United Kingdom","authors":"Y. Metodiev,&nbsp;H. A. Iliff,&nbsp;B. Sharif,&nbsp;S. F. Bell,&nbsp;C. Oliver,&nbsp;L. de Lloyd,&nbsp;ObsTIVA-UK Collaborators Group","doi":"10.1002/anr3.12293","DOIUrl":"10.1002/anr3.12293","url":null,"abstract":"<p>We conducted a prospective observational service evaluation across the United Kingdom on the use of total intravenous anaesthesia (TIVA) for obstetric surgery between November 2022 and June 2023. The primary aim was to describe the incidence of TIVA for obstetric surgery within participating units, with secondary aims to describe maternal and neonatal postoperative recovery indicators. Of 184 maternity units in the United Kingdom, 30 (16%) contributed data to the service evaluation. There were 104 patients who underwent caesarean delivery under TIVA and 19 patients had TIVA for other reasons. Infusions of propofol and remifentanil were used in 100% and 84% of cases, respectively. Fifty-nine out of 103 live neonates (57%) required some form of respiratory support. Of the neonates with recorded data, 73% and 17% had Apgar scores &lt; 7 at 1 and 5 min respectively. No neonates were recorded to have Apgar scores &lt; 7 at 10 min. Further prospective research is required to investigate the impact of obstetric TIVA on maternal and neonatal outcomes and inform best practice recommendations.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891363","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 management and analgesic strategy for a patient undergoing quadruple limb amputation 四肢截肢患者的围手术期管理和镇痛策略
Anaesthesia reports Pub Date : 2024-05-01 DOI: 10.1002/anr3.12296
L. Fenton-May, M. Irvine, D. Huckle, P. Carter
{"title":"Peri-operative management and analgesic strategy for a patient undergoing quadruple limb amputation","authors":"L. Fenton-May,&nbsp;M. Irvine,&nbsp;D. Huckle,&nbsp;P. Carter","doi":"10.1002/anr3.12296","DOIUrl":"https://doi.org/10.1002/anr3.12296","url":null,"abstract":"<p>Inadequately managed amputation pain can contribute to postoperative morbidity and mortality. However, amputation pain can be challenging to manage due to its complex nature, with both central and peripheral nociceptive and neuropathic elements. Here, we present the case of a 47-year old man who developed irreversible ischaemic injuries to all four limbs following admission to intensive care with sepsis. He required quadruple amputation and we describe our approach to his peri-operative management including anaesthesia, invasive monitoring and the multi-modal approach to his peri-operative management using a combination of intravenous analgesics, bilateral brachial plexus nerve catheters and a combined spinal and epidural. The patient made a good recovery and was able to return home from a rehabilitation facility 12 months after the operation, able to undertake many tasks himself with the aid of prosthetics.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818848","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 thoracic erector spinae plane and inter-transverse plane blocks for awake breast surgery 用于清醒乳房手术的胸椎竖脊平面和横椎间平面联合阻滞
Anaesthesia reports Pub Date : 2024-05-01 DOI: 10.1002/anr3.12294
F. Marrone, P.F. Fusco, S. Paventi, M. Tomei, S. Failli, F. Fabbri, C. Pullano
{"title":"Combined thoracic erector spinae plane and inter-transverse plane blocks for awake breast surgery","authors":"F. Marrone,&nbsp;P.F. Fusco,&nbsp;S. Paventi,&nbsp;M. Tomei,&nbsp;S. Failli,&nbsp;F. Fabbri,&nbsp;C. Pullano","doi":"10.1002/anr3.12294","DOIUrl":"https://doi.org/10.1002/anr3.12294","url":null,"abstract":"<div>\u0000 \u0000 <p>Worldwide, breast cancer is the most commonly diagnosed cancer in women. Surgical procedures are typically performed using general anaesthesia, often complemented by regional anaesthesia to manage postoperative pain. However, avoidance of general anaesthesia for breast surgery may be desirable for clinical reasons or patient choice. It is theorised that the use of regional anaesthesia and the avoidance of volatile anaesthetics and opioid analgesia may have beneficial effects on oncological outcomes, and there is some evidence to support this. While many patients successfully undergo awake breast surgery, a limited number of anaesthetists possess direct experience of this approach, despite familiarity with regional anaesthesia techniques. Undertaking regional anaesthesia for awake breast surgery requires patient cooperation and excellent staff teamwork. Here, we present a case of a patient who underwent awake bilateral mastectomy with reconstruction. This was carried out under two ‘paravertebral-by-proxy’ blocks: the thoracic erector spinae plane and inter-transverse plane blocks, with intravenous sedation.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140818849","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
‘Pseudo-curare clefts’ secondary to an aneurysmal right pulmonary artery 继发于右肺动脉瘤的 "假性脐裂
Anaesthesia reports Pub Date : 2024-04-27 DOI: 10.1002/anr3.12295
P. Bhaskar, N. Panidapu, D. Thomas, R. Varghese, B. Sen
{"title":"‘Pseudo-curare clefts’ secondary to an aneurysmal right pulmonary artery","authors":"P. Bhaskar,&nbsp;N. Panidapu,&nbsp;D. Thomas,&nbsp;R. Varghese,&nbsp;B. Sen","doi":"10.1002/anr3.12295","DOIUrl":"https://doi.org/10.1002/anr3.12295","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140649523","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
Secondary haemophagocytic lymphohistiocytosis: time for a united approach to diagnosis and cytokine blockade 继发性嗜血细胞淋巴组织细胞增多症：统一诊断和细胞因子阻断方法的时机已到
Anaesthesia reports Pub Date : 2024-04-22 DOI: 10.1002/anr3.12291
L. Flower, J. J. Manson
{"title":"Secondary haemophagocytic lymphohistiocytosis: time for a united approach to diagnosis and cytokine blockade","authors":"L. Flower,&nbsp;J. J. Manson","doi":"10.1002/anr3.12291","DOIUrl":"https://doi.org/10.1002/anr3.12291","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633660","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 management in a patient with Cockayne syndrome 科凯恩综合征患者的气道管理
Anaesthesia reports Pub Date : 2024-04-19 DOI: 10.1002/anr3.12292
D. Aldridge, N. Wisely
{"title":"Airway management in a patient with Cockayne syndrome","authors":"D. Aldridge,&nbsp;N. Wisely","doi":"10.1002/anr3.12292","DOIUrl":"https://doi.org/10.1002/anr3.12292","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140621333","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 application of three-dimensional printing in the management of a difficult airway due to Treacher Collins syndrome 三维打印在特雷撤-科林斯综合征困难气道管理中的应用
Anaesthesia reports Pub Date : 2024-04-18 DOI: 10.1002/anr3.12290
M. Trincado Cobos, B. Tapia Salinas, A. Gutiérrez Venturini, I. Aragón Niño, J. L. Del Castillo Pardo de Vera, J. L. Cebrián Carretero, R. Uña Orejón
{"title":"The application of three-dimensional printing in the management of a difficult airway due to Treacher Collins syndrome","authors":"M. Trincado Cobos,&nbsp;B. Tapia Salinas,&nbsp;A. Gutiérrez Venturini,&nbsp;I. Aragón Niño,&nbsp;J. L. Del Castillo Pardo de Vera,&nbsp;J. L. Cebrián Carretero,&nbsp;R. Uña Orejón","doi":"10.1002/anr3.12290","DOIUrl":"https://doi.org/10.1002/anr3.12290","url":null,"abstract":"<div>\u0000 \u0000 <p>We describe the use of three-dimensional printing to create precise airway models for a patient with Treacher Collins syndrome who presented for bimaxillary temporomandibular joint prostheses, and for whom airway management was predicted to be difficult. The model was based on pre-operative cone beam computed tomography images and printed in the 3D Lab of Hospital Universitario La Paz. Transparent models allowed clear visualisation for simulation and iterative refinement of airway management techniques and aided in risk assessment and instrument sizing. This case report emphasises the utility of this approach in complex airway scenarios.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140619732","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
Uvular necrosis: a rare complication of airway management 咽鼓管坏死：气道管理的罕见并发症
Anaesthesia reports Pub Date : 2024-04-12 DOI: 10.1002/anr3.12289
V. Singh, M. Dickfos
{"title":"Uvular necrosis: a rare complication of airway management","authors":"V. Singh,&nbsp;M. Dickfos","doi":"10.1002/anr3.12289","DOIUrl":"https://doi.org/10.1002/anr3.12289","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140550189","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 records: an evaluation of variation across England 麻醉记录：对英格兰各地差异的评估
Anaesthesia reports Pub Date : 2024-03-25 DOI: 10.1002/anr3.12287
R. Fenton, C. Thompson, S. Drake, L. Foley, T. M. Cook
{"title":"Anaesthetic records: an evaluation of variation across England","authors":"R. Fenton,&nbsp;C. Thompson,&nbsp;S. Drake,&nbsp;L. Foley,&nbsp;T. M. Cook","doi":"10.1002/anr3.12287","DOIUrl":"https://doi.org/10.1002/anr3.12287","url":null,"abstract":"<div>\u0000 \u0000 <p>We collected blank non-specialist anaesthetic records from 71 National Health Service Trusts in England. A data set was established by collating all data items found in an initial tranche of 28 records. All 71 records were subsequently analysed for each data item in this data set. We found significant variation: the most populated record included 216 data items and the least included 38 data items: a greater than five-fold variation. There was significant variation in the inclusion of data items commonly considered important to patient safety; 42% of records omitted documentation of fasting status, 72% omitted documentation of a discussion around the risk of accidental awareness during general anaesthesia, 92% omitted documentation of quantitative neuromuscular blockade monitoring and 63% omitted documentation for ‘Stop Before You Block’ when performing regional anaesthesia. The study highlights significant variability in the composition of anaesthetic records across England which may impact on its value as a data repository, an action trigger, a medicolegal account, and a tool to facilitate safe handover. Standardisation of the anaesthetic record or the establishment of standards of recording would help to allay potential risks to patient safety and assist in guiding future procurement of electronic solutions for anaesthetic records.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140291383","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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