Anaesthesia reports最新文献_第6页

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

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

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

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, A. Deasy, R. Linehan, E. P. O'Sullivan, 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

引用次数: 0

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

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, H. A. Iliff, B. Sharif, S. F. Bell, C. Oliver, L. de Lloyd, 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 < 7 at 1 and 5 min respectively. No neonates were recorded to have Apgar scores < 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

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, P.F. Fusco, S. Paventi, M. Tomei, S. Failli, F. Fabbri, 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