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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, 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
Central venous catheter placement in a patient with persistent left superior vena cava 为一名左上腔静脉顽固患者置入中心静脉导管
Anaesthesia reports Pub Date : 2024-03-15 DOI: 10.1002/anr3.12288
A. R. Karthik, K. Murugesan, N. Srinivasaraghavan, D. Kumar
{"title":"Central venous catheter placement in a patient with persistent left superior vena cava","authors":"A. R. Karthik,&nbsp;K. Murugesan,&nbsp;N. Srinivasaraghavan,&nbsp;D. Kumar","doi":"10.1002/anr3.12288","DOIUrl":"https://doi.org/10.1002/anr3.12288","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140139169","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
Fluoroscopy to confirm transforaminal exit of an epidural catheter 通过透视检查确认硬膜外导管的经椎管出口
Anaesthesia reports Pub Date : 2024-03-11 DOI: 10.1002/anr3.12286
N. Jyotsna, S. Nelluri, R. Sripriya, M. Tripathi
{"title":"Fluoroscopy to confirm transforaminal exit of an epidural catheter","authors":"N. Jyotsna,&nbsp;S. Nelluri,&nbsp;R. Sripriya,&nbsp;M. Tripathi","doi":"10.1002/anr3.12286","DOIUrl":"https://doi.org/10.1002/anr3.12286","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140104333","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
Management of acute airway compromise secondary to cricoid chondroma 处理环状软骨瘤继发的急性气道损伤
Anaesthesia reports Pub Date : 2024-03-07 DOI: 10.1002/anr3.12281
A. Song, M. B. Shahid
{"title":"Management of acute airway compromise secondary to cricoid chondroma","authors":"A. Song,&nbsp;M. B. Shahid","doi":"10.1002/anr3.12281","DOIUrl":"https://doi.org/10.1002/anr3.12281","url":null,"abstract":"<div>\u0000 \u0000 <p>The presentation of acute and rapidly deteriorating airway pathology can be a highly challenging situation for any hospital team. Cricoid chondromas are a challenging and potentially unfamiliar airway pathology requiring the combined expertise of anaesthetists, ear, nose and throat surgeons and a wider peri-operative team familiar with managing airway emergencies. Airway lesions which cause rigid and fixed stenosis require careful management and present additional challenges compared to soft tissue lesions. An important consideration in fixed airway stenosis is the external diameter of tracheal tubes compared to the diameter of the airway at its narrowest point. These are challenging cases to manage and a multi-disciplinary approach to the safe management of unfamiliar and critical airway pathology should be adopted.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053244","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
Dexmedetomidine target controlled infusion for awake craniotomy† 用于清醒开颅手术的右美托咪定目标控制输注†。
Anaesthesia reports Pub Date : 2024-03-07 DOI: 10.1002/anr3.12283
A. Al-Attar, M. Back, J. Sebastian
{"title":"Dexmedetomidine target controlled infusion for awake craniotomy†","authors":"A. Al-Attar,&nbsp;M. Back,&nbsp;J. Sebastian","doi":"10.1002/anr3.12283","DOIUrl":"https://doi.org/10.1002/anr3.12283","url":null,"abstract":"<div>\u0000 \u0000 <p>A 73-year-old woman underwent an awake craniotomy for the resection of a supratentorial brain tumour. We provided sedation for the surgery using a dexmedetomidine target controlled infusion using the Dyck pharmacokinetic model. Using a target controlled infusion allowed more rapid titration to the desired plasma level compared with a manual infusion, without any unexpected cardiovascular, respiratory or other complications. Rapid titration of sedation during awake craniotomy is desirable, allowing deeper sedation during stimulating parts of the surgery, followed by lighter sedation – or absence of sedation – during cortical mapping. While this can be performed manually, we found utilising the Dyck model in this case simple and quick to use, avoiding the need to manually calculate infusion rates. We believe this is the first report of using a target controlled infusion model to administer dexmedetomidine for awake craniotomy, and suggest it could be considered as an alternative to administering a manual infusion.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053245","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
Liposomal bupivacaine for ultrasound-guided rectus sheath blocks after midline laparotomy 用于中线开腹手术后超声引导直肠鞘阻滞的脂质体布比卡因
Anaesthesia reports Pub Date : 2024-03-07 DOI: 10.1002/anr3.12284
M. S. Vereen, F. Harms, R. J. Stolker, M. Dirckx
{"title":"Liposomal bupivacaine for ultrasound-guided rectus sheath blocks after midline laparotomy","authors":"M. S. Vereen,&nbsp;F. Harms,&nbsp;R. J. Stolker,&nbsp;M. Dirckx","doi":"10.1002/anr3.12284","DOIUrl":"https://doi.org/10.1002/anr3.12284","url":null,"abstract":"<p>Optimal pain management after open abdominal surgery is essential but can be difficult to achieve. The effects of inadequate analgesia go beyond the first few postoperative days; severe acute postoperative pain may contribute to the development of chronic postsurgical pain. Thoracic epidural analgesia is a traditional approach to the management of acute pain after open abdominal surgery but has multiple possible contraindications and can be technically challenging. In our hospital, we typically offer ultrasound-guided rectus sheath blocks with catheters when epidural analgesia is not feasible. However, the recent registration of long-acting liposomal bupivacaine in the Netherlands as well as logistical and equipment-related issues have led us to consider liposomal bupivacaine as an alternative to the use of catheters. Here, we present a short case series to describe our first clinical experiences with the use of liposomal bupivacaine in ultrasound-guided rectus sheath blocks after midline laparotomy for three patients in whom epidural insertion was contraindicated.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053246","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 novel association of Legionella pneumophila-induced haemophagocytic lymphohistiocytosis and the ‘atoll’ sign 嗜肺军团菌诱发的嗜血细胞淋巴组织细胞增多症与 "环礁 "征的新关联
Anaesthesia reports Pub Date : 2024-03-06 DOI: 10.1002/anr3.12285
A. Sotiriou, N. Sivarasan, G. Glover, R. Lewis, S. Agarwal, B. Lams
{"title":"A novel association of Legionella pneumophila-induced haemophagocytic lymphohistiocytosis and the ‘atoll’ sign","authors":"A. Sotiriou,&nbsp;N. Sivarasan,&nbsp;G. Glover,&nbsp;R. Lewis,&nbsp;S. Agarwal,&nbsp;B. Lams","doi":"10.1002/anr3.12285","DOIUrl":"https://doi.org/10.1002/anr3.12285","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140043033","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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