Anaesthesia reports最新文献_第7页

IF 0.8

Anaesthesia reports Pub Date : 2026-02-22

引用次数: 0

A low-cost ultrasound phantom for teaching fascial plane blocks, with integrated electrical and haptic feedback 一种低成本的超声模体，用于教学筋膜平面块，具有集成的电和触觉反馈。

IF 0.8

Anaesthesia reports Pub Date : 2026-02-22 DOI: 10.1002/anr3.70054

J. R. Paulin, J. Chin

引用次数: 0

IF 0.8

Anaesthesia reports Pub Date : 2026-02-19

引用次数: 0

Consequences of spine imaging associated with guideline non-adherence in a pregnant patient with hereditary haemorrhagic telangiectasia 遗传性出血性毛细血管扩张孕妇脊柱影像学与指南不依从的后果。

IF 0.8

Anaesthesia reports Pub Date : 2026-02-19 DOI: 10.1002/anr3.70052

V. Pinkert, A. Molitor, P. K. Rao, B. M. Togioka

{"title":"Consequences of spine imaging associated with guideline non-adherence in a pregnant patient with hereditary haemorrhagic telangiectasia","authors":"V. Pinkert, A. Molitor, P. K. Rao, B. M. Togioka","doi":"10.1002/anr3.70052","DOIUrl":"10.1002/anr3.70052","url":null,"abstract":"<p>A pregnant woman with hereditary haemorrhagic telangiectasia was referred to the obstetric anaesthetic team to determine the safety of neuraxial labour analgesia. International guidelines state that the risk of complications from spinal vascular malformations during neuraxial procedures is theoretical and recommend against routine imaging of the epidural space in asymptomatic patients. Despite this, magnetic resonance imaging was obtained to provide patient reassurance. Supine imaging was interpreted as showing an epidural arteriovenous malformation. A repeat scan in the lateral position demonstrated resolution of the apparent lesion, consistent with dynamic pregnancy-related engorgement of the epidural venous plexus due to inferior vena cava compression rather than true malformation. The initial interpretation led to the patient being incorrectly informed that neuraxial analgesia or anaesthesia were contraindicated, resulting in delayed epidural placement, inadequate labour analgesia and considerable anxiety. She ultimately received combined spinal-epidural analgesia, underwent urgent caesarean birth and recovered fully after transient postpartum femoral neuropathy; a third magnetic resonance imaging scan confirmed the absence of epidural haematoma. This case illustrates that non-adherence to guidelines and unnecessary imaging can create diagnostic confusion, delay effective treatment and expose patients to avoidable distress and additional investigations.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"14 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12917851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273191","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

Anaesthetic considerations for a patient with Emery–Dreifuss muscular dystrophy undergoing cardiac resynchronisation therapy with pacemaker implantation Emery-Dreifuss肌营养不良患者接受心脏再同步治疗并植入起搏器的麻醉考虑。

IF 0.8

Anaesthesia reports Pub Date : 2026-02-18 DOI: 10.1002/anr3.70053

B. S. M. Ng, E. Lim, K. Valchanov

{"title":"Anaesthetic considerations for a patient with Emery–Dreifuss muscular dystrophy undergoing cardiac resynchronisation therapy with pacemaker implantation","authors":"B. S. M. Ng, E. Lim, K. Valchanov","doi":"10.1002/anr3.70053","DOIUrl":"10.1002/anr3.70053","url":null,"abstract":"<div>\u0000 \u0000 <p>Emery–Dreifuss muscular dystrophy is a rare inherited neuromuscular disorder characterised by early joint contractures, slowly progressive humero-peroneal weakness and cardiac conduction defects or cardiomyopathy. Although contractures and weakness usually begin in childhood, cardiac complications, such as atrioventricular block, arrhythmias and dilated cardiomyopathy, typically emerge in early adulthood and may cause sudden cardiac death, if unrecognised. Anaesthetic management is challenging due to potential airway complications from cervical contractures, restrictive respiratory physiology and cardiac instability. Pre-operative cardiac and pulmonary assessment is essential. Depolarising neuromuscular blocking agents and volatile anaesthetics are not absolutely contraindicated but are preferably avoided due to the risk of rhabdomyolysis or malignant hyperthermia-like reactions. Total intravenous anaesthesia is preferred to minimise these risks. We report a 27-year-old man with genetically confirmed Emery–Dreifuss muscular dystrophy and severe multisystem involvement who underwent cardiac resynchronisation therapy pacemaker implantation under total intravenous anaesthetic technique with rocuronium and reversal with sugammadex. Anaesthetic management focused on malignant hyperthermia precautions, airway preparation for limited cervical mobility and minimising arrhythmia risk with readiness for external cardiac pacing. The procedure and recovery were uneventful, demonstrating that the total intravenous anaesthetic technique can be an effective technique for patients with Emery–Dreifuss muscular dystrophy undergoing device implantation.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"14 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230091","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

IF 0.8

Anaesthesia reports Pub Date : 2026-02-18

引用次数: 0

IF 0.8

Anaesthesia reports Pub Date : 2026-02-13

引用次数: 0

Improving decision-to-delivery interval for category 1 emergency caesarean births in a tertiary hospital 改善三级医院第一类急诊剖腹产的决策至分娩间隔。

IF 0.8

Anaesthesia reports Pub Date : 2026-02-13 DOI: 10.1002/anr3.70051

V. W. L. Ang, D. Y. Chee, S. H. Yap, W. J. Liew, W. K. Lau

{"title":"Improving decision-to-delivery interval for category 1 emergency caesarean births in a tertiary hospital","authors":"V. W. L. Ang, D. Y. Chee, S. H. Yap, W. J. Liew, W. K. Lau","doi":"10.1002/anr3.70051","DOIUrl":"10.1002/anr3.70051","url":null,"abstract":"<div>\u0000 \u0000 <p>Timely emergency caesarean birth is critical to maternal and neonatal outcomes. International guidance recommends a decision-to-delivery interval of within 30 min for category 1 cases, yet achieving this target is challenging in hospitals without dedicated obstetric theatres. At our institution, where emergency obstetric cases share operating theatres with other surgical specialities, local audit demonstrated inconsistent compliance with the 30-min standard. A multidisciplinary quality improvement project was undertaken using sequential plan-do-study-act cycles. Interventions focused on reinforcing appropriate categorisation, improving anaesthetists' awareness of decision-to-delivery interval expectations and introducing standardised workflow posters to support activation and escalation during emergencies. The primary outcome was the proportion of category 1 emergency caesarean births with a decision-to-delivery interval within 30 min, assessed using run-chart methodology. Following implementation, performance improved and was sustained above the institutional target of over 90% compliance with the decision-to-delivery interval within 30 min for category 1 caesarean births over a 12-month period. No maternal or neonatal adverse events or unintended theatre workflow disruptions were observed. This project demonstrates that low-cost, system-focused interventions can improve emergency obstetric timeliness in shared theatre environments and may be transferable to similar settings.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"14 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203907","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

Ultralow concentration levobupivacaine 0.0625% for continuous wound infusion after open abdominal surgery: a prospective observational study 超低浓度左布比卡因0.0625%用于腹部开放性手术后伤口持续输注：一项前瞻性观察研究。

IF 0.8

Anaesthesia reports Pub Date : 2026-01-23 DOI: 10.1002/anr3.70050

D. Zamudio, L. Gisbert, G. Egea, V. Heras, R. Real

引用次数: 0

IF 0.8

Anaesthesia reports Pub Date : 2026-01-23

引用次数: 0