Anaesthesia reports最新文献_第7页

Follow-up to ‘Glycaemic management in a child with ornithine transcarbamylase deficiency undergoing cardiac surgery with hypothermic cardiopulmonary bypass’ 鸟氨酸转氨酶缺乏症患儿接受低体温心肺旁路心脏手术时的血糖管理 "的后续报道

Anaesthesia reports Pub Date : 2024-01-14 DOI: 10.1002/anr3.12277

Y. Yamauchi, T. Kojima

引用次数: 0

Pulmonary aspiration of gastric contents in two patients taking semaglutide for weight loss 两名服用塞马鲁肽减肥的患者出现胃内容物肺吸入现象

Anaesthesia reports Pub Date : 2024-01-14 DOI: 10.1002/anr3.12278

S. A. Avraham, J. Hossein, F. Somri, N. Hawash, O. Hochman

引用次数: 0

Dexmedetomidine sedation for radiological imaging in conjoined twins 右美托咪定镇静剂用于连体婴儿的放射成像检查

Anaesthesia reports Pub Date : 2024-01-11 DOI: 10.1002/anr3.12275

Z. Khan, F. Shamim, W. Ghaffar, F. Khan

引用次数: 0

Emergency front of neck access in the management of acute airway obstruction secondary to postoperative neck haematoma 在处理术后颈部血肿继发的急性气道阻塞时紧急从颈前入路

Anaesthesia reports Pub Date : 2024-01-11 DOI: 10.1002/anr3.12273

V. Penston, S. White, M. Safar, P. Groom

引用次数: 0

Carbetocin as a uterotonic in a parturient with a Fontan circulation 将卡贝缩宫素作为丰坦循环产妇的子宫收缩剂

Anaesthesia reports Pub Date : 2024-01-06 DOI: 10.1002/anr3.12272

F. Saadat, D. P. Dob, M. L. Cox, M. R. Johnson, M. A. Gatzoulis

引用次数: 0

The effect of a ‘Sip til Send’ policy on patient satisfaction: a quality improvement project 小酌怡情 "政策对患者满意度的影响：质量改进项目

Anaesthesia reports Pub Date : 2024-01-06 DOI: 10.1002/anr3.12271

M. D. Wiles, A. Macdonald

{"title":"The effect of a ‘Sip til Send’ policy on patient satisfaction: a quality improvement project","authors":"M. D. Wiles, A. Macdonald","doi":"10.1002/anr3.12271","DOIUrl":"https://doi.org/10.1002/anr3.12271","url":null,"abstract":"<p>Patients often are nil by mouth for prolonged periods pre-operatively, which is associated with adverse effects including discomfort, anxiety, thirst and nausea. As a result, several hospitals have introduced a more liberal regimen of pre-operative drinking, with patients encouraged to sip small volumes of water until transfer to the operating theatre (‘Sip til Send’). The impact of ‘Sip til Send’ on patient satisfaction is still to be determined. We hypothesised that the introduction of a ‘Sip til Send’ policy would increase patient's satisfaction with their pre-operative fluid management regimen. We conducted a staged implementation of a ‘Sip til Send’ quality improvement initiative in two campuses of a large tertiary teaching hospital. This involved a targeted education and implementation programme that was refined and delivered through ‘plan, do, study and act’ cycles. Patient satisfaction with their pre-operative fluid management was measured by rating the statement “I am happy with the management of pre-operative drinking”, against a five-point Likert scale (0, strongly disagree; 1, disagree; 2, neutral; 3, agree; and 4, strongly agree). Patient satisfaction with pre-operative fluid management was high at baseline, with pooled data for both campuses showing a median (IQR [range]) satisfaction score of 4 (3–4 [1–4]). After the implementation of ‘Sip til Send’, this improved to a median (IQR [range]) satisfaction score of 4 (4–4 [2–4]) (p < 0.001). The introduction of a ‘Sip til Send’ policy resulted in an increase in patient satisfaction. Key factors in successful implementation included the provision of a clear explanation of the underlying rationale to patients, nursing and anaesthetic staff, and establishing the policy as the default position for all elective patients.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139109794","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

Implementation of the American Society of Anesthesiologists 2022 paediatric guidelines in a child with mandibular metastasis 在一名下颌骨转移瘤患儿身上实施美国麻醉师协会 2022 年儿科指南

Anaesthesia reports Pub Date : 2024-01-06 DOI: 10.1002/anr3.12274

M. Larkins, J. Iasiello, K. Travia, M. Pasli, S. Cai, A. Hutton

{"title":"Implementation of the American Society of Anesthesiologists 2022 paediatric guidelines in a child with mandibular metastasis","authors":"M. Larkins, J. Iasiello, K. Travia, M. Pasli, S. Cai, A. Hutton","doi":"10.1002/anr3.12274","DOIUrl":"https://doi.org/10.1002/anr3.12274","url":null,"abstract":"<p>The 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway differ significantly from prior guidelines, particularly regarding paediatric patients. These guidelines place new emphasis on establishing a multidisciplinary team led by an anaesthetist trained in paediatric anaesthesia. Here, we demonstrate the clinical application of the new guidelines by presenting the case of a 16-month-old girl with a rapidly growing mandibular mass. The new guidelines stipulated the need for multidisciplinary team assembly; planning with indirect laryngoscopy; the availability of surgical tracheostomy and extracorporeal membrane oxygenation; and multiple ‘time out’ stops to confirm team members and plans. The patient tolerated induction of general anaesthesia and mask-ventilation and tracheal intubation was achieved uneventfully on the first attempt. Her trachea was extubated uneventfully 5 days later. We emphasise the importance of paediatric anaesthesia training and videolaryngoscopy and discuss components of the 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway with reference to a successful outcome in a paediatric difficult airway scenario.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139109793","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

Thrombolysis and mechanical cardiopulmonary resuscitation for pulmonary embolism complicated by hepatic and splenic lacerations resulting in major haemorrhage 溶栓和机械心肺复苏治疗肺栓塞并发肝脾撕裂导致大出血

Anaesthesia reports Pub Date : 2024-01-05 DOI: 10.1002/anr3.12270

L. Flower, P. Extremera-Navas, J. Mackenney

{"title":"Thrombolysis and mechanical cardiopulmonary resuscitation for pulmonary embolism complicated by hepatic and splenic lacerations resulting in major haemorrhage","authors":"L. Flower, P. Extremera-Navas, J. Mackenney","doi":"10.1002/anr3.12270","DOIUrl":"https://doi.org/10.1002/anr3.12270","url":null,"abstract":"<div>\u0000 \u0000 <p>Thrombolysis with prolonged cardiopulmonary resuscitation may be required for the successful resuscitation of patients presenting with massive pulmonary embolism leading to cardiac arrest. A rare, recognised complication of cardiopulmonary resuscitation is traumatic hepatic and splenic laceration. The incidence of complications is believed to be increased in those who receive automated mechanical cardiopulmonary resuscitation, compared to those who receive standard chest compressions. We present a case of a patient with massive pulmonary embolism leading to cardiac arrest which was successfully treated with thrombolysis and mechanical automated cardiopulmonary resuscitation. The patient suffered hepatic and splenic lacerations resulting in major haemorrhage. This required emergency resuscitation with blood products and splenic embolisation. This case highlights the importance of continual re-assessment of patients, the early recognition of complications and an awareness of the potential complications of treatments we deliver.</p>\u0000 </div>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139109976","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

Unilateral sacral erector spinae plane block for hip fracture surgery 髋部骨折手术中的单侧骶骨竖脊平面阻滞

Anaesthesia reports Pub Date : 2024-01-03 DOI: 10.1002/anr3.12269

F. Marrone, S. Paventi, M. Tomei, S. Failli, S. Crecco, C. Pullano

引用次数: 0

Relief of laryngospasm with gentle chest compressions during direct laryngotracheobronchoscopy 在进行直接喉气管支气管镜检查时，用轻柔的胸外按压缓解喉痉挛。

Anaesthesia reports Pub Date : 2023-12-22 DOI: 10.1002/anr3.12268

N. Wilson-Baig, R. Walker

引用次数: 0