Anaesthesia reports最新文献_第8页

Prehabilitation in the prison population 监狱服刑人员的康复训练

Anaesthesia reports Pub Date : 2024-02-15 DOI: 10.1002/anr3.12282

H. Tulloch, J. Clements, M. Shah

引用次数: 0

Post-transfusion purpura after cardiac surgery associated with veno-arterial extracorporeal membrane oxygenation* 心脏手术后与静脉-动脉体外膜氧合相关的输血后紫癜*

Anaesthesia reports Pub Date : 2024-01-31 DOI: 10.1002/anr3.12279

F. Lovisari, T. Gonzenbach, C. Hemmaway, D. Sadani, M. Hogan

引用次数: 0

Comment on ‘Potential interaction between exogenous anabolic steroids and sugammadex: failed reversal of rocuronium in a patient taking testosterone and trestolone acetate’ 就 "外源性合成代谢类固醇与舒格迈司之间的潜在相互作用：一名服用睾酮和醋酸曲托龙的患者逆转罗库溴铵失败 "发表评论

Anaesthesia reports Pub Date : 2024-01-20 DOI: 10.1002/anr3.12280

S. Stanley, J. Hansel

引用次数: 0

Anaesthetic management of a parturient with an unrepaired coronary arteriovenous fistula for caesarean section 对剖腹产冠状动静脉瘘未修复产妇的麻醉管理

Anaesthesia reports Pub Date : 2024-01-17 DOI: 10.1002/anr3.12276

E. King, S. Al-Nahdi, N. Ludwig

{"title":"Anaesthetic management of a parturient with an unrepaired coronary arteriovenous fistula for caesarean section","authors":"E. King, S. Al-Nahdi, N. Ludwig","doi":"10.1002/anr3.12276","DOIUrl":"https://doi.org/10.1002/anr3.12276","url":null,"abstract":"<p>Coronary arteriovenous fistulas are an abnormal conduit between a coronary artery and another cardiovascular lumen, without an intervening capillary bed. The reported prevalence is 0.002–0.3%. Physiologic consequences such as congestive heart failure, coronary steal phenomenon and fistula aneurysm formation and rupture are possible. There are limited reports of symptomatic coronary arteriovenous fistulas in association with pregnancy. We describe a 19-year-old woman with symptomatic left circumflex artery to coronary sinus fistula, terminating into a large exophytic varix in the right atrium, presenting for an elective caesarean section at 37 weeks gestational age. Our anaesthetic management strategy aimed to optimise myocardial perfusion, maintain euvolemia, avoid right ventricular obstruction from exophytic varix and avoid sympathetic stimulation or sudden increases in pulmonary vascular resistance. A slowly titrated epidural was used as the primary anaesthetic. Our patient tolerated the procedure well and was discharged home on postoperative day two. Understanding of the potential physiologic consequence of coronary arteriovenous fistulas, and interaction with the physiologic changes of pregnancy and delivery, are essential for the management of these cases.</p>","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/anr3.12276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480485","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

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