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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
IF 0.8
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,&nbsp;P.F. Fusco,&nbsp;S. Paventi,&nbsp;M. Tomei,&nbsp;S. Failli,&nbsp;F. Fabbri,&nbsp;C. Pullano","doi":"10.1002/anr3.12294","DOIUrl":"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":0.8,"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
‘Pseudo-curare clefts’ secondary to an aneurysmal right pulmonary artery 继发于右肺动脉瘤的 "假性脐裂
IF 0.8
Anaesthesia reports Pub Date : 2024-04-27 DOI: 10.1002/anr3.12295
P. Bhaskar, N. Panidapu, D. Thomas, R. Varghese, B. Sen
{"title":"‘Pseudo-curare clefts’ secondary to an aneurysmal right pulmonary artery","authors":"P. Bhaskar,&nbsp;N. Panidapu,&nbsp;D. Thomas,&nbsp;R. Varghese,&nbsp;B. Sen","doi":"10.1002/anr3.12295","DOIUrl":"10.1002/anr3.12295","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140649523","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
Secondary haemophagocytic lymphohistiocytosis: time for a united approach to diagnosis and cytokine blockade 继发性嗜血细胞淋巴组织细胞增多症：统一诊断和细胞因子阻断方法的时机已到
IF 0.8
Anaesthesia reports Pub Date : 2024-04-22 DOI: 10.1002/anr3.12291
L. Flower, J. J. Manson
{"title":"Secondary haemophagocytic lymphohistiocytosis: time for a united approach to diagnosis and cytokine blockade","authors":"L. Flower,&nbsp;J. J. Manson","doi":"10.1002/anr3.12291","DOIUrl":"10.1002/anr3.12291","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633660","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
Airway management in a patient with Cockayne syndrome 科凯恩综合征患者的气道管理
IF 0.8
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,&nbsp;N. Wisely","doi":"10.1002/anr3.12292","DOIUrl":"10.1002/anr3.12292","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"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
IF 0.8
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":"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":0.8,"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
IF 0.8
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":"10.1002/anr3.12289","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"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
IF 0.8
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":"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":0.8,"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
IF 0.8
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":"10.1002/anr3.12288","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"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
IF 0.8
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":"10.1002/anr3.12286","url":null,"abstract":"","PeriodicalId":72186,"journal":{"name":"Anaesthesia reports","volume":"12 1","pages":""},"PeriodicalIF":0.8,"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
IF 0.8
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":"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":0.8,"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
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