Anaesthesiology intensive therapy最新文献_第10页

Massive saddle embolus following bilateral lung transplantation discovered with transesophageal echocardiogram. 经食道超声心动图发现双侧肺移植术后的大面积鞍状栓塞。

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.134222

Alex Bui, Jamal Hasoon, Sandeep Markan, Anvinh Nguyen

引用次数: 0

Clarification on viscosity vs. viscoelasticity 澄清粘度与粘弹性

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.132522

Marko Oydanich, Valerie Tutwiler, Rotem Naftalovich, Andrew Iskander

引用次数: 0

Effect of transversus abdominis plane block with or without buprenorphine after inguinal hernia surgery on postoperative pain. 腹股沟疝气手术后使用或不使用丁丙诺啡进行腹横肌平面阻滞对术后疼痛的影响。

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.132837

Nirvana Ahmed Elshalakany, Asmaa Mohamed Salah

{"title":"Effect of transversus abdominis plane block with or without buprenorphine after inguinal hernia surgery on postoperative pain.","authors":"Nirvana Ahmed Elshalakany, Asmaa Mohamed Salah","doi":"10.5114/ait.2023.132837","DOIUrl":"https://doi.org/10.5114/ait.2023.132837","url":null,"abstract":"Introduction: Transversus abdominis plane (TAP) has been mentioned as having bene-ficial effects on chronic pain after hernioplasty. This study assessed the effects of TAP block on acute and persistent postoperative pain after inguinal hernia surgery, with or without buprenorphine.Material and methods: 64 patients were allocated to group R ( n = 32) and received 20 mL of 0.25% ropivacaine for TAP block; group RB ( n = 32) received 20 mL of 0.25% ropivacaine containing 300 µg of buprenorphine for TAP block. The primary outcome was the analgesic and antihyperalgesic effect of buprenorphine. The duration of analgesia, analgesic consumption, postoperative pain scores at rest and sitting up to 48 hours, and the effect on wound hyperalgesia were evaluated. Secondary outcomes included the incidence of side effects and complications.Results: The median (IQR) duration of analgesia in group R was 386.5 (37.25) minutes vs. 868 (41.3) minutes in the RB group. Median pain scores on sitting were found to be significantly better in group RB than in group R at 6, 12, and 24 hours ( P < 0.001). The wound hyperalgesia index showed a significant difference between groups ( P < 0.001). The incidence of persistent postoperative pain was 6.25% in the R group, as compared to 0% in the RB group. Otherwise, the patients did not have any further complications associated with the block.Conclusions: The results demonstrated that TAP block with buprenorphine reduced acute postoperative pain severity, but we did not find a difference between groups in persistent pain.","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138797631","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

Cardiac tamponade and cardiogenic shock after central venous catheter cannulation. Analysis of a case. 中心静脉置管后心包填塞和心源性休克。案例分析。

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.126341

María Mora-Aznar

引用次数: 1

Ultrasound-guided fascia iliaca block versus quadratus lumborum block for perioperative analgesia in patients undergoing hip surgery. A randomised controlled trial. 超声引导髂筋膜阻滞与腰方肌阻滞用于髋关节手术患者围手术期镇痛。一项随机对照试验。

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.130643

Sameh Refaat, Mohamed M Ali, Ibrahim M E Elsherief, Marwa M Mohamed

{"title":"Ultrasound-guided fascia iliaca block versus quadratus lumborum block for perioperative analgesia in patients undergoing hip surgery. A randomised controlled trial.","authors":"Sameh Refaat, Mohamed M Ali, Ibrahim M E Elsherief, Marwa M Mohamed","doi":"10.5114/ait.2023.130643","DOIUrl":"https://doi.org/10.5114/ait.2023.130643","url":null,"abstract":"Background Femoral neck fractures are common orthopaedic fractures, especially in old age, and they represent a life-threatening condition requiring surgical intervention. In this study, we aimed to compare 2 regional techniques used to decrease perioperative pain. Methods In this parallel group randomized controlled clinical trial we enrolled 68 patients from both sexes scheduled for hip surgery after femoral neck fractures. The patients were randomly allocated to 2 equal groups with one receiving ultrasound- guided supra-inguinal fascia iliaca block (FIB) and the other receiving ultrasound- guided anterior quadratus lumborum block (QLB). Our primary outcome was the duration of postoperative analgesia. The secondary outcome was measuring the Visual Analog Scale (VAS) during patient positioning while applying the neuraxial block, the total analgesic requirement in the postoperative period, patient satisfaction in the postoperative period, and the frequency of adverse effects. Results The group receiving supra-inguinal FIB had a significantly longer time of postoperative analgesia 18 (4–24), compared to the group receiving anterior QLB 2 (1–24), P = 0.005. They consumed less morphine throughout 24 hours postoperatively, 5.3 ± 0.9 mg compared to 6.9 ± 1.87 mg (95% CI: 6.45–3.92, P = 0.008), and they showed less pain during positioning for spinal anaesthesia. Conclusions Supra-inguinal FIB provides prolonged postoperative analgesia compared to anterior QLB in patients undergoing hip surgery. It was associated with less pain during positioning in spinal anaesthesia and decreased total morphine consumption.","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/61/98/AIT-55-51279.PMC10496094.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41107052","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: 1

Postoperative rhabdomyolysis due to neuroleptic malignant syndrome associated with droperidol and metoclopramide. 与屈培利多和甲氧氯普胺有关的神经性恶性综合征导致的术后横纹肌溶解症。

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.132910

Guilherme di Camillo Orfali, Henrique Louzan Machado, Pamela Vieira Andrade, Joilson Moura Santos, Mary Santos Silva, José Luiz Gomes do Amaral, Helga Cristina Almeida da Silva

引用次数: 0

Reply to the Commentary on "An appraisal of neostigmine versus sugammadex for neuromuscular blockade reversal in patients with a prior heart transplant". 对“新斯的明与sugammadex对既往心脏移植患者肌松拮抗作用的评价”评论的回复。

IF 1.6

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.130640

Stephania Paredes, Vivian Hernandez Torres, Harold Chaves-Cardona, Steven Porter, Johnathan Ross Renew

引用次数: 0

Analgesic efficacy of two different volumes of local anaesthetics in ultrasound-guided modified approach to the thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: a randomized controlled trial. 腰椎手术患者在超声引导下胸腰椎筋膜间平面阻滞改良方法中两种不同容量局麻药的镇痛效果：随机对照试验。

IF 1.6

Anaesthesiology intensive therapy Pub Date : 2023-01-01 DOI: 10.5114/ait.2023.134196

Bassant Abdelhamid, Eslam Ayman, Tareq Nabil, Waleed Ibrahim Hamimy, Mohamed Abd El-Monem Morsy

{"title":"Analgesic efficacy of two different volumes of local anaesthetics in ultrasound-guided modified approach to the thoracolumbar interfascial plane block in patients undergoing lumbar spine surgeries: a randomized controlled trial.","authors":"Bassant Abdelhamid, Eslam Ayman, Tareq Nabil, Waleed Ibrahim Hamimy, Mohamed Abd El-Monem Morsy","doi":"10.5114/ait.2023.134196","DOIUrl":"10.5114/ait.2023.134196","url":null,"abstract":"Introduction: There is a lack of clarity regarding the ideal local anaesthetic volume for modified thoracolumbar interfascial plane (mTLIP) block. This study was designed to investigate the analgesic efficacy of two different volumes of bupivacaine 0.25% (20 mL, and 10 mL) for ultrasound-guided mTLIP block in patients undergoing lumbar spine surgeries.Material and methods: A total of 80 patients received single shot of bilateral mTLIP block at the mid- level of the operative intervention and were randomly allocated into one of the two groups to receive either 10 or 20 mL 0.25% bupivacaine on each side. Total morphine consumption in the first 24 hours postoperative was set as the primary outcome. Time to first rescue analgesia and Numeric Rating Scale (NRS) were set as secondary outcomes.Results: There was no significant difference in the primary outcome: 6.20 ± 2.18 mg (10 mL Group) vs. 5 ± 0.00 mg (20 mL Group), P = 0.056. The time of first request of rescue morphine was significantly shorter in 10 mL Group (7.80 ± 3.98 hours) as compared to the 20 mL Group (13.23 ± 3.00 hours), P < 0.001. NRS at rest and movement in all time measurements was significantly higher in 10 mL Group.Conclusions: Bilateral mTLIP block using 40 mL of 0.25% bupivacaine (20 mL on each side) increased the postoperative total analgesic duration for lumbar spine surgeries, and was associated with a lower postoperative pain scores compared to 20 mL of 0.25% bupivacaine (10 mL on each side).Clinical trial registration id: The study was registered at clinicaltrials.gov (ID: NCT05276908) before patient's enrolment.","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569577","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

Weaning patients off mechanical ventilation in a chronic ventilation facility – using a standardised approach 在慢性通气设施中使患者脱离机械通气-使用标准化方法

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2022-11-14 DOI: 10.5114/ait.2022.121006

P. V. van Heerden, Eleonora Krugman, Estelle Bouhnish

{"title":"Weaning patients off mechanical ventilation in a chronic ventilation facility – using a standardised approach","authors":"P. V. van Heerden, Eleonora Krugman, Estelle Bouhnish","doi":"10.5114/ait.2022.121006","DOIUrl":"https://doi.org/10.5114/ait.2022.121006","url":null,"abstract":"Background We describe the standardised management of patients in a chronic ventilation facility (CVF) and the rate of weaning of chronically ventilated patients off mechanical ventilation. This population of patients is transferred from acute care facilities where they have been deemed “non-weanable” and require prolonged ventilation. Methods Admissions to our CVF were audited over a period of 3 years. We collected demographic and outcome data as well as the patients’ length of stay and disposition. Weaning in our centre proceeds step-wise with a reduction in the adaptive support ventilation (ASV) minute ventilation target. Once the target reaches 50% of minute ventilation, spontaneous breathing trials are introduced and progressively lengthened until the patient is weaned. Results In total, 125 patients were admitted during the 3 years. 109 were not weaned, and 16 were weaned, i.e. 12.8% of patients were safely weaned off mechanical ventilation. Of the patients not weaned, the mortality rate was 34.8%, and 38.5% were discharged alive to either home or another facility. Conclusions Weaning chronically ventilated patients is possible without intensivists or respiratory therapists on staff when a standardised approach/manner is implemented. However, weaning success appears to be mainly related to patients’ co-morbidities.","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45839560","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

Effect of cannabis use on propofol requirement for ICU sedation 大麻使用对ICU镇静丙泊酚需求量的影响

IF 1.7

Anaesthesiology intensive therapy Pub Date : 2022-11-09 DOI: 10.5114/ait.2022.121002

Maryam Farasatinasab, Somayyeh Nasiripour, A. Aghabiklooei

引用次数: 0