Annals of Cardiac Anaesthesia最新文献_第4页

Palpation versus Ultrasound-Guided Dynamic Needle Tip Positioning Technique for Radial Artery Cannulation. 触诊与超声引导下动态针尖定位技术在桡动脉插管中的应用。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_209_24

Sujan Dhakal, Gentle S Shrestha, Ritesh Lamsal, Priska Bastola, Elija Gautam, Anil Shrestha

{"title":"Palpation versus Ultrasound-Guided Dynamic Needle Tip Positioning Technique for Radial Artery Cannulation.","authors":"Sujan Dhakal, Gentle S Shrestha, Ritesh Lamsal, Priska Bastola, Elija Gautam, Anil Shrestha","doi":"10.4103/aca.aca_209_24","DOIUrl":"10.4103/aca.aca_209_24","url":null,"abstract":"Introduction: Invasive blood pressure monitoring is the clinical reference during perioperative patient management. It is usually performed by cannulating the radial artery. Different clinical conditions make arterial cannulation difficult using the conventional palpation (CP) method. This study compares the ultrasonography (USG)-guided dynamic needle tip positioning (DNTP) technique with the CP method to assess the first-pass success rate of radial artery cannulation.Methods: In the operation theater of a university hospital, a total of 52 adult patients requiring arterial cannulation were randomized into two equal groups. Arterial cannulation was performed using the CP method in one group and the ultrasound-guided DNTP method in the other group. The first-pass success rate was the primary objective. The 5-minute success rate, the time required for successful cannulation, the number of skin punctures, and the number of cannulae used were also compared using the Chi-square test, an independent sample t-test, and the Mann-Whitney U test.Results: The first-pass success rate was significantly higher in the USG-guided DNTP method (88.5%) compared to the CP method (46.2%) (P 0.001). The overall 5-minute success rate was 96.2% in the USG-guided DNTP and 65.4% (P 0.005) in the CP method. The median time for successful cannulation was significantly lesser in the USG-guided DNTP group [44 s (IQR: 35-72)] compared to the CP group [134 s (IQR: 28-378)] (P 0.007). The mean number of skin punctures in the USG-guided DNTP group was 1.15 ± 0.46 and 2.04 ± 1.18 in the CP group (P 0.001).Conclusion: USG-guided DNTP method of radial artery cannulation increased the first-pass success rate.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 3","pages":"248-254"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590307","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

The Effect of Continuous Magnesium Infusion to Prevent Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting. 持续输注镁预防非体外循环冠状动脉搭桥术患者术后房颤的作用。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_238_24

Robin George, Nisha Rajmohan, Rolita Prathima Lobo, Suresh Gangadharan Nair, J Lekshmipriya Govind, Lakshmi Priya Menon

{"title":"The Effect of Continuous Magnesium Infusion to Prevent Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting.","authors":"Robin George, Nisha Rajmohan, Rolita Prathima Lobo, Suresh Gangadharan Nair, J Lekshmipriya Govind, Lakshmi Priya Menon","doi":"10.4103/aca.aca_238_24","DOIUrl":"10.4103/aca.aca_238_24","url":null,"abstract":"Introduction: Postoperative atrial fibrillation (POAF), which occurs in almost 20-40% of cardiac surgeries, is associated with life-threatening complications. Serum hypomagnesemia, a frequent finding after cardiac surgeries, is a predictor for POAF. In this study, we investigated the effect of continuous magnesium infusion to prevent POAF in patients undergoing off-pump coronary artery bypass grafting (OP-CABG).Materials and methods: A prospective, randomized controlled study was conducted on 110 patients undergoing OP-CABG. Patients were classified into two groups after reaching the intensive care unit (ICU). Group M was started on magnesium (Mg) infusion at 750 mg/h for 3 days after an initial bolus dose of 1.5 g of magnesium sulfate, to target a serum magnesium level of 1.5 to 2 mmol/L. The control group (Group C) did not receive any infusion. The incidence of POAF, magnesium values, duration of ICU stay, number of patients who required pharmacotherapy and cardioversion, and maximum vasoactive-inotropic score (VIS max) were recorded. A P <.05 was taken as statistically significant.Results: 104 patients were analyzed. The incidence of POAF (19.2% vs 1.9%, P = .008) and the number of patients requiring pharmacotherapy other than magnesium (15.4% vs 1.9%, P = .0310) were significantly higher in group C. Mean of peak magnesium values (1.624 ± 0.136 vs 0.710 ± 0.147, P < .001) was significantly higher in Group M. The number of patients requiring cardioversion (P = .618), duration of ICU stay (P = .121), and the VIS max (P = .360) were not significantly different between groups.Conclusion: Postoperative continuous magnesium infusion after a bolus was effective in preventing POAF in patients undergoing OP-CABG by maintaining serum magnesium levels (1.5-2 mmol/).","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 3","pages":"273-279"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590313","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

Schematic Clock Diagram to Assess Mitral Paravalvular Leak by 2D TEE. 二维TEE评估二尖瓣旁漏的时序图。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_3_25

Mohit Prakash, Suruchi Hasija

引用次数: 0

Embracing the 'NORCA' Revolution: From Operating Room 'Marathon' to Cathlab 'Sprints'. 拥抱“NORCA”革命：从手术室“马拉松”到Cathlab“冲刺”。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_153_25

Devarakonda V Bhargava, Mukul Kapoor

引用次数: 0

Intraoperative Course of Left Ventricular Diastolic Strain in Surgical Valve Replacement for Severe Aortic Valve Stenosis. 重度主动脉瓣狭窄手术置换术中左室舒张应变的过程。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_246_24

Katharina Seuthe, Eva Gerwin, Parwis Rahmanian, Bernd W Böttiger, Deepak Borde, Jakob Labus

{"title":"Intraoperative Course of Left Ventricular Diastolic Strain in Surgical Valve Replacement for Severe Aortic Valve Stenosis.","authors":"Katharina Seuthe, Eva Gerwin, Parwis Rahmanian, Bernd W Böttiger, Deepak Borde, Jakob Labus","doi":"10.4103/aca.aca_246_24","DOIUrl":"10.4103/aca.aca_246_24","url":null,"abstract":"Purpose: Assessment of LV diastolic dysfunction (LVDD) poses challenges due to the dynamic changes of loading conditions in the perioperative course. Diastolic strain-based measures showed to be less load dependent, but data in aortic valve replacement (AVR) surgery remains sparse to date. Therefore, we aimed to explore the feasibility to assess these measurements and to describe the intraoperative course in this patient population.Methods: Prospective observational study including 30 adult patients. Intraoperative transesophageal echocardiography (TEE) was performed after induction of anesthesia [T1], after termination of cardiopulmonary bypass [T2], and after sternal closure [T3]. TEE assessment included the evaluation of peak longitudinal strain rate during isovolumetric relaxation (SR-IVR), early (SR-E) and late (SR-A) LV filling, as well as of conventional echocardiographic measurements and LVDD grading algorithms.Results: Diastolic strain analysis was feasible in 27 (90%) AVR patients at all time points of assessment. LV diastolic strain improved significantly after AVR [T1 vs T3] as measured by SR-IVR (0.31 s-1 (IQR 0.22; 0.38) vs. 0.4 s-1 (IQR 0.33; 0.43); P = 0.01), SR-E (1.13 s-1 (IQR 0.89;1.28) vs. 1.35 s-1 (IQR 1.10;1.52); P = 0.035), and E/SR-IVR (2.2 m (IQR 1.7;2.8) vs. 1.6 m (IQR 1.3;2.2); P = 0.013). In contrast, conventional echocardiographic measurements and grading algorithms were not able to detect these changes in the same period.Conclusion: Assessment of LV diastolic strain was feasible in our group of selected AVR patients. LV relaxation and filling improved during the intraoperative course of AVR as measured by diastolic strain, while most conventional grading algorithms were not able to detect these alterations.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 3","pages":"264-272"},"PeriodicalIF":1.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590300","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

Multimodal Analgesia in Cardiothoracic Procedure: Opioid and Non-opioid Pharmacology for Pain Management: Part 1. 心胸手术中的多模式镇痛：阿片类药物和非阿片类药物治疗疼痛：第1部分。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_215_24

Himani V Bhatt, Dhruv Patel, Dillon Rogando, Jordan Abrams, Ali Shariat

引用次数: 0

Comment on: "Assessment of Right Ventricle Function in Patients with Mitral Repair: Case Series". 评论：“二尖瓣修复患者右心室功能评估：病例系列”。

IF 1.3

Annals of Cardiac Anaesthesia Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.4103/aca.aca_20_25

Rohan Magoon, Brajesh Kaushal

引用次数: 0

Innovative Use of Pulmonary Artery (PA) Catheter for Lung Isolation in a Pediatric Patient: A Case Report. 肺动脉（PA）导管在儿科患者肺隔离中的创新应用：1例报告。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI: 10.4103/aca.aca_191_24

Vijaya Kumara

引用次数: 0

Effect of Transesophageal Echocardiography Probe Insertion on Endotracheal Tube Cuff Pressure in Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery. A Prospective Randomized Control Trial. 经食管超声心动图探头插入对冠状动脉搭桥术（CABG）患者气管内插管袖压的影响。一项前瞻性随机对照试验。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI: 10.4103/aca.aca_175_24

A Kireeti, Ravikanth Pula, T Nagarjuna, T Rabbani, R Gopinath

{"title":"Effect of Transesophageal Echocardiography Probe Insertion on Endotracheal Tube Cuff Pressure in Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery. A Prospective Randomized Control Trial.","authors":"A Kireeti, Ravikanth Pula, T Nagarjuna, T Rabbani, R Gopinath","doi":"10.4103/aca.aca_175_24","DOIUrl":"https://doi.org/10.4103/aca.aca_175_24","url":null,"abstract":"Introduction: Elevated endotracheal tube (ETT) cuff pressures during surgery can lead to tracheal ischemia and airway complications, including postoperative sore throat, subglottic edema, and tracheal stenosis. The insertion of a transesophageal echocardiography (TEE) probe, commonly used in cardiac surgeries, may increase ETT cuff pressure due to its proximity to the trachea. This study assesses the impact of TEE probe insertion on ETT cuff pressures and related postoperative airway complications in patients undergoing coronary artery bypass graft (CABG) surgery.Methods: In this prospective, randomized controlled trial, 40 patients undergoing CABG were assigned to either a control group (Group C, n = 20) or an intervention group (Group T, n = 20). Cuff pressures were monitored at baseline (T1), during TEE probe manipulation (T2), after initial examination (T3), and during recovery (T4). In Group T, cuff pressures were adjusted to 20-30 cmH2O if they exceeded 30 cmH2O during T2 and T3. Postoperative complications, including sore throat, hoarseness, and cough, were assessed using standardized scales.Results: TEE probe manipulation significantly increased ETT cuff pressures in both groups, with lower pressures consistently observed in Group T (P < 0.05). At T3, the mean cuff pressure in Group C was 41.00 cmH2O versus 33.30 cmH2O in Group T (P < 0.001). The control group experienced more severe postoperative airway complications, while Group T had a significantly reduced risk of severe complications (odds ratio < 0.2).Conclusion: TEE probe manipulation significantly increases ETT cuff pressures, but cuff deflation during manipulation effectively reduces these pressures and lowers the risk of postoperative airway complications.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"143-148"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969515","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

The Mechanisms and Pathophysiology of Mitral Regurgitation: A Narrative Review. 二尖瓣反流的机制和病理生理：述评。

IF 1.1

Annals of Cardiac Anaesthesia Pub Date : 2025-04-01 Epub Date: 2025-04-16 DOI: 10.4103/aca.aca_221_24

Praveen Kumar Neema, Nagarjuna Panidapu

{"title":"The Mechanisms and Pathophysiology of Mitral Regurgitation: A Narrative Review.","authors":"Praveen Kumar Neema, Nagarjuna Panidapu","doi":"10.4103/aca.aca_221_24","DOIUrl":"https://doi.org/10.4103/aca.aca_221_24","url":null,"abstract":"Abstract: Mitral valve closure is a complex process and requires coordinated actions of all its interrelated anatomical components: the left atrium, the mitral annulus, the valve leaflets, the tendinous chordae, and the papillary muscles with its surrounding left ventricular wall for an effective mitral valve closure. Research of last three-decades has shown that the mitral annulus starts contracting during atrial systole which significantly prevent early mitral regurgitation (MR). MR can be acute or chronic, and primary, or secondary or mixed; their etiologies, mechanisms and natural progression are very different and have clinical implications. A leaflet perforation, a rupture of chorda tendinea or papillary muscle and a torn leaflet after balloon mitral valvotomy can result in acute severe MR. The patients of acute severe MR present in pulmonary edema and cardiogenic shock and often need urgent surgical intervention. Primary MR is a disease of the mitral valve apparatus and secondary to valve degeneration, whereas secondary MR is a disease of the left ventricle secondary to coronary artery disease and dilated cardiomyopathy. The other causes of secondary MR include mitral annular dilation secondary to atrial fibrillation and restrictive cardiomyopathy, dys-synchrony due to bundle branch block, right ventricular pacing and hypertrophic cardiomyopathy. The treatment strategy differs for primary and various subsets of secondary MR; hence, a thorough knowledge of the etiology, mechanisms and pathogenesis of MR is necessary to select appropriate management strategy and to decide when to intervene. The review discusses the mechanisms, and pathophysiology in acute, chronic, primary and secondary MR.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"109-118"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952516","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