William J Wallisch, Basil Jouryyeh, Michael Beshara
{"title":"Misplacement of a Left Internal Jugular Central Venous Catheter in the Pericardiophrenic Vein.","authors":"William J Wallisch, Basil Jouryyeh, Michael Beshara","doi":"10.4103/aca.aca_205_24","DOIUrl":"10.4103/aca.aca_205_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"193-194"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662114","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}
{"title":"Academic and Professional Challenges in Cardiac Anaesthesia.","authors":"Rohan Magoon","doi":"10.4103/aca.aca_171_24","DOIUrl":"10.4103/aca.aca_171_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"107-108"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662111","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}
{"title":"Zero Arterial Catheters with Every Change in the Height Difference of Pressure Transducer and Catheter Insertion Site.","authors":"Deepak Gupta, Amit Jain, Mohamed Ismaeil","doi":"10.4103/aca.aca_198_24","DOIUrl":"10.4103/aca.aca_198_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":" ","pages":"205"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662116","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}
{"title":"Pro: Artificial Intelligence in Manuscript Writing: Advantages of Artificial Intelligence-Based Manuscript Writing to the Authors.","authors":"Madan M Maddali","doi":"10.4103/aca.aca_6_25","DOIUrl":"https://doi.org/10.4103/aca.aca_6_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"198-200"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963253","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}
{"title":"Con: Artificial Intelligence in Manuscript Writing: Pitfalls and Ethical Concerns the Authors Should Be Aware.","authors":"Samir Al-Adawi","doi":"10.4103/aca.aca_9_25","DOIUrl":"https://doi.org/10.4103/aca.aca_9_25","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"200-202"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952712","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}
{"title":"Double-Lumen Tube Intubation Using the McGrath MAC Videolaryngoscope-Corkscrew Maneuver.","authors":"Kazuto Miyata, Sayaka Shigematsu, Naoki Miyayama","doi":"10.4103/aca.aca_201_24","DOIUrl":"https://doi.org/10.4103/aca.aca_201_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"209-210"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959633","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}
Ronke A Makinde, Abiodun K Alaje, Abiodun O Ajose, Tewogbade A Adedeji, Uvie U Onakpoya
{"title":"Cardiac Surgery-Associated Acute Kidney Injury (CSA-AKI) in Children with Congenital Heart Diseases in Southwest Nigeria.","authors":"Ronke A Makinde, Abiodun K Alaje, Abiodun O Ajose, Tewogbade A Adedeji, Uvie U Onakpoya","doi":"10.4103/aca.aca_104_24","DOIUrl":"https://doi.org/10.4103/aca.aca_104_24","url":null,"abstract":"<p><strong>Method: </strong>This was a prospective, longitudinal study, of 40 children who had open heart surgery, on account of congenital heart diseases, at our study center, between April 2020 and June 2022. Plasma samples were assayed for cystatin-C using the enzyme-linked immunosorbent assay method, while quantification of creatinine was done using a Roche automated analyzer (Cobas C311).</p><p><strong>Result: </strong>Mean plasma concentrations of cystatin-C at 0, 4, 8, 12, 24 and 48 hours were 0.49±0.11 ng/dL, 0.75 ± 0.19 ng/dL, 0.96 ± 0.23 ng/dL, 0.79 ± 0.20 ng/dL, 0.66 ± 0.15 ng/dL, and 0.60 ± 0.14 ng/dL, respectively, versus 48.98 ± 11.6 μmol/L, 59.65 ± 13.06 μmol/L, 63.00 ± 16.53 μmol/L, 64.90 ± 17.65 μmol/L, 68.50 ± 19.99 μmol/L, and 70.78 ± 21.86 μmol/L, respectively, of creatinine. Plasma cystatin-C peaked earlier at 8 hours compared to creatinine, which peaked at 48 hours. The ROC curve showed that cystatin-C had an AUC of 0.983.</p><p><strong>Conclusion: </strong>This study showed that cystatin-C has a better sensitivity and specificity than creatinine in predicting CSA-AKI in children who had open heart surgery for congenital heart diseases.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"128-135"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143963252","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}
Muhilan Senthilkumar, Satyen Parida, Priya Rudingwa, Raja Selvaraj
{"title":"Comparison of Combined Pectoralis Plane Block and Intercostal Nerve Block with Local Infiltration Analgesia in Patients Undergoing Cardiac Implantable Electronic Device Implantation - A Randomized Controlled Trial.","authors":"Muhilan Senthilkumar, Satyen Parida, Priya Rudingwa, Raja Selvaraj","doi":"10.4103/aca.aca_164_24","DOIUrl":"https://doi.org/10.4103/aca.aca_164_24","url":null,"abstract":"<p><strong>Background: </strong>Cardiac implantable electronic device (CIED) implantation rates have increased exponentially over the past few decades. Limited options are available for pain-free courses during this procedure. Traditionally, local infiltration with conscious sedation is being used. The pectoral nerves (PECS) block has been evaluated for its analgesic efficacy in breast surgeries. Our study assessed the effectiveness of combined PECS 1 block and intercostal nerve block over local infiltration as an analgesic technique during CIED implantations.</p><p><strong>Method: </strong>In this randomized controlled trial, 70 ASA 2 and 3 patients in the age group of 18-75 years scheduled for CIED implantation were randomized into two groups. Group A received local infiltration with 14 ml of 0.375% ropivacaine, and group B received a combined PECS 1 block (10 ml) and intercostal nerve block (4 ml) under ultrasound guidance. Additional lignocaine 1% as 2 ml aliquots was given as rescue during the procedure. We noted the frequency and timing of aliquots. The pain was assessed at 1, 2, 4, 8 and 24 hours post procedure, and intravenous paracetamol was given if the numeric rating scale (NRS) was more than 3. The total paracetamol required and the mean duration of hospital stay were noted for both groups.</p><p><strong>Results: </strong>There was a statistically significant decrease in NRS scores at the initial five steps of the procedure in group B except at skin closure, P value = 0.044. The time for the first demand for analgesia was significantly prolonged in group B with 39.6 ± 15.9 vs 19.6 ± 15.1 minutes in the local infiltration group, respectively, with P value = 0.001. Mean fentanyl requirement during the procedure was significantly lower in B (30.4 ± 10.4 mcg vs 50.7 ± 17.7 mcg) when compared to group A, P value < 0.001, and so was the paracetamol requirement in the postprocedure period, P value = 0.003. The postprocedure pain scores and the duration of hospital stay were comparable for both.</p><p><strong>Conclusion: </strong>Combined PECS 1 and intercostal nerve block in place of traditional local infiltration significantly reduced NRS score and rescue drug requirement during the procedure. It is a suitable option for these patients.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"170-175"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966214","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}
{"title":"Anaesthetist Preparedness for Transhepatic Approach to Ostium Secundum Atrial Septal Defect Device Closure: A Case Report.","authors":"Subhadeep Sarkar, Sayandeep Jana","doi":"10.4103/aca.aca_202_24","DOIUrl":"https://doi.org/10.4103/aca.aca_202_24","url":null,"abstract":"<p><strong>Abstract: </strong>Routes for transcatheter closure of ostium secundum atrial septal defect (OS ASD) by device implantation include hepatic vein & jugular vein besides standard transfemoral approach. We report the case of a female child with OS ASD, who presented with an anomalous systemic venous drainage. Only the hepatic vein was draining directly to RA hence the only option left was transhepatic. Multidisciplinary consensus was taken and the procedure proceeded under general anaesthesia. To avoid cathlab misadventures, tracing systemic venous drainage besides pulmonary venous drainage in a case of OS ASD is important. The anaesthetist should be aware of the transhepatic approach and possible complications which may arise. Preparedness for the complications and invasive monitoring ensures success for this challenging procedure.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"28 2","pages":"184-186"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961223","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}