Annals of Cardiac Anaesthesia最新文献_第6页

Anesthetic Considerations in Combined TAVR and Aortic Endovascular Procedures, a Case Report. 联合 TAVR 和主动脉血管内手术的麻醉注意事项，病例报告。

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_97_23

Mario Zaccarelli, Tarek S Testa, Giuseppe Buscaglia, G. Pratesi, Gabriele Crimi, Manrico Balbi, Sara Di Gregorio, Simona Silvetti

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Evaluation of Postoperative Pain After Cardiothoracic Surgery in Patients With and Without Significant Preoperative Anxiety: A Prospective Observational Study. 对术前焦虑和无明显焦虑患者心胸手术后疼痛的评估：一项前瞻性观察研究

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_175_23

Agarwal Shreya, D. P. Rath, Satyen Parida, H. Munuswamy, S. Prasad, Ramsankar Padmanabhan

{"title":"Evaluation of Postoperative Pain After Cardiothoracic Surgery in Patients With and Without Significant Preoperative Anxiety: A Prospective Observational Study.","authors":"Agarwal Shreya, D. P. Rath, Satyen Parida, H. Munuswamy, S. Prasad, Ramsankar Padmanabhan","doi":"10.4103/aca.aca_175_23","DOIUrl":"https://doi.org/10.4103/aca.aca_175_23","url":null,"abstract":"BACKGROUND AND AIMS\u0000Anxiety plays a distressing role in cardiothoracic operations. It may trigger hemodynamic instability, increased morbidity, and very crucially, postoperative pain and analgesic use. Our aim is to look at the association between anxiety, postoperative pain, and analgesic use.\u0000\u0000\u0000MATERIALS AND METHODS\u0000One hundred and twenty-two patients scheduled for cardiothoracic surgeries were asked questions according to the Amsterdam Preoperative Anxiety and Information Scale (APAIS), the evening prior to the surgery. Different factors that could affect anxiety perioperatively were recorded through the patient's hospital records. The visual analog score (VAS) was recorded at arrival in the ICU after surgery. Paracetamol (1 g) and Inj Tramadol (1 mg/kg) were administered as postoperative analgesia. Additional fentanyl boluses (1 mcg/kg) were administered whenever the VAS exceeded 4. Analgesic doses were documented. All the data were then analyzed statistically.\u0000\u0000\u0000RESULTS\u0000Preoperative anxiety was recorded in 63.9% of the 122 subjects included in the study, with younger patients and patients with very low socioeconomic status being the majority. VAS, at 20 and 24 hrs of assessment, was higher in both groups, and there was a statistically significant difference, with patients that were preoperatively anxious, recording higher VAS scores. Postoperative analgesic doses were also significantly higher for patients with anxiety.\u0000\u0000\u0000CONCLUSIONS\u0000This clinical trial demonstrated that greater than 60% of the participants presented with preoperative anxiety, the majority being young participants. Lower socioeconomic status is also a risk factor for preoperative anxiety. Patients who suffered from preoperative anxiety are more likely to have greater pain scores and analgesic needs during postsurgical assessment.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140766392","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}

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Dexmedetomidine - A Forgotten Adjunct for Myocardial Protection. 右美托咪定--一种被遗忘的心肌保护辅助药物。

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_159_23

Abey S Abraham, Matthew S Abraham, John L Abraham, Abraham Samuel

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Empowering Little Fighters: Post-Cardiotomy Pediatric ECMO and the Journey to Recovery. 增强小战士的能力：心脏手术后小儿 ECMO 和康复之旅》。

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_184_23

Alok Kumar, Sangeeth Raj, Saurabh Singh, G. S. Ghotra, Nikhil Tiwari

{"title":"Empowering Little Fighters: Post-Cardiotomy Pediatric ECMO and the Journey to Recovery.","authors":"Alok Kumar, Sangeeth Raj, Saurabh Singh, G. S. Ghotra, Nikhil Tiwari","doi":"10.4103/aca.aca_184_23","DOIUrl":"https://doi.org/10.4103/aca.aca_184_23","url":null,"abstract":"INTRODUCTION\u0000Extra Corporeal Membrane Oxygenation (ECMO) has long been used for cardiorespiratory support in the immediate post-paediatric cardiac surgery period with a 2-3% success as per the ELSO registry. Success in recovery depends upon the optimal delivery of critical care to paediatric patients and a comprehensive healthcare team.\u0000\u0000\u0000METHODOLOGY\u0000The survival benefit of children placed on central veno arterial (VA) ECMO following elective cardiac surgeries for congenital heart disease (n = 672) was studied in a cohort of 29 (4.3%) cases from the period of Jan 2018 to Dec 2022 in our cardiac surgical centre. Indications for placing these patients on central VA ECMO included inability to wean from cardiopulmonary bypass (CPB), low cardiac output syndrome, severe pulmonary arterial hypertension, significant bleeding, anaphylaxis, respiratory failure and severe pulmonary edema.\u0000\u0000\u0000RESULTS\u0000The mean time to initiation of ECMO was less than 5 h and the mean duration of ECMO support was 56 h with a survival rate of 58.3%. Amongst perioperative complications, sepsis and arrhythmia on ECMO were found to be negatively associated with survival. Improvements in the pH, PaO2 levels and serum lactate levels after initiation of ECMO were associated with survival benefits.\u0000\u0000\u0000CONCLUSION\u0000The early initiation of ECMO for paediatric cardiotomies could be a beacon of hope for families and medical teams confronting these challenging situations. Improvement in indicators of adequate perfusion and ventricular recoveries like pH and serum lactate and absence of arrhythmia and sepsis are associated with good outcomes.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790256","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}

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Pecto-intercostal Fascial Plane Block: A Novel Technique for Analgesia in Patients with Sternal Dehiscence. 胸骨肋间筋膜平面阻滞：胸骨开裂患者镇痛的新技术。

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_107_23

P. Joshi, D. Borde, Pramod Apsingekar, Swati Pande, Mangesh Tandale, Anand P Deodhar, Sachin Jangle

{"title":"Pecto-intercostal Fascial Plane Block: A Novel Technique for Analgesia in Patients with Sternal Dehiscence.","authors":"P. Joshi, D. Borde, Pramod Apsingekar, Swati Pande, Mangesh Tandale, Anand P Deodhar, Sachin Jangle","doi":"10.4103/aca.aca_107_23","DOIUrl":"https://doi.org/10.4103/aca.aca_107_23","url":null,"abstract":"ABSTRACT\u0000Sternal wound complications following sternotomy need a multidisciplinary approach in high-risk postoperative cardiac surgical patients. Poorly controlled pain during surgical management of such wounds increases cardiovascular stress and respiratory complications. Multimodal analgesia including intravenous opioids, non-opioid analgesics, and regional anesthesia techniques, like central neuraxial blocks and fascial plane blocks, have been described. Pecto-intercostal fascial plane block (PIFB), a novel technique, has been effectively used in patients undergoing cardiac surgery. Under ultrasound (US) guidance PIFB is performed with the aim of depositing local anesthetic between two superficial muscles, namely the pectoralis major muscle and the external intercostal muscle. The authors report a series of five cases where US-guided bilateral PIFB was used in patients undergoing sternal wound debridement. Patients had excellent analgesia intraoperatively as well as postoperatively for 24 hours with minimal requirement of supplemental analgesia. None of the patients experienced complications due to PIFB administration. The authors concluded that bilateral PIFB can be effectively used as an adjunct to multimodal analgesia with general anesthesia and as a sole anesthesia technique in selected cases of sternal wound debridement.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761903","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

Blood Gas Analysis Result Suggestive of Arterial Blood but no Pressure Wave: Is this an Arterial Line? 血气分析结果显示有动脉血，但没有压力波：这是动脉血管吗？

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_169_23

Jun Honda, Keisuke Yoshida, Miho Ogawa, Yukihiro Fukuhara, Satoki Inoue

引用次数: 0

“Key Questions in Cardiac Surgery” by Narain Moorjani, Nicola Viola, and Sunil K. 2nd Edition "Narain Moorjani、Nicola Viola 和 Sunil K.编著的《心脏外科关键问题》第 2 版

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_55_24

Ashish Katewa

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Noninvasive Cardiac Output Monitoring by Electrical Cardiometry with Transthoracic Echocardiography in Postoperative Paediatric Cardiac Surgical Patients: Comment. 在小儿心脏外科术后患者中通过电测心仪和经胸超声心动图进行无创心排血量监测：评论。

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_176_23

Hinpetch Daungsupawong, V. Wiwanitkit

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Infective Endocarditis Causing Acute Aortic Regurgitation and Aortic Stenosis 感染性心内膜炎导致急性主动脉瓣反流和主动脉瓣狭窄

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_143_23

Lu Li, Hui Yang

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Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma. 心脏手术中的硬膜外导管插入术：硬膜外血肿的系统回顾和风险评估。

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Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI: 10.4103/aca.aca_160_23

Pascal Laferrière-Langlois, Sean D. Jeffries, R. Harutyunyan, Thomas M. Hemmerling

{"title":"Epidural Catheterization in Cardiac Surgery: A Systematic Review and Risk Assessment of Epidural Hematoma.","authors":"Pascal Laferrière-Langlois, Sean D. Jeffries, R. Harutyunyan, Thomas M. Hemmerling","doi":"10.4103/aca.aca_160_23","DOIUrl":"https://doi.org/10.4103/aca.aca_160_23","url":null,"abstract":"ABSTRACT\u0000The potential benefits of epidural anesthesia on mortality, atrial fibrillation, and pulmonary complications must be weighed against the risk of epidural hematoma associated with intraoperative heparinization. This study aims to provide an updated assessment of the clinical risks of epidural anesthesia in cardiac surgery, focusing on the occurrence of epidural hematomas and subsequent paralysis. A systematic search of Embase, Medline, Ovid Central, Web of Science, and PubMed was conducted to identify relevant publications between 1966 and 2022. Two independent reviewers assessed the eligibility of the retrieved manuscripts. Studies reporting adult patients undergoing cardiac surgery with epidural catheterization were included. The incidence of hematomas was calculated by dividing the number of hematomas by the total number of patients in the included studies. Risk calculations utilized various denominators based on the rigor of trial designs, and the risks of hematoma and paralysis were compared to other commonly encountered risks. The analysis included a total of 33,089 patients who underwent cardiac surgery with epidural catheterization. No epidural hematomas were reported across all published RCTs, prospective, and retrospective trials. Four case reports associated epidural hematoma with epidural catheterization and perioperative heparinization. The risks of epidural hematoma and subsequent paralysis were estimated at 1:7643 (95% CI 1:3860 to 380,916) and 1:10,190 (95% CI 1:4781 to 0:1), respectively. The risk of hematoma is similar to the non-obstetric population (1:5405; 95% CI 1:4784 to 6134). The risk of hematoma in cardiac surgery patients receiving epidural anesthesia is therefore similar to that observed in some other surgical non-obstetric populations commonly exposed to epidural catheterization.","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":null,"pages":null},"PeriodicalIF":0.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777877","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