Bronson Crawford, Shiv Rawal, Mindaugas Rackauskas, Marc O Maybauer
{"title":"Transesophageal Echocardiography-Guided ProtekDuo Percutaneous Temporary Right Ventricular Assist Device Cannulation Technique.","authors":"Bronson Crawford, Shiv Rawal, Mindaugas Rackauskas, Marc O Maybauer","doi":"10.4103/aca.aca_58_24","DOIUrl":"10.4103/aca.aca_58_24","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"27 3","pages":"280-281"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11315245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496934","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":"Apnea management during WATCHMAN device deployment with apneic oxygenation: A case report of three cases.","authors":"Makishi Maeda, Yusuke Yoshikawa, Shunsuke Oura, Kanako Takahashi, Sho Ohno, Naoyuki Hirata, Michiaki Yamakage","doi":"10.4103/aca.aca_11_23","DOIUrl":"10.4103/aca.aca_11_23","url":null,"abstract":"<p><p>WATCHMAN is a percutaneous left atrial appendage closure device that is implanted in patients who are unsuitable for anticoagulation therapy for atrial fibrillation. During WATCHMAN implantation, inducing apnea in the patient is preferable to allow stable deployment. We present three cases in which apneic oxygenation was employed to maintain oxygenation during apnea, and oxygen reserve index (ORi<sup>TM</sup>) was measured to evaluate its safety and efficacy. Oxygen was administered continuously via the endotracheal tube during apnea. During all four apneic events in three patients (mean duration of 356 seconds), the ORi values maintained above 0.24, which is generally considered the threshold of partial pressure of arterial oxygen (PaO<sub>2</sub>) > 100 mmHg. Transcutaneous oxygen saturation and PaO<sub>2</sub> remained above 99% and 300 mmHg, respectively. There were no respiratory or circulatory complications during or after the surgery.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"458-460"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673617","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}
Raj A Pedgaonkar, Naveen G Singh, Manasa Dhananjaya, P S Nagaraja, K S Nagesh, V Prabhakar
{"title":"Comparison of noninvasive cardiac output monitoring by electrical cardiometry with transthoracic echocardiography in postoperative paediatric cardiac surgical patients - A prospective observational study.","authors":"Raj A Pedgaonkar, Naveen G Singh, Manasa Dhananjaya, P S Nagaraja, K S Nagesh, V Prabhakar","doi":"10.4103/aca.aca_9_23","DOIUrl":"10.4103/aca.aca_9_23","url":null,"abstract":"<p><strong>Aim: </strong>The present study was conducted to validate cardiac output (CO) and cardiac index (CI) obtained from electrical cardiometry (EC) ICON <sup>®</sup> with transthoracic echocardiography (TTE) in postoperative pediatric cardiac surgical patients.</p><p><strong>Materials and methods: </strong>A prospective observational study was conducted in 25 pediatric patients with age < 10 years who underwent elective cardiac surgery.</p><p><strong>Data analysis: </strong>BlandAltman plot was constructed for interchangeability and Polar plot was constructed to know trending ability.</p><p><strong>Results: </strong>A total of 250 datasets were analyzed. Spearman's correlation coefficient for CO between ICON <sup>®</sup> and TTE showed good positive correlation (r = 0.850, 95% confidence interval 0.81 to 0.881, P <.0001). Moderate positive correlation was observed between ICON <sup>®</sup> and TTE for CI (r = 0.60, 95% confidence interval 0.515 to 0.674, P <.0001). Linear regression equations for CO and CI between ICON <sup>®</sup> and TTE were: y = 0.5230 + 0.8078 X (R<sup>2</sup> = 0.6597, P <.001) and y = 1.8350 + 0.5869 X (R<sup>2</sup> = 0.3985, P <.001) [y- ICON <sup>®</sup>; X - TTE], respectively. BlandAltman plot for CO between ICON <sup>®</sup> and TTE showed a bias of 0.3012 with limits of agreement (LOA) being -0.69 to 1.3 and for CI bias was 0.6939 with LOA-2.1 to 3.5. Polar plot analysis showed an angular bias of 8.1750, with radial LOA being -13.74° to 30.08° for CO and angular bias of 6.6931, with radial LOA being -15.69° to 29.07° for CI.</p><p><strong>Conclusion: </strong>ICON <sup>®</sup> monitor-derived parameters are not interchangeable with the values derived from TTE. However, the ICON <sup>®</sup> monitor demonstrated a good trending ability for both CO and CI.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"380-385"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673620","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":"Comparison of success rate of abducted and neutral arm position for right infraclavicular subclavian vein cannulation under real-time ultrasound guidance in patients undergoing elective neurosurgery under general anesthesia.","authors":"Nirmala Choudhary, Neerja Banerjee, Jyoti Singh, Meena Kumari, Mohandeep Kaur","doi":"10.4103/aca.aca_32_23","DOIUrl":"10.4103/aca.aca_32_23","url":null,"abstract":"<p><strong>Background: </strong>Classically subclavian vein catheterization is done in neutral arm position; recently, it has been done in different arm positions to compare success rate and catheter misplacement. There is a paucity of literature for comparing abducted and neutral arm position for right infraclavicular subclavian vein cannulation.</p><p><strong>Aim: </strong>Comparison of success rate of abducted and neutral arm position for right infraclavicular subclavian vein cannulation under real-time ultrasound guidance in patients undergoing elective neurosurgery under general anesthesia.</p><p><strong>Design: </strong>Randomized comparative study.</p><p><strong>Materials and methods: </strong>After approval from Institutional Review Board and Ethical Committee, 100 patients of 18-70 years of age, of either sex, posted for elective neurosurgery under general anesthesia, requiring right subclavian vein cannulation were included in our study. They were randomly divided into two groups: abducted arm position (group 1-AG) and neutral arm position (group 2-NG) using sealed envelope technique.</p><p><strong>Results: </strong>First attempt success rate was higher in AG group compared to NG group (P value- 0.741). Times taken (seconds) for cannulation in NG and AG group, catheter misplacement and hematoma (P value- 0.37, P value- 0.37, P value- 1, respectively) were lesser in AG Group.</p><p><strong>Conclusion: </strong>For USG-guided infraclavicular subclavian vein cannulation, abducted arm position, and neutral arm position in terms of first attempt success rate, number of attempts and associated complications has comparable results; however, further studies with larger group of patients are required to assess the overall advantage of abducted arm position over neutral arm position.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"418-422"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673621","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}
Sai Charan Kopparapu, M S Saravana Babu, Subin Sukesan, Sabarinath Menon
{"title":"Anomalous origin of right pulmonary artery from the ascending aorta-Intraoperative transesophageal echocardiography and surgical images.","authors":"Sai Charan Kopparapu, M S Saravana Babu, Subin Sukesan, Sabarinath Menon","doi":"10.4103/aca.aca_1_23","DOIUrl":"10.4103/aca.aca_1_23","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"431-432"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673616","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}
Jun Honda, Shiori Tanaka, Keisuke Yoshida, Satoki Inoue
{"title":"Abnormally low regional cerebral oxygen saturation after induction of anesthesia without neurological abnormality: A case report.","authors":"Jun Honda, Shiori Tanaka, Keisuke Yoshida, Satoki Inoue","doi":"10.4103/aca.aca_194_22","DOIUrl":"10.4103/aca.aca_194_22","url":null,"abstract":"<p><p>Measurement of regional cerebral oxygen saturation (rSO2) using near-infrared spectroscopy (NIRS) in cardiac surgery is known to be useful in reducing postoperative neurological complications. We here present a case of a 71-year-old man in whom severe decrease in unilateral rSO2 was observed after induction of general anesthesia for percutaneous mitral valve clipping, although no neurological abnormalities were found. NIRS does not always predict postoperative neurological complications.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"442-445"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673610","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}
Jessin P Jayasankar, Sundeep Vijayaraghavan, Praveen B Reddy, Brijesh P Kottayil, Rajesh M Gopalkrishnan, Praveen Kumar Neema
{"title":"Acute superficial and deep necrosis of lower limb following femoral arterial cannulation in a neonate undergoing arterial switch operation for transposition of great arteries.","authors":"Jessin P Jayasankar, Sundeep Vijayaraghavan, Praveen B Reddy, Brijesh P Kottayil, Rajesh M Gopalkrishnan, Praveen Kumar Neema","doi":"10.4103/aca.aca_177_22","DOIUrl":"10.4103/aca.aca_177_22","url":null,"abstract":"<p><p>Arterial lines are routinely used for hemodynamic monitoring and blood sampling in the operating room and in cardiac surgery intensive care unit. The complications related to arterial line insertion are very low; the knowledge of the relevant artery anatomy, skills and the experience of the operator and selection of a right size cannula plays a vital role in reducing morbidity related to arterial line insertion. We describe extensive superficial and deep necrosis of lower limb following arterial cannula insertion in a preterm neonate undergoing arterial switch procedure and discuss measures to prevent such a complication.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"438-441"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673612","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}
Emily E Naoum, Jamel P Ortoleva, Ryan M Militana, Marti D Soffer, Doreen DeFaria Yeh
{"title":"Anesthesia for cesarean delivery in a patient with congenitally corrected transposition of the great arteries: A case report.","authors":"Emily E Naoum, Jamel P Ortoleva, Ryan M Militana, Marti D Soffer, Doreen DeFaria Yeh","doi":"10.4103/aca.aca_5_23","DOIUrl":"10.4103/aca.aca_5_23","url":null,"abstract":"<p><p>Congenitally corrected transposition of the great arteries (CCTGA) is a rare form of congenital heart disease often associated with other cardiac defects. The adaptations and physiologic changes in pregnancy can present maternal challenges and complications; multidisciplinary care allows for the safest management of pregnancy and delivery in these patients. We present a case of the anesthetic management of cesarean delivery in a woman with CCTGA with her pregnancy complicated by recurrent volume overload, pulmonary hypertension, and dysrhythmias.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"446-450"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673614","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":"Epidural blood patch placement with patient wearing wearable cardioverter defibrillator: To be or Not to be.","authors":"Deepak Gupta","doi":"10.4103/aca.aca_71_23","DOIUrl":"10.4103/aca.aca_71_23","url":null,"abstract":"","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"476-477"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673626","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}
Anitha Diwakar, T Geetanjali, Pankaj Punetha, Channabasavaraj Hiremath
{"title":"Laparoscopic excision of normotensive variant pheochromocytoma in a case of triple vessel coronary artery disease: The anaesthesia challenge.","authors":"Anitha Diwakar, T Geetanjali, Pankaj Punetha, Channabasavaraj Hiremath","doi":"10.4103/aca.aca_14_23","DOIUrl":"10.4103/aca.aca_14_23","url":null,"abstract":"<p><p>Pheochromocytomas are catecholamine-secreting tumours arising mostly from the adrenal medulla. With the advancement in surgical and anaesthetic techniques, the incidence of severe morbidity and mortality associated with surgery is low. However, concurrent coronary artery disease and pheochromocytoma continue to be a challenge due to the risk of adverse cardiovascular events. We describe the successful management of pheochromocytoma excision in a patient with coronary artery disease.</p>","PeriodicalId":7997,"journal":{"name":"Annals of Cardiac Anaesthesia","volume":"26 4","pages":"454-457"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49673629","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}