Bali Journal of Anesthesiology最新文献_第3页

Supraclavicular brachial plexus anatomical variation leading to rare left recurrent laryngeal nerve block along with block failure: A case report 锁骨上臂丛解剖变异导致罕见的左喉返神经阻滞并阻滞失败1例

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_23_23

Mamta Jain, T. Bansal, A. Singh, K. Mittal

引用次数: 1

Satisfaction and outcomes with patient-controlled intravenous analgesia of remifentanil for labor analgesia at a specialist maternity hospital in Singapore: A retrospective observational study 在新加坡一家专科妇产医院，患者控制的瑞芬太尼静脉镇痛用于分娩镇痛的满意度和结果:一项回顾性观察性研究

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_52_23

Pruthvidher Muddangula, H. Tan, C. Tan, W. Leong, R. Sultana, B. Sng

{"title":"Satisfaction and outcomes with patient-controlled intravenous analgesia of remifentanil for labor analgesia at a specialist maternity hospital in Singapore: A retrospective observational study","authors":"Pruthvidher Muddangula, H. Tan, C. Tan, W. Leong, R. Sultana, B. Sng","doi":"10.4103/bjoa.bjoa_52_23","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_52_23","url":null,"abstract":"Background: Patient-controlled intravenous analgesia (PCIA) remifentanil is being increasingly adopted for labor analgesia despite efficacy and safety concerns. This retrospective observational study aimed to describe factors associated with high versus low parturient satisfaction, adverse effects, and parturient and neonatal outcomes in a specialist maternity hospital in Singapore. Materials and Methods: Database review of patients who received PCIA remifentanil for labor analgesia between 2014 and 2020 were analyzed retrospectively. Parturient and clinical characteristics, adverse events, parturient and neonatal outcomes, satisfaction, PCIA remifentanil settings, and usage characteristics were analyzed. Results: There were 177 parturients who received PCIA remifentanil during the study period, with a trend of increasing utilization. After excluding 31 parturients, 146 were analyzed, of whom 99 (67.8%) reported satisfaction scores of ≥80 out of 100, with a mean ± standard deviation of 89.5 ± 8.9. Univariate analysis showed that higher pain scores at delivery was associated with low satisfaction scores (unadjusted odds ratio 1.39, 95% confidence intervals 1.02–1.88). None of the parturients or neonates required ventilation or cardiopulmonary resuscitation. Oxygen desaturation (SpO2 < 95%) was observed in 10.3% of parturients (n = 15), all of which were self-limiting. Conclusion: PCIA remifentanil for labor analgesia resulted in high satisfaction with no severe adverse events. Standardized protocols for PCIA settings and close monitoring may improve parturient and fetal safety. Future research should focus on improving the analgesic efficacy of PCIA remifentanil and monitoring practices to reduce the risk of severe adverse events.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42151208","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

Upper limb extravasation injury following remifentanil infusion at the limb covered with adhesive wrapping for hypothermia prevention during anesthesia of pediatric patient 小儿患者麻醉过程中肢体粘包预防瑞芬太尼输注后上肢外渗损伤的研究

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_39_23

M. Awang, W. W. Wan Hassan, Yusri Zahari, W. W. Wan Sulaiman

引用次数: 0

Transcranial Doppler as an early predictor of neurological outcome in mild and moderate traumatic brain injury: An observational study 经颅多普勒作为轻中度创伤性脑损伤神经系统预后的早期预测指标：一项观察性研究

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_280_22

Mai W. Abdallah, Mohamad Afandy, Ahmed Abd El-Hafez, S. Elhawary, H. El-Gendy

{"title":"Transcranial Doppler as an early predictor of neurological outcome in mild and moderate traumatic brain injury: An observational study","authors":"Mai W. Abdallah, Mohamad Afandy, Ahmed Abd El-Hafez, S. Elhawary, H. El-Gendy","doi":"10.4103/bjoa.bjoa_280_22","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_280_22","url":null,"abstract":"Background: Traumatic brain injury (TBI) is a major cause of disability and mortality globaly. The transcranial Doppler (TCD) method may show low diastolic blood flow velocity (FVd) and high pulsatility index (PI) measurements brought on by high vascular bed resistance. This study aimed to assess the usefulness of the TCD-PI for the early detection of secondary neurological deterioration (SND) in mild and moderate TBI. Materials and Methods: This prospective study was carried out on 105 mild and moderate TBI patients, who had TCD measurements within 12 h of the initial trauma, and initial computerized tomography (CT) showed mild lesion or no detected abnormality. Results: Primary end point was assessed (SND) within 1st week post trauma. Of the 105 patients with mild and moderate TBI, 29 (27.6%) showed SND. We evaluated the value of our intervention (TCD) to predict SND after mild and moderate TBI in 1st week. PI could predict SND at cutoff 1.21 with good sensitivity of 96.5% and specificity of 94.7%, area under curve (AUC) value of 0.98, negative predictive value (NPV) of 98.6%, and positive predictive value (PPV) of 87.5%. To amplify our finding, we measured FVd, and at 25 cm/s it showed good sensitivity 86.2% and specificity 89.5% when AUC 0.93, NPV 94.4%, and PPV 75.8%. Conclusion: TCD on admission may provide a valuable tool of early prediction of neurological outcome for mild and moderate TBI patients. Closing the gap in poor prediction of commonly used evaluation by CT especially with mild lesion.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45283364","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

Accidental loss of guidewire during femoral central venous catheterization: A case report 股骨中心静脉置管过程中导丝意外丢失一例报告

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_35_23

S. Sethi, Udita Naithani, Vandana Gakkhar, S. Choudhary, A. Garg

{"title":"Accidental loss of guidewire during femoral central venous catheterization: A case report","authors":"S. Sethi, Udita Naithani, Vandana Gakkhar, S. Choudhary, A. Garg","doi":"10.4103/bjoa.bjoa_35_23","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_35_23","url":null,"abstract":"Central venous catheterization is a routine procedure performed in the emergency department and intensive care unit. Awareness of potential complications related to guidewire is of utmost importance. The loss of guidewire into circulation during this procedure is a rare and preventable complication. We report a case of accidental loss of guidewire in a 66-year-old female patient during femoral venous catheterization. After cannulation of the right femoral vein and smooth insertion of the guidewire, the guidewire accidentally slipped while railroading the catheter over the guidewire. The cardiothoracic and vascular surgeon immediately explored it under general anesthesia, and the full length of the guidewire was retrieved successfully. The intraoperative period remained uneventful, and the patient was extubated with stable hemodynamics. Everyone should be aware of all possible problems which can be encountered during the procedure and complications thereafter. To avoid this rare complication, certain precautions need to be strictly followed. First, holding the guidewire during catheterization is an important step to be practiced to prevent complications associated with a lost guidewire. Second, the whole procedure should always be closely supervised by a senior colleague during its attempt by an inexperienced or junior trainee. In addition to it, the use of a checklist may help to identify and prevent its occurrence. In spite of all this, if this complication occurs, then active management for its retrieval is very important to avoid further complications related to circulating guidewire.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49059951","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

Effects of different anesthetic techniques on neutrophil lymphocyte ratio and monocyte lymphocyte ratio in patients undergoing major non-cardiac surgery: A prospective, single-blind, randomized study 不同麻醉技术对非心脏大手术患者中性粒细胞淋巴细胞比率和单核细胞淋巴细胞比率的影响：一项前瞻性、单盲、随机研究

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_2_23

Priyanka Boruah, B. Gupta, Ajit Kumar, A. Bhadoria, H. Chandra, Rekha Kumari

{"title":"Effects of different anesthetic techniques on neutrophil lymphocyte ratio and monocyte lymphocyte ratio in patients undergoing major non-cardiac surgery: A prospective, single-blind, randomized study","authors":"Priyanka Boruah, B. Gupta, Ajit Kumar, A. Bhadoria, H. Chandra, Rekha Kumari","doi":"10.4103/bjoa.bjoa_2_23","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_2_23","url":null,"abstract":"Background: Various surgical and anesthetic techniques can produce stress. This study aimed to see the changes in neutrophil-to-lymphocyte ratio (NLR) and monocyte-to-lymphocyte ratio (MLR) in patients undergoing major surgery at different time points. Materials and Methods: A prospective randomized controlled single blinded study was conducted involving 300 patients, scheduled for elective non-cardiac surgeries, randomly grouped into Group 1 (general anesthesia [GA]), Group 2 (total intravenous anesthesia [TIVA]), and Group 3 (combined spinal and epidural [CSE]). Blood samples were collected for NLR and MLR (preoperatively, end-of-surgery, 6 and 24 h after surgery). Results: There was an increase in NLR in all three groups and increase in mean NLR was highest in group GA at the end of the surgery, 6 and 24 h after surgery. The mean comparison of NLR at 6 and 24 h after surgery was also found to be significant when comparison was made between groups 1 and 2 (P = 0.001), and between groups 1 and 3 (P < 0.001); however, the difference was found to be insignificant when comparison was made between groups 2 and 3. Conclusion: The mean comparison of NLR at 24 h after surgery was found to be significant when comparison was made between GA and TIVA, GA and CSE; however, the difference was insignificant between-TIVA and CSE groups. Highest rise in the mean NLR 24 h after surgery was found in patients who underwent surgeries under GA than TIVA followed by neuraxial blockade.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49445949","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

Comment on: “Analgesic efficacy of erector spinae plane block versus transversus abdominis plane block in laparotomies for cancer surgeries: A randomized blinded control study” 评论:“竖脊肌平面阻滞与腹横平面阻滞在癌症剖腹手术中的镇痛效果:一项随机盲法对照研究”

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_65_23

Varun Suresh, Jes Jose, R. Magoon

引用次数: 0

The role of ketamine as an antidepressant agent 氯胺酮作为抗抑郁剂的作用

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_81_23

M. Widnyana, T. Senapathi, L. Aryani, C. Ryalino

引用次数: 0

Hemothorax after central venous catheter insertion in patient with triple antithrombotic therapy: A case report 三联抗栓治疗患者中心静脉置管后血胸1例

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_12_23

A. Andrianto, A. Kamardikan, H. Hermawan

{"title":"Hemothorax after central venous catheter insertion in patient with triple antithrombotic therapy: A case report","authors":"A. Andrianto, A. Kamardikan, H. Hermawan","doi":"10.4103/bjoa.bjoa_12_23","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_12_23","url":null,"abstract":"Some mild-to-severe complications can occur following central venous catheter (CVC) insertion. Hemothorax is a rare complication. Controlling the bleeding is key to managing this condition. The use of triple antithrombotic therapy may become a challenge in controlling the bleeding. We report the case of a patient with hemothorax following CVC placement at the right subclavian vein. The patient was on triple antithrombotic therapy (aspirin, ticagrelor, and warfarin) following primary percutaneous coronary intervention procedure as he presented with ST-segment elevation myocardial infarction and new-onset atrial fibrillation during hospitalization. After CVC insertion, a chest X-ray confirmed a hemothorax that filled up to half of the right hemithorax. A thorax drain was then inserted with an initial blood drain of 140cc. Ticagrelor, as one of the dual antiplatelet therapies, was switched to clopidogrel, and warfarin as anticoagulant thromboembolic prophylactic at atrial fibrillation was stopped. Thorax drain was pulled out on day 8 of admission with a total production of 460cc blood with good clinical signs. Chest X-ray evaluation revealed a clear lung without residual hemothorax. Thorax drain insertion and triple antithrombotic therapy adjustment successfully managed this bleeding complication. Hemothorax, as one of the bleeding complications secondary to CVC insertion, could be associated with significant morbidity and mortality, especially in patients with triple antithrombotic therapy. Prompt treatment is mandatory to save a patient’s life, including immediate identification and treatment such as thorax drain insertion and triple antithrombotic adjustment.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47539188","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: 1

The association of modified Yale perioperative anxiety scale and pediatric anesthesia behavior on postoperative emergence delirium in children: A prospective cohort study 改良的耶鲁围手术期焦虑量表与小儿麻醉行为对儿童术后出现性谵妄的影响:一项前瞻性队列研究

Bali Journal of Anesthesiology Pub Date : 2023-04-01 DOI: 10.4103/bjoa.bjoa_22_23

Eko Prayunanto, Y. Widyastuti, D. Sari

{"title":"The association of modified Yale perioperative anxiety scale and pediatric anesthesia behavior on postoperative emergence delirium in children: A prospective cohort study","authors":"Eko Prayunanto, Y. Widyastuti, D. Sari","doi":"10.4103/bjoa.bjoa_22_23","DOIUrl":"https://doi.org/10.4103/bjoa.bjoa_22_23","url":null,"abstract":"Background: Children who experience emergence delirium (ED) are at risk of adverse events after anesthesia. Assessing the child’s behavior before anesthesia using clinical tools can be useful to prevent the occurrence of ED. This study aimed to identify and quantify the association between pediatric anesthesia behavior (PAB) and the modified Yale perioperative anxiety scale (mYPAS) on postoperative ED in pediatric patients undergoing general anesthesia. Materials and Methods: A prospective cohort study was conducted on 100 pediatric patients aged 2–12 years who underwent elective surgery with general anesthesia with the American Society of Anesthesiologists physical status I and II. The preoperative anxiety was measured by PAB score and mYPAS score, and their prediction ability of both scores for ED was compared. ED was defined as a pediatric anesthesia delirium emergence (PAED) score of more than 12. Results: ED occurred in 33 patients (33%). The mYPAS has a good discrimination ability with area under the curve 0.76 (95% confidence interval 0.65–0.86). The mYPAS score of 29 correlated with the highest sensitivity (78.8%) and specificity (73.1%) and the mYPAS score of ≥29 has an odds ratio of 11.7 for the occurrence of ED. PAB correlation could not be assessed. Conclusion: Preoperative anxiety is associated with ED. The mYPAS has a better correlation with postoperative ED than the PAB score.","PeriodicalId":8691,"journal":{"name":"Bali Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41555661","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