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Saudi Journal of Anaesthesia

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[This retracts the article on p. 396 in vol. 11, PMID: 29033718.].
January 2019: Saudi Journal of Anaesthesia
Chitta R Mohanty, Neha Singh, Sejal Mehta, Soumitra Das
No abstract text is available yet for this article.
January 2019: Saudi Journal of Anaesthesia
Ankur Khandelwal, Ritesh Lamsal, Girija P Rath, Ritesh K Netam, Megha Bir
No abstract text is available yet for this article.
January 2019: Saudi Journal of Anaesthesia
Ankur Khandelwal, Sagar Debbarman, Girija P Rath, Ritesh Lamsal
No abstract text is available yet for this article.
January 2019: Saudi Journal of Anaesthesia
Swapnil Verma, U Srinivas, A K Sathpathy, Priyanka Mittal
No abstract text is available yet for this article.
January 2019: Saudi Journal of Anaesthesia
Abdul Kader Mahfouz, Thuraya Al Hadifi, Mohammed Rashid
No abstract text is available yet for this article.
January 2019: Saudi Journal of Anaesthesia
Andrew O Amata
No abstract text is available yet for this article.
January 2019: Saudi Journal of Anaesthesia
Shilpi Agarwal, Wasimul Hoda, Saurbh Mittal, Karan Madan, Vijay Hadda, Anant Mohan, Sachidanand Jee Bharti
Bronchial thermoplasty (BT) is an upcoming treatment for patients with asthma refractory to traditional pharmacotherapy. BT is an invasive procedure which carries a risk of coughing, wheezing, bronchospasm, and laryngospasm during and after the procedure. Some of these complications can be minimized using better anesthetic techniques during BT. We hereby report a case of a 63-year-old female with poorly controlled asthma posted for BT done under general anesthesia (GA) with supraglottic device. GA provides better working conditions for pulmonologists when compared with sedation...
January 2019: Saudi Journal of Anaesthesia
Neha Garg, Gaurav Sindwani, Mahesh Kumar Arora, Vinyendra Pamecha
Cocoon abdomen is a rare condition in which abdominal structures are surrounded by thick encapsulating peritoneum resulting in dense adhesions. Liver transplant is a high risk surgery with an already increased risk of massive blood loss due to the pre-existing coagulopathy and portal hypertension. Presence of cocoon abdomen with severe dense adhesions can either lead to difficult hepatectomy with massive intra-operative blood loss or failure to proceed with the surgery. This becomes even more important in live donor liver transplantation where it may not be possible to abandon the surgery once the donor liver resection is started...
January 2019: Saudi Journal of Anaesthesia
Praveen Talawar, Ajeet Kumar, Debesh Bhoi, Akhil Singh
Postoperative pain after breast surgery is difficult to manage owing to its complex innervation. Recently, erector spinae plane (ESP) block, an interfacial block, has been described to provide pain relief after thoracic and abdominal surgeries, multiple rib fractures, and neuropathic thoracic pain. Local anesthetic injected in the erector spinae muscle sheath at the level of the 5th thoracic transverse process is distributed cranially and caudally along the sheath, and to the paravertebral space through apertures in the anterior sheath wall...
January 2019: Saudi Journal of Anaesthesia
Takeru Shimizu, Hiroshi Takahashi, Makoto Tanaka
Preoperative blood transfusion is sometimes controversial. We describe a case of a 43-year-old woman who developed sudden pulmonary congestion during surgery despite a small amount of intravenous crystalloid administration. She had no allergic disorders. Preoperative examination revealed that her hemoglobin was 5.6 g/dl, and she was diagnosed as folate-deficiency anemia although she never felt any symptoms before. Therefore, blood transfusion was performed and her hemoglobin increased to 9.4 g/dl. Amid surgery, airway pressure increased suddenly and pulsed oxygen saturation dropped...
January 2019: Saudi Journal of Anaesthesia
Alessandro De Cassai, Stefano Dal Cin, Francesco Zarantonello, Irina Ban
The erector spinae plane block (ESP) is a novel interfascial block described in 2016 by Forero. Although it has been used to provide analgesia for planned abdominal and thoracic surgery, it has never been used as a rescue technique for abdominal surgery. Pain control can be a challenge for anaesthesiologists in laparotomic surgery when epidural analgesia is contraindicated. We report two cases in which the ESP block has been successfully used as a rescue technique to provide pain relief after laparotomic surgery...
January 2019: Saudi Journal of Anaesthesia
Hiroyuki Oshika, Yukihide Koyama, Yutaka Usuda, Tomio Andoh
We report a case of intravenous ephedrine administration that abolished suspected bronchoconstriction during general anesthesia in a patient undergoing beta-adrenergic blocker therapy for hypertension and who was subsequently diagnosed postoperatively as having bronchial asthma. A 54-year-old man who had childhood asthma was scheduled for laparoscopic cholecystectomy at our institution. The preanesthetic interview suggested full resolution of his childhood asthma. His capnogram showed an airway obstructive pattern immediately after the initiation of mechanical ventilation...
January 2019: Saudi Journal of Anaesthesia
Souvik Maitra, Bikash R Ray, Sulagna Bhattacharjee, Dalim K Baidya, Debargha Dhua, Ravinder K Batra
Purpose: Safety and feasibility of distal radial artery cannulation at the anatomic snuffbox in the perioperative settings in adult patients have been assessed in this study. Methods: Adult patients undergoing elective surgery requiring arterial cannulation were recruited in this retrospective cohort study. Results: Data of 55 patients have been reviewed here; among which in 21 patients, arterial puncture was performed ultrasound guidance and in 34 patients puncture was guided by the pulsation of the distal radial artery at the anatomical snuffbox...
January 2019: Saudi Journal of Anaesthesia
Nazmy Edward Seif, Ahmed Mohamed ELbadawy
Background: The aim of this randomized controlled study is to compare the safety and efficacy of thoracic spinal versus thoracic epidural anesthesia for open nephrectomy in patients with obstructive/restrictive lung disease. Methods: Sixty patients with mild to moderate chronic obstructive/restrictive lung disease undergoing open nephrectomy were randomized into two groups, 30 patients each. The thoracic spinal group (TSA) group received ultrasound guided mid-thoracic spinal anesthesia, and the thoracic epidural group (TEA) group received thoracic epidural anesthesia...
January 2019: Saudi Journal of Anaesthesia
Diana F Torres Lima, Daniela Cristelo, Pedro Reis, Fernando Abelha, Joana Mourão
Context: Elderly patients have a higher risk of complications and 30-day mortality than younger patients. Population is aging and this is an emergent preoccupation. Aims: The aim of this study was to evaluate the performance of Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity (POSSUM) system on 30-day mortality in elderly patients submitted to elective surgery. Additionally, the correlation of WHODAS 2.0 and Clinical Frailty Score (CFS) with mortality was evaluated...
January 2019: Saudi Journal of Anaesthesia
Murat Arslan, Elvan Öçmen, Seden Duru, Belkis Şaşmaz, Şule Özbılgın, Hasan Hepağuşlar
Aim: We aimed to investigate the changes in respiratory mechanics in adult patients undergoing open heart surgery (OHS) while using volume-controlled auto-flow (VCAF) ventilation mode. Materials and Methods: After obtaining ethics committee's approval and informed consent, 30 patients (17 males and 13 females; mean age: 57.3 ± 17.0 years; mean weight; 74.9 ± 13.6 kg) scheduled for OHS were enrolled. Mechanical ventilation was carried out using VCAF mode (VT : 5-8 mL/kg, I/E: 1/2, 10 ± 2 fr/min)...
January 2019: Saudi Journal of Anaesthesia
Chandni Sinha, Neeraj Kumar, Amarjeet Kumar, Ajeet Kumar, Anup Kumar
Background: Infraclavicular approach is a common technique of brachial plexus block. The main difficulty of ultrasound guided technique is in needle visualization due to deep location of the cords. Hebbard et al described a retroclavicular approach wherein the needle was inserted posteriorly to the clavicle. Materials and Methods: In this prospective randomized controlled study, we have compared the classical technique with the retroclavicular approach in terms of needle visibility, block success rate, number of needle passes, block performance time, procedure-related pain, complications, patient and operator comfort and satisfaction...
January 2019: Saudi Journal of Anaesthesia
Eman Ramadan Salama, Doaa El Amrousy
Background and Objective: Anesthesiologists encounter difficulties during laryngoscopy and tracheal intubation of neonates with myelodysplasia. Tracheal intubation in lateral position in such cases deemed profitable but not easy because of the compromised laryngeal view. We compared GlideScope video laryngoscope (GVL) versus conventional Miller direct laryngoscope (DL) for tracheal intubation in laterally positioned neonates with myelodysplasia. Materials and Methods: Sixty neonates scheduled for elective surgical repair of meningeocele or meningeomyelocele under general anesthesia were allocated randomly for endotracheal intubation using GVL or DL...
January 2019: Saudi Journal of Anaesthesia
Yunus Oktay Atalay, Ahmet Veysel Polat, Elif Ozyazici Ozkan, Leman Tomak, Canan Aygun, Joseph Drew Tobias
Background: Naso/Orogastric tube (NOGT) misplacement can lead to significant complications. Therefore, the assessment of tube position is essential to ensure patient safety. Although radiography is considered the gold standard for determining NOGT location, new methods may be helpful in reducing repetitive radiation exposure, especially for neonates. In this study, we sought to investigate if bedside ultrasonography (BUSG) can be used to verify NOGT placement in neonatal intensive care patients...
January 2019: Saudi Journal of Anaesthesia
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