Brian J Anderson, L Ignacio Cortinez
No abstract text is available yet for this article.
July 16, 2024: Paediatric Anaesthesia
David Johnstone, Alasdair Taylor, Jenny Ferry
PURPOSE OF REVIEW: Regional anaesthesia is increasingly prominent within anaesthesia, offering alternative analgesic options amidst concerns over opioid-based analgesia. Since Halsted's initial description, the field has burgeoned, with ultrasound visualization revolutionizing local anaesthetic spread assessment, leading to the development of numerous novel techniques. The benefits of regional anaesthesia have gained increasing evidence to support their application, leading to changes within training curricula...
June 25, 2024: Current Opinion in Anaesthesiology
Mohammed Tahir, Leonardo D Lanzarin, Bertelli A J
Nerve axons grow from proximal to distal after axonometric injury; however, they have been seen to regenerate via alternate routes, with some also demonstrating retrograde growth in neuromas. We present the case of a 33-year-old male with a 16-year-old traumatic brachial plexus injury presenting with neuropathic pain and isolated spontaneous recovery. Following a successful pre-operative anaesthetic block, a neurectomy of the median and ulnar nerves was planned for pain relief. Intraoperatively, median nerve stimulation resulted in muscle contractions in the pectoralis major (PM) and extensor carpi radialis brevis (ECRB)...
June 2024: Curēus
Marta Pillitteri, Etrusca Brogi, Chiara Piagnani, Giuseppe Bozzetti, Francesco Forfori
Resembling the morphology of Japanese polyp vessels, the classic form of Takotsubo cardiomyopathy is characterized by the presence of systolic dysfunction of the mid-apical portion of the left ventricle associated with basal hyperkinesia. It is believed that this may be due to a higher density of β-adrenergic receptors in the context of the apical myocardium, which could explain the greater sensitivity of the apex to fluctuations in catecholamine levels.The syndrome is precipitated by significant emotional stress or acute severe pathologies, and it is increasingly diagnosed during the perioperative period...
July 15, 2024: J Anesth Analg Crit Care
Balazs Lengyel, Milan Vecsey-Nagy, Csongor Peter, Andrea Varga, Tamas Kovats, Patrik Bayerle, Peter Sotonyi, Peter Vince Banga
OBJECTIVE: To evaluate the impact of anatomical variations in the Circle of Willis (CoW) on immediate neurological events (INE) after carotid endarterectomy (CEA) without shunting in patients with contralateral carotid occlusion (CCO). MATERIALS AND METHODS: Single centre, retrospective study. Patient's demographic and clinical outcomes data were prospectively collected. CoW segments were reviewed retrospectively. Between January 2013 and May 2018, 2090 patients underwent CEA under general anaesthesia, CCO was found in 113 (5...
July 13, 2024: Annals of Vascular Surgery
Selin Kocaturk, Zeynep Gur, Burcu Gursoytrak
BACKGROUND: Preoperative anxiety is a condition that can be seen frequently in oral and maxillofacial surgery patients and affects the recovery process. PURPOSE: The aim of this study was to determine the effect of preoperative educational or informative interviews on preoperative anxiety levels and postoperative discomfort in patients undergoing oral and maxillofacial surgery. STUDY DESIGN, SETTING, AND SAMPLE: This prospective randomized clinical trial involved patients who underwent oral and maxillofacial surgery at Aydın-Adnan-Menderes University, Oral and Maxillofacial Surgery Hospital...
June 29, 2024: Journal of Oral and Maxillofacial Surgery
Jonathan G Bailey, Adam I Mossenson, Sara Whynot, Gaston Nyirigira, Shelley Gower, Patricia Livingston
BACKGROUND: Burnout, depression, and anxiety are increasingly recognized as common among health care providers. Risks for these conditions are exacerbated in low-resource settings by excessive workload, high disease burden, resource shortage, and stigma against mental health issues. Based on discussions and requests to learn more about burnout during the Vital Anaesthesia Simulation Training (VAST), our team developed VAST Wellbeing, a 1-day course for health care providers in low-resource settings to recognize and mitigate burnout and to promote personal and professional well-being...
August 1, 2024: Anesthesia and Analgesia
Michael H Nathanson, David G Bogod, William Harrop-Griffiths
No abstract text is available yet for this article.
July 15, 2024: Anaesthesia
Anne Strand Finstad, Conrad Arnfinn Bjørshol, Ingunn Aase, Jo Røislien, Randi Ballangrud
BACKGROUND: In situ simulation-based team training of non-technical skills is considered an important initiative for preventing adverse events caused by poor teamwork among healthcare personnel. This study aimed to assess the non-technical skills of anaesthesia personnel before and after in situ simulation-based team training in a clinical setting. METHODS: The study was conducted from October 2020 to June 2021 using a quasiexperimental before and after design based on video-recorded observations and ratings of anaesthesia teams' non-technical skills during anaesthesia induction in the operating room before and shortly after in situ simulation-based team training...
2024: Anesthesiology Research and Practice
Idris Abdullahi, Nurudden Adebola Shofoluwe, Iliyasu Yunusa Shuaibu, Mohammed Aminu Usman, Dotiro Chitumu, Ibrahim Babatunde Mohammed, Abdurrahman Omodele, Saleem Shehu Zubairu
BACKGROUND: Flexible naso-pharyngo-laryngoscopy (NPL) has become an essential clinic tool for evaluating patients with upper airway disorders in otorhinolaryngology. It has been established to be a simple, cost-effective, and minimally invasive technique with good diagnostic yields. This study aimed to audit the procedure of flexible NPL done in our clinic over 2 years and analyse the technique, indications, and findings of the procedure. METHODOLOGY: A retrospective cross-sectional study among all the patients who presented to our ENT clinic in ABUTH Zaria, from July 2021 to June 2023 with upper airway symptoms or neck swelling who had flexible NPL done in the clinic...
2024: Nigerian Medical Journal: Journal of the Nigeria Medical Association
Limin Zhou, Xiumei Cui, Guixi Mo, Jingsong Wei, Meizhen Mo, Yiyue Zhong
INTRODUCTION AND IMPORTANCE: Fever is a common clinical symptom in patients with postoperative scoliosis. However, there are rare reports of immediately fevers occurring following operative procedures. CASE PRESENTATION: A 15-year-old female with a 1-year history of scoliosis was admitted to the hospital after a health examination. The patient was diagnosed with idiopathic scoliosis and underwent a posterior idiopathic scoliosis procedure and correction for pedicle fixation...
July 10, 2024: International Journal of Surgery Case Reports
Habtamu Tilahun Aniley, Samrawit Tassew Mekuria, Mebratu Abraha Kebede, Alembrhan Hagos Gebreanania, Mahteme Bekele Muleta, Tafere Tilahun Aniley
BACKGROUND: Emergence agitation is a transient confusional state of a child associated with consciousness from general anaesthesia, commonly occurs in the postoperative setting which delays their recovery and exposes them to traumas. The main objective of the current study was to investigate the magnitude of emergence agitation, its interventions and associated factors among paediatric surgical patients at Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia. METHODS: Hospital based cross-sectional study with prospective follow-up framework was conducted on a paediatric surgical patients aged 2-14 years who underwent surgery under general anaesthesia between June 1 - October 30 2022...
July 13, 2024: BMC Anesthesiology
Leah Dauterman, Nabia Khan, Connor Tebbe, Jiangqiong Li, Yanhua Sun, David Gunderman, Ziyue Liu, David C Adams, Daniel I Sessler, Lingzhong Meng
BACKGROUND: Intraoperative controlled hypotension improves surgical field visibility by reducing blood loss (efficacy) but poses potential risks linked to organ hypoperfusion (safety). The use of controlled hypotension persists despite increasing evidence of associations between intraoperative inadvertent hypotension and adverse outcomes. Therefore, we tested the hypothesis that the focus and results of intraoperative controlled hypertension research differ across anaesthesia and surgery investigators because of differing priorities...
July 12, 2024: British Journal of Anaesthesia
Jing Tian, Ziyuan Shen, Brad A Sutherland, Flavia Cicuttini, Graeme Jones, Feng Pan
BACKGROUND: Chronic pain is associated with development of cardiovascular disease. We investigated the association between how widespread chronic pain is and the development of cardiovascular dysfunction. METHODS: We analysed data from participants enrolled in the UK Biobank study who underwent examinations at baseline, plus first follow-up and two imaging visits. Pain sites (including hip, knee, back, neck/shoulder, or 'all over the body') and pain duration were recorded at each visit...
July 12, 2024: British Journal of Anaesthesia
Alexis Schneider, Martin R Tramèr, Gleicy Keli-Barcelos, Nadia Elia
BACKGROUND: Efficacy and safety of sugammadex for the reversal of neuromuscular blocking agents (NMBAs) in patients with neuromuscular diseases remains unclear. We summarised the available evidence and evaluated the quality of data reporting and the validity of published reports. METHODS: We searched for reports (any design) on the usage of sugammadex (any regimen) for the reversal of an NMBA in patients (any age) with any neuromuscular disease. We used a modified CARE checklist (maximum score 23) to assess the quality of data reporting and an original specific validity checklist (maximum score 41) that was developed through a Delphi process...
July 11, 2024: British Journal of Anaesthesia
Stephen J Lightfoot, Tim Grant, Anna Boyden, Scott McAlister
BACKGROUND: Single-use anaesthetic drug trays are used widely in Australia, but their environmental impact is unclear. METHODS: A life cycle assessment was completed for 10 different types of single-use anaesthetic drug trays made of four materials: the synthetic plastics polypropylene and polystyrene, and the natural fibres bagasse (sugarcane pulp) and cellulose pulp. RESULTS: Carbon emissions per tray from total life cycle with landfill disposal were 33-454 g CO2 -eq, which equates to 152-2066 tonnes CO2 -eq annually...
July 11, 2024: British Journal of Anaesthesia
Sonia Medina, Sophie Clarke, Sam Hughes
Virtual reality (VR) holds unmeasured potential as a multicomponent tool for managing chronic pain by adapting conventional in-person biopsychosocial pain management strategies into one virtual space. We review recent evidence showcasing the successful integration of cognitive behavioural therapy, mindfulness-based stress reduction, embodiment techniques, and physical therapy into VR environments, demonstrating positive outcomes in patients with chronic pain. We propose that future clinical and basic research build on this by integrating pain neuroscience techniques to help better understand pathophysiological pain mechanisms and treatment response...
July 12, 2024: British Journal of Anaesthesia
Alex Hong, Sonia Boukthir, Charlotte Levé, Jona Joachim, Joaquim Mateo, Arthur Le Gall, Alexandre Mebazaa, Etienne Gayat, Jérôme Cartailler, Fabrice Vallée
BACKGROUND: Perioperative renal and myocardial protection primarily depends on preoperative prediction tools, along with intraoperative optimization of cardiac output (CO) and mean arterial pressure (MAP). We hypothesise that monitoring the intraoperative global afterload angle (GALA), a proxy of ventricular afterload derived from the velocity pressure (VP) loop, could better predict changes in postoperative biomarkers than the recommended traditional MAP and CO. METHOD: This retrospective monocentric study included patients programmed for neurosurgery with continuous VP loop monitoring...
July 10, 2024: Anaesthesia, Critical Care & Pain Medicine
Sander F van den Heuvel, Hester van Eeren, Sanne E Hoeks, Anna Panasewicz, Philip Jonker, Sohal Y Ismail, Jan J van Busschbach, Robert Jan Stolker, Jan-Wiebe H Korstanje
The transition from in-person to digital preoperative patient education requires effective methods for evaluating patients' understanding of the perioperative process, risks, and instructions to ensure informed consent. A knowledge questionnaire covering different anaesthesia techniques and instructions could fulfil this need. We constructed a set of items covering common anaesthesia techniques requiring informed consent and developed the Rotterdam Anaesthesia Knowledge Questionnaire (RAKQ) using a structured approach and Item Response Theory...
2024: PloS One
Kane P J Colston, Thomas Ede, Michael T Mendl, Benjamin Lecorps
Even when pain control is implemented, calves may experience pain for days after hot-iron disbudding. Whether calves seek pain relief post-disbudding offers a novel approach to assessing pain in these animals. By employing an approach-aversion paradigm, we explored the ability of cold therapy to provide immediate pain relief in disbudded calves. Calves were habituated to the manual placement of a cool or ambient pack on their forehead for a short duration simultaneous to milk reward consumption, prior to disbudding...
2024: PloS One
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