Summary NHS England recently mandated that the National Early Warning Score of vital signs be used in all acute hospital trusts in the UK despite limited validation in the postoperative setting. We undertook a multicentre UK study of 13,631 patients discharged from intensive care after risk‐stratified cardiac surgery in four centres, all of which used VitalPACTM to electronically collect postoperative National Early Warning Score vital signs. We analysed 540,127 sets of vital signs to generate a...
Wed Jul 03, 2019 19:04
Summary Following a 2–3‐month period of publicity, anaesthetists were invited to participate in an online survey that was administered by a third party company on behalf of the Association of Anaesthetists and ran between 3 September and 31 October 2018. Anaesthetists working in the UK or Ireland were asked about the presence or absence of welfare/support structures or resources in their workplace in the case of mental illness, addiction and/or suicide. Anaesthetists working anywhere in the world...
Tue Jul 02, 2019 16:00
Summary Patient‐centred care and factors associated with patient satisfaction with anaesthesia have been widely studied. However, the most important considerations in the setting of obstetric anaesthesia are uncertain. Identification of, and addressing, factors that contribute to patient dissatisfaction may improve quality of care. We sought to identify factors associated with < 100% satisfaction with obstetric anaesthesia care. At total of 4297 women treated by anaesthetists provided satisfaction...
Mon Jul 01, 2019 19:27
BP S Ghumman, Alok Kumar, Sameer KumarAnnals of Cardiac Anaesthesia 2019 22(3):321-324 Near-infrared spectroscopy (NIRS) cerebral oximetry is an established and standard monitoring modality for surgery under extracorporeal circulation with circulatory arrest. It helps to reduce the neurological complication, but in many instances, it becomes not only technically challenging but also is difficult to interpret and take corrective action based on the NIRS values. In this case study, we aimed to...
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Rabie Soliman, Walid AbukhudairAnnals of Cardiac Anaesthesia 2019 22(3):246-253 Objective: The objective of this study was to assess the cardioprotective effect of magnesium sulfate in patients with left ventricular concentric hypertrophy undergoing cardiac surgery. Design: The study was a double-blinded randomized study. Setting: This study was conducted at a cardiac center. Patients: The study included 250 patients. Intervention: The study included two groups (each = 125): Group M – the patients...
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Aanchal Dixit, Sandeep SharanAnnals of Cardiac Anaesthesia 2019 22(3):344-345
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Ahmed Kareem Mohammed, Mai A Madkour, Hossam M HassanienAnnals of Cardiac Anaesthesia 2019 22(3):254-259 Background: We evaluated furosemide on attenuating lung injury and/or edema during coarctation repair surgery. We evaluated dynamic lung compliance. We measured the degree of lung edema by means of lung ultrasound (LUS). We recorded the (PaO2/FiO2ratio) as an indicator for oxygenation. Materials and Methods: A study was conducted on 56 patients. Patients were divided into two groups: control...
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Paurush Ambesh, Melissa Hirsch, Aviva Tobin-Hess, Danish Kazmi, Aditya Kapoor, Vijay Shetty, Stephan KamholzAnnals of Cardiac Anaesthesia 2019 22(3):334-336 Although most intracardiac defects are congenital, a small fraction may be acquired during life. The Gerbode defect is an abnormal anatomical connection between the left ventricle and the right atrium. We describe herein a patient who initially underwent repair of tetralogy of Fallot (TOF). Years after TOF repair, he developed severe dyspnea....
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Khalid M Siddiqui, Muhammad A Asghar, Muhammad F Khan, Fazal H KhanAnnals of Cardiac Anaesthesia 2019 22(3):260-264 Background: Diabetes is not uncommon in patients requiring cardiac surgery. These patients have a higher incidence of morbidity and mortality. Subsequently, diabetes represents a major medico-economic problem in both developed and developing countries. This study was designed to observe the association between glycemic control and outcome of patients after open heart surgery in...
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Monish S Raut, Vijay Mohan HanjooraAnnals of Cardiac Anaesthesia 2019 22(3):316-317 A patient having mitral stenosis with chronic atrial fibrillation, large left atrium, and spontaneous echo contrast is expected to have clot in LA or LAA. TEE is more sensitive to detect thrombus in LA and LAA than transthoracic echocardiography. However, false-negative results can still occur due to multilobed LAA, and a thrombus can be potentially missed.
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Jonathan Leff, Amanda Rhee, Singh Nair, Daniel Lazar, Sudheera Kokkada Sathyanarayana, Linda Shore-LessersonAnnals of Cardiac Anaesthesia 2019 22(3):265-272 Objectives: To compare the effectiveness of epsilon aminocaproic acid (EACA) to tranexamic acid (TA) in reducing blood loss and transfusion requirements in patients undergone cardiac surgery under cardiopulmonary bypass. Design: Randomized, double blinded study. Outcome variables collected included; baseline demographic characteristics, type...
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Shahriar Mali, Noushin Abyari, Mohmmadtaghi SarebanhassanabadiAnnals of Cardiac Anaesthesia 2019 22(3):328-330 Chronic extensive infection of the sternal wound may be a serious problem in patients undergoing sternotomy, especially those who have been operated for coronary artery bypass grafts. We report and evaluate the outcomes of five cases involved in chronic sternal osteomyelitis who were treated with two different strategies as follows: (1) debridement and secondary healing (conventional...
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Amitabh Arya, Navneet Kumar Srivastava, Shantanu Pande, Shashank Tripathi, Surendra Kumar Agarwal, Prabhat Tewari, Aditya KapoorAnnals of Cardiac Anaesthesia 2019 22(3):273-277 Introduction: Tetralogy of Fallot requiring transannular repair of the right ventricular outflow tract (RVOT) are exposed to free pulmonary insufficiency and hence inevitable right ventricular dysfunction. This study analyzes the function and structure of untreated autologous pericardium monocusp used to create a competent...
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Sohan Lal Solanki, Pooja P Kumar, Reshma P AmbulkarAnnals of Cardiac Anaesthesia 2019 22(3):340-342 Preoperative fasting is essential to prevent aspiration and associated complications. However, quite often patients end up fasting for 12 h or more due to changes in the operating room schedules, delays, and postponements. Preoperative fasting may lead to a fluid deficit, which may contribute to perioperative discomfort and morbidity. We report a case of 44-year-old female posted for total mastectomy...
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Farzad Sahebjami, Fatemeh Rezvan Madani, Saeid Komasi, Behzad Heydarpour, Mozhgan Saeidi, Kobra Ezzati, Parvin EzzatiAnnals of Cardiac Anaesthesia 2019 22(3):278-282 Background: Refractory angina is a clinical diagnosis which implies to chronic pain due to coronary artery insufficiency and it is often resistant to routine cardiac treatment. The present study conducted to compare changes in refractory angina frequencies during 7 weeks treatment by enhanced external counterpulsation (EECP) in coronary...
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Brian R Gebhardt, Ankit Jain, Sarah A Basaham, Farhad Zahedi, Stefan Ianchulev, Larry H Brinckerhoff, John G Augoustides, Prakash A Patel, Andrea Tsai, Frederick C CobeyAnnals of Cardiac Anaesthesia 2019 22(3):239-245 Objective: Chronic postthoracotomy pain (CPTP) is a persistent, occasionally debilitating pain lasting >2 months following thoracic surgery. This study investigates for the first time the prevalence and clinical impact of CPTP in patients who have undergone a transapical transcatheter...
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Arindam ChoudhuryAnnals of Cardiac Anaesthesia 2019 22(3):283-284
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Rohini Mayur Balaji, Manasa Dhananjaya, Ashwini ThimmarayappaAnnals of Cardiac Anaesthesia 2019 22(3):318-320 Percutaneous transvenous mitral commisurotomy (PTMC) is a frequently used minimally invasive procedure for patients with symptomatic mitral stenosis. However, it is not without complications. Few complications which are distinctive to the procedure are thromboembolism, left-to-right shunts, mitral regurgitation, cardiac tamponade and complete heart block. We present the case of a 32-year-old...
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Azin Alizadehasl, Anita Sadeghpour, Ziae Totonchi, Rasoul Azarfarin, Saeid Rahimi, Amir HendianiAnnals of Cardiac Anaesthesia 2019 22(3):285-290 Background: This study aimed to compare sedation characteristics of dexmedetomidine (Dex) and propofol during transesophageal echocardiography (TEE) in cardiac patients. Methods: This clinical trial was conducted on 65 cardiac patients, who underwent TEE in a referral heart hospital. The patients were randomly divided into two groups: Dex (n = 34) and...
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Hao-Nung Shyu, Po-Han Li, Shih-Kai Liu, Yi-Ying ChiangAnnals of Cardiac Anaesthesia 2019 22(3):325-327 Acute coronary syndrome (ACS) and acute aortic syndrome (AAS) are both life-threatening emergencies. We report a case of ACS with thoracic aneurysm. Thoracic endovascular aortic repair (TEVAR) was arranged. However, perioperative complete atrioventricular block occurred and soon progressed to ST-elevation myocardial infarction. In the case of chest discomfort with elevated troponin I and thoracic...
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Sobia Manzoor, Talib Khan, Syed Amer Zahoor, Shaqul Qamar Wani, Jan Mohamad Rather, Shaista Yaqoob, Zulfiqar Ali, Zubair Ashraf Hakeem, Bashir Ahmad DarAnnals of Cardiac Anaesthesia 2019 22(3):291-296 Background: Post thoracotomy ipsilateral shoulder pain (PTISP) is a distressing and highly prevalent problem after thoracic surgery and has not received much attention despite the incidence as high as 85%. Objectives: To study the effect of phrenic nerve infiltration with Ropivacaine compared to...
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Sunder Lal Negi, Srinath Damodaran, Krishna P Gaurav, Prashant Sevta, Ankush SinglaAnnals of Cardiac Anaesthesia 2019 22(3):331-333 Central venous catheterization is an essential procedure in patient undergoing cardiac surgery, as it provides central venous pressure monitoring, fluid administration, and infusion of inotropes during perioperative period. In the cardiac surgery, where the patients are anticoagulated, an inadvertent arterial puncture can lead to serious complications. Hematoma following...
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Prabhaker Mishra, Chandra Mani Pandey, Uttam Singh, Amit Keshri, Mayilvaganan SabaretnamAnnals of Cardiac Anaesthesia 2019 22(3):297-301 In biostatistics, for each of the specific situation, statistical methods are available for analysis and interpretation of the data. To select the appropriate statistical method, one need to know the assumption and conditions of the statistical methods, so that proper statistical method can be selected for data analysis. Two main statistical methods are used...
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Salomon Poliwoda, Rekhaben Suthar, Nicholas Suraci, Pedro Garcia, Vicente Behrens, Howard GoldmanAnnals of Cardiac Anaesthesia 2019 22(3):337-339 A patient presented to our institution for an elective removal of an inferior vena cava (IVC) filter under local anesthesia. Once removed, it was noticed that the filter had a missing secondary leg. The patient had a chest CT done which showed a hyper-attenuating structure in the region of the tricuspid valve highly suspicious for the fractured strut...
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Amarja Sachin NagreAnnals of Cardiac Anaesthesia 2019 22(3):302-308 Transthoracic echocardiography is a potent and appealing diagnostic tool by virtue of rapidity, noninvasiveness, and repeatability. Focus-assessed transthoracic echocardiography (FATE) forms quick guidance to interpret the echocardiographic information and relates it to the clinical context. It can be applied in the perioperative period, intensive care units (ICUs), and emergency situations, in trauma and as resuscitation aids....
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Badreeddine Alami, Saïd Boujraf, Youssef Alaoui-Lamrani, Maryem Boubbou, Mustapha MaaroufiAnnals of Cardiac Anaesthesia 2019 22(3):343-344
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Shvetank Agarwal, Chinar Sanghvi, Nadine Odo, Manuel R CastresanaAnnals of Cardiac Anaesthesia 2019 22(3):309-315 Takotsubo cardiomyopathy (TCM) is characterized by transient ventricular dysfunction in the absence of obstructive coronary artery disease that may be triggered by an acute medical illness or intense physical or emotional stress. TCM is often confused with acute myocardial infarction given the similar electrocardiographic changes, cardiac enzymes, hemodynamic perturbations, and myocardial...
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Vijaya P Patil, Sumitra G Bakshi, Harshita SinghAnnals of Cardiac Anaesthesia 2019 22(3):345-346
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Patient satisfaction is a well-established indicator to evaluate the quality of medical care and there is an increasing support for the use of patient-reported experience measures (PREMs) to evaluate satisfact...
Tue Jul 02, 2019 03:00
Abstract Background Delirium is a frequent postoperative complication in elderly patients after non-cardiac surgery. We performed this updated meta-analysis to ascertain more precisely the efficacy of dexmedetomidine (DEX) on the incidence of postoperative delirium (POD) in elderly patients after non-cardiac surgery. Methods We searched PubMed, EMBASE, the...
Mon Jul 01, 2019 03:00
Mon Jul 01, 2019 03:00
Mon Jul 01, 2019 03:00
Abstract Purpose Although intraoperative anaphylaxis during surgery is a rare event, we describe five patients who experienced perioperative anaphylactic reactions during renal transplantation and were referred for investigation. Clinical features Skin-prick and intradermal skin tests were done to investigate potential allergies to drugs given perioperatively...
Mon Jul 01, 2019 03:00
Abstract Purpose The Transmuscular Quadratus Lumborum block (TQLB) is one of the newest blocks and has been used as an effective analgesic option for various surgeries. However, it is still uncertain whether the TQLB provides beneficial analgesic outcomes for hip arthroscopic surgeries. Therefore, we aimed to investigate effects of the preoperative TQLB on postoperative pain levels and perioperative opioid consumption in patients who underwent...
Mon Jul 01, 2019 03:00
Publication date: Available online 1 July 2019Source: Anesthesiology ClinicsAuthor(s): Jay Rajan, Matthias Behrends
Tue Jul 02, 2019 15:48
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