Effect of intravenous levosimendan or milrinone on left atrial pressure in patients undergoing off-pump coronary artery bypass grafting-A prospective double-blind, randomized controlled trial
Conclusion: Levosimendan may be used as a primary inotrope in terms of better reduction in left atrial pressure during different stages of OPCAB, translating to a decrease in left ventricular end-diastolic pressure, therefore maintaining optimum coronary perfusion pressure, which is the primary goal of the surgery.PMID:37861575 | PMC:PMC10691577 | DOI:10.4103/aca.aca_51_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Abhinandan Mondal Kakali Ghosh Sandeep Kumar Kar Pavan Kumar Dammalapati Chaitali S Dasgupta Source Type: research
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
CONCLUSION: 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.PMID:37861576 | PMC:PMC10691558 | DOI:10.4103/aca.aca_32_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Nirmala Choudhary Neerja Banerjee Jyoti Singh Meena Kumari Mohandeep Kaur Source Type: research
Ultrasound: A novel alternative technique for cervical epidural space visualization-A pilot study
CONCLUSION: The pilot study has successfully demonstrated the implication of US for visualizing and aiding in epidural space catheterization. Also, the failure rate and procedural complications were drastically minimized with the help of US as compared to the traditional blind technique.PMID:37861577 | PMC:PMC10691571 | DOI:10.4103/aca.aca_40_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Omshubham G Asai Prakash Gondode Amrusha Raipure Divish Saxena Vivek Tiwari Source Type: research
Anomalous origin of right pulmonary artery from the ascending aorta-Intraoperative transesophageal echocardiography and surgical images
Ann Card Anaesth. 2023 Oct-Dec;26(4):431-432. doi: 10.4103/aca.aca_1_23.NO ABSTRACTPMID:37861578 | PMC:PMC10691576 | DOI:10.4103/aca.aca_1_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Sai Charan Kopparapu M S Saravana Babu Subin Sukesan Sabarinath Menon Source Type: research
Absent right superior vena cava and persistent left superior vena cava: An incidental finding
Ann Card Anaesth. 2023 Oct-Dec;26(4):433-434. doi: 10.4103/aca.aca_91_23.ABSTRACTA patient with Marfan syndrome undergoing Bentall operation was found to have an absent right superior vena cava and persistent left superior vena cava. The dilation of coronary sinus raised the suspicion of persistent left superior vena cava. The diagnosis was confirmed by agitated saline contrast echocardiography and computed tomography of the chest.PMID:37861579 | PMC:PMC10691572 | DOI:10.4103/aca.aca_91_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Swati Joshi Ajmer Singh Source Type: research
Commentary: Anomalies of systemic veins: A topic of interest to the anesthesiologist
Ann Card Anaesth. 2023 Oct-Dec;26(4):435-437. doi: 10.4103/aca.aca_120_23.NO ABSTRACTPMID:37861580 | PMC:PMC10691563 | DOI:10.4103/aca.aca_120_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Madan M Maddali Robert H Anderson Source Type: research
Acute superficial and deep necrosis of lower limb following femoral arterial cannulation in a neonate undergoing arterial switch operation for transposition of great arteries
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.PMID:37861581 | PMC:PMC10691566 | DOI:10.4103/aca.aca_177_22 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Jessin P Jayasankar Sundeep Vijayaraghavan Praveen B Reddy Brijesh P Kottayil Rajesh M Gopalkrishnan Praveen Kumar Neema Source Type: research
Abnormally low regional cerebral oxygen saturation after induction of anesthesia without neurological abnormality: A case report
Ann Card Anaesth. 2023 Oct-Dec;26(4):442-445. doi: 10.4103/aca.aca_194_22.ABSTRACTMeasurement 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.PMID:37861582 | PMC:PMC10691559 | DOI:10.4103/aca.aca_19...
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Jun Honda Shiori Tanaka Keisuke Yoshida Satoki Inoue Source Type: research
Anesthesia for cesarean delivery in a patient with congenitally corrected transposition of the great arteries: A case report
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.PMID:37861583 | PMC:PMC10691569 | DOI:10.4103/aca.aca_5_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Emily E Naoum Jamel P Ortoleva Ryan M Militana Marti D Soffer Doreen DeFaria Yeh Source Type: research
Role of transesophageal echocardiography in early detection of myocardial ischemia before electrocardiography changes post arterial switch operation
We present a rare case of intra-operative myocardial ischemia after ASO, detected with transesophageal echocardiography before electrocardiography changes.PMID:37861584 | PMC:PMC10691568 | DOI:10.4103/aca.aca_161_22 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Sunder L Negi Loganathan Chakorvarthy Nischita Gowda Rupesh Kumar Source Type: research
Laparoscopic excision of normotensive variant pheochromocytoma in a case of triple vessel coronary artery disease: The anaesthesia challenge
We describe the successful management of pheochromocytoma excision in a patient with coronary artery disease.PMID:37861585 | PMC:PMC10691557 | DOI:10.4103/aca.aca_14_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Anitha Diwakar T Geetanjali Pankaj Punetha Channabasavaraj Hiremath Source Type: research
Apnea management during WATCHMAN device deployment with apneic oxygenation: A case report of three cases
We present three cases in which apneic oxygenation was employed to maintain oxygenation during apnea, and oxygen reserve index (ORiTM) 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 (PaO2) > 100 mmHg. Transcutaneous oxygen saturation and PaO2 remained above 99% and 300 mmHg, respectively. There were no respiratory or circulatory complications d...
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Makishi Maeda Yusuke Yoshikawa Shunsuke Oura Kanako Takahashi Sho Ohno Naoyuki Hirata Michiaki Yamakage Source Type: research
Complex cyanotic congenital heart disease and cervical spine surgery: Ticking all the right boxes
Ann Card Anaesth. 2023 Oct-Dec;26(4):461-463. doi: 10.4103/aca.aca_25_23.ABSTRACTAlthough complex congenital heart disease (CHD) patients usually present in childhood, it is not rare to see adults well past middle age. These patients undergo continuous pathophysiological changes in their heart and blood vessels, making anesthetic management more challenging if surgery is required. Herein, we report a case in which understanding the anatomy and pathophysiology helped optimally manage a patient with a double outlet right ventricle (DORV) who underwent plating and fixation for a hangman's fracture in the prone position.PMID:3...
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Sanjay Jaswal Vinitha Narayan Punith Gowda Shalvi Mahajan Source Type: research
The protekduo cannula for acute right ventricular support in thyrotoxicosis
Ann Card Anaesth. 2023 Oct-Dec;26(4):464-467. doi: 10.4103/aca.aca_26_23.ABSTRACTA 25-year-old female was presented with acute right heart failure (aRHF) and cardiogenic shock secondary to thyrotoxicosis with concomitant acute respiratory failure. A ProtekDuo cannula was placed to provide temporary percutaneous right ventricular assistance and extracorporeal membrane oxygenation (ECMO) in venopulmonary (V-P) configuration, which provided both decompression of the right ventricle (RV) and oxygenation. With treatment of the underlying thyrotoxicosis, the RV function improved and respiratory failure resolved. She was discharg...
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Marc O Maybauer Joseph M Brewer Source Type: research
Perioperative pain management in the current times: Drugs and blocks matter, but what beyond?
Ann Card Anaesth. 2023 Oct-Dec;26(4):468-469. doi: 10.4103/aca.aca_41_23.NO ABSTRACTPMID:37861589 | PMC:PMC10691581 | DOI:10.4103/aca.aca_41_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Rohan Magoon Jes Jose Source Type: research
