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

Anesthetic considerations in an adult congenital rubella syndrome-patent ductus arteriosus ligation in a resource-limited setting
Ann Card Anaesth. 2023 Oct-Dec;26(4):469-471. doi: 10.4103/aca.aca_46_23.NO ABSTRACTPMID:37861590 | PMC:PMC10691570 | DOI:10.4103/aca.aca_46_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Gegal Pruthi Mayank Gupta Brijesh Garg Anju Grewal Source Type: research

A new indication of ultrasound-guided modified thoracoabdominal nerves block through perichondrial approach for thoracotomy in pediatric patients
Ann Card Anaesth. 2023 Oct-Dec;26(4):471-472. doi: 10.4103/aca.aca_42_23.NO ABSTRACTPMID:37861591 | PMC:PMC10691582 | DOI:10.4103/aca.aca_42_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Swati Singh Swati Singh Neha Pandey Source Type: research

Iatrogenic tracheal diverticula as a cause of subcutaneous emphysema after double-lumen tube insertion
Ann Card Anaesth. 2023 Oct-Dec;26(4):473-474. doi: 10.4103/aca.aca_59_23.NO ABSTRACTPMID:37861592 | PMC:PMC10691574 | DOI:10.4103/aca.aca_59_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Ankita Suri C S Vighnesh Ekta Mishra Rekha Gupta Sidharth Garg Avneet Singh Source Type: research

Fluoroscopy-Guided positioning of the bronchial blocker
Ann Card Anaesth. 2023 Oct-Dec;26(4):474-475. doi: 10.4103/aca.aca_63_23.NO ABSTRACTPMID:37861593 | PMC:PMC10691565 | DOI:10.4103/aca.aca_63_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Nagarjuna Panidapu M Bhakya Lakshmi Thushara Madathil Rohik Micka Praveen K Varma Praveen K Neema Source Type: research

Comment on "use of pre-operative haemoglobin a1c to predict early post-operative renal failure and infection risks in patients who are not diabetics and undergoing elective off pump coronary artery bypass graft surgery"
Ann Card Anaesth. 2023 Oct-Dec;26(4):475-476. doi: 10.4103/aca.aca_57_23.NO ABSTRACTPMID:37861594 | PMC:PMC10691561 | DOI:10.4103/aca.aca_57_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Rohan Magoon Arindam Choudhury Source Type: research

Epidural blood patch placement with patient wearing wearable cardioverter defibrillator: To be or Not to be
Ann Card Anaesth. 2023 Oct-Dec;26(4):476-477. doi: 10.4103/aca.aca_71_23.NO ABSTRACTPMID:37861595 | PMC:PMC10691573 | DOI:10.4103/aca.aca_71_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Deepak Gupta Source Type: research

Alternative approaches to central venous cannulation in cardiac surgery
Ann Card Anaesth. 2023 Oct-Dec;26(4):365-366. doi: 10.4103/aca.aca_123_23.NO ABSTRACTPMID:37861568 | PMC:PMC10691580 | DOI:10.4103/aca.aca_123_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Mukul C Kapoor Source Type: research

Utility of transesophageal echocardiography during orthotopic liver transplantation: A narrative review
Ann Card Anaesth. 2023 Oct-Dec;26(4):367-379. doi: 10.4103/aca.aca_186_22.ABSTRACTOrthotopic liver transplantation (OLT) is the standard of care for patients suffering from end stage liver disease (ESLD). This is a high-risk procedure with the potential for hemorrhage, large shifts in preload and afterload, and release of vasoactive mediators that can have profound effects on hemodynamic equilibrium. In addition, patients with ESLD can have preexisting coronary artery disease, cirrhotic cardiomyopathy, porto-pulomary hypertension and imbalanced coagulation. As cardiovascular involvement is invariable and patient are at an ...
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Christopher Hansebout Tejal V Desai Achal Dhir Source Type: research

Comparison of noninvasive cardiac output monitoring by electrical cardiometry with transthoracic echocardiography in postoperative paediatric cardiac surgical patients - A prospective observational study
CONCLUSION: ICON ® monitor-derived parameters are not interchangeable with the values derived from TTE. However, the ICON ® monitor demonstrated a good trending ability for both CO and CI.PMID:37861570 | PMC:PMC10691584 | DOI:10.4103/aca.aca_9_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Raj A Pedgaonkar Naveen G Singh Manasa Dhananjaya P S Nagaraja K S Nagesh V Prabhakar Source Type: research

Effects of a forced-air warming system and warmed intravenous fluids on hemodynamic parameters, shivering, and time to awakening in elderly patients undergoing open cardiac surgery
CONCLUSION: The results revealed that FAWS could mitigate the degree of hypothermia, increase body temperature and decrease the postoperative serum lactate levels. Moreover, BE as one of the most important parameters for ABGs, could remain at a normal level. Besides, the use of FAWS could lead to early awakening, and thus facilitate weaning and extubation of these patients.PMID:37861571 | PMC:PMC10691583 | DOI:10.4103/aca.aca_20_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Mohammad Bagher Akbarpour Roshan Hasanali Jafarpoor Abbas Shamsalinia Zahra Fotokian Seyed Hossein Hamidi Source Type: research

Effect of transesophageal echocardiography probe on tracheal perfusion pressure and ventilatory parameters in pediatric patients undergoing cardiac surgery using cardiopulmonary bypass: A prospective observational study
CONCLUSION: TEE probe causes an increase in CP and decreases TPP. Constant monitoring and maintaining CP, TPP in optimum range is recommended.PMID:37861572 | PMC:PMC10691560 | DOI:10.4103/aca.aca_19_23 (Source: Annals of Cardiac Anaesthesia)
Source: Annals of Cardiac Anaesthesia - October 20, 2023 Category: Anesthesiology Authors: Abhishek Verma Guriqbal Singh Visharad Trivedi K S Ramkiran Mittapalli Jeevan Babu Himani Pandya Jigisha Pujara Source Type: research