Ultrasound-guided bilateral infraclavicular brachial plexus block: A report of three cases
In this report series, we present our experience of bilateral infraclavicular block, which we successfully performed in three cases and did not encounter any complications. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Abdulhakim & #350;engel Sel & #231;uk Se & #231;ilmi & #351; Source Type: research

Fluoroscopic-guided erector spinae plane block for spine surgery
We describe a successful Fluoroscopic-guided lumbar erector spinae plane block for lower back spinal surgery. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Eric Kim Abdalhai Alshoubi Source Type: research

Supraglottic airway device and venoarterial extracorporeal membrane oxygenation support for curative surgery in a patient with huge thyroid mass: A case report
We report a case of airway management using i-gelTM and cardiopulmonary bypass (CPB) with venoarterial extracorporeal membrane oxygenation (ECMO), which is a safe and feasible method of airway management for providing general anesthesia in a patient with a large thyroid mass. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Eun Kyung Choi Do Young Kim Jun Oh Kim Source Type: research

Preemptive pericapsular nerve group block to facilitate sitting position for neuraxial anesthesia in patients with acetabular fractures: A case series
We report a case series of five patients with acetabular fractures, in whom pre-emptive administration of pericapsular nerve group block provided effective analgesia to facilitate the sitting position for the neuraxial block. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Tuhin Mistry Kartik Sonawane Apurva Raghuvanshi Jagannathan Balavenkatasubramanian Palanichamy Gurumoorthi Source Type: research

Perioperative total intravenous anesthesia in a child with Walker-Warburg syndrome: A case report
Conclusions: To our knowledge, no published cases have reported the use of total intravenous anesthesia in patients with Walker-Walburg syndrome who have potential risks for anesthetic-induced malignant hyperthermia. This report described the key features, potential anesthetic management plan, and current literature review of Walker-Walburg syndrome. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Wadeeah Bahaziq Ahmed R Hassan Majd Y Jubili Abdulaziz Boker Source Type: research

Extremely low bispectral index value during robotic-assisted laparoscopic prostatectomy: A case report
We present a case of a patient with an extremely low BIS value during robotic-assisted laparoscopic prostatectomy (RALP). We managed the patient under general anesthesia and he showed a prominent decrease in BIS values 6 h after the start of surgery. Suppression ratio (SR) of electroencephalography (EEG) is also decreased, suggesting that the brain activity decreased. The BIS value increased quickly after the Trendelenburg position was released and the anesthesia was terminated. The patient recovered without any neurological deficits and was discharged. Steep Trendelenburg position and pneumoperitoneum can cause EEG abnorm...
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Takuo Hoshi Source Type: research

Combined pericapsular nerve group and lateral femoral cutaneous nerve blocks for hip fracture in a polytraumatized patient & #8212;A case report
Juri Valoriani, Duccio Conti, Lara Gianesello, Vittorio PavoniSaudi Journal of Anaesthesia 2022 16(2):211-213 Locoregional anesthetic techniques in hip fracture are significant in order to control pain, reduce postoperative opioid use, and perioperative adverse events. Pericapsular nerve group (PENG) block has been described and proved as an effective analgesic method for hip surgery as an alternative to other regional nerve blocks. The association of PENG and lateral femoral cutaneous nerve (LCFN) block can be performed to achieve skin and subcutaneous tissues analgesia or anesthesia. Direct anterior approach PENG block ...
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Juri Valoriani Duccio Conti Lara Gianesello Vittorio Pavoni Source Type: research

Road map toward establishing fellowship programs in an academic anesthesia department
Abdulaziz E AhmadSaudi Journal of Anaesthesia 2022 16(2):208-210 An impactful fellowship management should provide fellows with: Strong commitments and engagement from senior teams, ample and diverse opportunities to interact with mentors, strong exposure and sufficient access to the latest in academic training and experience, flexibility to fit the fellow's area of specialty and research, and extensive opportunities for professional development. One of the important features of our fellowship programs curriculum will be the use of simulation based training programs for the courses and workshops of the target f...
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Abdulaziz E Ahmad Source Type: research

Publish or perish, information overload, and journal impact factors & #8211; A conflicting tripod of forces
Victor GrechSaudi Journal of Anaesthesia 2022 16(2):204-207 The academic mantra, to the point of cliché, is “publish or perish.” Academia is generally too preoccupied with research and publishing to stand back and consider the driving forces behind the actual processes and systems involved. Indeed, academics are generally unaware of the factors that influence one's ability to publish: The drive to publish itself, readers' information overload, and editors' desire to increase journals' impact factors. This paper will detail these forces, and ...
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Victor Grech Source Type: research

Emerging mucormycosis posing threat to community: Anesthetist & #39;s perspective in a tertiary care center
Shilpa Goyal, Ankur Sharma, Nikhil Kothari, Amit GoyalSaudi Journal of Anaesthesia 2022 16(2):200-203 Mucormycosis has become an ever-growing threat to human health, particularly after the COVID-19 pandemic. As the number of cases of mucormycosis increased, it put a burden on anesthesiologists. Here we describe the etiopathogenesis, clinical presentation, and anesthesia management of patients suffering from mucormycosis. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Shilpa Goyal Ankur Sharma Nikhil Kothari Amit Goyal Source Type: research

The use of mandibular nerve block in unilateral mandibular fracture to evaluate the mouth opening for assessment of airway
Conclusion: Mandibular nerve block decreases the pain and will aid in the decision making by an anesthetist regarding airway management as it helps in increasing the inter incisor distance significantly. Moreover, given the feasibility and effectiveness of the block it could be included in standard of care protocol for mandibular fracture patients. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Mukesh Kumar Prasad Payal Jain Alauddin Alam Rohit Kumar Varshnay Kanchan Rani Amit Kumar Chaudhary Source Type: research

Optic nerve ultrasound and cardiopulmonary bypass: A pilot study
Conclusions: Patients with Fontan physiology may be more prone to higher levels of baseline intracranial pressure due to elevated systemic venous pressure and decreased cardiac output. Alternatively, the chronically high central venous pressures may artificially elevate ONSD without clinical changes in ICP, necessitating the development of separate normative values based on the type of congenital heart disease. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Mayuko Wakimoto Joseph H Patrick Yoshikazu Yamaguchi Catherine Roth Marco Corridore Joseph D Tobias Source Type: research

Comparison of the effectiveness of intravenous fentanyl versus caudal epidural in neonates undergoing tracheoesophageal fistula surgeries
Conclusion: Caudal epidural infusion provides adequate perioperative analgesia, promotes rapid weaning from the ventilator, and contributes to a successful outcome. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Saraswathi Nagappa Sandhya Kalappa HN Vijayakumar HN Nethra Source Type: research

Perioperative anesthetic concerns in postcovid mucormycosis patients posted for surgical intervention: An observational Study
Conclusion: Considering the perioperative risk associated with high HbA1C and pneumonitis, MAC was preferred in majority of cases. Strict hemodynamic monitoring, perioperative glucose control, difficult airway cart, metabolic and electrolyte balance and vigilant peri-operative monitoring are cornerstone for better outcome and short length of hospital stay. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Shilpi Misra Shivani Rastogi Deepak Malviya Rachana Gupta Sandeep K Yadav Sharif Alam Source Type: research

Can ACS-NSQIP score be used to predict postoperative mortality in Saudi population ?
Conclusion: ACS-NSQIP can be reliably used for postoperative mortality prediction especially in lower risk groups. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 17, 2022 Category: Anesthesiology Authors: Anwar U Huda Mohammad Yasir Nasrullah Sheikh Asad Z Khan Source Type: research