Exemption from informed consent: When it is possible in investigational product and drug trials ?
Swati VermaSaudi Journal of Anaesthesia 2021 15(4):428-430
One of the most important ethical step in conducting investigational product trials or drug trials is obtaining informed consent from the participants. Although consent from the participants regarding participation is of prime importance but is not always practical or feasible. There may be several instances where it is practically impossible to obtain informed consent, whereas in some cases, obtaining informed consent from the trial participants adversely affects the quality and validity of the study data. Obtaining informed consent is a highly complex and techni...
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Swati Verma Source Type: research
When to abandon single-lung anesthesia during video-assisted thoracoscopic surgery (VATS) in infants and young children: A case-based review
We report two cases: hypoxemia in one and hypercapnia in the other. Guidance on safe limits of permissive hypoxemia or hypercarbia in this scenario is vague. Therefore, irreversible hypoxemia and hypercarbia with changes in acid–base status should be considered as indications for swift conversion to open thoracotomy and abandon one-lung ventilation. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Chulananda Goonasekera Malcolm Mathew Meera Kurup Steve James Source Type: research
A comparative study of the efficacy of Glidescope versus Macintosh direct laryngoscopy for intubation in pediatric patients undergoing cardiac surgery
Conclusion: Our findings indicate that the Glidescope can be used as an efficient modality for obtaining successful intubations with no complications. Ease of tracheal intubation was the only outcome that was found to be affected by the used modality. Further investigations with proper sample sizes are needed. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Ibrahim Zabani Mohammed AlHarbi Abdulkarim AlHassoun Shafat Iqbal Dareen Al Amoudi Sultan AlOtaibi Hasan Saad Source Type: research
Psychometric and accuracy comparison of three commonly used questionnaires for the diagnosis of neuropathic pain
Conclusion: Both NPQ-SF and S-LANSS demonstrated acceptable reliability, while DN4 demonstrated high reliability. All three demonstrated excellent diagnostic validities; however, it is important to consider the sensitivity and specificity of each. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Abdullah Bakr Abolkhair Ahmed O El-Kabbani Abdulaziz Al-Mulhem Areej A AlFattani Ayman Al-Hammadi Hani Alghamdi Mamdouh Haddarra Abdullah Alraffa Adil S Kamal Reema N Alsaigh Mayyan M Mubarak Abdullah Sulieman Terkawi Source Type: research
Endotracheal tube cuff position in relation to the cricoid in children: A retrospective computed tomography-based analysis
Conclusion: This is the first study demonstrating that the cuff of the ETT and its position in the trachea can be identified on CT imaging in children. The ETT cuff was below the level of the cricoid in the majority of patients irrespective of the patient's age as well as the size, make, and type of ETT. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Tariq M Wani Jiju John Vladimir Bahun Faris AlGhamdi Dmitry Tumin Joseph D Tobias Source Type: research
Comparative performance of two protective barriers during tracheal intubation of COVID-19 patients: A simulation cross-over study
Abdullah B Abolkheir, Ahmed El-Kabbani, Abdullah Al Raffa, Areej AlFattani, Andrew NorrisSaudi Journal of Anaesthesia 2021 15(4):396-402
COVID-19 was declared a pandemic by the WHO in 2020. In light of the global shortage of PPE and concerns regarding the safety of healthcare providers, clinicians have resorted to the use of novel protective barriers, such as aerosol boxes and plastic sheets, during aerosol generating procedures, especially tracheal intubation. We compared the effect of these barriers on the tracheal intubation of simulated patients with severe COVID-19 in a crossover study. The study was approved by the ...
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Abdullah B Abolkheir Ahmed El-Kabbani Abdullah Al Raffa Areej AlFattani Andrew Norris Source Type: research
Does propofol mode of administration influence psychomotor recovery time after sedation for colonoscopy: A prospective randomized assessor-blinded trial
Conclusion: In the conditions of our study characterized by short procedure duration, target-controlled infusion of propofol does not offer any benefit in terms of psychomotor skills recovery over intermittent bolus application. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Philippe J Van der Linden Hans Verdoodt Etienne M & #233;tallo Chantal Plasman Jean-Fran & #231;ois Fils Denis Schmartz Source Type: research
Is the SORT score reliable in predicting postoperative 30-day mortality after a nonemergency surgery in Saudi population ?
Conclusions: SORT scores can be used to predict 30-day mortality after nonemergency surgeries in Saudi population. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Anwar Ul Huda Asad Z Khan Abdul S Memon Nasrullah Sheikh Abdullah A Anazi Source Type: research
The trends of obstetric anesthesia practice: In a tertiary care center in the Kingdom of Saudi Arabia
Conclusions: The use of epidural was low, and the spinal use was relatively on par if we compare with leading western countries. More focused studies and multicenter studies are needed in the country. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Mohammed Alshabibi Azza M Madkhali Amer A Alkinani Ali A Alyami Abdulaleem Alatassi Source Type: research
Assessment of pain in patients with primary immune deficiency
Conclusion: To the best of our knowledge, this is the first study to assess the prevalence as well as the severity and duration of pain in PID patients. There were significantly more subjects who had continuous pain. Treatment of pain in PID patients will have a significant effect on improving their quality of life. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Maram Al Banyan Saad Al Shareef Dina Mahmoud Ahmad Aljayar Fayha Farraj Abothenain Agha M Rehan Khaliq Hassan Alrayes Rand Arnaout Farrukh Sheikh Source Type: research
Conversion disorder: A mysterious event following general anesthesia
Abdelazeem A EldawlatlySaudi Journal of Anaesthesia 2021 15(4):375-376 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 2, 2021 Category: Anesthesiology Authors: Abdelazeem A Eldawlatly Source Type: research
Education in thoracic anesthesia. Lessons learned from the European Association of Cardiothoracic Anaesthesiology (EACTA) programs
Alaa M Khidr, Mohamed R El-TahanSaudi Journal of Anaesthesia 2021 15(3):368-374
Technology advancements provide several surgical approaches including thoracoscopic and robotic-assisted thoracic surgery. That adds more challenges for the thoracic anesthesiologists with the required high-level of skills and competencies in the anesthetic, airway management, lung isolation and separation, ventilation, and perioperative analgesic techniques. Thoracic anesthesia has gained the attraction of many anesthesiologists to being specialized in that subspecialty. That raise the concerns about the requirements and structure of formal t...
Source: Saudi Journal of Anaesthesia - June 19, 2021 Category: Anesthesiology Authors: Alaa M Khidr Mohamed R El-Tahan Source Type: research
Non intubated video-assisted thoracoscopic lung resections (NI-VATS) in COVID times
H Aymerich, C Bonome, D González-RivasSaudi Journal of Anaesthesia 2021 15(3):362-367
The emergence of epidemic Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in December 2019 in Wuhan, China causing Coronavirus Disease 2019 (COVID-19) and its rapid expansion around the world, leading to a global pandemic of dimensions not observed at least since the “Spanish influenza” pandemic in 1917-18, has had great consequences at all levels, including social, health and economic spheres. This pandemic situation forces us, as health care workers, to redefine our medical and surgica...
Source: Saudi Journal of Anaesthesia - June 19, 2021 Category: Anesthesiology Authors: H Aymerich C Bonome D Gonz & #225;lez-Rivas Source Type: research
Anesthesia for robotic thoracic surgery
Kimberly Gonsette, Turgay Tuna, Laszlo L SzegediSaudi Journal of Anaesthesia 2021 15(3):356-361
The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pathologies. The enhanced dexterity and three-dimensional visualization make it possible to do this in the small space of the thoracic cavity. Familiarity with the robotic surgical system by the anesthesiologists is mandatory. Managemen...
Source: Saudi Journal of Anaesthesia - June 19, 2021 Category: Anesthesiology Authors: Kimberly Gonsette Turgay Tuna Laszlo L Szegedi Source Type: research
Enhanced recovery after thoracic anesthesia
This article focuses on the “official” ERATS protocols of a joint consensus of two different societies. Regarding thoracic anesthesia, there are some challenges to be dealt with. The first challenge, although there is a large number of studies published on thoracic anesthesia, only a very few of them have studied the overall outcome and quality of recovery; and only few of them were powered enough to provide sufficient evidence. This has led to the fact that some components of the protocol are debatable. The second challenge, the adherence to individual elements and the overall compliance are poor...
Source: Saudi Journal of Anaesthesia - June 19, 2021 Category: Anesthesiology Authors: Mert Senturk Zerrin Sungur Source Type: research
