Streptococcus suis meningitis in a COVID-19 patient: A case report
We report a case of Streptococcus suis meningitis in a healthy patient with occupational exposure and with an asymptomatic infection by severe acute respiratory syndrome coronavirus 2, who was admitted to an intensive care unit in a tertiary hospital in the North of Portugal. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Patricia Bastos Viana Constan & #231;a Penedos Rita Medeiros Raquel Monte Source Type: research
Anesthetic management of deep brain stimulation in Hallervorden & #8211;Spatz syndrome: Surviving the & #8220;eye of the tiger & #8221;
Joseph Nascimento Monteiro, Unmesh Pramod BedekarSaudi Journal of Anaesthesia 2023 17(2):278-280
Anesthetic management of dystonic patients with uncontrolled involuntary movements refractory to medical management is a challenge to neuroanaesthetists. According to some studies, the prevalence of Panthothenate Kinase Associated Neurodegeneration is 1 to 9/1,000,000. Report of Deep Brain Stimulation for Hallervorden–Spatz is extremely rare in literature. “Awake” bilateral electrode placement, with microelectrode recording (MER) and stimulation with a scalp nerve block, titrated consciou...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Joseph Nascimento Monteiro Unmesh Pramod Bedekar Source Type: research
Central pontine myelinolysis after liver transplant: A case report and an updated review
Francisco Biagio Murta e Di Flora, Maurício Vitor Machado Oliveira, Pedro Henrique Torres Menezes, Marina Ayres DelgadoSaudi Journal of Anaesthesia 2023 17(2):275-277
Based on brain magnetic resonance imaging results, the second and third most frequent causes of central pontine myelinolysis (CPM) were liver transplant (LT) and cirrhosis, which together accounted for 13.7% and 12.5% of all diagnoses of CPM. Medical diseases including cirrhosis, LT, malnutrition, and alcoholism are well-known conditions associated with CPM in addition to hyponatremia. The prognosis is poor and depends on ea...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Francisco Biagio Murta e Di Flora Maur & #237;cio Vitor Machado Oliveira Pedro Henrique Torres Menezes Marina Ayres Delgado Source Type: research
Anesthetic management of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: A case report
We report here the anaesthetic management of a 52 year old patient of Ca Colon with secondary ovarian and peritoneal deposits. She underwent cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) with curative intent. The advent of CRS/HIPEC gives a promising alternative to conventional treatment modalities but comes with numerous challenges to the anesthesiologist—in view of the metabolic and hemodynamic adjustments—and demands training. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Nilanjana Howbora Swaraj J Sonowal Tridip J Borah Sonai D Kakati Anupam Das Marie Ninu Dokne Chintey Source Type: research
Anesthetic concerns of achondroplastic patients with hip movement restriction scheduled for retrograde intrarenal surgery: A case report
Soumily Bandyopadhyay, Amit Kumar, Arshad AyubSaudi Journal of Anaesthesia 2023 17(2):269-271
Achondroplasia is an autosomal dominant inherited disorder that results in premature ossification of the epiphyseal growth plates and restriction of proximal long bone movement. Herein, we report the anesthetic management of such a patient undergoing stone retrieval in the lithotomy position. He had a restricted ability to flex and abduct the hip joint and lumbar hyperlordosis. These were anticipated to be a concern for the lithotomy position and prone to positional injuries. Hence, the decision was made to position the patient b...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Soumily Bandyopadhyay Amit Kumar Arshad Ayub Source Type: research
An unusual presentation of Goodpasture syndrome
Jisa George, Buddhan Rajarathinam, Rajkumar Kulasekaran, Pranjali KurhekarSaudi Journal of Anaesthesia 2023 17(2):266-268
Goodpasture disease is an anti–glomerular basement membrane (anti-GBM) disease that manifests as progressive glomerulopathy and alveolar hemorrhage. Our case was a 68-year-old female who presented with decompensated liver disease (DCLD) with no prior history suggestive of liver disease. She had dyspnea, bilateral pitting edema, icterus with normal renal parameters, and elevated liver enzymes. Ultrasonogram revealed shrunken liver, ascites, and portal hypertension with normal renal cortex e...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Jisa George Buddhan Rajarathinam Rajkumar Kulasekaran Pranjali Kurhekar Source Type: research
Radial artery duplication: Unusual point-of-care-ultrasonography finding during arterial cannulation
Chitta Ranjan Mohanty, Rakesh Vadakkethil Radhakrishnan, Subhasree Das, Prabhas Ranjan Tripathy, Shri Hari Priya BeheraSaudi Journal of Anaesthesia 2023 17(2):263-265
The radial artery is the most common choice for arterial cannulation, coronary interventions, and various interventional radiological procedures. Here, we describe a case of unilateral duplication of the radial artery detected during radial artery cannulation using point-of-care ultrasonography (POCUS). The duplication of the radial artery in the forearm can hinder trans-radial access secondary to variations in the diameter. An actual duplication also carrie...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Chitta Ranjan Mohanty Rakesh Vadakkethil Radhakrishnan Subhasree Das Prabhas Ranjan Tripathy Shri Hari Priya Behera Source Type: research
Cholecystectomy in a patient with Broncho pleural fistula & #8211; An Anesthesiologist & #39;s tight rope walk
We describe a 51-year-old gentleman status postlobectomy with Broncho pleural fistula posted for cholecystectomy in view of symptomatic gallstones. Laparoscopic surgery was later converted to open surgery in view of surgical difficulties. Perioperative period was uneventful and proper modes of analgesia helped in faster recovery. Proper understanding of physiological and anatomical changes and proper planning of anesthesia facilitated safe and uneventful anesthesia. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Reshma P Tharsis Megha Thalepaddy Ankita Kaasat Source Type: research
Anesthetic management of a young primigravida a case of symptomatic long QT syndrome with a permanent pacemaker in-situ undergoing lower segment cesarean section delivery: A case report
In this report, we would like to share our experience of anesthetic management of a young primigravida, a case of symptomatic LQTS with a permanent pacemaker in situ. Anesthetic technique used for the lower segment cesarean section delivery was single-shot spinal anesthesia using a combination of a local anesthetic and strong opioid in the lumber subarachnoid space. Until recently, only one report in the literature has described this single-shot spinal technique for such cases. The advantages of single shot spinal over GA and CSEA can be utilized in a select group of these patients, which include fast onset, dense, reliabl...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Baby Pegu Ram Singh Source Type: research
Anesthetic challenges for pheochromocytoma surgery in pediatric patients: A case series
Raksha Vyas, Ankur Sharma, Shilpa Goyal, Varuna Vyas, Nikhil KothariSaudi Journal of Anaesthesia 2023 17(2):252-255
Pheochromocytoma in children is an exceptionally uncommon cause of hypertension in this age group. These tumors pose a significant threat of adverse cardiovascular events during the perioperative phase. In this article, we describe three cases of pediatric pheochromocytoma to shed light on the difficulties associated with administering anesthesia to patients with this condition. The foundations for successful perioperative outcomes include preoperative blood pressure control, extensive intraoperative hemodyn...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Raksha Vyas Ankur Sharma Shilpa Goyal Varuna Vyas Nikhil Kothari Source Type: research
Pulmonary biological glue embolism after endoscopic repair of gastric varices & #8211; A case report
We present a case of a 51-year-old man with a history of alcoholic hepatic cirrhosis Child-Pugh B, who had an acute pulmonary embolism with sudden cardiorespiratory collapse due to biological glue injection used for the emergent repair of bleeding gastric varices. After the restoration of respiratory and hemodynamic parameters, he was admitted to the intensive care unit and the pulmonary biological glue emboli were documented with computed tomography scan. A high index of suspicion for this entity is essential in patients submitted to endoscopic sclerotherapy. Some might be asymptomatic or mildly symptomatic, while others ...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Constanca Penedos Cristina Pereira Leonor Lemos Pedro Pina Source Type: research
Case series on use of intrathecal morphine in pediatric thoracic spine surgeries
Ranju Singh, Ayushi Yadav, Preeti G VarshneySaudi Journal of Anaesthesia 2023 17(2):245-248
Intrathecal morphine is a very good analgesic agent and was used frequently in the past. Its use has decreased over the years due to side effects such as respiratory depression, nausea, vomiting, pruritis, and so on. Also, with the introduction of drugs like clonidine and the availability of ultrasonography for regional blocks, the role of morphine has declined. Yet, there are surgeries where intrathecal morphine supersedes all other analgesic modalities to provide excellent intraoperative and postoperative analgesia. (Source: Saud...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Ranju Singh Ayushi Yadav Preeti G Varshney Source Type: research
Anaesthetic management of a patient with Gerbode defect
Gabriela Veloso de Freitas, Gabriela Zamurano Lopes Ruiz, Rodrigo Bernardes de Oliveira, Marina Ayres DelgadoSaudi Journal of Anaesthesia 2023 17(2):242-244
Gerbode defect is a rare left ventricle to right atrium shunt that can be acquired or congenital. The incidence of acquired defects has been growing and is caused by previous cardiac surgery, endocarditis, trauma and myocardial infarct. It can be challenging and the anesthesiologist should maintain a suspicion when there is circulatory failure after a cardiac surgery. It can be diagnosed by trans-esophageal echocardiography. In this case we presented the anesthetic ma...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Gabriela Veloso de Freitas Gabriela Zamurano Lopes Ruiz Rodrigo Bernardes de Oliveira Marina Ayres Delgado Source Type: research
Apneic anesthesia with THRIVE for pediatric bronchial foreign body removal: A case series
Minal J Harde, Trupti Kamble, Pooja RamchandaniSaudi Journal of Anaesthesia 2023 17(2):239-241
Anesthesia for impacted tracheobronchial foreign body (FB) removal in pediatrics is challenging owing to shared airway, need of tubeless apneic anesthesia, and higher risk of airway complications. Transnasal humidified rapid insufflation ventilatory exchange (THRIVE) has unique applications for apneic anesthesia. The authors describe two pediatric cases of impacted lower bronchial FB that were difficult to retrieve and required long procedure time. They were done successfully under apneic anesthesia using THRIVE that provided in...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Minal J Harde Trupti Kamble Pooja Ramchandani Source Type: research
Anaphylaxis spares no drug: A report of diclofenac-induced anaphylaxis mimicking post-laparoscopy respiratory complication
Robina Makker, Priyanka Mishra, Kanishak AhujaSaudi Journal of Anaesthesia 2023 17(2):236-238
Peri-anesthetic anaphylaxis is a rare but grave problem. After receiving informed consent for publication, we discuss the case of a female patient posted for laparoscopic cholecystectomy who developed an anaphylactic reaction to intravenous diclofenac, mimicking post-laparoscopy respiratory complication in the perioperative period. A 45-year-old, American Society of Anesthesiologists physical status (ASA-PS) I, female patient was posted for laparoscopic cholecystectomy under general anesthesia (GA). The procedure took 60 minutes ...
Source: Saudi Journal of Anaesthesia - March 10, 2023 Category: Anesthesiology Authors: Robina Makker Priyanka Mishra Kanishak Ahuja Source Type: research
