The lumbar subcutaneous fat gradient in spinal anesthesia seen for morbidly obese patient with pre-procedure ultrasonography & #8211; A case report
Hiroki Nakamura, Shuhei Hisago, Shunsuke IshitsukaSaudi Journal of Anaesthesia 2023 17(1):110-112
It has been reported that pre-procedure ultrasonography rises the success rate of spinal anesthesia in obese patients. In this article, we performed spinal anesthesia for morbidly obese patient with pre-procedure ultrasonography. And recognizing the lumbar subcutaneous fat gradient in morbidly obese patient was the key to success. A cesarean section was scheduled for a primigravida in her 30 s with BMI 61 kg/m2. The lumbar spine was not palpable. Pre-procedure ultrasonography revealed lumbar subcutaneous tissue getting thicke...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Hiroki Nakamura Shuhei Hisago Shunsuke Ishitsuka Source Type: research
Refractory hypertension after phenylephrine infusion in cesarean section under subarachnoid block
We report this case of refractory hypertension following phenylephrine infusion in a healthy parturient undergoing elective cesarean section under SAB. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Vikash Bansal Kirti N Saxena Bharti Wadhwa Source Type: research
Anesthetic considerations for non-cardiac surgeries in orthotopic heart transplant recipients
Vinod Deep, Pujari S Vinayak, Karante RamachandraSaudi Journal of Anaesthesia 2023 17(1):104-106
The number of heart transplants performed each year is steadily increasing around the world. Anesthesia and perioperative management are different in these cases. For an optimal perioperative management and improved postoperative outcome, a full understanding of the physiology of the denervated heart, post-transplant morbidities, and immunosuppressant pharmacology is required. We hereby discuss the perioperative management of a patient who had undergone orthotopic heart transplant and presented to our setup for left ureterosco...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Vinod Deep Pujari S Vinayak Karante Ramachandra Source Type: research
Anesthesia management of living donor liver transplantation in a patient with scimitar syndrome
Muhammad Shabbir, Amer Majeed, Mudassir A Baig, Matloob A Shajar, Tahir IqbalSaudi Journal of Anaesthesia 2023 17(1):101-103
Scimitar syndrome is a rare congenital anomaly with a hallmark of an abnormal drainage of pulmonary veins into inferior vena cava instead of the left atrium; this creates a curvilinear radiological pattern resembling a sword (scimitar) on a chest radiograph, thus attracting the name. This case report highlights the challenges during liver transplantation, and perioperative anesthetic management of a patient with an uncorrected Scimitar Syndrome. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Muhammad Shabbir Amer Majeed Mudassir A Baig Matloob A Shajar Tahir Iqbal Source Type: research
A successful pregnancy and delivery after heart transplantation: The first case report in Saudi Arabia
We report a case of a 34-year-old female patient in her 20th week of pregnancy, diagnosed with restrictive cardiomyopathy at 20 years of age. An HT procedure was performed 5 years ago on the patient. The patient had multiple miscarriages and in-vitro fertilization in 2021. The patient presented in the 20th week of gestation with shortness of breath and delivered prematurely via cesarean section. The procedure was successfully performed under spinal anesthesia with no complications, and the patient was stable. Implementing a multidisciplinary team in managing such challenging cases would further improve anesthesia managemen...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Abdullah AlRaffa Samahir AlJubairy Sara J Alwatban Source Type: research
Combined neuraxial-general anesthesia in opsoclonus & #8211;myoclonus syndrome: A case report
We present a 9-year-old female with OMS due to low-grade neuroblastoma, for 7 years, who underwent tumor remotion due to the large size. Intravenous induction was done with alfentanil, lidocaine, propofol and rocuronium and ropivacaine was administered via lumbar epidural catheter. Adding to the sparse anesthetic management information in OMS, we now show one more possible approach, that can be valuable in high-risk cases, where general anesthesia can be involved with higher risk for the patient. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Joao B Abreu Catarina R Cordeiro Ana I Amorim Tiago G Catanho Karina D Gama Source Type: research
Peripheral nerve block with ropivacaine in Brugada syndrome patient: Anesthetic consideration
We report successful anesthetic management with peripheral nerve block (five points) using ropivacaine for lower-limb surgery in a patient with Brugada syndrome. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Eun Kyung Choi Sang-Jin Park Jong Yoon Baek Myungjin Seo Source Type: research
Managing acute pancreatitis pain with bilateral erector spinae plane catheters in a patient allergic to opioids and NSAIDS: A case report
Samaresh Das, Nilay Chatterjee, Subhro MitraSaudi Journal of Anaesthesia 2023 17(1):87-90
Acute pancreatitis is one of the major causes of abdominal pain and is mainly related to either gallstone or heavy alcohol intake. We have managed a patient with acute pancreatitis with a bilateral erector spinae catheter because he was not suitable for other analgesics. A 72-year-old male with a known alcoholic patient was admitted with severe acute pancreatitis. He also had the chronic obstructive pulmonary disease (COPD) and oesophageal reflux disease. He was allergic to nonsteroidal anti-inflammatory medications and opioids. Ther...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Samaresh Das Nilay Chatterjee Subhro Mitra Source Type: research
Anesthetic challenges in the management of Larsen syndrome: A rare congenital anomaly
Subhasree Das, Aparajita Panda, Sritam S Jena, Mantu JainSaudi Journal of Anaesthesia 2023 17(1):83-86
Larsen syndrome is a rare inherited disease associated with dislocations of multiple joints, typical syndromic facies, and multiple spine abnormalities. They often required multiple corrective orthopedic surgeries to regain their functional ability, thus needing repeated anesthesia. Apart from skeletal deformities, they have predicted difficult airway and need extreme care during intubation and positing of the patient. Abnormal posturing due to spinal deformity and poor pulmonary reserve due to kyphoscoliosis creates an ...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Subhasree Das Aparajita Panda Sritam S Jena Mantu Jain Source Type: research
Severe bradycardia and hypotension induced by autonomic neuropathy in a diabetic patient during general anesthesia & #8211; A case report
We report an 80-year-old male who underwent cervical laminoplasty. He had severe bradycardia and hypotension from induction to the suspension of surgery. His blood pressure dropped to 70/40 mmHg and his heart rate to 20 bpm. Ephedrine, phenylephedrine, and atropine administration had minimal effect, but after epinephrine administrations, his heart rate and blood pressure increased to 70 bpm and 170/90 mmHg. The operation was discontinued because of the patient's unstable, fluctuating vital signs. The results of autonomic nervous system function examination indicated postganglionic cholinergic sympathetic dysfunc...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Nawon Lee Kanghui Kim Hyuckgoo Kim Source Type: research
Cause of profound hypoxemia following a bilateral bidirectional Glenn shunt: Clue suggested by agitated saline echo contrast
Madan M Maddali, Pravin Saxena, Khalid S Al Alawi, Abdoulah MohsenSaudi Journal of Anaesthesia 2023 17(1):77-79
Following a bilateral bidirectional Glenn shunt, a child had persistent hypoxemia. Agitated saline contrast injection into the jugular vein during transesophageal echocardiography displayed a rapid appearance of saline particles in the cardiac chambers suggesting the presence of pulmonary arteriovenous malformations. However, the clinical picture was not in agreement and an angiographic contrast injection during an immediate cardiac catheterization revealed the underlying pathology which was immediately correcte...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Madan M Maddali Pravin Saxena Khalid S Al Alawi Abdoulah Mohsen Source Type: research
Point-of-care transthoracic echocardiography: An essential management tool for acute massive pulmonary thromboembolism
Carlos Almeida, Pedro Cunha, Lígia Vieira, Pedro Antunes, Emilia FranciscoSaudi Journal of Anaesthesia 2023 17(1):75-76
The pulmonary thromboembolism may be a life-threatening condition. A hip fracture surgery patient aged >90 years old had a sudden post-operative episode of shock, de-saturation, and reverted cardiac arrest. A point-of-care transthoracic echocardiography (TTE) undertaken by an anesthesiologist revealed inferior vena cava dilation/flattening, right cardiac chamber dilation, and McConnell signs (right ventricular apex hyperkinesia and lateral wall hypokinesia); the ventricular septal ...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Carlos Almeida Pedro Cunha L & #237;gia Vieira Pedro Antunes Emilia Francisco Source Type: research
Anesthesia management of pediatric subglottic stenosis: A case report
We report a case of management and treatment of an 8-month-old baby with subglottic stenosis proposed for endoscopic balloon dilation treatment from Porto, North of Portugal. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Patricia B Viana Francisco A Sousa Ana I N. Pinto Teresa B Leal Source Type: research
Buprenorphine for acute post-surgical pain: A systematic review and meta-analysis
Mohammed S Albaqami, Adel A Alqarni, Musab S Alabeesy, Ayidh N Alotaibi, Hazzaa A Alharbi, Mishari M Alshammari, Ahmed H AldhferySaudi Journal of Anaesthesia 2023 17(1):65-71
Our study was designed to evaluate the efficacy of buprenorphine for the management of acute post-surgical pain reported in published studies in the years 2015–2022. Comprehensive research was performed by using online resources like PUBMED and the Wiley Library database to gather the relevant literature. Two authors were assigned to independently collect the information. Cochran's Q-test and I square statistic were used to de...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Mohammed S Albaqami Adel A Alqarni Musab S Alabeesy Ayidh N Alotaibi Hazzaa A Alharbi Mishari M Alshammari Ahmed H Aldhfery Source Type: research
COVID-19 associated Mucormycosis (CAM): Implications for perioperative physicians & #8211; A narrative review
Anju Gupta, Bhavana Kayarat, Nishkarsh GuptaSaudi Journal of Anaesthesia 2023 17(1):58-64
Mucormycosis once considered a rare disease with an incidence of 0.005 to 1.7 per million, has become one of the greatest menaces during the coronavirus disease (COVID-19) pandemic. India alone has contributed to nearly 70% of the global caseload of COVID-associated mucormycosis (CAM) and it had even been declared as a notifiable disease. Second wave of COVID-19 pandemic saw a steep rise in the incidence of mucormycosis and these patients have been presenting to anesthesiologists for various surgical procedures due to its ...
Source: Saudi Journal of Anaesthesia - January 2, 2023 Category: Anesthesiology Authors: Anju Gupta Bhavana Kayarat Nishkarsh Gupta Source Type: research
