Evaluation of risk factors for unanticipated hospital admission following ambulatory surgery & #8211; An observational study
Conclusions: Age, high BMI more than 40, and presence of respiratory disease increase the risk of unanticipated hospital admission after ambulatory surgery. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Ahmed A Alharthi Alshaqha Mohammed Mohammad Jamil Amjad Mehboob Anwar U Huda Source Type: research
Feasibility of intraoperative quantitative neuromuscular blockade monitoring in children using electromyography
Conclusion: Our results indicate that neuromuscular monitoring can be performed intraoperatively in pediatric patients weighing between 20 and 60 kg using the new commercially available EMG-based monitor. Automatic detection of neuromuscular stimulating parameters (supramaximal current intensity level and baseline amplitude of the muscle action potential) by an adult neuromuscular monitor is feasible in pediatric patients receiving nondepolarizing neuromuscular blocking agents. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Kwaku Owusu-Bediako Ryan Munch Jay Mathias Joseph D Tobias Source Type: research
Access to pain medicines and follow-up consultation after radiofrequency ablation for trigeminal neuralgia during the COVID-19 pandemic
Conclusion: Along with the clinical factors, we have to overlook other factors in predicting difficulty to access PCS in trigeminal neuralgia patients post the RFA status. Difficulty in access to pain medicines and/or consultations was associated with a poor health status and higher pain scores. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Shwethashri Kondavagilu Ramaprasannakumar Nupur Karan Nupur Pruthi Sriganesh Kamath Source Type: research
A randomized control study to assess the efficacy of the sphenopalatine ganglion block in patients with post dural puncture headache
Conclusion: SPG block is an effective alternative in managing patients with PDPH. The need for epidural blood patch is greatly reduced using SPG block. Procedural safety, immediate and sustained pain relief make it an evolving treatment modality for PDPH. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Guruvayurappan Annushha Gayathri Kanthan Karthik Ravi Saravanan Mesia D Meshach Anand Pushparani Source Type: research
Validation of translated Obstetric Quality of Recovery (ObsQoR-10A) score after nonelective cesarean delivery (CD) in an Arabic-speaking population
Conclusions: ObsQoR-10A is a valid, reliable, responsive, and a clinically feasible tool in an Arabic-speaking obstetric population. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Shumaila Mukarram Shoukat Ali Muhammad Zulqurnain Ibtihal A M. Alkadi Abdulelah I Alhatlan Mohammed Z H. Abbasi Muhammad Q Mushtaq Ahmed Y AbuHammad Khalida Shahid Asghar Waqas Atif Shafqat Source Type: research
Low-dose spinal block combined with epidural volume extension in a high-risk cardiac patient: A case-based systematic literature review
Conclusions: Although continuous spinal anesthesia (CSA) or epidural anesthesia may limit hemodynamic instability, the possibility of devastating central nervous system infection may prevent CSA use, and epidural block alone may be less reliable than CSA. Epidural block alone may require large volumes of concentrated local anesthetic to obtain sacral block, which may produce hemodynamic instability. The EVE, particularly using saline EVE, has rarely been described in high-risk cardiac patients as an alternative to CSA or epidural block alone, with the intention to avoid general anesthesia, but it has demonstrated efficacy ...
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Carlos R Almeida Ligia S Vieira Pedro Cunha Ana Gomes Source Type: research
What & #39;s best, online or on-site ? The write a scientific paper course
Conclusions: Migrating online does not necessarily lead to change/s in presentation contents but transforms delivery. Our results indicate that WASP is accepted online but the slightly lower lectures score implies that WASP might be better delivered in-person than online. However, students remained happy to recommend WASP and this accords with other studies that overall, student satisfaction with online education is common. It is hoped that as the pandemic recedes, webinars complement and not continue to totally replace traditional in-person meetings. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Victor Grech Jeremy Borg Myatt Sarah Cuschieri Source Type: research
Continuous local anesthetic wound infusion: Impact on pain score and opioid use in patients undergoing elective mastectomy
Conclusion: CLWIC showed opioid-sparing effects following mastectomy, as shown by a significantly lower mean opioid dose and a lower percentage of subjects needing opioid analgesia. The procedure is easy to perform and relatively safe. CLWIC could reduce opioid consumption while maintaining good postoperative pain control. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Ahmed AlFaraj Mona AlFaraidy Zaki AlZaher Adnan Al Wosaibai Abduladem K AlShabeb Hussain AlHashim Zainab AlKhulaif Source Type: research
This is why you should (not) use spinal anesthesia for laparoscopic surgeries
Alessandro De Cassai, Roberto Starnari, Carmine Pullano, Vito Torrano, Federico Geraldini, Fabio CostaSaudi Journal of Anaesthesia 2022 16(4):371-373 (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - September 3, 2022 Category: Anesthesiology Authors: Alessandro De Cassai Roberto Starnari Carmine Pullano Vito Torrano Federico Geraldini Fabio Costa Source Type: research
Efficacy of HFNO during airway management of a COVID pneumonia patient with super morbid obesity undergoing emergency laparotomy
Mohamed Sayed Hajnour, Haneen Fawzi Amlih, Faisal Fahad Bin ShabrSaudi Journal of Anaesthesia 2022 16(3):368-370
This case report describes the use of high flow nasal oxygen (HFNO) in a patient with morbid obesity (BMI = 90 kg/m2) who underwent emergency laparotomy under general anesthesia. This 54-year-old female patient with American Society of Anesthesia classification 4 E is known to have COVID pneumonia with Obstuctive Sleep Apnea. She was admitted in the ICU for 3 days and she was on Bilevel Positive Airway Pressure (BiPAP) alternating with HFNO to keep her SpO2 91%–92%,...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Mohamed Sayed Hajnour Haneen Fawzi Amlih Faisal Fahad Bin Shabr Source Type: research
Cardioprotection with glucose insulin potassium (GIK) during non cardiac surgery in a patient with stress induced myocardial ischemia: A case report
Rosa Tesoro, Andres Hagerman, Granit Molliqaj, Christoph Ellenberger, Marc LickerSaudi Journal of Anaesthesia 2022 16(3):364-367
The administration of glucose-insulin-potassium (GIK) has demonstrated cardioprotective effects in cardiac surgery. A 58-year-old male with severe disabling back pain due to posterolateral lumbar pseudarthrosis was scheduled for spine surgery. He previously experienced two episodes of acute coronary syndrome that required percutaneous coronary interventions (PCIs). Coronary angiogram showed intrastent occlusions and multiple coronary lesions that were not suitable for percutaneous or surgical re...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Rosa Tesoro Andres Hagerman Granit Molliqaj Christoph Ellenberger Marc Licker Source Type: research
Feasibility of THRIVE oxygenation and intra-operative lung-protective ventilation in morbidly obese patients undergoing neurosurgical procedures
We report a series of three patients with morbid obesity and a difficult airway for the neurosurgical procedure. The patients were oxygenated with high-flow oxygen devices to ensure an adequate oxygen reserve in the peri-operative period. A modified intra-operative lung-protective ventilation with normocarbia was implemented with no impact on the intra-cranial pressure in the prone position in two of the patients. Oxygenation with high-flow devices should be considered during the peri-operative period in morbidly obese patients to avert an adverse respiratory event, and a modified lung-protective ventilation technique is f...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Balaji Vaithialingam Radhakrishnan Muthuchellappan Source Type: research
Comparison of ultrasound-guided residual gastric volume measurement between diabetic and non-diabetic patients scheduled for elective surgery under general anesthesia
Conclusion: Patients with long-standing diabetes showed higher gastric residual and antral CSA when compared with non-diabetic patients. The clinical significance of these findings needs further evidence for the formulation of specific guidelines for diabetic patients. (Source: Saudi Journal of Anaesthesia)
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Avinash Haramgatti Sanjeev Sharma Amit Kumar Sarita Jilowa Source Type: research
The role of ultrasonography in anesthesia for bariatric surgery
Sherein Diab, Jaeyeon Kweon, Ossama Farrag, Islam M ShehataSaudi Journal of Anaesthesia 2022 16(3):347-354
Bariatric surgeries are effective long-term management for morbid obesity with its adverse sequelae. Anesthesia of bariatric surgeries poses unique challenges for the anesthesiologist in every step starting with vascular access till tracheal extubation. The usage of ultrasound in anesthesia is becoming more prevalent with a variety of benefits, especially in the obese population. Ultrasound is successfully used for obtaining vascular access, with more than 15 million catheters placed in the United States alone. Ultra...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Sherein Diab Jaeyeon Kweon Ossama Farrag Islam M Shehata Source Type: research
Perioperative Pain Management in Bariatric Anesthesia
Naveen Eipe, Adele S BudianskySaudi Journal of Anaesthesia 2022 16(3):339-346
Weight loss (bariatric) surgery is the most commonly performed elective surgical procedure in patients with morbid obesity. In this review, we provide an evidence-based update on perioperative pain management in bariatric anesthesia. We mention some newer preoperative aspects—medical optimization, physical preparation, patient education, and psychosocial factors—that can all improve pain management. In the intraoperative period, with bariatric surgery being almost universally performed laparoscopically, we emphasize the...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Naveen Eipe Adele S Budiansky Source Type: research
