European Journal of Anaesthesiology

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سفارش

Neonatal tracheal intubation

Disma, Nicola; Engelhardt, Thomas; Hansen, Tom G.

doi : 10.1097/EJA.0000000000001594

November 2021 - Volume 38 - Issue 11 - p 1109-1110

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Dexmedetomidine vs. total intravenous anaesthesia in paediatric emergence delirium

Petre, Maria-Alexandra; Levin, David N.; Englesakis, Marina; Maynes, Jason T.; Pechlivanoglou, Petros; Aoyama, Kazuyoshi

doi : 10.1097/EJA.0000000000001490

November 2021 - Volume 38 - Issue 11 - p 1111-1123

Emergence delirium is a common complication in paediatric anaesthesia associated with significant morbidity. Total intravenous anaesthesia (TIVA) and intra-operative dexmedetomidine as an adjuvant to sevoflurane anaesthesia can both reduce the incidence of emergence delirium compared with sevoflurane alone, but no studies have directly compared their relative efficacy.

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Effect of intra-operative high inspired fraction of oxygen on postoperative nausea and vomiting in children undergoing surgery

Behera, Bikram Kishore; Misra, Satyajeet; Mohanty, Manoj Kumar; Srinivasan, Anand

doi : 10.1097/EJA.0000000000001577

November 2021 - Volume 38 - Issue 11 - p 1124-1129

Administration of high inspired fraction of oxygen (FiO2) during anaesthesia has been proposed to decrease postoperative nausea and vomiting (PONV) in adults but has not been extensively studied in children.

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Oral melatonin as part of multimodal anxiolysis decreases emergence delirium in children whereas midazolam does not

Singla, Lily; Mathew, Preethy J.; Jain, Aditi; Yaddanapudi, Sandhya; Peters, Nitin J.

doi : 10.1097/EJA.0000000000001561

November 2021 - Volume 38 - Issue 11 - p 1130-1137

Pre-operative anxiety is a risk factor for emergence delirium in children and a multimodal approach including sedatives and nonpharmacological measures is the current strategy to tackle this anxiety. The efficacy of oral melatonin as a component of multimodal anxiolytic strategy to decrease emergence delirium is not well studied.

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Swallowing ability and intra-oral water-retaining ability during moderate propofol sedation in healthy human volunteers

Hanamoto, Hiroshi; Togawa, Eriko; Yokoe, Chizuko; Niwa, Hitoshi

doi : 10.1097/EJA.0000000000001523

November 2021 - Volume 38 - Issue 11 - p 1138-1147

The cough reflex or aspiration under monitored anaesthesia care might be associated with sedative-induced changes in swallowing and intra-oral water-retaining abilities.

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Hypercapnia versus normocapnia for emergence from desflurane anaesthesia

Shinohara, Ayako; Nozaki-Taguchi, Natsuko; Yoshimura, Akiko; Hasegawa, Makoto; Saito, Kei; Okazaki, Junko; Kitamura, Yuji; Sato, Yasunori; Isono, Shiroh

doi : 10.1097/EJA.0000000000001574

November 2021 - Volume 38 - Issue 11 - p 1148-1157

Rapid emergence from general anaesthesia is desirable only if safety is not sacrificed. Mechanical hyperventilation during hypercapnia produced by carbon dioxide infusion into the inspired gas mixture or by rebreathing was reported to shorten emergence time from inhalation anaesthesia.

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Clinical reasoning in anaphylactic shock: addressing the challenges faced by anaesthesiologists in real time

Gouel-Cheron, Aurelie; Neukirch, Catherine; Kantor, Elie; Malinovsky, Jean-Marc; Tacquard, Charles; Montravers, Philippe; Mertes, Paul-Michel; Longrois, Dan

doi : 10.1097/EJA.0000000000001536

November 2021 - Volume 38 - Issue 11 - p 1158-1167

Acute hypersensitivity reactions to drugs occur infrequently during anaesthesia and the peri-operative period. When clinical presentation includes the classical triad, erythema, cardiovascular abnormalities and increased airway pressure, the diagnosis is evident and the challenge is to prescribe a therapeutic regimen according to guidelines and to manage refractory signs in a timely manner. In many situations, however, the initial clinical signs are isolated, such as increased airway pressure or arterial hypotension. Rendering a differential diagnosis with causes and mechanisms other than acute hypersensitivity reactions (AHRs) is difficult, delaying treatment with possible worsening of the clinical signs, and even death, in previously healthy individuals. In these difficult diagnostic situations, clinical reasoning is mandatory, and guidelines do not explicitly explain the elements on which clinical reasoning can be built. In this article, based on clinical evidence whenever available, experimental data and pathophysiology, we propose algorithms that have been evaluated by experts. The goal of these algorithms is to provide explicit elements on which the differential diagnosis of AHRs can be made, accelerating the implementation of adequate therapy.

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The impact of bolus versus continuous infusion of intravenous ketamine on bispectral index variations and desflurane administration during major surgery

Carrara, Lucie; Nault, Mathieu; Morisson, Louis; Godin, Nadia; Idrissi, Moulay; Fortier, Annik; Guertin, Marie Claude; Brulotte, Véronique; Fortier, Louis-Philippe; Verdonck, Olivier; Richebe, Philippe

doi : 10.1097/EJA.0000000000001588

November 2021 - Volume 38 - Issue 11 - p 1168-1179

Although ketamine, a NMDA-receptor antagonist, tends to increase the bispectral index (BIS), it remains a widely used analgesic whenever administered in low doses during major surgery.

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For nasotracheal intubation, which nostril results in less epistaxis: right or left?

Tan, Ying-Lun?; Wu, Zhu-Hao?; Zhao, Bao-Jian; Ni, Yan-Hong; Dong, Ying-Chun

doi : 10.1097/EJA.0000000000001462

November 2021 - Volume 38 - Issue 11 - p 1180-1186

Nasotracheal intubation is usually required in patients undergoing oromaxillofacial, otolaryngological or plastic surgery to prevent the airway encroaching into the operating field. Epistaxis is the most common complication, but which nostril is associated with a lower incidence and severity of epistaxis is still unclear.

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Videolaryngoscopy vs. Direct Laryngoscopy for Elective Airway Management in Paediatric Anaesthesia

Klabusayová, Eva?; Klu?ka, Jozef?; Kosinová, Martina; ?oukálková, Michaela; Štoudek, Roman; Kratochvíl, Milan; Mare?ek, Lukáš; Svoboda, Michal; Jabandžiev, Petr; Urík, Milan; Štoura?, Petr

doi : 10.1097/EJA.0000000000001595

November 2021 - Volume 38 - Issue 11 - p 1187-1193

The indirect visualisation of the glottic area with a videolaryngoscope could improve intubation conditions which may possibly lead to a higher success rate of the first intubation attempt.

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