Pub Date : 2023-09-12DOI: 10.1186/s42077-023-00370-2
Sapna Annaji Nikhar, Rajasekhar Metta, Raja Nimmagadda, R. Gopinath
Abstract Background Head and neck reconstructive surgeries needs free tissue transfer but it fails sometimes. As most of the flap failure occurs in first 24 h. Local rise in lactate level or glucose lactate ratio provides clear indicator of tissue ischemia and further recovery. The question is about systemic rise in lactate levels with failing flap. Hence, we aimed to use systemic lactate levels to indicate free flap failure. To correlate the systemic rise in serum lactate levels to free flap failure in head and neck reconstructive surgeries. The series of cases were targeted undergoing free fibular graft, posted electively for head and reconstructive surgery operated by same surgeon. Record of blood loss, need of blood transfusion and use of microspan was also done. Monitoring of arterial blood gas values mainly lactate and vitals were done. Results Out of 15 patients studied, only 2(13.3%) patients had flap re-exploration (group F). Twelve (80%) patients were of ASA class I. Lactate, pH, blood sugars, base deficits and hemoglobin and vitals studied over 24 h in two groups had no statistically significant difference in the two groups. Lactate rise was noted in all cases for first few hours after starting surgery but elevated values were not observed during hours of flap re-exploration. Conclusions We could not establish relation between systemic rise in lactate levels and flap re-exploration or flap failure but continuous acidosis can impact outcome. We need to be vigilant and need to have individualized approach for management.
{"title":"Does the systemic rise in serum lactate levels correlate to free flap failure in head and neck reconstructive surgeries—series of cases","authors":"Sapna Annaji Nikhar, Rajasekhar Metta, Raja Nimmagadda, R. Gopinath","doi":"10.1186/s42077-023-00370-2","DOIUrl":"https://doi.org/10.1186/s42077-023-00370-2","url":null,"abstract":"Abstract Background Head and neck reconstructive surgeries needs free tissue transfer but it fails sometimes. As most of the flap failure occurs in first 24 h. Local rise in lactate level or glucose lactate ratio provides clear indicator of tissue ischemia and further recovery. The question is about systemic rise in lactate levels with failing flap. Hence, we aimed to use systemic lactate levels to indicate free flap failure. To correlate the systemic rise in serum lactate levels to free flap failure in head and neck reconstructive surgeries. The series of cases were targeted undergoing free fibular graft, posted electively for head and reconstructive surgery operated by same surgeon. Record of blood loss, need of blood transfusion and use of microspan was also done. Monitoring of arterial blood gas values mainly lactate and vitals were done. Results Out of 15 patients studied, only 2(13.3%) patients had flap re-exploration (group F). Twelve (80%) patients were of ASA class I. Lactate, pH, blood sugars, base deficits and hemoglobin and vitals studied over 24 h in two groups had no statistically significant difference in the two groups. Lactate rise was noted in all cases for first few hours after starting surgery but elevated values were not observed during hours of flap re-exploration. Conclusions We could not establish relation between systemic rise in lactate levels and flap re-exploration or flap failure but continuous acidosis can impact outcome. We need to be vigilant and need to have individualized approach for management.","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135826526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-01DOI: 10.1186/s42077-023-00369-9
Agus Prima, Tasrif Hamdi, John Frans Sitepu, Imam Ghozali, Asmin Lubis
{"title":"Thoracic spinal anaesthesia for paediatric upper extremity surgery in limited-resource hospital: a case report","authors":"Agus Prima, Tasrif Hamdi, John Frans Sitepu, Imam Ghozali, Asmin Lubis","doi":"10.1186/s42077-023-00369-9","DOIUrl":"https://doi.org/10.1186/s42077-023-00369-9","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74846509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-29DOI: 10.1186/s42077-023-00366-y
Deepali D. Jadav, Reema Wadhawa, Barkha Vaishnav
{"title":"Intraperitoneal ropivacaine with dexamethasone versus ropivacaine alone for pain relief after laparoscopic cholecystectomy: a randomized prospective trial","authors":"Deepali D. Jadav, Reema Wadhawa, Barkha Vaishnav","doi":"10.1186/s42077-023-00366-y","DOIUrl":"https://doi.org/10.1186/s42077-023-00366-y","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75188778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-28DOI: 10.1186/s42077-023-00368-w
S. Diwan, Abhijit S. Nair, H. Dongre, P. Sancheti
{"title":"Unilateral neurostimulation-assisted cervical epidural anesthesia for upper limb surgeries—a case series","authors":"S. Diwan, Abhijit S. Nair, H. Dongre, P. Sancheti","doi":"10.1186/s42077-023-00368-w","DOIUrl":"https://doi.org/10.1186/s42077-023-00368-w","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75201974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-24DOI: 10.1186/s42077-023-00367-x
Krishna Mylavarapu Kumar, Shyam Madabushi, Amit Lall, Pranjali D. Dwivedi
{"title":"An unusual presentation of severe preeclampsia presenting with maternal collapse in the post-cesarean section secondary to drug toxicity associated with pituitary hemorrhage: a case report","authors":"Krishna Mylavarapu Kumar, Shyam Madabushi, Amit Lall, Pranjali D. Dwivedi","doi":"10.1186/s42077-023-00367-x","DOIUrl":"https://doi.org/10.1186/s42077-023-00367-x","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78899336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-23DOI: 10.1186/s42077-023-00357-z
A. Okeyemi, A. Akinmade, Aliyu Zakari Suleiman, Adeagbo Liasu Ahmed, Bamidele Samuel Fayose, Akande Adekunle Olabode
{"title":"Titrated segmental epidural anesthesia for bilateral total knee replacement in a patient with severe aortic stenosis and severe bilateral carotid artery stenosis: a case report","authors":"A. Okeyemi, A. Akinmade, Aliyu Zakari Suleiman, Adeagbo Liasu Ahmed, Bamidele Samuel Fayose, Akande Adekunle Olabode","doi":"10.1186/s42077-023-00357-z","DOIUrl":"https://doi.org/10.1186/s42077-023-00357-z","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77720312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-19DOI: 10.1186/s42077-023-00365-z
P. Thaware, Saurabh Trivedi, Prabha Rashmi Lakra
{"title":"ChatGPT: is it really a threat to medical research paper writing?","authors":"P. Thaware, Saurabh Trivedi, Prabha Rashmi Lakra","doi":"10.1186/s42077-023-00365-z","DOIUrl":"https://doi.org/10.1186/s42077-023-00365-z","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83972117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-19DOI: 10.1186/s42077-023-00353-3
Geeta Singariya, P. Saini, Usha Choudhary, M. Kamal, Pooja Bihani, Kusum Choudhary, C. Khatri
{"title":"Comparison of analgesic efficacy of perineural dexamethasone in rectus sheath block and intravenous dexamethasone with levobupivacaine in bilateral rectus sheath block for patients undergoing midline abdominal surgery: a randomized controlled trial","authors":"Geeta Singariya, P. Saini, Usha Choudhary, M. Kamal, Pooja Bihani, Kusum Choudhary, C. Khatri","doi":"10.1186/s42077-023-00353-3","DOIUrl":"https://doi.org/10.1186/s42077-023-00353-3","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77615136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-16DOI: 10.1186/s42077-023-00360-4
Kengo Suzuki, Keisuke Yoshida, T. Hakozaki, Shiori Tanaka, Satoki Inoue
{"title":"Successful management by employing situational extracorporeal membrane oxygenation strategies in a patient with acute type A aortic dissection: a case report","authors":"Kengo Suzuki, Keisuke Yoshida, T. Hakozaki, Shiori Tanaka, Satoki Inoue","doi":"10.1186/s42077-023-00360-4","DOIUrl":"https://doi.org/10.1186/s42077-023-00360-4","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80193529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-16DOI: 10.1186/s42077-023-00364-0
Mostafa Saieed Mansour, Nihal Shahat El Seidy, Yasser Ibrahim Fathey
{"title":"Evaluation of beta-blocker effects on patients with traumatic brain injury: interventional double-blinded randomized controlled trial","authors":"Mostafa Saieed Mansour, Nihal Shahat El Seidy, Yasser Ibrahim Fathey","doi":"10.1186/s42077-023-00364-0","DOIUrl":"https://doi.org/10.1186/s42077-023-00364-0","url":null,"abstract":"","PeriodicalId":7686,"journal":{"name":"Ain-Shams Journal of Anesthesiology","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79643360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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