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Journal Ann Card Anaesth

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Correction of a malpositioned central venous catheter using point-of-care transthoracic echocardiography.

Indranil Biswas, Imran Hussain Bhat, Sunder Lal Negi,

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):247-248]

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Pulmonary venous baffle obstruction following senning procedure - Role of transesophageal echocardiography.

Krishna P Gourav, Sunder Negi, Srinath Damodaran, Vamsidhar Amburu,

We present a case of D-transposition of great arteries with atrial septal defect and patent ductus arteriosus electively posted for Senning's operation at 10 months of age. The patient developed signs of lung congestion immediately after termination of cardiopulmonary bypass. A stenosis in the pulmonary venous baffle was detected in ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):232-234]

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Large venous hemangioma of brachial plexus.

Hosseinali Abdolrazaghi, Azade Riyahi, Masoud Rezagholi Zamenjany,

In this report, we present a rare case of a vascular brachial plexus tumor. The patient was a 29-year-old woman with the chief complaint of progressive enlargement of a soft tissue mass in the left upper extremity, without any pain or sensory, motor, or neurologic deficits. The soft tissue mass ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):218-220]

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Antifibrinolytics and cardiac surgery: The past, the present, and the future.

Naresh K Aggarwal, Arun Subramanian,

Cardiac surgery is usually associated with significant blood loss, which often necessitates blood transfusion. In order to decrease the risks associated with the latter, pharmacological as well as nonpharmacological strategies have been used to reduce blood loss. Among the pharmacological approaches, antifibrinolytic drugs are the mainstay. Aprotinin, which was the ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):193-199]

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Comparison of pectoral Nerve (PECS1) block with combined PECS1 and transversus thoracis muscle (TTM) block in patients undergoing cardiac implantable electronic device insertion - A pilot study.

Thanigai Arasu, S Ragavendran, P S Nagaraja, Naveen G Singh, Manjunatha N Vikram, Vikram Somashekhar Basappanavar,

Background:Pectoral nerve (PECS1) block has been used for patients undergoing cardiac implantable electronic device (CIED) insertions, however, PECS1 block alone may lead to inadequate analgesia during tunneling and pocket creation because of the highly innervated chest wall. Transversus thoracis muscle plane (TTM) block targeting the anterior branches of T2-T6 intercostal ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):165-169]

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Cardioprotective effects of propofol-dexmedetomidine in open-heart surgery: A prospective double-blind study.

Ahmed Said Elgebaly, Sameh Mohamad Fathy, Ayman Ahmed Sallam, Yaser Elbarbary,

Background:Myocardial protection in cardiac surgeries is a must and requires multimodal approaches in perioperative period to decrease and prevent the increase of myocardial oxygen demand and consumption that lead to postoperative cardiac complications including myocardial ischemia, dysfunction, and heart failure. Study Design:Prospective, controlled, randomized, double-blinded study. Aims:This study aims to ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):134-141]

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Preoperative bronchoscopy before lung isolation: Look before you leap.

Jeson R Doctor, Sohan Lal Solanki, Savi J Kapila,

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):249]

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Epicardial cardioverter defibrillator implantation due to post-fontan ventricular tachycardia.

Nikolaos A Papakonstantinou, Vasileios Patris, Ilias Samiotis, Michalis Koutouzis, Giasemi Koutouzi, Mihalis Argiriou,

Long-term survival of patients submitted to a Fontan procedure is reduced because of arrhythmias. Late post-Fontan ventricular tachycardia is extremely rare, but it can be fatal. Consequently, the implantation of an implantable cardioverter defibrillator may be required. The implantation of such a device after a Fontan operation can be rather ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):235-236]

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Erector spinae plane block using clonidine as an adjuvant for excision of chest wall tumor in a pediatric patient.

Anju Gupta, Nishkarsh Gupta, Arindam Choudhury, Nidhi Agrawal,

Erector spinae plane block has been described to manage post-thoracotomy pain. It is a simple block and shown to be provide effective analgesia. In single shot blocks opioid supplementation may be required to manage pain after the effect of local anesthetic wears off. In this case, we describe a case ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):221-223]

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Pain relief following sternotomy in conventional cardiac surgery: A review of non neuraxial regional nerve blocks.

Prachi Kar, Gopinath Ramachandran,

Acute post-operative pain following sternotomy in cardiac surgery should be adequately managed so as to avoid adverse hemodynamic consequences and pulmonary complications. In the era of fast tracking, adequate and efficient technique of post-operative analgesia enables early extubation, mobilization and discharge from intensive care unit. Due to increasing expertise in ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):200-208]

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Combined effect of left stellate ganglion blockade and topical administration of papaverine on left internal thoracic artery blood flow in patients undergoing coronary revascularization.

Roshith Chandran, Rupa Sreedhar, Shrinivas Gadhinglajkar, Prashantkumar Dash, Jayakumar Karunakaran, Vivek Pillai,

Background:Left stellate ganglion blockade (LSGB) may have additive effect to topical administration of papaverine on prevention of vasospasm of left internal thoracic artery (LITA). Aims:This study aims to compare LITA blood flow with topical application of papaverine alone or in combination with LSGB. Setting:Tertiary care hospital. Design:Prospective randomized controlled study. ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):170-176]

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Fast-track cardiac anaesthesia protocols: Is quality pushed to the edge?

Rajesh Bhavsar, Pia K Ryhammer, Jacob Greisen, Carl-Johan Jakobsen,

Background:The quest for methods expediting rapid postoperative patient turnover has triggered implementation of various fast-track cardiac anaesthesia protocols. Using three different fast-track protocols in randomized controlled studies (RCT) conducted 2010-2016 we found minimal achievements in ventilation time together with actual and eligible length of stay in cardiac recovery unit. The ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):142-148]

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Opioid free cardiac anesthesia - A flash in the pan?

Murali Chakravarthy,

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):113-115]

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Entrapped tracheal tube, an unusual cause of extubation failure following tracheal resection and reconstruction.

Patil Pranit, Panneerselvam Sakthirajan, Rudingwa Priya,

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):250-251]

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An intriguing case of post-operative respiratory failure from an occult diaphragmatic hernia- be aware of the masquerader.

Biplob Borthakur, Vijay M Hanjoora, Viresh Mahajan, Aseem R Srivastava, Aman Jyoti, Monish Raut, Anup Nawal,

Though respiratory complications after cardiac surgery for congenital heart disease are common, and malformations of the diaphragm can be expected in these patients, the presence of an occult diaphragmatic defect unrecognisible preoperatively and complicating the post operative course is very rare and need a high index of suspicion for diagnosis ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):237-240]

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Ultrasound-guided serratus plane block combined with intercostal block for a high-risk patient with pericardial tamponade: A case report.

Ayhan Şahin, Onur Baran, Lker Yıldırım, Cavidan Arar,

Anesthetic management of patients with pericardial tamponade is challenging. A 65-year-old man diagnosed with small-cell lung carcinoma and bilateral malignant pleural effusion in the lungs and pericardial effusion was scheduled for pericardial-window-opening surgery. The severely compromised lung function of the patient led to an anesthetic plan of ultrasound-guided serratus anterior ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):224-226]

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Anaesthetic management of myasthenia gravis in coronary artery bypass grafting.

Vinayak Vanjari, Marc O Maybauer,

Myasthenia gravis (MG) is an autoimmune disease affecting the neuromuscular junction causing weakness and fatigability of muscles. Careful perioperative management is required because of the unpredictable susceptibility to muscle relaxants. In this case report, we describe the successful management of a MG patient for normothermic coronary artery bypass graft (CABG) ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):209-211]

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A comparative study of the analgesic effects of intravenous ketorolac, paracetamol, and morphine in patients undergoing video-assisted thoracoscopic surgery: A double-blind, active-controlled, randomized clinical trial.

Farzaneh Dastan, Zahra M Langari, Jamshid Salamzadeh, Ali Khalili, Sahar Aqajani, Alireza Jahangirifard,

Background:Opioids are traditionally used as the drug of choice for the management of postoperative pain. However, their use is limited in patients undergoing Video-assisted thoracic surgery (VATS), due to their side effects, such as respiratory depression, nausea, and vomiting. Aim:In this double-blind active-controlled randomized study, we have compared the analgesic ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):177-182]

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Blood transfusion and lung surgeries in pediatric age group: A single center retrospective study.

Ahmed S Elgebaly, Sameh M Fathy, Mona B Elmorad, Ayman A Sallam,

Background:Blood transfusion is not without harm, and recent studies suggest association between transfusion and poor outcome in critically ill patients. Although it is prescribed for many reasons based on the firm belief that blood transfusion improves oxygen carrying capacity, it carries notable adverse hazards. Importantly, lung surgeries are counted as ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):149-153]

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Anesthesiologists and job satisfaction in cardiac cath lab: Do we need guidelines?

Ajita Suhrid Annachhatre, Nagesh Janbure, Nagraju Gaddam, Digvijay Shinde, Suhrid Annachhatre,

Cardiac cath lab procedures are developing in numbers, complexities and in demands with good outcomes. The complexicity of procedures and high risk patient factors require efficient cardiac anaesthesiologist's care. They need good infrastructure and anaesthesia facilities. These facilities may be available at Metrocity superspeciality centres, but small units at district ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):116-121]

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Abnormal mitral valve apparatus is not an indication for mitral valve replacement in hypertrophic obstructive cardiomyopathy.

Praveen Kerala Varma, Hisham Ahamed,

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):246]

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Congenital giant right coronary artery.

Monish S Raut, Vijay M Hanjoora, Aseem Ranjan Srivastava, Shyamveer Singh Khangarot, Aman Jyoti, Viresh Mahajan, Nidhi Rawal,

Giant coronary artery aneurysms are exceptionally uncommon with an incidence of 0.02%. The natural history and prognosis of giant coronary artery aneurysm are still not well known. ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):230-231]

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Cecal bascule after cardiac surgery: A case report.

Angela M Johnson, Soon Park, Francis T Lytle,

Cecal bascule is a form of volvulus resulting from upward and anterior cecal folding, and accounts for 0.01% of adult large bowel obstructions. With a competent ileocecal valve, cecal bascule may progress to closed loop obstruction, ischemia, gangrene, or perforation. Failure to treat cecal bascule has a mortality of 50%. ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):216-217]

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Comparison of continuous cardiac output monitoring derived from regional impedance cardiography with continuous thermodilution technique in cardiac surgical patients.

G Bhavya, P S Nagaraja, Naveen G Singh, S Ragavendran, N Sathish, N Manjunath, K Ashok Kumar, Vinayak B Nayak,

Background:Cardiac output (CO) assessment is a corner stone in advanced haemodynamic management, especially in critical ill patients. The present study was conducted to validate cardiac index and cardiac output by NICaS™ with the thermodilution technique using pulmonary artery catheter in post-operative cardiac surgical patients. Materials and Methods:This was a prospective ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):189-192]

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An analysis of prior experience influencing quality of pulmonary artery catheter placement in residents.

Hirofumi Hamaba, Yuka Miyata, Tsutomu Wada, Tomohiko Hayasaka, Yukio Hayashi,

Background:Prior experience may be important for successful placement of a pulmonary artery catheter (PAC). However, there is no report about the minimum number of the placement to reach acceptable technique for the catheter placement during residency. Aims:This study was designed to examine quality of the catheter placement and to assess ... Read more >>

Ann Card Anaesth (Annals of cardiac anaesthesia)
[2020, 23(2):161-164]

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