Gentili L, Scimia P, Silvi I
… +1 more, Angeletti C
Saudi J Anaesth
· 2026 · PMID 42022100
·
Full text
Persistent pain after total hip arthroplasty (THA) remains a diagnostic and therapeutic challenge, often related to extra-articular or neuropathic mechanisms rather than prosthetic failure. We report the case of a 70-yea...Persistent pain after total hip arthroplasty (THA) remains a diagnostic and therapeutic challenge, often related to extra-articular or neuropathic mechanisms rather than prosthetic failure. We report the case of a 70-year-old female with chronic suprainguinal, anterolateral thigh and gluteal pain who underwent right THA in 2023. Lumbar MRI performed before surgery showed L4-L5-S1 disc protrusions, initially considered incidental. Despite correct prosthesis positioning, postoperative pain persisted identically to preoperative symptoms. A pericapsular nerve group (PENG) block with ropivacaine 0.1% (20 ml) and methylprednisolone 40 mg provided near-complete anterior pain relief within 6 hours. Two weeks later, a sacral erector spinae plane block with ropivacaine 0.1% (20 ml) and methylprednisolone 20 mg, combined with a repeat PENG, achieved complete and lasting pain resolution. At 90-day follow-up, the patient remained pain-free. Thorough preoperative assessment, including diagnostic nerve blocks, may help prevent unnecessary arthroplasty in atypical hip pain.
Saudi J Anaesth
· 2026 · PMID 42022098
·
Full text
Aortoiliac occlusive disease is the severe form of peripheral arterial disease requiring complex vascular reconstruction, typically performed under general anesthesia (GA). However, GA carries increased risks in patients...Aortoiliac occlusive disease is the severe form of peripheral arterial disease requiring complex vascular reconstruction, typically performed under general anesthesia (GA). However, GA carries increased risks in patients with significant comorbidities. We report a case of a 61-year-old male with chronic aortoiliac occlusion, uncontrolled hypertension, sepsis, and heavy smoking, presenting with bilateral limb ischemia and sensory-motor deficits. He underwent axillary-to-bilateral femoral artery bypass and right above-knee amputation under thoracic epidural anesthesia (TEA) combined with peripheral nerve blocks (PNB) and light sedation. A T4-L2 sensory block was achieved with stable hemodynamics throughout the 7-hour surgery, with minor hypotension managed by ephedrine. Postoperative analgesia with continuous epidural bupivacaine-fentanyl infusion and multimodal therapy provides excellent pain control. The patient required only brief ICU monitoring and was transferred to the ward without complications. This case demonstrates the feasibility and safety of TEA with PNB as an alternative to GA in high-risk vascular patients, offering effective anesthesia, hemodynamic stability, and superior pain control while minimizing perioperative risks.
Jallad M, AlAnazi B, Aloqbawi A
… +6 more, Albuthi M, Mahmoud AHM, Khan MI, AlDhuwaihy A, Alzuhayri F, Nagy M
Saudi J Anaesth
· 2026 · PMID 42022097
·
Full text
BACKGROUND: Pediatric tonsillectomy is commonly associated with significant postoperative pain. Opioids remain a mainstay for perioperative analgesia but carry risks of respiratory depression and prolonged recovery, espe...BACKGROUND: Pediatric tonsillectomy is commonly associated with significant postoperative pain. Opioids remain a mainstay for perioperative analgesia but carry risks of respiratory depression and prolonged recovery, especially in patients with obstructive sleep apnea (OSA). Dexmedetomidine, an alpha-2 adrenergic agonist, provides sedation and analgesia with minimal respiratory depression. OBJECTIVE: To compare intraoperative induction with fentanyl versus dexmedetomidine and their effects on postoperative pain, post-anesthesia care unit (PACU) length of stay, and opioid consumption in children undergoing tonsillectomy. METHODS: We retrospectively reviewed medical records of pediatric patients aged 3-16 years, who underwent tonsillectomy at King Abdullah Specialized Children's Hospital between January 2024 and December 2024. Patients were grouped by intraoperative induction regimen: fentanyl or dexmedetomidine. Outcomes included PACU pain scores, postoperative opioid use, PACU stay, adverse events, and hospital stay. Shapiro-Wilk was used to test normality; Mann-Whitney U was used when comparing continuous variables, and chi-square/Fisher was used when comparing categorical variables. Controlled logistic and linear regressions were used to adjust for the age, weight, and duration of a surgery. The analyses were conducted using Python 3.10. RESULTS: A total of 250 patients were analyzed (dexmedetomidine = 125; fentanyl = 125). PACU pain scores did not differ significantly between groups ( = 0.154). Postoperative morphine use was not significantly different ( = 0.316). Median PACU stay was longer in the dexmedetomidine group ( = 0.002). Adverse event rates were lower in the adjusted analysis (OR: 0.11; 95% CI: 0.014-0.926). Hospital stay was comparable. CONCLUSION: Dexmedetomidine induction provides comparable analgesia to fentanyl while reducing adverse events, although it is associated with longer PACU stay. It may represent a safe opioid-sparing option in pediatric tonsillectomy, particularly in high-risk children.
Saudi J Anaesth
· 2026 · PMID 42022096
·
Full text
INTRODUCTION: Sepsis and septic shock are among the leading causes of morbidity and mortality worldwide. Hypoalbuminemia is commonly observed preoperatively and may serve as a prognostic factor for predicting severity of...INTRODUCTION: Sepsis and septic shock are among the leading causes of morbidity and mortality worldwide. Hypoalbuminemia is commonly observed preoperatively and may serve as a prognostic factor for predicting severity of sepsis and septic shock. METHODOLOGY: A cross-sectional, prospective descriptive study was conducted on 122 surgical adult patients diagnosed with sepsis or septic shock according to the Sepsis-3 criteria. All patients were admitted to the intensive care unit from April 2023 to May 2024. RESULTS: A total of 46 patients (37.7%) were diagnosed with sepsis and 76 patients (62.3%) developed septic shock. The septic shock group had significantly longer hospital stays compared to the sepsis group (7 days vs. 4 days, respectively) and higher mortality rates (52.6% vs. 10.9%, respectively). Hypoalbuminemia was present in 89.3% of all patients, with 22.1% patients having severe hypoalbuminemia. There was a significant difference in mortality rates between patients with hypoalbuminemia and normal albumin level (40.4% vs. 7.7%, respectively). The mortality rate of severe hypoalbuminemia patients was also higher (48.1%) than non-severe hypoalbuminemia (37.8%) and normal albumin levels (7.7%). The adjusted odds ratio for post-operative in-hospital death comparing patients with hypoalbuminemia and patients with normal albumin level was 8.12 [1.02-64.73]. A preoperative hypoalbuminemia with cutoff of 29.8 g/L was the prognostic factor for mortality with an area under the receiver operating characteristic curve (AUROC) of 67.3%, sensitivity of 78.6%, and specificity of 56.6%. CONCLUSIONS: Preoperative albumin level was the potential prognostic indicator for severity and should be considered in the risk stratification model for patients with surgical sepsis and septic shock.
Daabiss M, AlOtaibi M, AlOtaibi R
… +2 more, Radwan S, AlAsmari M
Saudi J Anaesth
· 2026 · PMID 42022095
·
Full text
BACKGROUND: Tracheal intubation is essential for securing the airway during general anesthesia but often results in postoperative sore throat (POST), hoarseness, and coughing, with reported incidences reaching ~65%, ~55%...BACKGROUND: Tracheal intubation is essential for securing the airway during general anesthesia but often results in postoperative sore throat (POST), hoarseness, and coughing, with reported incidences reaching ~65%, ~55%, and ~96%, respectively. These complications arise mainly from irritation, inflammation, and mechanical trauma caused by the endotracheal tube, particularly during prone-position procedures. Their severity depends on factors such as tube size, cuff pressure, and intubation duration. Preventive approaches include optimizing cuff pressure and using anti-inflammatory or local anesthetic agents. This study evaluated whether intracuff dexmedetomidine offers an advantage over alkalinized lidocaine in reducing POST during prolonged prone-position surgeries. PATIENTS AND METHODS: In this prospective randomized study, 100 adult patients (aged 18-65 years, American Society of Anesthesiologists I-II) undergoing thoracolumbar spine surgery under general anesthesia between March and October 2025 were allocated to two groups: Group D received 4 mL of intracuff dexmedetomidine (4 µg/mL), and Group AL received 4 mL of 2% alkalinized lidocaine. Primary outcomes included the incidence and severity of POST, hoarseness, and pain assessed in the Post-Anesthesia Care Unit, and at 2 and 24 h postsurgery. Secondary outcomes included hemodynamic and procedural parameters. RESULTS: Both groups were comparable in demographic and clinical variables. No statistically significant differences were found in POST incidence, hoarseness, pain scores, or hemodynamic measures, though dexmedetomidine showed a slight trend toward better symptom prevention. CONCLUSION: Intracuff dexmedetomidine provided a modest improvement over alkalinized lidocaine in reducing postextubation sore throat, hoarseness, and postoperative pain during prolonged prone-position spine surgery.
Saudi J Anaesth
· 2026 · PMID 42022094
·
Full text
A 6-year-old child with Farber Lipogranulomatosis scheduled for dental procedures is a challenging case for safe, effective, and successful anaesthesia with well-communicated perioperative care. Farber disease presents u...A 6-year-old child with Farber Lipogranulomatosis scheduled for dental procedures is a challenging case for safe, effective, and successful anaesthesia with well-communicated perioperative care. Farber disease presents unique challenges for anesthesiologists due to its multisystem involvement. The perioperative hazards of anesthesia were weighted higher than those of dental surgery due to multiple patient risk factors and conditions. Meticulous preoperative planning, careful airway management, and close postoperative monitoring ensured a successful outcome. Further research and case reports are needed to refine anesthetic strategies for this rare condition.
Kamal LM, Sabbahi AA, Farsi SH
… +1 more, Boker AM
Saudi J Anaesth
· 2026 · PMID 42022093
·
Full text
BACKGROUND: Decision-making in obstetric anesthesia is critical for patient safety. Yet, adherence to clinical guidelines varies among anesthetists. Previous research has shown significant variability in risk tolerance w...BACKGROUND: Decision-making in obstetric anesthesia is critical for patient safety. Yet, adherence to clinical guidelines varies among anesthetists. Previous research has shown significant variability in risk tolerance when making "go or no-go" decisions. Still, limited data exist on how these decisions are influenced by experience and training in obstetric cases. This study aims to assess the variability in risk tolerance and adherence to guidelines among anesthetists providing care to obstetric patients in Saudi Arabia and identify factors influencing their decisions. METHODS: A cross-sectional, questionnaire-based study was conducted among 188 anesthetists practicing in Saudi Arabia. The survey included 10 clinical scenarios requiring anesthetists to decide whether to proceed with anesthesia under suboptimal conditions. Responses were analyzed using a four-point Likert scale. Descriptive statistics and Chi-square tests were used to assess the association between decision-making and independent factors such as level of training, years of experience, and previous exposure to similar cases. RESULTS: There was no absolute consensus in decision-making across the scenarios. The majority opted not to proceed in cases involving patient safety risks, such as absent cross-matching blood (82%) or a malfunctioning anesthesia machine (89%). Previous exposure to similar cases was the only significant factor influencing the anesthetists' decisions ( < 0.0001). Training level, experience, and training location had no significant impact. CONCLUSION: Variability in decision-making suggests that risk tolerance is not solely dependent on experience but is shaped by prior case exposure. Strengthening simulation-based training and structured risk assessment tools may improve adherence to clinical guidelines in obstetric anesthesia.
Alabdulhadi O, Almashari Y, Alharbi M
… +5 more, Aloraini O, Alzaharni M, Kabbani O, Aldossary H, Abugamza F
Saudi J Anaesth
· 2026 · PMID 42022092
·
Full text
INTRODUCTION: Neurosurgery is the high-risk specialty due to the complexity of the brain and the potential for serious complications. Craniotomy often requires intensive care unit admission, as postoperative issues like...INTRODUCTION: Neurosurgery is the high-risk specialty due to the complexity of the brain and the potential for serious complications. Craniotomy often requires intensive care unit admission, as postoperative issues like infections, bleeding, and neurological complications are common. These complications can increase mortality and prolong hospitalization. This study aims to determine the prevalence and causes of post-craniotomy complications and propose strategies for prevention. METHODS: A retrospective study was conducted at the National Guard Health Affairs Hospital in Riyadh using consecutive non-probability sampling. Data were collected via chart review for all patients, who met the inclusion criteria, which were any patient who underwent Craniotomy, regardless of american society of anesthesiologists (ASA), sex, pre-operative diagnosis, and comorbidities. Data was cleaned in Excel and analyzed via international business machines corporation (IBM) SPSS 29.0.0. RESULTS: Our study included 797 craniotomy patients, with males comprising the majority (461, 57.8%) and a mean age of 47.2 years. Postoperative complications were reported in 186 patients (23.3%). The most frequent complications were infection and hemodynamic instability (each 70, 37.6%), followed by death (30, 16.1%), and seizures (26, 14.0%). Brain tumors were the most common diagnosis (284, 35.6%). Head trauma (96, 12.0%) and hemorrhagic conditions showed significantly higher complication rates; subdural hemorrhage ( = 0.014), stroke ( = 0.011), intracerebral hemorrhage ( = 0.001), and head trauma ( < 0.001). Complications significantly prolonged hospital stays (mean 12.13 vs. 3.73 days; < 0.001). Males had longer stayed than females ( < 0.001), and younger patients (≤30 years) had the longest length of stay (LOS) ( < 0.001). Finally, there is no comorbidity-related predictor of LOS among patients in the regression analysis. CONCLUSION: In Conclusion, complications in craniotomy can cause a significant burden on the health sector financially, and on the patient emotionally. Future prevention strategies from the surgical team to avoid such a condition should be thought of and implemented after pointing out the areas that can be improved. With our study, we hope that we shed some light on some of the common types of complications to aid in the search for a better understanding of such problem.
Aljehani RM, Alorfi Y, Alharbi L
… +4 more, Alharbi H, Alharbi S, Alhamrani M, Almarjan M
Saudi J Anaesth
· 2026 · PMID 42022091
·
Full text
BACKGROUND: Postoperative pain is one of the most common and distressing consequences of surgery, with inadequate pain management contributing to delayed recovery, increased morbidity, and reduced patient satisfaction. D...BACKGROUND: Postoperative pain is one of the most common and distressing consequences of surgery, with inadequate pain management contributing to delayed recovery, increased morbidity, and reduced patient satisfaction. Despite advances in analgesic techniques, patients in many healthcare systems continue to report poor outcomes. This study aimed to evaluate pain management practices and patient satisfaction among postoperative patients in Saudi Arabia. METHODS: A cross-sectional study was conducted from June to September 2025 across multiple hospitals in Saudi Arabia. A total of 688 adult patients who had undergone surgery within the previous 1-4 weeks participated. Data were collected using a structured, bilingual questionnaire covering demographics, surgical type, pain experience, methods of pain assessment, management strategies, satisfaction levels, and cultural influences on pain expression. Statistical analyses included descriptive statistics, Chi-square tests, independent -tests, and one-way analysis of variance (ANOVA), with significance set at < 0.05. RESULTS: Of the 688 participants, 52.8% were female, and the majority (95.3%) were Saudi nationals. Most respondents were treated in government hospitals (63.5%) and underwent general (26.9%) or obstetric/gynecological surgery (19.5%). The mean postoperative pain score was 5.29 (SD: 2.94), with 76.2% reporting pain. Pain assessment was inconsistent; 39.4% reported being assessed using numeric scales, while an equal proportion indicated no assessment. The most common management methods were intravenous analgesics (52.2%) and oral medications (44.6%), with nonpharmacological approaches rarely used (1.5%). Overall satisfaction was moderate to high, with 78.8% reporting being satisfied or very satisfied. CONCLUSION: Postoperative pain remains prevalent and often under-assessed in Saudi Arabia. Although satisfaction levels were generally favorable, significant disparities exist across sex, age, and surgical type. Standardizing pain assessment tools and implementing tailored, multimodal management strategies could improve patient outcomes and overall satisfaction.
Saudi J Anaesth
· 2026 · PMID 42022090
·
Full text
INTRODUCTION: Anxiety is a feeling of discomfort that often involves emotions such as worry and fear. This feeling tends to intensify when someone is facing surgery. Preoperative anxiety (POA) is a common psychological c...INTRODUCTION: Anxiety is a feeling of discomfort that often involves emotions such as worry and fear. This feeling tends to intensify when someone is facing surgery. Preoperative anxiety (POA) is a common psychological condition among patients preparing for surgery, which can lead to adverse postoperative outcomes, including increased pain, delayed recovery, and a higher risk of infection. Despite its significant clinical impact, research on POA in Saudi Arabia, particularly in the Western region, is limited. This study aims to assess the incidence of POA and identify its risk factors among surgical patients at King Abdulaziz University Hospital (KAUH) in Jeddah, Saudi Arabia. METHODOLOGY: This single-center cross-sectional study was conducted in 2024 at KAUH in the Department of Surgery, a tertiary care center. The study included 70 adult inpatients scheduled for surgery under anesthesia. Data were collected using a structured questionnaire covering demographic characteristics, medical history, surgical experiences, and fears of pain or complications. A validated tool, the Amsterdam Preoperative Anxiety and Information Scale (APAIS), was used to assess anxiety levels. Statistical analysis was performed using SPSS version 26, applying Chi-square tests, Spearman's correlation, and logistic regression to determine significant predictors of preoperative anxiety (POA). RESULTS: Among the 70 participants, 77.1% were female, with a mean age of 35-44. The incidence of preoperative anxiety (POA) was 41.4%. Female gender was significantly associated with higher anxiety levels (89.7% vs. 10.3% in males, = 0.036). Other significant risk factors included fear of postoperative pain (62.1% vs. 31.7%, = 0.01) and fear of surgical complications (58.6% vs. 39.3%, = 0.041). No significant association was found between POA and factors such as chronic disease, previous surgical history, or ASA classification. CONCLUSION: POA affects 41.4% of patients, especially females and those worried about pain and complications. This highlights the need for psychological assessments and clear patient education before surgery. Interventions like counseling and straightforward discussions about pain management can help reduce anxiety and improve surgical outcomes. Future research should focus on long-term studies to investigate these connections further.
Akın A, Gündoğdu O, Avcı O
… +4 more, İsbir AC, Kol İÖ, Kaygusuz K, Gürsoy S
Saudi J Anaesth
· 2026 · PMID 42022086
·
Full text
BACKGROUND: This study aimed to compare erector spinae plane block (ESPB), serratus anterior plane block (SAPB), and serratus posterior superior intercostal plane block (SPSIPB) to determine the most suitable technique f...BACKGROUND: This study aimed to compare erector spinae plane block (ESPB), serratus anterior plane block (SAPB), and serratus posterior superior intercostal plane block (SPSIPB) to determine the most suitable technique for maintaining postoperative analgesia in video-assisted thoracoscopic surgeries (VATS). MATERIALS AND METHODS: Forty-five adult patients scheduled for elective VATS were included. Patients were randomly allocated into three groups: ESPB, SAPB, and SPSIPB. All patients received postoperative paracetamol and dexketoprofen, and intravenous tramadol hydrochloride. Postoperative static and dynamic visual analogue scale (VAS) scores, total tramadol consumption, side effects were recorded at regular intervals. RESULTS: Static VAS scores at 0, 1, 6, 12, and 18 hours were significantly higher in the ESPB group than in the SAPB and SPSIPB groups ( < 0.05). In the SAPB group, static and dynamic VAS scores at 0 and 1 hour were lower compared to the SPSIPB group ( < 0.05). During the first 24 postoperative hours, tramadol consumption was significantly higher in the ESPB group compared to the other two groups ( < 0.05). No significant difference in tramadol consumption was observed between the SAPB and SPSIPB groups ( > 0.05). CONCLUSION: In patients undergoing VATS, SAPB was associated with lower VAS scores compared to both ESPB and SPSIPB, while ESPB resulted in higher VAS scores and greater tramadol consumption than the other two groups. These findings suggest that SAPB may be a more effective analgesic technique following thoracoscopic surgery, though confirmation with larger patient populations is recommended.
Soomro NA, Altowairki RS, Ahmed RN
… +1 more, Kurdi WI
Saudi J Anaesth
· 2026 · PMID 42022085
·
Full text
Patients with severe pulmonary arterial hypertension (PAH) tolerate the hemodynamic changes of pregnancy poorly and should be referred early to an experienced expert multidisciplinary team (MDT) in a tertiary care center...Patients with severe pulmonary arterial hypertension (PAH) tolerate the hemodynamic changes of pregnancy poorly and should be referred early to an experienced expert multidisciplinary team (MDT) in a tertiary care center early in pregnancy. Idiopathic pulmonary arterial hypertension, which is PAH without a known cause, is classified under group 1 of WHO classification of pulmonary hypertension. Current consensus guidelines and expert opinion recommend scheduled caesarean section under epidural anesthesia or combined low dose spinal-epidural anesthesia as the preferred mode of delivery and anesthesia in patients with PAH. However severe hemodynamic instability secondary to pulmonary hypertensive crises (PHC) or right ventricular failure can occur during the perioperative period and can precipitate refractory cardiac arrest. In this situation, timely institution of veno-arterial extracorporeal membrane oxygenation (VAECMO) can be lifesaving. Here we report the case of a patient with severe idiopathic PAH, who developed pulmonary hypertensive crisis, catecholamine-resistant hypotension and refractory cardiac arrest during establishment of epidural anesthesia for elective caesarean section, who was successfully rescued with VA ECMO.
Saudi J Anaesth
· 2026 · PMID 42022084
·
Full text
Anesthesia is a dynamic process that has different effects on the systems in terms of hemodynamics and clinical and psychological aspects, and is not physiological. Anesthesia management and surgery follow-up are complex...Anesthesia is a dynamic process that has different effects on the systems in terms of hemodynamics and clinical and psychological aspects, and is not physiological. Anesthesia management and surgery follow-up are complex, and various specialties require knowledge, attitude, practice, and experience. In recent years, innovations in preoperative evaluations, new surgical methods, innovations in pharmacology, advanced technological devices in monitoring, and developments in anesthesia training have reduced morbidity and mortality. When the perioperative period is considered, adequate knowledge, attitude, behavior, awareness, and multidisciplinary and multimodal approaches of anesthesia physicians and nurses are vital. A multidisciplinary team approach (anesthesiologist, nurses, physicians from other specialties, and nurses) in the perioperative period, including medication adjustments and fasting protocols, is extremely important in comprehensive, meticulous preoperative evaluation, in adapting individualized care plans, ensuring postoperative recovery and patient safety, improving outcomes, and contributing to reducing perioperative mortality, morbidity and hospital costs. In our review, we aim to discuss the importance of improving and normalizing physiological parameters in the perioperative period in light of the literature.
Saudi J Anaesth
· 2026 · PMID 42022083
·
Full text
Patients with Madelung's Disease often present with diffuse deposition and thickening of adipose tissue in the neck, nape, anterior chest wall, and shoulder-back region, making airway management extremely challenging. Cu...Patients with Madelung's Disease often present with diffuse deposition and thickening of adipose tissue in the neck, nape, anterior chest wall, and shoulder-back region, making airway management extremely challenging. Currently, successful case reports of endotracheal intubation after general anesthesia induction in such patients are rare. This case involves a patient with Madelung's Disease in his 60s who underwent pulmonary wedge resection. The surgery was successfully completed using endotracheal intubation after general anesthesia induction. For patients with Madelung's Disease, thorough airway assessment and preparation for difficult airway management are crucial to ensure perioperative safety.
Yediyıldız MB, Durmuş İ, Taşkın K
… +4 more, Keleş E, Demirden A, Ak HY, Api M
Saudi J Anaesth
· 2026 · PMID 42022082
·
Full text
BACKGROUND: Preoperative anxiety (PA) is a common condition that can negatively affect surgical outcomes. As digital health resources become more integrated into patient care, e-health literacy (eHL) is gaining importanc...BACKGROUND: Preoperative anxiety (PA) is a common condition that can negatively affect surgical outcomes. As digital health resources become more integrated into patient care, e-health literacy (eHL) is gaining importance as a determinant of surgical readiness and emotional well-being. This study aimed to evaluate the relationship between eHL and PA in patients undergoing elective gynecologic surgery. METHODS: This cross-sectional study was conducted at a tertiary hospital between June and November 2024. Patients scheduled for elective gynecologic surgery were included. Participants completed the sociodemographic form, eHealth Literacy Scale (eHEALS), and the State-Trait Anxiety Inventory (STAI-I and STAI-II) during their preoperative anesthesia consultation. RESULTS: A total of 325 patients scheduled for elective gynecologic surgery were included. The mean eHEALS score was 35.1 ± 8.4, with 47.7% of patients classified as having high eHL. Patients with higher eHL were significantly younger ( < 0.05), had lower BMI ( < 0.05), and had higher educational attainment ( < 0.05). High eHL was associated with lower state anxiety scores (38.3 ± 8.6 vs. 47.2 ± 7.7, < 0.05) and trait anxiety scores (42.2 ± 7.7 vs. 49.4 ± 8.2, < 0.05). Patients with higher eHL reported lower postoperative pain scores and were more likely to perceive themselves as well-informed about their surgery ( < 0.05). CONCLUSIONS: Higher eHL is significantly associated with lower PA in patients undergoing gynecologic surgery. These findings highlight the importance of digital health competencies in surgical preparedness.
Saudi J Anaesth
· 2026 · PMID 42022081
·
Full text
Extrapyramidal symptoms induced by ondansetron, a selective 5-HT receptor antagonist, are well-documented. However, reports of similar effects following ramosetron administration are rare. This case report presents a 40-...Extrapyramidal symptoms induced by ondansetron, a selective 5-HT receptor antagonist, are well-documented. However, reports of similar effects following ramosetron administration are rare. This case report presents a 40-year-old female patient who exhibited involuntary shoulder movements, characterized by rhythmic, convulsion-like up and down motions, shortly after receiving a single dose of ramosetron for postoperative nausea in the post-anesthetic care unit. The symptoms promptly resolved after the administration of intravenous benzodiazepine. This case highlights the importance of recognizing and managing uncommon extrapyramidal motor disturbances associated with ramosetron use.