Anesthesia and Analgesia

Massimiliano Bassi, Franco Ruberto, Camilla Poggi, Daniele Diso, Marco Anile, Tiziano De Giacomo, Ylenia Pecoraro, Carolina Carillo, Francesco Pugliese, Federico Venuta, Jacopo Vannucci
No abstract text is available yet for this article.
July 2, 2020: Anesthesia and Analgesia
Claire-Louise Pfister, Sarisha Govender, Robert A Dyer, Brian Rayner, Margot Flint, Francois Roodt, Jody Davids, Marcin B Nejthardt, Justiaan L Swanevelder, China-Jia E Chiu, Esther Cloete, Veronica Koller, Tania Pretorius, Zahnne Fullerton, John Roos, Riaan Van Zyl, Bruce M Biccard
BACKGROUND: Hypertension is a common risk factor for cardiovascular morbidity and mortality, with a high prevalence in patients presenting for elective surgery. In limited resource environments, patients have poor access to primary care physicians, limiting the efficacy of lifestyle modification for the management of hypertension. In these circumstances, the perioperative period presents a unique opportunity for diagnosis and initiation and/or modification of pharmacotherapy of hypertension...
July 2, 2020: Anesthesia and Analgesia
Michele Umbrello, Paolo Formenti, Davide Chiumello
Assessment of urine concentrations of sodium, chloride, and potassium is a widely available, rapid, and low-cost diagnostic option for the management of critically ill patients. Urine electrolytes have long been suggested in the diagnostic workup of hypovolemia, kidney injury, and acid-base and electrolyte disturbances. However, due to the wide range of normal reference values and challenges in interpretation, their use is controversial. To clarify their potential role in managing critical patients, we reviewed existing evidence on the use of urine electrolytes for diagnostic and therapeutic evaluation and assessment in critical illness...
July 2, 2020: Anesthesia and Analgesia
Jong Hae Kim, Eun Kyung Jwa, Youjin Choung, Hyo Jin Yeon, Soo Yeon Kim, Eugene Kim
BACKGROUND: Intraoperative monitoring with pupillometry has shown promising results for nociception/antinociception balance monitoring. However, its benefits in clinical practice remain unproven. The aim of this study was to evaluate the efficacy of intraoperative pupillometry monitoring on intraoperative opioid consumption and postoperative pain compared to surgical pleth index (SPI), another widely investigated monitoring. METHODS: American Society of Anesthesiologists (ASA) I-II patients scheduled for elective laparoscopic cholecystectomy were included...
July 2, 2020: Anesthesia and Analgesia
Michael J Jung, Justin S Libaw, Kevin Ma, Elizabeth L Whitlock, John R Feiner, Jina L Sinskey
BACKGROUND: Perioperative pediatric anxiety is common and can have a negative psychological impact on children undergoing surgery and anesthesia. Studies have shown an incidence of anxiety at induction of up to 50%. Audiovisual distraction, including virtual reality (VR), is a noninvasive, nonpharmacological modality that may reduce perioperative anxiety. The goal of this study was to determine whether immersive audiovisual distraction with a VR headset during induction of general anesthesia (GA) in pediatric patients reduced preoperative anxiety...
June 30, 2020: Anesthesia and Analgesia
Anton W G Booth, Kim Vidhani, Phil K Lee, Scott H Coman, Anita M Pelecanos, Goce Dimeski, David J Sturgess
BACKGROUND: High-flow nasal oxygen (HFNO) is an emerging technology that has generated interest in tubeless anesthesia for airway surgery. HFNO has been shown to maintain oxygenation and CO2 clearance in spontaneously breathing patients and is an effective approach to apneic oxygenation. Although it has been suggested that HFNO can enhance CO2 clearance during apnea, this has not been established. The true extent of CO2 accumulation and resulting acidosis using HFNO during prolonged tubeless anesthesia remains undefined...
June 30, 2020: Anesthesia and Analgesia
Thomas M Hemmerling, Cedrick Zaouter
No abstract text is available yet for this article.
June 30, 2020: Anesthesia and Analgesia
Ali Jalali, Hannah Lonsdale, Lillian V Zamora, Luis Ahumada, Anh Thy H Nguyen, Mohamed Rehman, James Fackler, Paul A Stricker, Allison M Fernandez
BACKGROUND: Craniosynostosis is the premature fusion of ≥1 cranial sutures and often requires surgical intervention. Surgery may involve extensive osteotomies, which can lead to substantial blood loss. Currently, there are no consensus recommendations for guiding blood conservation or transfusion in this patient population. The aim of this study is to develop a machine-learning model to predict blood product transfusion requirements for individual pediatric patients undergoing craniofacial surgery...
June 30, 2020: Anesthesia and Analgesia
David J Wilkinson, Felicia Reilly
No abstract text is available yet for this article.
June 30, 2020: Anesthesia and Analgesia
Wataru Sakai, Shunsuke Tachibana, Michiaki Yamakage
No abstract text is available yet for this article.
June 29, 2020: Anesthesia and Analgesia
Felipe Urdaneta, Mark Stacey, Massimiliano Sorbello
No abstract text is available yet for this article.
June 25, 2020: Anesthesia and Analgesia
Lori Q Riegger, Aleda M Leis, Kristine H Golmirzaie, Shobha Malviya
BACKGROUND: Intraoperative hypoglycemia can result in devastating neurologic injury if not promptly diagnosed and treated. Few studies have defined risk factors for intraoperative hypoglycemia. The authors sought to characterize children with intraoperative hypoglycemia and determine independent risk factors in a multicenter cohort. METHODS: This retrospective multicenter study included all patients <18 years undergoing an anesthetic from January 1, 2012, to December 31, 2016, at 12 institutions participating in the Multicenter Perioperative Outcomes Group (MPOG)...
June 25, 2020: Anesthesia and Analgesia
Zhijie Wu, Junjie Yu, Qihua Lin, Huiting Li, Tianhua Zhang, Hongying Tan, Wenqian Lin, Longhui Cao
BACKGROUND: Consecutive exposure to high-dose remifentanil during anesthesia may induce remifentanil-induced postinfusion hyperalgesia (RPH). Dexmedetomidine, a highly selective α2-adrenergic receptor agonist, may have synergistic effects with opioids and aid in perioperative pain management. In this study, we hypothesized that an intraoperative bolus dose of intravenous dexmedetomidine could alleviate RPH in patients undergoing thyroidectomy under general anesthesia. METHODS: Ninety patients undergoing thyroidectomy were randomly assigned to 1 of 3 groups: placebo, normal saline (group P); low-dose dexmedetomidine 0...
June 25, 2020: Anesthesia and Analgesia
Paul P Potnuru, Selina D Patel, David J Birnbach, Richard H Epstein, Roman Dudaryk
BACKGROUND: The impact of the Florida State law House Bill 21 (HB 21) restricting the duration of opioid prescriptions for acute pain in patients after cesarean delivery is unknown. Our objective was to assess the association of the passage of Florida State law HB 21 with trends in discharge opioid prescription practices following cesarean delivery, necessity for additional opioid prescriptions, and emergency department visits at a large tertiary care center. METHODS: This was a retrospective cohort study conducted at a large, public hospital...
June 25, 2020: Anesthesia and Analgesia
Jashvant Poeran, Haoyan Zhong, Lauren Wilson, Jiabin Liu, Stavros G Memtsoudis
BACKGROUND: In response to the COVID-19 pandemic, New York State ordered the suspension of all elective surgeries to increase intensive care unit (ICU) bed capacity. Yet the potential impact of suspending elective surgery on ICU bed capacity is unclear. METHODS: We retrospectively reviewed 5 years of New York State data on ICU usage. Descriptions of ICU utilization and mechanical ventilation were stratified by admission type (elective surgery, emergent/urgent/trauma surgery, and medical admissions), and by geographic location (New York metropolitan region versus the rest of New York State)...
June 23, 2020: Anesthesia and Analgesia
Vivian Ip, Christopher Tham
No abstract text is available yet for this article.
June 15, 2020: Anesthesia and Analgesia
Laura S González, Mark A Chaney
Intraaortic balloon pump counterpulsation is the most common form of mechanical circulatory support used in patients with myocardial ischemia and cardiogenic shock. The physiologic principles of counterpulsation include diastolic augmentation of aortic pressure and systolic reduction of left ventricular afterload, resulting in hemodynamic benefits through increased coronary perfusion pressure and improved myocardial oxygen balance in patients with myocardial ischemia. Major trials have failed to conclusively demonstrate improvements in morbidity and mortality with counterpulsation therapy for patients with acute myocardial infarction (MI), cardiogenic shock, and/or severe coronary artery disease undergoing revascularization therapy, and the debate over its applications continues...
June 15, 2020: Anesthesia and Analgesia
Rosa Rodriguez-Monguio, Mahim Naveed, Rhiannon Croci, Kendall Gross, Erica Langnas, Catherine L Chen, Enrique Seoane-Vazquez
BACKGROUND: Extended-release (ER) opioids are indicated for the management of persistent moderate to severe pain in patients requiring around-the-clock opioid analgesics for an extended period of time. Concerns have been raised regarding safety of ER opioids due to its potential for abuse and dependence. However, little is known about perioperative prescribing practices of ER opioids. This study assessed perioperative prescribing practices of ER opioids in noncancer surgical patients stratified by type of opioid exposure prior to admission and examined predictors of postoperative opioid administration in oral morphine equivalents (OME)...
June 15, 2020: Anesthesia and Analgesia
Christian D Seger, Libing Wang, Xuezhi Dong, Peyton Tebon, Sebastian Kwon, Elaine C Liew, Jure Marijic, Soban Umar, Nir N Hoftman
The Covid-19 pandemic creates a need to protect healthcare workers from patients undergoing aerosol-generating procedures which may transmit the SARS CoV-2 virus. Existing personal containment devices (PCDs) may protect healthcare workers (HCWs) from respiratory droplets but not from potentially dangerous respiratory-generated aerosols. We describe a new PCD and its aerosol containment capabilities. The device ships flat and folds into a chamber. With its torso drape and protective arm sleeves mounted, it provides contact, droplet, and aerosol isolation during intubation and cardiopulmonary resuscitation (CPR)...
June 11, 2020: Anesthesia and Analgesia
Ban C H Tsui, Aaron Deng, Stephanie Pan
No abstract text is available yet for this article.
June 11, 2020: Anesthesia and Analgesia
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"