journal

Anesthesia and Analgesia

journal
https://read.qxmd.com/read/31702700/neostigmine-versus-sugammadex-for-reversal-of-neuromuscular-blockade-and-effects-on-reintubation-for-respiratory-failure-or-newly-initiated-noninvasive-ventilation-an-interrupted-time-series-design
#1
Martin Krause, Shannon K McWilliams, Kenneth J Bullard, Lena M Mayes, Leslie C Jameson, Susan K Mikulich-Gilbertson, Ana Fernandez-Bustamante, Karsten Bartels
BACKGROUND: Pulmonary complications related to residual neuromuscular blockade lead to morbidity and mortality. Using an interrupted time series design, we tested whether proportions of reintubation for respiratory failure or new noninvasive ventilation were changed after a system-wide transition of the standard reversal agent from neostigmine to sugammadex. METHODS: Adult patients undergoing a procedure with general anesthesia that included pharmacologic reversal of neuromuscular blockade and admission ≥1 night were eligible...
November 5, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31702699/effect-of-oral-carbohydrate-intake-during-labor-on-the-rate-of-instrumental-vaginal-delivery-a-multicenter-randomized-controlled-trial
#2
Thérèse Simonet, Clément Gakuba, Isabelle Desmeulles, Julien Corouge, Gael Beucher, Rémi Morello, Jean-Louis Gérard, Anne Sophie Ducloy-Bouthors, Michel Dreyfus, Jean-Luc Hanouz
BACKGROUND: Carbohydrate intake during physical exercise improves muscle performance and decreases fatigue. We hypothesized that carbohydrate intake during labor, which is a period of significant physical activity, can decrease the instrumental vaginal delivery rate. METHODS: In a multicenter, prospective, randomized, controlled trial, healthy adult pregnant women presenting with spontaneous labor were assigned to a "Carbohydrate" group (advised to drink 200 mL of apple or grape juice without pulp every 3 hours) or a "Fasting" group (water only)...
November 5, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31702698/-pediatric-anesthetic-neurotoxicity-time-to-stop
#3
Richard K Barnes
No abstract text is available yet for this article.
November 5, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31702697/in-response
#4
Marko Zdravkovic, Mark J Rice, Sorin J Brull
No abstract text is available yet for this article.
November 5, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31702696/transfusion-of-red-blood-cells-fresh-frozen-plasma-or-platelets-is-associated-with-mortality-and-infection-after-cardiac-surgery-in-a-dose-dependent-manner
#5
Yue Ming, Jing Liu, Fengjiang Zhang, Changwei Chen, Li Zhou, Lei Du, Min Yan
BACKGROUND: It is unclear whether transfusion of platelets or fresh frozen plasma, in addition to red blood cells, is associated with an increased risk of mortality and infection after cardiac surgery. METHODS: Patients who underwent valve surgery and/or coronary artery bypass grafting from January 1, 2011 to June 30, 2017 and September 1, 2013 to June 30, 2017 at 2 centers performing cardiac surgery were included in this retrospective study. After stratifying patients based on propensity score matching, we compared rates of mortality and infection between patients who transfused red blood cells, fresh frozen plasma, or platelets with those who did not receive such transfusions...
November 5, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31702695/cricoid-pressure-do-no-harm-but-do-it-correctly
#6
Arjang Khorasani, M Ramez Salem, Ahed Zeidan, Ahmed Al-Faraj
No abstract text is available yet for this article.
November 5, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688082/in-response
#7
Richard D Urman, Frances Chung, Tong J Gan
No abstract text is available yet for this article.
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688081/effects-of-obstructive-sleep-apnea-and-obesity-on-morphine-pharmacokinetics-in-children
#8
Nicholas M Dalesio, Carlton K K Lee, Craig W Hendrix, Nikole Kerns, Aaron Hsu, William Clarke, Joseph M Collaco, Sharon McGrath-Morrow, Myron Yaster, Robert H Brown, Alan R Schwartz
BACKGROUND: Obesity increases susceptibility to chronic pain, increases metabolism, and is associated with obstructive sleep apnea syndrome (OSAS), all which can complicate perioperative pain management of patients. In addition, obesity and OSAS can cause elevation of the adipose-derived hormone leptin, which increases metabolism. We hypothesized that obesity along with sleep apnea and leptin independently enhance morphine pharmacokinetics. METHODS: Children 5-12 years of age who were presenting for surgery were administered a morphine dose of 0...
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688080/patient-factors-affecting-bispectral-index-during-total-intravenous-anesthesia-with-target-controlled-infusion
#9
Thomas W Schnider, Charles F Minto, Talmage D Egan, Miodrag Filipovic
No abstract text is available yet for this article.
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688079/perioperative-management-of-pediatric-patients-with-type-1-diabetes-mellitus-updated-recommendations-for-anesthesiologists
#10
Lizabeth D Martin, Monica A Hoagland, Erinn T Rhodes, Joseph I Wolfsdorf, Jennifer L Hamrick
Approximately 1 of every 300 children in the United States has type 1 diabetes mellitus (T1D), and these patients may require anesthetics for a variety of procedures. Perioperative coordination is complex, and attention to perioperative fasting, appropriate insulin administration, and management of hypo- and hyperglycemia, as well as other metabolic abnormalities, is required. Management decisions may be impacted by the patient's baseline glycemic control and home insulin regimen, the type of procedure being performed, and expected postoperative recovery...
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688078/anesthesia-infrastructure-and-resources-in-bangladesh
#11
Jonathan W Meadows, T M Tanzil Al Imran, Drake G LeBrun, Moinul I Mannan, Samin Sharraf, Zibran Z Gaznavee, Kelly K A McQueen
BACKGROUND: Monitoring improvements in nationwide anesthesia capacity over time is critical to ensuring that population anesthesia needs are being met and identifying areas for targeted health systems interventions. Anesthesia resources in Bangladesh were previously measured using a cross-sectional nationwide hospital-based survey in 2012. No follow-up studies have been conducted since then. METHODS: A follow-up cross-sectional study was performed in 16 public hospitals; 8 of which are public district hospitals, and 8 are medical college (tertiary) hospitals in Bangladesh...
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688077/development-of-an-objective-structured-clinical-examination-as-a-component-of-assessment-for-initial-board-certification-in-anesthesiology
#12
David O Warner, Robert S Isaak, Cathleen Peterson-Layne, Cynthia A Lien, Huaping Sun, Anna O Menzies, Daniel J Cole, Rupa J Dainer, Brenda G Fahy, Alex Macario, Santhanam Suresh, Ann E Harman
With its first administration of an Objective Structured Clinical Examination (OSCE) in 2018, the American Board of Anesthesiology (ABA) became the first US medical specialty certifying board to incorporate this type of assessment into its high-stakes certification examination system. The fundamental rationale for the ABA's introduction of the OSCE is to include an assessment that allows candidates for board certification to demonstrate what they actually "do" in domains relevant to clinical practice...
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688076/obstructive-sleep-apnea-and-ambulatory-surgery-who-is-truly-at-risk-response-to-editorial
#13
Rebecca S Twersky, Betsy Szeto, Brett Simon
No abstract text is available yet for this article.
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31688075/analgesic-medication-shortages-inform-our-patients-via-a-shared-decision-making-process
#14
Daniel S Orlovich, Shawn L Mincer, Karen B Domino
No abstract text is available yet for this article.
October 31, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31663965/does-weight-matter-outcomes-in-adult-patients-on-venovenous-extracorporeal-membrane-oxygenation-when-stratified-by-obesity-class
#15
Samuel M Galvagno, Stacy Pelekhaty, Christopher R Cornachione, Kristopher B Deatrick, Michael A Mazzeffi, Thomas M Scalea, Jay Menaker
BACKGROUND: Many believe obesity is associated with higher rates of mortality in the critically ill. The purpose of this retrospective observational study is to evaluate the association between body mass index (BMI) and survival in patients receiving venovenous (VV) extracorporeal membrane oxygenation (ECMO) for acute hypoxic or hypercarbic respiratory failure. METHODS: All of the patients admitted to a dedicated VV ECMO unit were included. Patients <18 years of age, listed for lung transplant, or underweight were excluded...
October 28, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31663964/stereoselective-pharmacokinetic-disposition-of-ketorolac-following-drug-administration-to-periarticular-tissues-in-patients
#16
Nuggehally R Srinivas
No abstract text is available yet for this article.
October 28, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31663963/misinterpretations-of-%C3%AE-and-%C3%AE
#17
Timothy J McCulloch
No abstract text is available yet for this article.
October 28, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31663962/a-randomized-controlled-trial-of-enhanced-recovery-after-surgery-versus-standard-of-care-recovery-for-emergency-cesarean-deliveries-at-mbarara-hospital-uganda
#18
Moris Baluku, Francis Bajunirwe, Joseph Ngonzi, Joseph Kiwanuka, Stephen Ttendo
BACKGROUND: Enhanced recovery after surgery (ERAS) expedites return to patient baseline and functional status by reducing surgical trauma, stress, and organ dysfunction. Despite the potential benefits of enhanced recovery protocols, limited research has been done in low-resource settings, where 95% of cesarean deliveries are emergent and could possibly benefit from the application of ERAS protocols. METHODS: In a prospective, randomized, single-blind, controlled trial, mothers delivering by emergency cesarean delivery were randomly assigned to either an ERAS or a standard of care (SOC) recovery arm...
October 28, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31663961/in-response
#19
Patrick Schober, Thomas R Vetter
No abstract text is available yet for this article.
October 28, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31651458/anesthesia-with-and-without-nitrous-oxide-and-long-term-cognitive-trajectories-in-older-adults
#20
Juraj Sprung, Arnoley S Arney Abcejo, David S Knopman, Ronald C Petersen, Michelle M Mielke, Andrew C Hanson, Darrell R Schroeder, Phillip J Schulte, David P Martin, Toby N Weingarten, Jeffrey J Pasternak, David O Warner
BACKGROUND: We evaluated the hypothesis that the rate of postoperative decline in global cognition is greater in older adults exposed to general anesthesia with nitrous oxide (N2O) compared to general anesthesia without N2O. METHODS: Longitudinal measures of cognitive function were analyzed in nondemented adults, 70-91 years of age, enrolled in the Mayo Clinic Study of Aging. Linear mixed-effects models with time-varying covariates assessed the relationship between exposure to surgery with general anesthesia (surgery/GA) with or without N2O and the rate of long-term cognitive changes...
October 18, 2019: Anesthesia and Analgesia
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