journal

Anesthesia and Analgesia

journal
https://read.qxmd.com/read/31923004/exposure-to-surgery-and-anesthesia-in-early-childhood-and-subsequent-use-of-attention-deficit-hyperactivity-disorder-medications
#1
Caleb Ing, Xiaoyue Ma, Ming Sun, Yewei Lu, Melanie M Wall, Mark Olfson, Guohua Li
BACKGROUND: Some recent clinical studies have found that early childhood exposure to anesthesia is associated with increased risks of behavioral deficits and clinical diagnoses of attention deficit/hyperactivity disorder (ADHD). While diagnoses in claims data may be subject to inaccuracies, pharmacy claims are highly accurate in reflecting medication use. This study examines the association between exposure to surgery and anesthesia and subsequent ADHD medication use. METHODS: Longitudinal data for children enrolled in Texas and New York Medicaid from 1999 to 2010 were used...
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31923003/in-response
#2
Daniel Gerber, Dominik P Guensch, Gabor Erdoes
No abstract text is available yet for this article.
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31923002/comparison-of-supraglottic-airway-devices-with-endotracheal-intubation-in-low-risk-patients-for-cesarean-delivery-systematic-review-and-meta-analysis
#3
Leigh D White, Christopher Thang, Anthony Hodsdon, Thomas M Melhuish, Fiona A Barron, M Guy Godsall, Ruan Vlok
BACKGROUND: The safety and adverse event rate of supraglottic airway (SGA) devices for cesarean delivery (CD) is poorly characterized. The primary aims of this review were to determine whether the first-pass success was higher and time to insertion for SGA was faster than endotracheal intubation for elective CD. The secondary aim was to determine the airway-related adverse event rate associated with SGA use compared to endotracheal intubation in elective CD under general anesthesia (GA)...
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31923001/motherhood-and-anesthesiology-a-survey-of-the-american-society-of-anesthesiologists
#4
Molly B Kraus, Franklin Dexter, Perene V Patel, Sarah E Dodd, Holly M Thomson, Marlene E Girardo, Linda B Hertzberg, Amy C S Pearson
BACKGROUND: The proportion of women medical school graduates in the United States has grown substantially; however, representation of women in anesthesiology lags behind. We sought to investigate factors associated with women recommending against a career in anesthesiology due to obstacles related to motherhood. METHODS: We surveyed 9525 women anesthesiologist members of the American Society of Anesthesiologists (ASA) with a web-based survey distributed via e-mail...
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31923000/variation-in-patient-reported-advance-care-preferences-in-the-preoperative-setting
#5
Brooks V Udelsman, Nicolas Govea, Zara Cooper, David C Chang, Angela Bader, Matthew J Meyer
BACKGROUND: High-quality shared decision-making for patients undergoing elective surgical procedures includes eliciting patient goals and treatment preferences. This is particularly important, should complications occur and life-sustaining therapies be considered. Our objective was to determine the preoperative care preferences of older higher-risk patients undergoing elective procedures and to determine any factors associated with a preference for limitations to life-sustaining treatments...
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31922999/effect-of-midazolam-in-addition-to-propofol-and-opiate-sedation-on-the-quality-of-recovery-after-colonoscopy-a-randomized-clinical-trial
#6
Usha Gurunathan, Tony Rahman, Zelda Williams, Ann Vandeleur, Sweta Sriram, Jennifer Harch, Stuart Boggett, Cindy Hill, Andrea Bowyer, Colin Royse
BACKGROUND: There is a concern that midazolam, when used as a component of sedation for colonoscopy, may impair cognition and prolong recovery. We aimed to identify whether midazolam produced short- and longer-term effects on multiple dimensions of recovery including cognition. METHODS: A 2-center double-blinded, placebo-controlled, parallel-group, randomized, phase IV study with a 1:1 allocation ratio was conducted in adults ≥18 years of age undergoing elective outpatient colonoscopy, with sufficient English language proficiency to complete the Postoperative Quality of Recovery Scale (PostopQRS)...
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31922998/a-multinational-observational-study-exploring-adherence-with-the-kidney-disease-improving-global-outcomes-recommendations-for-prevention-of-acute-kidney-injury-after-cardiac-surgery
#7
Mira Küllmar, Raphael Weiß, Marlies Ostermann, Sara Campos, Neus Grau Novellas, Gary Thomson, Michael Haffner, Christian Arndt, Hinnerk Wulf, Marc Irqsusi, Fabrizio Monaco, Ambra Licia Di Prima, Mercedes García-Alvarez, Stefano Italiano, Mar Felipe Correoso, Gudrun Kunst, Shrijit Nair, Camilla L'Acqua, Eric Hoste, Wim Vandenberghe, Patrick M Honore, John A Kellum, Lui Forni, Philippe Grieshaber, Carola Wempe, Melanie Meersch, Alexander Zarbock
BACKGROUND: The Kidney Disease: Improving Global Outcomes (KDIGO) guidelines recommend a bundle of different measures for patients at increased risk of acute kidney injury (AKI). Prospective, single-center, randomized controlled trials (RCTs) have shown that management in accordance with the KDIGO recommendations was associated with a significant reduction in the incidence of postoperative AKI in high-risk patients. However, compliance with the KDIGO bundle in routine clinical practice is unknown...
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31922997/extubate-not-just-with-100-oxygen-but-from-nitrous-oxide-too
#8
Jonathan V Roth
No abstract text is available yet for this article.
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31922996/machine-learning-implementation-in-clinical-anesthesia-opportunities-and-challenges
#9
Danton S Char, Alyssa Burgart
No abstract text is available yet for this article.
January 8, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904638/distraction-free-zones-need-to-be-respected
#10
Robert M Brustowicz, Jim Fehr, Anna Clebone, Shobha Malviya
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904637/prone-positioning-should-not-preclude-consideration-for-erector-spinae-plane-blockade
#11
Duncan Maguire
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904636/in-response
#12
Jingxiang Wu
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904635/gender-representation-in-speakers-at-asa-it-s-not-a-patience-part-time-or-pipeline-issue
#13
Rekha K Chandrabose, Harriet W Hopf
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904634/real-time-emergency-airway-consultation-via-telemedicine-instituting-the-pediatric-airway-response-team-board
#14
Nicholas M Dalesio, Laeben C Lester, Ben Barone, J Kate Deanehan, James C Fackler
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904633/myocardial-injury-after-esophageal-resection-and-temperature-control
#15
David Amar
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904632/low-tidal-volumes-are-associated-with-slightly-improved-oxygenation-in-patients-having-cardiac-surgery-a-cohort-analysis
#16
Yuan Jia, Steve M Leung, Alparslan Turan, Amanda S Artis, Donn Marciniak, Stephanie Mick, Jagan Devarajan, Andra E Duncan
BACKGROUND: Mechanical ventilation with low tidal volumes appears to provide benefit in patients having noncardiac surgery; however, whether it is beneficial in patients having cardiac surgery is unclear. METHODS: We retrospectively examined patients having elective cardiac surgery requiring cardiopulmonary bypass through a median sternotomy approach who received mechanical ventilation with a single lumen endotracheal tube from January 2010 to mid-August 2016. Time-weighted average tidal volume (milliliter per kilogram predicted body weight [PBW]) during the duration of surgery excluding cardiopulmonary bypass was analyzed...
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31904631/in-response
#17
Christy J Crockett, Brian S Donahue, Deana C Vandivier
No abstract text is available yet for this article.
January 2, 2020: Anesthesia and Analgesia
https://read.qxmd.com/read/31899694/real-time-intraoperative-determination-and-reporting-of-cerebral-autoregulation-state-using-near-infrared-spectroscopy
#18
Dean Montgomery, Charles Brown, Charles W Hogue, Ken Brady, Mitsunori Nakano, Yohei Nomura, Andre Antunes, Paul S Addison
BACKGROUND: Cerebral blood flow (CBF) is maintained over a range of blood pressures through cerebral autoregulation (CA). Blood pressure outside the range of CA, or impaired autoregulation, is associated with adverse patient outcomes. Regional oxygen saturation (rSO2) derived from near-infrared spectroscopy (NIRS) can be used as a surrogate CBF for determining CA, but existing methods require a long period of time to calculate CA metrics. We have developed a novel method to determine CA using cotrending of mean arterial pressure (MAP) with rSO2that aims to provide an indication of CA state within 1 minute...
December 27, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31880633/current-neurologic-assessment-and-neuroprotective-strategies-in-cardiac-anesthesia-a-survey-to-the-membership-of-the-society-of-cardiovascular-anesthesiologists
#19
Martin Krause, Joseph E Morabito, G Burkhard Mackensen, Tjörvi E Perry, Karsten Bartels
BACKGROUND: Neurologic injury and cognitive disorder after cardiac surgery are associated with morbidity and mortality. Variability in the application of neuroprotective strategies likely exists during cardiac surgery. The Society of Cardiovascular Anesthesiologists (SCA) conducted a survey among its members on common perioperative neuroprotective strategies: assessment of aortic atheromatous burden, management of intraoperative blood pressure, and use of cerebral oximetry. METHODS: A 15-item survey was developed by 3 members of the SCA Continuous Practice Improvement - Cerebral Protection Working Group...
December 26, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31880632/ultrasound-assisted-versus-landmark-guided-spinal-anesthesia-in-patients-with-abnormal-spinal-anatomy-a-randomized-controlled-trial
#20
Sun-Kyung Park, Jinyoung Bae, Seokha Yoo, Won Ho Kim, Young-Jin Lim, Jae-Hyon Bahk, Jin-Tae Kim
BACKGROUND: Spinal anesthesia using a surface landmark-guided technique can be challenging in patients with anatomical alterations of the lumbar spine; however, it is unclear whether using ultrasonography can decrease the technical difficulties in these populations. We assessed whether an ultrasound-assisted technique could reduce the number of needle passes required for block success compared with the landmark-guided technique in patients with abnormal spinal anatomy. METHODS: Forty-four patients with abnormal spinal anatomy including documented lumbar scoliosis and previous spinal surgery were randomized to receive either surface landmark-guided or preprocedural ultrasound-assisted spinal anesthesia...
December 26, 2019: Anesthesia and Analgesia
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