journal
https://read.qxmd.com/read/33831167/availability-of-inpatient-pediatric-surgery-in-the-united-states
#1
Michael L McManus, Urbano L França
BACKGROUND: In 2015, the American College of Surgeons began its Children's Surgery Verification Quality Improvement Program, promulgating standards intended to promote regionalization and improve pediatric surgical care. It was hypothesized that pediatric surgical care was already highly regionalized and concentrated before implementation of the program. This study aimed to demonstrate this by describing the sites and volume of nonambulatory pediatric surgery. METHODS: A two-part, retrospective, cross-sectional analysis was performed...
April 8, 2021: Anesthesiology
https://read.qxmd.com/read/33831145/factors-contributing-to-lingering-pain-after-surgery-the-role-of-patient-expectations
#2
Mark D Willingham, Molly R Vila, Arbi Ben Abdallah, Michael S Avidan, Simon Haroutounian
BACKGROUND: Pain that lingers beyond the early weeks after the acute postoperative period is an important risk factor for chronic postsurgical pain. This study examined the hypothesis that patients' expectations about their postsurgical pain would be independently associated with lingering postsurgical pain. METHODS: The study included 3,628 patients who underwent diverse surgeries between February 2015 and October 2016 in a single U.S. tertiary hospital and participated in the Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) observational study...
April 8, 2021: Anesthesiology
https://read.qxmd.com/read/33819339/quantitative-lung-ultrasound-technical-aspects-and-clinical-applications
#3
Silvia Mongodi, Daniele De Luca, Andrea Colombo, Andrea Stella, Erminio Santangelo, Francesco Corradi, Luna Gargani, Serena Rovida, Giovanni Volpicelli, Bélaid Bouhemad, Francesco Mojoli
Lung ultrasound is increasingly used in emergency departments, medical wards, and critical care units-adult, pediatric, and neonatal. In vitro and in vivo studies show that the number and type of artifacts visualized change with lung density. This has led to the idea of a quantitative lung ultrasound approach, opening up new prospects for use not only as a diagnostic but also as a monitoring tool. Consequently, the multiple scoring systems proposed in the last few years have different technical approaches and specific clinical indications, adaptable for more or less time-dependent patients...
April 5, 2021: Anesthesiology
https://read.qxmd.com/read/33819338/concordance-of-upper-and-lower-respiratory-tract-samples-for-sars-cov-2-in-pediatric-patients-research-letter
#4
Elaina E Lin, Elikplim H Akaho, Anna Sobilo, Allison M Blatz, William R Otto, Audrey R Odom John
No abstract text is available yet for this article.
April 5, 2021: Anesthesiology
https://read.qxmd.com/read/33791785/mid-aortic-syndrome
#5
Rakshika Rajakaruna, Kalysa R Porter, Michale S Ok
No abstract text is available yet for this article.
March 31, 2021: Anesthesiology
https://read.qxmd.com/read/33791778/point-of-care-cardiac-ultrasound-on-a-very-small-infant
#6
Karen R Boretsky, Prabhakar Devavaram
No abstract text is available yet for this article.
March 31, 2021: Anesthesiology
https://read.qxmd.com/read/33791750/how-can-anesthesiologists-influence-policymaking
#7
Eric C Sun
From September 2019 to August 2020, the author served as a senior economist on the Council of Economic Advisers, a government agency charged with providing economic analysis and advice to the President of the United States and senior government officials. Working with the Council yielded many useful lessons on how anesthesiologists can influence healthcare policy. First, because the President has wide latitude over many areas of health policy that directly impact patient care and anesthesiologists' working environment, anesthesiologists should focus their efforts on influencing policymakers within the executive branch of government in addition to influencing lawmakers...
March 31, 2021: Anesthesiology
https://read.qxmd.com/read/33760060/complications-as-a-mediator-of-the-perioperative-frailty-mortality-association-mediation-analysis-of-a-retrospective-cohort-erratum
#8
(no author information available yet)
No abstract text is available yet for this article.
March 24, 2021: Anesthesiology
https://read.qxmd.com/read/33760076/hypotension-prediction-index-guidance-reply
#9
Kamal Maheshwari, Zhongping Jian, Daniel I Sessler
No abstract text is available yet for this article.
March 23, 2021: Anesthesiology
https://read.qxmd.com/read/33760074/association-of-gestational-age-with-postpartum-hemorrhage
#10
Alexander J Butwick, Can Liu, Nan Guo, Jason Bentley, Elliot K Main, Jonathan A Mayo, Gary M Shaw, Olof Stephansson
BACKGROUND: Risk factors for postpartum hemorrhage, such as chorioamnionitis and multiple gestation, have been identified in previous epidemiologic studies. However, existing data describing the association between gestational age at delivery and postpartum hemorrhage are conflicting. The aim of this study was to assess the association between gestational age at delivery and postpartum hemorrhage. METHODS: The authors conducted a population-based retrospective cohort study of women who underwent live birth delivery in Sweden between 2014 and 2017 and in California between 2011 and 2015...
March 23, 2021: Anesthesiology
https://read.qxmd.com/read/33760018/expiratory-muscles-neglected-no-more
#11
Franco Laghi, Nicola Cacciani
No abstract text is available yet for this article.
March 23, 2021: Anesthesiology
https://read.qxmd.com/read/33760009/hypotension-prediction-index-guidance-comment
#12
Elena Koepke, Yafen Liang, Omonele O Nwokolo
No abstract text is available yet for this article.
March 23, 2021: Anesthesiology
https://read.qxmd.com/read/33740816/posterior-quadratus-lumborum-block-in-total-hip-arthroplasty
#13
Sophia Margareta Brixel, Philippe Biboulet, Fabien Swisser, Olivier Choquet, Yassir Aarab, Helen Nguyen, Sophie Bringuier, Xavier Capdevila
BACKGROUND: Pain management is important for ensuring early mobilization after hip arthroplasty; however, the optimal components remain controversial. Recently, the quadratus lumborum block has been proposed as an analgesic option. The current study tested the hypothesis that the posterior quadratus lumborum block combined with multimodal analgesia decreases morphine consumption after hip arthroplasty. METHODS: This study was a prospective, randomized, double-blind, placebo-controlled trial...
March 19, 2021: Anesthesiology
https://read.qxmd.com/read/33740051/methadone-and-ketamine
#14
Evan D Kharasch, J David Clark
No abstract text is available yet for this article.
March 19, 2021: Anesthesiology
https://read.qxmd.com/read/33730169/postoperative-pulmonary-complications-association-with-sugammadex-versus-neostigmine
#15
Gen Li, Robert E Freundlich, Rajnish K Gupta, Christina J Hayhurst, Chi H Le, Barbara J Martin, Matthew S Shotwell, Jonathan P Wanderer
BACKGROUND: Postoperative residual neuromuscular blockade related to nondepolarizing neuromuscular blocking agents may be associated with pulmonary complications. In this study, the authors sought to determine whether sugammadex was associated with a lower risk of postoperative pulmonary complications in comparison with neostigmine. METHODS: Adult patients from the Vanderbilt University Medical Center National Surgical Quality Improvement Program database who underwent general anesthesia procedures between January 2010 and July 2019 were included in an observational cohort study...
March 17, 2021: Anesthesiology
https://read.qxmd.com/read/33730151/perioperative-methadone-and-ketamine-for-postoperative-pain-control-in-spinal-surgical-patients
#16
Glenn S Murphy, Michael J Avram, Steven B Greenberg, Jessica Benson, Sara Bilimoria, Colleen E Maher, Kevin Teister, Joseph W Szokol
BACKGROUND: Despite application of multimodal pain management strategies, patients undergoing spinal fusion surgery frequently report severe postoperative pain. Methadone and ketamine, which are N-methyl-d-aspartate receptor antagonists, have been documented to facilitate postoperative pain control. This study therefore tested the primary hypothesis that patients recovering from spinal fusion surgery who are given ketamine and methadone use less hydromorphone on the first postoperative day than those give methadone alone...
March 17, 2021: Anesthesiology
https://read.qxmd.com/read/33721910/cryoneurolysis-and-peripheral-nerve-stimulation-reply
#17
Brian M Ilfeld, John J Finneran
No abstract text is available yet for this article.
March 15, 2021: Anesthesiology
https://read.qxmd.com/read/33721888/%C3%AE-1-antitrypsin
#18
Grace Hogan, Pierce Geoghegan, Tomás P Carroll, Jennifer Clarke, Oisín F McElvaney, Oliver J McElvaney, Noel G McElvaney, Gerard F Curley
Acute respiratory distress syndrome is characterized by hypoxemia, altered alveolar-capillary permeability, and neutrophil-dominated inflammatory pulmonary edema. Despite decades of research, an effective drug therapy for acute respiratory distress syndrome remains elusive. The ideal pharmacotherapy for acute respiratory distress syndrome should demonstrate antiprotease activity and target injurious inflammatory pathways while maintaining host defense against infection. Furthermore, a drug with a reputable safety profile, low possibility of off-target effects, and well-known pharmacokinetics would be desirable...
March 15, 2021: Anesthesiology
https://read.qxmd.com/read/33721887/sodium-bicarbonate-in-different-critically-ill-conditions
#19
Silvia Coppola, Alessio Caccioppola, Sara Froio, Davide Chiumello
No abstract text is available yet for this article.
March 15, 2021: Anesthesiology
https://read.qxmd.com/read/33721885/cryoneurolysis-and-peripheral-nerve-stimulation-comment
#20
Ban C H Tsui, Rakesh V Sondekoppam, Vivian Ip
No abstract text is available yet for this article.
March 15, 2021: Anesthesiology
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