journal
https://read.qxmd.com/read/34319575/the-impact-of-a-perceptual-learning-module-on-novices-ability-to-visually-estimate-left-ventricular-ejection-fraction-by-transesophageal-echocardiography-a-randomized-controlled-study
#1
Philippe Champagne, François Girard, Véronique Cyr, Giovanni Romanelli, Monique Ruel, Alexandre Todorov, Arnaud Robitaille
PURPOSE: Echocardiography is a difficult tool to master. Competency requires the supervised interpretation of hundreds of exams. Perceptual learning modules (PLMs) are novel learning tools that aim to speed up this learning process by enabling learners to go online and interpret numerous clinical images, followed systematically by expert feedback. We developed and tested a PLM aimed at improving novices' ability to quickly visually estimate left ventricular ejection fraction (LVEF) on transesophageal echocardiography images, a critical skill in acute care...
July 28, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34312824/difficult-extubation-in-the-presence-of-methylene-blue-around-the-endotracheal-tube-cuff
#2
LETTER
Remo Caramia, Carlo M Guarino, Ludovico Galiano, Pietro Fedele
No abstract text is available yet for this article.
July 26, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34312823/albumin-use-in-bleeding-cardiac-surgical-patients-and-associated-patient-outcomes
#3
Ciara Hanley, Jeannie Callum, Stuart McCluskey, Keyvan Karkouti, Justyna Bartoszko
PURPOSE: Albumin solution is a colloid used for resuscitation in cardiac surgical patients, but it is unclear if it offers advantages over crystalloids. We examined current clinical practice across 11 cardiac surgical centres and the association of albumin with outcomes in a cohort of bleeding cardiac surgical patients. METHODS: This was a post hoc analysis of data from the Effect of Fibrinogen Concentrate vs Cryoprecipitate on Blood Component Transfusion After Cardiac Surgery (FIBRES) trial...
July 26, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34312822/the-role-of-echocardiography-in-amniotic-fluid-embolism-a-case-series-and-review-of-the-literature
#4
Camille Simard, Stephen Yang, Maral Koolian, Roberta Shear, Lawrence Rudski, Jed Lipes
PURPOSE: Amniotic fluid embolism (AFE) is a rare, but often fatal condition characterized by sudden hemodynamic instability and coagulopathy occurring during labour or in the early postpartum period. As the mechanisms leading to shock and the cardiovascular effects of AFE are incompletely understood, the purpose of this case series is to describe how AFE presents on echocardiography and review limited reports in the literature. CLINICAL FEATURES: We describe three cases of AFE at the Jewish General Hospital, a tertiary care centre in Montreal, Canada...
July 26, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34312821/stellate-ganglion-blockade-for-treating-refractory-electrical-storm-a-historical-cohort-study
#5
Erik Reinertsen, Muhie Sabayon, Margaret Riso, Michael Lloyd, Boris Spektor
BACKGROUND: Stellate ganglion blockade (SGB) has been used to treat electrical storm (ES) refractory to antiarrhythmic therapy or to stabilize patients before more definitive intervention. Nevertheless, its efficacy is not well understood, with only a few case reports and retrospective case series in the literature. METHODS: We conducted a historical cohort study on patients with drug-refractory ES who underwent ultrasound-guided unilateral SGB from 1 January 2010 until 19 July 2019 at two hospital sites...
July 26, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34292525/provider-attitudes-and-satisfaction-with-rapid-preoperative-point-of-care-covid-19-testing-using-id-now%C3%A2
#6
Susan M Lee, Paula Meyler, Michelle Mozel, Jonathan Choi, Tonia Tauh
PURPOSE: Healthcare workers have experienced high levels of anxiety during the COVID-19 pandemic, particularly when caring for patients with unknown infection status. We trialled rapid preoperative point-of-care COVID-19 testing using the Abbott ID NOW™ COVID-19 for clinical validation in an urgent surgical population at a single centre in British Columbia, Canada. Here, we sought to determine the opinions and beliefs of operating room (OR) staff on the usefulness and effectiveness of point-of-care tests on workflow and wellbeing in the OR...
July 22, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34291422/resolution-of-post-traumatic-chronic-testicular-pain-in-a-pediatric-patient-after-microsurgical-denervation-of-the-spermatic-cord-a-case-report
#7
Mael Zuercher, Lisa Nicole D'Alessandro, Stephen Charles Brown, Armando Lorenzo, David Levin
PURPOSE: Chronic scrotal content pain, chronic orchialgia, or testicular pain can present after trauma, vasectomy, and hernia repair, among other triggers. Microsurgical denervation of the spermatic cord is an option for definitive pain control. While this practice is established in adult urology, access to diagnostic intervention and definitive denervation surgery is limited in the pediatric population. CLINICAL FEATURES: We report a case of definitive resolution of testicular pain with microsurgical denervation of the spermatic cord in a pediatric patient with post-traumatic chronic orchialgia that significantly reduced his daily activities and worsened his anxiety prior to this treatment...
July 21, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34268718/correction-to-diagnostic-performance-and-clinical-application-of-preoperative-covid-19-bedside-testing-with-id-now%C3%A2
#8
Tonia Tauh, Susan M Lee, Paula Meyler, Michelle Mozel, Meghan McLennan, Linda M N Hoang
No abstract text is available yet for this article.
July 15, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34268717/continuous-bilateral-subomohyoid-suprascapular-nerve-blocks-for-postoperative-analgesia-for-bilateral-rotator-cuff-repair-a-case-report
#9
Shalini Dhir, MarieEve LeBel, Rosemary Ann Craen
PURPOSE: Blocking the suprascapular nerve under the inferior belly of the omohyoid muscle is a novel regional anesthesia technique that has been proposed for shoulder analgesia. We describe the use of and our experience with bilateral indwelling suprascapular catheters for pain management via continuous infusions in a patient undergoing bilateral shoulder surgery. CLINICAL FEATURES: Bilateral subomohyoid suprascapular catheters were inserted prior to surgery for postoperative analgesia in a patient undergoing bilateral rotator cuff tear repair...
July 15, 2021: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://read.qxmd.com/read/34244901/critical-care-archetypes
#10
EDITORIAL
Paul A Cameron, Wael Haddara
No abstract text is available yet for this article.
July 9, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34241811/comparison-between-a-novel-2d-3d-ultrasound-system-accuro%C3%A2-and-conventional-two-dimensional-ultrasound-for-assessment-of-the-lumbar-spine-a-prospective-cohort-study-in-volunteers
#11
LETTER
Juliana Caicedo, Mrinalini Balki, Cristian Arzola, Naveed Siddiqui, Xiang Y Ye, Kristy Downey, Jose C A Carvalho
No abstract text is available yet for this article.
July 9, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34231131/in-a-forest-of-airway-guidelines-it-s-time-to-make-a-shared-path
#12
EDITORIAL
Laura V Duggan
No abstract text is available yet for this article.
July 6, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34231130/leadership-and-teaching-in-airway-management
#13
EDITORIAL
François Lemay, Mathieu Asselin, Pascal Labrecque
No abstract text is available yet for this article.
July 6, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34231129/conduct-of-virtual-summative-anesthesiology-objective-structured-clinical-examination-during-the-covid-19-pandemic
#14
LETTER
Kai Yin Hwang, Nian Chih Hwang, Kwang Hui Tay
No abstract text is available yet for this article.
July 6, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34231128/seven-years-on-from-the-canadian-airway-focus-group-difficult-airway-guidelines-an-observational-survey
#15
Malcom Howard, Ruediger Noppens, Nelson Gonzalez, Philip M Jones, Sonja M Payne
PURPOSE: Numerous clinical guidelines are available for management of the unanticipated difficult airway. It is unclear if practice recommendations are endorsed on regional, local, or individual levels. The objective of this observational study was to examine local and regional use of airway guidelines by anesthesiologists within a hospital partnership in Southwestern Ontario. METHODS: Using a paper survey, distributed locally to consultant and trainee anesthesiologists in a tertiary hospital, we examined individual clinical and educational practices regarding guideline use in airway management...
July 6, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34212308/ultrasound-evaluation-of-inferior-vena-cava-compression-in-tilted-and-supine-term-parturients
#16
Marie-Pierre Gagné, Philippe Richebé, Christian Loubert, Pierre Drolet, Quentin Gobert, André Denault, Valerie Zaphiratos
PURPOSE: Hypotension is common following spinal anesthesia (SA) during elective Cesarean delivery (CD). Although common practice is to alleviate inferior vena cava (IVC) compression, limited evidence supports a 15° tilt for CD. We measured collapsibility of the IVC in supine and 15° left lateral tilt positions with ultrasound before and after SA and phenylephrine infusion in term parturients. METHODS: Twenty term parturients scheduled for CD were recruited for this prospective study...
July 1, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34212307/consequences-of-visitor-restriction-policies-in-the-intensive-care-unit-during-the-covid-19-pandemic
#17
EDITORIAL
Kimia Honarmand, Sangeeta Mehta
No abstract text is available yet for this article.
July 1, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34195922/an-environmental-scan-of-visitation-policies-in-canadian-intensive-care-units-during-the-first-wave-of-the-covid-19-pandemic
#18
Kirsten M Fiest, Karla D Krewulak, Carmen Hiploylee, Sean M Bagshaw, Karen E A Burns, Deborah J Cook, Robert A Fowler, Maia S Kredentser, Daniel J Niven, Kendiss Olafson, Ken Kuljit S Parhar, Scott B Patten, Alison E Fox-Robichaud, Oleksa G Rewa, Bram Rochwerg, Krista L Spence, Sharon E Straus, Sean Spence, Andrew West, Henry T Stelfox, Jeanna Parsons Leigh
PURPOSE: In response to the rapid spread of SARS-CoV-2, hospitals in Canada enacted temporary visitor restrictions to limit the spread of COVID-19 and preserve personal protective equipment supplies. This study describes the extent, variation, and fluctuation of Canadian adult intensive care unit (ICU) visitation policies before and during the first wave of the COVID-19 pandemic. METHODS: We conducted an environmental scan of Canadian hospital visitation policies throughout the first wave of the pandemic...
June 30, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34173174/in-reply-the-capacity-for-consciousness-and-the-clinical-diagnosis-of-brain-death-are-we-using-the-correct-gold-standard
#19
LETTER
Guillaume Plourde, Joel Neves Briard, Sam D Shemie, Jai Jai Shiva Shankar, Michaël Chassé
No abstract text is available yet for this article.
June 25, 2021: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/34165727/perioperative-care-of-adults-with-down-syndrome-a-narrative-review
#20
REVIEW
Elizabeth B Malinzak
Because of enhanced life expectancy due to medical and surgical therapeutic advances, it is estimated that there are more adults than children living with Down syndrome (DS), or trisomy 21, in the United States. Therefore, DS can no longer be considered a syndrome limited to the pediatric population. These patients are presenting for surgery and anesthesia in adult care settings, where anesthesiologists will encounter these patients more frequently. As these patients age, their commonly associated co-morbidities not only progress, but they also develop other cardiac, respiratory, gastrointestinal, and neurologic conditions...
June 24, 2021: Canadian Journal of Anaesthesia
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