journal
https://read.qxmd.com/read/38609684/remimazolam-to-prevent-hemodynamic-instability-during-catheter-ablation-under-general-anesthesia-a-randomized-controlled-trial
#1
JOURNAL ARTICLE
Subin Yim, Chang Ik Choi, Insun Park, Bon Wook Koo, Ah Young Oh, In-Ae Song
PURPOSE: Maintaining hemodynamic stability during cardiac ablation under general anesthesia is challenging. Remimazolam, a novel ultrashort-acting benzodiazepine, is characterized by maintaining comparatively stable blood pressure and does not influence the cardiac conduction system, which renders it a reasonable choice for general anesthesia for cardiac ablation. We aimed to evaluate whether remimazolam is associated with a decreased incidence of intraoperative hypotension compared with desflurane...
April 12, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38609683/is-remimazolam-the-elusive-anesthetic-on-off-switch
#2
EDITORIAL
J Ross Renew
No abstract text is available yet for this article.
April 12, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38600285/perioperative-echocardiographic-strain-analysis-what-anesthesiologists-should-know
#3
REVIEW
Adrian Costescu, Geneviève Riendeau Beaulac, Dominik P Guensch, Jean-Simon Lalancette, Pierre Couture, André Y Denault
PURPOSE: Echocardiographic strain analysis by speckle tracking allows assessment of myocardial deformation during the cardiac cycle. Its clinical applications have significantly expanded over the last two decades as a sensitive marker of myocardial dysfunction with important diagnostic and prognostic values. Strain analysis has the potential to become a routine part of the perioperative echocardiographic examination for most anesthesiologist-echocardiographers but its exact role in the perioperative setting is still being defined...
April 10, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38600284/speckle-tracking-echocardiography-too-much-granularity
#4
EDITORIAL
Robert Chen, Alexandra Fottinger, Claude Tousignant
No abstract text is available yet for this article.
April 10, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38589739/covid-19-critical-care-triage-across-canada-a-narrative-synthesis-and-ethical-analysis-of-early-provincial-triage-protocols
#5
JOURNAL ARTICLE
Sarah K Andersen, Nathan Gamble, Oleksa Rewa
PURPOSE: The COVID-19 pandemic created conditions of scarcity that led many provinces within Canada to develop triage protocols for critical care resources. In this study, we sought to undertake a narrative synthesis and ethical analysis of early provincial pandemic triage protocols. METHODS: We collected provincial triage protocols through personal correspondence with academic and political stakeholders between June and August 2020. Protocol data were extracted independently by two researchers and compared for accuracy and agreement...
April 8, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38589738/rates-of-glucagon-like-peptide-1-receptor-agonist-use-and-aspiration-events-associated-with-anesthesia-at-a-canadian-academic-teaching-centre
#6
LETTER
Andrew D Milne, Melissa A Berry, Marshall W Ellis, Gregory R Dobson
No abstract text is available yet for this article.
April 8, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38580771/erector-spinae-plane-block-for-minimally-invasive-cardiac-surgery
#7
LETTER
Raghuraman M Sethuraman
No abstract text is available yet for this article.
April 5, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38580770/in-reply-erector-spinae-plane-block-for-minimally-invasive-cardiac-surgery
#8
LETTER
Ling Xin, Yi Feng
No abstract text is available yet for this article.
April 5, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38570416/initial-clinical-experience-may-influence-tracheal-intubation-success-rates-with-indirect-laryngoscopy-among-novice-operators
#9
LETTER
I-Wen Chen, Ting-Sian Yu, Kuo-Chuan Hung
No abstract text is available yet for this article.
April 3, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38570415/beliefs-of-physician-directors-on-the-management-of-devastating-brain-injuries-at-the-canadian-emergency-department-and-intensive-care-unit-interface-a-national-site-level-survey
#10
JOURNAL ARTICLE
Piotr Wtorek, Matthew J Weiss, Jeffrey M Singh, Carmen Hrymak, Alecs Chochinov, Brian Grunau, Bojan Paunovic, Sam D Shemie, Jehan Lalani, Bailey Piggott, James Stempien, Patrick Archambault, Parisa Seleseh, Rob Fowler, Murdoch Leeies
PURPOSE: Insufficient evidence-based recommendations to guide care for patients with devastating brain injuries (DBIs) leave patients vulnerable to inconsistent practice at the emergency department (ED) and intensive care unit (ICU) interface. We sought to characterize the beliefs of Canadian emergency medicine (EM) and critical care medicine (CCM) physician site directors regarding current management practices for patients with DBI. METHODS: We conducted a cross-sectional survey of EM and CCM physician directors of adult EDs and ICUs across Canada (December 2022 to March 2023)...
April 3, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38570414/in-reply-initial-clinical-experience-may-influence-tracheal-intubation-success-rates-with-indirect-laryngoscopy-among-novice-operators
#11
LETTER
Hiroshi Hoshijima
No abstract text is available yet for this article.
April 3, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38548949/venous-congestion-in-septic-shock-quantified-with-point-of-care-ultrasound-a-pilot-prospective-multicentre-cohort-study
#12
JOURNAL ARTICLE
Ross Prager, Robert Arntfield, Michelle Y S Wong, Ian Ball, Kimberley Lewis, Bram Rochwerg, John Basmaji
PURPOSE: Venous congestion is a pathophysiologic state that can result in organ dysfunction, particularly acute kidney injury (AKI). We sought to evaluate the feasibility of performing a definitive observational study to determine the impact of venous congestion quantified using point-of-care ultrasound (POCUS) in patients with septic shock. METHODS: We conducted a prospective observational feasibility study at two intensive care units (ICUs). We recruited adult patients with septic shock within 12 hr of ICU admission...
March 28, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38548948/a-randomized-comparison-of-three-intubation-techniques-tube-materials-for-nasotracheal-intubation
#13
JOURNAL ARTICLE
Jiwon Lee, Jung-Man Lee, Yon Hee Shim, Joung Goo Cho, Jimin Lee, Jae-Yol Lim, Chul Ho Chang
PURPOSE: We sought to compare three intubation methods using different intubation techniques/tube materials for tube advancement from the nasal cavity into the oral cavity during nasotracheal intubation. METHODS: We conducted a randomized clinical trial with adult patients scheduled to undergo elective surgery requiring nasotracheal intubation for general anesthesia. Participants were randomly allocated to a polyvinyl chloride (PVC) tube group (group P), PVC tube attached to a rubber catheter group (group PR), or velvet-soft PVC tube group (group V)...
March 28, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38532193/correction-seven-years-on-from-the-canadian-airway-focus-group-difficult-airway-guidelines-an-observational-survey
#14
Malcolm Howard, Ruediger Noppens, Nelson Gonzalez, Philip M Jones, Sonja M Payne
No abstract text is available yet for this article.
March 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38532192/transient-neurologic-symptoms-in-patients-undergoing-holmium-enucleation-of-the-prostate-under-1-5-mepivacaine-spinal-anesthesia-a-retrospective-cohort-study
#15
LETTER
Asaf Gans, Kishan Patel, Hari Kalagara, Steven B Porter, Chandler Dora
No abstract text is available yet for this article.
March 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38532191/medical-students-perspectives-on-and-understanding-of-anesthesiology-a-canadian-cross-sectional-survey
#16
JOURNAL ARTICLE
Michael Nixon, Monica Brundage, Ligia Cordovani, Adrienne Carr, Joycelyne Ewusie, Daniel Cordovani
PURPOSE: In Canada, three out of 17 medical schools do not mandate an anesthesia rotation in their clerkship curriculum. Understanding the effects of a mandatory anesthesiology rotation is important in determining its value to the specialty and guiding decision-making for medical educators. We sought to determine whether a mandatory anesthesia rotation affected students' understanding of anesthesiology, as well as their perspectives on anesthesia. METHODS: We conducted an anonymous cross-sectional survey of Canadian medical students graduating in 2021...
March 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38514525/correction-guidelines-to-the-practice-of-anesthesia-revised-edition-2024
#17
Gregory Dobson, Anthony Chau, Justine Denomme, Samantha Frost, Giuseppe Fuda, Conor Mc Donnell, Robert Milkovich, Andrew D Milne, Kathryn Sparrow, Yamini Subramani, Christopher Young
No abstract text is available yet for this article.
March 21, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38514524/characterizing-the-impact-of-thermoregulation-in-patients-after-cardiac-arrest-a-retrospective-cohort-study
#18
JOURNAL ARTICLE
Annie Li, Ahmed F Hegazy, Luis E Mendoza Vasquez, Lisa Liu, Alexandra M Durocher, Andrea Vucetic, Arjun Patel, Courtney Fleming, Jason Chui
PURPOSE: Core body temperature has been extensively investigated as a thereuptic target in care after cardiac arrest. Nevertheless, the integrity of thermoregulation in patients after cardiac arrest has not been well studied. We sought to evaluate whether low spontaneous body temperature after cardiac arrest is associated with increased death and a worse neurologic outcome, and whether patients with low spontaneous body temperature exhibit features suggestive of impaired thermoregulation...
March 21, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38509437/nonclinical-factors-affecting-intraoperative-red-blood-cell-transfusion-a-systematic-review
#19
REVIEW
Tori Lenet, Pauline Berthelot, Alexa L Grudzinski, Alexander Banks, Joseph Tropiano, Daniel I McIsaac, Alan Tinmouth, Andrea M Patey, Dean A Fergusson, Guillaume Martel
PURPOSE: There is significant variability in intraoperative red blood cell (RBC) transfusion practice. We aimed to use the theoretical domains framework (TDF) to categorize nonclinical and behavioural factors driving intraoperative RBC transfusion practice in a systematic review of the literature. SOURCE: We searched electronic databases from inception until August 2021 to identify studies evaluating nonclinical factors affecting intraoperative RBC transfusion. Using the Mixed Methods Appraisal Tool, we assessed the quality of included studies and identified relevant nonclinical factors, which were coded into TDF domains by two independent reviewers using NVivo (Lumivero, QSR International, Burlington, MA, USA)...
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38509436/improving-blood-transfusion-practice-to-give-or-to-consider
#20
EDITORIAL
Jad Sibai, Keyvan Karkouti, Stuart A McCluskey
No abstract text is available yet for this article.
March 20, 2024: Canadian Journal of Anaesthesia
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