journal
https://read.qxmd.com/read/38548949/venous-congestion-in-septic-shock-quantified-with-point-of-care-ultrasound-a-pilot-prospective-multicentre-cohort-study
#21
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
#22
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
#23
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
#24
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
#25
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
#26
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
#27
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
#28
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
#29
EDITORIAL
Jad Sibai, Keyvan Karkouti, Stuart A McCluskey
No abstract text is available yet for this article.
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38509435/in-reply-efficacy-of-erector-spinae-plane-block-for-postoperative-analgesia-after-minimally-invasive-cardiac-surgery
#30
LETTER
Ling Xin, Yi Feng
No abstract text is available yet for this article.
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38509434/efficacy-of-erector-spinae-plane-block-for-postoperative-analgesia-after-minimally-invasive-cardiac-surgery
#31
LETTER
Xin-Yue Li, Xin-Tao Li, Fu-Shan Xue
No abstract text is available yet for this article.
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38507025/comparison-of-the-effects-of-paratracheal-pressure-and-cricoid-pressure-on-placement-of-the-i-gel-%C3%A2-supraglottic-airway-a-randomized-clinical-trial
#32
JOURNAL ARTICLE
Dongwook Won, Hyerim Kim, Jee-Eun Chang, Jung-Man Lee, Tae Kyong Kim, Honghyeon Kim, Seong-Won Min, Jin-Young Hwang
PURPOSE: Anesthesiologists can use supraglottic airway devices as a rescue technique for failed intubation even in patients with an increased risk of gastric regurgitation. In this randomized study, we aimed to evaluate the effects of cricoid pressure and paratracheal pressure on placement of the i-gel® (Intersurgical Ltd., Wokingham, Berkshire, UK). METHODS: After induction of anesthesia in 76 adult patients, we inserted the i-gel under paratracheal or cricoid pressure, and assessed the success rate of i-gel insertion, resistance during insertion, time required for insertion, accuracy of the insertion location, tidal volumes, and peak inspiratory pressure with or without each maneuver after i-gel insertion...
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38507024/impact-of-covid-19-related-restricted-family-presence-policies-on-canadian-pediatric-intensive-care-unit-clinicians-a-qualitative-study
#33
JOURNAL ARTICLE
Molly J Ryan, Laurie Lee, Sara Drisdelle, Daniel Garros, Jamie A Seabrook, Janet Curran, Jacqueline Bretzler, Corey Slumkoski, Martha Walls, Laura Betts, Stacy Burgess, Jennifer R Foster
PURPOSE: Pediatric intensive care units (PICUs) worldwide restricted family presence in response to the COVID-19 pandemic. We aimed to explore the experiences and impact of restricted family presence policies on Canadian PICU clinicians. METHODS: We conducted a qualitative study that followed an interpretive phenomenological design. Participants were PICU clinicians providing direct patient care in Canada during periods of COVID-19-related restricted family presence...
March 20, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38504038/a-canadian-survey-of-perceptions-and-practices-related-to-ordering-of-blood-tests-in-the-intensive-care-unit
#34
JOURNAL ARTICLE
M Omair Rahman, Emannuel Charbonney, Ryan Vaisler, Abubaker Khalifa, Waleed Alhazzani, Kiera Gossack-Keenan, Allan Garland, Timothy Karachi, Erick Duan, Sean M Bagshaw, Maureen O Meade, Chris Hillis, Peter Kavsak, Karen Born, Lawrence Mbuagbaw, Deborah Siegal, Tina Millen, Damon Scales, Andre Amaral, Shane English, Victoria A McCredie, Peter Dodek, Deborah J Cook, Bram Rochwerg
PURPOSE: The ordering of routine blood test panels in advance is common in intensive care units (ICUs), with limited consideration of the pretest probability of finding abnormalities. This practice contributes to anemia, false positive results, and health care costs. We sought to understand practices and attitudes of Canadian adult intensivists regarding ordering of blood tests in critically ill patients. METHODS: We conducted a nationwide Canadian cross-sectional survey consisting of 15 questions assessing three domains (global perceptions, test ordering, daily practice), plus 11 demographic questions...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38504037/ambulatory-total-hip-and-knee-arthroplasty-a-literature-review-and-perioperative-considerations
#35
JOURNAL ARTICLE
Vivian H Y Ip, Vishal Uppal, Kwesi Kwofie, Ushma Shah, Patrick B Y Wong
PURPOSE: Total joint arthroplasty (TJA), particularly for the hip and knee, is one of the most commonly performed surgical procedures. The advancement/evolution of surgical and anesthesia techniques have allowed TJA to be performed on an ambulatory/same-day discharge basis. In this Continuing Professional Development module, we synthesize the perioperative evidence that may aid the development of successful ambulatory TJA pathways. SOURCE: We searched MEDLINE, Embase, CENTRAL, and the Cochrane Database of Systematic Reviews for ambulatory or fast-track TJA articles...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38504036/validation-of-the-postoperative-quality-of-recovery-15-questionnaire-after-emergency-surgery-and-association-with-quality-of-life-at-three-months
#36
JOURNAL ARTICLE
Victoria Le Bescond, Jonathan Petit-Phan, Maëva Campfort, Claire Nicolleau, Mathieu Conté, Guillaume Bouhours, Louis Rony, Sigismond Lasocki, Maxime Léger
PURPOSE: The Quality of Recovery-15 (QoR-15) tool, validated for measuring postoperative recovery following scheduled surgeries, has not been psychometrically assessed in emergency contexts. Moreover, the QoR-15's associations with long-term outcomes remain underexplored. This study aimed to confirm the validity and reliability of the QoR-15 following emergency surgery and assess its association with three-month postoperative quality of life. METHODS: We conducted a prospective cohort study (August 2021-April 2022) on adult patients who underwent emergency surgery...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38504035/measurements-of-pupillary-unrest-using-infrared-pupillometry-fail-to-detect-changes-in-pain-intensity-in-patients-after-surgery-a-prospective-observational-study
#37
JOURNAL ARTICLE
Matthias Behrends, Merlin D Larson
PURPOSE: The pupil displays chaotic oscillations, also referred to as pupillary unrest in ambient light (PUAL). As pain has previously been shown to increase pupillary unrest, the quantitative assessment of PUAL has been considered a possible tool to identify and quantify pain. Nevertheless, PUAL is affected by various states, such as vigilance, cognitive load, or emotional arousal, independent of pain. Furthermore, systematically applied opioids are known to reduce PUAL, thus potentially limiting its usefulness to detect pain or changes in pain intensity...
March 19, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38498255/don-t-just-do-something-stand-there
#38
LETTER
Christopher Prabhakar, Ronald M Ree
No abstract text is available yet for this article.
March 18, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38485835/association-of-glucagon-like-peptide-receptor-1-agonist-therapy-with-the-presence-of-gastric-contents-in-fasting-patients-undergoing-endoscopy-under-anesthesia-care-a-historical-cohort-study
#39
JOURNAL ARTICLE
Fei Wu, Matthew R Smith, Ariel L Mueller, Seth A Klapman, Lucinda L Everett, Timothy Houle, Braden Kuo, Ion A Hobai
PURPOSE: We aimed to estimate the association of glucagon-like peptide 1 (GLP-1) receptor agonist therapy with the incidence of endoscopically visible gastric contents after preprocedural fasting. METHODS: We reviewed the records of esophagogastroduodenoscopy (EGD) performed at our institution between 2019 and 2023 and determined the presence of residual gastric contents from the procedure notes and saved images. We compared patients taking GLP-1 agonists at the time of the procedure (GLP group, 90 procedures) with patients who started GLP-1 agonist therapy within 1,000 days after undergoing EGD (control, 102 procedures)...
March 14, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38485834/the-knowns-and-unknowns-of-glucagon-like-peptide-1-agonists-and-perioperative-care
#40
EDITORIAL
Daniel I McIsaac, Marta Berrio-Valencia, Elizabeth C Miller
No abstract text is available yet for this article.
March 14, 2024: Canadian Journal of Anaesthesia
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