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Journal of Anesthesia

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https://read.qxmd.com/read/30863957/comparison-of-interscalene-block-general-anesthesia-and-intravenous-analgesia-for-out-patient-shoulder-reduction
#1
Janett Kreutziger, Desmond Hirschi, Sven Fischer, Richard F Herzog, Stefan Zbinden, Philipp Honigmann
PURPOSE: Shoulder dislocation is often associated with intense pain, and requires urgent pain therapy and reduction. Interscalene block, general anesthesia, or intravenous analgesia alone are applied procedures that facilitate shoulder reduction by the surgeon and ease patients' pain. This study was conducted to compare procedure times, patient satisfaction, side-effects, and clinical outcome of these clinical procedures. METHODS: Retrospective chart analysis was performed for all patients treated at the Emergency Department of a primary care hospital...
March 12, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30863956/intraoperative-vasoplegic-syndrome-in-patients-with-fulminant-myocarditis-on-ventricular-assist-device-placement
#2
Mariko Ezaka, Takuma Maeda, Yoshihiko Ohnishi
PURPOSE: Fulminant myocarditis is uncommon, but life-threatening, and some patients need mechanical circulatory support. This study was performed to evaluate how different types of mechanical circulatory support-biventricular assist device (BiVAD) or left ventricular assist device (LVAD) placement-affect intraoperative hemodynamic status. METHODS: From January 2013 to September 2016, the patients who underwent BiVAD or LVAD placement for fulminant myocarditis were analyzed...
March 12, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30859366/lasting-effects-of-general-anesthetics-on-the-brain-in-the-young-and-elderly-mixed-picture-of-neurotoxicity-neuroprotection-and-cognitive-impairment
#3
REVIEW
Lingzhi Wu, Hailin Zhao, Hao Weng, Daqing Ma
General anesthetics are commonly used in major surgery. To achieve the depth of anesthesia for surgery, patients are being subjected to a variety of general anesthetics, alone or in combination. It has been long held an illusory concept that the general anesthesia is entirely reversible and that the central nervous system is returned to its pristine state once the anesthetic agent is eliminated from the active site. However, studies indicate that perturbation of the normal functioning of these targets may result in long-lasting desirable or undesirable effects...
March 11, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30859365/the-f-breathing-circuit-a-universal-single-limb-breathing-circuit-brief-historical-perspective
#4
Atsuo Fukunaga
This article presents a brief historical perspective of the F Breathing Circuit, a universal single-limb breathing circuit. The single-limb breathing circuit (tube within a tube configuration) comprises two tubes of sufficient size and compliance, so that either channel enables safe, unrestricted inspiration/expiration at all times in spontaneous and controlled ventilation. The single-limb circuit can function in various modes: as an anesthetic circle circuit as well as a Mapleson-type rebreathing circuit and as a non-rebreathing circuit (e...
March 11, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30852686/optimal-placement-of-nasal-rae-tube
#5
LETTER
Jin-Hua Jin, Fu-Shan Xue, Yu-Hui Wang
No abstract text is available yet for this article.
March 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30852685/reply-to-the-letter-to-the-editor
#6
LETTER
Hyun-Kyu Yoon, Seokha Yoo, Won Ho Kim
No abstract text is available yet for this article.
March 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30852684/reply-to-the-letter-to-the-editor
#7
LETTER
Satoshi Tanaka, Takashi Ichino, Mikito Kawamata
No abstract text is available yet for this article.
March 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30852683/transcranial-mep-monitoring-of-vagus-nerve
#8
LETTER
Seokha Yoo, Won Ho Kim, Jin-Tae Kim
No abstract text is available yet for this article.
March 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30852682/reply-to-the-letter-about-inadequate-depth-of-nasal-tube
#9
LETTER
Ha Yeon Kim, Jeongmin Kim
No abstract text is available yet for this article.
March 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30852681/managing-postoperative-catheter-related-bladder-discomfort
#10
LETTER
Yu Seob Shin, A Ram Doo
No abstract text is available yet for this article.
March 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30838446/the-analgesic-efficacy-and-duration-of-lidocaine-on-vascular-pain-induced-by-hypertonic-saline-infusion-a-double-blinded-randomized-control-trial
#11
Zhiping Song, Zhen Liu, Yang Zhang
PURPOSE: To determine the analgesic efficacy and analgesic duration of lidocaine 20 mg and 40 mg on eliminating the vascular pain associated with hypertonic saline infusion. METHOD: Patients who complained pain during infusion of hypertonic saline were randomized into three groups. They received normal saline (Group C), or lidocaine 20 mg (Group L20), or lidocaine 40 mg (Group L40). An electronic stopwatch was used to record the time to onset (T1) and the time to termination (T2) of the analgesic effect, and the analgesic duration (AD) was calculated as T2 - T1...
March 5, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30820749/handover-of-anesthesia-care-is-associated-with-an-increased-risk-of-delirium-in-elderly-after-major-noncardiac-surgery-results-of-a-secondary-analysis
#12
Guang-Yu Liu, Xian Su, Zhao-Ting Meng, Fan Cui, Hong-Liang Li, Sai-Nan Zhu, Dong-Xin Wang
In patients undergoing major surgery, complete handover of intraoperative anesthesia care is associated with adverse postoperative outcomes including high mortality and more major complications. The purpose of this study was to explore the association between the intraoperative complete handover between anesthesiologists and the occurrence of postoperative delirium. This was a secondary analysis of the database of a previously published clinical trial. Seven hundred patients aged 65 years or older, who were admitted to the intensive care unit after noncardiac surgery, were included...
February 28, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30806785/the-impact-of-intravenous-isotonic-and-hypotonic-maintenance-fluid-on-the-risk-of-delirium-in-adult-postoperative-patients-retrospective-before-after-observational-study
#13
Masaharu Nagae, Moritoki Egi, Nana Furushima, Masako Okada, Shohei Makino, Satoshi Mizobuchi
PURPOSE: To assess the impact of intravenous isotonic and hypotonic maintenance fluid on the risk of delirium in adult postoperative patients, we conducted retrospective before-after study in a tertiary teaching hospital. METHODS: We examined all adult patients admitted ICU after an elective operation for head and neck cancer, or esophageal cancer from February 2014 to January 2017. From February 2014 to July 2015, patients were administered hypotonic fluid (sodium; 35 mmol/L) as the National Institute for Health and Care Excellence (NICE) have recommended...
February 26, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30788582/brain-white-matter-lesions-and-postoperative-cognitive-dysfunction-a-review
#14
REVIEW
Shinichi Nakao, Tomohisa Yamamoto, Seishi Kimura, Takashi Mino, Tatsushige Iwamoto
Postoperative cognitive dysfunction (POCD) is a serious complication of anesthesia and surgery, and the major risk factor of POCD is aging. Although the exact pathophysiology of POCD remains unknown, two possible and reliable mechanisms have been proposed: neuroinflammation and neurodegeneration, i.e., amyloid β accumulation and/or tau protein phosphorylation, by surgery and/or general anesthetics. White matter lesions (WML) are produced by chronic cerebral hypoperfusion, frequently observed in elderly people, and closely related to cognitive decline...
February 20, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30737572/guidelines-for-the-use-of-cerebral-oximetry-by-near-infrared-spectroscopy-in-cardiovascular-anesthesia-a-report-by-the-cerebrospinal-division-of-the-academic-committee-of-the-japanese-society-of-cardiovascular-anesthesiologists-jscva
#15
Kenji Yoshitani, Masahiko Kawaguchi, Kazuyoshi Ishida, Kengo Maekawa, Hiroshi Miyawaki, Satoshi Tanaka, Hiroyuki Uchino, Manabu Kakinohana, Yasuhiro Koide, Miyuki Yokota, Hirotsugu Okamoto, Minoru Nomura
Cerebral Oximetry by Near-infrared Spectroscopy (NIRS) has been used in cardiovascular anesthesia, but there was no guideline of regional cerebral oxygen saturation measured by cerebral oximetry by NIRS. This guideline provides recommendations applicable to patients at a risk of developing cerebral ischemia in cardiovascular surgery. Guidelines are intended to define practices meeting the needs of patients in most, but not all, circumstances, and should not replace clinical judgment. The Japanese Society of Cardiovascular Anesthesiologists (JSCVA) Task Force on Guidelines make an effort to ensure that the guideline writing committee contains broad views in using cerebral oximetry...
February 8, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30734847/abdominal-girth-has-a-strong-correlation-with-ultrasound-estimated-epidural-depth-in-parturients-a-prospective-observational-study
#16
Mehmet Canturk, Fusun Karbancioglu Canturk, Nazan Kocaoglu, Meltem Hakki
BACKGROUND: Preprocedural ultrasound examination of vertebral column guides to locate desired intervertebral space and provides a prevision of needle trajectory and estimated needle depth in parturients. The objective of this study was to assess the correlation between ultrasound-estimated epidural depth (ED) with abdominal girth (AG), body mass index (BMI), weight, height, and age. METHODS: In this prospective, observational study, ultrasound imaging was done at L3-4 interspace in transverse median plane (TP) and paramedian sagittal oblique plane (PSO) to obtain ultrasound estimates of skin to epidural space depth...
February 8, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30659364/subcostal-approach-to-anterior-quadratus-lumborum-block-for-pain-control-following-open-urological-procedures
#17
Hesham Elsharkawy, Sanchit Ahuja, Sean DeGrande, Kamal Maheshwari, Vincent Chan
In the case of open urological surgeries, analgesic coverage at mid thoracic dermatomal levels is required. As shown in cadaveric studies, the site of QL block injection is an important determinant of the extent of dye spread and presumably local anesthetic dermatomal coverage. In this case series, we evaluated dermatomal blockade and analgesic efficacy of a subcostal approach to anterior QL block following open urological surgeries. Twenty-two adult patients undergoing renal transplant surgery (60%) and open nephrectomy (40%) received unilateral ultrasound-guided subcostal anterior QL block with catheter insertion...
January 18, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30656405/amyotrophic-lateral-sclerosis-and-anesthesia-a-case-series-and-review-of-the-literature
#18
Alan M Hoeper, David W Barbara, James C Watson, Juraj Sprung, Toby N Weingarten
PURPOSE: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that leads to death due to respiratory failure. This report describes the perioperative characteristics of ALS patients who underwent procedures with anesthesia at our institution. METHODS: We reviewed perioperative records of ALS patients who underwent procedures with anesthesia from January 1, 2014, through December 31, 2015. RESULTS: Seventy-eight patients underwent 89 procedures (71 procedures with monitored anesthesia care and 18 with general anesthesia), including 45 gastrostomy tube placements and 18 bone marrow biopsies...
January 17, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30656404/low-dose-dexmedetomidine-provides-hemodynamics-stabilization-during-emergence-and-recovery-from-general-anesthesia-in-patients-undergoing-carotid-endarterectomy-a-randomized-double-blind-placebo-controlled-trial
#19
Shogo Tsujikawa, Kazutoshi Ikeshita
PURPOSE: Carotid artery stenosis is a major risk factor for ischemic stroke. Carotid endarterectomy protects patients with severe atherosclerotic carotid artery stenosis against stroke. In such patients, arterial blood pressure is often difficult to control and perioperative hemodynamic instability is associated with high morbidity and mortality after carotid endarterectomy. We performed a randomized double-blind placebo-control trial to evaluate the effects of low-dose dexmedetomidine on hemodynamic stability during the emergence and the recovery phases of general anesthesia in patients undergoing carotid endarterectomy...
January 17, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30648202/response-to-letter-to-the-editor
#20
LETTER
Takahiko Kaneko, Nobutaka Kariya, Munetaka Hirose
No abstract text is available yet for this article.
January 16, 2019: Journal of Anesthesia
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