journal
https://read.qxmd.com/read/39342524/effect-of-intravenous-different-drugs-on-the-prevention-of-restlessness-during-recovery-period-of-pediatric-laparoscopic-surgery-a-randomized-control-trial
#1
JOURNAL ARTICLE
Zhi-Jie Liang, Jia-Mei Liang, Xiao-Ling Nong, Ni-Qiao Chen, An-Yuan Liu, Xiao-Qiang Sun, Yi-Xing Lu, Zhuo-Xin Ou, Sheng-Lan Li, Yu-Nan Lin
PURPOSE: To explored the impact of dexmedetomidine and esketamine in mitigating restlessness during the postoperative recovery phase following laparoscopic surgery in children. METHODS: 102 individuals aged 1 to 7 years experiencing laparoscopic surgery were randomly allocated into three groups, each accepting 1 μg/kg of dexmedetomidine, 0.3 mg/kg of esketamine, or saline immediately at the end of carbon dioxide pneumoperitoneum. Emergence agitation (EA) occurrence was assessed by PAED scale and 5-point agitation scale...
September 29, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39333425/the-concept-of-fictitious-weight-in-pharmacokinetic-simulations-and-target-controlled-infusion
#2
EDITORIAL
Shinju Obara
No abstract text is available yet for this article.
September 27, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39325188/impact-of-societal-change-on-anesthesia-practice-in-japan
#3
LETTER
Kazuyoshi Hirota, Hirotaka Kinoshita, Yoshihiro Sasaki
No abstract text is available yet for this article.
September 26, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39320538/pulse-oximeters-new-places-best-signals
#4
LETTER
F Guillermo Lema
No abstract text is available yet for this article.
September 25, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39292247/using-multi-level-regression-to-determine-associations-and-estimate-causes-and-effects-in-clinical-anesthesia-due-to-patient-practitioner-and-hospital-or-health-system-practice-variability
#5
REVIEW
Kazuyoshi Aoyama, Alan Yang, Ruxandra Pinto, Joel G Ray, Andrea Hill, Damon C Scales, Robert A Fowler
In this research methods tutorial of clinical anesthesia, we will explore techniques to estimate the influence of a myriad of factors on patient outcomes. Big data that contain information on patients, treated by individual anesthesiologists and surgical teams, at different hospitals, have an inherent multi-level data structure (Fig. 1). While researchers often attempt to determine the association between patient factors and outcomes, that does not provide clinicians with the whole story. Patient care is clustered together according to clinicians and hospitals where they receive treatment...
September 18, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39279020/investigation-of-the-effectiveness-of-preoperative-intubation-simulation-using-a-custom-made-simulator-for-pediatric-patients-with-difficult-airway-a-pilot-study
#6
JOURNAL ARTICLE
Tomoyuki Kanazawa
The purpose of this study is to investigate whether preoperative intubation simulation using custom-made simulator is useful during anesthesia induction for the children who have difficult airway. We included the children under 15 years of age who have difficult airway which had been already known. Prior to the scheduled surgery, CT imaging was performed and a 3D reconstruction of the face from the chest was performed. Then custom-made airway simulator was made. We tried to intubate custom-made simulator of patients preoperatively...
September 15, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39276226/the-effect-of-lung-recruitment-maneuver-on-postoperative-shoulder-pain-in-patients-undergoing-laparoscopic-cholecystectomy-a-randomized-controlled-trial
#7
JOURNAL ARTICLE
Yeon Ji Noh, Eun Jin Kwon, Yu Jeong Bang, So Jeong Yoon, Hyun Ji Hwang, Heejoon Jeong, Sangmin Maria Lee, Young Hee Shin
PURPOSE: Lung-recruitment maneuvers (LRM) have been shown to reduce postoperative pain after laparoscopic surgery. This study aimed to investigate the association of LRM with the incidence of shoulder pain after laparoscopic cholecystectomy. METHODS: A randomized controlled study was conducted with 110 patients undergoing elective laparoscopic cholecystectomy from July 2022 to March 2023. Participants were randomized to receive either routine exsufflation or LRM at pneumoperitoneum release...
September 14, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39283488/risk-of-postoperative-pneumonia-after-extubation-with-the-positive-pressure-versus-normal-pressure-technique-a-single-center-retrospective-observational-study
#8
JOURNAL ARTICLE
Kensuke Shimada, Masahiko Gosho, Tomohiro Ohigashi, Keitaro Kume, Takahiro Yano, Ryota Ishii, Kazushi Maruo, Ryota Inokuchi, Masao Iwagami, Hiroshi Ueda, Makoto Tanaka, Masaru Sanuki, Nanako Tamiya
PURPOSE: A normal pressure extubation technique (no lung inflation before extubation), proposed by the Japanese Society of Anesthesiologists to prevent droplet infection during the coronavirus disease 2019 (COVID-19) pandemic, could theoretically increase postoperative pneumonia incidence compared with a positive pressure extubation technique (lung inflation before extubation). However, the normal pressure extubation technique has not been adequately evaluated. This study compared postoperative pneumonia incidence between positive and normal pressure extubation techniques using a dataset from the University of Tsukuba Hospital...
September 12, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39256231/accuracy-of-non-invasive-core-temperature-monitoring-in-infant-and-toddler-patients-a-prospective-observational-study
#9
JOURNAL ARTICLE
Tasuku Fujii, Masashi Takakura, Tomoya Taniguchi, Kimitoshi Nishiwaki
PURPOSE: Careful perioperative temperature management is important because it influences clinical outcomes. In pediatric patients, the esophageal temperature is the most accurate indicator of core temperature. However, it requires probe insertion into the body cavity, which is mildly invasive. Therefore, a non-invasive easily and continuously temperature monitor system is ideal. This study aimed to assess the accuracy of Temple Touch Pro™ (TTP), a non-invasive temperature monitoring using the heat flux technique, compared with esophageal (Tesoph) and rectal (Trect) temperature measurements in pediatric patients, especially in infants and toddlers...
September 11, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39249492/decrease-of-the-peak-heights-of-eeg-bicoherence-indicated-insufficiency-of-analgesia-during-surgery-under-general-anesthesia
#10
JOURNAL ARTICLE
Rieko Uno, Satoshi Hagihira, Satoshi Aihara, Takahiko Kamibayashi
BACKGROUND: Studies show that the two peak heights of electroencephalographic bicoherence (pBIC-high, pBIC-low) decrease after incision and are restored by fentanyl administration. We investigated whether pBICs are good indicators for adequacy of analgesia during surgery. METHODS: After local ethical committee approval, we enrolled 50 patients (27-65 years, ASA-PS I or II) who were scheduled elective surgery. Besides standard anesthesia monitors, to assess pBICs, we used a BIS monitor and freeware Bispectrum Analyzer for A2000...
September 9, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39244720/pregnancy-ameliorates-neuropathic-pain-through-suppression-of-microglia-and-upregulation-of-the-%C3%AE-opioid-receptor-in-the-anterior-cingulate-cortex-in-late-pregnant-mice
#11
JOURNAL ARTICLE
Atsushi Sawada, Michiaki Yamakage
PURPOSE: Pregnancy-induced analgesia develops in late pregnancy, but its mechanisms are unclear. The anterior cingulate cortex (ACC) plays a key role in the pathogenesis of neuropathic pain. The authors hypothesized that pregnancy-induced analgesia ameliorates neuropathic pain by suppressing activation of microglia and the expression of alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) receptors, and by upregulating opioid receptors in the ACC in late-pregnant mice. METHODS: Neuropathic pain was induced in non-pregnant (NP) or pregnant (P) C57BL/6JJmsSlc female mice by partial sciatic nerve ligation (PSNL)...
September 8, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39217587/recommendation-for-the-practice-of-total-intravenous-anesthesia
#12
REVIEW
Shinju Obara, Kotoe Kamata, Masakazu Nakao, Shigeki Yamaguchi, Shuya Kiyama
This Recommendation was developed by the Japanese Society of Intravenous Anesthesia Recommendation Making Working Group (JSIVA-WG) to promote the safe and effective practice of total intravenous anesthesia (TIVA), tailored to the current situation in Japan. It presents a policy validated by the members of JSIVA-WG and a review committee for practical anesthesia management. Anesthesiologists should acquire and maintain the necessary knowledge and skills to be able to administer TIVA properly. A secure venous access is critically important for TIVA...
September 1, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39217586/lower-extremity-pain-and-or-numbness-after-laparoscopic-surgery-and-robot-assisted-surgery-in-the-lithotomy-position-combined-with-the-trendelenburg-position
#13
JOURNAL ARTICLE
Keiko Yamasaki, Keisuke Fujii, Yasuo Kohjimoto, Kenji Matsuda, Hiromitsu Iwamoto, Manabu Kawai, Ke Wan, Tomoyuki Kawamata
PURPOSE: The purpose of this study was to investigate the incidence and risk factors of lower extremity pain and/or numbness after laparoscopic colorectal surgery and robot-assisted laparoscopic radical prostatectomy in the lithotomy position combined with the Trendelenburg position. The relationship between creatine kinase (CK) levels and lower extremity pain and/or numbness was also investigated. METHODS: We retrospectively reviewed adult patients who underwent laparoscopic colorectal surgery and robot-assisted laparoscopic radical prostatectomy in the lithotomy position combined with the Trendelenburg position between May 2015 and April 2020...
September 1, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39215825/challenges-in-database-research-for-anesthetic-neurotoxicity
#14
LETTER
Soichiro Obara
No abstract text is available yet for this article.
August 31, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39215824/hypotension-in-cesarean-delivery-questions-and-answers
#15
LETTER
Ahmed M Hasanin, Rana M Zaki, Maha Mostafa
No abstract text is available yet for this article.
August 31, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39214897/a-novel-stimulating-electrode-attachment-method-designed-to-maintain-electromyography-based-neuromuscular-monitoring-detectability-during-laparoscopic-surgery-a-single-center-randomized-double-blind-controlled-pilot-study
#16
JOURNAL ARTICLE
Shohei Kaneko, Madoka Makino, Yurika Kawazoe, Shuntaro Sato, Akira Iwamizu, Ryu Narimatsu, Hikari Yamaguchi, Kana Miyagawa, Taiga Ichinomiya, Hiroaki Murata, Osamu Yoshitomi, Tetsuya Hara
PURPOSE: We evaluated the electromyography (EMG)-based neuromuscular monitoring detectability of our novel stimulating electrode attachment method compared to the original Nihon-Kohden (Tokyo, Japan) attachment method. METHODS: This single-center randomized, double-blind, controlled pilot study enrolled 32 patients aged ≥ 18 years, undergoing scheduled laparoscopic surgery. The EMG electrode NM-345Y™ was attached to one forearm using the Nihon-Kohden method (Pattern N-K) and the other forearm using our novel method (Pattern Cross)...
August 31, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39207569/a-new-and-simplified-extraoral-approach-for-inferior-alveolar-nerve-block-a-cadaveric-study-and-clinical-case-reports
#17
JOURNAL ARTICLE
Kunitaro Watanabe, Joho Tokumine, Miki Nagase, George Matsumura, Ryuji Sawada, Sakura Kinjo, Tomoko Yorozu
PURPOSE: Inferior alveolar nerve (IAN) and lingual nerve (LN) blocks are commonly performed using the intraoral landmark techniques. However, these methods have a risk of unanticipated nerve and arterial injury or a higher failure rate. We developed a novel extraoral approach for the IAN and LN blocks, the "inferior alveolar nerve block mandibular angle approach (IANB-MA)," using ultrasound guidance. The mechanism of action of this nerve block was examined anatomically, and its clinical feasibility was reported...
August 29, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39196373/median-effective-dose-of-spinal-ropivacaine-in-combined-spinal-and-epidural-anesthesia-for-emergency-cesarean-delivery-following-failed-vaginal-delivery-with-epidural-labor-analgesia-a-single-blind-sequential-dose-finding-study
#18
JOURNAL ARTICLE
Yu Wei, Shanshan Ye, Rui Ma, Tao Xu
PURPOSE: This study aimed to estimate the median effective dose of intrathecal isobaric ropivacaine without opioid required for adequate cesarean delivery anesthesia after epidural labor analgesia. METHODS: Patients aged 20-40 years with American Society of Anesthesiology scores of I-II, body mass index ≤ 36, who underwent emergency cesarean delivery after failed vaginal delivery with epidural analgesia of a duration ≤ 6 h were included in the study...
August 28, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39182205/retrospective-comparison-of-the-effects-of-remimazolam-and-dexmedetomidine-on-postoperative-delirium-in-elderly-patients-undergoing-orthopedic-surgery-of-the-lower-extremities-under-spinal-anesthesia
#19
JOURNAL ARTICLE
Soomin Lee, Chahyun Oh, Jinsik Jung, Boohwi Hong, Yumin Jo, Sunyeul Lee, ChaeSeong Lim, Sujin Baek, Myungjong Shin, Hyungseok Seo, Woosuk Chung
PURPOSE: Remimazolam is often used for perioperative sedation due to its rapid onset and offset. However, the possible association between remimazolam and postoperative delirium (POD) remains undetermined. The present study evaluated whether remimazolam increased the incidence of POD compared with dexmedetomidine in elderly patients undergoing orthopedic surgery of the lower extremities. METHODS: This retrospective study included patients aged ≥ 65 years who had undergone orthopedic surgery of the lower extremities under spinal anesthesia from January 2020 to November 2022 and were sedated with continuous intravenous infusion of dexmedetomidine or remimazolam...
August 25, 2024: Journal of Anesthesia
https://read.qxmd.com/read/39164406/performance-of-the-ratio-of-posterior-complex-length-to-depth-measured-by-ultrasound-as-a-predictor-of-difficult-spinal-anesthesia-for-elective-cesarean-delivery-a-prospective-cohort-study
#20
JOURNAL ARTICLE
Jingfa Shi, Meng Ning, Lei Xie, Rong Zhang, Rongrong Liu, Xiuli Yang, Lijian Chen
PURPOSE: Ultrasound view of the interlaminar structure is likely to be associated with difficult spinal anesthesia (DSA), and a poor ultrasound view which cannot show the anterior and posterior complex predicts a difficult spinal technique. As our target site is the posterior complex, this study aimed to assess whether the ratio of posterior complex length to depth measured by ultrasound can predict DSA in cesarean delivery. METHODS: Four anesthesiologists with 1-2 years of experience located and marked the puncture interspace using a traditional surface landmark...
August 20, 2024: Journal of Anesthesia
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