Journal of Anesthesia

Micol Sandri, Andrea Blasi, Roberto Alberto De Blasi
The aim of this study is to evaluate the efficacy of the pericapsular nerve group block and local infiltration analgesia (LIA) combination as the only anesthesia technique for the total hip arthroplasty (THA). We considered the anesthetic plan, postoperative analgesia, hospital length of stay, functional recovery, bleeding, complications and the adverse events. We reported 10 ASA I-II patients admitted for elective primary THA, receiving LIA during (5) and at the end of surgery (5). For the PENG block we used a single injection of 40 ml levobupivacaine 0...
March 30, 2020: Journal of Anesthesia
Maha Mostafa, Ahmed Hasanin
No abstract text is available yet for this article.
March 30, 2020: Journal of Anesthesia
Yukiko Hikasa, Satoshi Suzuki, Yuko Mihara, Shunsuke Tanabe, Yasuhiro Shirakawa, Toshiyoshi Fujiwara, Hiroshi Morimatsu
PURPOSE: Compared with open thoracotomy, minimally invasive esophagectomy (MIE) methods, such as transhiatal or thoracoscopic esophagectomy, likely have lower morbidity. However, the relationship between intraoperative fluid management and postoperative complications after MIE remains unclear. Thus, we investigated the association of cumulative intraoperative fluid balance and postoperative complications in patients undergoing MIE. METHODS: This single-center retrospective cohort study examined patients undergoing thoracoscopic esophagectomy for esophageal cancer in the prone position...
March 30, 2020: Journal of Anesthesia
Yuki Aoyama, Shinichi Sakura, Shoko Abe, Saki Tadenuma, Yoji Saito
BACKGROUND: Continuous femoral nerve block (FNB) has been effectively used after total hip arthroplasty (THA). Recently the anterior approach to quadratus lumborum block (QLB) has been shown to produce postoperative pain relief after THA. Continuous QLB would benefit from a catheter insertion site that is farther away from the surgical site compared with continuous FNB. In this randomized controlled study, we compared analgesic effects of the two techniques in patients undergoing THA...
March 30, 2020: Journal of Anesthesia
Taku Ichikawa, Keiko Okuyama, Kotoe Kamata, Kenichi Masui, Makoto Ozaki
To this day, the pathophysiology and risk factors of propofol infusion syndrome (PRIS) remain unknown. Moreover, there is no widely accepted definition of PRIS, even though it is a potentially fatal condition. While many suspected cases of PRIS have been reported in both pediatric and adult populations, the actual propofol plasma concentration (Cp) has never been clarified. In this clinical report, we described the first suspected PRIS case in which the propofol Cp was measured 25 min after 226 min of propofol infusion (7...
March 28, 2020: Journal of Anesthesia
S Chandralekha Kruthiventi, Mariana L Laporta, Atousa Deljou, David S Knopman, Ronald C Petersen, Darrell R Schroeder, Juraj Sprung, Toby N Weingarten
PURPOSE: Our objective was to examine the association between preoperative cognitive status and postoperative recovery from anesthesia. METHODS: We included patients (70-91 years old) from the Mayo Clinic Study of Aging who received general anesthesia and were admitted to the postanesthesia care unit from January 1, 2010 through April 30, 2018. Procedures were categorized according to patient's preoperative cognitive status: cognitive impaired (CI) and cognitive unimpaired (CU)...
March 28, 2020: Journal of Anesthesia
Tomoko Ogawa, Shinju Obara, Mitsue Akino, Chie Hanayama, Hidemi Ishido, Masahiro Murakawa
PURPOSE: Propofol clearance can be reduced when cardiac output (CO) is decreased. This clearance reduction may alter the pharmacokinetics of propofol and worsen the predictive performance of target-controlled infusion (TCI) of propofol. The head-down position (HDP) and CO2 pneumoperitoneum, which are required for robotic-assisted laparoscopic prostatectomy (RALP), may cause changes in CO. We investigated the predictive performance of propofol TCI during CO2 pneumoperitoneum in patients who underwent RALP in the HDP...
March 28, 2020: Journal of Anesthesia
Ying Gao, Shao-Hua Liu, Fu-Shan Xue
No abstract text is available yet for this article.
March 27, 2020: Journal of Anesthesia
Motoki Namekawa, Yasushi Tsujimoto, Masahiro Banno, Yuki Kataoka, Hiraku Tsujimoto, Yu Inaba, Takashi Fujiwara
Transesophageal echocardiography (TEE) is a well-established procedure, but serious complications may occur. This systematic review and meta-analysis assessed the utility of videolaryngoscopy-assisted technique in TEE probe insertion. We performed a systematic search in MEDLINE, EMBASE, CENTRAL, and ICTRP. We included RCTs comparing TEE probe insertion techniques assisted with videolaryngoscopy and with any other insertion technique in adult patients. Primary outcome measures were (1) the number of attempts before successful TEE probe insertion, and (2) the risk of any procedural injury to related structures...
March 26, 2020: Journal of Anesthesia
Tomoyuki Saito, Takashi Asai, Asuka Taguchi, Chew Tsong Huey Sophia, Weiling Liu, Kyu Kyu Thinn, Lian Kah Ti
BACKGROUND: We previously have shown that there was a strong correlation between failed facemask ventilation, failed ventilation through a supraglottic airway, and difficult tracheal intubation. The primary aim of this study was to evaluate whether or not an established method to predict difficult ventilation through a supraglottic airway was also useful for predicting failed facemask ventilation. METHODS: This was a single-center, retrospective observational study...
March 23, 2020: Journal of Anesthesia
Kazuhiro Shirozu, Kaoru Umehara, Mizuko Ikeda, Yutaro Kammura, Ken Yamaura
OBJECTIVES: The incidence of postoperative shivering is known to be inversely associated with core body temperature. However, previous studies have pointed out that the threshold of shivering could be affected by peripheral temperature or anesthetic agents. These reports pointed specific drugs, though, anesthesia techniques have since advanced considerably. This study aimed to investigate factors associated with postoperative shivering in the context of the current body warming practice...
March 21, 2020: Journal of Anesthesia
Yutaro Suzuki, Tamie Takenami, Saki Fujino, Ayano Nakazawa, Hirotsugu Okamoto
We report successful awake intubation in a morbidly obese patient (body mass index of 61.2) using an epidural catheter inserted through the external forceps channel of the fiberscope for delivery of local anesthetic. Direct application of local anesthetic to the pharyngolaryngeal area and proximal tracheal, through the use of a relatively firm epidural catheter. We conclude that awake intubation can be achieved by this method which spares the subsequent use of any sedative drugs.
March 21, 2020: Journal of Anesthesia
Rodrigo Sanllorente-Sebastián, Begoña Arroyo-García, Rodrigo Avello-Taboada
No abstract text is available yet for this article.
March 20, 2020: Journal of Anesthesia
Adele King, Charles Elmaraghy, Meredith Lind, Joseph D Tobias
Although one of the most commonly performed surgical procedures in children and frequently performed as outpatient surgery, the postoperative course following tonsillectomy may include nausea, vomiting, poor oral intake, and pain. These problems may last days into the postoperative course. Although opioids may be used to treat the pain, comorbid conditions such as obstructive sleep apnea may mandate limiting the dose and the frequency of administration. Adjunctive agents may improve the overall postoperative course of patients and limit the need for opioid analgesics...
March 19, 2020: Journal of Anesthesia
Atsushi Fujiwara, Kenta Nakao, Takeshi Ueno, Shinji Matsumura, Seiji Ito, Toshiaki Minami
PURPOSE: Antiepileptic drugs are used not only for the treatment of epilepsy but also for that of neuropathic pain. However, their action mechanisms have not always been well explained. Stiripentol, an effective antiepileptic drug indicated as a therapeutic for Dravet syndrome, was recently shown to act as an inhibitor of lactate dehydrogenase in astrocytes. In this present study, we examined the effect of stiripentol on neuropathic pain in L5 spinal nerve-transected mice. METHODS: We carried out behavioral tests using calibrated von Frey filaments and the immunohistochemistry of glial fibrillary acidic protein, an astrocyte marker, in L5 spinal nerve-transected mice after intrathecal administration of drugs...
March 18, 2020: Journal of Anesthesia
Hui-Min Li, De-Fang Mi, Wu Meng-Jun
No abstract text is available yet for this article.
March 16, 2020: Journal of Anesthesia
Kenichi Masui
No abstract text is available yet for this article.
March 10, 2020: Journal of Anesthesia
Tak Kyu Oh, In-Ae Song
PURPOSE: There have been no large-scale studies on whether metformin therapy might have a potential benefit for lowering mortality. Thus, this study aimed to investigate the association between prior metformin therapy and the development of sepsis as well as the association between prior metformin therapy and 30-day mortality in sepsis patients. METHODS: We evaluated adult diabetes patients registered in the 2010 sample cohort database of the National Health Insurance Service in South Korea...
March 7, 2020: Journal of Anesthesia
Won Ho Kim, Jin-Tae Kim
No abstract text is available yet for this article.
March 7, 2020: Journal of Anesthesia
Lianxiang Jiang, Fang Zhang, Na Wei, Jingjing Lv, Wei Chen, Zeping Dai
Neuraxial anesthesia is a common practice in obstetrics. Evidence suggests that preprocedural ultrasound versus the conventional landmark location method accurately identifies a given intervertebral space and predicts the needle insertion depth required to reach the spinal canal. However, whether the preprocedural ultrasound examination improves the first-pass success (FPS) rate remains elusive. Major databases were systematically searched for all relevant studies published in English up to June 2019. Eighteen randomized controlled trials including 1844 patients were enrolled...
March 4, 2020: Journal of Anesthesia
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