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Journal of Anesthesia

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https://read.qxmd.com/read/31076947/perioperative-point-of-care-ultrasound-in-pediatric-anesthesiology-a-case-series-highlighting-real-time-intraoperative-diagnosis-and-alteration-of-management-augmenting-physical-examination
#1
Adam C Adler, Arvind Chandrakantan, Frederick T Conlin
Use of diagnostic point of care ultrasound, has come to the forefront of interest within anesthesiology. Much data on the use of point of care ultrasound in emergency medicine and critical care medicine for diagnosis and treatment in acute situations exists. While use of point of care ultrasound has become more prevalent in anesthesia practice, documentation of its use and especially alteration in management based on real-time ultrasound findings in the perioperative period remains scarce. This case series discusses six pediatric patients in which real-time intra-operative use of point of care ultrasound resulted in alteration of management...
May 10, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31076946/infraclavicular-brachial-plexus-block-in-adults-a-comprehensive-review-based-on-a-unified-nomenclature-system
#2
REVIEW
An-Chih Hsu, Yu-Ting Tai, Ko-Huan Lin, Han-Yun Yao, Han-Liang Chiang, Bing-Ying Ho, Sheng-Feng Yang, Jui-An Lin, Ching-Lung Ko
Over the last decade, considerable progress has been made regarding infraclavicular brachial plexus block (ICB) in adults, especially since the introduction of ultrasound guidance. The advancements in ICB have been attributed to the development of various approaches to improve the success rate and reduce complications. This has also necessitated a unified nomenclature system to facilitate comparison among different approaches. This review aimed to propose an anatomical nomenclature system by classifying ICB approaches into proximal and distal ones to aid future research and provide practice advisories according to recent updates...
May 10, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31073655/fascial-plane-blocks-anatomical-structures-that-affect-the-spread-of-local-anesthetic
#3
EDITORIAL
Kunihisa Hotta
No abstract text is available yet for this article.
May 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31073654/transcranial-doppler-role-in-prediction-of-post-dural-puncture-headache-in-parturients-undergoing-elective-cesarean-section-prospective-observational-study
#4
Sherif M S Mowafy, Shereen E Abd Ellatif
PURPOSE: Post-dural puncture headache (PDPH) may be resulted from significant changes in cerebral blood flow, which could be visualized by Transcranial Doppler (TCD). This study was performed to investigate if TCD can be used to predict the occurrence of PDPH in high-risk patients. METHODS: This prospective observational study was conducted on ninety ASA I and II pregnant females undergoing elective cesarean section (CS) under spinal anesthesia. TCD was performed to all patients within 24 h before the operation, at 24 h and 48 h in the post-operative period to measure mean velocity (MV) and Gosling pulsatility index (PI) in the right middle cerebral artery...
May 9, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31069541/perioperative-management-of-patients-with-atrial-fibrillation-receiving-anticoagulant-therapy
#5
REVIEW
Takeshi Omae, Keito Koh, Masateru Kumemura, Sonoko Sakuraba, Yosuke Katsuda
The number of patients with atrial fibrillation (AF) and the number of patients indicated for anticoagulant therapy have been increasing because AF would affect patient survival due to thromboembolism. Once AF develops, following the disappearance of pulsation, the circumstances within the atrium become prothrombotic and thrombus formation within the left atrium occurs in patients with AF. In recent years, not only warfarin but also new oral anticoagulants were introduced clinically and have become used as oral anticoagulants...
May 8, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31062096/near-infrared-spectroscopy-underestimates-cerebral-oxygenation-in-hemodialysis-patients
#6
Shino Matsukawa, Shinichi Kai, Toshiyuki Mizota
Regional cerebral oxygen saturation (rSO2 ) measured using near-infrared spectroscopy has been reported to be significantly lower in hemodialysis (HD) patients than in non-HD ones, but the mechanisms are unknown. The aim of this prospective study was to assess the accuracy of near-infrared spectroscopy to estimate cerebral oxygenation in HD patients undergoing cardiovascular surgery. Our hypothesis was that rSO2 values would underestimate cerebral oxygenation in HD patients. This study included 113 patients (7 HD patients and 106 non-HD ones) undergoing cardiac or major aortic surgery between December 2015 and November 2017...
May 6, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31062095/post-surgical-immune-suppression-another-target-to-improve-postoperative-outcomes
#7
EDITORIAL
Kanji Uchida
No abstract text is available yet for this article.
May 6, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31053930/local-anesthetic-systemic-toxicity-proposed-mechanisms-for-lipid-resuscitation-and-methods-of-prevention
#8
EDITORIAL
Yutaka Oda
No abstract text is available yet for this article.
May 3, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31053929/sevoflurane-has-postconditioning-as-well-as-preconditioning-properties-against-hepatic-warm-ischemia-reperfusion-injury-in-rats
#9
Saki Shiraishi, Sungsam Cho, Daiji Akiyama, Taiga Ichinomiya, Itsuko Shibata, Osamu Yoshitomi, Takuji Maekawa, Eisuke Ozawa, Hisamitsu Miyaaki, Tetsuya Hara
PURPOSE: Ischemia-reperfusion (IR) injury is inevitable after liver transplantation and liver resection with inflow occlusion. Sevoflurane has been widely used during hepatobiliary surgery and was reported to exhibit preconditioning (PreC) properties against hepatic IR injury; however, its postconditioning (PostC) properties remain unknown. This study examined whether a clinically applicable dose of sevoflurane has PostC and PreC properties against hepatic IR injury and roles of heme oxygenase-1 (HO-1)...
May 3, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31049689/acute-and-long-term-effects-of-haloperidol-on-surgery-induced-neuroinflammation-and-cognitive-deficits-in-aged-rats
#10
Atsushi Nishigaki, Takashi Kawano, Hideki Iwata, Bun Aoyama, Daiki Yamanaka, Hiroki Tateiwa, Marie Shigematsu-Locatelli, Satoru Eguchi, Fabricio M Locatelli, Masataka Yokoyama
PURPOSE: Neuroinflammation may contribute to the pathogenesis of the cognitive symptoms of postoperative delirium (POD) and its subsequent long-term cognitive impairment. Haloperidol (HAL), a dopamine receptor antagonist, is widely used to treat POD, whereas the effects of HAL on postoperative neuroinflammation and related cognitive deficits have been underdetermined. METHODS: Aged rats underwent sham or abdominal surgery and were subcutaneously treated with either vehicle, low-dose (0...
May 2, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31049688/morphine-inhibits-cell-viability-and-growth-via-suppression-of-vascular-endothelial-growth-factor-in-human-oral-cancer-hsc-3-cells
#11
Tadashi Nishiwada, Yoshitaka Kawaraguchi, Keiko Uemura, Masahiko Kawaguchi
PURPOSE: Although many oral cancer patients require opioids, the effects of morphine and related drugs on oral cancer progression have not been well established. Thus, we examined the effects of morphine exposure on the viability of human oral squamous carcinoma HSC-3 cells and aimed to identify the underlying mechanism. METHODS: We exposed HSC-3 cells to the various concentrations of morphine (0, 0.1, 1, 10, 100, or 1000 μmol/L) for 48 h and, subsequently, evaluated cell viability using the 3-[4, 5-dimethylthiazol-2-yl]-2, 5-diphenyl tetrazolium bromide (MTT) assay and cytotoxicity using the lactate dehydrogenase (LDH) assay...
May 2, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31037365/intraoperative-hemorrhage-in-revision-total-hip-arthroplasty-a-retrospective-single-center-study
#12
Kana Saito, Yu Kaiho, Toru Tamii, Tadaho Nakamura, Eri Kameyama, Masanori Yamauchi
PURPOSE: The amount of intraoperative hemorrhages and factors associated with hemorrhages and transfusions during revision total hip arthroplasty (reTHA) have not been identified for Japanese patients. We aimed to clarify the amount of intraoperative hemorrhages, and to elucidate the factors associated with hemorrhages and transfusions during reTHA in Japanese patients. METHODS: We retrospectively reviewed patients who underwent reTHA (n = 48) and primary total hip arthroplasty (pTHA) (n = 615) in a single hospital and extracted data regarding hemorrhage, transfusion, patient comorbidities, and surgical anesthesia...
April 29, 2019: Journal of Anesthesia
https://read.qxmd.com/read/31025104/the-efficacy-and-safety-of-prophylactic-use-of-levosimendan-on-patients-undergoing-coronary-artery-bypass-graft-a-systematic-review-and-meta-analysis
#13
REVIEW
Wanyu Wang, Xiaoshuang Zhou, Xinyang Liao, Bin Liu, Hai Yu
Prophylactic use of levosimendan in cardiac surgery remains controversial and no meta-analysis has been done exclusively about that in patients undergoing coronary artery bypass graft (CABG) surgery. We conducted this systematic review and meta-analysis of levosimendan in CABG using PubMed, Embase, Scopus, and Cochrane Library (till April 20, 2018). Two-hundred and forty manuscripts were identified and 21 randomized trials (1727 patients in total) investigating the effect of levosimendan on the patients undergoing CABG surgery were finally included in this analysis...
April 25, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30976908/population-pharmacokinetics-of-palonosetron-and-model-based-assessment-of-dosing-strategies
#14
Seongheon Lee, Injae Kim, Taehee Pyeon, Sooeun Lee, Jia Song, Jeeyun Rhee, Seongwook Jeong
PURPOSE: Palonosetron is the most recent 5-hydroxytryptamine-3 receptor antagonist, and its fixed dose of 0.075 mg is indicated for the prevention of postoperative nausea and vomiting. This study aimed to examine whether fixed dosing is more appropriate than body size-based dosing through the development of a population pharmacokinetic model and model-based simulations. METHODS: Fifty-one adult patients undergoing general anesthesia received single intravenous palonosetron administrations 30 min before the end of surgery...
April 11, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30976907/characterizing-the-spectrum-of-body-mass-index-associated-with-severe-postoperative-pulmonary-complications-in-children
#15
Leanne Thalji, Yu Shi, Kristine T Hanson, Elliot Wakeam, Elizabeth B Habermann, Joseph A Hyder
PURPOSE: While high body mass index (BMI) is a recognized risk factor for pulmonary complications in adults, its importance as a risk factor for complications following pediatric surgery is poorly described. We evaluated the association between BMI and severe pediatric perioperative pulmonary complications (PPCs). METHODS: In this retrospective cohort study, we evaluated pediatric patients (aged 2-17 years) undergoing elective procedures in the 2015 Pediatric National Surgical Quality Improvement Program (NSQIP-P)...
April 11, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30955119/sleep-science-in-anesthesiology
#16
EDITORIAL
Tetsuya Kushikata
No abstract text is available yet for this article.
April 6, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30953152/three-versus-five-lumbar-pvb-injections-for-herniorrhaphy
#17
LETTER
Bailong Hu, Haiyan Zhou, Xiaohua Zou
No abstract text is available yet for this article.
April 5, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30953151/response-to-letter-to-the-editor
#18
LETTER
Shogo Tsujikawa, Kazutoshi Ikeshita
No abstract text is available yet for this article.
April 5, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30953150/three-versus-five-lumbar-pvb-injections-for-herniorrhaphy
#19
LETTER
Zoher Naja, Saleh Kanawati, Fouad Ziade
No abstract text is available yet for this article.
April 5, 2019: Journal of Anesthesia
https://read.qxmd.com/read/30949768/dexmedetomidine-and-clinical-outcomes-of-non-cardiac-surgery
#20
LETTER
Seong-Mi Yang, Hyun-Kyu Yoon, Won Ho Kim
No abstract text is available yet for this article.
April 4, 2019: Journal of Anesthesia
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