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European Journal of Anaesthesiology

Tak Kyu Oh, Young-Tae Jeon, Sang-Hwan Do, Jung-Won Hwang
BACKGROUND: The quick Sequential Organ Failure Assessment (qSOFA) is intended for the assessment of the prognosis and risk of sepsis. It may also help predict the mortality risk of nonseptic patients. OBJECTIVE: This study investigated the relationship between pre-operative qSOFA scores and 30-day mortality after major surgery. It also evaluated the predictive value of qSOFA scores combined with the American Society of Anesthesiologists (ASA) physical status and Charlson comorbidity index (CCI)...
February 5, 2019: European Journal of Anaesthesiology
Johannes Schmidt, Franziska Günther, Jonas Weber, Steffen Wirth, Ivo Brandes, Tom Barnes, Alexander Zarbock, Stefan Schumann, Dietmar Enk
BACKGROUND: Flow-controlled ventilation (FCV) is a new mechanical ventilation mode that maintains constant flow during inspiration and expiration with standard tidal volumes via cuffed narrow-bore endotracheal tubes. Originating in manually operated 'expiratory ventilation assistance', FCV extends this technique by automatic control of airway flow, monitoring of intratracheal pressure and control of peak inspiratory pressure and end-expiratory pressure. FCV has not yet been described in a clinical study...
February 5, 2019: European Journal of Anaesthesiology
Jean-Luc Hanouz, David Lhermitte, Jean-Louis Gérard, Marc Olivier Fischer
BACKGROUND: High-flow nasal oxygen (HFNO) therapy has been proposed for pre-oxygenation before intubation, but the end-tidal fraction of oxygen (ETO2) obtained remains unknown. OBJECTIVE(S): To compare the ETO2 following a 3 min pre-oxygenation with HFNO and face mask. SETTING: Operating room in a primary university hospital. DESIGN: A prospective, randomised crossover study. PARTICIPANTS: Fifty healthy volunteers...
January 18, 2019: European Journal of Anaesthesiology
Eman Ramadan Salama, Mohamed Elkashlan
BACKGROUND: Hypotension after spinal anaesthesia is a common side effect that may be harmful. Patients' susceptibility to intra-operative hypotension can be affected by many pre-operative factors. OBJECTIVES: The current study aimed to evaluate the efficacy of both pre-operative inferior vena cava collapsibility index (IVCCI) and inferior vena cava to aorta diameter (IVC : Ao) index for predicting postspinal anaesthesia hypotension (PSAH). DESIGN: Prospective observational blinded study...
January 18, 2019: European Journal of Anaesthesiology
Yasuko Taketa, Yumi Irisawa, Taro Fujitani
BACKGROUND: The analgesic benefits of programmed intermittent bolus infusion for thoracic paravertebral block remain unknown. OBJECTIVE: The aim of this study was to compare the analgesia from intermittent bolus infusion with that of a continuous infusion after thoracic paravertebral block. DESIGN: A randomised controlled study. SETTING: A single centre between December 2016 and November 2017. Seventy patients scheduled for video-assisted thoracoscopic surgery were included in the study...
January 16, 2019: European Journal of Anaesthesiology
Mouhamed D Moussa, Arthur Durand, Guillaume Leroy, Liu Vincent, Antoine Lamer, Guillaume Gantois, Olivier Joulin, Slimane Ait-Ouarab, Delphine Deblauwe, Brandt Caroline, Christophe Decoene, André Vincentelli, Benoit Vallet, Julien Labreuche, Eric Kipnis, Emmanuel Robin
BACKGROUND: Rapid identification and treatment of tissue hypoxia reaching anaerobiosis (dysoxia) may reduce organ failure and the occurrence of major postoperative complications (MPC) after cardiac surgery. The predictive ability of PCO2-based dysoxia biomarkers, central venous-to-arterial PCO2 difference (ΔPCO2) and ΔPCO2 to arteriovenous oxygen content difference ratio, is poorly studied in this setting. OBJECTIVES: We evaluated the ability of PCO2-based tissue dysoxia biomarkers, blood lactate concentration and central venous oxygen saturation measured 2 h after admission to the ICU as predictors of MPC...
January 16, 2019: European Journal of Anaesthesiology
Katalin Virag, Nada Sabourdin, Mark Thomas, Francis Veyckemans, Walid Habre
BACKGROUND: Ear, nose and throat (ENT) surgery, the most frequently performed surgical procedure in children, is a strong predictor for peri-operative respiratory complications. However, there is no clear information about peri-operative respiratory severe critical events (SCEs) associated with anaesthesia management of ENT children in Europe. OBJECTIVE: To characterise the epidemiology and incidence of respiratory SCEs during and following ENT surgery in Europe and to identify the risk factors for their occurrence...
January 10, 2019: European Journal of Anaesthesiology
Denise McCarthy, John McNamara, John Galbraith, Frank Loughnane, George Shorten, Gabriella Iohom
BACKGROUND: Local infiltration analgesia (LIA) is an effective pain management technique following total knee arthroplasty (TKA). OBJECTIVE: To investigate if LIA provides better analgesia for patients undergoing unilateral TKA than intrathecal morphine. DESIGN: Randomised controlled trial. SETTING: Single tertiary referral centre. PATIENTS: Consecutive American Society of Anesthesiologists Physical Status I to III patients scheduled to undergo unilateral TKA were randomised to two groups...
January 10, 2019: European Journal of Anaesthesiology
Edward Buitenwerf, Mats F Boekel, Marieke I van der Velde, Magiel F Voogd, Michiel N Kerstens, Götz J K G Wietasch, Thomas W L Scheeren
BACKGROUND: There is no consensus on how to define haemodynamic instability during general anaesthesia. Patients are often classified as stable or unstable based solely on blood pressure thresholds, disregarding the degree of instability. Vasoactive agents and volume therapy can directly influence classification but are usually not considered. OBJECTIVE: To develop and validate a scoring tool to quantify the overall degree of haemodynamic instability. DESIGN: Retrospective observational study...
January 7, 2019: European Journal of Anaesthesiology
Joanna Kastelik, Michael Fuchs, Michael Krämer, Ralf F Trauzeddel, Martin Ertmer, Philipp von Roth, Carsten Perka, Stephanie M Kirschbaum, Sascha Tafelski, Sascha Treskatsch
BACKGROUND: Local infiltration anaesthesia (LIA) was introduced as an innovative analgesic procedure for enhanced recovery after primary total knee arthroplasty (TKA). However, LIA has never been compared with analgesia based on an adductor canal catheter and a single-shot sciatic nerve block. OBJECTIVE: To evaluate two analgesic regimens for TKA comparing mobility, postoperative pain and patient satisfaction. DESIGN: Two-group randomised, controlled clinical trial...
December 17, 2018: European Journal of Anaesthesiology
Sarah Ekeloef, Camilla Godthaab, Anne Marie V Schou-Pedersen, Jens Lykkesfeldt, Ismail Gögenur
BACKGROUND: Myocardial injury after noncardiac surgery is common and associated with major adverse cardiac events. Surgery induces acute endothelial dysfunction, which might be central in the pathophysiology of myocardial injury; however, the relationship between surgical stress and endothelial function remains incompletely understood. OBJECTIVES: This study aimed to assess the acute peri-operative changes in endothelial function after minor elective abdominal surgery...
December 12, 2018: European Journal of Anaesthesiology
Monica U Skarin, David A Rice, Peter J McNair, Michal T Kluger
BACKGROUND: Early postoperative mobilisation is important for enhanced recovery, but can be hindered by orthostatic intolerance, characterised by dizziness, nausea, vomiting, feeling of heat, blurred vision and ultimately syncope. Although the incidence of orthostatic intolerance following total hip arthroplasty has been identified, few studies have yet investigated potential risk factors for developing orthostatic intolerance after hip arthroplasty. OBJECTIVES: The aim of this study was to assess the incidence of orthostatic intolerance on the first postoperative day after total hip arthroplasty, potential predisposing risk factors for developing orthostatic intolerance and its effect on length of stay...
December 11, 2018: European Journal of Anaesthesiology
Romain Barthélémy, Arthur Neuschwander, Fatou Dramé, Maximilien Redouté, David Ditchi, Jules Stern, Alexandre Mebazaa, Romain Pirracchio, Benjamin G Chousterman
BACKGROUND: The ability of the pressure recording analytical method (PRAM) in tracking change in cardiac output (ΔCO) after a fluid challenge in ICU needs to be evaluated with the most contemporary comparison methods recommended by experts. OBJECTIVE: Our objective was to report the trending ability of PRAM in tracking ΔCO after a fluid challenge in ICU and to compare this with oesophageal Doppler monitoring (ODM). DESIGN: Prospective, observational study...
December 11, 2018: European Journal of Anaesthesiology
Emanuela Roldi, Paolo Inghileri, Ophélie Dransart-Raye, Silvia Mongodi, Pierre-Grégoire Guinot, Francesco Mojoli, Belaïd Bouhemad
BACKGROUND: Left double-lumen tubes (LDLTs) are used in thoracic surgery to allow one-lung ventilation. Their size is usually chosen on the basis of clinical parameters (height, sex). Double-lumen endobronchial tubes are frequently undersized/oversized, risking tube displacement or tracheal trauma. A correlation between ultrasound tracheal diameter and left main bronchus dimension has been demonstrated. OBJECTIVES: We hypothesised that the insertion of undersized/oversized double-lumen tubes is frequent when the size is selected using standard criteria, and that the use of ultrasound to estimate tracheal diameter may help to reduce the frequency of insertion of oversized tubes...
December 11, 2018: European Journal of Anaesthesiology
Susana Manrique, Nerea Maiz, Irene García, Montserrat Pascual, Remei Perera, Silvia Arévalo, Carles Giné, José Andrés Molino, Manuel López, Domingo Blanco, Miriam de Nadal, Elena Carreras
BACKGROUND: Prenatal myelomeningocele repair by open surgery can improve the neurological prognosis of children with this condition. A shift towards a fetoscopic approach seems to reduce maternal risks and improve obstetric outcomes. OBJECTIVE: The aim of this study was to report on the anaesthetic management of women undergoing prenatal open or fetoscopic surgery for neural tube defects. DESIGN: A retrospective cohort study. SETTING: Prenatal myelomeningocele repair research group, Vall d'Hebron University Hospital, Spain...
November 30, 2018: European Journal of Anaesthesiology
Kurt Ruetzler, Huseyin O Yilmaz, Alparslan Turan, Nicole M Zimmerman, Guangmei Mao, Ming-Hui Hung, Andrea Kurz, Daniel I Sessler
BACKGROUND: Myocardial injury after noncardiac surgery (MINS) is a major contributor to peri-operative morbidity and mortality with a reported incidence of about 8%. Tachycardia increases myocardial oxygen demand, and decreases oxygen supply, and is therefore a potential cause of MINS. OBJECTIVE: We tested the hypothesis that there is an association between intra-operative area above a heart rate (HR) of 90 bpm and a composite of MINS and in-hospital all-cause mortality...
November 30, 2018: European Journal of Anaesthesiology
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No abstract text is available yet for this article.
March 2019: European Journal of Anaesthesiology
Estêvão Luiz Carvalho Braga, Nubia Verçosa Figueiredo, Louis Barrucand, Ismar Lima Cavalcanti
No abstract text is available yet for this article.
March 2019: European Journal of Anaesthesiology
Jinbin Zhang, Han Toh, Shimin Ong, Maureen S L Chua, Qingyan Chen, Sharon Lam, Moe Swe
No abstract text is available yet for this article.
March 2019: European Journal of Anaesthesiology
Manuel Á Gómez-Ríos, Enrique Freire-Vila, José M Calvo-Vecino
No abstract text is available yet for this article.
March 2019: European Journal of Anaesthesiology
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