journal
https://read.qxmd.com/read/38614941/journal-policy-on-large-language-generative-models
#1
EDITORIAL
Daniel I Sessler, Alparslan Turan
No abstract text is available yet for this article.
April 12, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38613938/peripheral-perfusion-index-stratifies-risk-in-patients-with-intraoperative-anemia-a-multicentre-cohort-study
#2
JOURNAL ARTICLE
Frederik F Lau, Marianne Agerskov, Anna N W Thusholdt, Jakob Højlund, Christian S Meyhoff, Øivind Jans, Nicolai B Foss
STUDY OBJECTIVE: Evidence for red blood cell (RBC) transfusion thresholds in the intraoperative setting is limited, and current perioperative recommendations may not correspond with individual intraoperative physiological demands. Hemodynamics relevant for the decision to transfuse may include peripheral perfusion index (PPI). The objective of this prospective study was to assess the associations of PPI and hemoglobin levels with the risk of postoperative morbidity and mortality. DESIGN: Multicenter cohort study...
April 12, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38613937/use-of-herbal-medication-in-the-perioperative-period-potential-adverse-drug-interactions
#3
REVIEW
Ofelia Loani Elvir Lazo, Paul F White, Carol Lee, Hillenn Cruz Eng, Jenna M Matin, Cory Lin, Franklin Del Cid, Roya Yumul
Use of herbal medications and supplements has experienced immense growth over the last two decades, with retail sales in the USA exceeding $13 billion in 2021. Since the Dietary Supplement Health and Education Act (DSHEA) of 1994 reduced FDA oversight, these products have become less regulated. Data from 2012 shows 18% of U.S. adults used non-vitamin, non-mineral natural products. Prevalence varies regionally, with higher use in Western states. Among preoperative patients, the most commonly used herbal medications included garlic, ginseng, ginkgo, St...
April 12, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38608531/the-efficacy-and-safety-of-ciprofol-and-propofol-in-patients-undergoing-colonoscopy-a-double-blind-randomized-controlled-trial
#4
JOURNAL ARTICLE
Shi-Hui Gao, Qian-Qian Tang, Chang-Ming Wang, Zhan-Ying Guan, Ling-Ling Wang, Jing Zhang, Zeng-Long Yan
STUDY OBJECTIVE: Propofol is a commonly utilized anesthetic for painless colonoscopy, but its usage is occasionally limited due to its potential side effects, including cardiopulmonary suppression and injection pain. To address this limitation, the novel compound ciprofol has been proposed as a possible alternative for propofol. This study sought to determine whether there are any differences in the safety and efficacy of propofol and ciprofol for painless colonoscopy. DESIGN: Randomized clinical trial...
April 11, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38604048/comparative-evaluation-of-nebulized-versus-intravenous-dexmedetomidine-on-intubating-conditions-during-awake-fiberoptic-nasotracheal-intubation
#5
JOURNAL ARTICLE
Anju Romina Bhalotra, Mona Arya, Rahil Singh, Shweta Dhiman
BACKGROUND: There is a search for an ideal agent to facilitate awake fiberoptic intubation (AFOI). Dexmedetomidine is a selective α2 agonist which can be administered through intravenous, intramuscular, buccal, intranasal & inhalational routes. It provides good intubation conditions without oxygen desaturation but may cause hypotension and bradycardia when administered intravenously. Hence, alternative routes of administering dexmedetomidine which may improve its safety profile are worth exploring...
April 10, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38604047/blood-bupivacaine-concentrations-after-pecto-serratus-and-serratus-anterior-plane-injections-of-plain-and-liposomal-bupivacaine-in-robotically-assisted-mitral-valve-surgery-sub-study-of-a-randomized-trial
#6
JOURNAL ARTICLE
Andrej Alfirevic, Federico Almonacid-Cardenas, Esra Kutlu Yalcin, Karan Shah, Marta Kelava, Daniel I Sessler, Alparslan Turan
STUDY OBJECTIVE: To investigate the timing of peak blood concentrations and potential toxicity when using a combination of plain and liposomal bupivacaine for thoracic fascial plane blocks. DESIGN: Pharmacokinetic analysis. SETTING: Operating room. PATIENTS: Eighteen adult patients undergoing robotically-assisted mitral valve surgery. INTERVENTIONS: Ultrasound-guided pecto-serratus and serratus anterior plane blocks using a mixture of 0...
April 10, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38599936/trends-in-academic-publishing
#7
EDITORIAL
Daniel I Sessler
No abstract text is available yet for this article.
April 9, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38599161/processed-electroencephalography-guided-general-anesthesia-and-norepinephrine-requirements-a-randomized-trial-in-patients-having-vascular-surgery
#8
JOURNAL ARTICLE
Kristen K Thomsen, Daniel I Sessler, Linda Krause, Phillip Hoppe, Benjamin Opitz, Till Kessler, Viorel Chindris, Alina Bergholz, Moritz Flick, Karim Kouz, Christian Zöllner, Leonie Schulte-Uentrop, Bernd Saugel
STUDY OBJECTIVE: Processed electroencephalography (pEEG) may help clinicians optimize depth of general anesthesia. Avoiding excessive depth of anesthesia may reduce intraoperative hypotension and the need for vasopressors. We tested the hypothesis that pEEG-guided - compared to non-pEEG-guided - general anesthesia reduces the amount of norepinephrine needed to keep intraoperative mean arterial pressure above 65 mmHg in patients having vascular surgery. DESIGN: Randomized controlled clinical trial...
April 9, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38599160/evaluation-of-neuraxial-analgesia-on-outcomes-for-patients-undergoing-robot-assisted-abdominal-surgery
#9
REVIEW
P Greig, A Sotiriou, P Kailainathan, C Y M Carvalho, D N Onwochei, N Thurley, N Desai
STUDY OBJECTIVE: Following robot assisted abdominal surgery, the pain can be moderate in severity. Neuraxial analgesia may decrease the activity of the detrusor muscle, reduce the incidence of bladder spasm and provide effective somatic and visceral analgesia. In this systematic review, we assessed the role of neuraxial analgesia in robot assisted abdominal surgery. DESIGN: Systematic review. SETTINGS: Robot assisted abdominal surgery. PATIENTS: Adults...
April 9, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38593492/nasal-cannula-and-face-mask-gas-flow-rates-when-connecting-to-the-y-piece-of-the-anesthesia-circuit
#10
JOURNAL ARTICLE
Alejandra Silva-De Las Salas, Richard H Epstein
STUDY OBJECTIVE: To determine the relationship between the delivered gas flows via nasal cannulas and face masks and the set gas flow and the breathing circuit pressure when connecting to the Y-adapter of the anesthesia breathing circuit and using the oxygen blender on the anesthesia machine, relevant to surgery when there is concern for causing a fire. The flow rates that are delivered at various flow rates and circuit pressures have not been previously studied. DESIGN: Laboratory investigation...
April 8, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38593491/association-of-preoperative-coronavirus-disease-2019-with-mortality-respiratory-morbidity-and-extrapulmonary-complications-after-elective-noncardiac-surgery-an-observational-cohort-study
#11
JOURNAL ARTICLE
Yi-Heng Liu, Chenghong Hu, Xia-Min Yang, Yu Zhang, Yan-Ling Cao, Fan Xiao, Jun-Jie Zhang, Li-Qing Ma, Zi-Wen Zhou, Si-Yu Hou, E Wang, Andreas W Loepke, Meng Deng
STUDY OBJECTIVE: To assess the impact of preoperative infection with the contemporary strain of severe acute respiratory coronavirus 2 (SARS-CoV-2) on postoperative mortality, respiratory morbidity and extrapulmonary complications after elective, noncardiac surgery. DESIGN: An ambidirectional observational cohort study. SETTING: A tertiary and teaching hospital in Shanghai, China. PATIENTS: All adult patients (≥ 18 years of age) who underwent elective, noncardiac surgery under general anesthesia at Huashan Hospital of Fudan University from January until March 2023 were screened for eligibility...
April 8, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38583224/comparative-effects-of-variable-versus-conventional-volume-controlled-one-lung-ventilation-on-gas-exchange-and-respiratory-system-mechanics-in-thoracic-surgery-patients-a-randomized-controlled-clinical-trial
#12
JOURNAL ARTICLE
Jakob Wittenstein, Robert Huhle, Anne-Kathrin Mutschke, Sarah Piorko, Tim Kramer, Laurin Dorfinger, Franz Tempel, Maxim Jäger, Michael Schweigert, René Mauer, Thea Koch, Torsten Richter, Martin Scharffenberg, Marcelo Gama de Abreu
BACKGROUND: Mechanical ventilation with variable tidal volumes (V-VCV) has the potential to improve lung function during general anesthesia. We tested the hypothesis that V-VCV compared to conventional volume-controlled ventilation (C-VCV) would improve intraoperative arterial oxygenation and respiratory system mechanics in patients undergoing thoracic surgery under one-lung ventilation (OLV). METHODS: Patients were randomized to V-VCV (n = 39) or C-VCV (n = 39)...
April 6, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38581927/biomarkers-of-acute-kidney-injury-from-discovery-to-the-future-of-clinical-practice
#13
JOURNAL ARTICLE
Christian Strauß, Hendrik Booke, Lui Forni, Alexander Zarbock
Purpose of this review Acute kidney injury (AKI) is a complex syndrome whose development is associated with an increased morbidity and mortality. Recent studies show that this syndrome is a common complication in critically ill and surgical patients the trajectory of which may differ. As AKI can be induced by different triggers, it is complex and therefore challenging to manage patients with AKI. This review strives to provide a brief historical perspective on AKI, elucidate recent developments in diagnosing and managing AKI, and show the current usage of novel biomarkers in both clinical routine and research...
April 5, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38581926/one-lung-ventilation-with-fixed-and-variable-tidal-volumes-on-oxygenation-and-pulmonary-outcomes-a-randomized-trial
#14
JOURNAL ARTICLE
Katalin Szamos, Boglárka Balla, Balázs Pálóczi, Attila Enyedi, Daniel I Sessler, Béla Fülesdi, Tamás Végh
OBJECTIVE: Test the hypothesis that one-lung ventilation with variable tidal volume improves intraoperative oxygenation and reduces postoperative pulmonary complications after lung resection. BACKGROUND: Constant tidal volume and respiratory rate ventilation can lead to atelectasis. Animal and human ARDS studies indicate that oxygenation improves with variable tidal volumes. Since one-lung ventilation shares characteristics with ARDS, we tested the hypothesis that one-lung ventilation with variable tidal volume improves intraoperative oxygenation and reduces postoperative pulmonary complications after lung resection...
April 5, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38581925/effect-of-postoperative-intermittent-boluses-of-subcostal-quadratus-lumborum-block-on-pulmonary-function-recovery-and-analgesia-after-gastrectomy-a-randomized-controlled-clinical-trial
#15
JOURNAL ARTICLE
Wei Li, Xiaolu Sun, Zhen Hua, Tao Yu, Xianglong Cao, Peng Liu, Jing Chen, Jie Bao, Hongye Zhang, Zongyang Qu
BACKGROUND: Following the gastrectomy, the reduction in pulmonary function is partly attributed to postoperative pain. Subcostal quadratus lumborum block (QLB) has recently emerged as a promising component in multimodal analgesia. We aimed to assess the impact of intermittent boluses of subcostal QLB on pulmonary function recovery and analgesic efficacy after gastrectomy. METHODS: Sixty patients scheduled for gastrectomy were randomly assigned to either control group (multimodal analgesia) or intervention group (intermittent boluses of subcostal QLB plus multimodal analgesia)...
April 5, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38574504/the-effectiveness-of-ambulatory-continuous-popliteal-sciatic-nerve-blockade-on-patient-reported-overall-benefit-of-analgesia-in-patients-undergoing-foot-or-ankle-surgery-carefree-trial-a-randomized-open-label-non-inferiority-trial
#16
JOURNAL ARTICLE
Manouk Admiraal, Pascal S H Smulders, Martin V H Rutten, Eelko K de Groot, Yvonne Heine, Holger M Baumann, Vincent H C van der Vegt, Jens A Halm, Henning Hermanns, Tim Schepers, Markus W Hollmann, Jeroen Hermanides, Werner Ten Hoope
STUDY OBJECTIVE: Management of pain after foot and ankle surgery remains a concern for patients and healthcare professionals. This study determined the effectiveness of ambulatory continuous popliteal sciatic nerve blockade, compared to standard of care, on overall benefit of analgesia score (OBAS) in patients undergoing foot or ankle surgery. We hypothesized that usage of ambulatory continuous popliteal sciatic nerve blockade is non-inferior to standard of care. DESIGN: Single center, randomized, non-inferiority trial...
April 3, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38569332/in-response-to-counting-episodes-of-poor-quality-faculty-anesthesiologists-supervision-and-anesthesia-residents-work-habits-among-reported-vignettes-of-insufficient-professionalism
#17
LETTER
Fei Chen, Susan M Martinelli
No abstract text is available yet for this article.
April 2, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38554569/rethinking-postoperative-nausea-and-vomiting-prevention-beyond-perioperative-medications
#18
LETTER
María C Niño, Sofía Calle, Diego Ruiz, María A Barón, Darwin Cohen, Jesús E Martínez, Daniel S Benítez, Juan A Mejía, José D Guerra, Laura Kattah
No abstract text is available yet for this article.
March 29, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38537393/efficacy-of-bilateral-catheter-superficial-parasternal-intercostal-plane-blocks-using-programmed-intermittent-bolus-for-opioid-sparing-postoperative-analgesia-in-cardiac-surgery-with-sternotomy-a-randomized-double-blind-placebo-controlled-trial
#19
JOURNAL ARTICLE
Qi Li, Yi Liao, Xiaoe Wang, Mingying Zhan, Li Xiao, Yu Chen
STUDY OBJECTIVE: This study investigated whether catheter superficial parasternal intercostal plane (SPIP) blocks, using a programmed intermittent bolus (PIB) with ropivacaine, could reduce opioid consumption while delivering enhanced analgesia for a period exceeding 48 h following cardiac surgery involving sternotomy. DESIGN: A double-blind, prospective, randomized, placebo-controlled trial. SETTING: University-affiliated tertiary care hospital...
March 26, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38537392/general-anesthesia-is-not-associated-with-dementia-in-older-adults-with-osteoarthritis-for-hip-knee-replacements-a-national-population-based-nested-case-control-study
#20
JOURNAL ARTICLE
Yuting Lin, Chun-Chia Chen, Chen Dong, Yu-Ze Luan, Jing-Yang Huang, James Cheng-Chung Wei, Jeng-Yuan Chiou
BACKGROUND: Dementia is a prevalent neurological condition, yet the relationship between dementia and general anesthesia remains uncertain. The study aimed to explore the association between general anesthesia and dementia using a nationwide population-based database. METHODS: The study extracted data from Taiwan's national health insurance, which encompassed the records of one million insured residents. A total of 59,817 patients aged 65 years and above, diagnosed with osteoarthritis between 2002 and 2010, were included...
March 26, 2024: Journal of Clinical Anesthesia
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