journal
https://read.qxmd.com/read/38532344/the-effects-of-an-iv-fluid-bolus-on-mitral-annular-velocity-and-the-assessment-of-diastolic-function-a-prospective-non-randomized-study
#1
JOURNAL ARTICLE
Sebastian Ayala, Orode Badakhsh, David Li, Neal W Fleming
BACKGROUND: Abnormal diastolic function is an independent predictor of adverse postoperative outcomes. Mitral annular tissue Doppler velocity (e') is a key parameter for assessing diastolic function. The purpose of this study was to confirm that an acute increase in preload did not significantly impact the intraoperative measurement of e' and secondarily evaluate the impact of this acute intravascular volume increase on the clinical assessment of diastolic function using a previously described simplified algorithm...
March 26, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38532332/effects-of-remote-ischemic-preconditioning-in-hepatectomy-a-systematic-review-and-meta-analysis
#2
Chun Tian, Aihua Wang, He Huang, Youwan Chen
BACKGROUND: Animal experiments have confirmed that remote ischemic preconditioning (RIPC) can reduce hepatic ischemia-reperfusion injuries (HIRIs), significantly improving early tissue perfusion and oxygenation of the residual liver after resections, accelerating surgical prognoses, and improving survival rates. However, there is still controversy over the role of RIPC in relieving HIRI in clinical studies, which warrants clarification. This study aimed to evaluate the beneficial effects and applicability of RIPC in hepatectomy and to provide evidence-based information for clinical decision-making...
March 26, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38528479/effect-of-pretreatment-with-a-small-dose-of-esketamine-on-sufentanil-induced-cough-during-anesthesia-induction-a-randomized-controlled-trial
#3
RANDOMIZED CONTROLLED TRIAL
Liangliang Gao, Zhuoliang Zhang, Yi Zhu, Xinyu Lu, Yue Tian, Lei Wei
BACKGROUND: Sufentanil-induced cough is common during the induction of anesthesia. The objective of this study was to determine whether pretreatment with a small dose of esketamine is effective in treating sufentanil-induced cough. METHODS: 220 patients were screened, and 200 patients who had scheduled elective surgery and were between 18 and 70 years old were randomly divided into two groups. Before sufentanil was administered, esketamine group (group K) was injected with 0...
March 26, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38528475/the-effect-of-different-endotracheal-tube-cuff-pressure-monitoring-systems-on-postoperative-sore-throat-in-patients-undergoing-tracheal-intubation-a-randomized-clinical-trial
#4
RANDOMIZED CONTROLLED TRIAL
Guangli Zhu, Xuan Wang, Xinyu Cao, Chongya Yang, Bin Wang, Yang Ang, Manlin Duan
BACKGROUND: Postoperative sore throat (POST) is an unpleasant outcome that can occur as a result of tracheal intubation in adults. Increased pressure from the endotracheal tube (ETT) cuff often leads to local mucosal injury, resulting in sore throat. The purpose of this study was to compare the effect of two different ETT cuff pressure monitoring systems vs. no cuff pressure monitoring on the incidence and severity of POST in adults. METHODS: One hundred and fourteen ASA I-III patients of either gender, aged 18-65 years, and undergoing surgery requiring endotracheal intubation were included in this study...
March 25, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38521916/time-to-death-and-its-predictors-among-adult-patients-on-mechanical-ventilation-admitted-to-intensive-care-units-in-west-amhara-comprehensive-specialized-hospitals-ethiopia-a-retrospective-follow-up-study
#5
JOURNAL ARTICLE
Kenubish Demem, Esubalew Tesfahun, Fetene Nigussie, Aster Tadesse Shibabaw, Temesgen Ayenew, Mengistu Abebe Messelu
INTRODUCTION: Mechanical ventilation is the most common intervention for patients with respiratory failure in the intensive care unit. There is limited data from African countries, including Ethiopia on time to death and its predictors among patients on mechanical ventilators. Therefore, this study aimed to assess time to death and its predictors among adult patients on mechanical ventilation admitted in comprehensive specialized hospitals in West Amhara, Ethiopia. METHODS: An institutional-based retrospective follow-up study was conducted from January 1, 2020, to December 31, 2022...
March 23, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38521913/combined-sedation-in-pediatric-magnetic-resonance-imaging-determination-of-median-effective-dose-of-intranasal-dexmedetomidine-combined-with-oral-midazolam
#6
RANDOMIZED CONTROLLED TRIAL
Hao Xie, Jialian Zhao, Haiya Tu, Wenyang Wang, Yaoqin Hu
BACKGROUND: The exact median effective dose (ED50) of intranasal dexmedetomidine combined with oral midazolam sedation for magnetic resonance imaging (MRI) examination in children remains unknow and the aim of this study was to determine the ED50 of their combination. METHODS: This is a prospective dose-finding study. A total of 53 children aged from 2 months to 6 years scheduled for MRI examination from February 2023 to April 2023 were randomly divided into group D (to determine the ED50 of intranasal dexmedetomidine) and group M (to determine the ED50 of oral midazolam)...
March 23, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38521898/preoperative-routine-measurement-of-nt-probnp-predicts-postoperative-morbidity-after-non-cardiac-surgery-with-intermediate-or-high-surgical-risk-an-observational-study
#7
JOURNAL ARTICLE
Götz Schmidt, Nora Frieling, Emmanuel Schneck, Marit Habicher, Christian Koch, Kerstin Rubarth, Felix Balzer, Birgit Aßmus, Michael Sander
BACKGROUND: Chronic heart failure (HF) is a common clinical condition associated with adverse outcomes in elderly patients undergoing non-cardiac surgery. This study aimed to estimate a clinically applicable NT-proBNP cut-off that predicts postoperative 30-day morbidity in a non-cardiac surgical cohort. METHODS: One hundred ninety-nine consecutive patients older than 65 years undergoing elective non-cardiac surgery with intermediate or high surgical risk were analysed...
March 23, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38519946/integrative-proteomics-and-metabolomics-data-analysis-exploring-the-mechanism-of-brain-injury-after-cardiac-surgery-in-chronic-stress-rats
#8
JOURNAL ARTICLE
Haoqi Yan, Hongbai Wang, Wenlin Chen, Yuan Jia, Fuxia Yan, Su Yuan
OBJECTIVE: Preoperative chronic stress (CS) is associated with postoperative brain injury in patients undergoing open heart cardiac surgery. This research is to explore the potential molecular biological mechanisms of brain damage following cardiac surgery in preoperative CS rats by the analyses combining proteomics and metabolomics. METHODS: We constructed the chronic unpredictable stress (CUS) and cardiac surgery models in adult rats. We proved the brain injury in CUS cardiac surgery rats by Hematoxylin-Eosin (H&E) staining, followed by separating the hippocampal tissue and investigating the potential mechanisms of brain injury by the methods of data-independent acquisition proteomics and untargeted metabolomics...
March 22, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38519945/association-of-adherence-to-the-enhanced-recovery-after-surgery-pathway-and-outcomes-after-laparoscopic-total-gastrectomy
#9
JOURNAL ARTICLE
Yiming Hao, Qingchuan Zhao, Kun Jiang, Xiangying Feng, Yumei Ma, Jianzhong Zhang, Xi'an Han, Gang Ji, Hailong Dong, Huang Nie
OBJECTIVE: The current study used a composite outcome to investigate whether applying the ERAS protocol would enhance the recovery of patients undergoing laparoscopic total gastrectomy (LTG). EXPOSURES: Laparoscopic total gastrectomy and perioperative interventions were the exposure. An ERAS clinical pathway consisting of 14 items was implemented and assessed. Patients were divided into either ERAS-compliant or non-ERAS-compliant group according the adherence above 9/14 or not...
March 22, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38515077/usefulness-of-lactate-to-albumin-ratio-for-predicting-in-hospital-mortality-in-atrial-fibrillation-patients-admitted-to-the-intensive-care-unit-a-retrospective-analysis-from-mimic-iv-database
#10
JOURNAL ARTICLE
Ting Huang, Sen Lin
BACKGROUND: High lactate to albumin ratio (LAR) has been reported to be associated to with poor prognosis in patients admitted to the intensive care unit (ICU). However, its role in predicting in-hospital mortality in AF patients admitted to ICU has not been explored. METHODS: The Medical Information Mart for Intensive Care-IV (MIMIC-IV) database was used to retrieve information on patients who had been diagnosed with AF. X-tile software was utilized to determine the optimal cut-off LAR...
March 21, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38515021/the-use-of-thermal-imaging-for-evaluation-of-peripheral-tissue-perfusion-in-surgical-patients-with-septic-shock
#11
JOURNAL ARTICLE
Ahmed Hasanin, Radwa Fekry, Maha Mostafa, Sahar Kasem, Amany Eissa, Hassan Mohamed, Heba Raafat
BACKGROUND: In this study, we aimed to evaluate the ability of central-to-peripheral temperature gradients using thermal imaging to predict in-hospital mortality in surgical patients with septic shock. METHODS: This prospective observational study included adult patients with septic shock admitted to the intensive care unit postoperatively. Serum lactate (in mmol/L), capillary refill time (CRT) (in seconds), toe (peripheral) and canthal (central) temperature by infrared thermography and the corresponding room temperature in (Celsius [°C]) were assessed at the time of admission, 6- and 12 h after admission...
March 21, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38504220/comparison-of-diffusion-ranges-at-different-local-anesthetic-volumes-during-superior-laryngeal-nerve-block
#12
JOURNAL ARTICLE
Yin Bao, Huijun Wang, Lifeng Li, Hongbo Xu, Yun Li, Guyan Wang
OBJECTIVES: Ultrasound-guided superior laryngeal nerve (SLN) block is a practical and painless approach to avoid the hemodynamic stress response during endotracheal intubation and relieve sore throat after laryngeal surgery. The main purpose of this study was to establish an optimal dosage of local anesthetic when performing SLN block to help anesthetists balance analgesia and side effects. METHODS: Twenty fresh larynx specimens were obtained immediately after resection and then injected with 2-, 3-, 4-, or 5- mL of a lidocaine-blue dye mixture at bilateral SLN puncture sites...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38504189/the-efficacy-and-safety-of-modified-ultraearly-oral-hydration-for-alleviating-thirst-in-patients-after-thoracoscopic-surgery-a-prospective-randomized-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Yan Xue, Qian Wang, Hongyu Zhao, Ren Pan, Yanfei Xia, Hongmei Wang, Xiarong Qin
OBJECTIVE: Postoperative fasting following thoracoscopic surgery can cause intense thirst and oral discomfort. However, there is currently no research on ultraearly oral hydration (UEOH) in middle-aged or elderly patients after thoracoscopic surgery. The aim of this study was to investigate the effectiveness and safety of UEOH for improving oral discomfort after thoracoscopic surgery. METHODS: This single-center prospective double-blind randomized controlled trial was conducted from April 2022 to November 2023...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38504188/effect-of-transcutaneous-electrical-acupoint-stimulation-on-the-quality-of-postoperative-recovery-a-meta-analysis
#14
JOURNAL ARTICLE
Meng Zhang, Huanhuan Zhang, Pan Li, Jianli Li
BACKGROUND: The purpose of the present study was to systematically delve into the efficacy and safety of transcutaneous electrical acupoint stimulation (TEAS) on the quality of recovery after general anesthesia. METHODS: Randomized controlled trials related to TEAS improving postoperative recovery quality were searched in Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, Wanfang and Chinese biomedical database from the inception of each database to June 2023...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38504153/red-blood-cell-transfusion-in-neurocritical-patients-a-systematic-review-and-meta-analysis
#15
JOURNAL ARTICLE
Yun Yu, Yuxuan Fu, Wenying Li, Tiantian Sun, Chan Cheng, Yingzi Chong, Ruquan Han, Weihua Cui
BACKGROUND: Anemia can lead to secondary brain damage by reducing arterial oxygen content and brain oxygen supply. Patients with acute brain injury have impaired self-regulation. Brain hypoxia may also occur even in mild anemia. Red blood cell (RBC) transfusion is associated with increased postoperative complications, poor neurological recovery, and mortality in critically ill neurologic patients. Balancing the risks of anemia and red blood cell transfusion-associated adverse effects is challenging in neurocritical settings...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38500033/positive-effects-of-low-dose-s-ketamine-on-preventing-myocardial-injury-after-thoracoscopic-lobectomy-in-patients-aged-70-to-85
#16
JOURNAL ARTICLE
Ziqiang Bi, Lijuan Kong, Jiahui Zhao, Dongdong Song, Fengmei Duan
OBJECTIVE: To investigate the effects of low-dose S-ketamine on marker of myocardial injury (BNP, hs-cTnT and HFABP) after thoracoscopic lobectomy in patients aged 70 to 85. METHODS: One hundred patients (four cases excluded) aged 70-85 years, with body mass index 18-24 kg·m-2 and American Society of Anesthesiologists physical status II-III, scheduled for elective lobectomy from April 2022 to April 2023, were selected. The patients were divided into two groups by a random number table method, namely, the low-dose S-ketamine combined with GDFT group (group S) and the control group (group C), with 48 cases in each group...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38500035/availability-and-threshold-of-the-vasoactive-inotropic-score-for-predicting-early-extubation-in-adults-after-rheumatic-heart-valve-surgery-a-single-center-retrospective-cohort-study
#17
JOURNAL ARTICLE
Yang Zhao, Hanlei Zhao, Jiao Huang, Bo Mei, Jun Xiang, Yizheng Wang, Jingyan Lin, San Huang
BACKGROUND: Early extubation (EEx) is defined as the removal of the endotracheal tube within 8 h postoperatively. The present study involved determining the availability and threshold of the vasoactive-inotropic score (VIS) for predicting EEx in adults after elective rheumatic heart valve surgery. METHODS: The present study was designed as a single-center retrospective cohort study which was conducted with adults who underwent elective rheumatic heart valve surgery with CPB...
March 18, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38493108/effect-of-deep-neuromuscular-block-on-the-quality-of-early-recovery-after-sleeve-gastrectomy-in-obese-patients-a-randomized-controlled-trial
#18
JOURNAL ARTICLE
Wan-Li Yang, Ya-Ling Wen, Wen-Mei Xu, Chi-Liang Xu, Wen-Qin Yin, Jing-Yan Lin
BACKGROUND: Deep neuromuscular block (NMB) has been shown to improve surgical conditions and alleviate post-operative pain in bariatric surgery compared with moderate NMB. We hypothesized that deep NMB could also improve the quality of early recovery after laparoscopic sleeve gastrectomy (LSG). METHODS: Eighty patients were randomized to receive either deep (post-tetanic count 1-3) or moderate (train-of-four count 1-3) NMB. The QoR-15 questionnaire was used to evaluate the quality of early recovery at 1 day before surgery (T0), 24 and 48 h after surgery (T2, T3)...
March 16, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38475719/placement-of-bronchial-occluder-outside-the-tracheal-tube-in-a-patient-combined-with-airway-compression-undergoing-mediastinal-tumors-resection-a-case-report
#19
JOURNAL ARTICLE
Yihu Zhou, Yueyi Jiang, Yuyan Ding, Lianbing Gu, Jing Tan
BACKGROUND: Mediastinal tumors pose a challenging respiratory and circulatory management during anesthesia procedures, there is a risk of circulatory collapse or complete airway obstruction, which in severe cases can lead to cardiac arrest. We reported a case of anesthetic management using a bronchial blocker placed outside the tracheal tube. In this case report, the patient's trachea was so severely compressed that the airway was extremely narrow, only 4 mm at its narrowest point...
March 12, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38475699/nonintubated-spontaneous-ventilation-versus-intubated-mechanical-ventilation-anesthesia-for-video-assisted-thoracic-surgery-in-terms-of-perioperative-complications-and-practitioners-workload-assessments-a-pilot-randomized-control-study
#20
RANDOMIZED CONTROLLED TRIAL
Xian-Gang Kong, Kun Wang, Yu-Tao Wei, Bo Sun, Guo-Dong Gao, Cheng-Wei Song, Cheng-Wen Li
BACKGROUND: The use of nonintubated video-assisted thoracoscopic surgery (NI-VATS) has been increasingly reported to yield favourable outcomes. However, this technology has not been routinely used because its advantages and safety have not been fully confirmed. The aim of this study was to assess the safety and feasibility of nonintubated spontaneous ventilation (NI-SV) anesthesia compared to intubated mechanical ventilation (I-MV) anesthesia in VATS by evaluating of perioperative complications and practitioners' workloads...
March 12, 2024: BMC Anesthesiology
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