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Journals Anesthesiology Research and Pr...

Anesthesiology Research and Practice

https://read.qxmd.com/read/38751831/liberal-preoperative-fasting-in-adults-undergoing-elective-surgery-a-scoping-review-protocol
#1
REVIEW
Haoyue Gan, Hangcheng Liu, Huaping Huang, Mei He
BACKGROUND: Prolonged fasting before surgery has negative effects on the physiology and psychology of patients. Preoperative liberal fasting proposes that patients can drink clear liquids before entering the operating theater, challenging the guideline strategy of a two-hour preoperative liquid fast for adults. In recent years, there have been an increasing number of studies on liberal preoperative fasting in adults. However, currently there is no consensus on the safe amount of fluid consumed, adverse effects, or benefits of this new policy...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38741578/the-effect-of-oral-gabapentin-and-pregabalin-as-a-prodrug-in-pain-control-after-orthopedic-surgery-on-the-upper-limb-a-double-blind-parallel-randomized-clinical-trial-study
#2
JOURNAL ARTICLE
Lida Nouri, Rana Roshanfekr, Azam Biderafsh, Reza Pakzad, Hamed Azadi
OBJECTIVE: To compare the effects of oral gabapentin (GBP) and pregabalin (PGB) in pain control after orthopedic surgery on the upper limb. METHODS: In this double-blind randomized clinical trial study, 80 patients who were the candidates for elective orthopedic surgery on one of the parts of the upper limb were divided into two groups using balance-block randomization. For the first group, a 150 mg capsule of PGB (one hour before the surgery) and for the second group, a 300 mg capsule of GBP (two hours before the surgery) were prescribed...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38633620/differential-susceptibility-to-propofol-and-ketamine-in-primary-cultures-of-young-and-senesced-astrocytes
#3
JOURNAL ARTICLE
Liang Huang, Ferit Tuzer, Abigail Murtha, Michael Green, Claudio Torres, Henry Liu, Shadi Malaeb
The adverse effects of general anesthesia on the long-term cognition of young children and senior adults have become of concern in recent years. Previously, mechanistic and pathogenic investigations focused on neurons, and little is known about the effect of commonly used intravenous anesthetics such as propofol and ketamine on astrocytes. Recently, astrocyte dysfunction has been implicated in a wide range of age-related brain diseases. In this study, we examined the survival and viability of both young and senescent astrocytes in culture after adding propofol and ketamine to the media at varying strengths...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38586152/effects-of-preoperative-oral-carbohydrate-on-perioperative-maternal-outcomes-undergoing-cesarean-section-a-systematic-review-and-meta-analysis
#4
REVIEW
Haibin Shi, Caihong Zheng, Bin Zhu
PURPOSE: Preoperative oral carbohydrate (CHO) is a rapid postoperative rehabilitation protocol that improves perioperative outcomes and is widely used in adult surgical patients. However, pregnant women are excluded because of the possibility of aspiration due to delayed gastric emptying. This meta-analysis was conducted to evaluate the efficacy of preoperative oral CHO in elective cesarean section. METHODS: PubMed, Embase, Web of Science, and the Cochrane Library were searched from inception to July 2023...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38529324/erector-spinae-plane-block-versus-quadratus-lumborum-block-for-postoperative-analgesia-after-laparoscopic-resection-of-colorectal-cancer-a-prospective-randomized-study
#5
JOURNAL ARTICLE
Dina Mahmoud Fakhry, Hatem ElMoutaz Mahmoud, Dina Yehia Kassim, Hebatallah NegmEldeen AbdElAzeem
BACKGROUND: In recent years, the attention paid to colorectal cancer (CRC) surgery and postoperative analgesia has increased. OBJECTIVE: The objective of the current study was to compare the impact of ultrasound-guided erector spinae plane block (ESPB) and transmuscular quadratus lumborum block (TQLB) upon providing relief to patients with postoperative pain who underwent laparoscopic resection for CRC. METHODS: In this prospective, comparative, and randomized study, the authors considered a total of 60 patients who chose to undergo laparoscopic resection for colorectal cancer...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38525206/single-dose-intravenous-paracetamol-versus-placebo-in-postorthognathic-surgery-pain-a-randomized-clinical-trial
#6
JOURNAL ARTICLE
Thunshuda Sumphaongern, Pornchai Jansisyanont
BACKGROUND: The postorthognathic surgery patients experienced moderate to severe pain and could be at risk for opioid-related side effects. The aim of this study was to evaluate the efficacy of a single dose of intravenous paracetamol to control postorthognathic surgery pain and reduce opioid consumption. METHODS: The patients were randomized into two groups. The study group received intravenous paracetamol and the control group received a placebo immediately postoperation...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38525205/simulation-based-analysis-of-trial-design-in-regional-anesthesia
#7
JOURNAL ARTICLE
Melisa Pasli, Dmitry Tumin, Ryan Guffey
BACKGROUND: In regional anesthesia, the efficacy of novel blocks is typically evaluated using randomized controlled trials (RCTs), the findings of which are aggregated in systematic reviews and meta-analyses. Systematic review authors frequently point out the small sample size of RCTs as limiting conclusions from this literature. We sought to determine via statistical simulation if small sample size could be an expected property of RCTs focusing on novel blocks with typical effect sizes...
2024: Anesthesiology Research and Practice
https://read.qxmd.com/read/38162190/efficacy-of-high-voltage-pulsed-radiofrequency-in-zoster-associated-pain-a-meta-analysis-and-systematic-review
#8
REVIEW
Yinghao Song, Ziheng Yu, Jingjing Guan, Haisheng Wu, Jinglang Zhang, Liu Qiaoling, Min Yuan, Xinzhi Cheng, Bingyu Ling
BACKGROUND: Zoster-associated pain (ZAP) is often refractory to conventional treatments and can seriously affect patients' physical and mental health. High-voltage pulsed radio frequency (H-PRF) is a new method for treating ZAP with pulse voltages above 60 V or even up to 100 V. The purpose of this paper was to conduct a systematic review and meta-analysis to evaluate the efficacy of H-PRF in the management of ZAP. METHODS: PubMed, Embase, and the Cochrane library were searched from their inception to June 2022 to identify controlled trials which evaluated the effectiveness of H-PRF compared with standard PRF and sham operations...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/38116042/impact-of-melatonin-as-a-premedication-agent-in-caesarean-section-on-blood-loss-and-postoperative-pain-level
#9
JOURNAL ARTICLE
Hussein Alkhfaji, Mohamed Kahloul, Talib Razaq M Askar, Majid Fakhir Alhamaidah, Hussein Ali Hussein
BACKGROUND: Postpartum hemorrhage (PPH) is a serious postdelivery condition with a high incidence of morbidity and mortality for women who undergo childbirth with or without a caesarean section. Melatonin has been suggested to increase the contractility of myometrium and reduce the pain score postoperatively, therefore it is believed that the use of melatonin before surgery may decrease blood loss, reduce pain score, and decrease the need for postoperative opioids. OBJECTIVES: The main objectives of this study are focused on the investigation of melatonin as a premedication agent to reduce blood loss and decrease pain score postoperatively in patients undergoing cesarean section under spinal anesthesia...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/38028204/outcomes-of-women-with-preeclampsia-and-eclampsia-admitted-in-the-intensive-care-unit-at-a-tertiary-care-hospital-in-mogadishu-somalia
#10
JOURNAL ARTICLE
Nasra Mohamud Hilowle, Said Abdirahman Ahmed, Khadija Yusuf Ali, Ercan Altinel, Mohamud Mire Waberi, Mohamed Sheikh Hassan, Diyar Köprülü, Abdijalil Abdullahi Ali, Mohamed Omar Hassan
Intensive care for a hypertensive mother with preeclampsia or eclampsia is crucial for both maternal and neonatal outcomes. This study highlights the level of morbidity and mortality among women with preeclampsia and eclampsia admitted to the intensive care unit. Methods . This retrospective study was conducted in Mogadishu, Somalia, at the Mogadishu Somali Türkiye Training and Research Hospital from February 2019 to July 2022. The study focused on the different complications, managements, and final outcomes of preeclampsia and eclampsia mothers admitted to the intensive care unit...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37953884/effect-of-local-ketamine-subcutaneous-injection-at-the-incision-site-in-reducing-the-postoperative-pain-score-after-transabdominal-hysterectomy
#11
JOURNAL ARTICLE
Negar Eftekhar, Babak Eslami, Amir Hossein Orandi, Leila Chabouk, Fahimeh Ghotbizadeh Vahdani, Hoda Mohammad Khani, Laya Amoozadeh
BACKGROUND: Pain control after operations is essential in decreasing the patient recovery period and potential morbidity. Prescribing opiates is very effective, but significant side effects accompany them. This study aims to examine the effect of local ketamine infiltration in decreasing pain intensity in patients undergoing transabdominal hysterectomy. METHODS: In this double-blind, randomized, controlled clinical trial, a total of 92 patients undergoing transabdominal hysterectomy aged 30-60 years were selected and divided into two intervention and control groups randomly...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37953883/evidence-based-guideline-on-the-prevention-and-management-of-perioperative-pain-for-breast-cancer-peoples-in-a-low-resource-setting-a-systematic-review-article
#12
REVIEW
Tajera Tageza Ilala, Gudeta Teku Ayano, Yesuf Ahmed Kedir, Selam Tamiru Mamo
BACKGROUND: Breast surgery for breast cancer is associated with significant acute and persistent postoperative pain. Surgery is the primary type of treatment, but up to 60% of breast cancer patients experience persistent pain after surgery, and 40% of them develop acute postmastectomy pain syndrome. Preoperative stress, involvement of lymph nodes while dissecting, and the postoperative psychological state of the patients play vital roles in managing the postoperative pain of the patients...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37854305/assessment-of-the-safety-and-efficiency-of-a-preperitoneal-continuous-infusion-using-bupivacaine-after-abdominal-laparotomy-in-digestive-carcinology
#13
JOURNAL ARTICLE
Hayat Ben-Saghroune, Mohammed Abdessadek, Sanae Achour, Youssef Kfal, Abderrahim El Bouazzaoui, Nabil Kanjaa, Hicham Sbai
The purpose of this paper is to evaluate the safety and efficacy of continuous preperitoneal wound infiltration using bupivacaine after abdominal laparotomy in relation to plasma bupivacaine concentration and visual analog scale. Our study was performed on 60 adult patients with digestive cancer, operated at laparotomy, and randomized into two groups: bupivacaine and saline groups. The wound infiltration was through a multiperforated catheter along the scar. For the bupivacaine group, 0.25% bupivacaine was used; however, for the saline group, only saline (0...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37808338/relationship-between-nontraumatic-shoulder-disorders-and-neuropathic-pain-retrospective-observational-analyses-of-clinical-features-and-background-factors
#14
JOURNAL ARTICLE
Tsuyoshi Sasaki, Hitoshi Shitara, Tsuyoshi Tajika, Tsuyoshi Ichinose, Noritaka Hamano, Masataka Kamiyama, Atsushi Yamamoto, Tsutomu Kobayashi, Kenji Takagishi, Hirotaka Chikuda
BACKGROUND: Accurate identification of neuropathic pain is necessary for appropriate treatment; however, the relationship between nontraumatic shoulder disorders and neuropathic pain remains unknown. Therefore, this retrospective observational study aimed to investigate the relationship, features, background factors, and prevalence of neuropathic pain among patients with nontraumatic shoulder disorders. METHODS: We evaluated 198 patients who visited our outpatient clinic, which specializes in shoulder disorders, from April 2015 to March 2016...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37727810/impact-of-peripheral-nerve-block-technique-on-incidence-of-phrenic-nerve-palsy-in-shoulder-surgery
#15
REVIEW
Aaron S Campbell, Christopher D Johnson, Shaun O'Connor
Peripheral nerve blocks are an increasingly common method of providing postoperative analgesia for shoulder surgeries. However, the standard technique, the interscalene block (ISB), inevitably causes hemidiaphragmatic paresis (HDP), secondary to phrenic nerve palsy. This can cause morbidity in patients with preexisting respiratory compromise, prompting investigation into alternative "phrenic-sparing" nerve blocks. The aim of this review was to give an overview of these blocks and critically evaluate the current literature to determine if any are suitable replacements for ISB...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37674585/association-between-intraoperative-early-warning-score-and-mortality-and-in-hospital-stay-in-lower-gastrointestinal-spontaneous-perforation
#16
JOURNAL ARTICLE
Kazuya Takada, Yusuke Nagamine, Akira Ishii, Yan Shuo, Takumi Seike, Hanako Horikawa, Kentaro Matsumiya, Tetsuya Miyashita, Takahisa Goto
BACKGROUND: Early warning scores (EWSs) can be easily calculated from physiological indices; however, the extent to which intraoperative EWSs and the corresponding changes are associated with patient prognosis is unknown. In this study, we investigated whether EWS and the corresponding time-related changes are associated with patient outcomes during the anesthetic management of lower gastrointestinal perforation. METHODS: This was a single-center, retrospective cohort study conducted at a tertiary emergency care center...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37663890/a-prospective-cohort-study-on-the-respiratory-effect-on-modified-mallampati-scoring
#17
JOURNAL ARTICLE
Rotem Naftalovich, Marko Oydanich, Janet Adeola, Jean Daniel Eloy, Daniel Rodriguez-Correa, George L Tewfik
BACKGROUND: Mallampati scoring is a common exam method for evaluating the oropharynx as a part of the airway assessment and for anticipation of difficult intubation. It partitions the oropharynx into 4 categories with scores of 1, 2, 3, and 4. Even though its reliability is known to be limited by confounding factors such as patient positioning, patient phonation, tongue protrusion, and examiner variability, the effect of respiration, i.e., inspiration and expiration, has not yet been formally studied...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37599669/incidence-and-factors-associated-with-postspinal-headache-in-obstetric-mothers-who-underwent-spinal-anesthesia-from-a-tertiary-hospital-in-western-uganda-a-prospective-cohort-study
#18
JOURNAL ARTICLE
Mohamud Jelle Osman, Joy Muhumuza, Yarine Fajardo, Andrew Kwikiriza, Baluku Asanairi, Rogers Kajabwangu, Marie Pascaline Sabine Ishimwe, Theoneste Hakizimana
BACKGROUND: The proportion of obstetric mothers reporting postspinal headache (PSH) in Uganda is high. The aim of this study is to determine the incidence and factors associated with postspinal headache among obstetric patients who underwent spinal anesthesia during cesarean section at a tertiary hospital in Western Uganda. METHODS: A prospective cohort study was done on 274 consecutively enrolled obstetric patients at Fort Portal Regional Referral Hospital (FRRH) from August to November 2022...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37583794/the-underreported-postoperative-suffering-after-thyroid-surgery-dysphagia-dysphonia-and-neck-pain-a-cross-sectional-study
#19
JOURNAL ARTICLE
Hunduma Jisha Chawaka, Zenebe Bekele Teshome
BACKGROUND AND AIMS: Postoperative voice change, difficulty of swallowing, throat pain, and neck pain are the most commonly complaint after thyroid surgery. However, little emphasis is given to the problem, especially a place where the surgical and anesthesia services' unmet need is highly observed, i.e., the problem gets little attention especially in the countries where the gaps of surgery and anesthesia services are observed. Hence, this study aims to determine the magnitude and associated factors of voice change and related complaints after thyroid surgery...
2023: Anesthesiology Research and Practice
https://read.qxmd.com/read/37383276/anticipated-vs-experienced-pain-at-site-of-spinal-needle-insertion-in-patients-undergoing-elective-lower-segment-caesarean-section-perspective-from-resource-limited-region
#20
JOURNAL ARTICLE
Waleed Bin Ghaffar, Fauzia Minai
BACKGROUND: Despite significant advantages, approximately 20% of pregnant patients refuse spinal anaesthesia in caesarean section due to fear of spinal needle prick. Studies have shown that the patient's expectation of pain is higher than what they experience in real. The objective was to evaluate the difference between anticipated and actually experienced pain at the spinal needle insertion site in spinal anaesthesia for pregnant women undergoing elective lower segment caesarean section (ELSCS)...
2023: Anesthesiology Research and Practice
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