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Anesthesiology 2016

Yan Wu, Le Zhang, Gang Yin, Yishu Liu, Li Chen
OBJECTIVE: To compare the effects of propofol and isoflurane anesthesia on cortisol, insulin, and blood glucose levels surrounding operation period in patients undergoing gastric surgery. STUDY DESIGN: An experimental study. PLACE AND DURATION OF STUDY: The Department of Anesthesiology, Hubei Cancer Hospital, Wuhan, China, from October 2016 to January 2018. METHODOLOGY: A total of 86 patients, undergoing for gastric surgery, were divided randomly into propofol group and isoflurane group with 43 cases in each group...
March 2019: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Teeda Pinyavat, Neeta R Saraiya, Jerri Chen, Lynne R Ferrari, Dena Goffman, Thomas A Imahiyerobo, William Middlesworth, Joshua E Hyman, Grace Hyun, Constance S Houck
In December 2016, the US Food and Drug Administration (FDA) issued a drug safety warning stating that 11 commonly used anesthetic and sedative medications had potential neurotoxic effects when used in children under the age of 3 years and in pregnant women during the third trimester. A panel presentation at the sixth biennial Pediatric Anesthesia Neurodevelopmental Assessment (PANDA) symposium addressed the FDA announcement in a session entitled "Anesthesia Exposure in Children During Surgical and Non-Surgical Procedures: How Do We Respond to the 2016 FDA Drug Safety Communication?" Panelists included representatives from pediatric anesthesiology, obstetrics, pediatric surgery, and several pediatric surgical subspecialties...
January 2019: Journal of Neurosurgical Anesthesiology
Katarina Maticic, Marina Krnic Martinic, Livia Puljak
BACKGROUND: Reporting quality of systematic reviews' (SRs) abstracts is important because this is often the only information about a study that readers have. The aim of this study was to assess adherence of SR abstracts in the field of anesthesiology with the reporting checklist PRISMA extension for Abstracts (PRISMA-A) and to analyze to what extent will the use of PRISMA-A yield concordant ratings in two raters without prior experience with the checklist. METHODS: We analyzed reporting quality of SRs with meta-analysis of randomized controlled trials of interventions published in the field of anesthesiology from 2012 to 2016 by using 12-item PRISMA-A checklist...
February 14, 2019: BMC Medical Research Methodology
Mirko Gabelica, Jakica Cavar, Livia Puljak
OBJECTIVE: To analyze data sharing practices among authors of randomized controlled trials (RCT) published in seven high-ranking anesthesiology journals from 2014 to 2016. STUDY DESIGN AND SETTING: We analyzed data sharing statements in 619 included RCTs and contacted their corresponding authors, asking them to share de-identified raw data from trial. RESULTS: Of the 86 (14%) authors who responded to our query for data sharing, only 24 (4%) provided the requested data...
February 6, 2019: Journal of Clinical Epidemiology
Caroline Witney-Lagen, Georgios Mazis, Juan Bruguera, Ehud Atoun, Giuseppe Sforza, Ofer Levy
BACKGROUND: This study was conducted to ascertain whether patients aged older than 75 years achieve outcomes after arthroscopic rotator cuff repair comparable to younger patients. METHODS: Arthroscopic cuff repair was performed in 60 shoulders of 59 patients aged older than 75 years. A control group of 60 younger patients, matched for sex, tear size, and American Society of Anesthesiology Functional Classification grade were included. Surgery occurred from 2006 to 2016...
January 28, 2019: Journal of Shoulder and Elbow Surgery
Aliya Ahmed, Rashida Ahmed
OBJECTIVE: To determine the correlation of trainee selection scores (TSS) with subsequent performance in anesthesiology trainees at a university hospital. STUDY DESIGN: Descriptive analytical study. PLACE AND DURATION OF STUDY: The Aga Khan University Hospital, Karachi, from August 2016 to January 2017. METHODOLOGY: Data were collected on 44 anesthesiology trainees completing their training between 2009 and 2015. TSS consisted of entrance test, final-year medical school scores, and interviews...
February 2019: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
A Bertacco, S Barbieri, G Guastalla, R Boetto, A Vitale, G Zanus, U Cillo, P Feltracco
BACKGROUND: Liver transplantation (LT) is an established treatment for patients with end-stage liver disease. The significant advances in surgical technique, immunosuppression therapy, and anesthesiological management have dramatically improved short- and long-term outcomes. The aim of this study is to correlate specific surgical and anesthesiological variables with causes of early death in LT recipients. METHODS: A retrospective observational analysis of adult patients who underwent LT in the period 2012 to 2016 and died within 90 days following LT was conducted...
June 28, 2018: Transplantation Proceedings
Yang Qin, Jinping Ni, Li Kang, Zhidong Zhong, Liren Wang, Shuzhou Yin
OBJECTIVE: To investigate the effects of sustained inhalation of sevoflurane on cognitive function and the expression of oxidative stress response proteins such as NADPH oxidase subunits NOX2 and NOX4 in elderly patients undergoing radical surgery for lung cancer. STUDY DESIGN: An experimental study. PLACE AND DURATION OF STUDY: Department of Anesthesiology, Suzhou Kowloon Hospital, Shanghai Jiao Tong University School of Medicine, China, from February 2016 to October 2017...
January 2019: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Suchun Ding, Hongzhong Ma, Gao Wang, Zhenyu Yu, Kezhong Li, Aijie Huang
OBJECTIVE: To investigate the effect of remifentanil combined anesthesia on serum cytokines and oxidative stress indices in patients undergoing laparoscopic surgery for colon cancer. STUDY DESIGN: Experimental study. PLACE AND DURATION OF STUDY: Department of Anesthesiology, Yuhuangding Hospital Affiliated to Qingdao University, Yantai, China, from May 2016 to March 2018. METHODOLOGY: A total of 154 patients undergoing laparoscopic surgery for colon cancer were randomly divided into control group and observation group, with 77 cases in each group...
January 2019: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Eilon Gabel, John Shin, Ira Hofer, Tristan Grogan, Keren Ziv, Joe Hong, Anahat Dhillon, James Moore, Aman Mahajan, Maxime Cannesson
BACKGROUND: Affecting nearly 30% of all surgical patients, postoperative nausea and vomiting (PONV) can lead to patient dissatisfaction, prolonged recovery times, and unanticipated hospital admissions. There are well-established, evidence-based guidelines for the prevention of PONV; yet physicians inconsistently adhere to them. We hypothesized that an electronic medical record-based clinical decision support (CDS) approach that incorporates a new PONV pathway, education initiative, and personalized feedback reporting system can decrease the incidence of PONV...
December 24, 2018: Anesthesia and Analgesia
Mai-Lei Woo Kinshella, Tim Gauthier, Mark Lysyshyn
OBJECTIVE: In midst of the overdose crisis, the clinical features of opioid overdoses seem to be changing. Understanding of the adverse effects of synthetic opioids such as fentanyl is currently limited to clinical settings. Insite, a supervised injection site in Vancouver, Canada, provides an opportunity to better understand illicit drug overdose presentations. METHODS: A review of clinical records at Insite for October 2016 to April 2017 was undertaken to quantify atypical overdose presentations...
December 22, 2018: Harm Reduction Journal
Sarah Molfino, Emanuele Botteri, Paolo Baggi, Luigi Totaro, Michela Huscher, Gian Luca Baiocchi, Nazario Portolani, Nereo Vettoretto
Local anesthesia in laparoscopic operations is gaining increasing consensus. To standardize analgesia, a prospective case-control study was created over a 1-year period, in collaboration with the anesthesiology service in our community hospital. Starting from February 2016, we prospectively enrolled adult patients (more than 16 years old) undergoing laparoscopic appendectomy or cholecystectomy, either in emergency or elective setting. Patients were preoperatively assigned (based on the chart-admission number) either to transversus abdominis plane (TAP) block treatment (Group 1-experimental arm) or trocar-site anesthesia (TSA) (Group 2-experimental arm), and then compared with group of patients not submitted to treatment (Group 3-control arm)...
December 19, 2018: Updates in Surgery
Efrain Riveros-Perez, Mary E Arthur, Ankit Jain, Vikas Kumar, Alexander Rocuts
Problem: Passing the American Board of Anesthesiology (ABA) basic examination is required to progress through anesthesiology training in USA. Failing the test may be related to medical knowledge gaps, presence of negative psychosocial factors, and/or individual approaches to learning. This article describes the experience of development and implementation of a multifaceted remediation program (MRP) in residents who failed the ABA basic test. Intervention: This is a retrospective analysis of four cases of residents who failed the ABA basic test between 2016 and 2017...
2018: Advances in Medical Education and Practice
Helene Retrouvey, Ogi Solaja, Heather L Baltzer
PURPOSE: As the incidence of trauma in the elderly patient population increases, it is important to understand the risk-benefit profile of digital replantation or revascularization (DRR) surgery in this population. The aim of this study was to evaluate the impact of increasing age on rates of digital failure. METHOD: A retrospective cohort study of DRR patients was undertaken from 2005 to 2016. Data collected consisted of patient demographics, smoking status, injury mechanisms, procedure types, as well as post-operative morbidity and mortality...
November 26, 2018: Plastic and Reconstructive Surgery
Zulfiqar Ahmed, Christine Mai, Katherine G Skinner, Myron Yaster
Dr. Estela Melman (1939-present), Professor in the Department of Anesthesiology, the American British Cowdray Medical Center, Mexico, is an influential pioneer who has shaped the scope and practice of pediatric anesthesia in Mexico and throughout the world. Her early work to reintroduce neural blockade into routine pediatric anesthetic care, particularly the caudal approach to the epidural space, helped to transform current anesthesia practice. Based on a series of interviews held with Dr. Melman between 2016 and 2017, this article reviews the remarkable career of a pioneering pediatric anesthesiologist...
December 2018: Paediatric Anaesthesia
Susan M Moeschler, Bhargavi Gali, Seeta Goyal, Darrell R Schroeder, Judy Jacobson, Elizabeth B Habermann, Mark T Keegan, Joseph A Hyder
The American Society of Anesthesiologists (ASA) Annual Meeting is the primary venue for anesthesiologists to present research, share innovations, and build networks. Herein, we describe gender representation for physician speakers at the Annual Meeting relative to the specialty overall. Details of ASA Annual Meeting presentations for individuals and panels were abstracted from the ASA archives for 2011-2016. Observed speaker gender composition was compared to expected composition based on the gender distribution of members of the ASA...
November 21, 2018: Anesthesia and Analgesia
Christian J Wiedermann
BACKGROUND: Medical textbooks are important throughout postgraduate internship, residency and fellowship programs but authors' conflicts of interest (COI) are rarely disclosed. In anesthesiology, two high-profile cases of research fraud/unethical publishing have previously been identified. This study evaluated whether anesthesiology textbooks in German include controversial recommendations on hydroxyethyl starch (HES) and whether authors had undisclosed COI. METHODS: Forty-five anesthesiology, critical care, and emergency medicine electronic textbooks (January 2015-August 2017) were identified on the websites of German, Austrian, and Swiss publishers...
November 21, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
Madhavi Muralidharan, Justin T Clapp, Bridget Perrin Pulos, Sushmitha P Diraviam, Dimitry Y Baranov, Emily K B Gordon, Meghan B Lane-Fall
BACKGROUND: Handoffs are a complex procedure whose success relies on mutual discussion rather than simple information transfer. Particularly among trainees, handoffs present major opportunities for medical error. Previous research has explored best practices and pitfalls in general handoff education but has not discussed barriers specific to anesthesiology residents. This study characterizes the experiences of residents in anesthesiology as they learn handoff technique in order to inform strategies for teaching this important component of perioperative care...
November 20, 2018: BMC Medical Education
Robert S Ackerman, Michael Hirschi, Brandon Alford, Trip Evans, John V Kiluk, Sephalie Y Patel
BACKGROUND: Enhanced recovery after surgery (ERAS) protocols have been shown to improve surgical, anesthetic, and economic outcomes in intermediate-to-high-risk surgeries. Its influence on length of stay and cost of low-risk surgeries has yet to be robustly studied. As value-based patient care comes to the forefront of anesthesiology research, the focus shifts to strategies that maintain quality while effectively containing cost. METHODS: In July 2016, we implemented an ERAS for mastectomy protocol consisting of limiting fasting state, preoperative multimodal analgesia, and pectoralis I and II blocks...
November 19, 2018: World Journal of Surgery
Daniel K Ford, Aaron Richman, Lena M Mayes, Paul S Pagel, Karsten Bartels
BACKGROUND: Improving research productivity is a common goal in academic anesthesiology. Initiatives to enhance scholarly productivity in anesthesiology were proposed more than a decade ago as a result of emphasis on clinical work. We hypothesized that American Board of Anesthesiology diplomates certified from 2006 to 2016 would be progressively more likely to have published at least once during this time period. METHODS: A complete list of 17,332 new diplomates was obtained from the American Board of Anesthesiology for the years 2006 to 2016...
November 16, 2018: Anesthesia and Analgesia
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