keyword
https://read.qxmd.com/read/38537025/effects-of-an-early-intensive-blood-pressure-lowering-strategy-using-remifentanil-and-dexmedetomidine-in-patients-with-spontaneous-intracerebral-hemorrhage-a-multicenter-prospective-superiority-randomized-controlled-trial
#1
JOURNAL ARTICLE
Rui Dong, Fen Li, Bin Li, Qiming Chen, Xianjian Huang, Jiehua Zhang, Qibing Huang, Zeli Zhang, Yunxing Cao, Mingbiao Yang, Jianwei Li, Zhanfu Li, Cuiyu Li, Guohua Liu, Shu Zhong, Guang Feng, Ming Zhang, Yumei Xiao, Kangyue Lin, Yunlong Shen, Huanzhang Shao, Yuan Shi, Xiangyou Yu, Xiaopeng Li, Lan Yao, Xinyu Du, Ying Xu, Pei Kang, Guoyi Gao, Bin Ouyang, Wenjin Chen, Zhenhua Zeng, Pingyan Chen, Chunbo Chen, Hong Yang
BACKGROUND: Although it has been established that elevated blood pressure and its variability worsen outcomes in spontaneous intracerebral hemorrhage, antihypertensives use during the acute phase still lacks robust evidence. A blood pressure-lowering regimen using remifentanil and dexmedetomidine might be a reasonable therapeutic option given their analgesic and anti-sympathetic effects. The objective of this superiority trial was to validate the efficacy and safety of this blood pressure-lowering strategy that uses remifentanil and dexmedetomidine in patients with acute intracerebral hemorrhage...
March 27, 2024: Anesthesiology
https://read.qxmd.com/read/38536762/the-impact-of-musculoskeletal-ill-health-on-quality-of-life-and-function-after-critical-care-a-multicentre-prospective-cohort-study
#2
JOURNAL ARTICLE
O D Gustafson, E B King, M M Schlussel, A Arnold, C Wade, P S Nicol, M J Rowland, H Dawes, M A Williams
Physical disability is a common component of post-intensive care syndrome, but the importance of musculoskeletal health in this population is currently unknown. We aimed to determine the musculoskeletal health state of intensive care unit survivors and assess its relationship with health-related quality of life; employment; and psychological and physical function. We conducted a multicentre prospective cohort study of adults admitted to intensive care for > 48 h without musculoskeletal trauma or neurological insult...
March 27, 2024: Anaesthesia
https://read.qxmd.com/read/38536739/a-scoping-review-of-the-mechanisms-underlying-developmental-anesthetic-neurotoxicity
#3
JOURNAL ARTICLE
Matthew Thomas Borzage, Bradley S Peterson
Although anesthesia makes painful or uncomfortable diagnostic and interventional health care procedures tolerable, it may also disrupt key cellular processes in neurons and glia, harm the developing brain, and thereby impair cognition and behavior in children. Many years of studies using in vitro, animal behavioral, retrospective database studies in humans, and several prospective clinical trials in humans have been invaluable in discerning the potential toxicity of anesthetics. The objective of this scoping review was to synthetize the evidence from preclinical studies for various mechanisms of toxicity across diverse experimental designs and relate their findings to those of recent clinical trials in real-world settings...
March 27, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38535972/a-year-in-review-in-minerva-anestesiologica-2023-anesthesia-analgesia-and-perioperative-medicine
#4
JOURNAL ARTICLE
Franco Cavaliere, Massimo Allegri, Alparslan Apan, Luca Brazzi, Massimiliano Carassiti, Edmond Cohen, Pierangelo DI Marco, Olivier Langeron, Marco Rossi, Peter Spieth, David Turnbull, Frank Weber
No abstract text is available yet for this article.
March 2024: Minerva Anestesiologica
https://read.qxmd.com/read/38535971/research-progress-on-the-association-between-microrna-and-postoperative-cognitive-dysfunction
#5
JOURNAL ARTICLE
Yuanping Zhong, Yu Zhang, Zhaoqiong Zhu
Postoperative cognitive dysfunction (POCD) is a significant complication following surgery. The precise mechanisms underlying POCD remain elusive, although it is speculated that they involve central nervous system inflammation, oxidative stress and cellular apoptosis. MicroRNAs (miRNAs), a class of non-coding RNAs widely distributed in eukaryotes, have been implicated in the pathogenesis of neurodegenerative disorders and could potentially impact POCD. This review explores the association between miRNAs and POCD and provides an overview of the progress of current research on miRNAs in the pathogenesis, diagnosis, and treatment of POCD...
March 2024: Minerva Anestesiologica
https://read.qxmd.com/read/38535970/easy-to-implement-educational-interventions-to-bring-climate-smart-actions-to-daily-anesthesiologic-practice-a-cross-sectional-before-and-after-study
#6
JOURNAL ARTICLE
Theresa Dölker, Julia Schuler, Julia Wallqvist, Rolf Rossaint, Ana Kowark, Sebastian Ziemann, Frederick Schneider, Adrian A Baumann, Neal Conway, Linda GRÜßER
BACKGROUND: Anesthesia contributes significantly to a hospital's carbon footprint. Climate-smart actions have the potential to reduce greenhouse gas emissions. Prerequisites for sustainable behavior of providers are knowledge and awareness. We aimed to assess the change in anesthesiologists' climate-friendly behavior before and after educational interventions in three areas that every anesthesiologist can address in their daily clinical routine: 1) energy use; 2) recycling opportunities; 3) consumption of volatile anesthetics...
March 2024: Minerva Anestesiologica
https://read.qxmd.com/read/38535969/highlights-of-the-march-2024-issue
#7
JOURNAL ARTICLE
Franco Cavaliere
No abstract text is available yet for this article.
March 2024: Minerva Anestesiologica
https://read.qxmd.com/read/38533832/substantiating-green-healthcare-decisions-an-explorative-life-cycle-assessment-study-to-identify-differences-in-greenhouse-gas-emissions-between-general-vs-regional-anaesthesia-for-upper-extremity-surgery
#8
JOURNAL ARTICLE
Wouter Droog, Veronica Grace, Lieke Droog, Ronald H Hendriks, Lauran F C M van Oers, Robert Jan Stolker, Eilish M Galvin
No abstract text is available yet for this article.
March 27, 2024: European Journal of Anaesthesiology
https://read.qxmd.com/read/38533743/incidence-of-coexisting-diseases-in-adult-moyamoya-vasculopathy-patients-by-racial-group-at-a-large-american-referral-center
#9
JOURNAL ARTICLE
Noah Wheaton, Natasha Harrison, Anthony Doufas, Dipro Chakraborty, Alan Lee Chang, Nima Aghaeepour, Mark A Burbridge
No abstract text is available yet for this article.
March 27, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38533590/comment-on-comparison-of-the-pericapsular-nerve-group-block-with-the-intra-articular-and-quadratus-lumborum-blocks-in-primary-total-hip-arthroplasty-a-randomized-controlled-trial
#10
JOURNAL ARTICLE
Anju Gupta, Nitin Choudhary, Nishkarsh Gupta
No abstract text is available yet for this article.
March 27, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38533294/a-review-and-discussion-of-full-time-equivalency-and-appropriate-compensation-models-for-an-adult-intensivist-in-the-united-states-across-various-base-specialties
#11
JOURNAL ARTICLE
Michael Nurok, Brigid C Flynn, Marc Pineton de Chambrun, Mina Kazemian, Joel Geiderman, Mark E Nunnally
OBJECTIVES: Physicians with training in anesthesiology, emergency medicine, internal medicine, neurology, and surgery may gain board certification in critical care medicine upon completion of fellowship training. These clinicians often only spend a portion of their work effort in the ICU. Other work efforts that benefit an ICU infrastructure, but do not provide billing opportunities, include education, research, and administrative duties. For employed or contracted physicians, there is no singular definition of what constitutes an intensive care full-time equivalent (FTE)...
April 2024: Critical care explorations
https://read.qxmd.com/read/38533143/propofol-sedation-in-pediatric-upper-endoscopy-a-study-of-pharmacodynamics-and-the-effects-of-gastroenterologists-anesthesiologists-and-supervised-participants-on-the-procedure-time-and-sedation-time
#12
JOURNAL ARTICLE
Ahila Manivannan, Shailender Madani, Michael Woodall, George McKelvey, Sharon Kemper
Background and aims Propofol combined with fentanyl is a commonly used sedative for pediatric upper endoscopies (UEs). The primary aim was to study the association between propofol dose and procedure and sedation time. The secondary aims were to assess the pharmacodynamics of propofol use with fentanyl and evaluate if gastroenterologists' and anesthesiologists' years of experience or the presence of supervised participants (such as students, residents, and fellows) have any influence on the procedure and sedation time...
February 2024: Curēus
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
#13
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
#14
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/38532193/correction-seven-years-on-from-the-canadian-airway-focus-group-difficult-airway-guidelines-an-observational-survey
#15
Malcolm Howard, Ruediger Noppens, Nelson Gonzalez, Philip M Jones, Sonja M Payne
No abstract text is available yet for this article.
March 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38532191/medical-students-perspectives-on-and-understanding-of-anesthesiology-a-canadian-cross-sectional-survey
#16
JOURNAL ARTICLE
Michael Nixon, Monica Brundage, Ligia Cordovani, Adrienne Carr, Joycelyne Ewusie, Daniel Cordovani
PURPOSE: In Canada, three out of 17 medical schools do not mandate an anesthesia rotation in their clerkship curriculum. Understanding the effects of a mandatory anesthesiology rotation is important in determining its value to the specialty and guiding decision-making for medical educators. We sought to determine whether a mandatory anesthesia rotation affected students' understanding of anesthesiology, as well as their perspectives on anesthesia. METHODS: We conducted an anonymous cross-sectional survey of Canadian medical students graduating in 2021...
March 26, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38531623/risk-stratification-based-thromboprophylaxis-does-not-affect-mortality-after-fast-track-hip-and-knee-arthroplasty
#17
JOURNAL ARTICLE
Annette M Moisander, Konsta Pamilo, Jukka Huopio, Hannu Kautiainen, Anne Kuitunen, Juha Paloneva
BACKGROUND AND PURPOSE: Use of thromboprophylaxis effectively prevents pulmonary embolism (PE) and deaths after total hip and knee arthroplasty (THA and TKA). The optimum length of thromboprophylaxis is not known and has traditionally been based on the type of operation. Nowadays, a more individualized approach is preferred. This study analyzed if risk stratification-based planning of thromboprophylaxis has an association with the all-cause mortality after fast-track THA and TKA. PATIENTS AND METHODS: We compared fast-track THAs and TKAs operated between 2015-2016 and 2020-2021...
March 26, 2024: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/38531618/high-sensitive-troponint-interleukin-8-and-interleukin-6-link-with-post-surgery-risk-in-infant-heart-surgery
#18
JOURNAL ARTICLE
Elin M Thorlacius, Juho Keski-Nisula, Maria Vistnes, Tiina Ojala, Mattias Molin, Mats Synnergren, Birgitta S Romlin, Sven-Erik Ricksten, Håkan Wåhlander, Albert Gyllencreutz Castellheim
BACKGROUND: This study focuses on biomarkers in infants after open heart surgery, and examines the association of high-sensitive troponin T (hs-cTnT), interleukin-6 (IL-6), and interleukin-8 (IL-8) with postoperative acute kidney injury (AKI), ventilatory support time and need of vasoactive drugs. METHODS: Secondary exploratory study from a double-blinded clinical randomized trial (Mile-1) on 70 infants undergoing open heart surgery with cardiopulmonary bypass (CPB)...
March 26, 2024: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/38531283/quadratus-lumborum-block-vs-transversus-abdominis-plane-block-for-postoperative-pain-control-in-patients-with-nephrectomy-a-systematic-review-and-network-meta-analysis
#19
REVIEW
Tianyu Gao, Yigang Wang, Yuxin Zheng, Yonghao Yu, Qing Li, Linlin Zhang
STUDY OBJECTIVE: This systematic review and network meta-analysis aimed to compare the analgesic efficacy of transversus abdominis plane block (TAPB) and quadratus lumborum block (QLB) on nephrectomy. DESIGN: Systematic review and network meta-analysis. PATIENTS: Patients undergoing nephrectomy. INTERVENTIONS: TAPB and QLB for postoperative analgesia. MEASUREMENTS: The primary outcome was 24 h morphine-equivalent consumptions after surgery...
March 25, 2024: Journal of Clinical Anesthesia
https://read.qxmd.com/read/38530972/abstracts-of-papers-presented-at-the-2024-annual-meeting-of-the-society-for-technology-in-anesthesia-sta-january-11-14-2024
#20
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 1, 2024: Anesthesia and Analgesia
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