collection
https://read.qxmd.com/read/25690174/when-was-the-last-time-you-induced-general-anesthesia-for-cesarean-section
#21
EDITORIAL
Hiroyuki Sumikura
No abstract text is available yet for this article.
December 2015: Journal of Anesthesia
https://read.qxmd.com/read/23984731/severe-sepsis-and-septic-shock
#22
REVIEW
Derek C Angus, Tom van der Poll
New England Journal of Medicine, Volume 369, Issue 9, Page 840-851, August 2013.
August 29, 2013: New England Journal of Medicine
https://read.qxmd.com/read/25702152/impact-of-robot-assisted-laparoscopic-prostatectomy-on-the-management-of-general-anesthesia-efficacy-of-blood-withdrawal-during-a-steep-trendelenburg-position
#23
JOURNAL ARTICLE
Junichi Saito, Satoko Noguchi, Anna Matsumoto, Kei Jinushi, Toshinori Kasai, Tomoyuki Kudo, Masahiro Sawada, Futoshi Kimura, Tetsuya Kushikata, Kazuyoshi Hirota
INTRODUCTION: Robot-assisted laparoscopic prostatectomy (RALP) is being increasingly used. However, a steep Trendelenburg position and pneumoperitoneum during RALP has an impact on the respiratory, cardiovascular and cerebrovascular systems. To prevent complications, restrictive fluid management and blood withdrawal have been utilized in our hospital. We examined differences in the anesthetic management between RALP and radical retropubic prostatectomy (RRP), and the efficacy of blood withdrawal...
August 2015: Journal of Anesthesia
https://read.qxmd.com/read/23101719/ventricular-arrhythmias-and-sudden-cardiac-death
#24
REVIEW
Roy M John, Usha B Tedrow, Bruce A Koplan, Christine M Albert, Laurence M Epstein, Michael O Sweeney, Amy Leigh Miller, Gregory F Michaud, William G Stevenson
Management strategies for ventricular arrhythmias are guided by the risk of sudden death and severity of symptoms. Patients with a substantial risk of sudden death usually need an implantable cardioverter defibrillator (ICD). Although ICDs effectively end most episodes of ventricular tachycardia or ventricular fibrillation and decrease mortality in specific populations of patients, they have inherent risks and limitations. Generally, antiarrhythmic drugs do not provide sufficient protection from sudden death, but do have a role in reducing arrhythmias that cause symptoms...
October 27, 2012: Lancet
https://read.qxmd.com/read/21350228/the-unanticipated-difficult-intubation-in-obstetrics
#25
REVIEW
Jill M Mhyre, David Healy
In this focused review, we discuss an algorithm specifically for the unanticipated difficult intubation in obstetrics. This generic algorithm emphasizes a standardized and prespecified sequence of interventions to provide safe, efficient, and effective airway management for the emergency obstetric surgical patient. Individual institutions and anesthesia providers are encouraged to use this framework to select specific pieces of equipment for each step, and to create regular opportunities for all obstetric anesthesia providers to become facile with each airway device and to integrate the algorithm under simulated conditions...
March 2011: Anesthesia and Analgesia
https://read.qxmd.com/read/20442261/residual-neuromuscular-block-lessons-unlearned-part-ii-methods-to-reduce-the-risk-of-residual-weakness
#26
REVIEW
Sorin J Brull, Glenn S Murphy
The aim of the second part of this review is to examine optimal neuromuscular management strategies that can be used by clinicians to reduce the risk of residual paralysis in the early postoperative period. Current evidence has demonstrated that frequently used clinical tests of neuromuscular function (such as head lift or hand grip) cannot reliably exclude the presence of residual paralysis. When qualitative (visual or tactile) neuromuscular monitoring is used (train-of-four [TOF], double-burst, or tetanic stimulation patterns), clinicians often are unable to detect fade when TOF ratios are between 0...
July 2010: Anesthesia and Analgesia
https://read.qxmd.com/read/20442260/residual-neuromuscular-block-lessons-unlearned-part-i-definitions-incidence-and-adverse-physiologic-effects-of-residual-neuromuscular-block
#27
REVIEW
Glenn S Murphy, Sorin J Brull
In this review, we summarize the clinical implications of residual neuromuscular block. Data suggest that residual neuromuscular block is a common complication in the postanesthesia care unit, with approximately 40% of patients exhibiting a train-of-four ratio <0.9. Volunteer studies have demonstrated that small degrees of residual paralysis (train-of-four ratios 0.7-0.9) are associated with impaired pharyngeal function and increased risk of aspiration, weakness of upper airway muscles and airway obstruction, attenuation of the hypoxic ventilatory response (approximately 30%), and unpleasant symptoms of muscle weakness...
July 2010: Anesthesia and Analgesia
https://read.qxmd.com/read/17456235/malignant-hyperthermia
#28
REVIEW
Henry Rosenberg, Mark Davis, Danielle James, Neil Pollock, Kathryn Stowell
Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases such as halothane, sevoflurane, desflurane and the depolarizing muscle relaxant succinylcholine, and rarely, in humans, to stresses such as vigorous exercise and heat. The incidence of MH reactions ranges from 1:5,000 to 1:50,000-100,000 anesthesias. However, the prevalence of the genetic abnormalities may be as great as one in 3,000 individuals. MH affects humans, certain pig breeds, dogs, horses, and probably other animals...
April 24, 2007: Orphanet Journal of Rare Diseases
https://read.qxmd.com/read/19672175/placental-transfer-and-fetal-metabolic-effects-of-phenylephrine-and-ephedrine-during-spinal-anesthesia-for-cesarean-delivery
#29
RANDOMIZED CONTROLLED TRIAL
Warwick D Ngan Kee, Kim S Khaw, Perpetua E Tan, Floria F Ng, Manoj K Karmakar
BACKGROUND: Use of ephedrine in obstetric patients is associated with depression of fetal acid-base status. The authors hypothesized that the mechanism underlying this is transfer of ephedrine across the placenta and stimulation of metabolism in the fetus. METHODS: A total of 104 women having elective Cesarean delivery under spinal anesthesia randomly received infusion of phenylephrine (100 microg/ml) or ephedrine (8 mg/ml) titrated to maintain systolic blood pressure near baseline...
September 2009: Anesthesiology
https://read.qxmd.com/read/25383671/platelet-transfusion-a-clinical-practice-guideline-from-the-aabb
#30
JOURNAL ARTICLE
Richard M Kaufman, Benjamin Djulbegovic, Terry Gernsheimer, Steven Kleinman, Alan T Tinmouth, Kelley E Capocelli, Mark D Cipolle, Claudia S Cohn, Mark K Fung, Brenda J Grossman, Paul D Mintz, Barbara A O'Malley, Deborah A Sesok-Pizzini, Aryeh Shander, Gary E Stack, Kathryn E Webert, Robert Weinstein, Babu G Welch, Glenn J Whitman, Edward C Wong, Aaron A R Tobian
BACKGROUND: The AABB (formerly, the American Association of Blood Banks) developed this guideline on appropriate use of platelet transfusion in adult patients. METHODS: These guidelines are based on a systematic review of randomized, clinical trials and observational studies (1900 to September 2014) that reported clinical outcomes on patients receiving prophylactic or therapeutic platelet transfusions. An expert panel reviewed the data and developed recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework...
February 3, 2015: Annals of Internal Medicine
https://read.qxmd.com/read/25742631/the-disposition-of-radiocontrast-in-the-interscalene-space-in-healthy-volunteers
#31
RANDOMIZED CONTROLLED TRIAL
Philippe Gautier, Catherine Vandepitte, Isabelle Schaub, Kristof Fourneau, Maxine M Kuroda, Yvan De Merlier, Admir Hadzic
BACKGROUND: We measured the spread of radiocontrast in the interscalene space after injection under low (<15 psi) and high (>20 psi) pressures. METHODS: Nine healthy volunteers received ultrasound-guided injections of 10 mL radio-opaque NaCl 0.9% in both interscalene spaces. Spread of injectate as assessed by computed tomography scan and discomfort on injection were recorded. RESULTS: Under both opening pressure conditions, injectate contacted 3 brachial plexus roots and spilled over the surface of the anterior and/or middle scalene muscles underneath the cervical fascia...
May 2015: Anesthesia and Analgesia
https://read.qxmd.com/read/22696320/colloids-versus-crystalloids-for-fluid-resuscitation-in-critically-ill-patients
#32
REVIEW
Pablo Perel, Ian Roberts
BACKGROUND: Colloid solutions are widely used in fluid resuscitation of critically ill patients. There are several choices of colloid and there is ongoing debate about the relative effectiveness of colloids compared to crystalloid fluids. OBJECTIVES: To assess the effects of colloids compared to crystalloids for fluid resuscitation in critically ill patients. SEARCH METHODS: We searched the Cochrane Injuries Group Specialised Register (searched 16 March 2012), Cochrane Central Register of Controlled Trials 2011, issue 3 (The Cochrane Library), MEDLINE (Ovid) 1946 to March 2012, Embase (Ovid) 1980 to March 2012, ISI Web of Science: Science Citation Index Expanded (1970 to March 2012), ISI Web of Science: Conference Proceedings Citation Index-Science (1990 to March 2012), PubMed (searched 16 March 2012), www...
June 13, 2012: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/25735498/pecs-block-for-anesthesia-in-breast-surgery-of-the-elderly
#33
LETTER
Hiroaki Murata, Taiga Ichinomiya, Tetsuya Hara
No abstract text is available yet for this article.
August 2015: Journal of Anesthesia
https://read.qxmd.com/read/25735711/memory-formation-during-anaesthesia-plausibility-of-a-neurophysiological-basis
#34
REVIEW
R A Veselis
As opposed to conscious, personally relevant (explicit) memories that we can recall at will, implicit (unconscious) memories are prototypical of 'hidden' memory; memories that exist, but that we do not know we possess. Nevertheless, our behaviour can be affected by these memories; in fact, these memories allow us to function in an ever-changing world. It is still unclear from behavioural studies whether similar memories can be formed during anaesthesia. Thus, a relevant question is whether implicit memory formation is a realistic possibility during anaesthesia, considering the underlying neurophysiology...
July 2015: British Journal of Anaesthesia
https://read.qxmd.com/read/23737258/quality-of-labour-neuraxial-analgesia-and-maternal-satisfaction-at-a-tertiary-care-teaching-hospital-a-prospective-observational-study
#35
JOURNAL ARTICLE
Jefferson Clivatti, Naveed Siddiqui, Akash Goel, Melissa Shaw, Ioana Crisan, Jose C A Carvalho
PURPOSE: Current labour analgesia practices are evidence-based; however, such evidence often originates in controlled trials, the results of which may not be readily applicable in the context of day-to-day clinical practice. The objective of this study was to evaluate the effectiveness of and maternal satisfaction with the neuraxial labour analgesia regimen provided at a tertiary care teaching hospital. METHODS: All women with a viable pregnancy who requested neuraxial analgesia for labour during November 2011 at our institution were approached to participate in this prospective study...
August 2013: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/23445092/ondansetron-in-pregnancy-and-risk-of-adverse-fetal-outcomes
#36
JOURNAL ARTICLE
Björn Pasternak, Henrik Svanström, Anders Hviid
BACKGROUND: Ondansetron is frequently used to treat nausea and vomiting during pregnancy, but the safety of this drug for the fetus has not been well studied. METHODS: We investigated the risk of adverse fetal outcomes associated with ondansetron administered during pregnancy. From a historical cohort of 608,385 pregnancies in Denmark, women who were exposed to ondansetron and those who were not exposed were included, in a 1:4 ratio, in propensity-score-matched analyses of spontaneous abortion (1849 exposed women vs...
February 28, 2013: New England Journal of Medicine
https://read.qxmd.com/read/25735497/efficacy-of-palonosetron-and-ramosetron-on-postoperative-nausea-and-vomiting-related-to-intravenous-patient-controlled-analgesia-with-opioids-after-gynecological-laparoscopic-surgery-double-blinded-prospective-randomized-controlled-trial
#37
RANDOMIZED CONTROLLED TRIAL
Seong-Hyop Kim, Chung-Sik Oh, Sun Joo Lee
PURPOSE: The study was designed to assess the efficacy of palonosetron and ramosetron in preventing postoperative nausea and vomiting (PONV) related to intravenous (IV) patient-controlled analgesia (PCA) with opioids after gynecological laparoscopic surgery. METHODS: Patients were randomly allocated to 4 groups-C, P, R0.3 and RPCA. At the end of surgery, group C received an infusion of 50 ml normal saline, group P received palonosetron 75 μg mixed in 50 ml normal saline, and groups R0...
August 2015: Journal of Anesthesia
https://read.qxmd.com/read/21632909/how-to-manage-type-2-diabetes-in-medical-and-surgical-patients-in-the-hospital
#38
REVIEW
Guilermo E Umpierez
Many patients admitted to the hospital have diabetes mellitus-diagnosed or undiagnosed-and others develop hyperglycemia from the stress of hospitalization. This paper discusses the prevalence, outcomes, and evidence for best management of hyperglycemia and diabetes in hospitalized patients outside the critical care setting.
June 2011: Cleveland Clinic Journal of Medicine
https://read.qxmd.com/read/19255396/supraventricular-tachycardia
#39
REVIEW
Jack C Salerno, Stephen P Seslar
Supraventricular tachycardia is the most common rhythm disturbance in children. We reviewed the spectrum of this common rhythm disorder from symptom recognition and epidemiology to management, with special attention to advancements in the available treatment options.
March 2009: Archives of Pediatrics & Adolescent Medicine
1
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.