111,334 results match your criteria Anesthesia General


The effect of ultrasound-guided lung recruitment maneuvers on atelectasis in lung-healthy patients undergoing laparoscopic gynecologic surgery: a randomized controlled trial.

BMC Anesthesiol 2022 Jul 1;22(1):200. Epub 2022 Jul 1.

Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, Sichuan Province, China.

Background: Atelectasis is the primary cause of hypoxemia during general anesthesia. This study aimed to evaluate the impact of the combination of recruitment maneuvers (RM) and positive end-expiratory pressure (PEEP) on the incidence of atelectasis in adult women undergoing gynecologic laparoscopic surgery using pulmonary ultrasound.

Methods: In this study, 42 patients with healthy lungs undergoing laparoscopic gynecologic surgery were randomly divided into the recruitment maneuver group (RM group; 6 cm HO PEEP and RM) or the control group (C group; 6 cm HO PEEP and no RM), 21 patients in each group. Read More

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Coexistence of submandibular epithelioid angiosarcoma and papillary thyroid carcinoma: A case report.

Medicine (Baltimore) 2022 Jul 1;101(26):e29341. Epub 2022 Jul 1.

Department of Oncological Radiotherapy, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.

Introduction: Reports on the coexistence of epithelioid angiosarcoma (EA) and papillary thyroid carcinoma (PTC) are rare. Over the past 50 years, only 2 cases of coexistence of EA and PTC have been reported in English literature. Therefore, we report a rare case of coexistence of EA and PTC treated with surgery and adjuvant radiation therapy. Read More

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Can Postoperative Pain Be Prevented in Bariatric Surgery? Efficacy and Usability of Fascial Plane Blocks: a Retrospective Clinical Study.

Obes Surg 2022 Jul 1. Epub 2022 Jul 1.

Department of Anesthesiology and Pain Clinic, VKV American Hospital, Istanbul, Turkey.

Background: Providing analgesia after bariatric surgery might be challenging due to a high prevalence of obstructive sleep apnea syndrome and the increased sensitivity to respiratory depression triggered by opioid overuse after surgery. Various combination methods with paracetamol, nonsteroidal anti-inflammatory drugs (NSAIDs), and other pain medications such as ketamine or gabapentin have been suggested for reduction of the opioid usage. Regional anesthetic techniques represent a valuable option as they improve patient comfort while reducing opioid-related side effects. Read More

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Effects of sugammadex and neostigmine on mucociliary clearance in general anesthesia.

Eur Rev Med Pharmacol Sci 2022 Jun;26(12):4289-4294

Department of Anesthesiology and Reanimation, Corum, Turkey.

Objective: The aim of this study was to evaluate the effects of sugammadex and neostigmine used in general anesthesia on postoperative mucociliary clearance.

Patients And Methods: This prospective, randomized and double-blind study was performed on 60 non-smokers with ASA I-III underwent inguinal hernia repair under general anesthesia. Mucociliary clearance was assessed by nasal saccharine transit time (STT). Read More

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Spinal versus general anesthesia in retrograde intrarenal surgery.

Arch Ital Urol Androl 2022 Jun 29;94(2):195-198. Epub 2022 Jun 29.

Ege University Faculty of Medicine Anesthesiology and Reanimation Department, Izmir.

Aim: The indications for retrograde intrarenal surgery (RIRS) have greatly increased, however, there is still no consensus on the use of spinal anesthesia (SA) during this procedure. The aim of this study was to evaluate the comparability of surgical outcomes of RIRS performed under SA versus general GA for renal stones.

Materials And Methods: This was a retrospective, observational study in patients scheduled for RIRS in a single teaching hospital in Turkey. Read More

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Diastolic dysfunction and early liver allograft dysfunction: Like Oedipus.

Echocardiography 2022 Jun 30. Epub 2022 Jun 30.

General Surgery Clinic and Liver Transplant Center, University-Hospital of Udine, Udine, Italy.

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Problematic Airway and Anesthetic Dilemmas for Achondroplastic Dwarfism in the Acute Care Setting: A Case Report.

Cureus 2022 May 25;14(5):e25336. Epub 2022 May 25.

Anesthesiology, Jackson South Medical Center - University of Miami Miller School of Medicine, Miami, USA.

Patients with achondroplasia often present with anatomical abnormalities and altered cardiopulmonary physiology that significantly increase their perioperative risk for cardiovascular and respiratory complications (e.g., worsening ventilation-perfusion mismatch, imminent desaturation, difficult airway). Read More

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Application of Care Bundles in Postanesthesia Recovery for Elderly Patients with Colorectal Cancer.

Comput Math Methods Med 2022 21;2022:7669889. Epub 2022 Jun 21.

Department of Anesthesiology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou 310009, China.

Objective: Based on the postanesthesia recovery procedure for elderly patients with colorectal cancer, a care bundle program was conducted to validate its effectiveness.

Method: According to the characteristics of elderly patients with colorectal cancer, five measures including respiratory management, circulatory stability, pain assessment, body temperature monitoring, and internal environment stability were integrated into one bundle. Postanesthesia care unit (PACU) care bundle program for elderly patients was developed and used to improve recovery care. Read More

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Functional MRI Changes in Patients after Thyroidectomy under General Anesthesia.

Biomed Res Int 2022 21;2022:1935125. Epub 2022 Jun 21.

Department of Anesthesiology, Shengjing Hospital of China Medical University, China.

Cognitive changes affecting elderly patients following surgery under anesthesia have drawn significant attention and have been investigated in considerable depth. Resting-state functional magnetic resonance imaging (rs-fMRI) can be used to assess changes in brain functional connectivity (FC) associated with postoperative changes in cognition, a common complication in seniors undergoing surgery. In this study, we recruited 20 patients over 55 of age and scheduled an elective thyroidectomy under general anesthesia to assess perioperative changes in brain FC density (FCD) in patients undergoing thyroidectomy under general anesthesia using rs-fMRI. Read More

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The role of anesthesiologists in reducing opioid harm.

Can J Anaesth 2022 Jul 1. Epub 2022 Jul 1.

Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada.

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Links Between Swallowing and Consciousness: A Narrative Review.

Dysphagia 2022 Jun 30. Epub 2022 Jun 30.

Coma Science Group, GIGA-Consciousness, University of Liège, Liège, Belgium.

This literature review explores a wide range of themes addressing the links between swallowing and consciousness. Signs of consciousness are historically based on the principle of differentiating reflexive from volitional behaviors. We show that the sequencing of the components of swallowing falls on a continuum of voluntary to reflex behaviors and we describe several types of volitional and non-volitional swallowing tasks. Read More

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Combined proximal or distal nerve blocks for postoperative analgesia after total knee arthroplasty: a randomised controlled trial.

Br J Anaesth 2022 Jun 28. Epub 2022 Jun 28.

Department of Anesthesiology, Clinique Medipole Garonne, Toulouse, France.

Background: Many regional anaesthetic techniques have been proposed to manage pain after total knee arthroplasty, but the best approach is unclear. We compared opioid consumption in the first 48 h between two different regional anaesthesia strategies in patients undergoing total knee arthroplasty.

Methods: In this single-centre, prospective study, we randomly allocated 90 patients to a combination of IPACK (interspace between popliteal artery and capsule of the posterior knee), triangle femoral and obturator nerve blocks (distal group), or a combination of sciatic, femoral, obturator, and lateral femoral cutaneous nerve blocks (proximal group). Read More

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Impact of cardiopulmonary bypass duration on efficacy of fibrinogen replacement with cryoprecipitate compared with fibrinogen concentrate: a post hoc analysis of the Fibrinogen Replenishment in Surgery (FIBRES) randomised controlled trial.

Br J Anaesth 2022 Jun 27. Epub 2022 Jun 27.

Department of Anesthesia and Pain Management, University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada; Peter Munk Cardiac Centre and Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada.

Background: Coagulopathy in cardiac surgery is frequently associated with acquired hypofibrinogenaemia, which can be treated with either purified fibrinogen concentrate (FC) or cryoprecipitate. Because the latter is not purified and therefore contains additional coagulation factors, it is thought to be more effective for treatment of coagulopathy that occurs after prolonged cardiopulmonary bypass (CPB). We examined the impact of CPB duration on the efficacy of the two therapies in cardiac surgery. Read More

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Monitoring in carotid endarterectomy.

Handb Clin Neurol 2022 ;186:355-374

Department of Neurosurgery, Mount Sinai Hospital, New York, NY, United States.

Cerebral ischemia during carotid endarterectomy occurs via several mechanisms: inadequate collateral blood flow during carotid cross-clamping, thromboembolism due to carotid manipulation, and/or rethrombosis at the surgical site. Perioperative strokes increase not only the morbidity of endarterectomy but also its short- and long-term mortality. However, while several predictors of cerebral ischemia have been identified, precise individual risk is hard to assess. Read More

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January 2022

Trigonocephaly: Quantitative comparison of the complete vault reconstruction and minimally invasive suturectomy.

World Neurosurg 2022 Jun 27. Epub 2022 Jun 27.

Department of General Surgery, Division of plastic surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Objective: To present and compare outcomes and complications of conventional open reconstruction and minimally invasive correction of metopic synostosis in patients who underwent treatment of trigonocephaly in our center between 2015 and 2019.

Materials And Methods: The hospital database was searched for hospitalization and surgical information, as well as imaging of individuals with trigonocephaly. Post-operation evaluation of the patients was performed during the follow-up sessions. Read More

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Double epidural catheter technique in a patient with severe COPD undergoing major abdominal surgery: A case report.

Int J Surg Case Rep 2022 Jun 25;96:107350. Epub 2022 Jun 25.

Anesthesiology, Critical Care, and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy; Obstetric Anesthesia Unit, 2nd Division of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.

Introduction And Importance: Chronic Obstructive Pulmonary Disease (COPD) leads to the development of postoperative pulmonary complications (PPC), such as atelectasis, pneumonia and respiratory failure. The use of epidural anesthesia, alone or combined with general anesthesia, is known to reduce the incidence of PPC and shorten tracheal intubation time. In major procedures involving both the lower and upper abdomen, central neuraxial block at a single level may be inadequate to provide sufficient metameric extension of anesthesia. Read More

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Sevoflurane requirements during electroencephalogram (EEG)-guided vs standard anesthesia Care in Children: A randomized controlled trial.

J Clin Anesth 2022 Jun 27;81:110913. Epub 2022 Jun 27.

Department of Pediatric Anesthesia, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore.. Electronic address:

Study Objectives: Intra-operative electroencephalographic (EEG) monitoring utilizing the spectrogram allows visualization of children's brain response during anesthesia and may complement routine cardiorespiratory monitoring to facilitate titration of anesthetic doses. We aimed to determine if EEG-guided anesthesia will result in lower sevoflurane requirements, lower incidence of burst suppression and improved emergence characteristics in children undergoing routine general anesthesia, compared to standard care.

Design: Randomized controlled trial. Read More

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Painless Gastrointestinal Endoscopy Assisted with Computed Tomography Image Information Data Monitoring in Postoperative Neurocognitive Dysfunction in Patients with Combined Anesthesia of Propofol and Butorphanol Tartrate under Electronic Health.

Comput Math Methods Med 2022 20;2022:7086472. Epub 2022 Jun 20.

Department of Neurology, Daqing Oilfields General Hospital, Daqing, 163000 Heilongjiang, China.

The aim of this study was to explore the value of computed tomography (CT) images based on electronic health (E-health) combined with painless gastrointestinal endoscopy (PGE) in the diagnosis of neurocognitive function in patients with combined anesthesia of propofol and butorphanol tartrate. 126 patients undergoing PGE were selected as the research objects, and all were performed with CT perfusion imaging before and after anesthesia to obtain the cerebral blood volume (CBV), cerebral blood flow (CBF), mean transit time (MTT), and time to peak (TTP). The Montreal Cognitive Assessment (MoCA) was adopted to evaluate the cognitive function of patients. Read More

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Posterior Lumbar Plexus Block Anesthesia for Elderly Patients with Lower Limb Fracture.

Dis Markers 2022 20;2022:8494796. Epub 2022 Jun 20.

Department of Orthopedics, Huizhou Third People's Hospital, No. 1 Dongsheng Road, Huicheng District, Huizhou, Guangdong, China 516001.

The incidence rate of lower limb fractures is high and has increased over the recent years, which affects the physical and mental health and the daily activities of patients. Lower limb fractures are often treated surgically. Therefore, an effective anesthesia regimen is crucial for a smooth and stable operation. Read More

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Effects of Anticholinergic Drugs on Visual Acuity of Patients with Tracheal Intubation under General Anesthesia.

Dis Markers 2022 20;2022:4559547. Epub 2022 Jun 20.

Department of Pharmacy, Pinghu First People's Hospital, Pinghu, 314200 Zhejiang, China.

Background: General anesthesia (GA) is the core means of surgical intervention, mainly used for analgesia and anxiety relief. Therefore, it is necessary to understand the laboratory and clinical research results during induction of GA. Penehyclidine hydrochloride (PHCD) combined with atropine sulfate (Atr) has the potential to induce GA. Read More

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A Case of Cervical Intraneural Lipoma That Was Removed by Intercapsular Resection with No Resultant Postoperative Neurological Deficit.

Case Rep Otolaryngol 2022 20;2022:4618731. Epub 2022 Jun 20.

Department of Oral and Maxillofacial Surgery, Division of Oral Oncology, Showa University, School of Dentistry, 2-1-1 Kitasenzoku, Ohta-Ku, Tokyo 145-8515, Japan.

Intraneural lipomas in peripheral nerves of cervical lesions are extremely rare and have not been previously reported. We present a 48-year-old male with a gradually increasing right cervical mass since 5 years. He visited our department because of pain and difficulty in raising the right upper limb. Read More

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Ligneous conjunctivitis mimicking preseptal cellulitis in a 3-month-old infant.

Ophthalmic Genet 2022 Jun 29:1-4. Epub 2022 Jun 29.

Department of Ophthalmology, Ghent University Hospital, Ghent, Belgium.

Background: Ligneous conjunctivitis is a very rare form of pseudomembranous conjunctivitis with few published cases in literature. We aim to describe the ocular findings and treatment in an infant with ligneous conjunctivitis resembling preseptal cellulitis on presentation.

Materials And Methods: Case report of a 3-month-old girl who was referred to a tertiary centre for ophthalmic assessment due to progressive eyelid oedema with no response to initiated topical and systemic antibiotics. Read More

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Total Knee Arthroplasty Using Adjusted Restricted Kinematic Alignment for the Treatment of Severe Varus Deformity: Technical Note.

Orthop Surg 2022 Jun 29. Epub 2022 Jun 29.

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, China.

Objective: To describe a new alignment technique of adjusted restricted kinematic alignment (arKA) for the treatment of severe varus deformity in total knee arthroplasty.

Methods: Three female patients (three severe varus knees) who underwent navigation-assisted total knee arthroplasty (TKA) using arKA from April 2020 to September 2020 were included in this study, with an average age of 71.33 years (range, 61 to 80 years). Read More

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An enhanced recovery after surgery protocol in children who undergo nephrectomy for Wilms tumor safely shortens hospital stay.

J Pediatr Surg 2022 Jun 8. Epub 2022 Jun 8.

Division of General, Thoracic and Fetal Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.

Background: Pediatric unilateral renal tumors in the US are treated with upfront nephrectomy and surgical staging. We applied enhanced recovery after surgery (ERAS) principles in care of children after Wilms nephrectomy.

Methods: We reviewed records of pediatric unilateral nephrectomies for Wilms tumors, and analyzed tumor stage, surgical approach, length of operation, use of anesthesia adjuncts and catheters, diet advancement, hospital length of stay (LOS), and complications. Read More

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Self-reported Race/Ethnicity and Occult Hypoxemia: Comment.

Anesthesiology 2022 Jun 30. Epub 2022 Jun 30.

Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts.

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Open Reimplementation of the BIS Algorithms for Depth of Anesthesia.

Anesth Analg 2022 Jun 27. Epub 2022 Jun 27.

From the Harvard Medical School, Boston, Massachusetts.

Background: BIS (a brand of processed electroencephalogram [EEG] depth-of-anesthesia monitor) scores have become interwoven into clinical anesthesia care and research. Yet, the algorithms used by such monitors remain proprietary. We do not actually know what we are measuring. Read More

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Explanation for Error in Types of Medicare Patients Included in Aortic Valve Replacement Study.

Authors:
Mabel Chung

JAMA Cardiol 2022 Jun 29. Epub 2022 Jun 29.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston.

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Update on Minimalist TAVR Care Pathways: Approaches to Care in 2022.

Curr Cardiol Rep 2022 Jun 29. Epub 2022 Jun 29.

Division of Cardiology, Emory University School of Medicine, Atlanta, USA.

Purpose Of Review: This review summarizes current data supporting a minimalist TAVR approach and identifies the need for additional study to optimize TAVR care. The authors discuss future directions of the TAVR landscape and how this necessitates evolution of minimalist care pathways.

Recent Findings: Transcatheter aortic valve replacement (TAVR) has become a mainstay in the treatment of aortic stenosis since the initial procedure in 2002. Read More

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Effect of lidocaine infusion on intraoperative bleeding during functional endoscopic sinus surgery: a randomized controlled trial.

Minerva Anestesiol 2022 Jun 29. Epub 2022 Jun 29.

Ear, Nose, and Throat Department, Faculty of medicine, Assiut University, Assiut, Egypt.

Background: It is crucial to reduce bleeding during functional endoscopic sinus surgery (FESS). Our primary goal was to evaluate the effect of intravenous lidocaine infusion (ILI) as an adjunct to the enhanced recovery after surgery (ERAS) protocols on intraoperative bleeding during FESS. We hypothesised that ILI could improve the surgical field. Read More

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Support for health care workers and psychological distress: thinking about now and beyond the COVID-19 pandemic.

Health Promot Chronic Dis Prev Can 2022 Jun 29;42(10). Epub 2022 Jun 29.

Division of Infectious Diseases, University Health Network and Sinai Health System, Toronto, Ontario, Canada.

Introduction: This study explores the relationship between emotional support, perceived risk and mental health outcomes among health care workers, who face high rates of burnout and mental distress since the beginning of the COVID-19 pandemic.

Methods: A cross-sectional, multicentred online survey of health care workers in the Greater Toronto Area, Ontario, Canada, during the first wave of the COVID-19 pandemic evaluated coping strategies, confidence in infection control, impact of previous work during the 2003 SARS outbreak and emotional support. Mental health outcomes were assessed using the Generalized Anxiety Disorder scale, the Impact of Event Scale - Revised and the Patient Health Questionnaire (PHQ-9). Read More

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