105,850 results match your criteria Anesthesia General


Evaluation of digital otoscopy in pediatric patients: A prospective randomized controlled clinical trial.

Am J Emerg Med 2021 Apr 27;46:150-155. Epub 2021 Apr 27.

Division of Pediatric Emergency Medicine, Department of Pediatrics, Johns Hopkins University, United States of America.

Background: Acute otitis media is often misdiagnosed. Pediatric trainees learn otoscopy from supervisors who cannot concurrently view the eardrum. Digital, smartphone otoscopes show promise to improve the visibility and learning due to a concurrent view by trainees and supervisors. Read More

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Implant-Prosthetic Rehabilitation of a Patient with Squamous Cell Carcinoma: A Case Report.

J Oral Implantol 2021 May 4. Epub 2021 May 4.

Atatürk University Faculty of Dentistry Prosthodontics Atatürk University Faculty of Dentistry Department of Prosthodontics TURKEY Erzurum Yakutiye 25240 Atatürk University Faculty of Dentistry.

Patients who have undergone maxillary resection procedures are rehabilitated with dental obturators or microvascular reconstruction. This case report describes implant-supported prosthetic rehabilitation of a patient who underwent maxillary resection due to squamous cell carcinoma. After maxillectomy surgery, the patient was rehabilitated using a surgical obturator for one week followed by an interim obturator until the surgical field was completely healed. Read More

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Spontaneous breathing for managing analgesia during balanced anesthesia with remifentanil and desflurane: a prospective, single center randomized controlled trial.

Med Gas Res 2021 Jul-Sep;11(3):94-99

Department of Anesthesiology and Intensive Care Medicine, St. Josef-Hospital, Ruhr-University of Bochum, Bochum, Germany.

The main goal of anesthesiology is to achieve the best level of analgesia and a fast recovery of consciousness following anesthesia. The preservation of spontaneous breathing during general anesthesia with anesthetic gases is practiced by many anesthetists. However, very few studies have dealt with these positive properties of volatile anesthetics such as sevoflurane or desflurane. Read More

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Ozone Therapy in the Prevention of Dental Plaque Formation in Dogs.

J Vet Dent 2021 May 4:8987564211013920. Epub 2021 May 4.

Department of Veterinary Surgery, Faculty of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil.

This study aims to assess ozonized mineral oil ointment application as an antiplaque therapy for dogs. Domestic healthy dogs received dental scaling and polishing under general anesthesia. Under standard feeding and homecare during 7 days, 20 dogs were randomly placed into 2 different groups for dental treatment. Read More

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Quality Indicators for Evaluating the Health Care of Patients with Rheumatoid Arthritis: a Korean Expert Consensus.

J Korean Med Sci 2021 May 3;36(17):e109. Epub 2021 May 3.

Division of Rheumatology, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.

Background: There is increasing interest in the quality of health care and considerable efforts are being made to improve it. Rheumatoid arthritis (RA) is a disease that can result in favorable outcomes when appropriate diagnosis and treatment are provided. However, several studies have shown that RA is often managed inappropriately. Read More

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Cost Savings of In-Office Pulsed Dye Laser Treatment of Port-Wine Birthmarks Without General Anesthesia.

Dermatol Surg 2021 Apr 30. Epub 2021 Apr 30.

Laser & Skin Surgery Center of New York, New York, New York Department of Dermatology and Cutaneous Biology, Thomas Jefferson University, Philadelphia, Pennsylvania.

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The association between residual neuromuscular blockade (RNMB) and critical respiratory events: a prospective cohort study.

Perioper Med (Lond) 2021 May 4;10(1):14. Epub 2021 May 4.

Anesthesia Technology Program, College of Applied Medical Sciences, King Saud bin Abdul-Aziz University for Health Sciences, Riyadh, Saudi Arabia.

Background: Inadequate neuromuscular recovery might impair pulmonary function among adult patients who undergo general anaesthesia and might thus contribute to critical respiratory events in the post-anaesthesia care unit (PACU). The pilot study aims to understand the baseline incidence of residual neuromuscular blockade (RNMB) and postoperative critical respiratory events (CREs), which are described in a modified Murphy's criteria in the PACU.

Method: This is a prospective cohort study from January to March 2017 from a tertiary hospital in Saudi Arabia with thirty adult patients over 18 years old scheduled for elective surgery under general anaesthesia with neuromuscular blocking drugs (NMBDs) who were enrolled in the study. Read More

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Impact of endodontic case difficulty on operating time of single visit nonsurgical endodontic treatment under general anesthesia.

BMC Oral Health 2021 May 3;21(1):231. Epub 2021 May 3.

National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.

Background: A Case Difficulty Assessment Form was designed for use in endodontic curricula, and to assist practitioners with treatment planning, referral and recording. The aim of this study was to determine how endodontic case difficulty factors influence the operating time of single-visit nonsurgical endodontic treatments under general anesthesia.

Methods: Data on 198 single-visit endodontic treatments (80 anterior teeth, 43 premolars, and 75 molars) performed under general anesthesia by a specialized practitioner were obtained from 119 special needs patients (mean [SD] age = 30. Read More

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Percutaneous endovascular abdominal aortic aneurysm repair with monitored anesthesia care decreases operative time but not pulmonary complications.

Vascular 2021 May 3:17085381211012908. Epub 2021 May 3.

Vascular & Endovascular Surgery, University of Miami & Miami VAMC, Miami, FL, USA.

Objectives: To report our experience and compare the results of percutaneous endovascular aortic aneurysm repair (PEVAR) performed under monitored anesthesia care (MAC) to PEVAR under general anesthesia (GA).

Methods: A retrospective review of patients who underwent non-emergency endovascular abdominal aortic aneurysm repair (EVAR) was completed. Patients were excluded if they had a complex repair, including fenestrated, branched, or parallel endografting. Read More

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General anesthesia for emergency caesarean delivery: simulation-based evaluation of residents.

Braz J Anesthesiol 2021 Apr 30. Epub 2021 Apr 30.

Centro Hospitalar e Universitário de Coimbra, Serviço de Anestesiologia, Coimbra, Portugal.

Introduction: Decreased rates of General Anesthesia (GA) for Caesarean Section (C-section) create a learning problem for anesthesia trainees. In this context, training the management of GA for C-section using simulation techniques allows a safe environment for exposure, learning, performance improvement, and capability retention.

Objective: Analyze anesthesia residents' performance regarding a simulated clinical case of GA for emergency C-section and identify specific deficits in skill acquisition. Read More

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Asystole Triggered by the Mouth Opening With a Dental Mouth Gag Under General Anesthesia During Pediatric Oral Surgery: Report of a Rare Case.

J Oral Maxillofac Surg 2021 Mar 26. Epub 2021 Mar 26.

Chief Professor, Division of Dento-oral Anesthesiology, Tohoku University Graduate School of Dentistry, Sendai, Miyagi, Japan.

The trigeminovagal reflex manifests as a sudden onset of bradycardia, hypotension, and cardiac arrest in response to the stimulation of the trigeminal nerve. The incidence of trigeminovagal reflex in maxillofacial surgical procedures is approximately 1.6%. Read More

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Gut Microbiota Represent a Major Thermogenic Biomass.

Function (Oxf) 2021 15;2(3):zqab019. Epub 2021 Apr 15.

Department of Physiology, Medical College of Wisconsin, Milwaukee, WI, USA.

Evidence supports various roles for microbial metabolites in the control of multiple aspects of host energy flux including feeding behaviors, digestive efficiency, and energy expenditure, but few studies have quantified the energy utilization of the biomass of the gut microbiota itself. Because gut microbiota exist in an anoxic environment, energy flux is expected to be anaerobic; unfortunately, commonly utilized O/CO respirometry-based approaches are unable to detect anaerobic energy flux. To quantify the contribution of the gut microbial biomass to whole-animal energy flux, we examined the effect of surgical reduction of gut biomass in C57BL/6J mice via cecectomy and assessed energy expenditure using methods sensitive to anaerobic flux, including bomb and direct calorimetry. Read More

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Prediction of Prolonged Opioid Use After Surgery in Adolescents: Insights From Machine Learning.

Anesth Analg 2021 May 3. Epub 2021 May 3.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California.

Background: Long-term opioid use has negative health care consequences. Patients who undergo surgery are at risk for prolonged opioid use after surgery (POUS). While risk factors have been previously identified, no methods currently exist to determine higher-risk patients. Read More

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Longer time to extubation after general anesthesia with desflurane in patients with obstructive respiratory dysfunction: a retrospective study.

JA Clin Rep 2021 Apr 30;7(1):40. Epub 2021 Apr 30.

Department of Anesthesiology, National Hospital Organization Osaka National Hospital, 2-1-14, Hoenzaka, Chuo-Ku, Osaka City, Osaka, 540-0006, Japan.

Background: The prospect of patients with obstructive respiratory dysfunction undergoing surgery has increased with the growth in the elderly population; however, there have been few investigations about the recovery profile from volatile anesthesia. This study aimed to investigate the impact of obstructive respiratory dysfunction on recovery from desflurane anesthesia.

Methods: A retrospective cohort study included patients who underwent orthopedic lower limb surgery between September 2018 and March 2020. Read More

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Extremity Tourniquet Training at High Seas.

World J Surg 2021 Apr 30. Epub 2021 Apr 30.

Department of General Surgery, Lozano Blesa University Hospital, Avenida San Juan Bosco15, 50009, Zaragoza, Spain.

Background: Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess participants' perceptions of this educational experience and evaluate self-application simplicity while navigating on high seas. Read More

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Diminishing Efficacy of Prone Positioning With Late Application in Evolving Lung Injury.

Crit Care Med 2021 Apr 28. Epub 2021 Apr 28.

1 Department of Radiology, University of Pennsylvania, Philadelphia, PA. 2 Department of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA. 3 Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA. 4 Department of Radiology, University of Iowa, Iowa City, IA. 5 Department of Biomedical Engineering, Boston University, Boston, MA. 6 Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, VA. 7 Department of Physiology, University of Pennsylvania, Philadelphia, PA.

Objectives: It is not known how lung injury progression during mechanical ventilation modifies pulmonary responses to prone positioning. We compared the effects of prone positioning on regional lung aeration in late versus early stages of lung injury.

Design: Prospective, longitudinal imaging study. Read More

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Update on the SedLine algorithm for calculating the Patient State index of older individuals during general anesthesia: a randomized controlled trial.

Minerva Anestesiol 2021 May 3. Epub 2021 May 3.

Department of Anesthesiology, Fukushima Medical University School of Medicine, Fukushima, Japan.

Background: The SedLine sensor processes raw electroencephalogram (EEG) signals and displays the depth of sedation as a Patient State index (PSi). Reliance on standard processed EEG data and failure to recognize age-related effects can lead to an erroneous interpretation that low-amplitude EEG findings in an older patient signify an insufficient depth of anesthesia presented as abnormally high PSi values (AHPSi). We hypothesized that the incidence of AHPSi would decrease with the use of the recently-updated version of the SedLine sensor, in which the bispectral index (BIS) values were used to titrate anesthesia. Read More

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Appropriateness and Pattern of Antibiotic Prescription in Pediatric Patients at Adigart General Hospital, Tigray, Ethiopia.

Biomed Res Int 2021 10;2021:6640892. Epub 2021 Apr 10.

Adigrat University, Department of Pharmacy, Adigrat, Ethiopia.

Background: Inappropriate and unnecessary use of antibiotics can increase morbidity, mortality, medical expenses or patient cost, and microbial antibiotic resistance. However, in developing countries like Ethiopia, information regarding appropriateness of antibiotic prescribing pattern to guide improvement strategies is scant.

Objective: The aim of this study was to assess appropriateness and pattern of antibiotic prescription in pediatric patients at pediatric ward of Adigrat General Hospital. Read More

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Management of Patients With Acute Cholecystitis After Percutaneous Cholecystostomy: From the Acute Stage to Definitive Surgical Treatment.

Front Surg 2021 15;8:616320. Epub 2021 Apr 15.

Division of General Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Percutaneous cholecystostomy (PC) has become an important procedure for the treatment of acute cholecystitis (AC). PC is currently applied for patients who cannot undergo immediate laparoscopic cholecystectomy. However, the management following PC has not been well-reviewed. Read More

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Prolonged Postoperative Pyrexia and Transient Nonnephrogenic Vasopressin-Analogue-Resistant Polyuria following Endoscopic Transsphenoidal Resection of an Infundibular Epidermoid Cyst.

Case Rep Neurol Med 2021 13;2021:6690372. Epub 2021 Apr 13.

Department of Pathology, Uonuma Kikan Hospital, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, Niigata 949-7302, Japan.

Prolonged postoperative pyrexia (PPP) due to Mollaret's meningitis following endoscopic transsphenoidal surgery (eTSS) for an intracranial epidermoid cyst can be confused with postoperative meningeal infection after transsphenoidal resection, especially in the middle of the COVID-19 pandemic. Anosmia, as well as dysgeusia, cannot be evaluated in patients of eTSS for a while after surgery. We report a case of an infundibular epidermoid cyst with post-eTSS Mollaret's meningitis (MM). Read More

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Systems-Based Practice: Time to Finally Adopt the Orphan Competency.

J Grad Med Educ 2021 Apr 23;13(2 Suppl):96-101. Epub 2021 Apr 23.

is Associate Professor of Anesthesia, Harvard Medical School, and Program Director, Critical Care-Anesthesiology Fellowship, Massachusetts General Hospital.

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From Resilience to Burnout in Healthcare Workers During the COVID-19 Emergency: The Role of the Ability to Tolerate Uncertainty.

Front Psychol 2021 16;12:646435. Epub 2021 Apr 16.

U.O. of Obstetric Anesthesia, Clinical Risk, Fatebenefratelli Hospital, Rome, Italy.

The COVID-19 outbreak has placed extraordinary demands upon healthcare systems worldwide. Italy's hospitals have been among the most severely overwhelmed, and as a result, Italian healthcare workers' (HCWs) well-being has been at risk. The aim of this study is to explore the relationships between dimensions of burnout and various psychological features among Italian healthcare workers (HCWs) during the COVID-19 emergency. Read More

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Can Positive-Pressure Ventilation be Administered with Laryngeal Mask to Pediatric Patients Undergoing Laparoscopic Inguinal Hernia Operation?

Sisli Etfal Hastan Tip Bul 2021 17;55(1):108-114. Epub 2021 Mar 17.

Department of Pediatric Surgery, University of Health Sciences Turkey, Sisli Hamidiye Etfal Teaching and Research Hospital, Istanbul, Turkey.

Objectives: We aimed to investigate the effects of intubation and laryngeal mask airway (LMA) use by evaluating the results of blood gas tests, end-tidal CO measurements, and airway changes during laparoscopic inguinal hernia repair in children.

Methods: This study was designed to be a prospective randomized study enrolling 150 ASA-I patients, aged 1-8 years; who were scheduled for laparoscopic inguinal hernia repair. Group 1 (n=75) received general anesthesia with fentanyl, propofol, and rocuronium and they were orotracheally intubated. Read More

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Effects of Ultrasound-Guided Bilateral Cervical Plexus Block Combined with General Anesthesia in Patients Undergoing Total Parathyroidectomy and Partial Gland Autotransplantation Surgery.

Local Reg Anesth 2021 23;14:75-83. Epub 2021 Apr 23.

Department of Orthopaedics, The 960th Hospital of the People's Liberation Army Joint Logistical Support Force, Jinan, Shandong, People's Republic of China.

Background: The aim of this study is to evaluate the effect of ultrasound-guided bilateral cervical plexus block on general anesthesia, postoperative analgesia, and surgical outcomes in patients undergoing total parathyroidectomy with autotransplantation.

Patients And Methods: Forty-eight ASA III-IV patients with hyperparathyroidism secondary to renal failure were included: 24 patients received ultrasound-guided bilateral superficial and deep cervical plexus block combined with general anesthesia (group A), and 24 patients received general anesthesia alone (group B). Postoperative patient-controlled intravenous analgesia was provided with sufentanil 2 μg/kg. Read More

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Comparison of computed tomographic ocular biometry in brachycephalic and non-brachycephalic cats.

Vet World 2021 Mar 23;14(3):727-733. Epub 2021 Mar 23.

Department of Veterinary Surgery, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand.

Background And Aim: Ocular biometry has been used to evaluate ocular parameters; however, several factors need to be considered. In humans, age and sex have been shown to affect ocular biometry. The main factor that affects feline ocular biometry is the head circumference. Read More

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Comparison of General, Epidural, and Spinal Anesthesia in Laparoscopic TEP (Total Extraperitoneal Repair) for Inguinal Hernia.

Surg Laparosc Endosc Percutan Tech 2021 May 3. Epub 2021 May 3.

Departments of General Surgery Anesthesiology, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Purpose: Laparoscopic total extraperitoneal repair (TEP) is one of the most preferred minimally invasive methods for inguinal hernia repair. In our study, we aimed to compare the advantages and disadvantages of general anesthesia (GA), spinal anesthesia (SA), and epidural anesthesia (EA) for TEP operations.

Materials And Methods: This is a retrospective study involving 221 patients who underwent TEP surgery for inguinal hernia between January 2018 and July 2020. Read More

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Virtual reality for pediatric periprocedural care.

Curr Opin Anaesthesiol 2021 Jun;34(3):284-291

Division of Pediatric Anesthesiology, Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford.

Purpose Of Review: Commercial availability of virtual reality headsets and software has exponentially grown over the last decade as it has become more sophisticated, less expensive, and portable. Although primarily used by the general public for entertainment, virtual reality has been adopted by periprocedural clinicians to improve patient experiences and treatments. The purpose of this review is to explore recently reported evidence for virtual reality effectiveness for pediatric periprocedural care and discuss considerations for clinical implementation. Read More

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Anesthetic management for robotic hysterectomy in obese women.

Curr Opin Anaesthesiol 2021 Jun;34(3):238-245

Department of Anesthesiology, Division of Women's Anesthesia, Duke University School of Medicine, Durham, North Carolina, USA.

Purpose Of Review: Obesity is a major health epidemic, with the prevalence reaching ∼40% in the United States in recent years. It is associated with increased risk of hypertension, diabetes, heart disease, stroke, obstructive sleep apnea (OSA), and gynecologic conditions requiring surgery. Those comorbidities, in addition to the physiologic changes associated with obesity, lead to increased risk of perioperative complications. Read More

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Perinatal depression.

Authors:
Grace Lim

Curr Opin Anaesthesiol 2021 Jun;34(3):233-237

University of Pittsburgh Department of Anesthesiology & Perioperative Medicine.

Purpose Of Review: Perinatal depression is a common and debilitating complication of pregnancy and childbirth. Recent studies have elucidated relationships between acute birth events on depression risk, and novel treatments for postpartum depression have been discovered and approved. This article reviews current understandings about birth events on depression, new screening standards, and novel treatments for postpartum depression. Read More

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