94,168 results match your criteria Anesthesia General


Association of Chromosome 9p21 with Subsequent Coronary Heart Disease Events: A GENIUS-CHD Study of Individual Participant Data.

Authors:
Riyaz S Patel Amand F Schmidt Vinicius Tragante Raymond O McCubrey Michael V Holmes Laurence J Howe Kenan Direk Axel Åkerblom Karin Leander Salim S Virani Karol A Kaminski Jochen D Muehlschlegel Marie-Pierre Dubé Hooman Allayee Peter Almgren Maris Alver Ekaterina V Baranova Hassan Behlouli Bram Boeckx Peter S Braund Lutz P Breitling Graciela Delgado Nubia E Duarte Line Dufresne Niclas Eriksson Luisa Foco Crystel M Gijsberts Yan Gong Jaana Hartiala Mahyar Heydarpour Jaroslav A Hubacek Marcus Kleber Daniel Kofink Pekka Kuukasjärvi Vei-Vei Lee Andreas Leiherer Petra A Lenzini Daniel Levin Leo-Pekka Lyytikäinen Nicola Martinelli Ute Mons Christopher P Nelson Kjell Nikus Anna P Pilbrow Rafal Ploski Yan V Sun Michael W T Tanck W H Wilson Tang Stella Trompet Sander W van der Laan Jessica Van Setten Ragnar O Vilmundarson Chiara Viviani Anselmi Efthymia Vlachopoulou Eric Boerwinkle Carlo Briguori John F Carlquist Kathryn F Carruthers Gavino Casu John Deanfield Panos Deloukas Frank Dudbridge Natalie Fitzpatrick Bruna Gigante Stefan James Marja-Liisa Lokki Paulo A Lotufo Nicola Marziliano Ify R Mordi Joseph B Muhlestein Christopher Newton-Cheh Jan Pitha Christoph H Saely Ayman Samman-Tahhan Pratik B Sandesara Andrej Teren Adam Timmis Frans Van de Werf Els Wauters Arthur A M Wilde Ian Ford David J Stott Ale Algra Maria G Andreassi Diego Ardissino Benoit J Arsenault Christie M Ballantyne Thomas O Bergmeijer Connie R Bezzina Simon C Body Peter Bogaty Gert J de Borst Hermann Brenner Ralph Burkhardt Clara Carpeggiani Gianluigi Condorelli Rhonda M Cooper-DeHoff Sharon Cresci Ulf de Faire Robert N Doughty Heinz Drexel James C Engert Keith A A Fox Domenico Girelli Emil Hagström Stanley L Hazen Claes Held Harry Hemingway Imo E Hoefer G Kees Hovingh Julie A Johnson Pim A de Jong J Wouter Jukema Marcin P Kaczor Mika Kähönen Jiri Kettner Marek Kiliszek Olaf H Klungel Bo Lagerqvist Diether Lambrechts Jari O Laurikka Terho Lehtimäki Daniel Lindholm B K Mahmoodi Anke H Maitland-van der Zee Ruth McPherson Olle Melander Andres Metspalu Witold Pepinski Oliviero Olivieri Grzegorz Opolski Colin N Palmer Gerard Pasterkamp Carl J Pepine Alexandre C Pereira Louise Pilote Arshed A Quyyumi A Mark Richards Marek Sanak Markus Scholz Agneta Siegbahn Juha Sinisalo J Gustav Smith John A Spertus Alexandre F R Stewart Wojciech Szczeklik Anna Szpakowicz Jurriën M Ten Berg George Thanassoulis Joachim Thiery Yolanda van der Graaf Frank L J Visseren Johannes Waltenberger Pim Van der Harst Jean-Claude Tardif Naveed Sattar Chim C Lang Guillaume Paré James M Brophy Jeffrey L Anderson Winfried März Lars Wallentin Vicky A Cameron Benjamin D Horne Nilesh J Samani Aroon D Hingorani Folkert W Asselbergs

Circ Genom Precis Med 2019 Mar 21. Epub 2019 Mar 21.

Department of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, Netherlands.

Background: Genetic variation at chromosome 9p21 is a recognized risk factor for coronary heart disease (CHD). However, its effect on disease progression and subsequent events is unclear, raising questions about its value for stratification of residual risk.

Methods: A variant at chromosome 9p21 (rs1333049) was tested for association with subsequent events during follow-up in 103,357 Europeans with established CHD at baseline from the GENIUS-CHD Consortium (73. Read More

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http://dx.doi.org/10.1161/CIRCGEN.119.002471DOI Listing

Relevance of experimental paradigms of anesthesia induced neurotoxicity in the mouse.

PLoS One 2019 21;14(3):e0213543. Epub 2019 Mar 21.

Center for Integrative Brain Research, Seattle Children's Research Institute, Seattle, WA, United States of America.

Routine general anesthesia is considered to be safe in healthy individuals. However, pre-clinical studies in mice, rats, and monkeys have repeatedly demonstrated that exposure to anesthetic agents during early post-natal periods can lead to acute neurotoxicity. More concerning, later-life defects in cognition, assessed by behavioral assays for learning and memory, have been reported. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0213543PLOS

Procedural Challenges During Intubation in Patients With Oropharyngeal Masses: A Prospective Observational Study.

Anesth Analg 2019 Mar 14. Epub 2019 Mar 14.

Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois.

Background: In patients who undergo surgery for oropharyngeal masses, intubation is almost always successful. However, technical aspects of airway management, including bag mask ventilation and oxygenation, may still be difficult. Although rates of airway difficulty and intubation success in these patients have been studied, these data may not reflect difficulty with individual components of the intubation process. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004089DOI Listing
March 2019
1 Read

In Response.

Anesth Analg 2019 Mar 14. Epub 2019 Mar 14.

Cardiovascular Division, University of Minnesota, Minneapolis, Minnesota Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama Division of Anesthesia & Critical Care, Pulmonary Medicine, Massachusetts General Hospital, Boston, Massachusetts Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama,

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http://dx.doi.org/10.1213/ANE.0000000000004116DOI Listing

Effects of Anticholinesterase Reversal Under General Anesthesia on Postoperative Cardiovascular Complications: A Retrospective Cohort Study.

Anesth Analg 2019 Mar 14. Epub 2019 Mar 14.

From the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.

Background: The anticholinesterase neostigmine and the muscarinic inhibitor glycopyrrolate are frequently coadministered for the reversal of neuromuscular blockade. This practice can precipitate severe bradycardia or tachycardia, but whether it affects the incidence of cardiovascular complications remains unclear. We hypothesized that anticholinesterase reversal with neostigmine and glycopyrrolate versus no anticholinesterase reversal increases the risk of postoperative cardiovascular complications among adult patients undergoing noncardiac surgery with general anesthesia. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004099DOI Listing

Kimura's Disease.

J Craniofac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Oral and Maxillofacial Surgery.

Kimura's disease (KD) is a benign, rare and chronic inflammatory disorder of unknown etiology and it affects subcutaneous tissues, lymph nodes, and salivary glands. The clinical manifestation of cases reported is mainly small neoplasms or enlarged lymph nodes, while cases for large masses are rarely reported. This case reveals a female patient of KD with large masses in the head and neck region. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005430DOI Listing
March 2019
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[Initial Experience of a TAVI Program: Analysis of the Anesthetic Decision and its Evolution].

Acta Med Port 2019 Feb 28;32(2):126-132. Epub 2019 Feb 28.

Serviço de Anestesiologia. Hospital de Santa Marta. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

Introduction: Transcatheter aortic valve implantation is a less invasive option for aortic valve replacement. The number of transcatheter aortic valve implantations under local anesthesia with sedation has been increasing as the team's experience increases and less invasive accesses are used. The aim of this study is to describe the evolution of the anesthetic technique in patients undergoing transcatheter aortic valve implantation at our center over the years, as which was compared. Read More

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http://dx.doi.org/10.20344/amp.10982DOI Listing
February 2019

Subsequent Event Risk in Individuals with Established Coronary Heart Disease: Design and Rationale of the GENIUS-CHD Consortium.

Authors:
Riyaz Patel Vinicius Tragante Amand F Schmidt Raymond O McCubrey Michael V Holmes Laurence J Howe Kenan Direk Axel Åkerblom Karin Leander Salim S Virani Karol A Kaminski Jochen D Muehlschlegel Hooman Allayee Peter Almgren Maris Alver Ekaterina V Baranova Hassan Behlouli Bram Boeckx Peter S Braund Lutz P Breitling Graciela Delgado Nubia E Duarte Marie-Pierre Dubé Line Dufresne Niclas Eriksson Luisa Foco Markus Scholz Crystel M Gijsberts Charlotte Glinge Yan Gong Jaana Hartiala Mahyar Heydarpour Jaroslav A Hubacek Marcus Kleber Daniel Kofink Salma Kotti Pekka Kuukasjärvi Vei-Vei Lee Andreas Leiherer Petra A Lenzini Daniel Levin Leo-Pekka Lyytikäinen Nicola Martinelli Ute Mons Christopher P Nelson Kjell Nikus Anna P Pilbrow Rafal Ploski Yan V Sun Michael W T Tanck W H Wilson Tang Stella Trompet Sander W van der Laan Jessica Van Setten Ragnar O Vilmundarson Chiara Viviani Anselmi Efthymia Vlachopoulou Lawien Al Ali Eric Boerwinkle Carlo Briguori John F Carlquist Kathryn F Carruthers Gavino Casu John Deanfield Panos Deloukas Frank Dudbridge Thomas Engström Natalie Fitzpatrick Kim Fox Bruna Gigante Stefan James Marja-Liisa Lokki Paulo A Lotufo Nicola Marziliano Ify R Mordi Joseph B Muhlestein Christopher Newton-Cheh Jan Pitha Christoph H Saely Ayman Samman-Tahhan Pratik B Sandesara Andrej Teren Adam Timmis Frans Van de Werf Els Wauters Arthur A M Wilde Ian Ford David J Stott Ale Algra Maria G Andreassi Diego Ardissino Benoit J Arsenault Christie M Ballantyne Thomas O Bergmeijer Connie R Bezzina Simon C Body Eric H Boersma Peter Bogaty Michiel Bots Hermann Brenner Jasper J Brugts Ralph Burkhardt Clara Carpeggiani Gianluigi Condorelli Rhonda M Cooper-DeHoff Sharon Cresci Nicolas Danchin Ulf de Faire Robert N Doughty Heinz Drexel James C Engert Keith A A Fox Domenico Girelli Diederick E Grobbee Emil Hagström Stanley L Hazen Claes Held Harry Hemingway Imo E Hoefer G Kees Hovingh Reza Jabbari Julie A Johnson J Wouter Jukema Marcin P Kaczor Mika Kähönen Jiri Kettner Marek Kiliszek Olaf H Klungel Bo Lagerqvist Diether Lambrechts Jari O Laurikka Terho Lehtimäki Daniel Lindholm B K Mahmoodi Anke H Maitland-van der Zee Ruth McPherson Olle Melander Andres Metspalu Anna Niemcunowicz-Janica Oliviero Olivieri Grzegorz Opolski Colin N Palmer Gerard Pasterkamp Carl J Pepine Alexandre C Pereira Louise Pilote Arshed A Quyyumi A Mark Richards Marek Sanak Agneta Siegbahn Tabassome Simon Juha Sinisalo J Gustav Smith John A Spertus Steen Stender Alexandre F R Stewart Wojciech Szczeklik Anna Szpakowicz Jean-Claude Tardif Jurriën M Ten Berg Jacob Tfelt-Hansen George Thanassoulis Joachim Thiery Christian Torp-Pedersen Yolanda van der Graaf Frank L J Visseren Johannes Waltenberger Peter E Weeke Pim Van der Harst Chim C Lang Naveed Sattar Vicky A Cameron Jeffrey L Anderson James M Brophy Guillaume Paré Benjamin D Horne Winfried März Lars Wallentin Nilesh J Samani Aroon D Hingorani Folkert W Asselbergs

Circ Genom Precis Med 2019 Mar 21. Epub 2019 Mar 21.

Department of Cardiology, Division Heart and Lungs, University Medical Center Utrecht, Utrecht, Netherlands.

Background: The "GENetIcs of sUbSequent Coronary Heart Disease" (GENIUS-CHD) consortium was established to facilitate discovery and validation of genetic variants and biomarkers for risk of subsequent CHD events, in individuals with established CHD.

Methods: The consortium currently includes 57 studies from 18 countries, recruiting 185,614 participants with either acute coronary syndrome, stable CHD or a mixture of both at baseline. All studies collected biological samples and followed-up study participants prospectively for subsequent events. Read More

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http://dx.doi.org/10.1161/CIRCGEN.119.002470DOI Listing

[Hypobaric spinal anesthesia in a large ventral hernia].

An Sist Sanit Navar 2019 Mar 21;0(0):69674. Epub 2019 Mar 21.

F.E.A. anestesiología y reanimación Hospital Reina Sofía Tudela (Navarra).

High abdominal wall surgery may require general anesthesia but, in patients with high risk of difficult airway and respiratory complications, local or regional anesthesia is the choice whenever possible. Spinal anesthesia usually used (both isobaric and hyperbaric) could compromise the respiratory function due to blockade of the T6 metamere or higher. Hypobaric spinal anesthesia (HSA) at low doses (3. Read More

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http://dx.doi.org/10.23938/ASSN.0585DOI Listing

Population genetics of 15 autosomal STR loci in the Han population of Ili Kazakh Autonomous Prefecture, Northwestern China.

Ann Hum Genet 2019 Mar 20. Epub 2019 Mar 20.

School of Forensic Medicine, China Medical University, Shenbei New District, Shenyang, China.

Purpose: China harbors 56 ethnic groups and Han accounts for >92% of the total Chinese population. We investigated the frequencies of 15 autosomal short tandem repeat (STR) loci in the Han population of the Ili Kazakh Autonomous Prefecture with the aim of expanding the available population information in human genetics databases and for forensic DNA analysis.

Subjects And Methods: We explored the genetic characteristics of 15 autosomal STR loci in 552 unrelated Chinese Han individuals from Ili Kazakh Autonomous Prefecture, Northwestern China using the AmpFISTR Identifiler PCR Amplification Kit. Read More

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http://dx.doi.org/10.1111/ahg.12314DOI Listing

Impact of anesthesiologist's fellowship status on the risk of general anesthesia for unplanned cesarean delivery.

Acta Anaesthesiol Scand 2019 Mar 21. Epub 2019 Mar 21.

New York Presbyterian Hospital/Weill Cornell, New York, New York.

Background: Neuraxial analgesia is preferred over general anesthesia for cesarean delivery (CD), particularly in the presence of a labor epidural catheter. We hypothesize that care by a non-obstetric anesthesiologist as compared to care by an obstetric anesthesiologist is associated with a higher risk for use of general anesthesia for CD for patients with a preexisting labor epidural catheter.

Methods: To determine whether fellowship status of the covering anesthesiologist was a risk factor for general anesthesia, we retrospectively investigated the rate of general anesthesia use in patients with epidural catheters placed for labor analgesia who subsequently required CD. Read More

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http://dx.doi.org/10.1111/aas.13350DOI Listing

Body temperature management during pediatric full mouth rehabilitation surgery under general anesthesia.

J Dent Sci 2018 Sep 7;13(3):263-266. Epub 2018 Jun 7.

Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan, ROC.

Background/purpose: It was found that body temperature would be gradually increased during pediatric full mouth rehabilitation surgery. Although the etiology is unknown, here, we introduced an effective method to maintain normothermia during this kind of surgery.

Materials And Methods: Following IRB approval, the medical records of pediatric patients who received full mouth rehabilitation surgery from Jan. Read More

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http://dx.doi.org/10.1016/j.jds.2018.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388863PMC
September 2018

Influence of dental plaque pH on caries status and salivary microflora in children following comprehensive dental care under general anesthesia.

J Dent Sci 2018 Mar 8;13(1):8-12. Epub 2017 Aug 8.

Pediatric Dentistry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taiwan.

Background/purpose: There is no report in examining dental plaque pH after dental care under general anesthesia. This study investigated the effects of comprehensive dental rehabilitation under general anesthesia on the oral environment of children with severe early childhood caries (S-ECC) and the influence of dental plaque pH on caries recurrence and salivary microflora.

Materials And Methods: Thirty-seven children (mean age, 51. Read More

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http://dx.doi.org/10.1016/j.jds.2017.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388801PMC

Efficacy and cost savings with the use of a minimal sedation / anxiolysis protocol for intra-articular corticosteroid injections in children with juvenile idiopathic arthritis: a retrospective review of prospectively collected data.

Pediatr Rheumatol Online J 2019 Mar 20;17(1):11. Epub 2019 Mar 20.

Department of Pediatric Anesthesiology, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue Pittsburgh, Pittsburgh, PA, 15224, USA.

Background: Intra-articular corticosteroid injections (IACI) are frequently used in the treatment of juvenile idiopathic arthritis. There is a paucity of evidence-based research describing methods of pain and anxiety control for this procedure. IACI were mostly performed under general anesthesia for children younger than 13 years old in our institution as of 2014. Read More

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http://dx.doi.org/10.1186/s12969-019-0312-yDOI Listing

Effect of ketofol versus propofol as an induction agent on ease of laryngeal mask airway insertion conditions and hemodynamic stability in pediatrics: an observational prospective cohort study.

BMC Anesthesiol 2019 Mar 20;19(1):41. Epub 2019 Mar 20.

Aksum University, PO box 298, Aksum City, Tigray, Ethiopia.

Background: Laryngeal mask airway is a supraglottic airway device which has led to a fundamental change in the management of modern general anesthesia. In the present study; we evaluated the laryngeal mask airway insertion conditions and hemodynamic changes comparing ketamine-propofol mixture (ketofol) with propofol. The study was to compare the ketamine-propofol mixture (ketofol) with propofolon the ease of laryngeal mask airway insertion conditions and hemodynamic effects for induction of general anesthesia. Read More

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http://dx.doi.org/10.1186/s12871-019-0711-0DOI Listing

Supraglottic jet oxygenation and ventilation assisted fiberoptic intubation in a paralyzed patient with morbid obesity and obstructive sleep apnea: a case report.

BMC Anesthesiol 2019 Mar 20;19(1):40. Epub 2019 Mar 20.

Department of Anesthesiology, Peking University People' s Hospital, Beijing, 100044, China.

Background: Hypoxia is a major concern and cause of morbidity or mortality during tracheal intubation after anesthesia induction in a pathological obese patient with obstructive sleep apnea (OSA). We introduce a case using Supraglottic jet oxygenation and ventilation (SJOV) to promote oxygenation/ventilation during fiberoptic intubation in a paralyzed patient with morbid obesity and OSA.

Case Presentation: A 46-year-old man weighting 176 kg with BMI 53. Read More

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http://dx.doi.org/10.1186/s12871-019-0709-7DOI Listing

Percutaneous navigable intradiscal decompression in treatment of lumbar disc herniation: a single-center experience

Turk J Med Sci 2019 Mar 21;49(2). Epub 2019 Mar 21.

Background/aim: Minimally invasive procedures have been increasingly used for the treatment of herniated discs. Nonsurgical interventions minimize the secondary damage to other tissues and shorten the length of hospital stay by avoiding general anesthesia. Possible complications are thermal injuries, root injury, discitis, endplate damage, dural injury, meningitis, infection, increase in pain, and muscle spasm. Read More

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http://dx.doi.org/10.3906/sag-1805-187DOI Listing

Use of dexmedetomidine in pediatric cardiac anesthesia.

Curr Opin Anaesthesiol 2019 Mar 15. Epub 2019 Mar 15.

Department of Anesthesiology, Critical Care Medicine and Pain Therapy, University Hospital Münster, Münster, Germany.

Purpose Of Review: In recent years, ultrafast-track anesthesia with on-table extubation and concepts of accelerated postoperative care have gained increasing support in pediatric congenital cardiac surgery. It is believed that such approaches might ideally combine economic benefits with a striving for continuous improvement of patient outcomes. The present review summarizes the role of dexmedetomidine (DEX) in this setting. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000731DOI Listing

Low guanylyl cyclase activity in Weddell seals: Implications for peripheral vasoconstriction and perfusion of the brain during diving.

Am J Physiol Regul Integr Comp Physiol 2019 Mar 20. Epub 2019 Mar 20.

Anesthesia, Critical Care & Pain Medicine, Massachusetts General Hospital.

Nitric oxide (NO) is a potent vasodilator, which improves perfusion and oxygen delivery during tissue hypoxia in terrestrial animals. The vertebrate dive response involves vasoconstriction in select tissues, which persists despite profound hypoxia. Using tissues collected from Weddell seals at necropsy, we investigated whether vasoconstriction is aided by down-regulation of local hypoxia signaling mechanisms. Read More

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http://dx.doi.org/10.1152/ajpregu.00283.2018DOI Listing

A cross-cultural validation of the Multidimensional Pain Readiness to Change Questionnaire 2 for Japanese individuals with chronic pain.

Pain Pract 2019 Mar 20. Epub 2019 Mar 20.

Pain Management Clinic, Shiga University of Medical Science Hospital, Otsu, Shiga, Japan.

Objectives: The Multidimensional Pain Readiness to Change Questionnaire 2 (MPRCQ2) is a reliable and valid measure which assesses readiness to adopt a variety of discrete pain self-management responses. We sought to translate and evaluate psychometric properties of the Japanese version of the MPRCQ2 (MPRCQ2-J) in individuals with chronic pain.

Methods: One hundred and seventy-three individuals with chronic pain were asked to complete the MPRCQ2-J, as well as measures assessing pain intensity, pain interference, self-efficacy, and general readiness to adopt a self-management approach for pain. Read More

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http://dx.doi.org/10.1111/papr.12782DOI Listing

Endovenous Celon radiofrequency-induced thermal therapy of great saphenous vein: A retrospective study with a 3-year follow-up.

SAGE Open Med 2018 21;6:2050312118794591. Epub 2018 Aug 21.

L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France.

Objective: Our main objective was to evaluate the short- and long-term efficacy of Celon radiofrequency-induced thermal therapy for endovenous treatment of incompetent great saphenous vein. The secondary objectives were to report on possible short-term side effects and complications.

Methods: This was a retrospective study of 112 consecutive patients included between 2013 and June 2015. Read More

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http://dx.doi.org/10.1177/2050312118794591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416801PMC

Elevated Gut Microbiome-Derived Propionate Levels Are Associated With Reduced Sterile Lung Inflammation and Bacterial Immunity in Mice.

Front Microbiol 2019 14;10:159. Epub 2019 Feb 14.

Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, CA, United States.

Short-chain fatty acids (SCFA) are important dietary and microbiome metabolites that can have roles in gut immunity as well as further afield. We previously observed that gut microbiome alteration via antibiotics led to attenuated lung inflammatory responses. The rationale for this study was to identify gut microbiome factors that regulate lung immune homeostasis. Read More

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http://dx.doi.org/10.3389/fmicb.2019.00159DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413706PMC
February 2019

Knowledge, Attitude and Practice about Dengue Fever among Patients Experiencing the 2017 Outbreak in Vietnam.

Int J Environ Res Public Health 2019 Mar 18;16(6). Epub 2019 Mar 18.

Center of Excellence in Behavior Medicine, Nguyen Tat Thanh University, Ho Chi Minh 70000, Vietnam.

There is a gap in the literature on the understanding of the general Vietnamese population toward dengue fever (DF). This study aimed to explore knowledge, attitudes, practice (KAP) of dengue fever among Vietnamese participants and the potential associated factors. A cross-sectional study was conducted among 330 patients at the Bach Mai Hospital in Northern Vietnam. Read More

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http://dx.doi.org/10.3390/ijerph16060976DOI Listing

Hemostatic profile in patients with and without postpartum hemorrhage

Rev Med Inst Mex Seguro Soc 2019 Mar 15;56(6):517-524. Epub 2019 Mar 15.

Secretaría de Salud, Hospital General Dr. Agustín O´Horán, Servicio de Medicina Interna. Mérida, Yucatán, México

Background: The association between coagulation profile and postpartum hemorrhage (PH) is still debated.

Objective: To determine the association between hemostatic profile and PH in women with cesarean operation (CO).

Methods: We included 92 patients with PH (cases) and 184 without (controls), patients were attended during 2014, at one hospital of the Instituto Mexicano del Seguro Social in Mérida, Yucatán. Read More

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Normal Liver Stiffness Values in Children - A Comparison of Three Different Elastography Methods.

J Pediatr Gastroenterol Nutr 2019 Mar 5. Epub 2019 Mar 5.

National Centre for Ultrasound in Gastroenterology, Department of Medicine, Haukeland University Hospital, Bergen, Norway.

Objectives: Noninvasive tests for the evaluation of liver fibrosis are particularly helpful in children to avoid general anesthesia and potential complications of invasive tests. We aimed to establish reference values for two different elastography methods in a head-to-head-comparison for children and adolescents 4-17 years, using transient elastography as common reference in a subset.

Methods: 243 healthy participants aged 4-17 years were examined by a single observer with a full liver B-mode scan prior to elastography, following a minimum of 3 hours fasting. Read More

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http://dx.doi.org/10.1097/MPG.0000000000002320DOI Listing

Volatile Anesthetics versus Total Intravenous Anesthesia for Cardiac Surgery.

N Engl J Med 2019 Mar 19. Epub 2019 Mar 19.

From the Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute (G.L., F.M., R.L., N.D.T., M.C., M.P., A.B., A.M.S., M.G.C., A.Z.), and Vita-Salute San Raffaele University (G.L., A.Z.), Milan, Istituto di Anestesia e Rianimazione, Azienda Ospedaliera di Padova, Padua (C.C.), Anesthesia and Intensive Care Department, University Campus Bio-Medico of Rome (F.E.A.), and Anestesia e Rianimazione, Dipartimento Cardiovascolare, Azienda Ospedaliera San Camillo Forlanini (L.S.), Rome, the Department of Cardiothoracic and Vascular Anesthesia and Intensive Care, University Hospital Policlinico S. Orsola, Bologna (M.B.), Dipartimento di Scienze Mediche e Chirurgiche, Università Magna Graecia di Catanzaro, Catanzaro (P.N.), Anestesia e Terapia Intensiva Cardiochirurgica, Istituto Clinico Humanitas, Rozzano (G.C.), the Department of Anesthesia, Intensive Care and Emergency, Città della Salute e della Scienza Hospital, and the Department of Surgical Sciences, University of Turin, Turin (L.B.), and the Anesthesiology and Intensive Care Clinic, Department of Medicine, University of Udine, Udine (T.B.) - all in Italy; the Department of Anesthesiology and Intensive Care, E. Meshalkin National Medical Research Center, Novosibirsk (V.V. Lomivorotov, V.A.S., D.N.P.), the Departments of Anesthesiology and Intensive Care (V.V.P.) and Cardiac Surgery (D.G.T.), Federal Center for Cardiovascular Surgery Astrakhan, Astrakhan, the Department of Anesthesia and Intensive Care, First Moscow State Medical University (V.V.P., V.V. Likhvantsev), and the Department of Intensive Care, Moscow Regional Clinical and Research Institute (V.V. Likhvantsev), Moscow, the Department of Anesthesia and Intensive Care, Ural Institute of Cardiology, Ekaterinburg (A.L.), the Laboratory for Anesthesiology and Intensive Care, Almazov National Medical Research Center, Saint Petersburg (A.E.B.), and the Intensive Care Unit, Scientific Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo (E.V.G.) - all in Russia; the Anesthesia Section, Department of Surgery, Dante Pazzanese Institute of Cardiology (C.N.N.), the Department of Cardiopneumology, Instituto do Coração, Universidade de São Paulo, and the Intensive Care Unit, Hospital SirioLibanes (L.A.H.), and the Cardiac Surgery Section, Department of Surgery, Dante Pazzanese Institute of Cardiology (R.A.), São Paulo, Brazil; the Department of Cardiovascular Anesthesiology and Intensive Care Medicine, and the Clinical Department of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, Zagreb (N.B.), and the Department of Biomedical Sciences, University North, Varaždin (N.B.) - both in Croatia; the Department of Anesthesia and Intensive Care, Cardiovascular Institute Dedinje (G.G., M.J.), and the School of Medicine, University of Belgrade (M.J.), Belgrade, Serbia; the Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi (C.L.), and the Center for Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, Beijing (J.M.) - both in China; the Cardiothoracic Intensive Care Unit and Anesthesia Department, Mohammed Bin Khalifa Cardiac Center, Riffa, Bahrain (N.A.R.B.); the Department of Anesthesiology, Hospital de Santa Maria, Lisbon, Portugal (F.S.S.); the Department of Anesthesia, King Abdullah Medical City-Holy Capital, Makkah (A.M.G.A.F.), and the Anesthesiology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam (M.R.E.-T.) - both in Saudi Arabia; Anesthesia and Intensive Care, Acibadem City Clinic-Cardiac Surgery Center, Burgas, Bulgaria (N.S.U.); the Department of Anesthesiology, Resuscitation and Intensive Medicine, Charles University in Prague, First Faculty of Medicine and General Teaching Hospital (J.K.), and the Cardiothoracic Anesthesiology and Intensive Care, Department of Anesthesiology and Intensive Care Medicine, Institute for Clinical and Experimental Medicine (H.R.), Prague, Czech Republic; the Department of Anesthesiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia (C.Y.W.); the Anesthesia and Surgical Intensive Care Department, Faculty of Medicine, Zagazig University Hospitals, Zagazig (A.M.E.), and the Department of Anesthesia and Surgical Intensive Care, Mansoura University, Mansoura (M.A.H.) - both in Egypt; and the School of Medicine, University of Melbourne, Melbourne, VIC, Australia (R.B.).

Background: Volatile (inhaled) anesthetic agents have cardioprotective effects, which might improve clinical outcomes in patients undergoing coronary-artery bypass grafting (CABG).

Methods: We conducted a pragmatic, multicenter, single-blind, controlled trial at 36 centers in 13 countries. Patients scheduled to undergo elective CABG were randomly assigned to an intraoperative anesthetic regimen that included a volatile anesthetic (desflurane, isoflurane, or sevoflurane) or to total intravenous anesthesia. Read More

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http://dx.doi.org/10.1056/NEJMoa1816476DOI Listing

High flow nasal cannula compared with conventional oxygen therapy for acute hypoxemic respiratory failure: a systematic review and meta-analysis.

Intensive Care Med 2019 Mar 19. Epub 2019 Mar 19.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.

Background: This systematic review and meta-analysis summarizes the safety and efficacy of high flow nasal cannula (HFNC) in patients with acute hypoxemic respiratory failure.

Methods: We performed a comprehensive search of MEDLINE, EMBASE, and Web of Science. We identified randomized controlled trials that compared HFNC to conventional oxygen therapy. Read More

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http://dx.doi.org/10.1007/s00134-019-05590-5DOI Listing

Donor Prone Positioning Protects Lungs from Injury During Warm Ischemia.

Am J Transplant 2019 Mar 19. Epub 2019 Mar 19.

Latner Thoracic Surgery Research Laboratories, Toronto General Hospital Research Institute, University Health Network, University of Toronto, Toronto, ON, Canada.

A large proportion of controlled donation after circulatory death (cDCD) donor lungs are declined because cardiac arrest does not occur in a suitable time after withdrawal of life-sustaining therapy. Improved strategies to preserve lungs after asystole may allow the recovery team to arrive after death actually occurs and enable the recovery of more lungs from cDCDs. The aim of this study was to determine the effect of donor positioning on the quality of lung preservation after cardiac arrest in a cDCD model. Read More

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http://dx.doi.org/10.1111/ajt.15363DOI Listing

Indications for General versus Local Anesthesia during Carotid Endarterectomy.

J Neurol Surg A Cent Eur Neurosurg 2019 Mar 18. Epub 2019 Mar 18.

Department of Neurosurgery, Faculty of Medicine in Pilsen, Charles University, University Hospital Pilsen, Pilsen, Czech Republic.

Background And Study Aims:  Both general anesthesia (GA) and local anesthesia (LA) are used in our department for carotid endarterectomy. The decision of which anesthetic technique to use during surgery is made on an individual basis. The aim of our study was to analyze the reasons for using GA or LA. Read More

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http://dx.doi.org/10.1055/s-0039-1678601DOI Listing

[Preclinical emergency anesthesia : A current state analysis from 2015-2017].

Anaesthesist 2019 Mar 18. Epub 2019 Mar 18.

Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen am Rhein, Deutschland.

Background And Objective: Due to multiple factors the performance of preclinical emergency anesthesia is fraught with risks even for experienced emergency physicians. In order to support emergency physicians in monitoring and management of anesthesia, the German practice management guidelines for preclinical emergency anesthesia in adults were published in 2015; however, current data on adherence to the guidelines are not available.

Material And Methods: In a retrospective register analysis of preclinical anesthesia from 2015-2017 in Baden-Württemberg, the recorded anesthetic agents, monitoring, airway management and medical disciplines of emergency physicians were analyzed. Read More

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http://dx.doi.org/10.1007/s00101-019-0562-6DOI Listing

A New Approach to Accomplish Intraoperative Cholangiography in Left Lateral Segmentectomy of Living Liver Donation.

Ann Transplant 2019 Mar 19;24:155-161. Epub 2019 Mar 19.

Liver Transplantation Center, Beijing Friendship Hospital, Capital Medical University and National Clinical Research Center for Digestive Diseases, Beijing, China (mainland).

BACKGROUND There are 2 main methods of bile duct division in harvesting left lateral segment of a living donor: 1) by intraoperative cholangiography through cystic duct with cholecystectomy, or 2) by direct vision with preoperative magnetic resonance cholangiopancreatography. Here, we present a new approach to cholangiography by using the bile duct stump of the fourth liver segment (B4 stump) to achieve left lateral segmentectomy in pediatric living donor liver transplantation. MATERIAL AND METHODS This was a prospective study of 221 living donors who had undergone intraoperative cholangiography via the B4 stump in the course of left lateral segmentectomy. Read More

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http://dx.doi.org/10.12659/AOT.915400DOI Listing

Effects of dexamethasone and hydrocortisone on rocuronium-induced neuromuscular blockade and reversal by sugammadex in a rat.

Korean J Anesthesiol 2019 Mar 19. Epub 2019 Mar 19.

Department of Biostatistics, Soonchunhyang University College of Medicine, Seoul, Republic of Korea.

Background: The facilitator effects of steroids on neuromuscular transmission may cause resistance to neuromuscular blocking agents. Additionally, steroids may hinder sugammadex reversal of neuromuscular blockade, but these findings remain controversial. Therefore, we explored the effect of dexamethasone and hydrocortisone on rocuronium-induced neuromuscular blockade and their inhibitory effect on sugammadex. Read More

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http://dx.doi.org/10.4097/kja.d.18.00238DOI Listing
March 2019
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The analgesic efficacy of the transversalis fascia plane (TFP) block in iliac crest bone graft harvesting: a randomized controlled trial.

Korean J Anesthesiol 2019 Mar 19. Epub 2019 Mar 19.

Department of Anesthesia, Toronto Western Hospital, University of Toronto, 399 Bathurst Street, Toronto, Ontario.

Background: Iliac crest bone graft (ICBG) harvesting is associated with significant perioperative pain and opioid consumption. Retrospective studies indicate the transversalis fascia plane (TFP) block can provide analgesia for anterior ICBG harvesting. We conducted a randomized controlled trial to establish the efficacy of the TFP block in this setting. Read More

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http://dx.doi.org/10.4097/kja.d.18.00352DOI Listing

The erector spinae plane block: a narrative review.

Korean J Anesthesiol 2019 Mar 19. Epub 2019 Mar 19.

Department of Anaesthesia, Critical Care and Pain Medicine. Consorcio Hospital General Universitario de Valencia. Av Tres Cruces, 2, 46014, Valencia. Spain.

Regional anesthesia and pain management have experienced advances in recent years with the appearance of fascial plane blockages. One of the last techniques that has been described is the erector spinae plane (ESP) block. During the last two years, the publications referring to ESP block have increased significantly. Read More

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http://ekja.org/journal/view.php?doi=10.4097/kja.d.19.00012
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http://dx.doi.org/10.4097/kja.d.19.00012DOI Listing
March 2019
2 Reads

Poor prognosis of retroperitoneal mixed extragonadal germ cell tumors in an HIV-infected man with severe immunosuppression and bilateral cryptorchidism: a case report.

Authors:
Ruili Li Hongjun Li

BMC Cancer 2019 Mar 18;19(1):244. Epub 2019 Mar 18.

Department of Radiology, Beijing Youan Hospital, Capital Medical University, No. 8, Xi Tou Tiao, Youanmen Wai, Fengtai District, Beijing, 100069, China.

Background: Nonseminomatous germ cell tumors (NSGCTs) represent one of the main groups of germ cell tumors (GCTs), and they have a more invasive course than seminomatous GCTs. Human immunodeficiency virus (HIV) positivity is considered to be a risk factor for testicular seminoma patients, but reports about HIV-infected individuals with NSGCTs are rare.

Case Presentation: We report a case of a retroperitoneal mixed extragonadal germ cell tumor in an HIV-infected man who has been diagnosed with bilateral cryptorchidism since birth. Read More

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http://dx.doi.org/10.1186/s12885-019-5456-0DOI Listing

Lower rate of delayed graft function is observed when epidural analgesia for living donor nephrectomy is administered.

BMC Anesthesiol 2019 Mar 18;19(1):38. Epub 2019 Mar 18.

Department of Anesthesiology and Critical Care, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.

Background: The beneficial effects of epidural analgesia (EDA) in terms of pain control and postoperative convalescence are widely known and led to a frequent use for patients who underwent living donor kidney nephrectomy. The objective of this study was to determine whether general anesthesia (GA) plus EDA compared to GA only, administered for living donor nephrectomy has effects on postoperative graft function in recipients.

Methods: In this monocentric, retrospective cohort analysis we analyzed the closed files of all consecutive donor- recipient pairs who underwent living donor kidney transplantations from 2008 to 2017. Read More

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http://dx.doi.org/10.1186/s12871-019-0713-yDOI Listing

Are peripheral nerve blocks effective in pain control of pediatric orthopedic tumor surgery?

Eklem Hastalik Cerrahisi 2019 Apr;30(1):46-52

Department of Anesthesiology and Reanimation, University of Health Sciences, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, 06200 Yenimahalle, Ankara, Turkey.

Objectives: This study aims to evaluate the efficacy of ultrasound (US)-guided peripheral nerve blocks in postoperative analgesia after pediatric orthopedic tumor surgery.

Patients And Methods: This retrospective study included 108 children (64 boys, 44 girls, mean age 10.23 years; range, 2 to 18 years) who were performed orthopedic tumor surgery under general anesthesia. Read More

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http://dx.doi.org/10.5606/ehc.2019.62395DOI Listing

[Overview of risk factors for failed percutaneous transforaminal endoscopic discectomy in lumbar disc herniation].

Zhongguo Gu Shang 2019 Feb;32(2):186-189

Chinese Medical Hospital of Zhejiang Province, Hangzhou 310006, Zhejiang, China;

The lumbar disc herniation is a common and recurrent disease in the department of orthopedics. At present, the treatment means mainly include conservative treatment and surgical treatment. Compared with traditional open surgery, percutaneous transforaminal endoscopic discectomy (PTED) is safe, effective, economical and minimally invasive. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.02.019DOI Listing
February 2019

HINTEGRA Revision Arthroplasty for Failed Total Ankle Prostheses: Surgical Technique.

JBJS Essent Surg Tech 2014 Jun 26;3(2):e12. Epub 2013 Jun 26.

Department of Orthopaedic Surgery, University Hospital of Basel, Spitalstrasse 21, CH-4031 Basel, Switzerland. E-mail address for A. Barg:

Introduction: In our experience, revision ankle arthroplasty with a three-component total ankle prosthesis following a failed total ankle replacement has provided encouraging midterm results with substantial pain relief while preserving the range of motion of the replaced ankle.

Step 1 Preoperative Assessment And Planning: Determine the treatment using a decision algorithm.

Step 2 Patient Positioning: Use spinal or general anesthesia, administer intravenous antibiotics, position the patient supine, and apply a tourniquet. Read More

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http://dx.doi.org/10.2106/JBJS.ST.M.00021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407940PMC

Surgical Treatment of Overcorrected Clubfoot Deformity.

JBJS Essent Surg Tech 2014 Mar 27;3(1):e4. Epub 2013 Feb 27.

Department of Orthopaedic Surgery, Kantonsspital Liestal, CH-4410 Liestal, Switzerland. E-mail address for M. Knupp: E-mail address for A. Barg: E-mail address for L. Bolliger: E-mail address for B. Hintermann:

Introduction: In our experience, a supramalleolar osteotomy with or without calcaneal osteotomy and midfoot osteotomy has been an effective treatment for sequelae resulting from overcorrected clubfoot deformity.

Step 1 Preoperative Assessment And Planning: Determine the treatment using the decisional algorithm in Figure 3.

Step 2 Patient Positioning: Use spinal or general anesthesia, administer intravenous antibiotics, position the patient supine, apply a tourniquet. Read More

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http://dx.doi.org/10.2106/JBJS.ST.L.00020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407946PMC

Partial arytenoidectomy in 14 standing horses (2013-2017).

Vet Surg 2019 Mar 18. Epub 2019 Mar 18.

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois.

Objective: To report our experience with partial arytenoidectomy in sedated standing horses.

Study Design: Retrospective study.

Animals: Fourteen client-owned adult horses. Read More

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http://dx.doi.org/10.1111/vsu.13192DOI Listing
March 2019
1 Read

In Response.

Anesth Analg 2019 Apr;128(4):e57-e58

Department of Anesthesia and Perioperative Care, Zuckerberg San Francisco General Hospital and Trauma Center, University of California San Francisco, San Francisco, California, Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, Massachusetts Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

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http://dx.doi.org/10.1213/ANE.0000000000004050DOI Listing

Escape From Oblivion: Neural Mechanisms of Emergence From General Anesthesia.

Anesth Analg 2019 Apr;128(4):726-736

Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

The question of how general anesthetics suppress consciousness has persisted since the mid-19th century, but it is only relatively recently that the field has turned its focus to a systematic understanding of emergence. Once assumed to be a purely passive process, spontaneously occurring as residual levels of anesthetics dwindle below a critical value, emergence from general anesthesia has been reconsidered as an active and controllable process. Emergence is driven by mechanisms that can be distinct from entry to the anesthetized state. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004006DOI Listing
April 2019
1 Read

Neuroinflammation in the Developing Brain: Risk Factors, Involvement of Microglial Cells, and Implication for Early Anesthesia.

Anesth Analg 2019 Apr;128(4):718-725

From the Division of Neonatology and Pediatric Intensive Care, University Hospitals Geneva, Geneva, Switzerland.

Microglia cells, the resident macrophages of the central nervous system, are key actors for specific brain functions that are critical for development and health. Microglial reactivity and functions, even when immature, play a major role if the developing brain is subjected to abnormal perinatal events. Brain exposure to general anesthesia, surgery, or analgesic drugs during early infancy may adversely affect its maturation and plasticity after injury. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004032DOI Listing

Anesthetic Management of Emergency Endovascular Thrombectomy for Acute Ischemic Stroke, Part 2: Integrating and Applying Observational Reports and Randomized Clinical Trials.

Anesth Analg 2019 Apr;128(4):706-717

From the Department of Anesthesia, The University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa.

The 2018 American Heart Association stroke care guidelines consider endovascular thrombectomy to be the standard of care for patients who have acute ischemic stroke in the anterior circulation when arterial puncture can be made: (1) within 6 h of symptom onset; or (2) within 6-24 h of symptom onset when specific eligibility criteria are satisfied. The aim of this 2-part review is to provide practical perspective on the clinical literature regarding anesthesia care of endovascular thrombectomy patients. In the preceding companion article (part 1), the rationale for rapid workflow and maintenance of blood pressure before reperfusion were reviewed. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004045DOI Listing

Anesthetic Management of Emergency Endovascular Thrombectomy for Acute Ischemic Stroke, Part 1: Patient Characteristics, Determinants of Effectiveness, and Effect of Blood Pressure on Outcome.

Anesth Analg 2019 Apr;128(4):695-705

From the Department of Anesthesia, The University of Iowa, Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa.

In the United States, stroke ranks fifth among all causes of death and is the leading cause of serious long-term disability. The 2018 American Heart Association stroke care guidelines consider endovascular thrombectomy to be the standard of care for patients who have acute ischemic stroke in the anterior circulation when arterial puncture can be made within 6 hours of symptom onset or within 6-24 hours of symptom onset when specific eligibility criteria are satisfied. The aim of this 2-part review is to provide practical perspective on the clinical literature regarding anesthesia care of patients treated with endovascular thrombectomy. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004044DOI Listing
April 2019
1 Read

Assessing Long-term Neurodevelopmental Outcome Following General Anesthesia in Early Childhood: Challenges and Opportunities.

Anesth Analg 2019 Apr;128(4):681-694

From the School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, United Kingdom.

Neurodegeneration has been reported in young animals after exposure to all commonly used general anesthetic agents. The brain may be particularly vulnerable to anesthetic toxicity during peak synaptogenesis (in gestation and infancy). Human studies of long-term neurodevelopmental outcome following general anesthesia in early childhood report contradictory findings. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004052DOI Listing
April 2019
1 Read

A Formula for Estimating the Appropriate Tube Depth for Intubation.

Anesth Prog 2019 ;66(1):8-13

Department of Perioperative Medicine, Division of Anesthesiology, Showa University School of Dentistry, Tokyo, Japan.

An estimation of the appropriate tubing depth for fixation is helpful to prevent inadvertent endobronchial intubation and prolapse of cuff from the vocal cord. A feasible estimation formula should be established. We measured the anatomical length of the upper-airway tract through the oral and nasal pathways on cephalometric radiographs and tried to establish the estimation formula from the height of the patient. Read More

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http://dx.doi.org/10.2344/anpr-65-04-04DOI Listing
January 2019

Endotracheal Intubation Complicated by a Palatal Tooth in a Patient With Treacher Collins Syndrome.

Anesth Prog 2019 ;66(1):42-43

Division of Dental Anesthesiology, Graduate School of Medicine and Dental Sciences, Niigata University, Niigata, Japan.

We report a case of difficult endotracheal intubation in a patient with Treacher Collins syndrome. A sixteen-year-old female patient scheduled for general anesthesia had a displaced palatal tooth that interfered with laryngoscope insertion into the pharyngeal space. To address this problem, we successfully performed endotracheal intubation using a fiberscope while elevating the epiglottic vallecula using a King Vision™ video laryngoscope. Read More

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http://dx.doi.org/10.2344/anpr-66-02-01DOI Listing
January 2019

Office-Based Sedation/General Anesthesia for COPD Patients, Part II.

Anesth Prog 2019 ;66(1):44-51

Private Practice, CarePoint Anesthesia, Denver, Colorado.

The safe treatment of patients with chronic obstructive pulmonary disease (COPD) in dental office office-based settings can be quite complex without a current understanding of the etiology, course, severity, and current treatment modalities of the disease. The additional concerns of providing sedation and/or general anesthesia to patients with COPD in settings outside of a hospital demand thorough investigation of individual patient presentation and realistic development of planned treatment that patients suffering from this respiratory condition can tolerate. Along with other co-morbidities, such as advanced age and potential significant cardiovascular compromise, the dental practitioner providing sedation or general anesthesia must tailor any treatment plan to address multiple organ systems and mitigate risks of precipitating acute respiratory failure from inadequate pain and/or anxiety control. Read More

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http://www.anesthesiaprogress.org/doi/10.2344/anpr-66-02-05
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http://dx.doi.org/10.2344/anpr-66-02-05DOI Listing
January 2019
1 Read