99,053 results match your criteria Anesthesia General


Tranexamic Acid Is Associated With Improved Operative Field in Orthognathic Surgery.

J Oral Maxillofac Surg 2020 May 4. Epub 2020 May 4.

Professor, Unit of Oral and Maxillofacial Surgery, Oral Health Sciences Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Purpose: In the past, both tranexamic acid and dexmedetomidine have been used separately to decrease intraoperative blood loss during orthognathic surgery. However, their combined use in the same setting has never been prospectively evaluated. The present study was conducted to evaluate the effect of tranexamic acid on operative field visibility and blood loss during orthognathic surgery after dexmedetomidine-induced hypotensive anesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.joms.2020.04.037DOI Listing

The Effect of Atropine on Trigeminocardiac Reflex-induced Hemodynamic Changes During Therapeutic Compression of the Trigeminal Ganglion.

J Neurosurg Anesthesiol 2020 Jun 2. Epub 2020 Jun 2.

Second Department of Neurosurgery, People's Hospital of China Medical University (Liaoning Provical People's Hospital).

Background: Percutaneous compression of the trigeminal ganglion (PCTG) can induce significant hemodynamic perturbations secondary to the trigeminocardiac reflex (TCR). The aim of this study was to investigate the effect of atropine pretreatment on hemodynamic responses during PCTG for trigeminal neuralgia.

Materials And Methods: A total of 120 patients who received PCTG were randomly assigned to control and atropine groups that were pretreated with saline (n=60) and atropine 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/ANA.0000000000000702DOI Listing

The Changing Landscape of Anesthesia for Awake Craniotomies: Adapting to Intraoperative Magnetic Resonance Imaging.

J Neurosurg Anesthesiol 2020 Jun 2. Epub 2020 Jun 2.

Department of General Anesthesiology Cleveland Clinic, Cleveland, OH.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/ANA.0000000000000703DOI Listing

Impact of catheter-tissue contact force on lesion size during right ventricular outflow tract ablation in a swine model.

Chin Med J (Engl) 2020 Jun 2. Epub 2020 Jun 2.

Department of Cardiology, The First Affiliated Hospital, Guangxi Medical University, Nanning, Guangxi 530021, China.

Background: The catheter-tissue contact force (CF) is one of the significant determinants of lesion size and thus has a considerable impact on the effectiveness of ablation procedures. This study aimed to evaluate the impact of CF on the lesion size during right ventricular outflow tract (RVOT) ablation in a swine model.

Methods: Twelve Guangxi Bama miniature male pigs weighing 40 to 50 kg were studied. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CM9.0000000000000859DOI Listing

Antepartum Aspirin Administration Reduces Activin A and Cardiac Global Longitudinal Strain in Preeclamptic Women.

J Am Heart Assoc 2020 Jun 4:e015997. Epub 2020 Jun 4.

Department of Anesthesia and Critical Care University of Chicago IL.

Background Approximately 60% of women have Stage B heart failure 1 year after a preeclamptic delivery. Emerging evidence suggests that the profibrotic growth factor activin A, which has been shown to induce cardiac fibrosis and hypertrophy, is elevated in preeclampsia and may be inhibited by aspirin therapy. We hypothesized that preeclamptic women receiving aspirin would have lower activin A levels and reduced global longitudinal strain (GLS), a sensitive measure of cardiac dysfunction, than women who do not receive aspirin. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1161/JAHA.119.015997DOI Listing

Synchronous correction in secondary cleft deformities: a prospective cohort study.

Minerva Stomatol 2020 Jun 2. Epub 2020 Jun 2.

Department of Oral and Maxillofacial Surgery SRM Dental College and Hospital, Ramapuram, Chennai, India.

Background: Patients with cleft lip and palate deformities undergo multiple surgical procedures from infancy till adolescence. We hypothesized that combining these surgical procedures might offer a better quality of life without compromising on surgical outcomes.

Subjects & Methods: A prospective cohort study was conducted at our centre including all adult patients who reported to us for the correction of secondary cleft deformities. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.23736/S0026-4970.20.04302-2DOI Listing

COVID-19 and kidney transplantation: an Italian Survey and Consensus.

J Nephrol 2020 Jun 3. Epub 2020 Jun 3.

Division of General and Transplant Surgery, University of Pisa, Pisa, Italy.

Italy was the first Western country to face the COVID-19 pandemic. Here we report the results of a national survey on kidney transplantation activity in February and March 2020, and the results of a three-round Delphi consensus promoted by four scientific societies: the Italian Society of Organ Transplantation, the Italian Society of Nephrology, the Italian Society of Anesthesia and Intensive Care, and the Italian Group on Antimicrobial Stewardship. All 41 Italian transplant centers were invited to express their opinion in the Delphi rounds along with a group of seven experts. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40620-020-00755-8DOI Listing

The case for routine screening for SARS-CoV-2 before surgery.

Can J Anaesth 2020 Jun 3. Epub 2020 Jun 3.

Department of Anesthesia and Pain Management, University Health Network, Sinai Health System, Women's College Hospital, University of Toronto, Toronto, ON, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12630-020-01730-4DOI Listing

A model to predict postoperative complications for otorhinolaryngology and maxillofacial surgery procedures in elderly patients.

Eur Arch Otorhinolaryngol 2020 Jun 3. Epub 2020 Jun 3.

Head and Neck and Robotic Surgery, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.

Purpose: All kinds of ear, nose, and throat and maxillofacial surgery (ENT/MFS) procedures are being increasingly performed in the elderly although old age is a major risk factor for increased postoperative complications. With only scarce evidence on the topic, surgeons are asked to critically evaluate their procedures' indications and outcomes to balance the treatment risks and benefits. Our primary aim was to identify predictive factors for surgical outcomes in this setting and to create a predictive model for a tailored risk assessment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-020-06084-7DOI Listing

Perioperative hypothermia in pediatric patients operated in a tertiary care center: Incidence and correlates.

Pak J Med Sci 2020 May-Jun;36(4):793-798

Nevin Aydin, Department of Anesthesiology & Reanimation, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.

Background & Objectives: Hypothermia, described as temperature < 35°C, is a frequent condition encountered in patients operated under general anesthesia. It is associated with significant morbidity and mortality. We aimed to estimate its incidence and to investigate the conditions associated with hypothermia in pediatric patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12669/pjms.36.4.456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260934PMC

[General anesthesia for Crisponi syndrome: case report].

Rev Bras Anestesiol 2020 May 12. Epub 2020 May 12.

Aix Marseille University, APHM, La Timone Teaching Hospital, Department of Pediatric Anesthesia and Intensive Care Unit, Marseille, France.

Crisponi syndrome is a rare and severe heritable disorder characterised by muscle contractions, trismus, apnea, feeding troubles, and unexplained high fever spikes with multiple organ failure. Here we report perioperative care for endoscopic gastrostomy of a 17 month-old female child with Crisponi syndrome. Temperature in the surgery room was strictly monitored and maintained at 19°C. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjan.2020.01.007DOI Listing

[Predictive factors of immediate post-operative acute urinary retention or voiding dysfunction following mid-urethral sling surgery: A literature review].

Prog Urol 2020 May 31. Epub 2020 May 31.

Université Paris-Saclay, faculté de médecine, 94270 Le Kremlin Bicêtre, France; Assistance publique Hôpitaux de Paris (AP-HP), GHU Sud, hôpital Antoine-Béclère, service de gynécologie-obstétrique, 157, rue de la porte de Trivaux, 92140 Clamart, France. Electronic address:

Objective: Immediate postoperative urinary retention (UR) and voiding dysfunction (VD) are some factors limiting outpatient procedure for mid-urethral sling (MUS) surgery in women presenting with stress urinary incontinence. The objective of the current review was to report the main predictive factors associated with immediate postoperative UR/VD following MUS surgery in women.

Methods: A systematic review was performed using Medline database, according to PRISMA methodology, using following keywords midurethral sling; tension-free vaginal tape; TVT; transobturator tape; TOT; predicting factor; voiding dysfunction; urinary retention; postvoid residual; postoperative residue of urine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.purol.2020.05.008DOI Listing

Dexmedetomidine aggravates hypotension following mesenteric traction during total gastrectomy: a randomized controlled trial.

Ann Saudi Med 2020 May-Jun;40(3):183-190. Epub 2020 Jun 4.

From the Department of Anesthesiology, Zhenjiang First People's Hospital, Zhenjiang, Jiangsu, China.

Background: Mesenteric traction syndrome (MTS), which is characterized by arterial hypotension and tachycardia following mesenteric traction (MT), frequently occurs during abdominal surgery. Dexmedetomidine, commonly used in general anesthesia during major surgery, has a sympatholytic effect and attenuates the compensatory response to hypotension.

Objective: Assess the effect of dexmedetomidine on hypotension following mesenteric traction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5144/0256-4947.2020.183DOI Listing

Intrahepatic pseudoaneurysm following penetrating abdominal injury: Surgical and endovascular management of 2 complicated cases.

Int J Surg Case Rep 2020 May 21;71:250-256. Epub 2020 May 21.

Department of Thoracic Surgery, King Fahad Central Hospital, Jazan, Saudi Arabia.

Introduction: Post-traumatic pseudoaneurysm of the hepatic artery is a rare complication of abdominal injury. Prompt intervention is essential to avoid a life-threatening hemorrhage. We report two complicated cases of intrahepatic pseudoaneurysm (IHPA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.05.017DOI Listing

Tapia Syndrome Following Cervical Laminoplasty: A Case Report and Review of the Literature.

World Neurosurg 2020 May 31. Epub 2020 May 31.

Department of Neurosurgery, Virginia Commonwealth University Health System, Richmond, VA, USA.

Tapia syndrome is a rare complication of surgical positioning with resulting unilateral cranial nerve X and XII deficits that may provide diagnostic challenges in the peri-operative period. Timely diagnosis will facilitate obtaining the necessary supportive care while preventing unnecessary work-up and procedures. The following case report illustrates a patient that developed Tapia Syndrome immediately following a posterior cervical laminoplasties with eventual resolution of symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2020.05.221DOI Listing

Pandemonium During the Pandemic: What is the Role of Health and Science Professionals?

Arq Bras Cardiol 2020 Jun;114(5):753-754

Division of Cardiology, Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC - USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.36660/abc.20200320DOI Listing

Efficacy of local infiltration anesthesia versus interscalene nerve blockade for total shoulder arthroplasty.

JSES Int 2020 Jun 3;4(2):357-361. Epub 2020 Mar 3.

Department of Orthopedics, Penn State Hershey Medical Center, Hershey, PA, USA.

Background: Optimal modalities for pain control in shoulder arthroplasty are not yet established. Although regional nerve blockade has been a well-accepted modality, complications and rebound pain have led some surgeons to seek other pain control modalities. Local injection of anesthetics has recently gained popularity in joint arthroplasty. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jseint.2019.12.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256779PMC

Partial Medial Meniscectomy Using Needle Arthroscopy and a Standardized Local Anesthetic Protocol.

Arthrosc Tech 2020 May 22;9(5):e593-e598. Epub 2020 May 22.

Kansas City University, Kansas City, Missouri, U.S.A.

Needle arthroscopic procedures of the knee offer potential advantages over standard arthroscopic procedures. The small size of the instruments allows for surgery without the use of a scalpel or suture, potentially decreased recovery times, and potentially reduced complication rates compared with traditional arthroscopy. In some patients, the procedure can be performed without the use of either general anesthesia or sedation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2020.01.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253716PMC

Recent trends in airway management.

F1000Res 2020 13;9. Epub 2020 May 13.

Department of General Anesthesiology, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.

Clinical airway management continues to advance at a fast pace. To help update busy anesthesiologists, this abbreviated review summarizes notable airway management advances over the past few years. We briefly discuss advances in video laryngoscopy, in flexible intubation scopes, in jet ventilation, and in extracorporeal membrane oxygenation (ECMO). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12688/f1000research.21914.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222034PMC

Effects of ultrasound guided ganglion stellate blockade on intraoperative and postoperative hemodynamic responses in laparoscopic gynecologic surgery.

Wideochir Inne Tech Maloinwazyjne 2020 Jun 11;15(2):351-357. Epub 2019 Nov 11.

Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Laparoscopic gynecologic surgery is one of the most well-known procedures. Pneumoperitoneum with carbon dioxide insufflation can cause unfavorable hemodynamic effects due to catecholamine and vasopressin release.

Aim: To examine the effects of stellate ganglion block on hemodynamic response and postoperative pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5114/wiitm.2019.89653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233162PMC
June 2020
1.092 Impact Factor

Is every patient eligible to have an office hysteroscopy? A retrospective analysis of 1301 procedures.

Wideochir Inne Tech Maloinwazyjne 2020 Jun 5;15(2):337-345. Epub 2019 Nov 5.

Department of Gynecology and Oncological Gynecology, Military Institute of Medicine, Warsaw, Poland.

Introduction: Hysteroscopy is the gold standard for diagnosis and treatment of uterine pathologies. The office setting seems to be safe, reducing the anesthesia risks and also decreasing the overall costs of the procedure. Recent literature suggests that hysteroscopy performed without anesthesia may not be as painless as it was previously considered. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5114/wiitm.2019.89609DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233160PMC

Erector spinae plane block for breast oncological procedure as a surrogate to general anaesthesia: A retrospective study.

Indian J Anaesth 2020 Apr 28;64(4):328-333. Epub 2020 Mar 28.

Department of Anesthesia, Critical Care and Pain Management, Mahatma Gandhi Medical College and Hospital, RIICO Institutional Area, Sitapura, Rajasthan, India.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ija.IJA_858_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259416PMC

Feasibility and safety of an enhanced recovery protocol (ERP) for upper GI surgery in elderly patients (≥ 75 years) in a high-volume surgical center.

Updates Surg 2020 Jun 2. Epub 2020 Jun 2.

Division of General and Upper GI Surgery, Department of Surgery, University of Verona, Piazzale Stefani, 1, 37124, Verona, Italy.

Enhanced recovery protocols (ERP) have demonstrated their efficacy after esophagectomy and gastrectomy but little is known about their feasibility and safety in elderly patients. Patients submitted to Ivor-Lewis esophagectomy or gastrectomy for cancer between January 2016 and June 2019 were divided into three age groups: young-age group, YG (≤ 65 years, n = 130); middle-age group, MG (66-74 years, n = 101); old-age group, OG (≥ 75 years, n = 74). The groups were compared for adherence to our ERP, morbidity and mortality rates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s13304-020-00824-4DOI Listing

Accuracy and precision of zero-heat-flux temperature measurements with the 3M™ Bair Hugger™ Temperature Monitoring System: a systematic review and meta-analysis.

J Clin Monit Comput 2020 Jun 2. Epub 2020 Jun 2.

Department of Anesthesia and Pain Management, Toronto General Hospital, UHN, Toronto, Canada.

Zero-heat-flux thermometers provide clinicians with the ability to continuously and non-invasively monitor body temperature. These devices are increasingly being used to substitute for more invasive core temperature measurements during surgery and in critical care. The aim of this review was to determine the accuracy and precision of zero-heat-flux temperature measurements from the 3M™ Bair Hugger™ Temperature Monitoring System. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10877-020-00543-6DOI Listing

Is there disparity between regions and facilities in surgical resident training in Japan? Insights from a national survey.

Surg Today 2020 Jun 2. Epub 2020 Jun 2.

Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Purpose: This study sought to assess the disparity between regions and facilities in surgical resident training in Japan via a national level needs-assessment.

Methods: A survey was sent to all 909 graduating residents of 2016. Residents trained in the six prefectures with a population of 7 million or more were included in the large prefecture (LP) group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00595-020-02037-zDOI Listing

Analgesic Effectiveness of Perioperative Ultrasound-Guided Serratus Anterior Plane Block Combined with General Anesthesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery: A Systematic Review and Meta-analysis.

Pain Med 2020 Jun 3. Epub 2020 Jun 3.

Department of Anesthesiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China.

Objective: To investigate whether perioperative ultrasound-guided serratus anterior plane block (SAPB) combined with general anesthesia is more effective and safer than current analgesic techniques for postoperative analgesia after video-assisted thoracoscopic surgery (VATS).

Methods: PubMed, the Cochrane Library, and EMBASE were searched for clinical trials published up to July 31, 2019. Outcomes, including operative duration, postoperative pain scores, postoperative analgesia use, patient satisfaction with analgesia, time to chest tube removal, length of stay, and adverse effects were analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/pm/pnaa125DOI Listing

Local anesthesia versus general anesthesia during endovascular therapy for acute stroke: a propensity score analysis.

J Neurointerv Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Diagnostic and Interventional Neuroradiology, University Hospital Centre Nancy, Nancy, Lorraine, France.

Background: To date, the choice of optimal anesthetic management during endovascular therapy (EVT) of acute ischemic stroke patients remains subject to debate. We aimed to compare functional outcomes and complication rates of EVT according to the first-line anesthetic management in two comprehensive stroke centers: local anesthesia (LA) versus general anesthesia (GA).

Methods: Retrospective analysis of prospectively collected databases, identifying all consecutive EVT for strokes in the anterior circulation performed between January 1, 2018 and December 31, 2018 in two EVT-capable stroke centers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/neurintsurg-2020-015916DOI Listing

Urine cell cycle arrest biomarkers distinguish poorly between transient and persistent AKI in early septic shock: a prospective, multicenter study.

Crit Care 2020 Jun 1;24(1):280. Epub 2020 Jun 1.

BoReal Study Group, Medical Intensive Care Unit and EA7517, Amiens University Hospital, F-80054, Amiens, France.

Background: The urine biomarkers tissue inhibitor of metalloproteinases-2 (TIMP-2) and insulin-like growth factor-binding protein 7 (IGFBP7) have been validated for predicting and stratifying AKI. In this study, we analyzed the utility of these biomarkers for distinguishing between transient and persistent AKI in the early phase of septic shock.

Methods: We performed a prospective, multicenter study in 11 French ICUs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13054-020-02984-6DOI Listing

Ultrasound measurement of laryngeal structures in the parasagittal plane for the prediction of difficult laryngoscopies in Chinese adults.

BMC Anesthesiol 2020 Jun 2;20(1):134. Epub 2020 Jun 2.

Department of Anesthesiology, Jiading District Central Hospital Affiliated Shanghai University of Medicine& Health Sciences, 1 Chengbei Road, Shanghai, 201800, P.R. China.

Background: Abnormal laryngeal structures are likely to be associated with a difficult laryngoscopy procedure. Currently, laryngeal structures can be measured by ultrasonography, however, little research has been performed on the potential role of ultrasound on the evaluation of a difficult laryngoscopy. The present study investigated the value of laryngeal structure measurements for predicting a difficult laryngoscopy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-020-01053-3DOI Listing

Percutaneous endoscopic-assisted direct repair of pars defect without general anesthesia could be a satisfying treatment alternative for young patient with symptomatic lumbar spondylolysis: a technique note with case series.

BMC Musculoskelet Disord 2020 Jun 2;21(1):340. Epub 2020 Jun 2.

Department of Orthopaedics, Zhejiang Provincial People's Hospital, Shangtang Road No. 158, Hangzhou, 310014, Zhejiang Province, China.

Background: Multiple surgical procedures are applied in young patients with symptomatic lumbar spondylolysis when conservative treatments fail. Although the optimal surgical procedure option is controversial, the treatment paradigm has shifted from open surgery to minimally invasive spine surgery. To date, a limited number of studies on the feasibility of percutaneous endoscopic-assisted direct repair of pars defect have been carried out. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-020-03365-4DOI Listing

Improved tracking of sevoflurane anesthetic states with drug-specific machine learning models.

J Neural Eng 2020 Jun 2. Epub 2020 Jun 2.

Massachusetts General Hospital, Boston, 02114-2696, UNITED STATES.

Objective: The ability to monitor anesthetic states using automated approaches is expected to reduce inaccurate drug dosing and side-effects. Commercially available anesthetic state monitors perform poorly when ketamine is administered as an anesthetic-analgesic adjunct. Poor performance is likely because the models underlying these monitors are not optimized for the electroencephalogram (EEG) oscillations that are unique to the co-administration of ketamine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1088/1741-2552/ab98daDOI Listing

Successful excision of a retrorectal cyst through trans-sacral approach: A case report.

Int J Surg Case Rep 2020 May 23;71:307-310. Epub 2020 May 23.

Department of General Surgery, Colorectal Surgery Section, King Fahad Specialist Hospital-Dammam, Saudi Arabia.

Introduction: Retrorectal cysts are rare congenital cystic lesions usually diagnosed in middle-aged women. They are generally asymptomatic; however, local pressure may result in complications. Pain or discomfort in the pelvic, sacral, lower back or perianal area are the most common symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.05.023DOI Listing

The association between patient-reported pain scores and physical activity in the postoperative period: A prospective observational study.

J Clin Anesth 2020 May 30;66:109916. Epub 2020 May 30.

Department of Anesthesiology and Pain Medicine, University of Toronto, 123 Edward Street, Toronto, Ontario M5G 1E2, Canada; Institute of Health Policy, Management, and Evaluation, University of Toronto, 155 College Street, Toronto, Ontario M5T 3M6, Canada; Department of Anesthesia, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada; Li Ka Shing Knowledge Institute, St. Michael's Hospital, 209 Victoria Street, Toronto, Ontario M5B 1T8, Canada. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jclinane.2020.109916DOI Listing

Effects of Low-dose Propofol or Ketamine on Coughing at Emergence from Anesthesia in Children Undergoing Tonsillectomy.

Cureus 2020 Apr 26;12(4):e7842. Epub 2020 Apr 26.

Anesthesiology, Shiraz Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, IRN.

Introduction Coughing is commonly observed during emergence from general anesthesia. In children, smooth emergence from anesthesia, especially after tonsillectomy, is crucial. In this study, we compared the effect of low-dose ketamine or propofol on emergence coughing in children undergoing tonsillectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7842DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253079PMC

Awake Craniotomy Under 3-Tesla Intraoperative Magnetic Resonance Imaging: A Retrospective Descriptive Report and Canadian Institutional Experience.

J Neurosurg Anesthesiol 2020 May 29. Epub 2020 May 29.

Department of Surgery, Section-Neurosurgery, Clincian Investigator Program, Max Rady College of Medicine, Rady Faculty of Health Sciences.

Background: The role of high-field 3-Tesla intraoperative magnetic resonance imaging (I-MRI) during awake craniotomy (AC) has not been extensively studied. We report the feasibility and safety of AC during 3-Tesla I-MRI.

Methods: This retrospective descriptive report compared 3 groups: AC with minimal sedation and I-MRI; I-MRI-guided craniotomy under general anesthesia (GA), and; AC without I-MRI. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/ANA.0000000000000699DOI Listing

Inguinal Hernia in Premature Infants.

Neoreviews 2020 Jun;21(6):e392-e403

Child Health, University of Missouri, Columbia, MO.

Inguinal hernia is a common problem affecting infants in the NICU. As a group, preterm infants have the highest incidence of inguinal hernia and this risk increases as gestational age decreases. The etiopathologic factors leading to the development of an inguinal hernia are not clear and interventions to alter these factors have not been thoroughly investigated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1542/neo.21-6-e392DOI Listing

Efficacy and safety of tocilizumab in severe COVID-19 patients: a single-centre retrospective cohort study.

Eur J Intern Med 2020 May 22. Epub 2020 May 22.

Vita-Salute San Raffaele University, Milan, Italy; Unit of Immunology, Rheumatology, Allergy and Rare Diseases (UnIRAR), IRCCS San Raffaele Scientific Institute, Milan, Italy. Electronic address:

Background: Tocilizumab (TCZ), a humanized monoclonal antibody targeting the interleukin-6 (IL-6) receptor, has been proposed for the treatment of COVID-19 patients; however, limited data are available on the safety and efficacy.

Methods: We performed a retrospective study on severe COVID-19 patients with hyper-inflammatory features admitted outside intensive care units (ICUs). Patients treated with intravenous TCZ in addition to standard of care were compared to patients treated with standard of care alone. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ejim.2020.05.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242960PMC

The Year in Perioperative Echocardiography: Selected Highlights From 2019.

J Cardiothorac Vasc Anesth 2020 May 16. Epub 2020 May 16.

Department of Anesthesiology, UCSD Medical Center - Sulpizio Cardiovascular Center, La Jolla, CA. Electronic address:

This article is the fourth of an annual series reviewing the research highlights of the year pertaining to the subspecialty of perioperative echocardiography for the Journal of Cardiothoracic and Vascular Anesthesia. The authors thank the editor-in-chief, Dr. Kaplan, and the editorial board, for the opportunity to continue this series. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.jvca.2020.03.058DOI Listing

Upper airway obstruction during extubation after general anesthesia, in a patient with Parkinson disease: A case report.

Medicine (Baltimore) 2020 May;99(21):e20363

Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing Jiangsu, P.R. China.

Rationale: Parkinson disease (PD) is a chronic neurodegenerative condition often suffered by the elderly. Upper airway obstruction, though rare in patients with PD, can be life threatening and is associated with vocal cord paralysis, laryngeal spasm, and dystonia of jaw and neck muscles.

Patient Concerns: We describe a life-threatening upper airway obstruction caused by bilateral vocal cord paralysis, in an elderly man with PD, during extubation after general anesthesia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000020363DOI Listing

Lower Limb Stump Fistula Treated with Laser Ablation. A Possible Alternative Minimal Invasive Technique.

J Long Term Eff Med Implants 2019 ;29(3):205-207

Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodestrian University of Athens, Athens, Greece.

Stump-wound infections are a common cause of complications after amputation. Wound infections, usually after major lower-limb amputation, vascular disease, or trauma, may lead to fistula formation. The main therapeutic options for these infections include antibiotic administration alone or antibiotic treatment in combination with surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1615/JLongTermEffMedImplants.2020033148DOI Listing
January 2019

Acute exacerbation of idiopathic interstitial pneumonia after nonpulmonary surgery under general anesthesia: a retrospective study.

Sarcoidosis Vasc Diffuse Lung Dis 2017 28;34(2):156-164. Epub 2017 Apr 28.

Division of Respiratory Medicine, Toho University Omori Medical Center.

Idiopathic interstitial pneumonia (IIP) is associated with increased risk of acute exacerbation after lung surgery, which has a poor prognosis and can be fatal. Although some studies have investigated acute exacerbation of IIP after lung surgery, the incidence and risks of acute exacerbation of IIP after nonpulmonary surgery have not been reported. The aim of present study to evaluate the characteristics and risk factors for acute exacerbation of IIP after nonpulmonary surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.36141/svdld.v34i2.5366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170141PMC

A dilemma of a case of Zenker diverticulum; leak or Acinetobacter baumannii?! A case report.

Int J Surg Case Rep 2020 May 29;71:274-276. Epub 2020 May 29.

Kscien Organization for Scientific Research, Hamdi Street, Sulaimani, Kurdistan, Iraq.

Introduction: Zenker's diverticulum is an acquired mucosal pulsion of the upper esophagus. The aim of this paper is to report a case of Zenker's diverticulum with a complicated postoperative course including infection by Acinetobacter baumannii causing diagnostic as well as management dilemma.

Case Report: A 43-year-old male complained from dysphagia for three months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.05.004DOI Listing

The effects of intravenous dexmedetomidine on hemodynamic response in patients undergoing skull-pin head-holder application during neurosurgery - A meta-analysis of randomized controlled trials.

Clin Neurol Neurosurg 2020 May 20;195:105939. Epub 2020 May 20.

Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam 13620, South Korea; Department of Anesthesiology & Pain Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea. Electronic address:

Objectives: Skull-pin head-holder application during neurosurgery is a highly noxious stimulus that may lead to abrupt hemodynamic change, which is an unfavorable response to maintain hemodynamics stability. The aim of this meta-analysis was to evaluate the effects of intravenous dexmedetomidine on hemodynamic response (blood pressure and heart rate) resulting from the application of skull-pin head-holder in neurosurgery.

Patients And Methods: A systematic review and meta-analysis was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clineuro.2020.105939DOI Listing

Efficacy of regional anesthesia in secondary procedures or revisions of arteriovenous fistula.

Ann Vasc Surg 2020 May 29. Epub 2020 May 29.

Research Institute for Convergence of Biomedical Science and Technology, Division of Vascular and Endovascular Surgery, Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea. Electronic address:

Objective: Several factors affect the outcomes of arteriovenous fistula (AVF) and end-stage renal disease (ESRD). This study aimed to evaluate the efficacy of regional anesthesia in secondary procedures or revisions of arteriovenous fistula.

Methods: Medical records of patients who underwent treatment for AVF secondary procedures or revisions under brachial plexus block (BPB) between March 2016 and June 2019 were retrospectively analyzed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2020.05.022DOI Listing

Evaluation of Effectiveness and Safety of Transcatheter Mitral Valve Repair Under Moderate Conscious Sedation.

J Invasive Cardiol 2020 Jun;32(6):206-210

11800 Carmel Creek Road, San Diego, CA 92130 USA.

Background: Transcatheter mitral valve repair (TMVR) using the MitraClip system (Abbott Vascular) has become a world-wide, well-established therapeutic alternative to symptomatic patients with severe mitral regurgitation (MR) and prohibitive surgical risk. Currently, TMVRs are performed under general anesthesia. Herein, we aimed to present the effectiveness and safety of TMVR under moderate conscious sedation (MCS). Read More

View Article

Download full-text PDF

Source

Prevalence of and characteristics associated with operative vaginal birth at Mizan-Tepi University Teaching Hospital.

Int Health 2020 May 30. Epub 2020 May 30.

Mizan-Tepi University Teaching Hospital, Aman, Bench Maji Zone, Ethiopia.

Background: To observe prevalence, characteristics and outcomes associated with operative vaginal birth (OVB).

Methods: We compared spontaneous vaginal birth with OVB.

Results: Of 993 women, 759 (76. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/inthealth/ihaa024DOI Listing