93,462 results match your criteria Anesthesia General


Day-surgery stapled prolassectomy: a "ten minutes job".

Ann Ital Chir 2018 ;89:552-555

Introduction: Accordingly with the new physiopathologic insights of the 70s and 80s, hemorrhoidal disease appears to originate not much from venous hyperplasia but rather from a progressive deterioration of connective and support tissues with subsequent venous and mucosal prolapse. In the late 90s a new surgical technique for a more physiological treatment of hemorrhoids was introduced: stapled prolassectomy.

Materials And Methods: Between October 2017 and June 2018 we performed 50 hemorrhoidal stapled prolassectomies under local-regional anesthesia. Read More

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January 2018

Investigating dynamic functional network patterns after propofol-induced loss of consciousness.

Clin Neurophysiol 2018 Dec 27;130(3):331-340. Epub 2018 Dec 27.

School of Life Science and Technology, Xidian University, Xi'an, China. Electronic address:

Objective: We investigated the changes of dynamic brain functional network from awaken state to the anesthesia level suitable for surgery.

Methods: 60-channel EEG data of 22 subjects are acquired at wakefulness, light anesthesia and deep anesthesia. The activity of 68 cortical regions are obtained by using EEG source imaging. Read More

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http://dx.doi.org/10.1016/j.clinph.2018.11.028DOI Listing
December 2018

Driving Pressure during Thoracic Surgery: A Randomized Clinical Trial.

Anesthesiology 2019 Jan 17. Epub 2019 Jan 17.

From the Department of Anesthesiology and Pain Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine in Seoul, Korea (M.P., H.J.A., J.A.K., M.Y., B.Y.H., J.W.C., Y.R.K., S.H.L., H.J., S.J.C., I.S.S.) Kangwon National University School of Graduate Medicine in Chuncheon, Korea (M.P.).

What We Already Know About This Topic: Driving pressure (plateau minus end-expiratory airway pressure) is a target in patients with acute respiratory distress syndrome, and is proposed as a target during general anesthesia for patients with normal lungs. It has not been reported for thoracic anesthesia where isolated, inflated lungs may be especially at risk.

What This Article Tells Us That Is New: In a double-blinded, randomized trial (292 patients), minimized driving pressure compared with standard protective ventilation was associated with less postoperative pneumonia or acute respiratory distress syndrome. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002600DOI Listing
January 2019

A Neurologic Examination for Anesthesiologists: Assessing Arousal Level during Induction, Maintenance, and Emergence.

Anesthesiology 2019 Jan 17. Epub 2019 Jan 17.

From the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts (E.R.R.) the Feil Family Brain and Mind Research Institute and the Department of Neurology, Weill Cornell Medical College, New York, New York (N.D.S.) the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts (E.N.B) the Department of Brain and Cognitive Science, the Institute for Medical Engineering and Sciences, the Picower Institute for Learning and Memory, and the Institute for Data, Systems and Society, Massachusetts Institute of Technology, Cambridge, Massachusetts (E.N.B).

Anesthetics have profound effects on the brain and central nervous system. Vital signs, along with the electroencephalogram and electroencephalogram-based indices, are commonly used to assess the brain states of patients receiving general anesthesia and sedation. Important information about the patient's arousal state during general anesthesia can also be obtained through use of the neurologic examination. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002559DOI Listing
January 2019

Capturing Daily Disease Experiences of Adolescents With Chronic Pain: mHealth-Mediated Symptom Tracking.

JMIR Mhealth Uhealth 2019 Jan 17;7(1):e11838. Epub 2019 Jan 17.

Department of Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada.

Background: Chronic pain is a common problem in adolescents that can negatively impact all aspects of their health-related quality of life. The developmental period of adolescence represents a critical window of opportunity to optimize and solidify positive health behaviors and minimize future pain-related disability and impaired work productivity. This research focuses on the development and evaluation of a smartphone-based pain self-management app for adolescents with chronic pain. Read More

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http://dx.doi.org/10.2196/11838DOI Listing
January 2019

Nitric Oxide Story.

Authors:
Warren M Zapol

Anesthesiology 2019 Jan 15. Epub 2019 Jan 15.

From the Anesthesia Center for Critical Care Research, Massachusetts General Hospital, Boston, Massachusetts.

Inhaled Nitric Oxide in Persistent Pulmonary Hypertension of the Newborn. By Roberts JD, Polaner DM, Lang P, and Zapol WM. Lancet 1992; 340:818-19. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002579DOI Listing
January 2019

Korean Red Ginseng ( Meyer) with enriched Rg3 ameliorates chronic intermittent heat stress-induced testicular damage in rats multifunctional approach.

J Ginseng Res 2019 Jan 22;43(1):135-142. Epub 2018 Jun 22.

Department of Biomedical Chemistry, College of Biomedical & Health Science, Konkuk University, Chungju, Republic of Korea.

Background: Meyer, known as Korean Red Ginseng (KRG), is one of the important age-old traditional herbs used in boosting and improving male fertility. In this study, the effects of Rg3-enriched KRG extract (KGC04P) on heat stress-induced testicular damage in experimental rats was evaluated.

Methods: Male rats (Sprague-Dawley) were divided into four groups (n = 10): normal control (NC), heat-stressed control (HC), heat-stressed plus KGC04P-100 mg/kg (HK100), and heat-stressed plus KGC04P-200 mg/kg (HK200) groups. Read More

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http://dx.doi.org/10.1016/j.jgr.2018.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323164PMC
January 2019

Comparative Evaluation of Ropivacaine and Ropivacaine with Dexamethasone in Transverse Abdominis Plane Block for Lower Abdominal Surgeries: A Prospective, Randomized, Double-Blinded Study.

Anesth Essays Res 2018 Oct-Dec;12(4):937-942

Department of Anesthesiology and Critical Care, Shri Sathya Sai Medical College and Research Institute, Shri Balaji Vidyapeeth (Deemed-to-be-University), Ammapettai, Kancheepuram, Tamil Nadu, India.

Context: Dexamethasone as an adjunct to ropivacaine has shown promising results in prolonging the duration of analgesia in transverse abdominis plane (TAP) block. Only limited studies evaluated the effects of dexamethasone with ropivacaine in TAP block in specific population.

Aims: The effects of adding dexamethasone to ropivacaine on the quality and duration of TAP block in lower abdominal surgeries in multiple specialties were studied. Read More

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http://dx.doi.org/10.4103/aer.AER_162_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319079PMC
January 2019

Transdermal Ketoprofen Patch in Comparison to Eutectic Mixture of Local Anesthetic Cream and Subcutaneous Lidocaine to Control Pain Due to Venous Cannulation.

Anesth Essays Res 2018 Oct-Dec;12(4):914-918

Department of Anesthesia, ICU and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Background: This study was established to compare the analgesic and side effects between transdermal ketoprofen patch 30 mg and eutectic mixture of local anesthetic (EMLA) cream applied to the peripheral venous cannulation site and lidocaine injection before cannulation.

Patients And Methods: One hundred and five adult patients who had been scheduled for elective general surgery with patients' physical status American Society of Anesthesiologists classes I and II were randomly divided into three groups: Group I (EMLA group) received EMLA cream, Group II (lidocaine group) received subcutaneous infiltration of 1 ml of 2% lidocaine HCl 10 min before cannulation, and Group III (ketoprofen group) received a transdermal ketoprofen patch 30 mg. Groups I and III received their cream or patch 60 min before cannulation. Read More

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http://dx.doi.org/10.4103/aer.AER_166_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319068PMC
January 2019

Postintubation Sequels: Influence of Fluticasone and Technique of Intra-Operative Muscle Relaxation.

Anesth Essays Res 2018 Oct-Dec;12(4):891-896

Department of Community Medicine, UCMS, Delhi, India.

Background: Postintubation sequels (PIS) are a cause of serious concern in the postoperative period.

Aim: The aim of this study is to find the influence of preoperative inhaled steroid and technique of muscle relaxation on PIS.

Settings And Design: This prospective, exploratory pilot study was conducted on 120 adult American Society of Anesthesiologist physical status Class I and II patients undergoing general anesthesia (GA) with muscle relaxation and cuffed endotracheal tube (ETT) insertion. Read More

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http://dx.doi.org/10.4103/aer.AER_157_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319072PMC
January 2019

Comparison of Nebulized Ketamine with Nebulized Magnesium Sulfate on the Incidence of Postoperative Sore Throat.

Anesth Essays Res 2018 Oct-Dec;12(4):885-890

Department of Anaesthesiology and Critical Care, Pondicherry Institute of Medical Sciences, Puducherry, India.

Background: Postoperative sore throat (POST) is a known complication following general anesthesia requiring endotracheal intubation. Its incidence ranges from 21% to 65% and remains the eighth most undesirable postoperative event. Various measures have been tried to decrease the incidence of sore throat with various success rates. Read More

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http://dx.doi.org/10.4103/aer.AER_148_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319074PMC
January 2019

Levobupivacaine versus Levobupivacaine-Dexmedetomidine in Thoracic Paravertebral Block for Laparoscopic Sympathectomy.

Anesth Essays Res 2018 Oct-Dec;12(4):837-842

Department of Vascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Background: Thoracic paravertebral block (TPVB) is a high-quality analgesic technique used for many types of surgery, trauma, and chronic pain.

Aim: The aim of this study is to assess safety and efficacy of adding dexmedetomidine to levobupivacaine in TPVB for postoperative analgesia after unilateral laparoscopic thoracic sympathectomy.

Patients And Methods: Sixty adult patients of the American Society of Anesthesiologists physical status classes I and II, aged 20-45 years, of either sex, submitted for unilateral laparoscopic thoracic sympathectomy under general anesthesia at Mansoura University Hospital. Read More

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http://dx.doi.org/10.4103/aer.AER_126_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319062PMC
January 2019

Intravenous Low Dose Fentanyl versus Lignocaine in Attenuating the Hemodynamic Responses during Endotracheal Intubation: A Randomized Double-Blind Study.

Anesth Essays Res 2018 Oct-Dec;12(4):778-785

Department of Anaesthesiology and Critical Care, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka, India.

Background: The laryngotracheal stimulation is known to cause reflex sympathoadrenal response with a marked increase in heart rate and blood pressure. Arrhythmias can be precipitated. The harmful nature of this response has been noted in patients at risk. Read More

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http://dx.doi.org/10.4103/aer.AER_111_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319054PMC
January 2019

Colistin-based Treatment of Multidrug-resistant Gram-negative Bacterial Pulmonary Infections After Lung Transplantation.

Transplant Proc 2018 Jun 28. Epub 2018 Jun 28.

Division of Thoracic Surgery, Department of General Surgery and Organ Transplant "Paride Stefanini", Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.

Background: Lung transplantation (LT) is a viable option for a select group of patients with end-stage lung disease. However, infections are a major complication after LT, accounting for significant morbidity and mortality. Several germs may be responsible; multidrug-resistant Gram-negative (MDR-GN) bacteria are emerging. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.04.068DOI Listing

A case of posterior reversible encephalopathy syndrome after surgical clipping of unruptured cerebral aneurysm.

World Neurosurg 2019 Jan 17. Epub 2019 Jan 17.

Department of Neurosurgery, Kokura Memorial Hospital, 3-2-1 Asano Kokurakita-ku, Kitakyushu-shi, Fukuoka-ken, Japan.

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http://dx.doi.org/10.1016/j.wneu.2019.01.014DOI Listing
January 2019

Hydrogen gas reduces HMGB1 release in lung tissues of septic mice in an Nrf2/HO-1-dependent pathway.

Int Immunopharmacol 2019 Jan 17;69:11-18. Epub 2019 Jan 17.

Department of Anesthesia, Tianjin Medical University General Hospital, Tianjin, China. Electronic address:

Background: Lung injury is a vital contributor of mortality in septic patients. Our previous studies have found that molecular hydrogen (H), which has anti-oxidant, anti-inflammatory, and anti-apoptosis effects, had a therapeutic effect on a septic animal model through increasing expression of nuclear factor-erythroid 2-related factor 2 (Nrf2). The aim of this research was to investigate the effects of 2% H gas inhalation on sepsis-induced lung injury and its underlying mechanisms. Read More

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http://dx.doi.org/10.1016/j.intimp.2019.01.022DOI Listing
January 2019

From Voice Clinic to Operating Room: Are We Out of Tune?

J Voice 2019 Jan 16. Epub 2019 Jan 16.

Voice Disorders Unit, Lewisham & Greenwich NHS Trust, London, UK.

Introduction: To determine the consistency and accuracy of preoperative diagnosis in the voice clinic with intraoperative diagnosis and to suggest a standardized laryngeal examination protocol in the UK that is supported by evidence-based findings.

Method: From January 2011-September 2014, 164 patients were referred to the Multidisciplinary Team voice clinic and diagnosed with laryngeal pathology that required phonosurgery. The visualization (videostrobolaryngoscopy) in clinic was performed using either rigid laryngoscope or a video-naso-laryngoscope. Read More

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http://dx.doi.org/10.1016/j.jvoice.2018.12.016DOI Listing
January 2019

Recent cocaine use and the incidence of hemodynamic events during general anesthesia: A retrospective cohort study.

J Clin Anesth 2019 Jan 16;55:146-150. Epub 2019 Jan 16.

University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA.

Study Objective: To evaluate the intraoperative hemodynamics and medication requirements of cocaine-positive patients compared to matched cocaine-negative controls.

Design: Retrospective cohort study.

Setting: Public county hospital. Read More

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http://dx.doi.org/10.1016/j.jclinane.2018.12.028DOI Listing
January 2019

USE OF MRI-GUIDED BIOPSY FOR SELECTION AND FOLLOW-UP OF MEN UNDERGOING HEMI-GLAND CRYOABLATION OF PROSTATE CANCER.

Urology 2019 Jan 16. Epub 2019 Jan 16.

Department of Urology, David Geffen School of Medicine, University of California at Los Angeles, 300 Stein Plaza, 3rd Floor, Los Angeles, CA 90095. Electronic address:

Objective: To investigate safety, efficacy, and quality of life impact of hemi-gland cryotherapy for clinically-significant prostate cancer, when patient selection and follow-up includes MRI-guided biopsy.

Methods: 29 men with unilateral prostate cancer (all clinically significant with prostate volume <60cc) were enrolled in a prospective observational trial of hemi-gland cryotherapy. Mean patient age was 68. Read More

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http://dx.doi.org/10.1016/j.urology.2018.11.052DOI Listing
January 2019

The KEEP SIMPLEST Study: Improving In-House Delays and Periinterventional Management in Stroke Thrombectomy-A Matched Pair Analysis.

Neurocrit Care 2019 Jan 18. Epub 2019 Jan 18.

Department of Neurology, Heidelberg University Hospital, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Background And Purpose: Although the treatment window for mechanical thrombectomy (MT) in patients with acute ischemic stroke (AIS) has been extended in recent years, it has been proven that recanalizing treatment must be administered as soon as possible. We present a new standard operating procedure (SOP) to reduce in-house delay, standardize periinterventional management and improve patient safety during MT.

Methods: KEep Evaluating Protocol Simplification In Managing Periinterventional Light Sedation for Endovascular Stroke Treatment (KEEP SIMPLEST) was a prospective, single-center observational study aimed to compare aspects of periinterventional management in AIS patients treated according to our new SOP using a combination of esketamine and propofol with patients having been randomized into conscious sedation (CS) in the Sedation versus Intubation for Endovascular Stroke TreAtment (SIESTA) trial. Read More

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http://dx.doi.org/10.1007/s12028-018-00667-3DOI Listing
January 2019

Subcostal approach to anterior quadratus lumborum block for pain control following open urological procedures.

J Anesth 2019 Jan 18. Epub 2019 Jan 18.

Department of Anesthesia, University of Toronto, Toronto, Canada.

In the case of open urological surgeries, analgesic coverage at mid thoracic dermatomal levels is required. As shown in cadaveric studies, the site of QL block injection is an important determinant of the extent of dye spread and presumably local anesthetic dermatomal coverage. In this case series, we evaluated dermatomal blockade and analgesic efficacy of a subcostal approach to anterior QL block following open urological surgeries. Read More

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http://dx.doi.org/10.1007/s00540-018-02605-1DOI Listing
January 2019
6 Reads

Relationships Between Opioid Dosing, Pain Severity, and Disability in a Community-Based Chronic Pain Population: An Exploratory Retrospective Analysis.

Pain Med 2019 Jan 17. Epub 2019 Jan 17.

Division of Biostatistics and Experimental Design, Tufts University School of Dental Medicine, Boston, Massachusetts.

Objective: To determine the relationship between opioid dose change, pain severity, and function in patients with chronic pain.

Design: Retrospective cohort study.

Setting: Community interdisciplinary pain management practice. Read More

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http://dx.doi.org/10.1093/pm/pny240DOI Listing
January 2019

Quality of Patient Education Materials on Safe Opioid Management in the Acute Perioperative Period: What Do Patients Find Online?

Pain Med 2019 Jan 18. Epub 2019 Jan 18.

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

Objective: Guidelines on postoperative pain management recommend inclusion of patient and caregiver education on opioid safety. Patient education materials (PEMs) should be written at or below a sixth grade reading level. We designed this study to compare the readability of online PEMs related to postoperative opioid management produced by institutions with and without a regional anesthesiology and acute pain medicine (RAAPM) fellowship. Read More

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http://dx.doi.org/10.1093/pm/pny296DOI Listing
January 2019

Comparison of genioglossus muscle activity and efficiency of dexmedetomidine or propofol during drug-induced sleep endoscopy in patients with obstructive sleep apnea/hypopnea syndrome.

Eur Rev Med Pharmacol Sci 2019 Jan;23(1):389-396

Department of General Surgery and Medical-Surgical Specialties, Section of Anesthesia and Intensive Care, University of Catania, Catania, Italy.

Objective: The purpose of this study is to evaluate the haemodynamic and respiratory effects of dexmedetomidine vs. propofol in patients with OSAHS during the drug-induced sleep endoscopy (DISE), and analyze simultaneously the electromyography of genioglossus muscle.

Patients And Methods: We conducted a study on 50 patients with OSAHS; patients were subjected to DISE with simultaneous polygraphic cardiorespiratory measurement and electromyography of genioglossus muscle. Read More

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http://www.europeanreview.org/article/16787
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http://dx.doi.org/10.26355/eurrev_201901_16787DOI Listing
January 2019
1 Read

Simultaneous cone beam computed tomography-guided bronchoscopic marking and video-assisted thoracoscopic wedge resection in a hybrid operating room.

Thorac Cancer 2019 Jan 17. Epub 2019 Jan 17.

Department of Surgery II, Kochi Medical School, Kochi University, Nankoku, Japan.

The increasing need for pulmonary resection by video-assisted thoracoscopic surgery (VATS) has presented a greater opportunity to detect small-sized pulmonary nodules by computed tomography (CT). In cases where it is difficult to identify tumor localization intraoperatively, it is necessary to place the VATS marker near the pulmonary nodules before surgery. Conventional percutaneous or bronchoscopic VATS marker placement under local anesthesia is accompanied by patient pain. Read More

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http://dx.doi.org/10.1111/1759-7714.12983DOI Listing
January 2019

Using the capnogram to assess pulmonary perfusion during a lobectomy: case studies.

J Clin Monit Comput 2019 Jan 17. Epub 2019 Jan 17.

Department of Anesthesiology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, 610041, China.

Capnography is an effective and non-invasive method for monitoring patients during general anesthesia and can reflect the changes in both the respiratory function as well as the circulatory function. In this paper, we present four cases of lobectomy in which we observed a "chair-like" waveform on performing capnography after the surgery. In all the cases, the appearance of this "chair-like" waveform led to the suspicion of a blockage in the pulmonary artery perfusion, which was then confirmed to be an obstruction in the pulmonary artery on further investigation. Read More

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http://dx.doi.org/10.1007/s10877-018-00249-wDOI Listing
January 2019

Amyotrophic lateral sclerosis and anesthesia: a case series and review of the literature.

J Anesth 2019 Jan 17. Epub 2019 Jan 17.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.

Purpose: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that leads to death due to respiratory failure. This report describes the perioperative characteristics of ALS patients who underwent procedures with anesthesia at our institution.

Methods: We reviewed perioperative records of ALS patients who underwent procedures with anesthesia from January 1, 2014, through December 31, 2015. Read More

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http://dx.doi.org/10.1007/s00540-019-02611-xDOI Listing
January 2019

Low-dose dexmedetomidine provides hemodynamics stabilization during emergence and recovery from general anesthesia in patients undergoing carotid endarterectomy: a randomized double-blind, placebo-controlled trial.

J Anesth 2019 Jan 17. Epub 2019 Jan 17.

Department of Anesthesiology, Yao Tokushukai General Hospital, 1-17, Wakakusamachi, Yao City, Osaka, 581-0011, Japan.

Purpose: Carotid artery stenosis is a major risk factor for ischemic stroke. Carotid endarterectomy protects patients with severe atherosclerotic carotid artery stenosis against stroke. In such patients, arterial blood pressure is often difficult to control and perioperative hemodynamic instability is associated with high morbidity and mortality after carotid endarterectomy. Read More

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http://dx.doi.org/10.1007/s00540-019-02612-wDOI Listing
January 2019

Physical functioning and mindfulness skills training in chronic pain: a systematic review.

J Pain Res 2019 3;12:179-189. Epub 2019 Jan 3.

Department of Psychiatry, Massachusetts General Hospital, Harvard School of Medicine, MA, USA.

Purpose: The importance of improved physical function as a primary outcome in the treatment of chronic pain is widely accepted. There have been limited attempts to assess the effects mindfulness skills training (MST) has on objective outcomes in chronic pain care.

Methods: This systematic review evaluated published reports of original randomized controlled trials that described physical function outcomes after MST in the chronic pain population and met methodological quality according to a list of predefined criteria. Read More

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http://dx.doi.org/10.2147/JPR.S172733DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6322706PMC
January 2019

Qualitative aspects of patient pain during surgery with wide-awake local anesthesia.

J Orthop 2019 Jan-Feb;16(1):105-108. Epub 2019 Jan 4.

Horizon Health Network, 560 Main Street, Building A, Suite 325, Saint John, NB, E2K 1J5, Canada.

Purpose: Studies assessing intraoperative pain during surgery with wide-awake local anesthesia typically use a unidimensional pain scale, which provides a limited view of the pain experience. The present paper describes two studies that assessed qualitative aspects of intraoperative pain using a multidimensional pain measure.

Methods: The first study was a retrospective survey of 24 patients who received a variety of foot and ankle procedures under wide-awake local anesthesia. Read More

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http://dx.doi.org/10.1016/j.jor.2018.12.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329194PMC
January 2019

Patient- and Nurse-Controlled Analgesia: 22-Year Experience in a Pediatric Hospital.

Hosp Pediatr 2019 Jan 17. Epub 2019 Jan 17.

Departments of Anesthesiology, Critical Care, Pain Medicine,

Objectives: Pediatric pain management has rapidly changed over the last 2 decades. In this study, we describe the changing practices and adverse events (AEs) related to patient-controlled analgesia (PCA) and/or nurse-controlled analgesia (NCA) over a 22-year period.

Methods: After institutional review board approval, retrospective data from a single tertiary-care pediatric hospital were collected between 1994 and 2016. Read More

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http://dx.doi.org/10.1542/hpeds.2018-0179DOI Listing
January 2019

Nasotracheal intubation-extubation-intubation and asleep-awake-asleep anesthesia technique for deep brain stimulation.

BMC Anesthesiol 2019 Jan 17;19(1):14. Epub 2019 Jan 17.

Department of Neurosurgery, Qilu Hospital of Shandong University (Qingdao), Qingdao, People's Republic of China.

Background: The asleep-awake-asleep (AAA) technique and laryngeal mask airway (LMA) is a common general anesthesia technique for deep brain stimulation (DBS) surgery. However, the LMA is not always the ideal artificial airway. In this report, we presented our experiences with nasotracheal intubation-extubation-intubation (IEI) and AAA techniques in DBS surgery for Parkinson's disease (PD) patients to meet the needs of surgery and ensure patients' safety and comfort. Read More

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http://dx.doi.org/10.1186/s12871-019-0685-yDOI Listing
January 2019

Effect And Predictive Value Of Routine Preoperative Laboratory Testing For Endoscopic Retrograde Cholangiopancreatography.

Scand J Surg 2019 Jan 17:1457496918822616. Epub 2019 Jan 17.

1 University of Helsinki, Helsinki, Finland.

Background And Aims:: Several studies and guidelines are questioning routine preoperative laboratory tests in surgical and endoscopic procedures. Their effect in endoscopic retrograde cholangiopancreatography is not currently known. This study was carried out to evaluate the risk of adverse effects in endoscopic retrograde cholangiopancreatography and their association with preoperative lab tests. Read More

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http://dx.doi.org/10.1177/1457496918822616DOI Listing
January 2019
1 Read

Evaluation of laparoscopic-guided rectus sheath block in gynecologic laparoscopy: a prospective, double-blind randomized trial.

Int J Surg 2019 Jan 14. Epub 2019 Jan 14.

Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyushu, Japan.

Background: Ultrasound-guided nerve blocks are effective; however, their use in the abdominal wall is reportedly associated with a risk of abdominal organ injury. Laparoscopic-guided nerve blocks are thought to be safer than ultrasound-guided nerve blocks. We evaluated the safety and effectiveness of the laparoscopic-guided rectus sheath block (LGRSB) for umbilical incisions after gynecologic laparoscopy. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.01.004DOI Listing
January 2019

Central modulation of parasympathetic outflow is impaired in de novo Parkinson's disease patients.

PLoS One 2019 17;14(1):e0210324. Epub 2019 Jan 17.

Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy.

Task- and stimulus-based neuroimaging studies have begun to unveil the central autonomic network which modulates autonomic nervous system activity. In the present study, we aimed to evaluate the central autonomic network without the bias constituted by the use of a task. Additionally, we assessed whether this circuitry presents signs of dysregulation in the early stages of Parkinson's disease (PD), a condition which may be associated with dysautonomia. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210324PLOS
January 2019
2 Reads

Effects of general anesthesia with combined epidural anesthesia on inflammatory response in patients with early-stage gastric cancer undergoing tumor resection.

Exp Ther Med 2019 Jan 29;17(1):35-40. Epub 2018 Oct 29.

Department of Anesthesiology, General Hospital of Daqing Oil Field of Heilongjiang, Daqing, Heilongjiang 163001, P.R. China.

The present study aimed to investigate the effects of combined epidural and general anesthesia on gastric cancer patients undergoing tumor resection. A total of 107 patients with early-stage gastric cancer who underwent surgery between January 2014 and January 2017 were enrolled in the present study. All patients in the control group (n=54) were treated with general anesthesia, while patients in the observation group (n=53) were treated with combined epidural and general anesthesia. Read More

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http://dx.doi.org/10.3892/etm.2018.6898DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307522PMC
January 2019

[Should maternal anesthesia delay breastfeeding? A systematic review of the literature].

Rev Bras Anestesiol 2019 Jan 13. Epub 2019 Jan 13.

Universidade Estadual Paulista (Unesp), Faculdade de Medicina de Botucatu, Departamento de Anestesiologia, Botucatu, SP, Brasil.

Introduction: The importance and benefits of breastfeeding for the babies and mothers are well established and documented in the literature. However, it is frequent that lactating mothers need to undergo general or spinal anesthesia and, due to the lack of information, many of them interrupt breastfeeding after anesthesia. There are limited data available regarding anesthetics transfer to breast milk. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.11.006DOI Listing
January 2019

A case of multiple osseous choristomas arising on the medial side of the lateral pterygoid muscle.

Oral Radiol 2019 Jan 16. Epub 2019 Jan 16.

Department of Dentistry, Oral and Maxillofacial-Plastic and Reconstructive Surgery, Faculty of Medicine, Yamagata University, 2-2-2 Iidanishi, Yamagata, 990-9585, Japan.

Osseous choristoma is a rare entity in the oral and maxillofacial region. The most common site is the tongue, followed by the buccal mucosa. Osseous choristoma of the muscle is unusual and few cases have been described in the literature. Read More

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http://dx.doi.org/10.1007/s11282-019-00368-3DOI Listing
January 2019

Intraoperative Hyperoxia Does Not Reduce Postoperative Pain: Subanalysis of an Alternating Cohort Trial.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Outcomes Research, Cleveland Clinic, Cleveland, Ohio.

Background: Postoperative pain is common and promotes opioid use. Surgical wounds are hypoxic because normal perfusion is impaired. Local wound ischemia and acidosis promote incisional pain. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004002DOI Listing
January 2019
1 Read

Does Following Perioperative Cardiovascular Evaluation Guidelines Increase Perioperative Costs?

Anesth Analg 2019 Feb;128(2):202-203

Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1213/ANE.0000000000003912DOI Listing
February 2019
5 Reads

Comparison of hemodynamic response and postoperative pain score between general anaesthesia with intravenous analgesia versus general anesthesia with caudal analgesia in pediatric patients undergoing open-heart surgery.

Ann Card Anaesth 2019 Jan-Mar;22(1):35-40

Department of Anaesthesiology, KK Women's and Children Hospital, Singapore.

Context: Regional anesthesia may attenuate adverse physiological stress responses associated with cardiothoracic surgery. In this study, hemodynamic stress response at the different time of surgical stimuli was compared between patients receiving general anesthesia (GA) along with caudal epidural analgesia with GA with intravenous analgesia in pediatric population undergoing open-heart surgery.

Aims: This study aims to compare the hemodynamic response at the different time of surgical stimuli and postoperative pain score, in pediatric patients undergoing open-heart procedures. Read More

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http://dx.doi.org/10.4103/aca.ACA_215_17DOI Listing
January 2019

[Anesthetic Care of Children With Gene Therapy for the Treatment of Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency].

Hu Li Za Zhi 2019 Feb;66(1):107-114

MD, Attending Physician, Department of Anesthesiology, National Taiwan University Hospital., Taiwan, ROC.

AADC deficiency is a rare autosomal recessive disease that may lead to movement disorder and/or autonomic dysfunction. The prognosis of AADC deficiency patients is poor, and most die in childhood. Gene therapy is the only method currently available to help alleviate related symptoms. Read More

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http://dx.doi.org/10.6224/JN.201902_66(1).13DOI Listing
February 2019
1 Read

Case Report: Post obstructive pulmonary edema (POPE) Type II following elective adenotonsillectomy requiring novel use of high frequency oscillatory ventilation (HFOV).

F1000Res 2018 31;7:1373. Epub 2018 Aug 31.

Department of Pediatric Anesthesia, Alberta Children's Hospital, Calgary, Alberta, T3B 6A8, Canada.

This case report describes a previously healthy 14 year-old patient undergoing elective outpatient adenotonsillectomy that was complicated by acute postoperative pulmonary edema requiring 12 hours of high frequency oscillatory ventilation (HFOV) support.  We describe the clinical findings that led us to this rare diagnosis and management of post obstructive pulmonary edema (POPE) Type II, a rare but recognized complication following the surgical relief of an upper airway obstruction. This case is unique in that no previously published case report or review of POPE Type II has described the need for HFOV support. Read More

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http://dx.doi.org/10.12688/f1000research.16044.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325615PMC
August 2018
1 Read

Optimisation of Perioperative Cardiovascular Management to Improve Surgical Outcome II (OPTIMISE II) trial: study protocol for a multicentre international trial of cardiac output-guided fluid therapy with low-dose inotrope infusion compared with usual care in patients undergoing major elective gastrointestinal surgery.

BMJ Open 2019 Jan 15;9(1):e023455. Epub 2019 Jan 15.

Queen Mary University of London, London, UK.

Introduction: Postoperative morbidity and mortality in older patients with comorbidities undergoing gastrointestinal surgery are a major burden on healthcare systems. Infections after surgery are common in such patients, prolonging hospitalisation and reducing postoperative short-term and long-term survival. Optimal management of perioperative intravenous fluids and inotropic drugs may reduce infection rates and improve outcomes from surgery. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02345
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http://dx.doi.org/10.1136/bmjopen-2018-023455DOI Listing
January 2019
3 Reads

Comparison of Anesthesia Times and Billing Patterns by Anesthesia Practitioners.

JAMA Netw Open 2018 Nov 2;1(7):e184288. Epub 2018 Nov 2.

Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.

Importance: Most physicians must exercise discretion in choosing billing details that determine payment for their services. Understanding the degree to which physicians inappropriately use this discretion has important implications for payment policies. However, separating higher case complexity from inappropriate billing has made this a challenging issue to study. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.4288DOI Listing
November 2018
2 Reads

Association of Mortality and Acute Aortic Events With Ascending Aortic Aneurysm: A Systematic Review and Meta-analysis.

JAMA Netw Open 2018 Aug 3;1(4):e181281. Epub 2018 Aug 3.

Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

Importance: The natural history of ascending aortic aneurysm (AsAA) is currently not well characterized.

Objective: To summarize and analyze existing literature on the natural history of AsAA.

Data Sources: A search of Ovid MEDLINE (January 1, 1946, to May 31, 2017) and Embase (January 1, 1974, to May 31, 2017) was conducted. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.1281DOI Listing
August 2018
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Effects of a Hypnosis Session Before General Anesthesia on Postoperative Outcomes in Patients Who Underwent Minor Breast Cancer Surgery: The HYPNOSEIN Randomized Clinical Trial.

JAMA Netw Open 2018 Aug 3;1(4):e181164. Epub 2018 Aug 3.

Department of Anesthesia, Montpellier Cancer Institute (ICM), University of Montpellier, Montpellier, France.

Importance: Hypnosis is now widespread in medical practice and is emerging as an alternative technique for pain management and anxiety. However, its effects on postoperative outcomes remain unclear.

Objective: To evaluate the efficacy of a preoperative hypnosis session for reducing postoperative breast pain in patients who underwent minor breast cancer surgery. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.1164DOI Listing

Gastrostomy placement : when fluoroscopy helps the endoscopist.

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):525-527

CHU Brugmann, Hepato Gastroenterology, Brussels, Belgium.

Background And Study Aims: Percutaneous endoscopic gastrostomy is the most common therapeutic procedure performed by the digestive endoscopists in the upper gastrointestinal tract. It aims to feed patients presenting denutrition and/or insufficient oral intake. Percutaneous endoscopic gastrostomy feasibility is about 95-100 % although in some cases it is impossible to achieve it, leading to ask for a surgical placement. Read More

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January 2019

A mini-invasive procedure for the treatment of supralevator abscess of cryptoglandular origin by extrasphincteric extension: preliminary results at 1-year follow-up.

Int J Colorectal Dis 2019 Jan 15. Epub 2019 Jan 15.

Department of Radiology, "S. Maria dei Battuti" Hospital, Via Brigata Bisagno 4, 31015, Conegliano, TV, Italy.

Aim: The aim of this retrospective study is to evaluate the preliminary results of a mini-invasive procedure for the treatment of supralevator abscesses (SLA) of cryptoglandular origin by extrasphincteric extension.

Method: In this clinical study, an innovative two-stage procedure was tested for the surgical treatment of SLA. As first step and as a preparation for surgery, the interventional radiologist positioned a CT-guided percutaneous perianal guidewire inside the abscess cavity under local anesthesia. Read More

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http://dx.doi.org/10.1007/s00384-019-03243-zDOI Listing
January 2019