24,950 results match your criteria Anesthesia and analgesia[Journal]


Randomized Trial Comparing Early and Late Administration of Rocuronium Before and After Checking Mask Ventilation in Patients With Normal Airways.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.

Background: During induction of general anesthesia, it is common practice to delay neuromuscular blockade until the ability to deliver mask ventilation has been confirmed. However, the benefits of this approach have never been scientifically validated. We thus compared the early and late administration of rocuronium before and after checking mask ventilation to investigate the efficiency of mask ventilation and the time to tracheal intubation in patients with normal airways. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004060DOI Listing
February 2019

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

From the Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.

Enhanced recovery pathways have quickly become part of the standard of care for patients undergoing elective surgery, especially in North America and Europe. One of the central tenets of this multidisciplinary approach is the use of multimodal analgesia with opioid-sparing and even opioid-free anesthesia and analgesia. However, the current state is a historically high use of opioids for both appropriate and inappropriate reasons, and patients with chronic opioid use before their surgery represent a common, often difficult-to-manage population for the enhanced recovery providers and health care team at large. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004018DOI Listing
February 2019

Clot Retraction: Lost in Interpretation?

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland, Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, Virginia Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

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http://dx.doi.org/10.1213/ANE.0000000000004030DOI Listing
February 2019

Gender Inequality in Anesthesiology Research: An Overview of 2018.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Department of Medicine - DIMED, Section of Anesthesiology and Intensive Care, University of Padova, Padova, Italy,

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http://dx.doi.org/10.1213/ANE.0000000000004075DOI Listing
February 2019

Proposal for a Revised Classification of the Depth of Neuromuscular Block and Suggestions for Further Development in Neuromuscular Monitoring.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, Jacksonville, Florida.

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http://dx.doi.org/10.1213/ANE.0000000000004065DOI Listing
February 2019

Perioperative Epidural Use and Risk of Delirium in Surgical Patients: A Secondary Analysis of the PODCAST Trial.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

From the Department of Anesthesiology.

Background: Postoperative delirium is an important public health concern without effective prevention strategies. This study tested the hypothesis that perioperative epidural use would be associated with decreased risk of delirium through postoperative day 3.

Methods: This was a secondary, observational, nonrandomized analysis of data from The Prevention of Delirium and Complications Associated With Surgical Treatments Trial (PODCAST; NCT01690988). Read More

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http://dx.doi.org/10.1213/ANE.0000000000004038DOI Listing
February 2019
1 Read

In Response.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Anesthesia Department, University of Toronto, Toronto, Canada Department of Surgery, Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Canada, Department of Surgery, University of Toronto, Toronto, Canada,

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http://dx.doi.org/10.1213/ANE.0000000000004031DOI Listing
February 2019

Consensus Statement of the Malignant Hyperthermia Association of the United States on Unresolved Clinical Questions Concerning the Management of Patients With Malignant Hyperthermia.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Department of Anesthesia, University of Iowa, Iowa City, Iowa.

At a recent consensus conference, the Malignant Hyperthermia Association of the United States addressed 6 important and unresolved clinical questions concerning the optimal management of patients with malignant hyperthermia (MH) susceptibility or acute MH. They include: (1) How much dantrolene should be available in facilities where volatile agents are not available or administered, and succinylcholine is only stocked on site for emergency purposes? (2) What defines masseter muscle rigidity? What is its relationship to MH, and how should it be managed when it occurs? (3) What is the relationship between MH susceptibility and heat- or exercise-related rhabdomyolysis? (4) What evidence-based interventions should be recommended to alleviate hyperthermia associated with MH? (5) After treatment of acute MH, how much dantrolene should be administered and for how long? What criteria should be used to determine stopping treatment with dantrolene? (6) Can patients with a suspected personal or family history of MH be safely anesthetized before diagnostic testing? This report describes the consensus process and the outcomes for each of the foregoing unanswered clinical questions. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004039DOI Listing
February 2019
3.472 Impact Factor

Transient Tachypnea of Newborns Is Associated With Maternal Spinal Hypotension During Elective Cesarean Delivery: A Retrospective Cohort Study.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Department of Anesthesiology, Washington University, St Louis, Missouri.

Background: The risk for transient tachypnea of newborns, a common cause of respiratory distress in the neonatal period, is 2- to 6-fold higher during elective cesarean delivery compared to vaginal delivery. Here, we evaluated the association between transient tachypnea of newborns and the degree and duration of predelivery maternal hypotension during spinal anesthesia for elective cesarean delivery.

Methods: Demographic data, details of anesthetic management, blood pressure measurements, and vasopressor requirement preceding delivery were compared between transient tachypnea newborns (n = 30) and healthy neonates (n = 151) with normal respiratory function born via elective cesarean delivery between July 2015 and February 2016. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004064DOI Listing
February 2019

Long Intravascular Persistence of 20% Albumin in Postoperative Patients.

Anesth Analg 2019 Feb 12. Epub 2019 Feb 12.

Research Unit, Södertälje Hospital, Södertälje, Sweden.

Background: Albumin may persist intravascularly for a shorter time in patients after major surgery than in healthy volunteers due to a surgery-induced breakdown (shedding) of the endothelial glycocalyx layer.

Methods: In this nonrandomized clinical trial, an IV infusion of 3 mL/kg of 20% albumin was given at a constant rate during 30 minutes to 15 patients on the first day after major open abdominal surgery (mean operating time 5.9 h) and to 15 conscious volunteers. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004047DOI Listing
February 2019

Editorial by US Food and Drug Administration Attorney Fails to Address Core and Ongoing Issues Seen With Vasopressin Market.

Anesth Analg 2019 Feb 5. Epub 2019 Feb 5.

Department of Pharmacy Services, University of Kentucky HealthCare, Lexington, Kentucky, Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, Kentucky, Department of Anesthesiology, University of Kentucky College of Medicine, Lexington, Kentucky Department of Pharmacy Services, University of Kentucky HealthCare, Lexington, Kentucky Division of Pulmonary, Critical Care and Sleep Medicine, University of Kentucky College of Medicine, Lexington, Kentucky.

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http://dx.doi.org/10.1213/ANE.0000000000004042DOI Listing
February 2019
1 Read

Effectiveness of Magnesium in Preventing Shivering in Surgical Patients: A Systematic Review and Meta-analysis.

Anesth Analg 2019 Feb 5. Epub 2019 Feb 5.

Department of Anesthesiology, Yokohama City University, School of Medicine, Yokohama, Japan.

Background: Clinical trials regarding the antishivering effect of perioperative magnesium have produced inconsistent results. We conducted a systematic review and meta-analysis with Trial Sequential Analysis to evaluate the effect of perioperative magnesium on prevention of shivering.

Methods: We searched PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, and 2 registry sites for randomized clinical trials that compared the administration of magnesium to a placebo or no treatment in patients undergoing surgeries. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004024DOI Listing
February 2019

Cataract Surgery: When the Eyes Are Bigger Than the Stomach.

Anesth Analg 2019 Feb 5. Epub 2019 Feb 5.

Department Anesthesiology, University of Miami, Miller School of Medicine, Miami, Florida,

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http://dx.doi.org/10.1213/ANE.0000000000004054DOI Listing
February 2019

A Multivariable Model Predictive of Unplanned Postoperative Intubation in Infant Surgical Patients.

Anesth Analg 2019 Feb 5. Epub 2019 Feb 5.

From the Department of Anesthesiology, Columbia University Medical Center, New York, New York.

Background: Unplanned postoperative intubation is an important quality indicator, and is associated with significantly increased mortality in children. Infant patients are more likely than older pediatric patients to experience unplanned postoperative intubation, yet the literature provides few characterizations of this outcome in our youngest patients. The objective of this study was to identify risk factors for unplanned postoperative intubation and to develop a scoring system to predict this complication in infants undergoing major surgical procedures. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004043DOI Listing
February 2019
1 Read

In Response.

Anesth Analg 2019 Feb 5. Epub 2019 Feb 5.

Department of Anaesthesia, Khoo Teck Puat Hospital, Singapore Department of Ophthalmology, Norfolk and Norwich University Hospitals, Norwich, United Kingdom Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas,

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http://dx.doi.org/10.1213/ANE.0000000000004055DOI Listing
February 2019

Drug Calculation Errors in Anesthesiology Residents and Faculty: An Analysis of Contributing Factors.

Anesth Analg 2019 Feb 5. Epub 2019 Feb 5.

Department of Public Health Sciences, Division of Biostatistics, University of Miami School of Medicine, Miami, Florida.

Background: Limited data exist regarding computational drug error rates in anesthesia residents and faculty. We investigated the frequency and magnitude of computational errors in a sample of anesthesia residents and faculty.

Methods: With institutional review board approval from 7 academic institutions in the United States, a 15-question computational test was distributed during rounds. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004013DOI Listing
February 2019
1 Read
3.472 Impact Factor

Perioperative Care for Adolescents Undergoing Major Surgery: A Biopsychosocial Conceptual Framework.

Anesth Analg 2019 Feb 1. Epub 2019 Feb 1.

Center on Stress & Health, University of California Irvine, Irvine, California.

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http://dx.doi.org/10.1213/ANE.0000000000004048DOI Listing
February 2019

Regional Anesthesia for Pediatric Ophthalmic Surgery: A Review of the Literature.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology, Perioperative Medicine and Pain Management, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami Health System, Miami, Florida.

Ophthalmic pediatric regional anesthesia has been widely described, but infrequently used. This review summarizes the available evidence supporting the use of conduction anesthesia in pediatric ophthalmic surgery. Key anatomic differences in axial length, intraocular pressure, and available orbital space between young children and adults impact conduct of ophthalmic regional anesthesia. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004012DOI Listing
January 2019
12 Reads

In Response.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology, Division of Regional Anesthesia and Acute Pain, University of California, San Diego, La Jolla, California Department of Anesthesiology, Division of Regional Anesthesia and Acute Pain, University of California, San Diego, La Jolla, California, Department of Medicine, Division of Biomedical Informatics, University of California, San Diego, La Jolla, California,

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http://dx.doi.org/10.1213/ANE.0000000000004011DOI Listing
January 2019
2 Reads

Low Tidal Volume Ventilation in the Surgical Patient: Not Particularly Low and Perhaps Not Particularly Protective.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

From the Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia.

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http://dx.doi.org/10.1213/ANE.0000000000004021DOI Listing
January 2019
2 Reads

Postoperative Myocardial Injury in Middle-Aged and Elderly Patients Following Curative Resection of Esophageal Cancer With Aggressive or Standard Body Temperature Management: A Randomized Controlled Trial.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

From the Department of Anesthesiology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.

Background: Risk of intraoperative hypothermia is relatively high in middle-aged and elderly patients undergoing curative resection of esophageal cancer, which may cause myocardial ischemia during the early postoperative period. The objective of this study was to compare aggressive or standard body temperature management for lowering the incidence of postoperative myocardial injury that was assessed by troponin levels collected at a priori defined set times in these patients.

Methods: Seventy patients undergoing elective curative resection of esophageal cancer were randomly assigned to undergo aggressive body temperature management (nasopharyngeal temperature ≥36°C) or standard body temperature management (n = 35 in each arm). Read More

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http://dx.doi.org/10.1213/ANE.0000000000004022DOI Listing
January 2019
1 Read

Effect of Body Mass Index Category on Body Surface Area Calculation in Children Undergoing Cardiac Procedures.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

From the Section of Pediatric Anesthesiology, Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan.

Background: Many of the common equations used for body surface area determination were either introduced before the widespread prevalence of childhood obesity, contained very few children in their sample, or have not been assessed in overweight/obese children. Therefore, we compared 6 body surface area formulae to determine their performance across body mass index categories using cross-sectional anthropometric data of children who underwent elective cardiac procedures.

Methods: We selected 6 formulae from the literature that included data from pediatric subjects in their derivation. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004016DOI Listing
January 2019

A Systematic Review of the Impact of Surgical Special Care Units on Patient Outcomes and Health Care Resource Utilization.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

From the Department of Anesthesiology and Pain Medicine, The Ottawa Hospital and the University of Ottawa, Ottawa, Ontario, Canada.

Perioperative intermediate care units (termed surgical special care units) have been widely implemented across health systems because they are believed to improve surveillance and management of high-risk surgical patients. Our objective was to conduct a systematic review to investigate the effects of a 3-level model of perioperative care delivery (ie, ward, surgical special care unit, or intensive care unit) compared to a 2-level model of care (ie, ward, intensive care unit) on postoperative outcomes. Our protocol was registered with PROSPERO, the international prospective register of systematic reviews (CRD42015025155). Read More

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http://dx.doi.org/10.1213/ANE.0000000000003942DOI Listing
January 2019
2 Reads

Questions About the Study by Said Et Al.

Anesth Analg 2019 Jan 21. Epub 2019 Jan 21.

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania,

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http://dx.doi.org/10.1213/ANE.0000000000004010DOI Listing
January 2019

Innovation in Education Research: Creation of an Education Research Core.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medicine, Baltimore, Maryland.

Within academic medical centers, there is increasing interest among physicians to pursue education as a promotion pathway. Many medical schools and universities offer professional development opportunities for these individuals such as workshops and certificate and advanced degree programs. However, there exists a need for a more personalized support for clinician-educators to be successful in educational scholarship in the health care setting. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003971DOI Listing
January 2019
1 Read

Quantile Regression and Its Applications: A Primer for Anesthesiologists.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Multivariable regression analysis is a powerful statistical tool in biomedical research with numerous applications. While linear regression can be used to model the expected value (ie, mean) of a continuous outcome given the covariates in the model, quantile regression can be used to compare the entire distribution of a continuous response or a specific quantile of the response between groups. The advantage of the quantile regression methodology is that it allows for understanding relationships between variables outside of the conditional mean of the response; it is useful for understanding an outcome at its various quantiles and comparing groups or levels of an exposure on those quantiles. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004017DOI Listing
January 2019
1 Read

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
3 Reads

Continuous Noninvasive Arterial Pressure Monitoring in Obese Patients During Bariatric Surgery: An Evaluation of the Vascular Unloading Technique (Clearsight system).

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine.

Background: Continuous monitoring of arterial pressure is important in severely obese patients who are at particular risk for cardiovascular complications. Innovative technologies for continuous noninvasive arterial pressure monitoring are now available. In this study, we compared noninvasive arterial pressure measurements using the vascular unloading technique (Clearsight system; Edwards Lifesciences Corp, Irvine, CA) with invasive arterial pressure measurements (radial arterial catheter) in severely obese patients during laparoscopic bariatric surgery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003943DOI Listing
January 2019
1 Read

Systematic Review and Meta-analysis: Sometimes Bigger Is Indeed Better.

Authors:
Thomas R Vetter

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, Texas.

Clinicians encounter an ever increasing and frequently overwhelming amount of information, even in a narrow scope or area of interest. Given this enormous amount of scientific information published every year, systematic reviews and meta-analyses have become indispensable methods for the evaluation of medical treatments and the delivery of evidence-based best practice. The present basic statistical tutorial thus focuses on the fundamentals of a systematic review and meta-analysis, against the backdrop of practicing evidence-based medicine. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004014DOI Listing
January 2019
1 Read

Changes in International Normalized Ratio After Plasma Transfusion in Clinical Settings.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

Independent Researcher, Reno, Nevada Department of Pathology, Keck School of Medicine of the University of Southern California, Los Angeles, California Independent Researcher, Philadelphia, Pennsylvania Department of Pathology and Immunology, Washington University School of Medicine in St Louis, St Louis, Missouri Department of Pathology, Keck School of Medicine of the University of Southern California, Los Angeles, California,

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http://dx.doi.org/10.1213/ANE.0000000000003984DOI Listing
January 2019
1 Read

In Response.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

Division of Critical Care Medicine, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, Department of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota Division of Critical Care Medicine, Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.

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http://dx.doi.org/10.1213/ANE.0000000000003985DOI Listing
January 2019
1 Read

Pain Management for Ambulatory Arthroscopic Anterior Cruciate Ligament Reconstruction: Evidence-Based Recommendations From the Society for Ambulatory Anesthesia.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

Ambulatory arthroscopic anterior cruciate ligament reconstruction is associated with moderate pain, even when nonopioid oral analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs are used. Regional analgesia can supplement nonopioid oral analgesics and reduce postoperative opioid requirements, but the choice of regional analgesia technique for anterior cruciate ligament reconstruction remains controversial. Femoral nerve block, adductor canal block, and local instillation analgesia have all been proposed and are supported by some evidence from randomized controlled trials. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003976DOI Listing
January 2019
3 Reads

Impact of Preoperative Erythropoietin on Allogeneic Blood Transfusions in Surgical Patients: Results From a Systematic Review and Meta-analysis.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

From the Department of Anesthesiology/Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland.

Background: Erythropoietic-stimulating agents such as erythropoietin have been used as part of patient blood management programs to reduce or even avoid the use of allogeneic blood transfusions. We review the literature to evaluate the effect of preoperative erythropoietin use on the risk of exposure to perioperative allogeneic blood transfusions.

Methods: The study involved a systematic review and meta-analysis of randomized controlled trials evaluating the use of preoperative erythropoietin. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004005DOI Listing
January 2019
2 Reads

Perioperative Dextrose Infusion and Postoperative Nausea and Vomiting: A Meta-analysis of Randomized Trials.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, Maryland.

Background: Perioperative IV dextrose infusions have been investigated for their potential to reduce the risk of postoperative nausea and vomiting. In this meta-analysis, we investigated the use of an intraoperative or postoperative infusion of dextrose for the prevention of postoperative nausea and vomiting.

Methods: Our group searched PubMed, Embase, Cochrane library, and Google Scholar for relevant randomized controlled trials examining the use of perioperative IV dextrose for prevention of postoperative nausea and vomiting. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004019DOI Listing
January 2019
1 Read

Vasopressor Infusion During Prone Spine Surgery and Acute Renal Injury: A Retrospective Cohort Analysis.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Hypotension is associated with acute kidney injury, but vasopressors used to treat hypotension may also compromise renal function. We therefore tested the hypothesis that vasopressor infusion during complex spine surgery is not associated with impaired renal function.

Methods: In this retrospective cohort analysis, we considered adults who had complex spine surgery between January 2005 and September 2014 at the Cleveland Clinic Main Campus. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003982DOI Listing
January 2019
2 Reads

Preoperative Echocardiography in Hip Fracture Patients: A Waste of Time or Good Practice?

Anesth Analg 2019 Feb;128(2):207-208

From the Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, Weill Cornell Medical College, New York, New York.

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http://dx.doi.org/10.1213/ANE.0000000000003970DOI Listing
February 2019
1 Read

The American Pediatric Critical Care Anesthesiologist: An Endangered Species Worth Saving.

Anesth Analg 2019 Feb;128(2):204-206

Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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http://dx.doi.org/10.1213/ANE.0000000000003934DOI Listing
February 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
10 Reads

Tuning Up the Life Saver: An Experimental Approach to Optimizing the Delivery of Intravenous Lipid Emulsions.

Anesth Analg 2019 Feb;128(2):199-201

From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts.

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http://dx.doi.org/10.1213/ANE.0000000000003863DOI Listing
February 2019
1 Read

Sad News for Length of Stay: The Impact of Anxiety and Depression.

Anesth Analg 2019 Feb;128(2):198

Vanderbilt University School of Medicine Northwestern University Feinberg School of Medicine

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http://dx.doi.org/10.1213/ANE.0000000000003997DOI Listing
February 2019
2 Reads

A Questionable Return on Investment: Assessing The Cost of Preoperative Cardiac Testing.

Authors:
Naveen Nathan

Anesth Analg 2019 Feb;128(2):197

Northwestern University Feinberg School of Medicine

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http://dx.doi.org/10.1213/ANE.0000000000003996DOI Listing
February 2019
2 Reads

Vascular Adhesion Protein-1 Is Associated With Acute Kidney Injury in High-Risk Patients After Cardiac Surgery.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

From the Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.

Background: Acute kidney injury is a common complication after cardiac surgery, with a high impact on morbidity and mortality. Vascular adhesion protein-1 is involved in inflammation, which, in turn, is part of the development of acute kidney injury after cardiac surgery.

Methods: In this ancillary study to the RENal effects of Remote Ischemic Preconditioning in cardiac surgery trial, we investigated whether vascular adhesion protein-1 might be associated with the development of acute kidney injury in high-risk patients after cardiac surgery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003994DOI Listing
January 2019
4 Reads

In Response.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, Texas Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

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http://dx.doi.org/10.1213/ANE.0000000000004001DOI Listing
January 2019
1 Read

Music Interventions in Pediatric Surgery (The Music Under Surgery In Children Study): A Randomized Clinical Trial.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

From the Department of Pediatric Surgery, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, the Netherlands.

Background: Perioperative music interventions have been shown to reduce anxiety and pain in adults. This inexpensive, easily applicable intervention could be of benefit to children as well. Our objective was to determine the effects of music interventions on distress, anxiety, and postoperative pain in infants undergoing surgery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003983DOI Listing
January 2019
2 Reads

Comparing Nasal End-Tidal Carbon Dioxide Measurement Variation and Agreement While Delivering Pulsed and Continuous Flow Oxygen in Volunteers and Patients.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

From the Departments of Anesthesiology and Bioengineering, University of Utah, Salt Lake City, Utah.

Background: Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort capnography. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004004DOI Listing
January 2019
6 Reads

Efficacy of Intrathecal Fentanyl for Cesarean Delivery: A Systematic Review and Meta-analysis of Randomized Controlled Trials With Trial Sequential Analysis.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

From the Department of Anesthesia, Perioperative Medicine and Pain Management, Dalhousie University, Nova Scotia Health Authority and Izaak Walton Killam Health Centre, Halifax, Nova Scotia, Canada.

Background: Fentanyl and morphine are the 2 most commonly added opioids to bupivacaine for spinal anesthesia during cesarean delivery. Numerous clinical trials have assessed efficacy and safety of different doses of fentanyl added to intrathecal bupivacaine for spinal anesthesia, yet its benefit, harm, and optimal dose remain unclear. This study aimed to systematically review the evidence of the efficacy of fentanyl when added to intrathecal bupivacaine alone and when added to bupivacaine with morphine for spinal anesthesia during cesarean delivery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003975DOI Listing
January 2019
15 Reads

Perioperative Management of Disruptive Patients.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

From the Departments of Anesthesiology and.

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http://dx.doi.org/10.1213/ANE.0000000000004008DOI Listing
January 2019
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Speeding the Detection of Vessel Cannulation: An In-Vitro Stimulation Study.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

From the Stanford University Medical Center, Stanford, California.

Background: Some practitioners "prime" small IV angiocatheter needles with 0.9% sodium chloride-claiming this modification speeds visual detection of blood in the angiocatheter flash chamber on vessel cannulation.

Methods: We compared the time required for human blood to travel the length of saline-primed and saline-unprimed 24- and 22-gauge angiocatheter needles (Introcan Safety IV Catheter; B. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004025DOI Listing
January 2019
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The Effects of Postoperative Residual Neuromuscular Blockade on Hospital Costs and Intensive Care Unit Admission: A Population-Based Cohort Study.

Anesth Analg 2019 Jan 8. Epub 2019 Jan 8.

Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

Background: Postoperative residual neuromuscular blockade continues to be a frequent occurrence with a reported incidence rate of up to 64%. However, the effect of postoperative residual neuromuscular blockade on health care utilization remains unclear. We conducted a retrospective cohort study to investigate the effects of postoperative residual neuromuscular blockade on hospital costs (primary outcome), intensive care unit admission rate, and hospital length of stay (secondary outcomes). Read More

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http://dx.doi.org/10.1213/ANE.0000000000004028DOI Listing
January 2019
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