25,074 results match your criteria Anesthesia and analgesia[Journal]


In Response.

Authors:
Andrew J Toner

Anesth Analg 2019 Apr 16. Epub 2019 Apr 16.

Department of Anaesthesia, Royal Perth Hospital, Perth, Western Australia, Australia,

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http://dx.doi.org/10.1213/ANE.0000000000004177DOI Listing

Nasal Continuous Positive Airway Pressure During Intubation in Superobese Patients Prolongs Safe Apnea Period.

Authors:
Tomasz Gaszynski

Anesth Analg 2019 Apr 16. Epub 2019 Apr 16.

Department of Anaesthesiology and Intensive Therapy, Medical University of Lodz, Lodz, Poland,

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http://dx.doi.org/10.1213/ANE.0000000000004176DOI Listing

In Response.

Anesth Analg 2019 Apr 16. Epub 2019 Apr 16.

Department of Translational Physiology, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, the Netherlands,

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http://dx.doi.org/10.1213/ANE.0000000000004182DOI Listing

Effects of Dexmedetomidine on Blood Glucose and Serum Potassium Levels in Children Undergoing General Anesthesia: A Secondary Analysis of Safety Endpoints During a Randomized Controlled Trial.

Anesth Analg 2019 Apr 16. Epub 2019 Apr 16.

From the Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on blood glucose and serum potassium concentrations, which are relevant due to the associations of derangements of both parameters with undesired outcomes. We investigated the effects of 3 different doses of dexmedetomidine on these outcomes in a randomized controlled trial in children undergoing elective surgery. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004154DOI Listing
April 2019
1 Read

Ketamine-(Dex)Medetomidine, Hyperglycemia, Glycocalyx, and Vascular Permeability.

Authors:
Coert J Zuurbier

Anesth Analg 2019 Apr 16. Epub 2019 Apr 16.

Laboratory of Experimental Intensive Care and Anesthesiology, Department of Anesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands,

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http://dx.doi.org/10.1213/ANE.0000000000004181DOI Listing

Targeted Use of Alcohol-Based Hand Rub on Gloves During Task Dense Periods: One Step Closer to Pathogen Containment by Anesthesia Providers in the Operating Room.

Anesth Analg 2019 Apr 17. Epub 2019 Apr 17.

University of Miami School of Nursing and Health Studies, Miami, Florida.

Background: Anesthesia providers' hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods (induction and extubation) of anesthesia care. A novel approach to reducing pathogen spread during these task dense periods is the use of alcohol-based hand rub on gloves when it may be difficult to either change gloves or clean hands. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004107DOI Listing
April 2019
3.472 Impact Factor

Does Adherence to World Health Organization Hand Hygiene Protocols in the Operating Room Have the Potential to Produce Irritant Contact Dermatitis in Anesthesia Providers?

Anesth Analg 2019 Apr 17. Epub 2019 Apr 17.

Department of Dermatology, University of Miami Miller School of Medicine.

Anesthesia providers have the burden of constant hand hygiene during task dense periods. The requirement for hand hygiene often demands frequent application of alcohol-based hand rub. To assess whether frequent alcohol-based hand rub use leads to skin changes or irritant contact dermatitis, volunteers cleaned their hands with alcohol-based hand rub every 15 minutes for 8 hours for 5 sequential days. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004112DOI Listing
April 2019
3.472 Impact Factor

Segmented Regression and Difference-in-Difference Methods: Assessing the Impact of Systemic Changes in Health Care.

Anesth Analg 2019 Apr 17. Epub 2019 Apr 17.

From the Departments of Quantitative Health Sciences Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.

Perioperative investigators and professionals increasingly seek to evaluate whether implementing systematic practice changes improves outcomes compared to a previous routine. Cluster randomized trials are the optimal design to assess a systematic practice change but are often impractical; investigators, therefore, often select a before-after design. In this Statistical Grand Rounds, we first discuss biases inherent in a before-after design, including confounding due to periods being completely separated by time, regression to the mean, the Hawthorne effect, and others. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004153DOI Listing
April 2019
2 Reads

High-Frequency Heart Rate Variability Index: A Prospective, Observational Trial Assessing Utility as a Marker for the Balance Between Analgesia and Nociception Under General Anesthesia.

Anesth Analg 2019 Apr 17. Epub 2019 Apr 17.

Perinatal Environment and Health, Faculté of Médicine, University of Lille, Centre Hospitalier Universitaire, Lille, France.

Background: Maintaining a balance between nociception and analgesia perioperatively reduces morbidity and improves outcomes. Current intraoperative analgesic strategies are based on subjective and nonspecific parameters. The high-frequency heart rate (HR) variability index is purported to assess the balance between nociception and analgesia in patients under general anesthesia. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004180DOI Listing

Obtaining and Modeling Variability in Travel Times From Off-Site Satellite Clinics to Hospitals and Surgery Centers for Surgeons and Proceduralists Seeing Office Patients in the Morning and Performing a To-Follow List of Cases in the Afternoon.

Anesth Analg 2019 Apr 15. Epub 2019 Apr 15.

From the Department of Anesthesiology, Pain Management and Perioperative Medicine, University of Miami, Miami, Florida.

Background: Hospitals achieve growth in surgical caseload primarily from the additive contribution of many surgeons with low caseloads. Such surgeons often see clinic patients in the morning then travel to a facility to do 1 or 2 scheduled afternoon cases. Uncertainty in travel time is a factor that might need to be considered when scheduling the cases of to-follow surgeons. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004148DOI Listing

Using Pupillary Pain Index to Assess Nociception in Sedated Critically Ill Patients.

Anesth Analg 2019 Apr 15. Epub 2019 Apr 15.

From the Pôle Anesthésie Réanimation, Centre Hospitalier Universitaire Grenoble Alpes, F-38000, Grenoble, France.

Background: Pupillary reflex dilation is a reliable indicator of response to noxious stimulation. In a proof of concept study, we investigated the performance of pupillary pain index, a new score derived from pupillary reflex dilation measurements, to predict nociceptive response to endotracheal suctioning in sedated critically ill patients.

Methods: Twenty brain-injured and 20 non-brain-injured patients were studied within 48 hours of admission (T1) in the intensive care unit and at 48-72 hours later (T2). Read More

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http://dx.doi.org/10.1213/ANE.0000000000004173DOI Listing
April 2019
6 Reads

Consensus Recommendations for the Conduct, Training, Implementation, and Research of Perioperative Handoffs.

Anesth Analg 2019 May;128(5):e71-e78

Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania Department of Anesthesiology & Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas Department of Anesthesiology, Cooper Medical School of Rowan University, Camden, New Jersey Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, Dallas, Texas Department of Anesthesiology, Vanderbilt Medical Center, Nashville, Tennessee Department of Anesthesiology, Duke University & Veterans Affairs Medical Center, Durham, North Carolina Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, Dallas, Texas Department of Anesthesiology, NorthShore University HealthSystem, Dallas, Texas, Department of Anesthesiology and Critical Care, University of Chicago, Chicago, Illinois Department of Anesthesiology, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical School, Dallas, Texas Department of Anesthesiology, Cooper Medical School of Rowan University, Camden, New Jersey Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

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http://dx.doi.org/10.1213/ANE.0000000000004118DOI Listing

Contemplating Our Maternity Care Crisis in the United States: Reflections of an Obstetrician Anesthesiologist.

Authors:
Peter G Pryde

Anesth Analg 2019 May;128(5):1036-1041

From the Madison Anesthesiology Consultants, LLP, UnityPoint Health-Meriter Hospital; and Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

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http://dx.doi.org/10.1213/ANE.0000000000004026DOI Listing

Pharmacokinetics of Cefazolin and Vancomycin in Infants Undergoing Open-Heart Surgery With Cardiopulmonary Bypass.

Anesth Analg 2019 May;128(5):935-943

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

Background: Gram-positive bacteria account for nearly three-quarters of all surgical site infections. Antibiotic prophylaxis against these bacteria with cephalosporins or, in select circumstances, with vancomycin is considered standard of care for prevention of surgical site infections. There is little evidence to describe the optimal dosing regimen for surgical site infection prophylaxis in infants undergoing cardiac surgery, and a great deal of institutional variability exists in dosing prophylactic antibiotics. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003876DOI Listing
May 2019
2 Reads

In Response.

Anesth Analg 2019 May;128(5):e81

Department of Anesthesiology, Jikei University School of Medicine, Nishi-Shinbashi, Minato-ku, Tokyo, Japan, Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine, Nishi-Shinbashi, Minato-ku, Tokyo, Japan.

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http://dx.doi.org/10.1213/ANE.0000000000004082DOI Listing

Blood Pressure, One of the Most Important Factors Is Missing in the Analysis of the Association Between Intraoperative Oliguria and Acute Kidney Injury.

Authors:
Kohei Godai

Anesth Analg 2019 May;128(5):e81

Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan,

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http://dx.doi.org/10.1213/ANE.0000000000004081DOI Listing
May 2019
1 Read

Quality Improvement Interventions Associated With Improved Postoperative Nausea and Vomiting: Separating the Signal From the Noise.

Anesth Analg 2019 May;128(5):847-849

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

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http://dx.doi.org/10.1213/ANE.0000000000004117DOI Listing

Centers of Excellence for Anesthesia Care of Obstetric Patients.

Anesth Analg 2019 May;128(5):844-846

University of Arkansas for Medical Sciences.

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http://dx.doi.org/10.1213/ANE.0000000000004027DOI Listing

Acute Kidney Injury, Chronic Kidney Disease, and Mortality: Understanding the Association.

Authors:
Melanie Meersch

Anesth Analg 2019 May;128(5):841-843

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

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http://dx.doi.org/10.1213/ANE.0000000000004009DOI Listing
May 2019
2 Reads

With Better Information, Can We Stop Blowing Smoke About Prophylactic Antibiotics?

Anesth Analg 2019 May;128(5):839-840

From the Department of Anesthesiology.

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http://dx.doi.org/10.1213/ANE.0000000000003998DOI Listing
May 2019
3 Reads

Decision Aids Are a Solution, but to Which Problem?

Anesth Analg 2019 May;128(5):837-838

From the Department of Anesthesiology and Critical Care, Perelman School of Medicine and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.

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http://dx.doi.org/10.1213/ANE.0000000000003974DOI Listing

The Artificial Pancreas: Coming to an OR Near You?

Anesth Analg 2019 May;128(5):836

Vanderbilt University School of Medicine Northwestern University Feinberg School of Medicine

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http://dx.doi.org/10.1213/ANE.0000000000004162DOI Listing

Preoperative Erythropoietin vs Placebo: What Does the Latest Meta-analysis Say?

Authors:
Naveen Nathan

Anesth Analg 2019 May;128(5):835

Northwestern University Feinberg School of Medicine

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http://dx.doi.org/10.1213/ANE.0000000000004150DOI Listing

Chemical Hip Denervation for Inoperable Hip Fracture.

Anesth Analg 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics and Traumatology, Tuen Mun Hospital, Tuen Mun, Hong Kong.

Background: Hip fracture is a challenging geriatric problem for the health care professionals, especially in patients with multiple comorbidities. In patients with inoperable hip fracture secondary to severe comorbid conditions, the pain can lead to significant challenges in nursing care. With the current understanding of the innervation of hip joint, we are now able to perform selective chemical denervation of the articular branches of femoral and obturator nerves to manage the pain associated with inoperable hip fracture. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004172DOI Listing
April 2019
7 Reads

Perioperative Management of the Pediatric Patient on Medicinal Marijuana: What Anesthesiologists Should Know.

Anesth Analg 2019 Apr 9. Epub 2019 Apr 9.

From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford Health Care, Stanford, California.

In 2018, 29 states allow the use of medicinal marijuana. In these states, minors, with parental permission, are granted access. Use has increased in some states, although there remains a paucity of clear evidence regarding usefulness and dosing. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003956DOI Listing

New Role for the Anesthesia Preoperative Clinic: Helping to Ensure That Surgery Is the Right Choice for Patients With Serious Illness.

Anesth Analg 2019 Apr 9. Epub 2019 Apr 9.

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

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http://dx.doi.org/10.1213/ANE.0000000000004178DOI Listing

Comparison of Nitroglycerin and Terbutaline for External Cephalic Version in Women Who Received Neuraxial Anesthesia: A Retrospective Analysis.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

From the Department of Anesthesiology, Pain, and Perioperative Medicine, Icahn School of Medicine, New York, New York.

External cephalic version is a technique that decreases the need for cesarean delivery in patients with breech presentation. Several techniques exist to increase the success of external cephalic version; however, there are no studies comparing different tocolytics in patients who also received neuraxial anesthesia. We, therefore, performed a review of 198 patients who presented for external cephalic version and compared their success rates based on the tocolytic medication utilized. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004155DOI Listing
April 2019
1 Read

Effects of Dexmedetomidine on Myocardial Repolarization in Children Undergoing General Anesthesia: A Randomized Controlled Trial.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

From the Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on myocardial repolarization, which is important given that the drug is listed as a possible risk factor for torsades de pointes. We investigated the effect of 3 different doses of dexmedetomidine on myocardial repolarization and transmural dispersion in children undergoing elective surgery with total IV anesthesia. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004135DOI Listing
April 2019
6 Reads

To the Editor.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

Department of Anesthesia, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada, Toronto General Hospital Research Institute, Toronto, Ontario, Canada, Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada Department of Pharmaceutical Sciences, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada, Department of Anesthesia and Pain Medicine, Toronto General Hospital (University Health Network), Toronto, Ontario, Canada Department of Pharmaceutical Sciences, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada,

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http://dx.doi.org/10.1213/ANE.0000000000004144DOI Listing
April 2019
3.472 Impact Factor

Is the Balance in Anesthesia Right? Multitarget Approach and Alteration of Systemic Inflammation.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

Department of Anesthesiology, Pain Medicine and Procedural Sedation and Analgesia, Martini General Hospital Groningen, Groningen, the Netherlands, Department of Anesthesiology, Child Institute - Hospital das Clinicas, São Paulo University Medical School, São Paulo, Brazil, Pro Matre Paulista Maternity Hospital, São Paulo, Brazil Department of Anesthesiology, Intensive Care and Reanimation, Academisch Ziekenhuis Sint-Jan Brugge-Oostende Campus Sint Jan Brugge, Bruges, Belgium.

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http://dx.doi.org/10.1213/ANE.0000000000004167DOI Listing
April 2019
1 Read

Outcomes and Safety Among Patients With Obstructive Sleep Apnea Undergoing Cancer Surgery Procedures in a Freestanding Ambulatory Surgical Facility.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

From the *Department of Anesthesiology and Critical Care, Josie Robertson Surgery Center †Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.

Background: Patients with obstructive sleep apnea (OSA) may be at increased risk for serious perioperative complications. The suitability of ambulatory surgery for patients with OSA remains controversial, and several national guidelines call for more evidence that assesses clinically significant outcomes. In this study, we investigate the association between OSA status (STOP-BANG risk, or previously diagnosed) and short-term outcomes and safety for patients undergoing cancer surgery at a freestanding ambulatory surgery facility. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004111DOI Listing
April 2019
1 Read

Normal Saline and Dextrose 5% in Water Do Not Support Bacterial Growth 24 Hours After Being Spiked in the Perioperative Environment.

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

From the Department of Anesthesiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, New York.

Background: The Joint Commission requirement is that the US Pharmacopeia Chapter <797> is followed, which recommends that administration of compounded sterile preparations should begin no later than 1 hour after their preparation. We hypothesized that simply spiking the IV fluid in a nonsterile environment does not pose an increased risk of infection to the patient.

Methods: Two 1000-mL bags of IV fluid (normal saline and dextrose 5% in water) were spiked and hung in 5 busy perioperative locations, once a week for a 13-week period. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004171DOI Listing

In Response.

Authors:
Emery N Brown

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, Department of Brain and Cognitive Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, Institute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, Massachusetts, Picower Institute for Learning and Memory, Massachusetts Institute of Technology, Cambridge, Massachusetts, Institute for Data Systems and Society, Massachusetts Institute of Technology, Cambridge, Massachusetts,

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http://dx.doi.org/10.1213/ANE.0000000000004168DOI Listing

Distraction-Free Induction Zone: A Quality Improvement Initiative at a Large Academic Children's Hospital to Improve the Quality and Safety of Anesthetic Care for Our Patients.

Anesth Analg 2018 Oct 23. Epub 2018 Oct 23.

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

Background: Noise in the operating room may cause distractions during critical periods and impair reliable communication between staff. Even momentary inefficiency while administering anesthesia can lead to errors and serious consequences for the patient. Distractions to an anesthesia provider during critical periods such as induction and emergence are a patient safety issue. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003879DOI Listing
October 2018

Point-of-Care Blood Testing: The Technology Behind the Numbers.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

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

Minutes count in the operating room when it comes to treatment guidance and therapies. On a daily basis, anesthesiologists make hundreds of decisions, some based on laboratory results, when guiding patient therapies. When time is crucial, point-of-care testing is often utilized for expediency. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004149DOI Listing

In Response.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

Department of Anesthesiology, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt, Department of Anaesthesia, Tallaght University Hospital, Dublin, Ireland,

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http://dx.doi.org/10.1213/ANE.0000000000004157DOI Listing

Safety of Beach Chair Position Shoulder Surgery: A Review of the Current Literature.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

From the Department of Anesthesiology, NorthShore University HealthSystem, University of Chicago Pritzker School of Medicine, Evanston, Illinois.

Although uncommon, severe neurological events have been reported in patients undergoing shoulder surgery in the beach chair position. The presumed etiology of central nervous system injury is hypotension and subsequent cerebral hypoperfusion that occurs after alterations in positioning under general anesthesia. Most clinical trials have demonstrated that beach chair positioning results in reductions in regional brain oxygenation, cerebral blood flow, and jugular bulb oxygenation, as well as impairment in cerebral autoregulation and electroencephalographic/processed electroencephalographic variables. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004133DOI Listing
April 2019
3 Reads

Questions Regarding the Use of Neostigmine-Atropine to Treat Postdural Puncture Headache.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

Departmental of Anesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana State, India,

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http://dx.doi.org/10.1213/ANE.0000000000004156DOI Listing

Effect of Right-Lateral Versus Left-Lateral Tilt Position on Compression of the Inferior Vena Cava in Pregnant Women Determined by Magnetic Resonance Imaging.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

Department of Anesthesiology, Tokyo Women's Medical University, Tokyo, Japan.

Background: Despite the existing dogma that women undergoing cesarean delivery under spinal anesthesia should be positioned with a 15° left-lateral tilt, the patients were actually positioned in a right-lateral tilt position in several of the original studies. The superiority of right versus left positioning for optimal inferior vena cava volume is unknown. We used magnetic resonance imaging to compare the effects of right-lateral and left-lateral tilt positions on abdominal aortic and inferior vena cava volumes in pregnant women. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004166DOI Listing
April 2019
1 Read

Routine Fluid Coloading During Spinal Anesthesia Should Be Abandoned.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

Department of Anesthesiology and Intensive Care Medicine, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany,

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http://dx.doi.org/10.1213/ANE.0000000000004160DOI Listing
April 2019
2 Reads

In Response.

Anesth Analg 2019 Apr 3. Epub 2019 Apr 3.

Department of Anesthesia and Surgical Intensive Care, Mansoura University Hospitals, Mansoura, Egypt,

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http://dx.doi.org/10.1213/ANE.0000000000004161DOI Listing

Mobile Applications in a Crisis.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesiology and Surgical Critical Care, Hospital General Universitario de Alicante, Alicante, Spain

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http://dx.doi.org/10.1213/ANE.0000000000004137DOI Listing
March 2019
1 Read

Missed Neostigmine-Atropine Side Effects: Uncommonly Noticed Postanesthesia but Commonly Noticed in Other Situations.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesia, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia,

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http://dx.doi.org/10.1213/ANE.0000000000004158DOI Listing
March 2019
1 Read

A Simple Method for Estimating Hand Hygiene Use Among Anesthesia Personnel: Development, Validation, and Use in a Quality Improvement Project.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesiology, Tufts University School of Medicine, Boston, Massachusetts.

Background: Frequent hand hygiene by anesthesia personnel may be an important factor in reducing contamination of IV lines and medication access ports and may reduce hospital-acquired infections. Measurement of hand hygiene frequency at the individual clinician level by direct observation or electronic devices is cumbersome and expensive. We developed and validated a simple method for estimating hand hygiene frequency by individual anesthesia providers and utilized it in a quality improvement initiative to increase hand hygiene use. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004106DOI Listing

Comparative Study of TOF-Cuff, a New Neuromuscular Blockade Monitor, and TOF-Watch, an Acceleromyography.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

From the Department of Anesthesiology, Sapporo Medical University School of Medicine, Hokkaido, Japan.

Train-of-four ratios were recorded to assess the agreement between the TOF-Cuff and TOF-Watch, and residual paresis was assessed to evaluate the clinical utility of TOF-Cuff. Train-of-four ratios were evaluated using Lin concordance correlation coefficient and Bland-Altman analyses. Measured train-of-four ratios demonstrated high accuracy and precision over the entire range of train-of-four ratios. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004147DOI Listing

A Contemporary Medicolegal Analysis of Outpatient Interventional Pain Procedures: 2009-2016.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

Background: Closed malpractice claim studies allow a review of rare but often severe complications, yielding useful insight into improving patient safety and decreasing practitioner liability.

Methods: This retrospective observational study of pain medicine malpractice claims utilizes the Controlled Risk Insurance Company Comparative Benchmarking System database, which contains nearly 400,000 malpractice claims drawn from >400 academic and community medical centers. The Controlled Risk Insurance Company Comparative Benchmarking System database was queried for January 1, 2009 through December 31, 2016, for cases with pain medicine as the primary service. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004096DOI Listing
March 2019
2 Reads

Distinguished Service Awards in Anesthesiology Specialty Societies: Analysis of Gender Differences.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Physical Medicine & Rehabilitation, Harvard Medical School, Boston, Massachusetts.

The authors queried 9 anesthesiology societies to examine Distinguished Service Award recipients over time by gender. Of the 211 total Distinguished Service Awards given by all 9 societies, women received 25 (11.8%). Read More

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http://dx.doi.org/10.1213/ANE.0000000000004132DOI Listing

Blood Substitutes and Oxygen Therapeutics: A Review.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesiology, Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood New Jersey.

Despite the exhaustive search for an acceptable substitute to erythrocyte transfusion, neither chemical-based products such as perfluorocarbons nor hemoglobin-based oxygen carriers have succeeded in providing a reasonable alternative to allogeneic blood transfusion. However, there remain scenarios in which blood transfusion is not an option, due to patient's religious beliefs, inability to find adequately cross-matched erythrocytes, or in remote locations. In these situations, artificial oxygen carriers may provide a mortality benefit for patients with severe, life-threatening anemia. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003957DOI Listing
March 2019
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Estimating the Impact of Carbon Dioxide Absorbent Performance Differences on Absorbent Cost During Low-Flow Anesthesia.

Anesth Analg 2019 Mar 27. Epub 2019 Mar 27.

Department of Anesthesiology, Intensive Care and Pain Therapy, OLV Hospital, Aalst, Belgium.

Background: Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount of exhaled gas rebreathed increases, but the utilization of carbon dioxide absorbent increases as well. Reducing fresh gas flow may not make economic sense if the increased cost of absorbent utilization exceeds the reduced cost of anesthetic vapor. Read More

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http://dx.doi.org/10.1213/ANE.0000000000004059DOI Listing