246 results match your criteria Anesthesiology Research and Practice [Journal]


Effect of Ketamine/Propofol Admixture on Peri-Induction Hemodynamics: A Systematic Review and Meta-Analysis.

Anesthesiol Res Pract 2020 8;2020:9637412. Epub 2020 May 8.

Evidence-Based Practice Center, Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.

To evaluate the effectiveness of an admixture of ketamine and propofol on peri-induction hemodynamics during airway manipulation, we searched electronic databases of randomized controlled trials from January 1, 2000, to October 17, 2018. Trial screening, selection, and data extraction were done independently by two reviewers with outcomes pooled across included trials using the random-effects model. We included 10 randomized trials (722 patients, mean age of 53. Read More

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http://dx.doi.org/10.1155/2020/9637412DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231081PMC

Use of Cognitive Aids: Results from a National Survey among Anaesthesia Providers in France and Canada.

Anesthesiol Res Pract 2020 6;2020:1346051. Epub 2020 May 6.

Centre de simulation LabForSIMS, Faculté de médecine Paris Saclay, 94275 Le Kremlin Bicêtre, France.

Introduction: The use of cognitive aids (CAs) during critical events is thought to be useful. However, whether CAs are known and used by French and Canadian anaesthesia providers is not clear.

Methods: A survey was emailed to French and Canadian anaesthesia providers in 2017 through their respective national societies. Read More

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http://dx.doi.org/10.1155/2020/1346051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225858PMC

Incidence and Associated Factors of Laryngospasm among Pediatric Patients Who Underwent Surgery under General Anesthesia, in University of Gondar Compressive Specialized Hospital, Northwest Ethiopia, 2019: A Cross-Sectional Study.

Anesthesiol Res Pract 2020 24;2020:3706106. Epub 2020 Jan 24.

Department of Anesthesia, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Introduction: Laryngospasm is a glottis closure due to reflex constriction of the laryngeal muscles. It can occur at any phase of the anesthetic. Different studies have been done previously with various results and indicative values which initiated us to do this research. Read More

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http://dx.doi.org/10.1155/2020/3706106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204258PMC
January 2020

Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly.

Anesthesiol Res Pract 2020 30;2020:1358258. Epub 2020 Apr 30.

Department of Anesthesiology and Reanimation, Kahramanmaras Sütcü İmam University Faculty of Medicine, Kahramanmaras, Turkey.

Background: In this study, patients who underwent cesarean section and had placenta previa and placenta accreta were examined and compared in terms of haemorrhagic indicators and perioperative anesthetic management.

Methods: A retrospective study was conducted in a university hospital in Kahramanmaras, Turkey. It included 95 pregnant women who had placental anomaly and underwent cesarean section between December 15, 2014, and February 15, 2016. Read More

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http://dx.doi.org/10.1155/2020/1358258DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210521PMC

Epidural Needle Extension through the Ligamentum Flavum Using the Standard versus the CompuFlo®-Assisted Loss of Resistance to Saline Technique: A Simulation Study.

Anesthesiol Res Pract 2020 7;2020:9651627. Epub 2020 Jan 7.

European School of Obstetric Anesthesia, Maternal Neonatal Simulation Centre, Rome, Italy.

Background: The CompuFlo® epidural system has been recently introduced and validated as an objective and sensible tool to detect the epidural space. We aimed to verify whether the high sensitivity of the instrument may help the anesthesiologist to identify the epidural space very early, limiting the extension of the Tuohy needle into the epidural space.

Methods: In this prospective, simulation study, we evaluated the Tuohy needle extension through a simulated ligamentum flavum during the epidural procedure performed by 52 expert anesthesiologists by using the CompuFlo® epidural instrument or their standard loss of resistance to saline technique (LORT). Read More

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http://dx.doi.org/10.1155/2020/9651627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199635PMC
January 2020

Appropriate Blood Pressure in Cerebral Aneurysm Clipping for Prevention of Delayed Ischemic Neurologic Deficits.

Anesthesiol Res Pract 2020 1;2020:6539456. Epub 2020 Apr 1.

Neurosurgery Unit, Department of Surgery, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Background: Delayed ischemic neurologic deficit (DNID) is a problem after cerebral aneurysm clipping. Intraoperative hypotension seems to be indicated as a risk factor, but it remains a controversial issue with varying low-blood pressure levels accepted.

Methods: A retrospective, hospital-based, case-control study was performed with patients who received general anesthesia for cerebral aneurysm clipping. Read More

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http://dx.doi.org/10.1155/2020/6539456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152938PMC

A Review of Nonanesthetic Uses of Ketamine.

Anesthesiol Res Pract 2020 1;2020:5798285. Epub 2020 Apr 1.

Department of Anesthesiology, University of Central Florida College of Medicine, Orlando, FL, USA.

Ketamine, a nonselective NMDA receptor antagonist, is used widely in medicine as an anesthetic agent. However, ketamine's mechanisms of action lead to widespread physiological effects, some of which are now coming to the forefront of research for the treatment of diverse medical disorders. This paper aims at reviewing recent data on key nonanesthetic uses of ketamine in the current literature. Read More

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http://dx.doi.org/10.1155/2020/5798285DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152956PMC

Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians.

Anesthesiol Res Pract 2020 30;2020:4562528. Epub 2020 Mar 30.

Singapore General Hospital, Outram Road, Singapore 169608.

Results: Sixty-two patients were identified. The mean age is 93.6 years. Read More

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http://dx.doi.org/10.1155/2020/4562528DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7149437PMC

The Effect of Intraoperative Methadone Compared to Morphine on Postsurgical Pain: A Meta-Analysis of Randomized Controlled Trials.

Anesthesiol Res Pract 2020 27;2020:6974321. Epub 2020 Mar 27.

Department of Anesthesiology, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

Methods: We performed a quantitative systematic review of randomized controlled trials in PubMed, Embase, Cochrane Library, and Google Scholar electronic databases. Meta-analysis was performed using the random effects model, weighted mean differences (WMD), standard deviation, 95% confidence intervals, and sample size. Methodological quality was evaluated using Cochrane Collaboration's tool. Read More

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http://dx.doi.org/10.1155/2020/6974321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140144PMC

Patient Complications after Interscalene Block: A Retrospective Comparison of Liposomal Bupivacaine to Nonliposomal Bupivacaine.

Anesthesiol Res Pract 2020 27;2020:6704303. Epub 2020 Mar 27.

Department of Anesthesiology, University of Minnesota, Minneapolis, MN, USA.

Background: The purpose of this study was to investigate if the addition of liposome bupivacaine (LB) to an interscalene block (ISB) had an effect on the number of patients with surgical- or block-related complications.

Methods: This was a single-center retrospective chart view performed by identifying patients who received an ISB from January 1, 2014, through April 26, 2018, at the University of Minnesota. 1,518 patients were identified who received an ISB (LB = 784, nonliposomal bupivacaine = 734). Read More

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http://dx.doi.org/10.1155/2020/6704303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139877PMC

Maternal Satisfaction and Its Associated Factors towards Spinal Anesthesia for Caesarean Section: A Cross-Sectional Study in Two Eritrean Hospitals.

Anesthesiol Res Pract 2020 21;2020:5025309. Epub 2020 Mar 21.

Department of Epidemiology and Biostatistics, School of Public Health, Asmara College of Health Sciences, Asmara, Eritrea.

Objective: Satisfaction of mothers during caesarean section is an important indicator for measuring quality of obstetric anesthesia. This study aimed to determine mothers' level of satisfaction and the predicting factors of dissatisfaction towards spinal anesthesia during caesarean section.

Methods: Cross-sectional study design was utilized in Orotta Maternity Hospital (OMH) and Sembel Hospital from December 2017 to February 2018, in Asmara, Eritrea. Read More

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http://dx.doi.org/10.1155/2020/5025309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114738PMC

Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany.

Anesthesiol Res Pract 2020 1;2020:2356019. Epub 2020 Mar 1.

Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Klinikum Hanau GmbH, Leimenstrasse 20, Hanau D-63450, Germany.

Background: Modern intensive care methods led to an increased survival of critically ill patients over the last decades. But an unreflected application of modern intensive care measures might lead to prolonged treatment for incurable diseases, and an inadaequate or too aggressive therapy can prolong the dying process of patients. In this study, we analysed end-of-life decisions regarding withholding and withdrawal of intensive care measures in a German intensive care unit (ICU) of a communal tertiary hospital. Read More

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http://dx.doi.org/10.1155/2020/2356019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068140PMC

Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study.

Anesthesiol Res Pract 2020 1;2020:2157295. Epub 2020 Mar 1.

American University of the Caribbean School of Medicine, Sint Maarten, Netherlands.

Background: The purpose of this study was to correlate intraoperative anesthetic complications of trauma patients with their respective urine toxicology results.

Methods: This retrospective, single-center cohort study at a Level 1 trauma center included patients with the following criteria: (1) trauma admission between January 1, 2010, and December 31, 2016, (2) required surgical intervention, (3) are age 18 and older, and (4) urine toxicology screening was completed. Anesthetic records were evaluated for intraoperative complications. Read More

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http://dx.doi.org/10.1155/2020/2157295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068141PMC

Dexmedetomidine Pharmacokinetics in Neonates with Hypoxic-Ischemic Encephalopathy Receiving Hypothermia.

Anesthesiol Res Pract 2020 25;2020:2582965. Epub 2020 Feb 25.

Pharmacokinetics Laboratory, Department of Pharmaceutics, School of Pharmacy, University of Washington, Seattle, WA, USA.

Dexmedetomidine is a promising sedative and analgesic for newborns with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH). Pharmacokinetics and safety of dexmedetomidine were evaluated in a phase I, single-center, open-label study to inform future trial strategies. We recruited 7 neonates ≥36 weeks' gestational age diagnosed with moderate-to-severe HIE, who received a continuous dexmedetomidine infusion during TH and the 6 h rewarming period. Read More

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http://dx.doi.org/10.1155/2020/2582965DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060842PMC
February 2020

Quo Vadis PCA? A Review on Current Concepts, Economic Considerations, Patient-Related Aspects, and Future Development with respect to Patient-Controlled Analgesia.

Anesthesiol Res Pract 2020 13;2020:9201967. Epub 2020 Feb 13.

Department of Anaesthesia and Critical Care, University Hospitals of Wuerzburg, Wuerzburg, Germany.

This review assesses four interrelating aspects of patient-controlled analgesia (PCA), a long-standing and still widely used concept for postoperative pain management. Over the years, anaesthesiologists and patients have appreciated the benefits of PCA alike. The market has seen new technologies leveraging noninvasive routes of administration and, thus, further increasing patient and staff satisfaction as well as promoting safety aspects. Read More

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http://dx.doi.org/10.1155/2020/9201967DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040376PMC
February 2020

The Effect of Perioperative Music Listening on Patient Satisfaction, Anxiety, and Depression: A Quasiexperimental Study.

Anesthesiol Res Pract 2020 7;2020:3761398. Epub 2020 Feb 7.

Department of Women's Anaesthesia, KK Women's and Children's Hospital 229899, Singapore.

Background: The effect of perioperative music listening has been proven to relieve preoperative anxiety and depression, while improving patient satisfaction. However, music listening has not been extensively studied in Singapore. Therefore, the primary aim of our study is to investigate the patient satisfaction towards perioperative music listening in the local setting. Read More

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http://dx.doi.org/10.1155/2020/3761398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029289PMC
February 2020

Success and Challenge When Returning to Clinical Practice: A Case Series in Anesthesiologist Re-Entry.

Anesthesiol Res Pract 2019 20;2019:3531968. Epub 2019 Dec 20.

Department of Internal Medicine, Drexel University College of Medicine, Hahnemann University Hospital, Philadelphia, PA, USA.

Introduction: Anesthesiologists returning to clinical practice pose unique challenges for licensing and credentialing boards. Few institutions provide re-education. We describe the physician refresher/re-entry program at our College of Medicine. Read More

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http://dx.doi.org/10.1155/2019/3531968DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942700PMC
December 2019

Dimensional Variations of Left-Sided Double-Lumen Endobronchial Tubes.

Anesthesiol Res Pract 2019 24;2019:3634202. Epub 2019 Sep 24.

Institute for Anesthesia and Intensive Care Medicine, Spital Thurgau AG, Frauenfeld, Switzerland.

Background: Tube size selection is critical in ventilating patients' lungs using double-lumen endobronchial tubes (DLTs). Little information about relevant parameters is readily available from manufacturers. The aim of this study is to provide reference data for relevant dimensions of conventionally available DLTs. Read More

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http://dx.doi.org/10.1155/2019/3634202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6930798PMC
September 2019

Effect of Depth of Total Intravenous General Anesthesia on Intraoperative Electrically Evoked Compound Action Potentials in Cochlear Implantation Surgery.

Anesthesiol Res Pract 2019 1;2019:6838506. Epub 2019 Dec 1.

Division of Otolaryngology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.

Purpose: This study aims to compare the effect of the depth of total intravenous anesthesia (TIVA) on intraoperative electrically evoked compound action potential (e-ECAP) thresholds in cochlear implant operations.

Methods: Prospectively, a total of 39 patients aged between 1 and 48 years who were scheduled to undergo cochlear implantation surgeries were enrolled in this study. Every patient received both light and deep TIVA during the cochlear implant surgery. Read More

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http://dx.doi.org/10.1155/2019/6838506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6914979PMC
December 2019

A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications.

Anesthesiol Res Pract 2019 10;2019:6769506. Epub 2019 Dec 10.

Oslo University Hospital, Division of Emergencies and Critical Care, Department of Anaesthesiology, Postbox 4950 Nydalen, 0424 Oslo, Norway.

Background: Long-term venous access has become the standard practice for the administration of chemotherapy, fluid therapy, antibiotics, and parenteral nutrition. The most commonly used methods are percutaneous puncture of the subclavian and internal jugular veins using the Seldinger technique or surgical cutdown of the cephalic vein.

Methods: This study is based on a quality registry including all long-term central venous catheter insertion procedures performed in patients >18 years at our department during a five-year period. Read More

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http://dx.doi.org/10.1155/2019/6769506DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925808PMC
December 2019

Comparison of the Effects of Target-Controlled Infusion of Propofol and Sevoflurane as Maintenance of Anesthesia on Hemodynamic Profile in Kidney Transplantation.

Anesthesiol Res Pract 2019 29;2019:5629371. Epub 2019 Nov 29.

Department of Urology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital, Diponegoro Street No. 71, DKI Jakarta 10430, Indonesia.

Background: Target-controlled infusion (TCI) propofol and sevoflurane are common agents for general anesthesia, including for kidney transplantation procedure. This study compared the effect of TCI propofol and sevoflurane on intraoperative hemodynamic profile in kidney transplant patients.

Methods: A single-blinded prospective study was performed in 46 kidney transplant recipients who were randomized into receiving TCI propofol or sevoflurane as anesthetics maintenance. Read More

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http://dx.doi.org/10.1155/2019/5629371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925739PMC
November 2019

Goal-Directed vs Traditional Approach to Intraoperative Fluid Therapy during Open Major Bowel Surgery: Is There a Difference?

Anesthesiol Res Pract 2019 29;2019:3408940. Epub 2019 Nov 29.

Department of Biochemistry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal 576104, Karnataka, India.

Introduction: Optimum perioperative fluid therapy is important to improve the outcome of the surgical patient. This study prospectively compared goal-directed intraoperative fluid therapy with traditional fluid therapy in general surgical patients undergoing open major bowel surgery.

Methodology: Patients between 20 and 70 years of age, either gender, ASA I and II, and scheduled for elective open major bowel surgery were included in the study. Read More

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http://dx.doi.org/10.1155/2019/3408940DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907038PMC
November 2019

Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula.

Anesthesiol Res Pract 2019 3;2019:8621801. Epub 2019 Nov 3.

Department of Anesthesiology, New York Presbyterian-Brooklyn Methodist Hospital, Brooklyn, NY 11215, USA.

Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500-3000 live births. The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs. The presentation and perioperative management of neonates with H-type TEFs and all other TEFs are very similar to each other. Read More

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http://dx.doi.org/10.1155/2019/8621801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875187PMC
November 2019

Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia.

Anesthesiol Res Pract 2019 3;2019:6593736. Epub 2019 Oct 3.

Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Objective: To investigate the incidence of and risk factors for moderate to severe pain during the first 24 hours after laparoscopic bariatric surgery.

Materials And Methods: This retrospective study included morbidly obese patients who underwent laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass at a single institution between June 2016 and July 2018. Demographic, clinical, operative, and postoperative pain data from the postanesthesia care unit (PACU) and ward were analyzed. Read More

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http://dx.doi.org/10.1155/2019/6593736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794962PMC
October 2019
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Sevoflurane Alleviates Reperfusion Arrhythmia by Ameliorating TDR and MAPD in Isolated Rat Hearts after Ischemia-Reperfusion.

Anesthesiol Res Pract 2019 22;2019:7910930. Epub 2019 Sep 22.

School of Anesthesiology, Guizhou Medical University, Guiyang, Guizhou, China.

Objective: To investigate the effect of sevoflurane on the monophasic action potentials (MAPs) in isolated rat hearts after ischemia-reperfusion.

Methods: Twenty-four healthy SD male rats, weighing 280-320 g, were randomly divided into three groups after successful preparation of a Langendorff isolated heart perfusion model with a stabilization period perfusion of 15 min with Krebs-Henseleit (K-H) fluid ( = 8): the control group (group A, continuously perfused with K-H fluid for 105 min), the ischemia-reperfusion group (group B, continuously perfused with K-H fluid for 15 min, and then exposed to 60 min of global ischemia induced by Thomas solution followed by 30 min of reperfusion), and the sevoflurane group (group C, K-H fluid contained 1.0 MAC sevoflurane, and other procedures were same as in group B). Read More

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http://dx.doi.org/10.1155/2019/7910930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778868PMC
September 2019

Effect of Spinal Anesthesia versus General Anesthesia on Blood Glucose Concentration in Patients Undergoing Elective Cesarean Section Surgery: A Prospective Comparative Study.

Anesthesiol Res Pract 2019 1;2019:7585043. Epub 2019 Oct 1.

Department of Obstetrics & Gynecology, Faculty of Medicine, Jordan University of Science and Technology, P.O. Box 953, Irbid 21110, Jordan.

Background: This prospective study compared the blood glucose concentration with spinal anesthesia or general anesthesia in patients undergoing elective cesarean section surgery.

Methods: In total, 58 pregnant women who underwent elective cesarean section surgery were included in this prospective comparative study. Group S ( = 35) included patients who chose spinal anesthesia, and group G ( = 23) included patients who chose general anesthesia. Read More

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http://dx.doi.org/10.1155/2019/7585043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791279PMC
October 2019

Audit on Current Practice of Rapid Sequence Induction and Intubation of Anesthesia in the University of Gondar Hospital, Northwest Ethiopia, 2018.

Anesthesiol Res Pract 2019 22;2019:6842092. Epub 2019 Sep 22.

University of Gondar, Gondar, Ethiopia.

Background: In patients who are liable to the risk of pulmonary aspiration, airway control is the primary and first concern for the anesthetists both in emergency and elective surgical procedures. Rapid sequence induction is universally required in any occasion of emergent endotracheal intubation needed for unfasted patients or patients' fasting status is unknown.

Methods: institutional-based prospective observational study was conducted from December 2017 to January 2018 in all elective and emergency adult or pediatric patients with a risk of pulmonary aspiration who were operated under general anesthesia with rapid sequence induction and intubation during the audit period. Read More

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http://dx.doi.org/10.1155/2019/6842092DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778896PMC
September 2019

Emergency Surgery Mortality (ESM) Score to Predict Mortality and Improve Patient Care in Emergency Surgery.

Anesthesiol Res Pract 2019 23;2019:6760470. Epub 2019 Sep 23.

Department of Anesthesia, Khon Kaen Hospital, Khon Kaen, Thailand.

Background: Emergency surgery has poor outcomes with high mortality. Numerous studies have reported the risk factors for postoperative death in order to stratify risk and improve perioperative care; nevertheless, a predictive model based upon these risk factors is lacking.

Objective: We aimed to identify the risk factors of postoperative mortality and to construct a new model for predicting mortality and improving patient care. Read More

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http://dx.doi.org/10.1155/2019/6760470DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6778951PMC
September 2019

Compuflo®-Assisted Training vs Conventional Training for the Identification of the Ligamentum Flavum with an Epidural Simulator: A Brief Report.

Anesthesiol Res Pract 2019 12;2019:3804743. Epub 2019 Sep 12.

European School of Obstetric Anesthesia (EESOA), Maternal Neonatal Simulation Centre, Rome, Italy.

The ability of recognizing the ligamentum flavum is the first, crucial, important skill to teach novices when they are learning the epidural technique. The aim of this preliminary prospective study was to evaluate whether the Compuflo® Epidural instrument may help inexperienced trainees to better identify the ligamentum flavum during an epidural simulator training session. Compuflo® reduced the total number of attempts to identify the ligamentum flavum and increased three fold the chance to identify it at the first attempt during a simulator-assisted training module, making this identification easier for inexperienced trainees. Read More

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http://dx.doi.org/10.1155/2019/3804743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6757248PMC
September 2019

Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lomé in Togo.

Anesthesiol Res Pract 2019 1;2019:4038319. Epub 2019 Aug 1.

Anesthesiology and Intensive Care Department of Sylvanus Olympio University Hospital, University of Lome, Lome, Togo.

Introduction: Severe pediatric traumatic brain injury (pTBI) is a leading cause of disability and death in children worldwide. Children victims of pTBI are admitted to the Sylvanus Olympio University Hospital (SOUH) at the multipurpose Intensive Care Unit (ICU). We aimed in this study to describe the epidemiologic characteristics and outcomes of pTBI patients admitted in this ICU. Read More

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http://dx.doi.org/10.1155/2019/4038319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701323PMC
August 2019
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Are Anesthesiology Providers Good Guessers? Heart Rate and Oxygen Saturation Estimation in a Simulation Setting.

Anesthesiol Res Pract 2019 21;2019:5914305. Epub 2019 Jul 21.

Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, 1120 15th Street, Augusta, GA, USA.

Background: Anesthesia providers may need to interpret the output of vital sign monitors based on auditory cues, in the context of multitasking in the operating room. This study aims to evaluate the ability of different anesthesia providers to estimate heart rate and oxygen saturation in a simulation setting.

Methods: Sixty anesthesia providers (residents, nurse anesthetics, and anesthesiologists) were studied. Read More

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http://dx.doi.org/10.1155/2019/5914305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6679872PMC
July 2019
1 Read

Magnitude and Associated Factors of Awareness with Recall under General Anesthesia in Amhara Regional State Referral Hospitals, 2018.

Anesthesiol Res Pract 2019 7;2019:7043279. Epub 2019 Jul 7.

College of Health Sciences, Department of Anaesthesia, Debre Tabor University, Debra Tabor, Ethiopia.

Introduction: Awareness with recall of intraoperative events is an infrequent but potentially devastating complication of general anesthesia, with a reported incidence of 0.1-0.2% in low-risk patients. Read More

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http://dx.doi.org/10.1155/2019/7043279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6642758PMC
July 2019
10 Reads

Anesthesia Workspace Cleanliness and Safety: Implementation of a Novel Syringe Bracket Using 3D Printing Techniques.

Anesthesiol Res Pract 2019 1;2019:2673781. Epub 2019 Jul 1.

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.

Purpose: Wide variability persists in the preparation and storage of common anesthetic medications despite the recognition of anesthesia workspace standardization as a national quality improvement priority. Syringe contamination and medication swaps continue to pose significant hazards to patient safety.

Methods: We assessed differences in practice related to the availability of commonly prepared anesthetic medications. Read More

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http://dx.doi.org/10.1155/2019/2673781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636519PMC

Labor Epidural Analgesia to Cesarean Section Anesthetic Conversion Failure: A National Survey.

Anesthesiol Res Pract 2019 2;2019:6381792. Epub 2019 Jun 2.

Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, 94305 California, USA.

Background: If conversion of labor epidural analgesia to cesarean delivery anesthesia fails, the anesthesiologist can be confronted with a challenging clinical dilemma. Optimal management of a failed epidural top up continues to be debated in the absence of best practice guidelines.

Method: All members of the Obstetric Anaesthetists' Association in the United Kingdom were emailed an online survey in May 2017. Read More

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http://dx.doi.org/10.1155/2019/6381792DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6589285PMC
June 2019
1 Read

Subparalyzing Doses of Rocuronium Reduce Muscular Endurance without Detectable Effect on Single Twitch Height in Awake Subjects.

Anesthesiol Res Pract 2019 2;2019:2897406. Epub 2019 May 2.

Lund University, Skåne University Hospital, Department of Clinical Sciences, 221 85 Lund, Sweden.

Purpose: To test the hypothesis that a low-dose rocuronium acts mainly by means of reducing muscular endurance rather than by reducing momentary force.

Methods: In a randomized placebo-controlled double-blinded study, eight healthy volunteers were studied in two sets of experiments. In the first set, the subjects made a sustained maximum effort with the dominant hand for 80 seconds while squeezing an electronic handgrip dynamometer at three minutes after intravenous administration of placebo, 0. Read More

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http://dx.doi.org/10.1155/2019/2897406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6525858PMC
May 2019
1 Read

Predictive Values of Preoperative Tests for Difficult Laryngoscopy and Intubation in Adult Patients at Tikur Anbessa Specialized Hospital.

Anesthesiol Res Pract 2019 1;2019:1790413. Epub 2019 Apr 1.

College of Health Sciences, School of Medicine, Department of Anaesthesia, Addis Ababa University, Addis Ababa, Ethiopia.

Introduction: The significance of difficult or failed tracheal intubation following induction is a well-recognized cause of morbidity and mortality in anesthetic practice. Nevertheless, the need to predict potentially difficult tracheal intubation has received a little attention. During routine anesthesia, the incidence of difficult tracheal intubation has been estimated at 1. Read More

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http://dx.doi.org/10.1155/2019/1790413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466924PMC
April 2019
1 Read

Differentiating False Loss of Resistance from True Loss of Resistance While Performing the Epidural Block with the CompuFlo® Epidural Instrument.

Anesthesiol Res Pract 2019 3;2019:5185901. Epub 2019 Feb 3.

European School of Obstetric Anesthesia, EESOA, Rome, Italy.

Background: The occurrence of false losses of resistance may be one of the reasons for inadequate or failed epidural block. A CompuFlo® epidural instrument has been introduced to measure the pressure of human tissues in real time at the orifice of a needle and has been used as a tool to identify the epidural space. The aim of this study was to investigate the sensitivity and the specificity of the ability of CompuFlo® to differentiate the false loss of resistance from the true loss of resistance encountered during the epidural space identification procedure. Read More

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http://dx.doi.org/10.1155/2019/5185901DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378074PMC
February 2019
3 Reads

The Difficult Airway Trolley: A Narrative Review and Practical Guide.

Anesthesiol Res Pract 2019 27;2019:6780254. Epub 2019 Jan 27.

Lund University, Skåne University Hospital, Department of Clinical Sciences Lund, Anesthesiology and Intensive Care, Lund, Sweden.

Death and severe morbidity attributable to anesthesia are commonly associated with failed difficult airway management. When an airway emergency develops, immediate access to difficult airway equipment is critical for implementation of rescue strategies. Previously, national expert consensus guidelines have provided only limited guidance for the design and setup of a difficult airway trolley. Read More

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http://dx.doi.org/10.1155/2019/6780254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6369510PMC
January 2019
16 Reads

Intraoperative Blood Loss during Induced Abortion: A Comparison of Anesthetics.

Anesthesiol Res Pract 2018 2;2018:4051896. Epub 2018 Dec 2.

Department of Anesthesiology, New York Medical College, Valhalla, New York, USA.

Objective: To determine whether there is a difference in intraoperative bleeding with inhalational versus noninhalational anesthetic agents for patients undergoing suction dilatation and curettage for first-trimester induced abortion.

Methods: This is an IRB-approved retrospective chart review of the electronic medical records of patients undergoing induced abortion at gestational ages between 5 0/7 and 14 0/7 weeks of pregnancy at the New York City Health + Hospitals/Metropolitan. The records of 138 patients who underwent suction dilatation and curettage for induced abortion between June 2012 and June 2014 were reviewed for an association between anesthetic technique and intraoperative hemorrhage. Read More

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http://dx.doi.org/10.1155/2018/4051896DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305036PMC
December 2018
13 Reads

Effects of Intraoperative Dexamethasone and Ondansetron on Postoperative Nausea and Vomiting in Microvascular Decompression Surgery: A Randomized Controlled Study.

Anesthesiol Res Pract 2018 11;2018:6297362. Epub 2018 Nov 11.

Department of Anesthesiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Background: Postoperative nausea and vomiting (PONV) is a common problem and may lead to catastrophic complications, especially in neurosurgical cases. The aim of this study was to evaluate the effects of dexamethasone and ondansetron for preventing PONV in patients who underwent microvascular decompression (MVD) surgery.

Methods: A prospective, double-blinded, randomized control trial was conducted with 54 patients who underwent MVD. Read More

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http://dx.doi.org/10.1155/2018/6297362DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252227PMC
November 2018
10 Reads

A Comparative Study of 0.25% Levobupivacaine, 0.25% Ropivacaine, and 0.25% Bupivacaine in Paediatric Single Shot Caudal Block.

Anesthesiol Res Pract 2018 31;2018:1486261. Epub 2018 Oct 31.

Associate Professor, Dept. of Anaesthesia & Intensive Care, Govt. Medical College & Hospital, Sector-32, Chandigarh, India.

Aim: There are limited data comparing levobupivacaine, ropivacaine, and bupivacaine in paediatric patients. So, this study was performed to evaluate the caudal effectiveness of all the three drugs in paediatric patients undergoing infraumbilical surgeries and associated complications with these drugs.

Material And Methods: 90 patients of ASA grade I and II posted for elective infraumbilical surgeries were randomly divided into three groups of 30 each. Read More

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http://dx.doi.org/10.1155/2018/1486261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234439PMC
October 2018
6 Reads

Corrigendum to "Pregabalin Effect on Acute and Chronic Pain after Cardiac Surgery".

Anesthesiol Res Pract 2018 17;2018:5981895. Epub 2018 Oct 17.

Department of Anesthesiology, Medical School of Larissa, University of Thessaly, Volos, Greece.

[This corrects the article DOI: 10.1155/2017/2753962.]. Read More

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https://www.hindawi.com/journals/arp/2018/5981895/
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http://dx.doi.org/10.1155/2018/5981895DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207855PMC
October 2018
29 Reads

Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections.

Anesthesiol Res Pract 2018 9;2018:5050273. Epub 2018 Sep 9.

Department of Anesthesiology and Intensive Care, Cipto Mangunkusumo National Central Hospital and Faculty of Medicine, Universitas Indonesia, Jakarta 10430, Indonesia.

Background: Eutectic mixture of local anesthetics (EMLA) cream is often used for local anesthesia during spinal injections. However, this agent has delayed onset of action while vapocoolant spray serves more advantages. The vapocoolant spray containing ethyl chloride has fast onset and is safe, low cost, and widely available. Read More

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https://www.hindawi.com/journals/arp/2018/5050273/
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http://dx.doi.org/10.1155/2018/5050273DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151195PMC
September 2018
20 Reads

Comparison of Preoperative Assessment of Patient's Metabolic Equivalents (METs) Estimated from History versus Measured by Exercise Cardiac Stress Testing.

Anesthesiol Res Pract 2018 3;2018:5912726. Epub 2018 Sep 3.

Department of Anesthesiology, Perioperative and Pain Medicine Brigham and Women's Hospital, 75 Francis Street, CWN-L1, Boston, MA 02115, USA.

Background: Preoperative anesthetic evaluations of patients before surgery traditionally involves assessment of a patient's functional capacity to estimate perioperative risk of cardiovascular complications and need for further workup. This is typically done by inquiring about the patient's physical activity, with the goal of providing an estimate of the metabolic equivalents (METs) that the patient can perform without signs of myocardial ischemia or cardiac failure. We sought to compare estimates of patients' METs between preoperative assessment by medical history with quantified assessment of METs via the exercise cardiac stress test. Read More

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http://dx.doi.org/10.1155/2018/5912726DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140009PMC
September 2018
6 Reads

Validation of Simple Methods to Select a Suitable Nostril for Nasotracheal Intubation.

Anesthesiol Res Pract 2018 1;2018:4910653. Epub 2018 Aug 1.

Division of Skull Base Surgery, Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Background: Nasotracheal intubation is a blind procedure that may lead to complications; therefore, several tests were introduced to assess a suitable nostril for nasotracheal intubation. However, the value of simple tests in clinical practice was insufficient to evaluate.

Method: A diagnostic prospective study was conducted in 42 patients, ASA classes I-III, undergoing surgery requiring nasotracheal intubation for general anesthesia. Read More

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http://dx.doi.org/10.1155/2018/4910653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092987PMC
August 2018
5 Reads

A Systematic Review of Postoperative Pain Outcome Measurements Utilised in Regional Anesthesia Randomized Controlled Trials.

Anesthesiol Res Pract 2018 29;2018:9050239. Epub 2018 Jul 29.

Department of Anaesthesia, University College Hospitals London NHS Foundation Trust, University College London, London, UK.

Introduction: Regional anesthesia is a rapidly growing subspecialty. There are few published meta-analyses exploring pain outcome measures utilised in regional anesthesia randomized controlled trials (RCTs), which may be due to heterogeneity in outcomes assessed. This systematic review explores postoperative pain outcomes utilised in regional anesthesia RCTs. Read More

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http://dx.doi.org/10.1155/2018/9050239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6087609PMC
July 2018
4 Reads

Effect of Fluid Flow Rate on Efficacy of Fluid Warmer: An In Vitro Experimental Study.

Anesthesiol Res Pract 2018 8;2018:8792125. Epub 2018 Jul 8.

Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Introduction: In patients who require a massive intraoperative transfusion, cold fluid or blood transfusion can cause hypothermia and potential adverse effects. One method by which to prevent hypothermia in these patients is to warm the intravenous fluid before infusion. The aim of this study was to determine the effect of the fluid flow rate on the efficacy of a fluid warmer. Read More

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http://dx.doi.org/10.1155/2018/8792125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057410PMC
July 2018
10 Reads

Preoperative Anxiety in Greek Children and Their Parents When Presenting for Routine Surgery.

Anesthesiol Res Pract 2018 2;2018:5135203. Epub 2018 Jul 2.

Department of Anesthesiology, University Hospital of Alexandroupolis, Alexandroupoli, Greece.

Background: A surgical operation in pediatric patients is a rather stressful experience for both children and their parents. The aim of this study was to assess the effect of specific demographic characteristics in parent's and children's preoperative anxiety.

Methods: The sample was composed of 128 Greek-speaking children (1-14 years of age) who had to undergo minor surgery in a University General Hospital. Read More

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http://dx.doi.org/10.1155/2018/5135203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051335PMC
July 2018
5 Reads

Objective Evaluation of a New Epidural Simulator by the CompuFlo Epidural Instrument.

Anesthesiol Res Pract 2018 26;2018:4710263. Epub 2018 Jun 26.

European School of Obstetric Anesthesia (EESOA), Maternal Neonatal Simulation Centre, Roma, Italy.

Background: In this study, we describe a custom-made new epidural simulator, created by modifying the inner structure of a commercially available one, in the attempt to make it adequately realistic. To validate and evaluate the realism of our device, we used the Computerized Epidural Instrument CompuFlo.

Method: The Compuflo CompuFlo curves obtained from 64 experiments on the epidural simulator were compared to 64 curves obtained from a previous human study, from consecutive laboring parturients requesting epidural analgesia. Read More

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http://dx.doi.org/10.1155/2018/4710263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038690PMC
June 2018
4 Reads

Neurotoxicity of Inhalation Anesthetics in the Neonatal Rat Brain: Effects on Behavior and Neurodegeneration in the Piriform Cortex.

Anesthesiol Res Pract 2018 19;2018:6376090. Epub 2018 Jun 19.

School of Medicine, Conway Institute, University College Dublin, Belfield, Dublin 4, Ireland.

There is concern that clinical use of anesthetic drugs may cause neurotoxicity in the developing brain and subsequent abnormal neurobehavior. We therefore evaluated neurotoxic effects of inhalation anesthetics in the neonatal rat brain, using in vivo histological and neurobehavioral outcomes. Wistar rats (=79, postnatal day 15) were subjected to a clinically relevant single exposure of urethane, isoflurane, sevoflurane, or placebo, without surgery. Read More

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http://dx.doi.org/10.1155/2018/6376090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6029509PMC
June 2018
8 Reads