1,040 results match your criteria BMC Anesthesiology[Journal]


Ultrasound guided continuous Quadratus Lumborum block hastened recovery in patients undergoing open liver resection: a randomized controlled, open-label trial.

BMC Anesthesiol 2019 Feb 18;19(1):23. Epub 2019 Feb 18.

Department of Anesthesiology, The Second Xiangya Hospital of Central South University, 139 Renmin Middle Road, Hunan, China.

Background: Quadratus lumborum (QL) block is increasingly being used as a new abdominal nerve block technique. In some studies of mid and lower abdominal and hip analgesia, continuous QL block achieved favorable outcomes as an alternative to continuous intravenous analgesia with opioids. However, the use of continuous QL block for upper abdominal pain is less well characterized. Read More

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http://dx.doi.org/10.1186/s12871-019-0692-zDOI Listing
February 2019

Why does a point of care guided transfusion algorithm not improve blood loss and transfusion practice in patients undergoing high-risk cardiac surgery? A prospective randomized controlled pilot study.

BMC Anesthesiol 2019 Feb 18;19(1):24. Epub 2019 Feb 18.

Department of Anaesthesiology and Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum and Campus Charité Mitte, Berlin, Germany.

Background: Adult cardiac surgery is often complicated by elevated blood losses that account for elevated transfusion requirements. Perioperative bleeding and transfusion of blood products are major risk factors for morbidity and mortality. Timely diagnostic and goal-directed therapies aim at the reduction of bleeding and need for allogeneic transfusions. Read More

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http://dx.doi.org/10.1186/s12871-019-0689-7DOI Listing
February 2019

Premedication with intranasal dexmedetomidine decreases barbiturate requirement in pediatric patients sedated for magnetic resonance imaging: a retrospective study.

BMC Anesthesiol 2019 Feb 13;19(1):22. Epub 2019 Feb 13.

Department of Anaesthesiology and Intensive Care, University of Turku, P.O. Box 51, Kiinamyllynkatu 4-8, FI-20521, Turku, Finland.

Background: Barbiturates are commonly used in ambulatory sedation of pediatric patients. However, use of barbiturates involve risks of respiratory complications. Dexmedetomidine, a highly selective α-adrenoceptor agonist, is increasingly used for pediatric sedation. Read More

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http://dx.doi.org/10.1186/s12871-019-0690-1DOI Listing
February 2019

Optimal crystalloid volume ratio for blood replacement for maintaining hemodynamic stability and lung function: an experimental randomized controlled study.

BMC Anesthesiol 2019 Feb 13;19(1):21. Epub 2019 Feb 13.

Department of Medical Physics and Informatics, University of Szeged, 9 Koranyi fasor, Szeged, H-6720, Hungary.

Background: Crystalloids are first line in fluid resuscitation therapy, however there is a lack of evidence-based recommendations on the volume to be administered. Therefore, we aimed at comparing the systemic hemodynamic and respiratory effects of volume replacement therapy with a 1:1 ratio to the historical 1:3 ratio.

Methods: Anesthetized, ventilated rats randomly included in 3 groups: blood withdrawal and replacement with crystalloid in 1:1 ratio (Group 1, n = 11), traditional 1:3 ratio (Group 3, n = 12) and a control group with no interventions (Group C, n = 9). Read More

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http://dx.doi.org/10.1186/s12871-019-0691-0DOI Listing
February 2019

Retraction Note: Effect of perioperative infusion of Dexmedetomidine combined with Sufentanil on quality of postoperative analgesia in patients undergoing laparoscopic nephrectomy: a CONSORT-prospective, randomized, controlled trial.

BMC Anesthesiol 2019 02 13;19(1):20. Epub 2019 Feb 13.

Department of Breast Surgery, the Second Hospital of Shandong University, No. 247 Beiyuan Street, Jinan, 250033, China.

The authors have retracted this article. Read More

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http://dx.doi.org/10.1186/s12871-019-0688-8DOI Listing
February 2019

Effects of bupivacaine or levobupivacaine on cerebral oxygenation during spinal anesthesia in elderly patients undergoing orthopedic surgery for hip fracture: a randomized controlled trial.

BMC Anesthesiol 2019 Jan 31;19(1):17. Epub 2019 Jan 31.

Departament de Farmacologia, de Terapèutica i de Toxicologia, UAB, Clinical Pharmacology Unit, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Parc Taulí 1, 08028, Sabadell (Barcelona), Spain.

Background: Bupivacaine and levobupivacaine have similar pharmacokinetic and pharmacodynamic characteristics, and are used regularly in spinal anesthesia. Whether potential differences in their hemodynamic and anesthetic profiles could determine a differential risk of complications in elderly subjects, is controversial. The main objective was to compare the effects of intrathecally administered levobupivacaine (LB) versus bupivacaine (B), on regional cerebral O saturation during spinal anesthesia, cognitive status and neurological complications in elderly patients undergoing surgery for hip fracture. Read More

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http://dx.doi.org/10.1186/s12871-019-0682-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357488PMC
January 2019
2 Reads

Differences in pain treatment between surgeons and anaesthesiologists in a physician staffed prehospital emergency medical service: a retrospective cohort analysis.

BMC Anesthesiol 2019 Jan 31;19(1):18. Epub 2019 Jan 31.

Klinik für Unfallchirurgie, Klinikum rechts der Isar, School of Medicine, Technical University of Munich, Munich, Bavaria, Germany.

Background: Although pain treatment is an important objective in prehospital emergency medicine the incidence of oligoanalgesia is still high in prehospital patients. Given that prehospital emergency medicine in Germany is open for physicians of any speciality, the prehospital pain treatment may differ depending on the primary medical education. Aim of this study was to explore the difference in pain treatment between surgeons and anaesthesiologists in a physician staffed emergency medical service. Read More

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http://dx.doi.org/10.1186/s12871-019-0683-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357417PMC
January 2019
2 Reads

Interprofessional two-man team approach for interhospital transport of ARDS-patients under extracorporeal membrane oxygenation: a 10 years retrospective observational cohort study.

BMC Anesthesiol 2019 Jan 31;19(1):19. Epub 2019 Jan 31.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany.

Background: Extra Corporeal Membrane Oxygenation (ECMO) has become an accepted treatment option for severely ill patients. Due to a limited availability of ECMO support therapy, patients must often be transported to a specialised centre before or after cannulation. According to the ELSO guidelines, an ECMO specialist should be present for such interventions. Read More

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http://dx.doi.org/10.1186/s12871-019-0687-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357391PMC
January 2019

The influence of different patient positions during rapid induction with severe regurgitation on the volume of aspirate and time to intubation: a prospective randomised manikin simulation study.

BMC Anesthesiol 2019 Jan 24;19(1):16. Epub 2019 Jan 24.

Anästhesiologische Klinik, Universitätsklinikum Erlangen, Krankenhaustrasse 12, 91054, Erlangen, Germany.

Background: Aspiration is a main contributor to morbidity and mortality in anaesthesia. The ideal patient positioning for rapid sequence induction remains controversial. A head-down tilt and full cervical spine extension (Sellick) might prevent aspiration but at the same time compromise airway management. Read More

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http://dx.doi.org/10.1186/s12871-019-0686-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6346548PMC
January 2019

Population pharmacokinetic-pharmacodynamic model of propofol in adolescents undergoing scoliosis surgery with intraoperative wake-up test: a study using Bispectral index and composite auditory evoked potentials as pharmacodynamic endpoints.

BMC Anesthesiol 2019 Jan 22;19(1):15. Epub 2019 Jan 22.

Division of Pharmacology, Leiden Academic Center for Drug Research, Leiden University, Leiden, The Netherlands.

Background: In adolescents limited data are available on the pharmacokinetics (PK) and pharmacodynamics (PD) of propofol. In this study we derived a PK-PD model for propofol in adolescents undergoing idiopathic scoliosis surgery with an intraoperative wake-up test with reinduction of anesthesia using both Bispectral Index (BIS) and composite A-line ARX index (cAAI) as endpoints.

Methods: Fourteen adolescents (9. Read More

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http://dx.doi.org/10.1186/s12871-019-0684-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343297PMC
January 2019
3 Reads

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

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

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

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

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http://dx.doi.org/10.1186/s12871-019-0685-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337783PMC
January 2019
1 Read

Hemopexin alleviates cognitive dysfunction after focal cerebral ischemia-reperfusion injury in rats.

BMC Anesthesiol 2019 Jan 15;19(1):13. Epub 2019 Jan 15.

Department of Anesthesiology, Tianjin Institute of Anesthesiology, General Hospital of Tianjin Medical University, No. 154 Anshan Road, Heping District, Tianjin, 300052, People's Republic of China.

Background: Ischemia-reperfusion (I/R) is a critical pathophysiological basis of cognitive dysfunction caused by ischemia stroke. Heme-oxygenase-1 (HO-1) is the rate-limiting enzyme for the elimination of excessive free heme by combining with hemopexin (HPX), a plasma protein that contributes to eliminating excessive free heme during ischemia stroke. This study aimed to elucidate whether HPX could alleviate cognitive dysfunction in rats subjected to cerebral I/R. Read More

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http://dx.doi.org/10.1186/s12871-019-0681-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334464PMC
January 2019
1 Read

Usefulness of Airway Scope for intubation of infants with cleft lip and palate-comparison with Macintosh laryngoscope: a randomized controlled trial.

BMC Anesthesiol 2019 Jan 12;19(1):12. Epub 2019 Jan 12.

Department of Anesthesiology, Aichi Gakuin University School of Dentistry, 2-11 Suemori-dori, Chikusaku, Nagoya, 464-8651, Japan.

Background: Airway Scope (AWS) with its plastic blade does not require a head-tilt or separate laryngoscopy to guide intubations. Therefore, we hypothesized that its use would reduce the intubation time (IT) and the frequency of airway complication events when compared with the use of Macintosh Laryngoscope (ML) for infants with cleft lip and palate (CLP).

Methods: The parents of all patients provided written consents; we enrolled 40 infants with CLP (ASA-PS 1). Read More

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http://dx.doi.org/10.1186/s12871-018-0678-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330564PMC
January 2019
2 Reads

Minimally invasive spinal anesthesia for cesarean section in maternal anticoagulation therapy: a randomized controlled trial.

BMC Anesthesiol 2019 Jan 12;19(1):11. Epub 2019 Jan 12.

Department of Anesthesiology, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, 200127, China.

Background: Anticoagulant therapy during pregnancy is widely used due to the increasing awareness of maternal hypercoagulability. Few studies have reported the use of minimally invasive spinal anesthesia in these parturients. The objective of this study was to evaluate the safety and feasibility of minimally invasive spinal anesthesia in parturients with anticoagulation therapy undergoing cesarean section. Read More

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http://dx.doi.org/10.1186/s12871-018-0679-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6330402PMC
January 2019
8 Reads

The evaluation of a better intubation strategy when only the epiglottis is visible: a randomized, cross-over mannequin study.

BMC Anesthesiol 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of Biological Science and Technology, College of Biological science and Technology, National Chiao Tung University, NO.75 Po-Ai Street, Hsinchu, 30068, Taiwan.

Background: The Cormack-Lehane (C-L) grade III airway is considered to be a challenging airway to intubate and is associated with a poor intubation success rate. The purpose of this study was to investigate whether the holding position, shapes, bend angles of the endotracheal tube (ET) and the stylet-assisted lifting of the epiglottis could improve the success rate of intubation.

Methods: Thirty-two participants, 26 physicians, 2 residents, and 4 nurse practitioners, with 12. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0663-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329169PMC
January 2019
5 Reads

Closing the gap - detection of clinically relevant von Willebrand disease in emergency settings through an improved algorithm based on rotational Thromboelastometry.

BMC Anesthesiol 2019 Jan 10;19(1):10. Epub 2019 Jan 10.

Department of Pediatrics and Adolescent Medicine, University of Erlangen-Nurnberg, Loschgestr. 15, 91054, Erlangen, Germany.

Background: Hemorrhage and blood loss are still among the main causes of preventable death. Global hemostatic assays are useful point-of-care test (POCT) devices to rapidly detect cumulative effects of plasma factors and platelets on coagulation. Thromboelastography (TEG) and Thromboelastometry (ROTEM) are established methods in many anesthesiological departments for guided hemostatic treatment. Read More

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http://dx.doi.org/10.1186/s12871-018-0672-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329185PMC
January 2019
4 Reads

Risk scores for predicting dysphagia in critically ill patients after cardiac surgery.

BMC Anesthesiol 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of Cardiac Care Unit, The Heart Center, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.

Background: This study aimed at developing and validating a scoring model to stratify critically ill patients after cardiac surgery based on risk for dysphagia, a common but often neglected complication.

Methods: Data were prospectively collected and analyzed from January 2016 to June 2017 from 395 consecutive post cardiac surgery patients at the cardiac care unit (CCU) at a single center; 103 (26.1%) developed dysphagia. Read More

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http://dx.doi.org/10.1186/s12871-019-0680-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329180PMC
January 2019
2 Reads

Ethnic considerations in the upper lip bite test: the reliability and validity of the upper lip bite test in predicting difficult laryngoscopy in Koreans.

BMC Anesthesiol 2019 Jan 10;19(1). Epub 2019 Jan 10.

Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, 59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 13496, South Korea.

Background: Several methods have been used to predict difficult tracheal intubation. Among recently suggested methods, the upper lip bite test (ULBT) could serve as a good predictor. Soft tissue and skeletal hard tissue profiles are affected by many factors including ethnicity. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0675-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329147PMC
January 2019
6 Reads

Antiarrhythmic effect of sevoflurane as an additive to HTK solution on reperfusion arrhythmias induced by hypothermia and ischaemia is associated with the phosphorylation of connexin 43 at serine 368.

BMC Anesthesiol 2019 Jan 8;19(1). Epub 2019 Jan 8.

Department of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

Background: Reperfusion ventricular arrhythmia (RA) associated with hypothermic ischaemic storage is increasingly recognized as a substantial contributor to adverse consequences after heart transplantation. Ischemia- or hypothermia-induced gap junction (GJ) remodelling is closely linked to RA. Reducing GJ remodelling contributes to RA attenuation and is important in heart transplantation. Read More

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http://dx.doi.org/10.1186/s12871-018-0656-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325883PMC
January 2019
2 Reads
1.333 Impact Factor

Risk factors for early postoperative cognitive dysfunction after colorectal surgery.

BMC Anesthesiol 2019 Jan 8;19(1). Epub 2019 Jan 8.

Department of Anesthesiology, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing, 210006, China.

Background: It has been reported that postoperative cognitive dysfunction (POCD) is correlated with the degeneration of the central nervous system, oxidative stress, inflammation, and endocrine and immune dysfunction. Increased age, predisposed comorbidity, long surgery time, and prolonged stay in the intensive care unit have been reported to be risk factors for developing POCD for cardiac surgery. In the present study, the risk factors of early POCD after colorectal surgery were investigated. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0676-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325738PMC
January 2019
9 Reads
1.333 Impact Factor

Comparison of vocal cord view between neutral and sniffing position during orotracheal intubation using fiberoptic bronchoscope: a prospective, randomized cross over study.

BMC Anesthesiol 2019 Jan 5;19(1). Epub 2019 Jan 5.

Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Chonnam National University Hospital, 42 Jebong-ro, Dong-gu, Gwangju, 61469, South Korea.

Background: In intubation using fiberoptic bronchoscope (FOB), partial or complete obstruction of upper airway makes the FOB insertion difficult. Thus, maneuvers to relieve such obstructions are recommended. There have been no studies to determine whether the sniffing or neutral position is superior for this purpose. Read More

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http://dx.doi.org/10.1186/s12871-018-0671-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320603PMC
January 2019
1 Read

Conditions for laryngeal mask airway placement in terms of oropharyngeal leak pressure: a comparison between blind insertion and laryngoscope-guided insertion.

BMC Anesthesiol 2019 Jan 5;19(1). Epub 2019 Jan 5.

Department of Anaesthesiology and Pain Medicine, Ajou University School of Medicine, 164, World Cup-ro, Yeongtong-gu, Suwon, 16499, Republic of Korea.

Background: Insertion under laryngoscopic guidance has been used to achieve ideal positioning of the laryngeal mask airway (LMA). However, to date, the efficacy of this technique has been evaluated only using fiberoptic evaluation, and the results have been conflicting. Other reliable tests to evaluate the efficacy of this technique have not been established. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0674-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320569PMC
January 2019
6 Reads

Changes in the sublingual microcirculation following aortic surgery under balanced or total intravenous anaesthesia: a prospective observational study.

BMC Anesthesiol 2019 Jan 5;19(1). Epub 2019 Jan 5.

Anaesthesia and Intensive Care Unit, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, via Tronto 10/a, 60126, Torrette di Ancona, Italy.

Background: In vascular surgery with aortic cross-clamping, ischemia/reperfusion injury induces systemic haemodynamic and microcirculatory disturbances. Different anaesthetic regimens may have a varying impact on tissue perfusion. The aim of this study was to explore changes in microvascular perfusion in patients undergoing elective open abdominal aortic aneurysm repair under balanced or total intravenous anaesthesia. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0673-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320625PMC
January 2019
3 Reads

VivaSight™ single-lumen tube guided bronchial blocker placement for one-lung ventilation in a patient with a tracheal tumor under video-assisted transthoracic surgery: a case report.

BMC Anesthesiol 2019 Jan 5;19(1). Epub 2019 Jan 5.

Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Background: Video-assisted transthoracic surgery (VATS) is a minimally invasive procedure that has been reported as a valid method for tracheal resection and reconstruction. However, for patients with tracheal tumors, one-lung ventilation during VATS is difficult to achieve, and utilizing a double-lumen tube is not applicable in these types of situations. When using a bronchial blocker, a fiberoptic bronchoscope is required to verify the position of bronchial blocker, though the repeated use of the fiberoptic bronchoscope increases the risk of tumor rupture and hemorrhage. Read More

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http://dx.doi.org/10.1186/s12871-018-0677-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320586PMC
January 2019
1 Read

Reliability of ultrasound measurements of quadriceps muscle thickness in critically ill patients.

BMC Anesthesiol 2018 Dec 27;18(1):205. Epub 2018 Dec 27.

Anesthesiology and Critical Care Department, Saint-Antoine Hospital, Assistance publique-hôpitaux de Paris, Paris, France.

Background: Muscle wasting in critically ill patients is associated with negative clinical outcomes. Ultrasound quadriceps femoris muscle assessment may constitute a convenient tool to evaluate muscle wasting. Nevertheless, its reliability remains uncertain. Read More

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http://dx.doi.org/10.1186/s12871-018-0647-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309087PMC
December 2018
2 Reads

Anaesthetic management for endobronchial valve insertion: lessons learned from a single centre retrospective series and a literature review.

BMC Anesthesiol 2018 Dec 27;18(1):206. Epub 2018 Dec 27.

Department of Anaesthesia, The Queen Elizabeth Hospital, Woodville, South Australia, 5011, Australia.

Background: Endoscopic lung volume reduction using one or more endobronchial valves is a treatment option for a select group of patients with severe emphysema. Patients presenting for this procedure pose various challenges to the anaesthetist; in addition to their lung condition, they are often elderly with multiple comorbidities. The procedure is usually performed outside the operating room. Read More

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http://dx.doi.org/10.1186/s12871-018-0670-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309056PMC
December 2018
3 Reads

A comparison of postoperative outcomes with PDA ligation in the OR versus the NICU: a retrospective cohort study on the risks of transport.

BMC Anesthesiol 2018 Dec 22;18(1):199. Epub 2018 Dec 22.

Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine, University of California, Los Angeles, 757 Westwood Plaza, Suite 3325, Los Angeles, CA, 90095-7403, USA.

Background: Although patent ductus arteriosus (PDA) ligations in the Neonatal Intensive Care Unit (NICU) have been an accepted practice, many are still performed in the Operating Room (OR). Whether avoiding transport leads to improved perioperative outcomes is unclear. Here we aimed to determine whether PDA ligations in the NICU corresponded to higher risk of surgical site infection or mortality and if transport was associated with worsened perioperative outcomes. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0658-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303951PMC
December 2018
10 Reads

Carbon dioxide pneumothorax following retroperitoneal laparoscopic partial nephrectomy: a case report and literature review.

BMC Anesthesiol 2018 Dec 22;18(1):202. Epub 2018 Dec 22.

Departments of Anesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, 100034, China.

Background: Laparoscopy has many advantages when used to assist surgery. However, pneumothorax, as a rare but potentially life-threatening complication, it requires rapid recognition and treatment. CO pneumothorax may be distinct from air pneumothorax. Read More

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http://dx.doi.org/10.1186/s12871-018-0662-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303981PMC
December 2018
3 Reads

Preoperative education with image illustrations enhances the effect of tetracaine mucilage in alleviating postoperative catheter-related bladder discomfort: a prospective, randomized, controlled study.

BMC Anesthesiol 2018 Dec 22;18(1):204. Epub 2018 Dec 22.

Faculty of Anaesthesiology, Changhai Hospital, Naval Medical University, Shanghai, 200433, China.

Background: Catheter-related bladder discomfort (CRBD), secondary to catheterization of urinary bladder is distressing. The aim of this study was to assess the efficacy of preoperative education on CRBD with image illustration for alleviating CRBD.

Methods: Sixty adult male patients, undergoing elective colonal and rectal surgery, were randomized to receive tetracaine mucilage instilled into the urethra and applied to the catheter (tetracain group), or receive tetracaine mucilage in combination with image illustration on CRBD (image group) before urethral catheterization. Read More

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http://dx.doi.org/10.1186/s12871-018-0653-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303915PMC
December 2018
3 Reads

Beware of thermal epiglottis! A case report describing 'teapot syndrome'.

BMC Anesthesiol 2018 Dec 22;18(1):203. Epub 2018 Dec 22.

Department of Anaesthesiology, Maasstad Ziekenhuis, Maasstadweg 21, 3079 DZ, Rotterdam, the Netherlands.

Background: The type of scalding injury known as 'teapot syndrome', where hot liquid is grabbed by the child with the aim of ingestion and falls over a child causing burns on the face, upper thorax and arms, is known to cause peri-oral and facial oedema. Thermal epiglottitis following scalds to face, neck and thorax is rare and can occur even in absence of ingestion of a damaging agent or intraoral burns, Awareness of the possibility of thermal epiglottitis, also in scald burns, is imperative to ensure prompt airway protection.

Case Presentation: We report the case of a child with thermal epiglottitis after a scalding burn from boiling milk resulting in mixed deep burns of the face, neck and chest, but no history of ingestion. Read More

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http://dx.doi.org/10.1186/s12871-018-0665-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304004PMC
December 2018
16 Reads

Effect of pre-warming on perioperative hypothermia during holmium laser enucleation of the prostate under spinal anesthesia: a prospective randomized controlled trial.

BMC Anesthesiol 2018 Dec 22;18(1):201. Epub 2018 Dec 22.

Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, 1, Shingil-ro, Yeongdeungpo-gu, Seoul, 07441, Republic of Korea.

Background: The purpose of this study is to assess whether the application of preoperative forced air warming set to high temperature (> 43 °C) for brief period can increase temperature on admission to the postanesthesia care unit (PACU) and prevent hypothermia or shivering during holmium laser enucleation of the prostate performed under spinal anesthesia.

Methods: Fifty patients were enrolled were assigned randomly to receive passive insulation (control group, n = 25) or forced-air skin surface warming for 20 min before spinal anesthesia (pre-warming group, n = 25). The primary outcome was temperature at PACU admission. Read More

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http://dx.doi.org/10.1186/s12871-018-0668-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304002PMC
December 2018
4 Reads

Choice of fluids in critically ill patients.

BMC Anesthesiol 2018 Dec 22;18(1):200. Epub 2018 Dec 22.

Surgical Intensive Care Unit, Shaare Zedek Medical Centre, Jerusalem, Israel.

Background: Fluids are by far the most commonly administered intravenous treatment in patient care. During critical illness, fluids are widely administered to maintain or increase cardiac output, thereby relieving overt tissue hypoperfusion and hypoxia.

Main Text: Until recently, because of their excellent safety profile, fluids were not considered "medications". Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0669-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303886PMC
December 2018
12 Reads

Propofol alleviates hypoxia-induced nerve injury in PC-12 cells by up-regulation of microRNA-153.

BMC Anesthesiol 2018 Dec 22;18(1):197. Epub 2018 Dec 22.

Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, No.2, Anzhen Road, Chaoyang District, Beijing, 100029, China.

Background: Although the neuroprotective role of propofol has been identified recently, the regulatory mechanism associated with microRNAs (miRNAs/miRs) in neuronal cells remains to be poorly understood. We aimed to explore the regulatory mechanism of propofol in hypoxia-injured rat pheochromocytoma (PC-12) cells.

Methods: PC-12 cells were exposed to hypoxia, and cell viability and apoptosis were assessed by CCK-8 assay and flow cytometry assay/Western blot analysis, respectively. Read More

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http://dx.doi.org/10.1186/s12871-018-0660-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303956PMC
December 2018
12 Reads

Association between viscoelastic tests-guided therapy with synthetic factor concentrates and allogenic blood transfusion in liver transplantation: a before-after study.

BMC Anesthesiol 2018 Dec 22;18(1):198. Epub 2018 Dec 22.

Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Background: Perioperative bleeding and transfusion are important causes of morbidity and mortality in patients undergoing liver transplantation. The aim of this study is to assess whether viscoelastic tests-guided therapy with the use of synthetic factor concentrates impact transfusion rates of hemocomponents in adult patients undergoing liver transplantation.

Methods: This is an interventional before-after comparative study. Read More

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http://dx.doi.org/10.1186/s12871-018-0664-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303918PMC
December 2018
3 Reads

Inadvertent posterior intercostal artery puncture and haemorrhage after ultrasound-guided thoracic paravertebral block: a case report.

BMC Anesthesiol 2018 Dec 21;18(1):196. Epub 2018 Dec 21.

Department of Aanesthesiology, Peking University First Hospital, No. 15 Xishiku Street, Xicheng District, Beijing, 100034, China.

Background: This report describes one case of paravertebral haemorrhage after ultrasound-guided thoracic paravertebral block (TPVB) that may have been attributed to the inadvertent puncture of the posterior intercostal artery (PIA). This complication has never been reported in ultrasound-guided TPVB. Strategies to prevent this potentially serious complication are discussed. Read More

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http://dx.doi.org/10.1186/s12871-018-0667-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303859PMC
December 2018
1 Read

Comparison of deep or moderate neuromuscular blockade for thoracoscopic lobectomy: a randomized controlled trial.

BMC Anesthesiol 2018 Dec 21;18(1):195. Epub 2018 Dec 21.

Department of Anesthesiology, Shanghai Chest Hospital, Shanghai Jiaotong University, 241 huaihai west road, Shanghai, 200030, China.

Background: Laparoscopic surgery typically requires deep neuromuscular blockade (NMB), but whether deep or moderate NMB is superior for thoracoscopic surgery remains controversial.

Methods: Patients scheduled for thoracoscopic lobectomy under intravenous anesthesia were randomly assigned to receive moderate [train of four (TOF) 1-2] or deep NMB [TOF 0, post-tetanic count (PTC) 1-5]. Depth of anesthesia was controlled at a Narcotrend rating of 30 ± 5 in both groups. Read More

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http://dx.doi.org/10.1186/s12871-018-0666-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303978PMC
December 2018
2 Reads

Tramadol for the treatment of catheter-related bladder discomfort: a randomized controlled trial.

BMC Anesthesiol 2018 Dec 20;18(1):194. Epub 2018 Dec 20.

Department of Anesthesiology, Key Laboratory of Birth Defects and Related Diseases of Women and Children, West China Second Hospital of Sichuan University, Chengdu, China.

Background: Intra-operative urinary catheterization frequently causes postoperative catheter related bladder discomfort (CRBD) during recovery. We conducted this study to evaluate the efficacy of tramadol, which with muscarinic receptor antagonist property, as a treatment for CRBD.

Methods: Ninety patients who underwent elective gynecological surgery and complained of CRBD in the (PACU) were randomized into three groups of 30 each. Read More

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http://dx.doi.org/10.1186/s12871-018-0659-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302399PMC
December 2018
5 Reads

Evaluation of anesthesiologists' knowledge about occupational health: Pilot study.

BMC Anesthesiol 2018 Dec 19;18(1):193. Epub 2018 Dec 19.

Department of Anesthesiology, Irmandade da Santa Casa de Misericordia de Sao Paulo, Rua Dr. Cesario Motta Jr, 112, Sao Paulo, SP, Brazil.

Background: An anesthesiologists' work presents with numerous occupational risks owing to the large amount of time spent inside the operating room where constant noise, anesthetic vapors, ionizing radiation, infectious agents, and psychological stress are present. Herein, we evaluated anesthesiologists' knowledge about occupational health.

Methods: A cross-sectional study was conducted to assess 158 anesthesiologists from a tertiary hospital on their knowledge about occupational health using a structured questionnaire. Read More

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http://dx.doi.org/10.1186/s12871-018-0661-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300909PMC
December 2018
9 Reads

Effects of patient-controlled analgesia with hydromorphone or sufentanil on postoperative pulmonary complications in patients undergoing thoracic surgery: a quasi-experimental study.

BMC Anesthesiol 2018 Dec 19;18(1):192. Epub 2018 Dec 19.

Department of Anesthesiology, Anesthesiology of Xinqiao Hospital of Third Military Medical University, Shapingba District, Chongqing, 400037, China.

Objective: To compare the analgesic effects of patient-controlled intravenous analgesia (PCA) with hydromorphone and sufentanil after thoracic surgery on postoperative pulmonary complications (PPCs).

Methods: A total of 142 patients who were scheduled for thoracic surgery were randomly allocated to receive PCA with hydromorphone (group A: experimental group): hydromorphone 0.2 mg/kg + dezocine 0. Read More

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http://dx.doi.org/10.1186/s12871-018-0657-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300916PMC
December 2018
2 Reads

Ultrasound-guided continuous femoral nerve block: a randomized trial on the influence of femoral nerve catheter orifice configuration (six-hole versus end-hole) on post-operative analgesia after total knee arthroplasty.

BMC Anesthesiol 2018 Dec 19;18(1):191. Epub 2018 Dec 19.

Department of Anesthesiology, University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1211, Geneva 14, Switzerland.

Background: Multiorifice catheters have been shown to provide superior analgesia and significantly reduce local anesthetic consumption compared with end-hole catheters in epidural studies. This prospective, blinded, randomized study tested the hypothesis that, in continuous femoral nerve block (CFNB) under ultrasound guidance, multiorifice catheter would reduce local anesthetic consumption at 24 h compared with end-hole catheter.

Methods: Eighty adult patients (aged ≥18 years) scheduled to undergo primary total knee arthroplasty under a combination of CFNB, sciatic nerve block and general anesthesia were randomized to CFNB using either a 3-pair micro-hole (Contiplex, BRAUN®, 20G - 400 mm) or an end-hole (Silverstim VYGON®, 20G - 500 mm) catheter. Read More

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http://dx.doi.org/10.1186/s12871-018-0648-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300902PMC
December 2018
2 Reads

Perioperative surgery- and anaesthesia-related risks of laparoscopic Roux-en-Y gastric bypass - a single centre, retrospective data analysis.

BMC Anesthesiol 2018 Dec 13;18(1):190. Epub 2018 Dec 13.

Institute of Anaesthesiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Background: Conservative obesity treatment often leads to limited results. Bariatric surgery is highly efficient, but the candidates are at risk of developing perioperative complications. Bariatric outcomes have been well described in the past, but there are only few reports of perioperative outcomes. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0654-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293573PMC
December 2018
6 Reads

Cell salvage using the continuous autotransfusion device CATSmart - an observational bicenter technical evaluation.

BMC Anesthesiol 2018 Dec 12;18(1):189. Epub 2018 Dec 12.

Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Background: The use of cell salvage and autologous blood transfusion has become an important method of blood conservation. So far, there are no clinical data about the performance of the continuous autotransfusion device CATSmart.

Methods: In total, 74 patients undergoing either cardiac or orthopedic surgery were included in this prospective, bicenter and observational technical evaluation to validate red cell separation process and washout quality of CATSmart. Read More

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http://dx.doi.org/10.1186/s12871-018-0651-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292025PMC
December 2018
1 Read

Left ventricular-arterial coupling is associated with prolonged mechanical ventilation in severe post-cardiac surgery patients: an observational study.

BMC Anesthesiol 2018 Dec 6;18(1):184. Epub 2018 Dec 6.

Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, 1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.

Background: Weaning post-cardiac surgery patients from mechanical ventilation (MV) poses a big challenge to these patients. Optimized left ventricular-arterial coupling (VAC) may be crucial for reducing the MV duration of these patients. However, there is no research exploring the relationship between VAC and the duration of MV. Read More

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http://dx.doi.org/10.1186/s12871-018-0649-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284290PMC
December 2018
2 Reads

Can apneic oxygen insufflation become a novel lung protective ventilation strategy? A randomized, controlled, blinded, single center clinical trial.

BMC Anesthesiol 2018 Dec 11;18(1):186. Epub 2018 Dec 11.

Affiliated Hospital of Nantong University, No. 20 Xishi Road, 226001, Nantong City, Jiangsu Province, People's Republic of China.

Objective: The aim of this study was to determine whether a AOI strategy on non-ventilated lung could reduce the regional and systemic proinflammatory cytokine and oxidative stress response associated with esophagectomy, and to evaluate whether AOI can be used as a novel lung protective ventilation strategy. Its impact on oxygenation after OLV, surfactant protein A, B, C (SP-A, B, C), postoperative hospital stay and postoperative pulmonary complications (PPCs) was also evaluated.

Methods: Fifty-four adults (ASA II-III) undergoing esophagectomy with OLV were enrolled in the study. Read More

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http://dx.doi.org/10.1186/s12871-018-0652-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290548PMC
December 2018
1 Read

Effects of time delay and body temperature on measurements of central venous oxygen saturation, venous-arterial blood carbon dioxide partial pressures difference, venous-arterial blood carbon dioxide partial pressures difference/arterial-venous oxygen difference ratio and lactate.

BMC Anesthesiol 2018 Dec 11;18(1):187. Epub 2018 Dec 11.

Department of Critical Care Medicine, the Affiliated Hospital of Qingdao University, Jiangsu Road 16, Qingdao, 266000, China.

Background: Central venous oxygen saturation (ScvO), venous-arterial blood carbon dioxide partial pressures difference (Pv-aCO), venous-arterial blood carbon dioxide partial pressures difference/arterial-venous oxygen difference ratio (Pv-aCO/Ca-vO) and lactate are important parameters employed during shock resuscitation. We designed this study to confirm the effects of time delay and body temperature on measurements of these four parameters.

Methods: Arterial and central venous blood samples were simultaneously drawn by plastic syringes via indwelling intra-arterial and central venous catheters from critically ill patients. Read More

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http://dx.doi.org/10.1186/s12871-018-0655-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290537PMC
December 2018
2 Reads

User perceptions of avatar-based patient monitoring: a mixed qualitative and quantitative study.

BMC Anesthesiol 2018 Dec 11;18(1):188. Epub 2018 Dec 11.

Institute of Anesthesiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.

Background: A new patient monitoring technology called Visual Patient, which transforms numerical and waveform data into a virtual model (an avatar) of the monitored patient, has been shown to improve the perception of vital signs compared to conventional patient monitoring. In order to gain a deeper understanding of the opinions of potential future users regarding the new technology, we have analyzed the answers of two large groups of anesthetists using two different study methods.

Methods: First, we carried out a qualitative analysis guided by the "consolidated criteria for reporting qualitative research" checklist. Read More

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http://dx.doi.org/10.1186/s12871-018-0650-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290504PMC
December 2018
3 Reads
1.333 Impact Factor

Vasoplegia after implantation of a continuous flow left ventricular assist device: incidence, outcomes and predictors.

BMC Anesthesiol 2018 Dec 8;18(1):185. Epub 2018 Dec 8.

Anaesthesiologist, Section of Anaesthesia, Pain Medicine and Intensive Care, Imperial College, London, UK.

Background: Vasoplegia after routine cardiac surgery is associated with severe postoperative complications and increased mortality. It is also prevalent in patients undergoing implantation of pulsatile flow left ventricular assist devices (LVAD). However, less is known regarding vasoplegia after implantation of newer generations of continuous flow LVADs (cfLVAD). Read More

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http://dx.doi.org/10.1186/s12871-018-0645-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286572PMC
December 2018
1 Read

Comparative study between Dexmedetomidine and Ondansteron for prevention of post spinal shivering. A randomized controlled trial.

BMC Anesthesiol 2018 Nov 30;18(1):179. Epub 2018 Nov 30.

Department of Anesthesia, Fayoum University, Fayoum, Egypt.

Background: Regional anesthesia could affect the homeostatic system functions resulting frequently in perioperative hypothermia and consequently shivering. The objective of this trial was to evaluate the efficacy of dexmedetomidine and ondansetron to reduce the incidence and severity of shivering after intrathecal blocks.

Methods: This randomized placebo-controlled trial included 120 patients allocated equally in three groups. Read More

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http://dx.doi.org/10.1186/s12871-018-0640-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267838PMC
November 2018
5 Reads

Role of dexamethasone in the para-vertebral block for pediatric patients undergoing aortic coarctation repair. randomized, double-blinded controlled study.

BMC Anesthesiol 2018 Nov 30;18(1):178. Epub 2018 Nov 30.

Department of Anesthesia , Surgical Intensive Care and Pain Management, Faculty of Medicine, Cairo University, Cairo, Egypt.

Background: Surgery for aortic coarctation requires special care during anesthesia due to severe pain during the lateral thoracotomy incision, intraoperative hemodynamic instability and the need for large doses of intra- and postoperative analgesics and vasodilators. Additionally, the postoperative care of patients is very important.

Aims: We aimed to compare ultrasound-guided paravertebral block performed using bupivacaine alone and bupivacaine with dexamethasone in terms of the intra- and postoperative analgesic requirements and hemodynamics, postoperative complications and ICU stay. Read More

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http://dx.doi.org/10.1186/s12871-018-0637-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267033PMC
November 2018
3 Reads

Glycated hemoglobin A1c level on the day of emergency surgery is a marker of premorbid glycemic control: a retrospective observational study.

BMC Anesthesiol 2018 Nov 30;18(1):180. Epub 2018 Nov 30.

Department of Anesthesiology, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe City, 650-0017, Japan.

Background: Current international guideline recommends to maintain blood glucose level ≤ 180 mg/dL in acute ill patients, irrespective of presence of premorbid diabetes. However, there are studies suggested that optimal acute glycemic control should be adjusted according to premorbid glycemic control in patients with chronic hyperglycemia. Accordingly, to obtain the information of premorbid glycemic control would be relevant. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0641-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267889PMC
November 2018
2 Reads