1,075 results match your criteria BMC Anesthesiology[Journal]


Multiplex polymerase chain reaction to diagnose bloodstream infections in patients after cardiothoracic surgery.

BMC Anesthesiol 2019 Apr 23;19(1):59. Epub 2019 Apr 23.

Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Kerpener Str. 62, 50937, Köln, Germany.

Background: Sepsis and other infectious complications are major causes of mortality and morbidity in patients after cardiac surgery. Whereas conventional blood culture (BC) suffers from low sensitivity as well as a reporting delay of approximately 48-72 h, real-time multiplex polymerase chain reaction (PCR) based technologies like "SeptiFast" (SF) might offer a fast and reliable alternative for detection of bloodstream infections (BSI). The aim of this study was to compare the performance of SF with BC testing in patients suspected of having BSI after cardiac surgery. Read More

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http://dx.doi.org/10.1186/s12871-019-0727-5DOI Listing

Correction to: Postoperative delirium in critically ill surgical patients: incidence, risk factors, and predictive scores.

BMC Anesthesiol 2019 Apr 22;19(1):58. Epub 2019 Apr 22.

Integrated Perioperative Geriatric Excellent Research Center, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Following publication of the original article [1], the authors reported a missing data on Table 1 in their paper. The original article [1] has been updated. Read More

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http://dx.doi.org/10.1186/s12871-019-0732-8DOI Listing

A novel approach to neuraxial anesthesia: application of an automated ultrasound spinal landmark identification.

BMC Anesthesiol 2019 Apr 16;19(1):57. Epub 2019 Apr 16.

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

Background: Neuraxial procedures are commonly performed for therapeutic and diagnostic indications. Currently, they are typically performed via palpation-guided surface landmark. We devised a novel intelligent image processing system that identifies spinal landmarks using ultrasound images. Read More

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http://dx.doi.org/10.1186/s12871-019-0726-6DOI Listing

Validity of mini-fluid challenge for predicting fluid responsiveness following liver transplantation.

BMC Anesthesiol 2019 Apr 13;19(1):56. Epub 2019 Apr 13.

Medical ICU, Bicêtre Hospital, Paris-South University, Paris, France.

Background: Mini-fluid challenge is a well tested and effective tool to predict fluid responsiveness under various clinical conditions. However, mini-fluid challenge has never been tested in patients with end-stage liver disease. This study investigated whether infusion of 150 ml albumin 5% can predict fluid responsiveness in cirrhotic patients following liver transplant. Read More

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http://dx.doi.org/10.1186/s12871-019-0728-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6463636PMC

Influence of oral premedication and prewarming on core temperature of cardiac surgical patients: a prospective, randomized, controlled trial.

BMC Anesthesiol 2019 Apr 12;19(1):55. Epub 2019 Apr 12.

Department of Anaesthesiology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany.

Background: Perioperative hypothermia is still very common and associated with numerous adverse effects. The effects of benzodiazepines, administered as premedication, on thermoregulation have been studied with conflicting results. We investigated the hypotheses that premedication with flunitrazepam would lower the preoperative core temperature and that prewarming could attenuate this effect. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-019-0725-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466686PMC
April 2019
3 Reads

Case report: difficulty in diagnosis of delayed spinal epidural hematoma in puerperal women after combined spinal epidural anaesthesia.

BMC Anesthesiol 2019 Apr 11;19(1):54. Epub 2019 Apr 11.

Department of Obstetrics and Gynecology, Massa Carrara General Hospital, Via Enrico Mattei, 54100, Massa Carrara, Italy.

Background: Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical presentation of spinal epidural hematoma is even rarer and insidious. Read More

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http://dx.doi.org/10.1186/s12871-019-0721-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460545PMC
April 2019
1 Read

Postoperative analgesia for pediatric craniotomy patients: a randomized controlled trial.

BMC Anesthesiol 2019 Apr 11;19(1):53. Epub 2019 Apr 11.

Department of Anesthesia, Beijing Friendship Hospital, Capital Medical University, No.95 Yongan Road, Xicheng District, Beijing, 100050, China.

Background: Pain is often observed in pediatric patients after craniotomy procedures, which could lead to some serious postoperative complications. However, the optimal formula for postoperative analgesia for pediatric neurosurgery has not been well established. This study aimed to explore the optimal options and formulas for postoperative analgesia in pediatric neurosurgery. Read More

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http://dx.doi.org/10.1186/s12871-019-0722-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458833PMC
April 2019
2 Reads

Dislocation rates of postoperative airway exchange catheters - a prospective case series of 200 patients.

BMC Anesthesiol 2019 Apr 11;19(1):52. Epub 2019 Apr 11.

Department of Anesthesiology and Pain Therapy, Bern University Hospital and University of Bern, CH-3010, Bern, Switzerland.

Background: The dislocation rate of oral versus nasal airway exchange catheters (AEC) in the postoperative care unit (PACU) are unknown. Our aim was to establish dislocation rates and to assess the usefulness of waveform capnography to detect dislocation.

Methods: In this non-randomized, prospective observational trial at the University Hospital Bern, Switzerland, we included 200 patients admitted to PACU after extubation via AEC, having provided written informed consent. Read More

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http://dx.doi.org/10.1186/s12871-019-0723-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458602PMC

Effect of forced-air warming by an underbody blanket on end-of-surgery hypothermia: a propensity score-matched analysis of 5063 patients.

BMC Anesthesiol 2019 Apr 9;19(1):50. Epub 2019 Apr 9.

Department of Anesthesiology and Perioperative Medicine, Tohoku University School of Medicine, 2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8575, Japan.

Background: Underbody blankets have recently been launched and are used by anesthesiologists for surgical patients. However, the forced-air warming effect of underbody blankets is still controversial. The aim of this study was to determine the effect of forced-air warming by an underbody blanket on body temperature in anesthetized patients. Read More

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http://dx.doi.org/10.1186/s12871-019-0724-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456966PMC
April 2019
1 Read

Cost-effectiveness-analysis of ultrasound guidance for central venous catheterization compared with landmark method: a decision-analytic model.

BMC Anesthesiol 2019 Apr 9;19(1):51. Epub 2019 Apr 9.

Institute for Health Economics and Clinical Epidemiology, The University Hospital of Cologne (AöR), Gleueler Str. 176-178, 50935, Cologne, Germany.

Background: Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from the German perspective, the cost-effectiveness of ultrasound guidance is unclear, this study examined the cost-effectiveness of ultrasound guidance versus the landmark method for adults undergoing a central venous catheterization.

Methods: A decision-tree based model was built to estimate the costs of averted catheter-related complications. Read More

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http://dx.doi.org/10.1186/s12871-019-0719-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456944PMC

The influences of anesthesia methods on some complications after orthopedic surgery: a Bayesian network meta-analysis.

BMC Anesthesiol 2019 Apr 9;19(1):49. Epub 2019 Apr 9.

Department of Hematology, The First Affliated Hospital of Zhejiang Chinese Medical University, 54 Youdian Road, Hangzhou, Zhejiang Province, People's Republic of China.

Background: Although several anesthesia procedures have been explored for orthopedic surgery, the complications of anesthesia remain not well resolved. This study aimed to explore the influence of different anesthesia methods on the complications after orthopedic surgery.

Methods: According to the searching strategy, anesthesia associated studies in orthopedic surgery were screened from Pubmed, Embase, and the Cochrane Library up to Mar. Read More

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http://dx.doi.org/10.1186/s12871-019-0701-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456996PMC

Cardioprotective effect of remote ischemic preconditioning with postconditioning on donor hearts in patients undergoing heart transplantation: a single-center, double-blind, randomized controlled trial.

BMC Anesthesiol 2019 Apr 6;19(1):48. Epub 2019 Apr 6.

Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.

Background: The cardioprotective effect of remote ischemic preconditioning (RIPC) in cardiovascular surgery is controversial. This study investigated whether RIPC combined with remote ischemic postconditioning (RIPostC) reduces myocardial injury to donor hearts in patients undergoing heart transplantation.

Methods: One hundred and twenty patients scheduled for orthotopic heart transplantation were enrolled and randomly assigned to an RIPC+RIPostC group (n = 60) or a control (n = 60) group. Read More

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http://dx.doi.org/10.1186/s12871-019-0720-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451775PMC
April 2019
3 Reads
1.333 Impact Factor

Outcomes in video laryngoscopy studies from 2007 to 2017: systematic review and analysis of primary and secondary endpoints for a core set of outcomes in video laryngoscopy research.

BMC Anesthesiol 2019 Apr 4;19(1):47. Epub 2019 Apr 4.

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

Background: Airway management is crucial and, probably, even the most important key competence in anaesthesiology, which directly influences patient safety and outcome. However, high-quality research is rarely published and studies usually have different primary or secondary endpoints which impedes clear unbiased comparisons between studies. The aim of the present study was to gather and analyse primary and secondary endpoints in video laryngoscopy studies being published over the last ten years and to create a core set of uniform or homogeneous outcomes (COS). Read More

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http://dx.doi.org/10.1186/s12871-019-0716-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449905PMC
April 2019
1 Read

A prospective study on elective surgical inpatient satisfaction with perioperative anaesthesia service at Ayder comprehensive specialized hospital, Mekelle, Ethiopia.

BMC Anesthesiol 2019 Apr 1;19(1):46. Epub 2019 Apr 1.

Mekelle University College of Health Science Department of Anesthesia, Po-box 1871, Mekelle, Ethiopia.

Background: Patient satisfaction is a subjective and challenging perception, linking physical, expressive, psychological, societal, and cultural factors. Dissatisfaction arises if the patient feels an inconsistency between expected and delivered care. Usually health care satisfactions are very high and according to many studies levels of satisfaction are above 85% and patient's satisfaction in terms of anesthesia is not very different. Read More

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http://dx.doi.org/10.1186/s12871-019-0696-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444526PMC

A comparison of blind intubation with the intubating laryngeal mask FASTRACH™ and the intubating laryngeal mask Ambu Aura-i™ a prospective randomised clinical trial.

BMC Anesthesiol 2019 Mar 30;19(1):44. Epub 2019 Mar 30.

Department of Anaesthesiology and Intensive Care Medicine, Asklepios Hospital St. Georg, Lohmuehlenstr. 5, D-20099, Hamburg, Germany.

Background: The intubating laryngeal mask Fastrach™ is considered a gold standard for blind intubation as well as for fibreoptic guided intubation via a laryngeal mask. Recently, a single use version of the mask has been introduced. We compared the Fastrach single use with the new, low-priced single use intubating laryngeal mask Ambu Aura-i™. Read More

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http://dx.doi.org/10.1186/s12871-019-0718-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441151PMC
March 2019
2 Reads

Assessment of agreement and interchangeability between the TEG5000 and TEG6S thromboelastography haemostasis analysers: a prospective validation study.

BMC Anesthesiol 2019 Mar 30;19(1):45. Epub 2019 Mar 30.

Department of Anaesthesia, Austin Hospital, 145 Studley Rd, Heidelberg, Victoria, 3084, Australia.

Background: TEG6S® and TEG5000® (Haemonetics Corp, USA) are haemostasis analysers that measure viscoelasticity properties of whole blood. Both use different mechanisms to assess similar components of the coagulation process. The aim of this study was to assess agreement and interchangeability between the TEG6S and TEG5000 analysers. Read More

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http://dx.doi.org/10.1186/s12871-019-0717-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441230PMC
March 2019
1 Read

Influence of early elective tracheostomy on the incidence of postoperative complications in patients undergoing head and neck surgery.

BMC Anesthesiol 2019 Mar 28;19(1):43. Epub 2019 Mar 28.

Department of Anesthesiology of the University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.

Background: The incidence of postoperative complications after head and neck surgery is high. This study evaluated the influence of early elective tracheostomy on the incidence of postoperative pneumonia and delirium.

Methods: We reviewed the data of all patients who had undergone removal of an oropharyngeal tumor and microsurgical tissue transfer at our department in a two year period. Read More

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http://dx.doi.org/10.1186/s12871-019-0715-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439993PMC
March 2019
1 Read

Nitrous oxide occupational exposure in conscious sedation procedures in dental ambulatories: a pilot retrospective observational study in an Italian pediatric hospital.

BMC Anesthesiol 2019 Mar 27;19(1):42. Epub 2019 Mar 27.

Occupational Medicine, Health Directorate, Bambino Gesù Children's Hospital - IRCCS, Piazza di Sant'Onofrio 4, 00165, Rome, Italy.

Background: Nitrous oxide has a proven clinical efficacy in conscious sedation. At certain environmental concentrations it may pose a health risk to chronically exposed healthcare workers. The present pilot study aims at evaluating the exposure to nitrous oxide of dental ambulatory personnel of a pediatric hospital. Read More

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http://dx.doi.org/10.1186/s12871-019-0714-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438021PMC

Effect of ketofol versus propofol as an induction agent on ease of laryngeal mask airway insertion conditions and hemodynamic stability in pediatrics: an observational prospective cohort study.

BMC Anesthesiol 2019 Mar 20;19(1):41. Epub 2019 Mar 20.

Aksum University, PO box 298, Aksum City, Tigray, Ethiopia.

Background: Laryngeal mask airway is a supraglottic airway device which has led to a fundamental change in the management of modern general anesthesia. In the present study; we evaluated the laryngeal mask airway insertion conditions and hemodynamic changes comparing ketamine-propofol mixture (ketofol) with propofol. The study was to compare the ketamine-propofol mixture (ketofol) with propofolon the ease of laryngeal mask airway insertion conditions and hemodynamic effects for induction of general anesthesia. Read More

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http://dx.doi.org/10.1186/s12871-019-0711-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425569PMC
March 2019
1.333 Impact Factor

Postoperative delirium in critically ill surgical patients: incidence, risk factors, and predictive scores.

BMC Anesthesiol 2019 Mar 20;19(1):39. Epub 2019 Mar 20.

Integrated Perioperative Geriatric Excellent Research Center, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Background: A common postoperative complication found among patients who are critically ill is delirium, which has a high mortality rate. A predictive model is needed to identify high-risk patients in order to apply strategies which will prevent and/or reduce adverse outcomes.

Objectives: To identify the incidence of, and the risk factors for, postoperative delirium (POD) in surgical intensive care unit (SICU) patients, and to determine predictive scores for the development of POD. Read More

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http://dx.doi.org/10.1186/s12871-019-0694-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425578PMC
March 2019
3 Reads

Supraglottic jet oxygenation and ventilation assisted fiberoptic intubation in a paralyzed patient with morbid obesity and obstructive sleep apnea: a case report.

BMC Anesthesiol 2019 Mar 20;19(1):40. Epub 2019 Mar 20.

Department of Anesthesiology, Peking University People' s Hospital, Beijing, 100044, China.

Background: Hypoxia is a major concern and cause of morbidity or mortality during tracheal intubation after anesthesia induction in a pathological obese patient with obstructive sleep apnea (OSA). We introduce a case using Supraglottic jet oxygenation and ventilation (SJOV) to promote oxygenation/ventilation during fiberoptic intubation in a paralyzed patient with morbid obesity and OSA.

Case Presentation: A 46-year-old man weighting 176 kg with BMI 53. Read More

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http://dx.doi.org/10.1186/s12871-019-0709-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425646PMC
March 2019
2 Reads

Lower rate of delayed graft function is observed when epidural analgesia for living donor nephrectomy is administered.

BMC Anesthesiol 2019 Mar 18;19(1):38. Epub 2019 Mar 18.

Department of Anesthesiology and Critical Care, Medical Center, Faculty of Medicine, University of Freiburg, Hugstetter Strasse 55, 79106, Freiburg, Germany.

Background: The beneficial effects of epidural analgesia (EDA) in terms of pain control and postoperative convalescence are widely known and led to a frequent use for patients who underwent living donor kidney nephrectomy. The objective of this study was to determine whether general anesthesia (GA) plus EDA compared to GA only, administered for living donor nephrectomy has effects on postoperative graft function in recipients.

Methods: In this monocentric, retrospective cohort analysis we analyzed the closed files of all consecutive donor- recipient pairs who underwent living donor kidney transplantations from 2008 to 2017. Read More

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http://dx.doi.org/10.1186/s12871-019-0713-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421667PMC
March 2019
1 Read

Comparison of intravenous lidocaine and dexmedetomidine infusion for prevention of postoperative catheter-related bladder discomfort: a randomized controlled trial.

Authors:
S Y Li H Li J Ni Y S Ma

BMC Anesthesiol 2019 Mar 18;19(1):37. Epub 2019 Mar 18.

Department of Anesthesiology, West China Second Hospital of Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children, No.20, Section 3, Renmin Nanlu, Chengdu, China.

Background: Catheter-related bladder discomfort (CRBD) frequently occurs during recovery in patients who undergo intra-operative urinary catheterization. We conducted this study to compare the effect of intravenous lidocaine and dexmedetomidine infusion for preventing CRBD.

Methods: 120 patients undergoing elective open abdominal hysterectomy or hysteromyomectomy requiring urinary bladder catheterization were randomly allocated into three groups of 40 each. Read More

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http://dx.doi.org/10.1186/s12871-019-0708-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6421662PMC
March 2019
2 Reads

The oculocardiac reflex and depth of anesthesia measured by brain wave.

BMC Anesthesiol 2019 Mar 14;19(1):36. Epub 2019 Mar 14.

Providence Anesthesia Group, Anchorage, Alaska, USA.

Background: The oculocardiac reflex (OCR), bradycardia that occurs during strabismus surgery is a type of trigemino-cardiac reflex (TCR) is blocked by anticholinergics and enhanced by opioids and dexmedetomidine. Two recent studies suggest that deeper inhalational anesthesia monitored by BIS protects against OCR; we wondered if our data correlated similarly.

Methods: In an ongoing, prospective study of OCR/TCR elicited by 10-s, 200 g square-wave traction on extraocular muscles (EOM) from 2009 to 2013, anesthetic depth was estimated in cohorts using either BIS or Narcotrend monitors. Read More

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http://dx.doi.org/10.1186/s12871-019-0712-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417239PMC

Pleth variability index versus pulse pressure variation for intraoperative goal-directed fluid therapy in patients undergoing low-to-moderate risk abdominal surgery: a randomized controlled trial.

BMC Anesthesiol 2019 Mar 9;19(1):34. Epub 2019 Mar 9.

Department of Anesthesiology, CHU Brugmann, 4, Place Van Gehuchten, 1020, Bruxelles, Belgium.

Background: Goal-directed fluid therapy (GDFT) based on dynamic indicators of fluid responsiveness has been shown to decrease postoperative complications and hospital length of stay (LOS) in patients undergoing major abdominal surgery. The usefulness of this approach still needs to be clarified in low-to-moderate risk abdominal surgery. Both pulse-pressure variation (PPV) and pleth variability index (PVI) can be used to guide GDFT strategies. Read More

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http://dx.doi.org/10.1186/s12871-019-0707-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408844PMC

Relative cerebral hyperperfusion during cardiopulmonary bypass is associated with risk for postoperative delirium: a cross-sectional cohort study.

BMC Anesthesiol 2019 Mar 9;19(1):35. Epub 2019 Mar 9.

Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Strasse 25, 53127, Bonn, Germany.

Background: Our objective was to evaluate if changes in on-pump cerebral blood flow, relative to the pre-bypass baseline, are associated with the risk for postoperative delirium (POD) following cardiac surgery.

Methods: In 47 consecutive adult patients, right middle cerebral artery blood flow velocity (MCAV) was assessed using transcranial Doppler sonography. Individual values, measured during cardiopulmonary bypass (CPB), were normalized to the pre-bypass baseline value and termed MCAV. Read More

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http://dx.doi.org/10.1186/s12871-019-0705-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408763PMC
March 2019
2 Reads

Postoperative remote lung injury and its impact on surgical outcome.

BMC Anesthesiol 2019 Mar 4;19(1):30. Epub 2019 Mar 4.

Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, Chelsea & Westminster Hospital, London, SW10 9NH, UK.

Postoperative remote lung injury is a complication following various surgeries and is associated with short and long-term mortality and morbidity. The release of proinflammatory cytokines, damage-associated molecular patterns such as high-mobility group box-1, nucleotide-biding oligomerization domain (NOD)-like receptor protein 3 and heat shock protein, and cell death signalling activation, trigger a systemic inflammatory response, which ultimately results in organ injury including lung injury. Except high financial burden, the outcome of patients developing postoperative remote lung injury is often not optimistic. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
Publisher Site
http://dx.doi.org/10.1186/s12871-019-0698-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399848PMC
March 2019
2 Reads
1.333 Impact Factor

The Clarus Video System (Trachway) and direct laryngoscope for endotracheal intubation with cricoid pressure in simulated rapid sequence induction intubation: a prospective randomized controlled trial.

BMC Anesthesiol 2019 Mar 4;19(1):33. Epub 2019 Mar 4.

Department of Anesthesiology, Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan.

Background: During an emergency endotracheal intubation, rapid sequence induction intubation (RSII) with cricoid pressure (CP) is frequently implemented to prevent aspiration pneumonia. We evaluated the CVS in endotracheal intubation in RSII with CP, in comparison with a direct laryngoscope (DL).

Methods: One hundred fifty patients were randomly assigned to one of three groups: the CVS as a video stylet (CVS-V) group, the CVS as a lightwand (CVS-L) group and DL group. Read More

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http://dx.doi.org/10.1186/s12871-019-0703-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399974PMC
March 2019
1 Read

Comparison of the efficacy of erector spinae plane block performed with different concentrations of bupivacaine on postoperative analgesia after mastectomy surgery: ramdomized, prospective, double blinded trial.

BMC Anesthesiol 2019 Mar 4;19(1):31. Epub 2019 Mar 4.

Department of Anesthesiology and Reanimation, Muğla Sıtkı Koçman University, Menteşe Muğla, Turkey.

Background: Breast cancer surgery is one of the most common surgeries among the female population. Nearly half of the patients suffer chronic pain following breast cancer surgery, and 24% of them categorizing their pain as moderate to high. In this study, effects of ultrasound-guided erector spinae plane (ESP) block performed using two different concentrations of bupivacaine on postoperative tramadol consumption, pain scores, and intraoperative fentanyl requirements among patients who underwent radical mastectomy surgery were compared. Read More

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http://dx.doi.org/10.1186/s12871-019-0700-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399855PMC
March 2019
4 Reads

Organ transplantation in the modern era.

BMC Anesthesiol 2019 Mar 4;19(1):32. Epub 2019 Mar 4.

Department of General-, Visceral- and Transplantation Surgery, Essen University Medical Center, Hufelandstr 55, 45147, Essen, Germany.

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http://dx.doi.org/10.1186/s12871-019-0704-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399965PMC
March 2019
3 Reads

Single and double pain responses to individually titrated ultra-short laser stimulation in humans.

BMC Anesthesiol 2019 Mar 4;19(1):29. Epub 2019 Mar 4.

Department of Clinical Sciences Malmö, Anaesthesiology and Intensive Care Medicine, Lund University, Skåne University Hospital, Carl Bertil Laurells gata 9, 3rd floor, SE-20502, Malmö, Sweden.

Background: This preclinical study in humans was designed to selectively induce delayed nociceptive pain responses to individually titrated laser stimulation, enabling separate bedside intensity scoring of both immediate and delayed pain.

Methods: Forty-four (fourteen female) healthy volunteers were subjected to repeated nociceptive dermal stimulation in the plantar arc, based on ultra-short carbon dioxide laser with individually titrated energy levels associated with mild pain.

Results: Data was analysed in 42 (12 female) subjects, and 29 of them (11 females) consistently reported immediate and delayed pain responses at second-long intervals to each nociceptive stimulus. Read More

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http://dx.doi.org/10.1186/s12871-019-0702-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399816PMC
March 2019
1 Read

New generation continuous cardiac output monitoring from carbon dioxide elimination.

BMC Anesthesiol 2019 Feb 26;19(1):28. Epub 2019 Feb 26.

Maquet Critical Care, AB, Rontgenvagen 2, S-17154, Solna, Sweden.

Background: There is continuing interest among clinicians in the potential for advanced hemodynamic monitoring and "goal directed" intravenous fluid administration guided by minimally-invasive cardiac output measurement to reduce complication rates in high risk patients undergoing major surgery. However, the adoption of the available technologies has been limited, due to cost, complexity and reliability of measurements provided. We review progress in the development of new generation methods for continuous non-invasive monitoring of cardiac output from measurement of carbon dioxide elimination in ventilated patients using the Differential Fick method. Read More

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http://dx.doi.org/10.1186/s12871-019-0699-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391811PMC
February 2019
1 Read

Acute cerebral infarction in a patient with an epidural catheter after left upper lobectomy: a case report.

BMC Anesthesiol 2019 Feb 23;19(1):27. Epub 2019 Feb 23.

Department of Anesthesiology and Critical Care Medicine, Jichi Medical University Saitama Medical Center, 1-847 Amanumacho, Omiyaku, Saitama, 330-8503, Japan.

Background: There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surgery, anesthesiologists should be alert when administering epidural analgesia to a patient undergoing left upper lobectomy, considering the increased risk of postoperative thromboembolism and the potential need for anticoagulation or fibrinolytic therapy in the immediate postoperative period.

Case Presentation: A seventy-one-year-old female with a metastatic lung lesion developed a cerebral infarction approximately 30 h after video-assisted thoracoscopic left upper lobectomy. Read More

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http://dx.doi.org/10.1186/s12871-019-0695-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387476PMC
February 2019
1 Read

Pre-operative biomarkers and imaging tests as predictors of post-operative delirium in non-cardiac surgical patients: a systematic review.

BMC Anesthesiol 2019 Feb 23;19(1):25. Epub 2019 Feb 23.

Department of Anesthesia, Toronto Western Hospital, University Health Network, 2-434 McLaughlin Wing, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada.

Background: Post-operative delirium (POD) is a common post-operative complication in elderly individuals and imposes a significant health and financial burden. Identifying predictive biomarkers may help understand the pathophysiology of POD. Our objective is to summarize the evidence of pre-operative biomarkers and imaging tests to predict POD in patients undergoing non-cardiac surgery. Read More

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http://dx.doi.org/10.1186/s12871-019-0693-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387490PMC
February 2019
1 Read

Standardised concentrations of morphine infusions for nurse/patient-controlled analgesia use in children.

BMC Anesthesiol 2019 Feb 23;19(1):26. Epub 2019 Feb 23.

School of Cancer & Pharmaceutical Sciences, King's College London, 150 Stamford Street, London, SE1 9NH, UK.

Background: Standardizing concentrations of intravenous infusions enables pre-preparation and is effective in improving patient safety by avoiding large deviations from the prescribed concentration that can occur when infusions are made individually in wards and theatres. The use of pre-prepared morphine standardized concentration infusions for paediatric nurse/patient-controlled analgesia (N/PCA) has not been previously investigated. We aimed to establish, implement and evaluate standardized concentrations of morphine in pre-filled syringes (PFS) for use in paediatric N/PCA. Read More

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http://dx.doi.org/10.1186/s12871-019-0697-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387512PMC
February 2019
1 Read

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380018PMC
February 2019
1 Read
1.333 Impact Factor

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379957PMC
February 2019
1 Read

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374898PMC
February 2019
3 Reads

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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375132PMC
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
3 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
1 Read

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
4 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
2 Reads

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
3 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
13 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
10 Reads