8,296 results match your criteria Canadian journal of anaesthesia = Journal canadien d'anesthesie[Journal]


Asymptomatic carriage and transmission of SARS-CoV-2: What do we know?

Can J Anaesth 2020 Jun 2. Epub 2020 Jun 2.

Department of Anesthesia and Perioperative Medicine, Royal Columbian Hospital, 330 E Columbia, New Westminster, BC, V3L 3W7, Canada.

Purpose: Risk to healthcare workers treating asymptomatic patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the operating room depends on multiple factors. This review examines the evidence for asymptomatic or pre-symptomatic carriage of SARS-CoV-2, the risk of transmission from asymptomatic patients, and the specific risks associated with aerosol-generating procedures. Protective measures, such as minimization of aerosols and use of personal protective equipment in the setting of treating asymptomatic patients, are also reviewed. Read More

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http://dx.doi.org/10.1007/s12630-020-01729-xDOI Listing

Airway foreign body in a premature newborn.

Can J Anaesth 2020 Jun 2. Epub 2020 Jun 2.

Programa de Medicina, Universidad de Manizales, Manizales, Colombia.

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http://dx.doi.org/10.1007/s12630-020-01724-2DOI Listing

Penetrating neck trauma: awake tracheostomy, intubation, or both?

Can J Anaesth 2020 Jun 2. Epub 2020 Jun 2.

The Ottawa Hospital, Ottawa, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01723-3DOI Listing

Why every anesthesia trainee should receive global health equity education.

Can J Anaesth 2020 May 20. Epub 2020 May 20.

Division of Global Health Equity, Department of Anesthesia and Perioperative Care, University of California San Francisco, 1001 Potrero Ave, Bldg 5, Rm 3C38, San Francisco, CA, 94110, USA.

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http://dx.doi.org/10.1007/s12630-020-01715-3DOI Listing

Therapeutic alternatives and strategies for drug conservation in the intensive care unit during times of drug shortage: a report of the Ontario COVID-19 ICU Drug Task Force.

Can J Anaesth 2020 May 26. Epub 2020 May 26.

The Ottawa Hospital, Ottawa, ON, Canada.

During the coronavirus disease (COVID-19) global pandemic, urgent strategies to alleviate shortages are required. Evaluation of the feasibility, practicality, and value of drug conservation strategies and therapeutic alternatives requires a collaborative approach at the provincial level. The Ontario COVID-19 ICU Drug Task Force was directed to create recommendations suggesting drug conservation strategies and therapeutic alternatives for essential drugs at risk of shortage in the intensive care unit during the COVID-19 pandemic. Read More

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http://dx.doi.org/10.1007/s12630-020-01713-5DOI Listing

Intensive care unit isolation hood decreases risk of aerosolization during noninvasive ventilation with COVID-19.

Can J Anaesth 2020 May 26. Epub 2020 May 26.

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

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http://dx.doi.org/10.1007/s12630-020-01721-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250488PMC

In reply: Uncertainty in the methods and interpretation of a meta-analysis of airway complications from lidocaine lubrication.

Can J Anaesth 2020 May 26. Epub 2020 May 26.

Department of Anesthesiology, Taipei Medical University Hospital, Taipei, Taiwan.

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http://dx.doi.org/10.1007/s12630-020-01718-0DOI Listing

Organ donation in patients on extracorporeal membrane oxygenation: considerations for determination of death and withdrawal of life support.

Can J Anaesth 2020 May 21. Epub 2020 May 21.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.

The use of extracorporeal membrane oxygenation (ECMO) is increasing globally, although mortality in this setting remains high. Patients on ECMO may be potential organ donors in the context of withdrawal of life-sustaining measures (WLSM) or neurologic determination of death (NDD). Nevertheless, there are currently no Canadian standards to guide clinicians on NDD or WLSM for the purposes of organ donation in this patient population. Read More

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http://dx.doi.org/10.1007/s12630-020-01714-4DOI Listing

Safety of neurolytic erector spinae plane blocks for cancer pain.

Can J Anaesth 2020 May 21. Epub 2020 May 21.

Department of Anesthesiology and Critical Care, Military Teaching Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco.

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http://dx.doi.org/10.1007/s12630-020-01719-zDOI Listing

A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure.

Can J Anaesth 2020 May 21. Epub 2020 May 21.

Department of Surgery, Sherbrooke University, Sherbrooke, QC, Canada.

Pulmonary complications are the most common clinical manifestations of coronavirus disease (COVID-19). From recent clinical observation, two phenotypes have emerged: a low elastance or L-type and a high elastance or H-type. Clinical presentation, pathophysiology, pulmonary mechanics, radiological and ultrasound findings of these two phenotypes are different. Read More

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http://dx.doi.org/10.1007/s12630-020-01704-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241588PMC

A simple negative-pressure protective barrier for extubation of COVID-19 patients.

Can J Anaesth 2020 May 21. Epub 2020 May 21.

Department of Emergency Medicine, Dalhousie University, Halifax, NS, Canada.

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http://dx.doi.org/10.1007/s12630-020-01720-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241284PMC

Uncertainty in the methods and interpretation of a meta-analysis of airway complications from lidocaine lubrication.

Authors:
Emi Kataoka

Can J Anaesth 2020 May 21. Epub 2020 May 21.

Department of Anesthesiology, Fukuoka Central Hospital, Fukuoka, Japan.

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http://dx.doi.org/10.1007/s12630-020-01717-1DOI Listing

In reply: Bilateral scalp blocks help reduce postoperative pain and opioid requirement, but the impact cannot be so huge.

Can J Anaesth 2020 May 20. Epub 2020 May 20.

Department of Anesthesia, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01712-6DOI Listing

Bilateral scalp blocks help reduce postoperative pain and opioid requirement, but the impact cannot be so huge.

Can J Anaesth 2020 May 20. Epub 2020 May 20.

Department of Neuroanaesthesia and Intensive Care, Fortis Memorial Research Institute, Gurgaon, India.

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http://dx.doi.org/10.1007/s12630-020-01711-7DOI Listing

Optimal sleep health among frontline healthcare workers during the COVID-19 pandemic.

Can J Anaesth 2020 May 18:1-4. Epub 2020 May 18.

5Department of Psychiatry, University of Toronto, Toronto, ON Canada.

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http://dx.doi.org/10.1007/s12630-020-01716-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232925PMC
May 2020
2.527 Impact Factor

In reply: Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (pPE)?

Authors:
David Bracco

Can J Anaesth 2020 May 18. Epub 2020 May 18.

Critical Care and Trauma, Montreal General Hospital, McGill University, Montreal, QC, Canada.

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http://dx.doi.org/10.1007/s12630-020-01710-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232921PMC

Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (pPE)?

Can J Anaesth 2020 May 18. Epub 2020 May 18.

Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.

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http://dx.doi.org/10.1007/s12630-020-01709-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7232906PMC

Improving adherence to a monitoring protocol for myocardial injury after non-cardiac surgery.

Can J Anaesth 2020 May 15. Epub 2020 May 15.

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

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http://dx.doi.org/10.1007/s12630-020-01707-3DOI Listing

Cognitive aids with roles defined (CARD) for obstetrical crises: a multisite before-and-after cohort study.

Can J Anaesth 2020 May 15. Epub 2020 May 15.

Department of Innovation in Medical Education, University of Ottawa, Ottawa, ON, Canada.

Purpose: Patient outcome during an obstetrical emergency depends on prompt coordination of an interprofessional team. The cognitive aids with roles defined (CARD) is a cognitive aid that addresses the issue of teamwork in crisis management. This study evaluated the clinical impact of implementing the CARD cognitive aid during emergency Cesarean deliveries. Read More

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http://dx.doi.org/10.1007/s12630-020-01685-6DOI Listing

A randomized-controlled trial of sugammadex versus neostigmine: impact on early postoperative strength.

Can J Anaesth 2020 May 13. Epub 2020 May 13.

Department of Anesthesiology, Stony Brook Medicine, Stony Brook, NY, 11794, USA.

Background: Residual neuromuscular blockade after surgery is associated with airway obstruction, hypoxia, and respiratory complications. Compared with neostigmine, sugammadex reverses neuromuscular blockade to a train-of-four ratio > 0.9 more rapidly. Read More

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http://dx.doi.org/10.1007/s12630-020-01695-4DOI Listing

In reply: Clear plastic drapes for aerosol-generating medical procedures in COVID-19 patients: questions still remain.

Can J Anaesth 2020 May 12. Epub 2020 May 12.

Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01706-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217341PMC

In reply: Delayed graft function after kidney transplantation: is saline really responsible?

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Université de Rennes, CHU de Rennes, Institut de recherche en santé, environnement et travail, Rennes, France.

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http://dx.doi.org/10.1007/s12630-020-01702-8DOI Listing

Physical distancing or social distancing: that is the question.

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Department of Psychiatry, Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

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http://dx.doi.org/10.1007/s12630-020-01697-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213540PMC

In reply: Physical distancing or social distancing: that is the question.

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Department of Anesthesiology, School of Medicine, University of Colorado, Aurora, CO, USA.

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http://dx.doi.org/10.1007/s12630-020-01698-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213546PMC

Delayed graft function after kidney transplantation: is saline really responsible?

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Département d'anesthésie réanimation, CHRU, Tours, France.

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http://dx.doi.org/10.1007/s12630-020-01701-9DOI Listing

End-of-life care in patients with a highly transmissible respiratory virus: implications for COVID-19.

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Division of Critical Care, Division of Palliative Medicine, Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.

Symptom management and end-of-life care are core skills for all physicians, although in ordinary times many anesthesiologists have fewer occasions to use these skills. The current coronavirus disease (COVID-19) pandemic has caused significant mortality over a short time and has necessitated an increase in provision of both critical care and palliative care. For anesthesiologists deployed to units caring for patients with COVID-19, this narrative review provides guidance on conducting goals of care discussions, withdrawing life-sustaining measures, and managing distressing symptoms. Read More

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http://dx.doi.org/10.1007/s12630-020-01699-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212843PMC

Clear plastic drapes for aerosol-generating medical procedures in COVID-19 patients: questions still remain.

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Department of Anesthesia, Perioperative and Pain Medicine, University of Calgary, South Health Campus, Calgary, AB, Canada.

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http://dx.doi.org/10.1007/s12630-020-01705-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212837PMC

An innovative endotracheal tube clamp for use in COVID-19.

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Intensive Care Medicine Department, Algarve University and Hospitalar Center, Faro, Portugal.

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http://dx.doi.org/10.1007/s12630-020-01703-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212844PMC

Corticosteroids for critically ill COVID-19 patients with cytokine release syndrome: a limited case series.

Can J Anaesth 2020 May 11. Epub 2020 May 11.

Department of Internal Medicine, Jewish General Hospital, Montreal, QC, Canada.

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http://dx.doi.org/10.1007/s12630-020-01700-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7212834PMC

An exploratory study of the McKay airway to assist bag-mask ventilation.

Can J Anaesth 2020 May 8. Epub 2020 May 8.

Faculty, Perioperative Services and Medical Device Reprocessing, Saskatchewan Polytechnic Institute, Saskatoon, SK, Canada.

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http://dx.doi.org/10.1007/s12630-020-01696-3DOI Listing

Variability in deceased donor care in Canada: a report of the Canada-DONATE cohort study.

Can J Anaesth 2020 May 8. Epub 2020 May 8.

Department of Medicine, McMaster University, Hamilton, ON, Canada.

Purpose: Canadian donor management practices have not been reported. Our aim was to inform clinicians and other stakeholders about the range of current practices.

Methods: This prospective observational cohort study enrolled consecutive, newly consented organ donors from August 1 2015 to July 31 2018 at 27 academic and five community adult intensive care units in British Columbia, Alberta, Ontario, and Quebec. Read More

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http://dx.doi.org/10.1007/s12630-020-01692-7DOI Listing

Impact of leg movement on skin-adductor canal distance: a potential cause for catheter tip displacement?

Can J Anaesth 2020 May 8. Epub 2020 May 8.

Department of Anesthesia and Perioperative Care, Vancouver General Hospital, Vancouver, BC, Canada.

Purpose: Catheter-based adductor canal blocks are an effective pain management strategy for total knee arthroplasty. Nevertheless, catheter-based techniques may fail if the tip migrates because of leg movement. This observational study used ultrasound to measure the distance from the skin to the adductor canal (SAC). Read More

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http://dx.doi.org/10.1007/s12630-020-01693-6DOI Listing

Post-exposure prophylaxis or pre-emptive therapy for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): study protocol for a pragmatic randomized-controlled trial.

Can J Anaesth 2020 May 7. Epub 2020 May 7.

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

Background: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in December 2019 causing the coronavirus disease (COVID-19) pandemic. Currently, there is a lack of evidence-based therapies to prevent COVID-19 following exposure to the virus, or to prevent worsening of symptoms following confirmed infection. We describe the design of a clinical trial of hydroxychloroquine for post-exposure prophylaxis (PEP) and pre-emptive therapy (PET) for COVID-19. Read More

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http://dx.doi.org/10.1007/s12630-020-01684-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205369PMC

External validation of a prognostic model for intensive care unit mortality: a retrospective study using the Ontario Critical Care Information System.

Can J Anaesth 2020 May 7. Epub 2020 May 7.

London Health Sciences Centre - Victoria Hospital, 800 Commissioner's Rd E, London, ON, Canada, N6A 5W9.

Purpose: To externally validate an intensive care unit (ICU) mortality prediction model that was created using the Ontario Critical Care Information System (CCIS), which includes the Multiple Organ Dysfunction Score (MODS).

Methods: We applied the Transparent Reporting of a multivariable prediction model for Individual Prognosis Or Diagnosis (TRIPOD) recommendations to a prospective longitudinal cohort of patients discharged between 1 July 2015 and 31 December 31 2016 from 90 adult level-3 critical care units in Ontario. We used multivariable logistic regression with measures of discrimination, calibration-in-the-large, calibration slope, and flexible calibration plots to compare prediction model performance of the entire data set and for each ICU subtype. Read More

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http://dx.doi.org/10.1007/s12630-020-01686-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223438PMC

In reply: Does length of intubation explain the failure of intracuff local anesthetic to reduce postoperative sore throat.

Can J Anaesth 2020 May 7. Epub 2020 May 7.

Department of Anesthesia, Perioperative Medicine, and Pain Management, University of Saskatchewan, Saskatoon, SK, Canada.

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http://dx.doi.org/10.1007/s12630-020-01691-8DOI Listing

Does length of intubation explain the failure of intracuff local anesthetic to reduce postoperative sore throat?

Can J Anaesth 2020 May 6. Epub 2020 May 6.

Department of Anesthesiology, Konya Training and Research Hospital, Konya, Turkey.

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http://dx.doi.org/10.1007/s12630-020-01690-9DOI Listing

La définition des moments critiques et non critiques en salle d'opération : une étude de consensus Delphi modifiée.

Can J Anaesth 2020 May 6. Epub 2020 May 6.

Department of Surgery, University of Toronto, Toronto, ON, Canada.

Background: While the operating room (OR) has significantly benefited from aviation strategies to improve safety, the rate of avoidable human errors remains relatively high. One key aviation strategy that has yet to be formally established in the OR is the "sterile cockpit" rule, which prohibits all non-essential behaviours during critical moments of a flight. Applying this rule to the OR may enhance patient safety, but the critical moments of surgery need to be defined first. Read More

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http://dx.doi.org/10.1007/s12630-020-01688-3DOI Listing

A report of probable paroxysmal sympathetic hyperactivity syndrome in a patient with necrotizing fasciitis.

Can J Anaesth 2020 May 5. Epub 2020 May 5.

Department of Emergency & Critical Care Medicine, Island Health Authority, Vancouver, BC, Canada.

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http://dx.doi.org/10.1007/s12630-020-01694-5DOI Listing

Sedation during vitreoretinal surgery: practice patterns in Canada.

Can J Anaesth 2020 May 4. Epub 2020 May 4.

Department of Anesthesia, McMaster University, Hamilton, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01689-2DOI Listing

What to do when perioperative point-of-care ultrasound shows evidence of a full stomach despite fasting?

Can J Anaesth 2020 Jul 1;67(7):798-805. Epub 2020 May 1.

Department of Anesthesiology, Pharmacology & Therapeutics, The University of British Columbia, Medical Sciences Block C, 2176 Health Sciences Mall, Vancouver, BC V6T 1Z3, Canada.

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http://dx.doi.org/10.1007/s12630-020-01669-6DOI Listing

In reply: Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letters #1 and #2).

Can J Anaesth 2020 May 1. Epub 2020 May 1.

Division of Anesthesiology and Perioperative Medicine, Singapore General Hospital, Singapore, Singapore.

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http://dx.doi.org/10.1007/s12630-020-01683-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194079PMC

Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letter #1).

Can J Anaesth 2020 May 1. Epub 2020 May 1.

Department of Anesthesiology, North Florida/Southern Georgia Veterans Health System and the University of Florida, Gainesville, FL, USA.

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http://dx.doi.org/10.1007/s12630-020-01681-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7194080PMC

Directed organ donation after medical assistance in dying: little to gain and much to lose.

Authors:
Claire Middleton

Can J Anaesth 2020 Apr 30. Epub 2020 Apr 30.

University of Toronto, Toronto, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01679-4DOI Listing

Re-purposing a face tent as a disposable aerosol evacuation system to reduce contamination in COVID-19 patients: a simulated demonstration.

Authors:
Ban C H Tsui

Can J Anaesth 2020 Apr 30. Epub 2020 Apr 30.

Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.

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http://dx.doi.org/10.1007/s12630-020-01687-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192058PMC

Perioperative personal protective equipment stewardship (POPPiES).

Can J Anaesth 2020 Apr 29. Epub 2020 Apr 29.

Department of Anesthesia & Pain Medicine, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01676-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189635PMC

Quality of clinical care provided during simulated pediatric cardiac arrest: a simulation-based study.

Can J Anaesth 2020 Jun 28;67(6):674-684. Epub 2020 Apr 28.

PICU, Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.

Purpose: We sought to assess compliance to resuscitation guidelines during pediatric simulated cardiac arrests in a pediatric intensive care unit (PICU) and to identify performance gaps to target with future training.

Methods: In a prospective observational study in a PICU, ten cardiac arrest scenarios were developed for resuscitation training and video recorded. The video recordings were examined for times to start cardiopulmonary resuscitation (CPR), delivery of first shock, CPR quality (rate, depth), length of pauses, chest compression fraction (CCF), ventilation, pulse/rhythm assessment, compressors' rotation, and leader's behaviours. Read More

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http://dx.doi.org/10.1007/s12630-020-01665-wDOI Listing

Personal protective equipment (PPE) for anesthesiologists: the need for national guidelines.

Can J Anaesth 2020 Apr 28. Epub 2020 Apr 28.

Department of Anesthesiology and Perioperative Medicine, Western University, London, ON, Canada.

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http://dx.doi.org/10.1007/s12630-020-01675-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187663PMC