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    2694 results match your criteria Perioperative Pulmonary Management

    1 OF 54

    Inhaled pulmonary vasodilator therapy for management of right-ventricular dysfunction after left ventricular assist device placement and cardiac transplantation.
    Pharmacotherapy 2017 May 24. Epub 2017 May 24.
    Clinical Pharmacy Manager, Heart Transplant and Mechanical Circulatory Support; NewYork-Presbyterian Hospital, Columbia University Medical Center, Department of Pharmacy, New York, NY.
    Right ventricular failure (RVF) after cardiac transplant (CTX) or implantation of a continuous-flow left ventricular assist device (CF-LVAD) is associated with significant post-operative morbidity and mortality. A variety of modalities have been used to treat post-operative RVF, including management of volume status, intravenous inotropes and vasodilators, and right-sided mechanical support. Inhaled vasodilator agents are a unique treatment option aimed at minimizing systemic absorption by delivering therapy directly to the pulmonary vasculature. Read More

    A Political Case of Penetrating Cranial Trauma: The Injury of James Scott Brady.
    Neurosurgery 2017 May 22. Epub 2017 May 22.
    Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana.
    James Brady, the White House press secretary during President Ronald Reagan's first term in office, was 1 of 4 people (including the President) wounded during an attempted assassination attempt on President Reagan's life on March 30, 1981. John Hinckley, Jr. was found not guilty of this attempt by reason of insanity. Read More

    [The long-term treatment outcomes of adult osteosarcoma].
    Pol Merkur Lekarski 2017 Apr;42(250):158-164
    Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Warsaw, Poland: Department of Soft Tissue/Bone Sarcoma and Melanoma.
    Osteosarcoma is the most common primary bone tumor. Treatment of osteosarcoma patients is based on chemotherapy as well as surgical resection of primary tumor and distant metastases. Lung metastases are the primary cause of death in this group of patients. Read More

    [Preoperative risk factors analysis of pulmonary hypertension crisis during perioperative period for caesarean section of woman with severe pulmonary hypertension].
    Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2017 May;29(5):431-435
    Department of Anesthesiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. Corresponding author: Ma Jun, Email:
    Objective: To analyze preoperative risk factors of perioperative pulmonary hypertension crisis (PHC) for pregnant woman with severe pulmonary artery hypertension (PAH), and approach its clinical value.

    Methods: A retrospective analysis was conducted. The clinical data from 152 pregnant women with severe PAH underwent cesarean delivery admitted to Beijing Anzhen Hospital from January 1st 2008 to December 31st 2016 was collected. Read More

    The development of uniportal video-assisted thoracoscopic surgery in São Paulo: from diagnosis to lobectomy.
    J Thorac Dis 2017 Apr;9(4):865-870
    Department of Thoracic Surgery, Beneficencia Portuguesa Hospital, Sao Paulo, Brazil.
    Background: The use of uniportal video-assisted thoracoscopic surgery (VATS) has been increasing worldwide. Our main goal was to describe the evolution of uniportal surgery in the biggest private hospital in Latin America that is located in São Paulo, Brazil.

    Methods: This descriptive and retrospective study included patients who underwent uniportal VATS in the thoracic surgical department of Beneficencia Portuguesa Hospital, after being referred to our team to undergo the aforementioned procedure within the period from February 2012 to March 2016. Read More

    Successful Team-Based Management of Renal Cell Carcinoma With Caval Extension of Tumor Thrombus Above the Diaphragm.
    J Cardiothorac Vasc Anesth 2017 Feb 9. Epub 2017 Feb 9.
    Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address:

    Transthoracic Echocardiography for Diagnosing Pulmonary Embolism: A Systematic Review and Meta-Analysis.
    J Am Soc Echocardiogr 2017 May 9. Epub 2017 May 9.
    Lister Hill Library, Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
    Objective: Pulmonary embolism (PE) is a common diagnosis with significant mortality if not appropriately treated. The use of transthoracic echocardiography in patients with PE is common; however, its diagnostic capabilities in this use are unclear. With the increased use of ultrasonography in medical settings, it is important to understand the strengths and limitations of echocardiography for the diagnosis of PE. Read More

    Contemporary Approaches to Perioperative IV Fluid Therapy.
    World J Surg 2017 May 8. Epub 2017 May 8.
    Smiths Medical Professor of Anaesthesia and Critical Care, National Institute of Health Research Biomedical Research Centre, University College London Hospitals, London, UK.
    Background: Intravenous fluid therapy is required for most surgical patients, but inappropriate regimens are commonly prescribed. The aim of this narrative review was to provide evidence-based guidance on appropriate perioperative fluid management.

    Method: We did a systematic literature search of the literature to identify relevant studies and meta-analyses to develop recommendations. Read More

    Obesity and perioperative noninvasive ventilation in bariatric surgery.
    Minerva Chir 2017 Jun;72(3):248-264
    Department of Medicine, Anesthesiology and Intensive Care, University of Padua, Padua, Italy.
    The incidence and prevalence of obesity continues to increase globally. Physicians will therefore provide care for an increasing number of obese patients in their clinical practice. Optimal management of these patients is required to minimize the risk of perioperative complications that increase morbidity and mortality. Read More

    Transpulmonary Thermodilution: Its Role in Assessment of Lung Water and Pulmonary Edema.
    J Cardiothorac Vasc Anesth 2017 Feb 4. Epub 2017 Feb 4.
    Cardiothoracic Anesthesia Service, VA Connecticut Healthcare System, West Haven, CT; Yale University School of Medicine, New Haven, CT.
    Tissue edema, in particular pulmonary edema, increasingly is recognized as a perioperative complication affecting outcome. Management strategies directed at avoiding excessive fluid administration, reducing inflammatory response, and decreasing capillary permeability commonly are advocated in perioperative care protocols. In this review, transpulmonary thermodilution (TPTD) as a bedside tool to quantitatively monitor lung water accumulation and optimize fluid therapy is examined. Read More

    Effect of liberal blood transfusion on clinical outcomes and cost in spine surgery patients.
    Spine J 2017 Apr 27. Epub 2017 Apr 27.
    Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address:
    Background Context: Blood transfusions in spine surgery are shown to be associated with increased patient morbidity. The association between transfusion performed using a liberal hemoglobin (Hb) trigger-defined as an intraoperative Hb level of ≥10 g/dL, a postoperative level of ≥8 g/dL, or a whole hospital nadir between 8 and 10 g/dL-and perioperative morbidity and cost in spine surgery patients is unknown and thus was investigated in this study.

    Purpose: This study aimed to describe the perioperative outcomes and economic cost associated with liberal Hb trigger transfusion among spine surgery patients. Read More

    Perioperative considerations for patients with sickle cell disease: a narrative review.
    Can J Anaesth 2017 Apr 28. Epub 2017 Apr 28.
    Department of Anesthesiology & Perioperative Medicine, Mayo Clinic Arizona, 5777 E. Mayo Blvd, Phoenix, AZ, 85054, USA.
    Purpose: Approximately 200,000 individuals worldwide are born annually with sickle cell disease (SCD). Regions with the highest rates of SCD include Africa, the Mediterranean, and Asia, where its prevalence is estimated to be 2-6% of the population. An estimated 70,000-100,000 people in the United States have SCD. Read More

    In patients undergoing lung resection is it safe to administer amiodarone either as prophylaxis or treatment of atrial fibrillation?
    Interact Cardiovasc Thorac Surg 2017 May;24(5):783-788
    Department of Thoracic Surgery, Guy's Hospital, London, UK.
    A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether the administration of amiodarone is safe in patients undergoing lung resection either for prophylaxis or treatment of de novo postoperative atrial fibrillation (POAF). A total of 30 papers were identified, of which 13 represented the best evidence to answer the clinical question. Read More

    Attrition in patients with single ventricle and trisomy 21: outcomes after a total cavopulmonary connection.
    Interact Cardiovasc Thorac Surg 2017 May;24(5):747-754
    Division of Pediatric Cardiovascular Surgery, Advocate Children's Hospital, Oak Lawn, IL, USA.
    Objectives: Data are limited regarding the management of children with trisomy 21 (T21) syndrome and a functional single ventricle (FSV). We evaluated patients with T21 and a FSV who had a total cavopulmonary connection (TCPC).

    Methods: From September 1999 to August 2012, 139 patients with a FSV underwent a TCPC. Read More

    A multicenter randomized controlled trial of surgery alone or surgery with atrial natriuretic peptide in lung cancer surgery: study protocol for a randomized controlled trial.
    Trials 2017 Apr 20;18(1):183. Epub 2017 Apr 20.
    Department of Biochemistry, National Cerebral and Cardiovascular Center Research Institute, 5-7-1, Fujishirodai, Suita-city, Osaka, 565-8565, Japan.
    Background: Postoperative cancer recurrence is a major problem following curative surgery. In a previous retrospective study of lung cancer surgery, we reported that administration of atrial natriuretic peptide (ANP) during the perioperative period reduced postoperative recurrence. We demonstrated that ANP inhibited the adhesion of cancer cells to vascular endothelium as a vasoprotective action. Read More

    Clinical Practice Guidelines Decrease Unnecessary Echocardiograms Before Hip Fracture Surgery.
    J Bone Joint Surg Am 2017 Apr;99(8):676-680
    1Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina.
    Background: Preoperative assessment of geriatric patients with a hip fracture may include transthoracic echocardiography (TTE), which increases resource utilization and cost and may delay surgery. The purpose of this study was to evaluate preoperative TTE utilization at a single institution in order to determine (1) how often TTE is ordered in accordance with clinical practice guidelines (CPGs), (2) how frequently TTE reveals cardiac disease that may alter medical or anesthesia management, and (3) whether following CPGs reduces unnecessary TTE utilization without potentially missing important disease.

    Methods: A retrospective review of data on 100 geriatric patients with a hip fracture who had undergone preoperative TTE was performed. Read More

    The esophageal cooling device: A new temperature control tool in the intensivist's arsenal.
    Heart Lung 2017 Apr 11. Epub 2017 Apr 11.
    Critical Care & Neuro-Critical Care Medicine, Program in Critical Care, Department of Medicine, London Health Sciences Centre, University of Western Ontario, LHSC-UC, 339 Windermere Road, London, Ontario N6A 5A5, Canada.
    Background: Therapeutic hypothermia has been demonstrated to improve neurological outcome in comatose survivors of cardiac arrest. Current temperature control modalities however, have several limitations. Exploring innovative methods of temperature management has become a necessity. Read More

    Utility of Objective Chest Tube Management After Pulmonary Resection Using a Digital Drainage System.
    Ann Thorac Surg 2017 Apr 12. Epub 2017 Apr 12.
    Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
    Background: We sought to evaluate the clinical utility of chest tube management after pulmonary resection based on objective digital monitoring of pleural pressure and digital surveillance for air leaks.

    Methods: We prospectively recorded the perioperative data of 308 patients who underwent pulmonary resection between December 2013 and January 2016. We used information from a digital monitoring thoracic drainage system to measure peak air leakage during the first 24 hours after the operation, patterns of air leakage over the first 72 hours, and patterns of pleural pressure changes until the chest tubes were removed. Read More

    Partial anomalous pulmonary venous return: Scimitar vein.
    Ann Card Anaesth 2017 Apr-Jun;20(2):259-261
    Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, SC, USA.
    Scimitar syndrome is a rare association of congenital cardiopulmonary anomalies characterized by partial anomalous pulmonary venous return, in which an abnormal right pulmonary vein drains into the inferior vena cava. This case exemplifies the role of transesophageal echocardiography in perioperative management and surgical decision-making. Read More

    Still a role for surgery as first-line therapy of splenic marginal zone lymphoma? Results of a prospective observational study.
    Int J Surg 2017 May 30;41:143-149. Epub 2017 Mar 30.
    Division of Hematology, Brescia Civic Hospital, Brescia, Italy.
    Aim: Assessment of hematologic improvement, survival and peri-operative morbidity after first-line splenectomy for splenic marginal zone lymphoma (SMZL).

    Methods: Forty-three patients undergoing open splenectomy were prospectively analyzed. Perioperative clinical course, overall and progression-free survival (OS-PFS) were evaluated. Read More

    Twenty Years of Anesthetic and Perioperative Management of Patients With Tetralogy of Fallot With Absent Pulmonary Valve.
    J Cardiothorac Vasc Anesth 2017 Feb 4. Epub 2017 Feb 4.
    Department of Anesthesiology, Perioperative and Pain Medicine, Division of Cardiac Anesthesia, Boston Children's Hospital, Boston, MA. Electronic address:
    Objective: Review the authors' institutional experience of the induction and perioperative airway management of children with tetralogy of Fallot with an absent pulmonary valve.

    Design: Retrospective chart review.

    Setting: Large academic children's hospital. Read More

    [Prognostic factors for in-hospital mortality in patients with acute kidney injury requiring continuous renal replacement therapy undergoing surgery for acute Stanford type A aortic dissection].
    Zhonghua Wai Ke Za Zhi 2017 Apr;55(4):270-273
    Center for Cardiac Intensive Care, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung & Blood Vessel Diseases, Beijing 100029, China.
    Objective: To evaluate prognostic factors for in-hospital mortality in patients with acute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT) undergoing surgery for acute Stanford type A aortic dissection. Methods: Retrospective analysis were conducted for 60 patients diagnosed with AKI requiring CRRT undergoing surgery for acute Stanford type A aortic dissection at Beijing Anzhen Hospital, Capital Medical University from March 2015 to September 2016. There were 43 male and 17 female patients with an mean age of (50±14) years. Read More

    [Progress and challenge of Stanford type A aortic dissection in China].
    Zhonghua Wai Ke Za Zhi 2017 Apr;55(4):241-244
    Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China.
    In recent 20 years, the rapid development of acute Stanford type A aortic dissection in China has been mainly due to three aspects: (1) the refined classification of aortic dissection based on Stanford classification, (2) right axillary artery canal and selective cerebral perfusion technology become basic cardiopulmonary bypass strategy for Stanford type A aortic dissection, and (3) total aortic arch replacement and descending aortic stent graft surgery (Sun's surgery) become the standard treatment of Stanford type A aortic dissection. However, there are still many problems in the diagnosis and treatment of aortic dissection in China, such as: (1) unstandardized, lack of comprehensive guidelines of aortic dissection, (2) immature, perioperative organ protection and intraoperative blood protection technology remains a big flaw, and (3) it takes a long time to get patient prepared for surgery. In conclusion, as to the issue of the management of acute Stanford type A aortic dissection, there will be a long way for Chinese doctors to go. Read More

    Perioperative Management of Blood Loss in Spine Surgery.
    Clin Spine Surg 2017 Mar 23. Epub 2017 Mar 23.
    *Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA †Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD.
    Spine procedures are associated with high rates of blood loss which can result in a greater need for transfusions. Repeated exposure to blood products is associated with risks and adverse reactions such as transfusion-related acute lung injury, fluid shifting, and infections. With the higher number of spine procedures and the increasing open surgery times associated with difficult procedures, excessive blood loss has become more prevalent. Read More

    Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery.
    Orthop Clin North Am 2017 Apr 27;48(2):127-135. Epub 2017 Jan 27.
    Department of Orthopaedics and Sports Medicine, Detroit Medical Center, University Health Center (UHC), 4201 Saint Antoine Street, 9B, Detroit, MI 48201-2153, USA. Electronic address:
    Patients undergoing orthopedic surgery have an increased risk for deep venous thrombosis (DVT) and pulmonary embolism (PE). These complications are considered detrimental, as they cause major postoperative morbidity and mortality and lead to a substantial health care burden. Because of the high incidence and serious nature of these complications, it is essential for orthopedic surgeons to have a comprehensive knowledge of the risk factors, diagnosis, and treatment of acute DVT and PE. Read More

    Cardiac Function After Tetralogy of Fallot/Complete Atrioventricular Canal Repair.
    World J Pediatr Congenit Heart Surg 2017 Mar;8(2):189-195
    1 Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, New York, NY, USA.
    Background: Repair of complete atrioventricular canal (CAVC) with tetralogy of Fallot (TOF) is a challenging operation increasingly being performed as a complete, primary repair in infancy. Previous studies have focused on perioperative outcomes; however, midterm valve function, ventricular function, and residual obstruction have received little attention.

    Methods: We retrospectively reviewed 20 patients who underwent CAVC/TOF repair (January 2005 to December 2014). Read More

    Status Asthmaticus and Central Herniation: A Case for Multidisciplinary Critical Care.
    A A Case Rep 2017 Mar 15. Epub 2017 Mar 15.
    From the Departments of *Anesthesiology and Perioperative Medicine, †Neurosurgery, and ‡Pulmonary and Critical Care Medicine, Oregon Health and Sciences University, Portland, Oregon; and §Anesthesiology, Columbia University, New York, New York.
    A 24-year-old woman with history of asthma was intubated emergently for acute status asthmaticus triggered by acute respiratory syncytial virus infection and treated with permissive hypercapnia. Her ventilation was complicated by auto-positive end-expiratory pressure and elevated peak airway, plateau, and central venous pressures. On hospital day 2, she was noted to have anisocoria. Read More

    Bedside Breath-Wise Visualization of Bronchospasm by Electrical Impedance Tomography Could Improve Perioperative Patient Safety: A Case Report.
    A A Case Rep 2017 Mar 15. Epub 2017 Mar 15.
    From the *Pediatric Intensive Care Unit, Hospital Universitario La Paz, Madrid, ES, Spain; †Department of Pediatrics, Medical School, Universidad Autónoma de Madrid, ES, Spain; ‡Swisstom AG, Medical Research, Landquart, CH, Switzerland; and §Pediatric Anestesia and Reanimation Unit, Hospital Universitario La Paz, Madrid, ES, Spain.
    Bronchospasm appears in up to 4% of patients with obstructive lung disease or respiratory infection undergoing general anesthesia. Clinical examination alone may miss bronchospasm. As a consequence, subsequent (mis)treatment and ventilator settings could lead to pulmonary hyperinflation, hypoxia, hypercapnia, hypotension, patient-ventilator asynchrony, volutrauma, or barotrauma. Read More

    Case Report of a Patient With Idiopathic Hypersomnia and a Family History of Malignant Hyperthermia Undergoing General Anesthesia: An Overview of the Anesthetic Considerations.
    A A Case Rep 2017 May;8(9):238-241
    From the *Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; †Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; ‡Toronto Sleep and Pulmonary Centre, Toronto, Ontario, Canada; and §Women's College Hospital, Toronto, Ontario, Canada.
    The pathophysiologic underpinnings of idiopathic hypersomnia and its interactions with anesthetic medications remain poorly understood. There is a scarcity of literature describing this patient population in the surgical setting. This case report outlines the anesthetic considerations and management plan for a 55-year-old female patient with a known history of idiopathic hypersomnia undergoing an elective shoulder arthroscopy in the ambulatory setting. Read More

    Standard donor lung procurement with normothermic ex vivo lung perfusion: A prospective randomized clinical trial.
    J Heart Lung Transplant 2017 Feb 20. Epub 2017 Feb 20.
    Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria; Department of Thoracic Surgery and Surgical Endoscopy, Ruhrlandklinik-University Clinic Essen, Essen, Germany. Electronic address:
    Background: Ex vivo lung perfusion (EVLP) was primarily developed for evaluation of impaired donor lungs. The good clinical results raise the question for its possible impact on lungs meeting standard criteria. Before application of EVLP on such lungs enters routine clinical practice, it must be demonstrated whether EVLP would affect or improve outcome when used in standard donor lungs. Read More

    Anasthesiol Intensivmed Notfallmed Schmerzther 2017 Mar 16;52(3):204-213. Epub 2017 Mar 16.
    Due to the responsibility for the mother and the unborn child, fetal surgery represents a challenging task for the anesthesiologist. Maternal changes during pregnancy have to be considered as well as the fetal physiology and the surgeon's needs. Main principles of the anesthesiological management of fetal surgery include the stabilization of the mean arterial pressure in order to preserve a sufficient placental blood flow, sustainment of an adequate oxygenation and ventilation as well as thorough temperature surveillance. Read More

    The safety and efficacy of dexmedetomidine-remifentanil in children undergoing flexible bronchoscopy: A retrospective dose-finding trial.
    Medicine (Baltimore) 2017 Mar;96(11):e6383
    aDepartment of Pathology and Pathophysiology, Binzhou Medical University, Binzhou bDepartment of Pediatrics, Liaocheng People's Hospital, Liaocheng, Shandong, China.
    Flexible bronchoscopy is more and more used for diagnosis and management of various pulmonary diseases in pediatrics. As poor coordination of children, the procedure is usually performed under general anesthesia with spontaneous or controlled ventilation to increase children and bronchoscopists' safety and comfort. Previous studies have reported that dexmedetomidine (DEX) could be safely and effectively used for flexible bronchoscopy in both adulate and children. Read More

    Aortic Annulus Enlargement: Early and Long-Terms Results.
    Open Access Maced J Med Sci 2017 Mar 31;5(1):23-26. Epub 2017 Jan 31.
    University Hospital Centre "Mother Theresa", Service of Cardiac Surgery, Tirana, Albania.
    Aim: Patient-prosthesis mismatch (PPM) is a common occurrence in aortic valve surgery. Even the discussions about the impact of this phenomenon on the results of aortic valve surgery, the management of this problem remain one of the main topics in this kind of surgery. One of the ways of a solution is aortic annulus enlargement. Read More

    Preoperative management using inhalation therapy for pulmonary complications in lung cancer patients with chronic obstructive pulmonary disease.
    Gen Thorac Cardiovasc Surg 2017 Mar 9. Epub 2017 Mar 9.
    Department of Thoracic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.
    Objective: This study aimed to investigate whether perioperative inhalations of long-acting beta-agonists (LABAs) or long-acting muscarinic antagonists (LAMAs) might decrease the incidence of postoperative complications in lung cancer patients with chronic obstructive pulmonary disease (COPD).

    Methods: We retrospectively analyzed 108 patients with COPD who underwent pulmonary resections for primary lung cancer at our hospital between January 2013 and January 2016 to determine the association between the incidence of postoperative complications (e.g. Read More

    Hemodynamic and perioperative management in two different preclinical pig-to-baboon cardiac xenotransplantation models.
    Xenotransplantation 2017 Mar 5. Epub 2017 Mar 5.
    Department of Anaesthesiology, Ludwig Maximilian University, Munich, Germany.
    Background: The perioperative phase of preclinical cardiac xenotransplantations significantly affects the experimental outcome. Moderate or even severe hemodynamic and respiratory impairment occurs frequently in baboons after receiving a cardiac transplant. The perioperative management of such postoperative instability is very demanding, especially in the experimental setting. Read More

    Perioperative management of hepatectomy in patients with interstitial pneumonia: a report of three cases and a literature review.
    Surg Today 2017 Mar 1. Epub 2017 Mar 1.
    Department of Hepatobiliary and Pancreatic Surgery, Graduate School of Medicine, Gunma University, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
    Purpose: Interstitial pneumonia (IP) is a progressive and irreversible fibrosis and can be fatal if acute exacerbation (AE) occurs. While a useful risk-scoring system has been established for lung surgery, no risk evaluation exists for AE of IP related to non-pulmonary surgery. The objective of this review is to describe the management for patients with IP. Read More

    Morbidity and mortality after emergency lower extremity embolectomy.
    J Vasc Surg 2017 Mar;65(3):754-759
    Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass. Electronic address:
    Objective: Emergency lower extremity embolectomy is a common vascular surgical procedure that has poorly defined outcomes. Our goal was to define the perioperative morbidity for emergency embolectomy and develop a risk prediction model for perioperative mortality.

    Methods: The American College of Surgeons National Surgical Quality Improvement database was queried to identify patients undergoing emergency unilateral and lower extremity embolectomy. Read More

    Acute kidney injury in pancreatic surgery; association with urine output and intraoperative fluid administration.
    Am J Surg 2017 Jan 30. Epub 2017 Jan 30.
    Division of Anesthesiology, Pain, and Intensive Care, Tel Aviv Medical Center, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel. Electronic address:
    Background: Acute kidney injury (AKI) is a devastating postoperative complication. Intraoperative urine output is assumed to reflect patient's intravascular volume and kidney function. We thus evaluated the incidence of postoperative AKI and its association with intraoperative urine output and the volume of fluid administered. Read More

    Comparison of Post-Liver Transplantation Outcomes in Portopulmonary Hypertension and Pulmonary Venous Hypertension: A Single-Center Experience.
    Transplant Proc 2017 Mar;49(2):338-343
    Emory University School of Medicine, Department of Medicine, Atlanta, Georgia, USA. Electronic address:
    Background: In potential liver transplant candidates, pulmonary vascular diseases, including portopulmonary hypertension (PoPH) and pulmonary venous hypertension (PVH), can be associated with high morbidity and mortality. Although there are clear guidelines regarding management and transplant listing criteria for patients with PoPH, the listing criteria for PVH are not well defined.

    Objective: The aim of this study was to describe and compare the perioperative and postoperative morbidity and mortality associated with PoPH and PVH in patients undergoing liver transplantation. Read More

    Noteworthy Literature Published in 2016 for Thoracic Organ Transplantation Anesthesiologists.
    Semin Cardiothorac Vasc Anesth 2017 Mar;21(1):45-57
    1 University of Pittsburgh, Pittsburgh, PA, USA.
    This article is first in the series to review the published literature on perioperative issues in patients undergoing thoracic solid organ transplantations. We present recent literature from 2016 on preoperative considerations, organ preservation, intraoperative anesthesia management, surgical techniques, postoperative complications, and the impact of perioperative management on short- and long-term outcomes that are pertinent to thoracic transplantation anesthesiologists. Read More

    Arthrogryposis multiplex congenita: classification, diagnosis, perioperative care, and anesthesia.
    Front Med 2017 Mar 2;11(1):48-52. Epub 2017 Mar 2.
    Department of Anesthesiology, Peking Union Medical College Hospital, Beijing, 100730, China.
    Arthrogryposis multiplex congenita (AMC) is a rare disorder characterized by non-progressive, multiple contractures. In addition to affected extremities, patients may also present microstomia, decreased temporomandibular joint mobility. Although the etiology of AMC is unclear, any factor that decreases fetal movement is responsible for AMC. Read More

    A simultaneous minimally invasive approach to treat a patient with coronary artery disease and metastatic lung cancer.
    Wideochir Inne Tech Maloinwazyjne 2016 29;11(4):300-303. Epub 2016 Nov 29.
    People's Hospital of Ganzhou, Nanchang University, Ganzhou, China.
    Concurrent lung cancer and coronary artery disease requiring treatment with percutaneous coronary intervention or coronary artery bypass grafting is not rare. An individualized perioperative anticoagulation regimen and minimal surgical trauma will benefit the patient's postoperative recovery. We successfully treated a 68-year-old female patient with a lesion in the left anterior descending artery and metastatic right lung carcinoma by simultaneous minimally invasive direct coronary artery bypass grafting via a small left thoracotomy and thoracoscopic wedge resection of the lung lesion. Read More

    Practical guidelines on e-cigarettes for practitioners and others health professionals. A French 2016 expert's statement.
    Rev Mal Respir 2017 Feb 9;34(2):155-164. Epub 2017 Feb 9.
    Département de pneumologie, CHU d'Angers, 4, rue Larrey, 49000 Angers, France.
    A group of 11 French medical experts has developed guidelines through a Delphi progressive consensus about smoking management at the e-cigarette era. The lack of scientific data about e-cigarettes led the experts to set out recommendations, mainly based on clinical practice while waiting for scientific validations. The validated smoking cessation treatments keep the first place in the prevention and the treatment of tobacco-induced damages. Read More

    Perioperative management of left ventricular diastolic dysfunction and heart failure: an anesthesiologist's perspective.
    Korean J Anesthesiol 2017 Feb 26;70(1):3-12. Epub 2017 Jan 26.
    Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea.
    Anesthesiologists frequently see asymptomatic patients with diastolic dysfunction or heart failure for various surgeries. These patients typically show normal systolic function but abnormal diastolic parameters in their preoperative echocardiographic evaluations. The symptoms that are sometimes seen are similar to those of chronic obstructive pulmonary disease. Read More

    Impact of dexmedetomidine on the incidence of delirium in elderly patients after cardiac surgery: A randomized controlled trial.
    PLoS One 2017 9;12(2):e0170757. Epub 2017 Feb 9.
    Section of Anaesthetics, Pain Management and Intensive Care, Department of Surgery and Cancer, Imperial College London, Chelsea and Westminster Hospital, London, United Kingdom.
    Background: Delirium is a frequent complication after cardiac surgery and its occurrence is associated with poor outcomes. The purpose of this study was to investigate the impact of perioperative dexmedetomidine administration on the incidence of delirium in elderly patients after cardiac surgery.

    Methods: This randomized, double-blinded, and placebo-controlled trial was conducted in two tertiary hospitals in Beijing between December 1, 2014 and July 19, 2015. Read More

    Successful Management of a Patient With Possible Mast Cell Activation Syndrome Undergoing Pulmonary Embolectomy: A Case Report.
    A A Case Rep 2017 May;8(9):232-234
    From the Departments of *Anesthesiology and †Critical Care, Emory University, Atlanta, Georgia.
    We report the successful perioperative management of a patient with presumed mastocytosis undergoing pulmonary embolectomy. Postoperatively the patient went into vasodilatory shock, which was partly attributed to mast cell mediator release. H1- and H2-antagonists, steroids, and a single dose of methylene blue were given with improvement of hemodynamics. Read More

    Clinicopathological features and microsurgical outcomes for giant pediatric intracranial tumor in 60 consecutive cases.
    Childs Nerv Syst 2017 Mar 8;33(3):447-455. Epub 2017 Feb 8.
    Department of Neurosurgery, The First Affiliated Hospital of Zhengzhou University, ZhengZhou, 450052, HeNan Province, People's Republic of China.
    Purpose: Giant pediatric intracranial tumor (GPIT) remains to be a challenging disease with high morbidity and mortality.

    Methods: The clinical data of 60 patients under 18 years of age operated on with GPIT (≥5 cm in diameter) were retrospectively analyzed.

    Results: Gross total resection was achieved in 46 cases (77%) and subtotal resection was obtained in 14 cases (23%). Read More

    Prophylactic Pulmonary Artery Reduction in a Young Female with Severe Pulmonary Hypertension from Complete Atrioventricular Septal Defect.
    Korean Circ J 2017 Jan 24;47(1):136-140. Epub 2016 Nov 24.
    Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul, Korea.
    Management of severely dilated pulmonary artery (PA) associated with severe pulmonary hypertension from congenital heart disease remains controversial, primarily due to its rare nature and concern for perioperative unpredictable complications. Herein, we report a 25 year-old female with a severely dilated PA (up to 73 mm), who was successfully treated by a PA graft replacement by creating a Y-shaped conduit using a 28 mm hemashield tube in the main PA and a 20 mm hemashield tube in both proximal parts of the branch PA. Read More

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