318 results match your criteria Survey of Anesthesiology [Journal]


The American Society of Anesthesiologists Practice Parameter Methodology.

Anesthesiology 2019 Mar;130(3):367-384

From the Department of Anesthesia and Critical Care, University of Chicago Medicine, Chicago, Illinois (J.L.A.) the Committee on Standards and Practice Parameters, American Society of Anesthesiologists, Schaumburg, Illinois (J.L.A., R.T.C.).

The methodology used during the development of American Society of Anesthesiologists evidence-based practice parameters, from conceptualization through final adoption of the documents, is described. Features of the methodology include the literature search, review and analysis, survey development and application, and consolidation of the full body of evidence used for preparing clinical practice recommendations. Anticipated risks of bias, validation of the process, and the importance of the documents for clinical use are discussed. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002551DOI Listing

Survey Research.

Anesthesiology 2019 Feb;130(2):192-202

From the Centre for Integrated Critical Care and Melbourne Clinical and Translational Sciences, The University of Melbourne, Melbourne, Victoria, Australia (D.A.S.) the Department of Anesthesiology, Center for Bioethics and Social Sciences in Medicine, and Michigan Institute for Clinical and Health Research, Michigan Medicine, Ann Arbor, Michigan (A.R.T.).

Surveys provide evidence on practice, attitudes, and knowledge. However, conducting good survey research is harder than it looks. The authors aim to provide guidance to both researchers and readers in conducting and interpreting survey research. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002436DOI Listing
February 2019

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

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

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

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

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

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

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

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

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

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

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

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

Patient preference survey: are patients willing to delay surgery if obstructive sleep apnea is suspected?

BMC Anesthesiol 2018 Sep 12;18(1):128. Epub 2018 Sep 12.

Department of Anesthesiology and Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.

Background: Screening and optimizing patients for OSA in the perioperative period may reduce postoperative complications. However, sleep studies can be difficult to obtain before surgery. Previous surveys reported that the majority of sleep physicians would delay surgery to diagnose and manage OSA, but most anesthesiologists would not. Read More

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http://dx.doi.org/10.1186/s12871-018-0594-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136217PMC
September 2018
11 Reads

A study of anaesthesia-related cardiac arrest from a Chinese tertiary hospital.

BMC Anesthesiol 2018 Sep 11;18(1):127. Epub 2018 Sep 11.

Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.

Background: The present survey evaluated the incidence of perioperative cardiac arrests in a Chinese tertiary general teaching hospital over ten years.

Methods: The incidence of cardiac arrest that occurred within 24 h of anaesthesia administration was retrospectively identified in the Third Affiliated Hospital of Sun Yat-Sen University between August 2007 and October 2017. Overall, 152,513 anaesthetics were included in the study period. Read More

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http://dx.doi.org/10.1186/s12871-018-0593-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134587PMC
September 2018
5 Reads

Survey of anesthesiologists' practices related to steep Trendelenburg positioning in the USA.

BMC Anesthesiol 2018 08 21;18(1):117. Epub 2018 Aug 21.

Department of Anesthesiology, Jackson Memorial Hospital, University of Miami/Jackson Health System, 1611 NW 12th Ave, DTC 318, Miami, FL, 33136, USA.

Background: Steep Trendelenburg during surgery has been associated with many position-related injuries. The American Society of Anesthesiology practice advisory recommends documentation, frequent position checks, avoiding shoulder braces, and limiting abduction of upper extremities to avoid brachial plexopathy. We conducted a web-based survey to assess anesthesiologists' practices, institutional policies, and complications encountered when using steep Trendelenburg. Read More

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http://dx.doi.org/10.1186/s12871-018-0578-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104011PMC
August 2018
20 Reads

Survey of postoperative pain control in different types of hospitals: a multicenter observational study.

BMC Anesthesiol 2018 07 18;18(1):83. Epub 2018 Jul 18.

The Second Department of Anaesthesiology and Intensive Therapy, Medical University of Lublin, ul. Staszica 16, 20-081, Lublin, Poland.

Background: Current pain assessment and treatment does not address every patient's requirements. Although the Polish national guidelines for post-operative pain management have been published, many patients experience severe pain in the postoperative period. The main goal of our study was to assess pain severity among patients from different types of hospitals (primary, secondary, and tertiary centers) after similar types of surgeries. Read More

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http://dx.doi.org/10.1186/s12871-018-0551-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052639PMC
July 2018
6 Reads

Maternal Body Mass Index and Use of Labor Neuraxial Analgesia: A Population-based Retrospective Cohort Study.

Anesthesiology 2018 09;129(3):448-458

From the Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California (A.J.B., N.G.) the University of Iowa Carver College of Medicine, Iowa City, Iowa (C.A.W.).

What We Already Know About This Topic: WHAT THIS ARTICLE TELLS US THAT IS NEW: BACKGROUND:: Neuraxial labor analgesia may benefit obese women by optimizing cardiorespiratory function and mitigating complications related to emergency general anesthesia. We hypothesized that obese women have a higher rate of neuraxial analgesia compared with nonobese parturients.

Methods: Using U. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6118130PMC
September 2018
1 Read

Auditory Icon Alarms Are More Accurately and Quickly Identified than Current Standard Melodic Alarms in a Simulated Clinical Setting.

Anesthesiology 2018 07;129(1):58-66

From the Department of Anesthesiology (R.R.M., R.D.) the Department of Anesthesiology, Jackson Memorial Hospital (D.B.H.) Miller School of Medicine, and Music Engineering Technology Program, Frost School of Music (C.L.B.), University of Miami, Miami, Florida the Cognition Institute, Plymouth University, United Kingdom (J.R.E.).

Background: Current standard audible medical alarms are difficult to learn and distinguish from one another. Auditory icons represent a new type of alarm that has been shown to be easier to learn and identify in laboratory settings by lay subjects. In this study, we test the hypothesis that icon alarms are easier to learn and identify than standard alarms by anesthesia providers in a simulated clinical setting. Read More

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http://dx.doi.org/10.1097/ALN.0000000000002234DOI Listing
July 2018
297 Reads

Use, applicability and reliability of depth of hypnosis monitors in children - a survey among members of the European Society for Paediatric Anaesthesiology.

BMC Anesthesiol 2018 04 16;18(1):40. Epub 2018 Apr 16.

Department of Anaesthesiology, Erasmus University Medical Centre - Sophia Children's Hospital, Room H-1273, P.O. box 2040, 3000, CA, Rotterdam, the Netherlands.

Background: To assess the thoughts of practicing anaesthesiologists about the use of depth of hypnosis monitors in children.

Methods: Members of the European Society for Paediatric Anaesthesiology were invited to participate in an online survey about their thoughts regarding the use, applicability and reliability of hypnosis monitoring in children.

Results: The survey achieved a response rate of 30% (N = 168). Read More

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http://dx.doi.org/10.1186/s12871-018-0503-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5902980PMC
April 2018
4 Reads

Application of intraoperative lung-protective ventilation varies in accordance with the knowledge of anaesthesiologists: a single-Centre questionnaire study and a retrospective observational study.

BMC Anesthesiol 2018 04 2;18(1):33. Epub 2018 Apr 2.

Department of anesthesiology and Pain Medicine, anaesthesia and Pain Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, South Korea.

Background: The benefits of lung-protective ventilation (LPV) with a low tidal volume (6 mL/kg of ideal body weight [IBW]), limited plateau pressure (< 28-30 cm HO), and appropriate positive end-expiratory pressure (PEEP) in patients with acute respiratory distress syndrome have become apparent and it is now widely adopted in intensive care units. Recently evidence for LPV in general anaesthesia has been accumulated, but it is not yet generally applied by anaesthesiologists in the operating room.

Methods: This study investigated the perception about intraoperative LPV among 82 anaesthesiologists through a questionnaire survey and identified the differences in ventilator settings according to recognition of lung-protective ventilation. Read More

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http://dx.doi.org/10.1186/s12871-018-0495-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5879938PMC
April 2018
6 Reads
1.330 Impact Factor

Pre-anesthetic assessment with three core questions for the detection of obstructive sleep apnea in childhood: An observational study.

BMC Anesthesiol 2018 02 20;18(1):25. Epub 2018 Feb 20.

Department of Neuropediatric, University Hospital Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

Background: Children with obstructive sleep apnea are at high risk for perioperative airway obstruction. Many "at risk" children may remain unrecognized. The aim of this study is to find a clinically practicable test to identify obstructive sleep apnea in childhood. Read More

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http://dx.doi.org/10.1186/s12871-018-0483-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819204PMC
February 2018
6 Reads

Perioperative incidence of airway obstructive and hypoxemic events in patients with confirmed or suspected sleep apnea - a prospective, randomized pilot study comparing propofol/remifentanil and sevoflurane/remifentanil anesthesia.

BMC Anesthesiol 2018 01 27;18(1):14. Epub 2018 Jan 27.

Klinik für Anästhesiologie und Intensivmedizin, Universität Duisburg-Essen and Universitätsklinikum Essen, Hufelandstr 55, D-45147, Essen, Germany.

Background: Obstructive sleep apnea (OSA) is a risk factor for perioperative complications but data on anesthesia regimen are scarce.

Methods: In patients with established or strongly suspected OSA, we assessed in a prospective, randomized design the effects on nocturnal apnea-hypopnea-index (AHI) and oxygen saturation (SpO) of propofol/remifentanil or sevoflurane/remifentanil based anesthesia. Patients were selected by a history for OSA and / or a positive STOP - questionnaire and received general anesthesia using remifentanil (12 μg/kg/h) combined either with propofol (4-6 mg/kg/h, n = 27) or sevoflurane (approx. Read More

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http://dx.doi.org/10.1186/s12871-018-0477-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787241PMC
January 2018
6 Reads

Associations between intraoperative ventilator settings during one-lung ventilation and postoperative pulmonary complications: a prospective observational study.

BMC Anesthesiol 2018 01 25;18(1):13. Epub 2018 Jan 25.

Department of Anesthesiology and Resuscitology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.

Background: The interest in perioperative lung protective ventilation has been increasing. However, optimal management during one-lung ventilation (OLV) remains undetermined, which not only includes tidal volume (V) and positive end-expiratory pressure (PEEP) but also inspired oxygen fraction (FO). We aimed to investigate current practice of intraoperative ventilation during OLV, and analyze whether the intraoperative ventilator settings are associated with postoperative pulmonary complications (PPCs) after thoracic surgery. Read More

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http://dx.doi.org/10.1186/s12871-018-0476-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785851PMC
January 2018
17 Reads

Traumatic brain injury (TBI) outcomes in an LMIC tertiary care centre and performance of trauma scores.

BMC Anesthesiol 2018 01 8;18(1). Epub 2018 Jan 8.

Network for Improving Critical Care Systems and Training, 2nd Floor, YMBA Building, Colombo, 08, Sri Lanka.

Background: This study evaluates post-ICU outcomes of patients admitted with moderate and severe Traumatic Brain Injury (TBI) in a tertiary neurocritical care unit in an low middle income country and the performance of trauma scores: A Severity Characterization of Trauma, Trauma and Injury Severity Score, Injury Severity Score and Revised Trauma Score in this setting.

Methods: Adult patients directly admitted to the neurosurgical intensive care units of the National Hospital of Sri Lanka between 21st July 2014 and 1st October 2014 with moderate or severe TBI were recruited. A telephone administered questionnaire based on the Glasgow Outcome Scale Extended (GOSE) was used to assess functional outcome of patients at 3 and 6 months after injury. Read More

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http://dx.doi.org/10.1186/s12871-017-0463-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5759275PMC
January 2018
7 Reads

Keep American Society of Anesthesiologists Physical Status Classification System Simple, Stupid.

Anesthesiology 2018 01;128(1):225-226

Hadassah - Hebrew University Medical Center, Jerusalem, Israel (A.A.).

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http://dx.doi.org/10.1097/ALN.0000000000001947DOI Listing
January 2018
6 Reads

Crystalloid versus Colloid for Intraoperative Goal-directed Fluid Therapy Using a Closed-loop System: A Randomized, Double-blinded, Controlled Trial in Major Abdominal Surgery.

Anesthesiology 2018 01;128(1):55-66

From the Department of Anesthesiology, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium (A.J., B.I., K.T., L.B., L.V.O.); Department of Anesthesiology, Brugmann Hospital, Université Libre de Bruxelles, Brussels, Belgium (A.D., I.S., P.V.d.L.); Department of Abdominal Surgery, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium (P.L.); Department of Anesthesiology and Perioperative Medicine, University of California Irvine, Irvine, California (J.R.); and Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California (M.C.).

Background: The type of fluid and volume regimen given intraoperatively both can impact patient outcome after major surgery. This two-arm, parallel, randomized controlled, double-blind, bi-center superiority study tested the hypothesis that when using closed-loop assisted goal-directed fluid therapy, balanced colloids are associated with fewer postoperative complications compared to balanced crystalloids in patients having major elective abdominal surgery.

Methods: One hundred and sixty patients were enrolled in the protocol. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001936DOI Listing
January 2018
23 Reads

Staggering the dose of sugammadex lowers risks for severe emergence cough: a randomized control trial.

BMC Anesthesiol 2017 Oct 11;17(1):137. Epub 2017 Oct 11.

Julius Centre University of Malaya, Department of Social & Preventive Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia.

Background: Cough on emergence has been reported as a common adverse reaction with sugammadex reversal. We investigated if staggering the dose of sugammadex will reduce emergence cough in a single-center, randomized, double-blinded study.

Methods: A hundred and twenty ASA 1-3 adults were randomly reversed with 1 mg/kg sugammadex prior to extubation followed by another 1 mg/kg immediately after extubation (staggered group), single dose of 2 mg/kg sugammadex (single bolus group) or neostigmine 0. Read More

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http://dx.doi.org/10.1186/s12871-017-0430-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637258PMC
October 2017
7 Reads

Effects of dexmedetomidine on TNF-α and interleukin-2 in serum of rats with severe craniocerebral injury.

BMC Anesthesiol 2017 Sep 20;17(1):130. Epub 2017 Sep 20.

Department of Anesthesiology II, Affiliated Zhongshan Hospital of Dalian University, No. 6 of Jiefang Street, Zhongshan District, Dalian, 116001, China.

Background: Dexmedetomidine is a highly selective adrenergic receptor agonist, which has a dose-dependent sedative hypnotic effect. Furthermore, it also has pharmacological properties, and the ability to inhibit sympathetic activity and improve cardiovascular stability during an operation. However, its protective effect on patients with severe craniocerebral injury in the perioperative period remains unclear. Read More

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http://dx.doi.org/10.1186/s12871-017-0410-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5607498PMC
September 2017
9 Reads

Impact of Public Reporting of 30-day Mortality on Timing of Death after Coronary Artery Bypass Graft Surgery.

Anesthesiology 2017 12;127(6):953-960

From the Department of Anesthesiology, Columbia University College of Physicians and Surgeons (M.H., V.M., H.W.); Department of Critical Care Medicine, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada (D.C.S., H.W.); Department of Medicine, Interdepartmental Division of Critical Care (D.C.S.), Department of Anesthesia (H.W.), and Interdisciplinary Department of Critical Care Medicine (H.W.), University of Toronto, Toronto, Ontario, Canada; Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (Z.C.); and Department of Critical Care Medicine, Sunnybrook Research Institute, Toronto, Ontario, Canada (R.P., H.W.).

Background: Recent reports have raised concerns that public reporting of 30-day mortality after cardiac surgery may delay decisions to withdraw life-sustaining therapies for some patients. The authors sought to examine whether timing of mortality after coronary artery bypass graft surgery significantly increases after day 30 in Massachusetts, a state that reports 30-day mortality. The authors used New York as a comparator state, which reports combined 30-day and all in-hospital mortality, irrespective of time since surgery. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001884DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5685908PMC
December 2017
24 Reads

Incidence and severity of postoperative sore throat: a randomized comparison of Glidescope with Macintosh laryngoscope.

BMC Anesthesiol 2017 Sep 12;17(1):127. Epub 2017 Sep 12.

Department of Anesthesiology, King Khalid Hospital, Hail, Saudi Arabia.

Background: Postoperative sore throat (POST) is a common problem following endotracheal (ET) intubation during general anesthesia. The objective was to compare the incidence and severity of POST during routine intubation with Glidescope (GL) and Macintosh laryngoscope (MCL).

Methods: One hundred forty adult patients ASA I and II with normal airway, scheduled to undergo elective surgery under GA requiring ET intubation were enrolled in this prospective randomized study and were randomly divided in two groups, GL and MCL. Read More

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http://dx.doi.org/10.1186/s12871-017-0421-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5596501PMC
September 2017
3 Reads

Ten important articles on noninvasive ventilation in critically ill patients and insights for the future: A report of expert opinions.

BMC Anesthesiol 2017 Sep 4;17(1):122. Epub 2017 Sep 4.

Department of Biopathology and Medical Biotechnologies (DIBIMED). Section of Anestesia, Analgesia, Intensive Care and Emergency, Policlinico P. Giaccone, University of Palermo, Palermo, Italy.

Background: Noninvasive ventilation is used worldwide in many settings. Its effectiveness has been proven for common clinical conditions in critical care such as cardiogenic pulmonary edema and chronic obstructive pulmonary disease exacerbations. Since the first pioneering studies of noninvasive ventilation in critical care in the late 1980s, thousands of studies and articles have been published on this topic. Read More

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-017-0409-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584318PMC
September 2017
19 Reads
1.333 Impact Factor

Multicenter assessment of sedation and delirium practices in the intensive care units in Poland - is this common practice in Eastern Europe?

BMC Anesthesiol 2017 Sep 2;17(1):120. Epub 2017 Sep 2.

Department of Medicine/Allergy, Pulmonary and Critical Care, Vanderbilt University School ofMedicine, Vetaran's Affairs Geriatric Research Education Clinical Center (GRECC) for Tennessee Valley, Department of Veterans Affairs Medical Center, Tennessee Valley Healthcare System, Nashville, TN, USA.

Background: The majority of critically ill patients experience distress during their stay in the Intensive Care Unit (ICU), resulting from systemic illness, multiple interventions and environmental factors. Providing humane care should address concomitant treatment of pain, agitation and delirium. The use of sedation and approaches to ICU delirium should be monitored according to structured guidelines. Read More

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http://dx.doi.org/10.1186/s12871-017-0415-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5581441PMC
September 2017
5 Reads

Surgical frailty assessment: a missed opportunity.

BMC Anesthesiol 2017 Jul 24;17(1):99. Epub 2017 Jul 24.

Department of Surgery, 2D, Walter C Mackenzie Health Sciences Centre, University of Alberta, 8440-112 Street, Edmonton, AB, T6G 2B7, Canada.

Background: Preoperative frailty predicts adverse postoperative outcomes. Despite the advantages of incorporating frailty assessment into surgical settings, there is limited research on surgical healthcare professionals' use of frailty assessment for perioperative care.

Methods: Healthcare professionals caring for patients enrolled at a Canadian teaching hospital were surveyed to assess their perceptions of frailty, as well as attitudes towards and practices for frail patients. Read More

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http://dx.doi.org/10.1186/s12871-017-0390-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5525360PMC
July 2017
32 Reads

Pupillometry-guided Intraoperative Remifentanil Administration versus Standard Practice Influences Opioid Use: A Randomized Study.

Anesthesiology 2017 08;127(2):284-292

From the Department of Anesthesia, Armand Trousseau University Hospital, Paris, France (N.S., J.B., N.L., A.R., M.-L.G., I.C.); and the Department of Anesthesia, Lapeyronie University Hospital, Montpellier, France (C.D.).

Background: Pupillometry has shown promising results for assessing nociception in anesthetized patients. However, its benefits in clinical practice are not demonstrated. The aim of this prospective randomized study was to evaluate the impact of intraoperative pupillometry monitoring on perioperative opioid consumption in major gynecologic surgery. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001705DOI Listing
August 2017
46 Reads

The communication between patient relatives and physicians in intensive care units.

BMC Anesthesiol 2017 Jul 17;17(1):97. Epub 2017 Jul 17.

Department of Anesthesiology, Selcuk University, Medical Faculty, Alaadin Keykubat Yerleskesi, Konya, Turkey.

Background: Patients in intensive care units (ICUs) are often physically unable to communicate with their physicians. Thus, the sharing of information about the on-going treatment of the patients in ICUs is directly related to the communication attitudes governing a patient's relatives and the physician. This study aims to analyze the attitudes displayed by the relatives of patients and the physician with the purpose of determining the communication between the two parties. Read More

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http://dx.doi.org/10.1186/s12871-017-0388-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5513098PMC
July 2017
3 Reads

Assessing anesthesiology residents' out-of-the-operating-room (OOOR) emergent airway management.

BMC Anesthesiol 2017 Jul 15;17(1):96. Epub 2017 Jul 15.

Department of Anesthesiology, University of Michigan, 1500 E. Medical Center Drive, 1H247 University Hospital, SPC 5048, Ann Arbor, MI, 48103, USA.

Background: At many academic institutions, anesthesiology residents are responsible for managing emergent intubations outside of the operating room (OOOR), with complications estimated to be as high as 39%. In order to create an OOOR training curriculum, we evaluated residents' familiarity with the content and correct adherence to the American Society of Anesthesiologists' Difficult Airway Algorithm (ASA DAA).

Methods: Residents completed a pre-simulation multiple-choice survey measuring their understanding and use of the DAA. Read More

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http://dx.doi.org/10.1186/s12871-017-0387-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512836PMC
July 2017
11 Reads

End-of-life perceptions among physicians in intensive care units managed by anesthesiologists in Germany: a survey about structure, current implementation and deficits.

BMC Anesthesiol 2017 07 11;17(1):93. Epub 2017 Jul 11.

Universitätsklinik für Anästhesiologie, op. Intensivmedizin, Rettungsmedizin, Schmerztherapie der Ruhr-Universität Bochum, Klinikum Herford, Herford, Germany.

Background: Structural aspects and current practice about end-of-life (EOL) decisions in German intensive care units (ICUs) managed by anesthesiologists are unknown. A survey among intensive care anesthesiologists has been conducted to explore current practice, barriers and opinions on EOL decisions in ICU.

Methods: In November 2015, all members of the German Society of Anesthesiology and Intensive Care Medicine (DGAI) and the Association of German Anesthesiologists (BDA) were asked to participate in an online survey to rate the presence or absence and the importance of 50 items. Read More

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http://dx.doi.org/10.1186/s12871-017-0384-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5504988PMC
July 2017
9 Reads

Systolic blood pressure variability in patients with early severe sepsis or septic shock: a prospective cohort study.

BMC Anesthesiol 2017 06 17;17(1):82. Epub 2017 Jun 17.

Pulmonary and Critical Care, Intermountain Medical Center, 5121 Cottonwood St, Murray, UT, 84107, USA.

Background: Severe sepsis and septic shock are often lethal syndromes, in which the autonomic nervous system may fail to maintain adequate blood pressure. Heart rate variability has been associated with outcomes in sepsis. Whether systolic blood pressure (SBP) variability is associated with clinical outcomes in septic patients is unknown. Read More

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http://dx.doi.org/10.1186/s12871-017-0377-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5473993PMC
June 2017
6 Reads

Pain Catastrophizing Moderates Relationships between Pain Intensity and Opioid Prescription: Nonlinear Sex Differences Revealed Using a Learning Health System.

Anesthesiology 2017 07;127(1):136-146

From Stanford University School of Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford Systems Neuroscience and Pain Laboratory, Palo Alto, California.

Background: Pain catastrophizing is a maladaptive response to pain that amplifies chronic pain intensity and distress. Few studies have examined how pain catastrophizing relates to opioid prescription in outpatients with chronic pain.

Methods: The authors conducted a retrospective observational study of the relationships between opioid prescription, pain intensity, and pain catastrophizing in 1,794 adults (1,129 women; 63%) presenting for new evaluation at a large tertiary care pain treatment center. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478434PMC
July 2017
5 Reads

Does an electronic cognitive aid have an effect on the management of severe gynaecological TURP syndrome? A prospective, randomised simulation study.

BMC Anesthesiol 2017 05 30;17(1):72. Epub 2017 May 30.

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

Background: Lack of familiarity with the content of current guidelines is a major factor associated with non-compliance by clinicians. It is conceivable that cognitive aids with regularly updated medical content can guide clinicians' task performance by evidence-based practices, even if they are unfamiliar with the actual guideline. Acute hyponatraemia as a consequence of TURP syndrome is a rare intraoperative event, and current practice guidelines have changed from slow correction to rapid correction of serum sodium levels. Read More

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http://dx.doi.org/10.1186/s12871-017-0365-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5450103PMC
May 2017
8 Reads

The pre-amputation pain and the postoperative deafferentation are the risk factors of phantom limb pain: a clinical survey in a sample of Chinese population.

BMC Anesthesiol 2017 05 26;17(1):69. Epub 2017 May 26.

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.

Background: To provide an overview of phantom limb pain (PLP) in China. This includes the prevalence of PLP and possible risk factors.

Methods: In a retrospective study, telephone interviews were conducted with 391 amputation patients who underwent extremity amputations at a tertiary hospital in China. Read More

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http://dx.doi.org/10.1186/s12871-017-0359-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446733PMC
May 2017
26 Reads

Development and validation of the Efficacy Safety Score (ESS), a novel tool for postoperative patient management.

BMC Anesthesiol 2017 03 28;17(1):50. Epub 2017 Mar 28.

Department of Anaesthesia and Intensive Care Medicine, Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway.

Background: Several reports have shown that postoperative monitoring of general safety and quality issues, including pain treatment, after discharge from recovery is often non-systematic and inadequate. We suggest a new score with assessment of key recovery parameters, as a supportive tool for postoperative care and a call-out algorithm for need of extra help. The aim of this investigation was to validate the score. Read More

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http://dx.doi.org/10.1186/s12871-017-0344-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5371277PMC
March 2017
14 Reads

Prevalence and Impact on Weaning of Pleural Effusion at the Time of Liberation from Mechanical Ventilation: A Multicenter Prospective Observational Study.

Anesthesiology 2017 06;126(6):1107-1115

From the UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Université Pierre et Marie Curie-Université Paris 06, INSERM, Paris, France (M.D., A.D.); Service de Pneumologie et Réanimation Médicale, Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Paris, France (M.D., A.B., A.D.); IAME, UMR 1137, INSERM, Université Paris Diderot, Sorbonne Paris Cité Paris, France (D.R., J.-D.R.); Service de Réanimation Médico-chirurgicale, Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Colombes, France (D.R., J.-D.R.); Service de Réanimation Médico-chirurgicale, Assistance Publique-Hôpitaux de Paris, Hôpital Tenon, Groupe Hospitalier des Hôpitaux Universitaires de l'Est Parisien, Paris, France (T.P., M.F.); and Sorbonne Universités, Université Pierre et Marie Curie-Université Paris 06, Paris, France (T.P., M.F.).

Background: Pleural effusion is frequent in intensive care unit patients, but its impact on the outcome of weaning remains unknown.

Methods: In a prospective study performed in three intensive care units, pleural ultrasound was performed at the first spontaneous breathing trial to detect and quantify pleural effusion (small, moderate, and large). Weaning failure was defined by a failed spontaneous breathing trial and/or extubation requiring any form of ventilatory support within 48 h. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001621DOI Listing
June 2017
21 Reads

The effect of an electronic cognitive aid on the management of ST-elevation myocardial infarction during caesarean section: a prospective randomised simulation study.

BMC Anesthesiol 2017 03 20;17(1):46. Epub 2017 Mar 20.

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

Background: Cognitive aids have come to be viewed as promising tools in the management of perioperative critical events. The majority of published simulation studies have focussed on perioperative crises that are characterised by time pressure, rare occurrence, or complex management steps (e.g. Read More

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http://dx.doi.org/10.1186/s12871-017-0340-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359845PMC
March 2017
2 Reads

Factors influencing the level of patients using the internet to gather information before anaesthesia: a single-centre survey of 815 patients in Switzerland : The internet for patient information before anaesthesia.

BMC Anesthesiol 2017 03 8;17(1):39. Epub 2017 Mar 8.

Department of Anaesthesiology and Intensive Care Medicine, Kantonsspital Frauenfeld, Frauenfeld, Switzerland.

Background: Aim of this study was to identify factors associated with patients using the internet to find information about their upcoming surgery in general, and more specifically about anaesthesia.

Methods: With Ethics committee approval, 1000 consecutive patients seen before elective surgery in the anaesthesia preoperative clinic of a Swiss Level 2 hospital were asked to complete a questionnaire. Primary outcome were patients using the internet to gather any medical information related to their upcoming hospital stay, secondary outcome patients using the internet to gather information regarding the upcoming anaesthesia. Read More

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http://dx.doi.org/10.1186/s12871-017-0319-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341440PMC
March 2017
2 Reads

A Prospective Study of Chronic Pain after Thoracic Surgery.

Anesthesiology 2017 May;126(5):938-951

From the Department of Anesthesia (E.O.B., T.J.B.), Department of Biostatistics (E.O.B.), Department of Cardiothoracic Surgery (K.R.P., J.K.), and Department of Pharmacology (T.J.B.), University of Iowa, Iowa City, Iowa; and Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey (A.S.).

Background: The goal of this study was to detect the predictors of chronic pain at 6 months after thoracic surgery from a comprehensive evaluation of demographic, psychosocial, and surgical factors.

Methods: Thoracic surgery patients were enrolled 1 week before surgery and followed up 6 months postsurgery in this prospective, observational study. Comprehensive psychosocial measurements were assessed before surgery. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001576DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395336PMC
May 2017
9 Reads

Is propofol injection pain really important to patients?

BMC Anesthesiol 2017 Feb 17;17(1):24. Epub 2017 Feb 17.

Department of Anesthesiology, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, No. 17 Panjiayuannanli, Chaoyang District, Beijing, 100021, China.

Background: Propofol injection pain (PIP) has been adequately studied during the past decades. However, patients' opinion on this problem and the incidence of patients' recall of this brief discomfort are still unknown. Thus, we conducted this study to know the patients' perspectives on PIP and provide useful information about the incidence of recall of PIP under our routine general anesthesia. Read More

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http://dx.doi.org/10.1186/s12871-017-0321-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5316212PMC
February 2017
7 Reads

Adding Examples to the ASA-Physical Status Classification Improves Correct Assignment to Patients.

Anesthesiology 2017 04;126(4):614-622

From the Department of Anesthesiology and Pain Management (E.E.H.) and Department of Clinical Sciences (A.M.), University of Texas Southwestern Medical Center, Dallas, Texas; and Department of Anesthesiology, The University of Texas Medical Branch, Galveston, Texas (M.S., S.R.V., C.F.Z., S.M.S., A.E.A.). Department to which work attributed: University of Texas Medical Branch, Galveston, Texas.

Background: Despite its widespread use, the American Society of Anesthesiologists (ASA)-Physical Status Classification System has been shown to result in inconsistent assignments among anesthesiologists. The ASA-Physical Status Classification System is also used by nonanesthesia-trained clinicians and others. In 2014, the ASA developed and approved examples to assist clinicians in determining the correct ASA-Physical Status Classification System assignment. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001541DOI Listing
April 2017
3 Reads

Impact of Pain on Incident Risk of Disability in Elderly Japanese: Cause-specific Analysis.

Anesthesiology 2017 04;126(4):688-696

From the Division of Epidemiology, Department of Health Informatics and Public Health, Tohoku University School of Public Health (Y.K., Y.S., K.S., Y.T., I.T.) and Department of Anesthesiology and Perioperative Medicine (Y.K., Y.E., H.T., M.Y.), Tohoku University Graduate School of Medicine, Sendai, Japan.

Background: Although several cross-sectional studies have reported that pain is associated with functional disability in the elderly, data regarding a longitudinal association between pain and disability are inconsistent. This study aimed to investigate the association of pain severity with subsequent functional disability due to all causes as well as stroke, dementia, and joint disease/fracture.

Methods: The authors conducted a prospective cohort study of 13,702 Japanese individuals aged 65 yr or older. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001540DOI Listing
April 2017
16 Reads

A clinical score to predict mortality in septic acute kidney injury patients requiring continuous renal replacement therapy: the HELENICC score.

BMC Anesthesiol 2017 Feb 7;17(1):21. Epub 2017 Feb 7.

Hospital Português, Salvador, Brazil.

Background: This study aimed to identify predictors of early (7-day) mortality in patients with septic acute kidney injury (AKI) who required continuous renal replacement therapy (CRRT).

Methods: Prospective cohort of 186 septic AKI patients undergoing CRRT at a tertiary hospital, from October 2005 to November 2010.

Results: After multivariate adjustment, five variables were associated to early mortality: norepinephrine utilization, liver failure, medical condition, lactate level, and pre-dialysis creatinine level. Read More

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http://dx.doi.org/10.1186/s12871-017-0312-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5297177PMC
February 2017
6 Reads

Feasibility of the modified sequential organ function assessment score in a resource-constrained setting: a prospective observational study.

BMC Anesthesiol 2017 01 26;17(1):12. Epub 2017 Jan 26.

Department of Anesthesia and critical care,, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.

Background: Sub-Saharan Africa has a great burden of critical illness with limited health care resources. We evaluated the feasibility and utility of the modified Sequential Organ Function Assessment (mSOFA) score in assessing morbidity and mortality in the National Referral Hospital's intensive care unit (ICU) for one year.

Methods: We conducted a prospective, observational cohort study on patients above 12 years of age admitted to the ICU at Mulago Hospital (Kampala, Uganda). Read More

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http://dx.doi.org/10.1186/s12871-017-0304-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5267406PMC
January 2017
12 Reads

The effect of preoperative dexamethasone on pain 1 year after lumbar disc surgery: a follow-up study.

BMC Anesthesiol 2016 11 16;16(1):112. Epub 2016 Nov 16.

Department of Anaesthesiology, Bispebjerg Hospital, Copenhagen University Hospital, København, Denmark.

Background: It has been hypothesized that dexamethasone can inhibit persistent postoperative pain, but data on humans is lacking and results from animal studies are conflicting. We explored the effect of 16 mg dexamethasone IV administered preoperatively on persistent pain 1 year after lumbar discectomy.

Methods: This is a prospective 1-year follow-up on a single-centre, randomized, and blinded trial exploring the analgesic effect of 16 mg IV dexamethasone or placebo after lumbar discectomy. Read More

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http://bmcanesthesiol.biomedcentral.com/articles/10.1186/s12
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http://dx.doi.org/10.1186/s12871-016-0277-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5112723PMC
November 2016
3 Reads

Comparative assessment of two frailty instruments for risk-stratification in elderly surgical patients: study protocol for a prospective cohort study.

BMC Anesthesiol 2016 11 14;16(1):111. Epub 2016 Nov 14.

Ottawa Hospital Research Institute, Ottawa, Canada.

Background: Frailty is an aggregate expression of susceptibility to poor outcomes, owing to age-, and disease-related deficits that accumulate within multiple domains. Older patients who are frail before surgery are at an increased risk of morbidity and mortality, and use a disproportionately high amount of healthcare resources. While frailty is now a well-established risk factor for adverse postoperative outcomes, the perioperative literature lacks studies that: 1) compare the predictive accuracy of different frailty instruments; 2) consider the impact of frailty on patient-reported outcome measures; and 3) consider the acceptability and feasibility of using frailty instruments in clinical practice. Read More

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http://dx.doi.org/10.1186/s12871-016-0276-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5109639PMC
November 2016
58 Reads

Predictors of survival in critically ill patients with acute respiratory distress syndrome (ARDS): an observational study.

BMC Anesthesiol 2016 11 8;16(1):108. Epub 2016 Nov 8.

Department of Anesthesiology and Intensive Care Medicine, Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum / Campus Charité Mitte, Augustenburger Platz 1, D-13353, Berlin, Germany.

Background: Currently there is no ARDS definition or classification system that allows optimal prediction of mortality in ARDS patients. This study aimed to examine the predictive values of the AECC and Berlin definitions, as well as clinical and respiratory parameters obtained at onset of ARDS and in the course of the first seven consecutive days.

Methods: The observational study was conducted at a 14-bed intensive care unit specialized on treatment of ARDS. Read More

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http://dx.doi.org/10.1186/s12871-016-0272-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5100178PMC
November 2016
14 Reads

Effect of the severity of liver dysfunction on the minimum alveolar concentration of sevoflurane responding to an electronic stimulation in cirrhotic patients.

BMC Anesthesiol 2016 10 18;16(1):98. Epub 2016 Oct 18.

Department of Anaesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, China.

Background: It has been observed that patients with liver dysfunction need lower dose anesthetic compared patients with normal liver function. The minimum amount of volatile anesthetic to achieve an optimal depth of anesthesia for these patients is still unclear. In this study, Minimum alveolar concentration (MAC) of the sevoflurane was determined using an electric stimulation and the effect of severity of liver dysfunction on the MAC was observed in cirrhotic patients. Read More

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http://dx.doi.org/10.1186/s12871-016-0260-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069972PMC
October 2016
16 Reads

Prevalence and risk factors for chronic pain following cesarean section: a prospective study.

BMC Anesthesiol 2016 10 18;16(1):99. Epub 2016 Oct 18.

Department of Anesthesiology, the First Affiliated Hospital, Chongqing Medical University, 1 Youyi Road, Chongqing, 400016, China.

Background: Chronic post-surgical pain (CPSP) remains a major clinical problem which may be associated with impaired activities of daily life and decreased health-related quality of life. Although cesarean section is one of the most commonly performed operations, chronic pain after cesarean delivery has not been well-studied. The purpose of this prospective study was to assess the incidence and risk factors of chronic pain at 3, 6 and 12 months after cesarean delivery. Read More

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http://dx.doi.org/10.1186/s12871-016-0270-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069795PMC
October 2016
14 Reads

Redesign of the System for Evaluation of Teaching Qualities in Anesthesiology Residency Training (SETQ Smart).

Anesthesiology 2016 11;125(5):1056-1065

From the Professional Performance Research Group, Center for Evidence-Based Education, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands (K.M.J.M.H.L.); Department of Anaesthesia and Intensive Care Medicine, Craigavon Area Hospital, Portadown, United Kingdom (A.F.); Department of Anesthesiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands (M.W.H.); Centre of Health Sciences Education, Faculty of Health, Aarhus University, Aarhus, Denmark (B.M.); Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, California (O.A.A.); and UCLA Center for Health Policy Research, Los Angeles, California (O.A.A.). Paracelsus Medical University, Salzburg, Austria European Union of Medical Specialists, Brussels, Switzerland University Medical Center, Utrecht, The Netherlands Diakonessen Hospital, Utrecht, The Netherlands Free University, Amsterdam, The Netherlands Universitätsklinikum Köln, Köln, Germany Universitätsklinikum Köln, Köln, Germany Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands University Hospital of Basel, Basel, Switzerland Erasmus Medical Center, Rotterdam, The Netherlands.

Background: Given the increasing international recognition of clinical teaching as a competency and regulation of residency training, evaluation of anesthesiology faculty teaching is needed. The System for Evaluating Teaching Qualities (SETQ) Smart questionnaires were developed for assessing teaching performance of faculty in residency training programs in different countries. This study investigated (1) the structure, (2) the psychometric qualities of the new tools, and (3) the number of residents' evaluations needed per anesthesiology faculty to use the instruments reliably. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001341DOI Listing
November 2016
11 Reads

Prevalence of pain 6 months after surgery: a prospective observational study.

BMC Anesthesiol 2016 10 10;16(1):91. Epub 2016 Oct 10.

Department of Anaesthesiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstrasse 1, D-55131, Mainz, Germany.

Background: Pain after surgery is a major issue for patient discomfort and often associated with delayed recovery. The aim of the present study was to evaluate the prevalence of pain and requirement for analgesics up to 6 months after elective surgery, independent if new pain symptoms occurred after surgery or if preoperative pain persisted in the postoperative period.

Methods: A prospective observational single center cohort study was conducted between January 2012 and August 2013. Read More

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http://dx.doi.org/10.1186/s12871-016-0261-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5057259PMC
October 2016
18 Reads