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Anesthesia and Analgesia

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https://www.readbyqxmd.com/read/30633060/vascular-adhesion-protein-1-is-associated-with-acute-kidney-injury-in-high-risk-patients-after-cardiac-surgery
#1
Melanie Meersch, Mira Küllmar, Ronny Renfurm, Andreas Margraf, Eike Bormann, Alexander Zarbock
BACKGROUND: Acute kidney injury is a common complication after cardiac surgery, with a high impact on morbidity and mortality. Vascular adhesion protein-1 is involved in inflammation, which, in turn, is part of the development of acute kidney injury after cardiac surgery. METHODS: In this ancillary study to the RENal effects of Remote Ischemic Preconditioning in cardiac surgery trial, we investigated whether vascular adhesion protein-1 might be associated with the development of acute kidney injury in high-risk patients after cardiac surgery...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633059/in-response
#2
Irina Gasanova, Jin Meng, Abu Minhajuddin, Emily Melikman, John C Alexander, Girish P Joshi
No abstract text is available yet for this article.
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633058/music-interventions-in-pediatric-surgery-the-music-under-surgery-in-children-study-a-randomized-clinical-trial
#3
A Y Rosalie Kühlmann, Joost van Rosmalen, Lonneke M Staals, Claudia M G Keyzer-Dekker, Jaap Dogger, Tom G de Leeuw, Fred van der Toorn, Johannes Jeekel, Rene M H Wijnen, Monique van Dijk
BACKGROUND: Perioperative music interventions have been shown to reduce anxiety and pain in adults. This inexpensive, easily applicable intervention could be of benefit to children as well. Our objective was to determine the effects of music interventions on distress, anxiety, and postoperative pain in infants undergoing surgery. METHODS: The Music Under Surgery In Children study was designed as a parallel, single-blind, randomized controlled trial with an a priori formulated hypothesis...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633057/comparing-nasal-end-tidal-carbon-dioxide-measurement-variation-and-agreement-while-delivering-pulsed-and-continuous-flow-oxygen-in-volunteers-and-patients
#4
Kyle M Burk, Derek J Sakata, Kai Kuck, Joseph A Orr
BACKGROUND: Supplemental oxygen is administered during procedural sedation to prevent hypoxemia. Continuous flow oxygen, the most widespread method, is generally adequate but distorts capnography. Pulsed flow oxygen is novel and ideally will not distort capnography. We have developed a prototype oxygen administration system designed to try to facilitate end-tidal carbon dioxide (ETCO2) measurement. We conducted a volunteer study (ClinicalTrials.gov, NCT02886312) to determine how much nasal ETCO2 measurements vary with oxygen flow rate...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633056/efficacy-of-intrathecal-fentanyl-for-cesarean-delivery-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials-with-trial-sequential-analysis
#5
Vishal Uppal, Susanne Retter, Margaret Casey, Sushil Sancheti, Kara Matheson, Dolores M McKeen
BACKGROUND: Fentanyl and morphine are the 2 most commonly added opioids to bupivacaine for spinal anesthesia during cesarean delivery. Numerous clinical trials have assessed efficacy and safety of different doses of fentanyl added to intrathecal bupivacaine for spinal anesthesia, yet its benefit, harm, and optimal dose remain unclear. This study aimed to systematically review the evidence of the efficacy of fentanyl when added to intrathecal bupivacaine alone and when added to bupivacaine with morphine for spinal anesthesia during cesarean delivery...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633055/perioperative-management-of-disruptive-patients
#6
Nathaniel K Berg, Holger K Eltzschig, Naveen Vanga, Latanya J Love, Omonele O Nwokolo
No abstract text is available yet for this article.
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633054/speeding-the-detection-of-vessel-cannulation-an-in-vitro-stimulation-study
#7
Matthew K Muffly, Andrew Ku, David R Drover, Samuel Rodriguez, Thomas J Caruso, Anne Ku, Ban C H Tsui
BACKGROUND: Some practitioners "prime" small IV angiocatheter needles with 0.9% sodium chloride-claiming this modification speeds visual detection of blood in the angiocatheter flash chamber on vessel cannulation. METHODS: We compared the time required for human blood to travel the length of saline-primed and saline-unprimed 24- and 22-gauge angiocatheter needles (Introcan Safety IV Catheter; B. Braun, Bethlehem, PA). A syringe pump (Medfusion 4000, Cary, NC) advanced each angiocatheter needle through the silicone membrane of an IV tubing "t-piece" (Microbore Extension Set, 5 Inch; Hospira, Lake Forest, IL) filled with freshly donated human blood...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633053/the-effects-of-postoperative-residual-neuromuscular-blockade-on-hospital-costs-and-intensive-care-unit-admission-a-population-based-cohort-study
#8
Stephanie D Grabitz, Nishan Rajaratnam, Khushi Changani, Tharusan Thevathasan, Bijan J Teja, Hao Deng, Matthias Eikermann, Barry J Kelly
BACKGROUND: Postoperative residual neuromuscular blockade continues to be a frequent occurrence with a reported incidence rate of up to 64%. However, the effect of postoperative residual neuromuscular blockade on health care utilization remains unclear. We conducted a retrospective cohort study to investigate the effects of postoperative residual neuromuscular blockade on hospital costs (primary outcome), intensive care unit admission rate, and hospital length of stay (secondary outcomes)...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633052/rates-of-mechanical-ventilation-for-patients-with-dementia-in-ontario-a-population-based-cohort-study
#9
Cristiana Z Borjaille, Andrea D Hill, Ruxandra Pinto, Robert A Fowler, Damon C Scales, Hannah Wunsch
The number of elderly patients with dementia receiving invasive mechanical ventilation is increasing over time in the United States, while the balance of potential benefits and harms of intensive care interventions in this population is unclear. In this report, we describe trends in use of invasive mechanical ventilation in elderly individuals with and without dementia in Ontario, Canada, and provide projections of the use of invasive mechanical ventilation through 2025. We show that rates of invasive mechanical ventilation for elderly patients with dementia are increasing faster than for the rest of the elderly (nondementia) population...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633051/brain-function-monitors-are-we-just-chasing-the-numbers
#10
Ashraf A Dahaba
No abstract text is available yet for this article.
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633050/applying-conflict-management-strategies-to-the-pediatric-operating-room
#11
Jina L Sinskey, Joyce M Chang, Gail S Shibata, Andrew J Infosino, Kathryn Rouine-Rapp
Effective communication is essential in today's health care environment, and poor communication can lead to conflict among health care providers. Differences in cultures and beliefs can further incite conflict among health care team members, families, and patients. Pediatric patient care has a higher potential for conflict because decision-making responsibilities are shared among patients, parents/guardians, and clinicians. It is important to understand the phases and types of conflict because each conflict situation requires a different approach to optimize management...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633049/preoperative-continuation-of-oral-hypoglycemic-drugs
#12
Abraham H Hulst, Benedikt Preckel, Markus W Hollmann, J Hans DeVries, Jeroen Hermanides
No abstract text is available yet for this article.
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30633048/assessing-rapidity-of-recovery-after-cancer-surgeries-in-a-single-overnight-short-stay-setting
#13
Melissa J Assel, Vincent P Laudone, Rebecca S Twersky, Andrew J Vickers, Brett A Simon
BACKGROUND: In the short-stay surgery setting, where patients remain in hospital for a single overnight at most, it is unclear as to whether postoperative length of stay is a good surrogate for assessing rapidity of recovery. We hypothesized that length of stay would be a function of time of surgery and would be a poorer marker of recovery than time of discharge. METHODS: A cohort of 891 mastectomy and 538 prostatectomy patients had a planned single overnight stay after surgery at an ambulatory surgical hospital during 2016...
January 8, 2019: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585904/daily-caffeine-consumption-does-not-influence-acupuncture-analgesia-in-healthy-individuals-a-preliminary-study
#14
Jin Cao, Yiheng Tu, Courtney Lang, Mark Vangel, Joel Park, Jiao Liu, Georgia Wilson, Randy Gollub, Scott Orr, Jian Kong
Animal studies suggest that caffeine may interfere with acupuncture analgesia. This study investigated the modulation effect of daily caffeine intake on acupuncture analgesia in 27 healthy subjects using a crossover design. We found that real acupuncture increased pain thresholds compared to sham acupuncture. Further, there was no association between caffeine intake measurements of daily caffeine use, duration of caffeine consumption, or their interaction and preacupuncture and postacupuncture pain threshold changes...
December 24, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585903/chronic-atypical-antipsychotic-use-is-associated-with-reduced-need-for-postoperative-nausea-and-vomiting-rescue-in-the-postanesthesia-care-unit-a-propensity-matched-retrospective-observational-study
#15
Craig S Jabaley, Dennis W Gray, Gaurav S Budhrani, Grant C Lynde, Panagiotis Adamopoulos, George S Easton, Vikas N O'Reilly-Shah
BACKGROUND: Atypical antipsychotics are efficacious for chemoprophylaxis against chemotherapy-induced nausea and vomiting, but perioperative investigations have been scant. We sought to examine the association between chronic atypical antipsychotic therapy and the likelihood of postoperative nausea and vomiting. METHODS: In this single-center, propensity-matched, retrospective, observational study, elective noncardiac surgical cases from January 2014 to December 2017 were examined with regard to the primary outcome of rescue antiemetic administration in the postanesthesia care unit as a measure of postoperative nausea and vomiting...
December 24, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585902/screening-ability-of-stop-bang-questionnaire-for-obstructive-sleep-apnea
#16
Tomoyuki Kawada
No abstract text is available yet for this article.
December 24, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585901/in-response
#17
Karin L Zuegge, Shannon K Bunsen, Christopher R Turner, Russell C Ward, Deborah A Rusy
No abstract text is available yet for this article.
December 24, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585900/economic-savings-from-changing-anesthetic-agent-purchasing-must-include-costs-associated-with-expected-changes-in-case-times-known-from-meta-analyses-of-randomized-clinical-trials
#18
Franklin Dexter, Richard H Epstein
No abstract text is available yet for this article.
December 24, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585899/in-response
#19
Mark C Phillips, Timothy J Ness, Ayesha S Bryant
No abstract text is available yet for this article.
December 24, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/30585898/in-response-to-afreen-et-al
#20
Jeffrey D White, Alberto Bursian, Nikolaus Gravenstein, Peter V Draganov
No abstract text is available yet for this article.
December 24, 2018: Anesthesia and Analgesia
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