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Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie

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https://www.readbyqxmd.com/read/30006911/association-between-albumin-administration-and-survival-in-cardiac-surgery-a-retrospective-cohort-study
#1
Adam J Kingeter, Karthik Raghunathan, Sibyl H Munson, David K Hayashida, Xuan Zhang, Sloka Iyengar, Martin Bunke, Andrew D Shaw
PURPOSE: Albumin is widely used during and after on-pump cardiac surgery, although it is unclear whether this therapy improves clinical outcomes. METHODS: This observational study utilized the Cerner Health Facts® database (a large HIPAA-compliant clinical-administrative database maintained by Cerner Inc., USA) to identify a cohort of 6,188 adults that underwent on-pump cardiac surgery for valve and/or coronary artery procedures between January 2001 and March 2013...
July 13, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30003462/in-reply-pain-exposure-physical-therapy-in-complex-regional-pain-syndrome-promising-enough-to-warrant-further-investigation
#2
LETTER
Daniela Bravo, Silvia Duong, Keith J Todd, Roderick J Finlayson, D Q Tran
No abstract text is available yet for this article.
July 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30003461/pain-exposure-physical-therapy-in-complex-regional-pain-syndrome-promising-enough-to-warrant-further-investigation
#3
LETTER
J Bart Staal, Frank P Klomp, Maria W G Nijhuis-van der Sanden
No abstract text is available yet for this article.
July 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29998359/optimal-inspiratory-pressure-for-face-mask-ventilation-in-paralyzed-and-unparalyzed-children-to-prevent-gastric-insufflation-a-prospective-randomized-non-blinded-study
#4
Ji-Hyun Lee, Haesun Jung, Eun-Hee Kim, In-Kyung Song, Hee-Soo Kim, Jin-Tae Kim
BACKGROUND: Gastric insufflation is common during face mask ventilation and results in unfavourable respiratory events in children. The purpose of this study was to evaluate the effect of a muscle relaxant on gastric insufflation and determine the optimal inspiratory pressure during face mask ventilation in children. METHODS: Children aged one month to five years were randomly assigned to neuromuscular blocker (NM) or non-neuromuscular blocker (non-NM) groups. After administering intravenous anesthetics, face mask ventilation commenced via pressure-controlled mechanical ventilator...
July 11, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29992467/developing-and-validating-a-tool-for-measuring-the-educational-environment-in-clinical-anesthesia
#5
Navdeep S Sidhu, Eleri Clissold
PURPOSE: We aimed to develop a contemporary measure for anesthesia teaching and learning in the operating theatre that was applicable to a variety of training jurisdictions, the Measure for the Anaesthesia Theatre Educational Environment (MATE). METHODS: A systematic review of the literature and modified Delphi approach was used to identify items for content validity. Reliability and exploratory factor analyses were conducted after a pilot survey of trainees to show construct validity, with removal of redundant items...
July 10, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29987806/hamilton-donate-a-city-wide-pilot-observational-study-of-the-icu-management-of-deceased-organ-donors
#6
Frederick D'Aragon, Deborah Cook, Sony Dhanani, Christine Ribic, Karen E A Burns, Aemal Akhtar, Lori Hand, Erika Arseneau, Cynthia Cupido, Heather Whittigham, Andrew Healey, Anne Julie Frenette, François Lamontagne, Maureen O Meade
PURPOSE: Improving the medical care of deceased organ donors to increase transplant rates and improve allograft function requires an understanding of the current epidemiology and clinical practices of deceased donation within intensive care units (ICUs). Herein, we report the results of our investigation into the feasibility of a multicentre prospective cohort study addressing the afformentioned issues. METHODS: We conducted a 12-month prospective observational cohort study in six ICUs and one coronary care unit in Hamilton, Canada...
July 9, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29987805/the-impact-of-analgesic-intervention-during-the-second-stage-of-labour-a-retrospective-cohort-study
#7
Allana Munro, Ronald B George, Victoria M Allen
PURPOSE: The incidence of epidural top-ups received in the second stage of labour in nulliparous women and the obstetrical and neonatal implications associated with these boluses are explored in this retrospective observational study. We hypothesized that an epidural top-up in the second stage of labour reduces operative deliveries by resolving inadequate analgesia. METHODS: A population-based cohort analysis was performed using perinatal data from 1 January 2013 through 31 December 2014...
July 9, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29980999/end-of-life-decision-making-is-difficult-problems-with-the-consent-and-capacity-board
#8
LETTER
Robert Sibbald
No abstract text is available yet for this article.
July 6, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29980998/the-impact-of-delayed-critical-care-outreach-team-activation-on-in-hospital-mortality-and-other-patient-outcomes-a-historical-cohort-study
#9
Bourke W Tillmann, Michelle L Klingel, Shelley L McLeod, Scott Anderson, Wael Haddara, Neil G Parry
PURPOSE: Early warning scores (EWS) and critical care outreach teams (CCOT) have been developed to respond to decompensating patients. Nevertheless, controversy exists around their effectiveness. The primary objective of this study was to determine if a delay of ≥ 60 min between when a patient was identified as meeting EWS criteria and the CCOT was activated impacted in-hospital mortality. METHODS: This was a historical cohort study evaluating all new CCOT activations over a four-year study period (1 June 2007 to 31 August 2011) for inpatients ≥ 18 yr of age at two academic tertiary care hospitals in London, Ontario, Canada...
July 6, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29978278/awake-craniotomy-using-dexmedetomidine-and-scalp-blocks-a-retrospective-cohort-study
#10
Niamh McAuliffe, Stuart Nicholson, Andrea Rigamonti, Gregory M T Hare, Michael Cusimano, Marco Garavaglia, Iryna Pshonyak, Sunit Das
PURPOSE: Anesthetic and surgical considerations for awake craniotomy (AC) include airway patency, patient comfort, and optimization of real-time brain mapping. The purpose of this study is to report our experience of using dexmedetomidine and scalp blocks, without airway intervention, as a means to facilitate and optimize intraoperative brain mapping and brain tumour resection during AC. METHODS: We conducted a retrospective cohort study of 55 patients who underwent AC from March 2012 to September 2016...
July 5, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29968209/triiodothyronine-replacement-in-critically-ill-adults-with-non-thyroidal-illness-syndrome
#11
Salmaan Kanji, Jonathan Neilipovitz, Benjamin Neilipovitz, John Kim, Wael M R Haddara, Michelle Pittman, Hilary Meggison, Rakesh Patel
PURPOSE: Non-thyroidal illness syndrome is commonly encountered in critically ill patients, many of whom are treated with thyroid hormones despite uncertainty regarding their safety and effectiveness. This retrospective observational study sought to evaluate the utilization, safety, and effectiveness of triiodothyronine (T3) supplementation in critically ill adults admitted to either of two non-cardiac surgery mixed-medical/surgical intensive care units (ICU). METHODS: Consecutive adults admitted to an ICU and treated with enterally administered T3 were identified over a two-year period...
July 2, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29946917/a-multicentre-investigation-of-organ-and-tissue-donation-education-for-critical-care-residents
#12
Aimee J Sarti, Stephanie Sutherland, Andrew Healey, Sonny Dhanani, Michael Hartwick, Simon Oczkowski, David Messenger, Karim Soliman, Ian Ball, Briseida Mema, Mikhail-Paul Cardinal, Sabira Valiani, Pierre Cardinal
PURPOSE: To describe critical care medicine residents' training, expertise, and skills regarding organ and tissue donation processes and procedures. METHODS: We undertook a qualitative multicentre study and employed a purposive sample of program directors, physicians, nurses, residents, and organ donation leaders from all nine academic intensive care unit (ICU) training centres (five adult, four pediatric) in Ontario (n = 71). Interviews, conducted by telephone between December 2015 and March 2016, were audio-recorded and transcribed verbatim...
June 26, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29949093/intensity-of-care-and-withdrawal-of-life-sustaining-therapies-in-severe-traumatic-brain-injury-patients-a-post-hoc-analysis-of-a-multicentre-retrospective-cohort-study
#13
Peter R A Gerges, Lynne Moore, Caroline Léger, François Lauzier, Michèle Shemilt, Ryan Zarychanski, Damon C Scales, Karen E A Burns, Francis Bernard, David Zygun, Xavier Neveu, Alexis F Turgeon
PURPOSE: The intensity of care provided to critically ill patients has been shown to be associated with mortality. In patients with traumatic brain injury (TBI), specialized neurocritical care is often required, but whether it affects clinically significant outcomes is unknown. We aimed to determine the association of the intensity of care on mortality and the incidence of withdrawal of life-sustaining therapies in critically ill patients with severe TBI. METHODS: We conducted a post hoc analysis of a multicentre retrospective cohort study of critically ill adult patients with severe TBI...
June 14, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29949092/-assessment-of-the-therapeutic-communication-in-order-to-improve-the-welcoming-of-patients-in-the-operating-room-impact-study
#14
Emmanuel Boselli, Nathalie Demaille, Géraldine Fuchs, Aïcha Manseur
PURPOSE: We wanted to assess the awareness of the nursing staff to therapeutic communications on improving the welcoming experience of patients in the operating room for outpatient surgery. METHODS: This was a single centre prospective impact study performed in an outpatient surgery clinic. In a first phase, a questionnaire was administered by the anesthetist nurse upon arrival of the patient to assess the patient's comfort (NRSc) and satisfaction on a simple numeric scale, and calculate a negative communication score ('NC')...
June 11, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29949091/in-asking-the-right-questions-be-cautious-of-confounding-by-indication
#15
EDITORIAL
Donald Griesdale, Philip M Jones
No abstract text is available yet for this article.
June 11, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29882056/in-reply-why-goal-directed-hemodynamic-therapy-is-often-ineffective-and-how-can-we-try-to-improve-the-results
#16
LETTER
Simon Gelman, Luca Bigatello
No abstract text is available yet for this article.
June 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29882055/an-analytical-perspective-on-the-venous-return-controversy
#17
LETTER
Valeria María Del Rosario Galetti
No abstract text is available yet for this article.
June 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29882054/stressed-and-unstressed-volumes-of-the-peripheral-vasculature
#18
LETTER
George L Brengelmann
No abstract text is available yet for this article.
June 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29882053/the-stressed-blood-volume-revisited
#19
LETTER
Rafael Dalmau
No abstract text is available yet for this article.
June 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29876744/in-reply-comments-on-anesthesia-for-interventional-pulmonology-procedures-a-review-of-advanced-diagnostic-and-therapeutic-bronchoscopy
#20
LETTER
Andres de Lima, Fayez Kheir, Adnan Majid, John Pawlowski
No abstract text is available yet for this article.
June 6, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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