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Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie

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https://www.readbyqxmd.com/read/30430441/the-reliability-of-a-portfolio-of-workplace-based-assessments-in-anesthesia-training
#1
Damian J Castanelli, Joyce M W Moonen-van Loon, Brian Jolly, Jennifer M Weller
PURPOSE: Competency-based anesthesia training programs require robust assessment of trainee performance and commonly combine different types of workplace-based assessment (WBA) covering multiple facets of practice. This study measured the reliability of WBAs in a large existing database and explored how they could be combined to optimize reliability for assessment decisions. METHODS: We used generalizability theory to measure the composite reliability of four different types of WBAs used by the Australian and New Zealand College of Anaesthetists: mini-Clinical Evaluation Exercise (mini-CEX), direct observation of procedural skills (DOPS), case-based discussion (CbD), and multi-source feedback (MSF)...
November 14, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30430440/an-observational-study-of-end-tidal-carbon-dioxide-trends-in-general-anesthesia
#2
Annemarie Akkermans, Judith A R van Waes, Aleda Thompson, Amy Shanks, Linda M Peelen, Michael F Aziz, Daniel A Biggs, William C Paganelli, Jonathan P Wanderer, Daniel L Helsten, Sachin Kheterpal, Wilton A van Klei, Leif Saager
PURPOSE: Despite growing evidence supporting the potential benefits of higher end-tidal carbon dioxide (ETCO2 ) levels in surgical patients, there is still insufficient data to formulate guidelines for ideal intraoperative ETCO2 targets. As it is unclear which intraoperative ETCO2 levels are currently used and whether these levels have changed over time, we investigated the practice pattern using the Multicenter Perioperative Outcomes Group database. METHODS: This retrospective, observational, multicentre study included 317,445 adult patients who received general anesthesia for non-cardiothoracic procedures between January 2008 and September 2016...
November 14, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30421146/association-entre-une-susceptibilit%C3%A3-connue-ou-fortement-suspect%C3%A3-e-%C3%A3-l-hyperthermie-maligne-et-l-%C3%A3-volution-postop%C3%A3-ratoire-une-%C3%A3-tude-observationnelle-de-population
#3
Philip M Jones, Britney N Allen, Richard A Cherry, Luc Dubois, Kelly N Vogt, Salimah Z Shariff, Krista M Bray Jenkyn, Sheila Riazi, Duminda N Wijeysundera
PURPOSE: Whether current standards of care management for malignant hyperthermia (MH)-susceptible patients result in acceptable postoperative clinical outcomes at a population level is not known. Our objective was to determine if patients with susceptibility to MH experienced similar outcomes as patients without MH susceptibility after surgery under general anesthesia. METHODS: This was a retrospective, population-based cohort study from 1 April 2009 until 31 March 2016 in the Canadian province of Ontario...
November 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30411246/clinical-impact-of-disinvestment-in-hydroxyethyl-starch-for-patients-undergoing-coronary-artery-bypass-surgery-a-retrospective-observational-study
#4
Michael Hong, Philip M Jones, Janet Martin, Bob Kiaii, Ramiro Arellano, Davy Cheng, Ava A John-Baptiste
PURPOSE: To examine the effect of discontinuing hydroxyethyl starch (HES) solutions on length of hospital stay, transfusion, risk of death, acute kidney injury (AKI), and dialysis. METHODS: We conducted a historical cohort study of linked administrative and clinical databases in patients undergoing coronary artery bypass surgery (CABG) on cardiopulmonary bypass. We used propensity scores to match patients who did not receive HES (after discontinuation) with patients exposed to HES (before discontinuation) and also controlled for albumin exposure...
November 8, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30406388/re-framing-the-question-should-hydroxyethyl-starch-be-used-in-clinical-practice
#5
EDITORIAL
Ryan Zarychanski, Alexis F Turgeon
No abstract text is available yet for this article.
November 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30362025/hydroxyethyl-starch-hes-utilization-before-and-after-a-regulatory-safety-warning
#6
LETTER
Christopher L Pysyk, Sylvain Boet, Manoj Lalu, Alan J Forster, Gregory L Bryson
No abstract text is available yet for this article.
October 25, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30362024/anesthesiology-in-the-21-st-century-our-science-is-our-destiny
#7
EDITORIAL
Beverley A Orser
No abstract text is available yet for this article.
October 25, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30350186/under-pressure-another-clinical-scenario
#8
LETTER
Narinder Pal Singh, Jeetinder Kaur Makkar, Vincent Wourms, Ron B Cappellani
No abstract text is available yet for this article.
October 22, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30341667/in-reply-when-and-how-should-we-cluster-and-cross-over-methodological-and-ethical-issues-letters-1-and-2
#9
LETTER
Cory E Goldstein, Bruno Giraudeau, Charles Weijer, Monica Taljaard
No abstract text is available yet for this article.
October 19, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30341666/when-and-how-should-we-cluster-and-cross-over-methodological-and-ethical-issues-letter-2
#10
LETTER
Shun Fu Lee, Shrikant I Bangdiwala, Jessica Spence, Stuart Connolly
No abstract text is available yet for this article.
October 19, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30334192/association-of-peripheral-nerve-blocks-with-postoperative-outcomes-in-ambulatory-shoulder-surgery-patients-a-single-centre-matched-cohort-study
#11
Gavin M Hamilton, Reva Ramlogan, Anne Lui, Colin J L McCartney, Faraj Abdallah, Daniel I McIsaac
PURPOSE: Regional anesthesia may have immediate postoperative advantages compared with general anesthesia, but its impact on post-discharge outcomes is poorly described. Our objective was to measure the association between regional anesthesia and outcomes after ambulatory shoulder surgery. METHODS: We conducted a historical cohort study at The Ottawa Hospital. Adults ≥ 18 yr old having elective ambulatory shoulder surgery from January 1, 2011 to December 31, 2016 were included...
October 17, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30334191/comments-on-perioperative-glucocorticoid-stress-dosing-a-survey-of-anesthesiologists-and-general-internists
#12
LETTER
Munier Nour
No abstract text is available yet for this article.
October 17, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30334190/when-and-how-should-we-cluster-and-cross-over-methodological-and-ethical-issues-letter-1
#13
LETTER
Jessica Spence, Emilie Belley-Côté, Simon Oczkowski, Eric Jacobsohn, Richard Whitlock, P J Devereaux, Stuart Connolly
No abstract text is available yet for this article.
October 17, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30334189/canada-over-pressurized
#14
LETTER
Fabio Magistris, Stefan Kojic, Jennifer O'Brien, Jonathan Gamble
No abstract text is available yet for this article.
October 17, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30324338/recommendations-for-the-nomenclature-of-cognitive-change-associated-with-anaesthesia-and-surgery-2018
#15
L Evered, B Silbert, D S Knopman, D A Scott, S T DeKosky, L S Rasmussen, E S Oh, G Crosby, M Berger, R G Eckenhoff
Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non-cardiac surgery...
October 16, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30324337/by-any-other-name-consensus-in-the-nomenclature-of-perioperative-neurocognitive-disorders
#16
EDITORIAL
Hilary P Grocott, Gregory L Bryson
No abstract text is available yet for this article.
October 16, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30315506/ambu%C3%A2-aura-gain%C3%A2-versus-ambu%C3%A2-aura-once%C3%A2-in-children-a-randomized-crossover-study-assessing-oropharyngeal-leak-pressure-and-fibreoptic-position
#17
Birgit Stögermüller, Sigrid Ofner, Bernhard Ziegler, Christian Keller, Berthold Moser, Lukas Gasteiger
PURPOSE: The Ambu® Aura Gain™ is a new second-generation supraglottic airway device that-because of a wider curvature and a wide airway tube-allows fibreoptic intubation. The purpose of this study was to assess the oropharyngeal leak pressure of the Ambu® Aura GainTM compared with the Ambu® Aura Once™. METHODS: In this randomized non-blinded crossover trial with 50 patients aged 18 months to six years (10-20 kg), we compared the Ambu® Aura Gain™ and the Ambu® Aura Once™ for airway maintenance in anesthetized, non-paralyzed participants...
October 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30315505/humanization-of-critical-care-psychological-effects-on-healthcare-professionals-and-relatives-a-systematic-review
#18
Imelda M Galvin, Jordan Leitch, Rebecca Gill, Katherine Poser, Sandra McKeown
PURPOSE: To systematically review and evaluate the effects of humanized care of the critically ill on empathy among healthcare professionals, anxiety among relatives, and burnout and compassion fatigue in both groups. SOURCE: MEDLINE, PsycINFO, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and ProQuest Dissertations were searched from inception to 29 June 2017 for studies that investigated the effects of interventions with potential to humanize care of the critically ill on the following outcomes: empathy among critical care professionals, anxiety among relatives, and burnout and compassion fatigue in either group...
October 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30311177/because-it-s-2018-the-need-for-early-career-development-for-female-anesthesiologists
#19
LETTER
Robert Byrick, Douglas Craig
No abstract text is available yet for this article.
October 11, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30298306/in-reply-because-it-s-2018-the-need-for-early-career-development-for-female-anesthesiologists
#20
LETTER
Miriam Mottiar
No abstract text is available yet for this article.
October 8, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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