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Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie

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https://www.readbyqxmd.com/read/30229542/handgrip-dynamometry-for-continuous-assessment-of-volitional-control-during-induction-of-anesthesia-a-prospective-observational-study
#1
Christian S Guay, Gilles Plourde
PURPOSE: Response to commands is the gold standard to assess the level of consciousness during anesthesia induction but it only provides an intermittent, binary measure with low temporal resolution. To overcome these limitations, we combined the object hold method with handgrip dynamometry to continuously record the force applied to hold a dynamometer as a surrogate measure of the level of consciousness during induction of anesthesia. METHODS: Fourteen patients scheduled for elective lumbar surgery and 14 age-matched non-anesthetized controls were enrolled...
September 18, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30218273/neuroanesthesia-crisis-manual-angela-builes-published-by-department-of-anesthesia-perioperative-medicine-western-university-london-on-canada-2018-53-pages-isbn-9781775259503
#2
Colleen Moran
No abstract text is available yet for this article.
September 14, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30209785/latent-class-analysis-stratifies-mortality-risk-in-patients-developing-acute-kidney-injury-after-high-risk-intraabdominal-general-surgery-a-historical-cohort-study
#3
Minjae Kim, Melanie M Wall, Ravi P Kiran, Guohua Li
PURPOSE: Risk stratification for postoperative acute kidney injury (AKI) evaluates a patient's risk for developing this complication using preoperative characteristics. Nevertheless, it is unclear if these characteristics are also associated with mortality in patients who actually develop this complication, so we aimed to determine these associations. METHODS: The 2011-15 American College of Surgeons National Surgical Quality Improvement Program was used to obtain a historical, observational cohort of high-risk intraabdominal general surgery patients with AKI, which was defined as an increase in serum creatinine > 177 µmol·L-1 (2 mg·dL-1 ) above the preoperative value and/or the need for dialysis...
September 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30209784/time-to-recovery-after-general-anesthesia-at-hospitals-with-and-without-a-phase-i-post-anesthesia-care-unit-a-historical-cohort-study
#4
Kokila N Thenuwara, Tatsuya Yoshimura, Yoshinori Nakata, Franklin Dexter
PURPOSE: There is little knowledge about how hospitals can best handle disruptions that reduce post-anesthesia care unit (PACU) capacity. Few hospitals in Japan have any PACU beds and instead have the anesthesiologists recover their patients in the operating room. We compared postoperative recovery times between a hospital with (University of Iowa) and without (Shin-yurigaoka General Hospital) a PACU. METHODS: This historical cohort study included 16 successive patients undergoing laparoscopic gynecologic surgery with endotracheal intubation for general anesthesia, at each of the hospitals, and with the hours from OR entrance until the last surgical dressing applied ≥ two hours...
September 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30194674/point-of-care-viscoelastic-hemostatic-testing-in-cardiac-surgery-patients-a-systematic-review-and-meta-analysis
#5
Carly Lodewyks, Jeffrey Heinrichs, Hilary P Grocott, Keyvan Karkouti, Grace Romund, Rakesh C Arora, Navdeep Tangri, Rasheda Rabbani, Ahmed Abou-Setta, Ryan Zarychanski
PURPOSE: Thromboelastography and rotational thromboelastometry are point-of-care (POC) viscoelastic tests used to help guide blood product administration. It is unclear whether these tests improve clinical or transfusion-related outcomes. The objective of this study was to appraise data from randomized trials evaluating the benefit of POC testing in cardiac surgery patients. Primary outcomes were the proportion of patients transfused with blood products and all-cause mortality. SOURCE: Medline (Ovid), EMBASE (Ovid), CENTRAL (the Cochrane Library-Wiley), Web of Science, Biosis, Scopus, and CINAHL databases, as well as clinical trial registries and conference proceedings were queried from inception to February 2018...
September 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30194673/perioperative-glucocorticoid-stress-dosing-a-survey-of-anesthesiologists-and-general-internists
#6
LETTER
Catherine Groleau, Michael J Wong, Orlando Hung, Suzanne N Morin, Line Vautour, Amal Bessissow
No abstract text is available yet for this article.
September 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30194672/accuracy-of-remote-continuous-respiratory-rate-monitoring-technologies-intended-for-low-care-clinical-settings-a-prospective-observational-study
#7
Kim van Loon, Linda M Peelen, Emmy C van de Vlasakker, Cor J Kalkman, Leo van Wolfswinkel, Bas van Zaane
PURPOSE: Altered respiratory rate (RR) has been identified as an important predictor of serious adverse events during hospitalization. Introduction of a well-tolerated continuous RR monitor could potentially reduce serious adverse events such as opioid-induced respiratory depression. The purpose of this study was to investigate the ability of different monitor devices to detect RR in low care clinical settings. METHODS: This was a prospective method-comparison study with a cross-sectional design...
September 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30191518/viscoelastic-testing-it-s-not-the-measurement-it-s-what-you-do-with-it
#8
EDITORIAL
Roman M Sniecinski
No abstract text is available yet for this article.
September 6, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30159716/effect-of-audit-and-feedback-on-physicians-intraoperative-temperature-management-and-patient-outcomes-a-three-arm-cluster-randomized-controlled-trial-comparing-benchmarked-and-ranked-feedback
#9
Sylvain Boet, Gregory L Bryson, Monica Taljaard, Ashlee-Ann Pigford, Daniel I McIsaac, Jamie Brehaut, Alan Forster, Karim Mohamed, Natalie Clavel, Christopher Pysyk, Jeremy M Grimshaw
PURPOSE: Audit and feedback can improve physicians' practice; however, the most effective type of feedback is unknown. Inadvertent perioperative hypothermia is associated with postoperative complications and remains common despite the use of effective and safe warming devices. This study aimed to measure the impact of targeted audit and feedback on anesthesiologists' intraoperative temperature management and subsequent patient outcomes. METHODS: This study was a three-arm cluster randomized-controlled trial...
August 29, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30159714/association-between-sleep-apnea-and-perioperative-outcomes-among-patients-undergoing-shoulder-arthroscopy
#10
Melissa M Masaracchia, Brian D Sites, Michael D Herrick, Haiyin Liu, Matthew Davis
PURPOSE: Sleep apnea is a recognized risk factor for adverse perioperative outcomes in total joint arthroplasty. Nevertheless, little is known about its impact on shoulder arthroscopy, which is a commonly performed ambulatory procedure. Our primary objective was to determine whether sleep apnea was associated with increases in complications and healthcare utilization in this setting. METHODS: We analyzed administrative data collected from 583 U.S. hospitals between 2010-2015 and identified a cohort of 128,932 patients who underwent shoulder arthroscopy...
August 29, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30159713/encouraging-a-bare-minimum-while-striving-for-the-gold-standard-a-response-to-the-updated-who-wfsa-guidelines
#11
LETTER
Simon Hendel, Paulin Banguti, Rediet S Workneh, Emilia Pinto, Tom Coonan, Robert Neighbour, Haydn Perndt, Alison Froese, Kelly McQueen
No abstract text is available yet for this article.
August 29, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30159712/in-reply-encouraging-a-bare-minimum-while-striving-for-the-gold-standard-a-response-to-the-updated-who-wfsa-guidelines
#12
LETTER
Adrian W Gelb, Wayne W Morriss, Walter Johnson, Alan F Merry
No abstract text is available yet for this article.
August 29, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30136094/audit-and-feedback-to-tell-or-not-to-tell-that-is-not-the-question
#13
EDITORIAL
Simon Whyte
No abstract text is available yet for this article.
August 22, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30112713/in-reply-apneic-oxygenation-during-emergency-airway-management
#14
LETTER
Edmund Tan, Osama Loubani, Nelofar Kureshi, Robert S Green
No abstract text is available yet for this article.
August 15, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30112712/apneic-oxygenation-during-emergency-airway-management
#15
LETTER
Mohammad El-Orbany
No abstract text is available yet for this article.
August 15, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30105435/in-reply-should-we-ever-stop-clinical-trials-for-efficacy
#16
LETTER
Jonathan J Gamble, Rudy Bowen, Lloyd Balbuena
No abstract text is available yet for this article.
August 13, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30105434/should-we-ever-stop-clinical-trials-for-efficacy
#17
LETTER
Nicholas A Fergusson, Donald E G Griesdale
No abstract text is available yet for this article.
August 13, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30094613/a-cross-sectional-study-of-the-reporting-quality-of-pilot-or-feasibility-trials-in-high-impact-anesthesia-journals
#18
Harsha Shanthanna, Alka Kaushal, Lawrence Mbuagbaw, Rachel Couban, Jason Busse, Lehana Thabane
PURPOSE: Pilot trials inform the design and conduct of larger scale trials. Using the Consolidated Standards of Reporting Trials (CONSORT) pilot extension guidelines, we assessed reporting quality in five high-impact anesthesia journals and explored factors associated with reporting quality. METHODS: The five highest-impact anesthesia journals were screened for randomized-controlled trials published as pilot or feasibility trials between 2006 and 2016. A pair of reviewers independently screened citations, extracted data, and assessed reporting quality using the CONSORT pilot trial extension checklists for abstracts and full texts...
August 9, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30094612/eyelid-injury-after-use-of-3m-durapore%C3%A2-tape-during-general-anesthesia
#19
LETTER
Dan M Drzymalski, Harold Arkoff, Ruben J Azocar
No abstract text is available yet for this article.
August 9, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/30088153/point-of-care-ultrasound-in-undergraduate-medical-education-an-opportunity-for-anesthesiologists
#20
LETTER
Sabrina Alani, Michelle Moody
No abstract text is available yet for this article.
August 7, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
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