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Journal of Anesthesia

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https://www.readbyqxmd.com/read/28508288/repetitive-postoperative-extubation-failure-and-cardiac-arrest-due-to-laryngomalacia-after-general-anesthesia-in-an-elderly-patient-a-case-report
#1
Jun Takeshita, Kei Nishiyama, Masashi Fujii, Hiroyuki Tanaka, Satoru Beppu, Nozomu Sasahashi, Nobuaki Shime
The authors report a case involving an elderly patient who experienced repetitive perioperative cardiac arrest caused by laryngomalacia. The patient underwent surgery under general anesthesia; however, 2 h after initial extubation, he experienced cardiopulmonary arrest. Return of spontaneous circulation was achieved by immediate resuscitation. Four hours later, a second extubation was performed without any neurological complications. However, 2 h later, he experienced cardiopulmonary arrest again. Immediately after the third extubation, 12 h after the second cardiopulmonary arrest, fiberoptic laryngoscopy revealed laryngomalacia...
May 15, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28497325/the-effect-of-pressure-controlled-inverse-ratio-ventilation-on-lung-protection-in-obese-patients-undergoing-gynecological-laparoscopic-surgery
#2
Lili Xu, Jianjun Shen, Min Yan
SPECIFIC AIM: To examine the effects of pressure-controlled inverse ratio ventilation (PCIRV) and volume-control ventilation (VCV) on arterial oxygenation, pulmonary function, hemodynamics, levels of surfactant protein A (SP-A), and tumor necrosis factor-α (TNF-α) in obese patients undergoing gynecological laparoscopic surgery. METHODS: Sixty patients, body mass index (BMI) ≥30 kg/m(2), scheduled for elective gynecological laparoscopic surgery were enrolled in the study...
May 11, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28477230/a-matched-case-control-comparison-of-hospital-costs-and-outcomes-for-knee-replacement-patients-admitted-postoperatively-to-acute-care-versus-rehabilitation
#3
Brian K Tse, Tessa L Walters, Steven K Howard, T Edward Kim, Stavros G Memtsoudis, Eric C Sun, Alex Kou, Lorrie Graham, Robert King, Edward R Mariano
For select total knee arthroplasty (TKA) patients, we have established an alternative pathway to bypass the acute care surgical ward and directly admit patients from the post-anesthesia care unit to on-campus rehabilitation. We retrospectively examined whether this 'fast track' pathway decreased costs and improved patient outcomes. After reviewing records of consecutive primary unilateral TKA patients over a 15-month period, each patient admitted to rehabilitation was matched with a control admitted to the acute care ward...
May 5, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28477229/feasibility-of-the-head-mounted-display-for-ultrasound-guided-nerve-blocks-a-pilot-simulator-study
#4
Yusuke Kasuya, Shota Moriwaki, Chiaki Inano, Tomoko Fukada, Ryu Komatsu, Makoto Ozaki
The head-mounted display (HMD) has the potential to improve the quality of ultrasound-guided procedures. The aim of this non-clinical crossover designed study is to evaluate the feasibility of the HMD for ultrasound-guided nerve block. Eight experienced anesthesiologists performed ultrasound-guided peripheral nerve blocks on a training simulator with a standard approach and with an upside-down approach. Each approach was performed with a control conventional method and with an HMD. The ultrasound image and operating field were recorded by video camera...
May 5, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28477228/intrathecal-morphine-for-postoperative-pain-control-following-robot-assisted-prostatectomy-a-prospective-randomized-trial
#5
Junyeol Bae, Hyun-Chang Kim, Deok Man Hong
PURPOSE: Robot-assisted laparoscopic prostatectomy (RALP) is minimally invasive surgery, but also causes moderate to severe pain during the immediate postoperative period. We evaluated the efficacy and safety of intrathecal morphine (ITM) for postoperative pain control in patients undergoing RALP. METHODS: Thirty patients scheduled for RALP were randomly assigned into one of two groups. In the ITM group (n = 15), postoperative pain was managed using 300 µg intrathecal morphine with intravenous patient-controlled analgesia (IV-PCA)...
May 5, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28466102/development-of-a-scoring-system-to-predict-massive-postpartum-transfusion-in-placenta-previa-totalis
#6
Jung-Won Kim, Yoon-Kyung Lee, Ji-Hyun Chin, Seon-Ok Kim, Mi-Young Lee, Hye-Sung Won, Woo-Jong Choi
PURPOSE: It is important to predict massive postpartum hemorrhage in patients with placenta previa totalis (PPT) and a method that accurately predicts this event is needed. The present study developed a scoring system that predicts massive transfusion in patients with PPT. METHODS: This single-center retrospective cohort study comprised 238 patients with PPT who underwent caesarean section between January 2004 and December 2010. Massive transfusion was defined as the transfusion of ≥8 units of packed red blood cells within 24 h after delivery...
May 2, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28466101/mep-monitoring-during-aortic-surgery-what-we-truly-know
#7
LETTER
N A Sutedja, A W H Hollands, M J Jacobs
No abstract text is available yet for this article.
May 2, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28466100/sedative-effects-of-oral-pregabalin-premedication-on-intravenous-sedation-using-propofol-target-controlled-infusion
#8
Noriko Karube, Shinichi Ito, Saori Sako, Jun Hirokawa, Takeshi Yokoyama
PURPOSE: The sedative effects of pregabalin during perioperative period have not been sufficiently characterized. The aim of this study was to verify the sedative effects of premedication with pregabalin on intravenous sedation (IVS) using propofol and also to assess the influences of this agent on circulation, respiration, and postanesthetic complications. METHODS: Ten healthy young volunteers underwent 1 h of IVS using propofol, three times per subject, on separate days (first time, no pregabalin; second time, pregabalin 100 mg; third time, pregabalin 200 mg)...
May 2, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28455602/comparison-of-the-incidences-of-hyponatremia-in-adult-postoperative-critically-ill-patients-receiving-intravenous-maintenance-fluids-with-140%C3%A2-mmol-l-or-35%C3%A2-mmol-l-of-sodium-retrospective-before-after-observational-study
#9
Masako Okada, Moritoki Egi, Yuri Yokota, Naotaka Shirakawa, Daichi Fujimoto, Shinya Taguchi, Nana Furushima, Satoshi Mizobuchi
PURPOSE: The purpose of this study was to compare the incidences of hyponatremia in adult postoperative critically ill patients receiving isotonic and hypotonic maintenance fluids. METHODS: In this single-center retrospective before/after observational study, we included patients who had undergone an elective operation for esophageal cancer or for head and neck cancer and who received postoperative intensive care for >48 h from August 2014 to July 2016. In those patients, sodium-poor solution (35 mmol/L of sodium; Na35) had been administered as maintenance fluid until July 2015...
April 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28455601/paravertebral-block-catheter-breakage-by-electrocautery-during-thoracic-surgery
#10
Noboru Saeki, Yuki Sugimoto, Yoko Mori, Takahiro Kato, Hirotsugu Miyoshi, Ryuji Nakamura, Tomomichi Koga
Advantages of thoracic paravertebral analgesia (TPA) include placement of the catheter closer to the surgical field; however, the catheter can become damaged during the operation. We experienced a case of intraoperative TPA catheter breakage that prompted us to perform an experiment to investigate possible causes. A 50-year-old male underwent a thoracoscopic lower lobectomy under general anesthesia with TPA via an intercostal approach. Following surgery, it was discovered that the catheter had become occluded, as well as cut and fused, so we reopened the incision and removed the residual catheter...
April 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28455600/protective-multimodal-analgesia-with-etoricoxib-and-spinal-anesthesia-in-inguinal-hernia-repair-a-randomized-controlled-trial
#11
Mostafa Somri, Nasir Hawash, Christopher Hadjittofi, Marlain Ghantous-Toukan, Riad Tome, Marina Yodashkin, Ibrahim Matter
BACKGROUND: Inguinal hernia repair is a common procedure, and can be performed under spinal anesthesia. Although adequate analgesia is crucial to postoperative recovery, the optimal protective analgesic regimen remains to be established. PURPOSE: To investigate the effects of preoperative etoricoxib within a protective multimodal analgesic regimen with respect to pain control following open inguinal hernia repair. METHODS: Sixty adult patients undergoing open inguinal hernia repair participated in a single-center, randomized, double-blinded, placebo-controlled trial in a general academic medical center...
April 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28455599/an-update-on-the-management-of-postoperative-nausea-and-vomiting
#12
REVIEW
Xuezhao Cao, Paul F White, Hong Ma
Postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) remain common and distressing complications following surgery. PONV and PDNV can delay discharge and recovery and increase medical costs. The high incidence of PONV has persisted in part because of the tremendous growth in ambulatory surgery and the increased emphasis on earlier mobilization and discharge after both minor and major operations. Pharmacological management of PONV should be tailored to the patients' risk level using the PONV and PDNV scoring systems to minimize the potential for these adverse side effects in the postoperative period...
April 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28455598/a-lateral-paracarotid-approach-for-ultrasound-guided-stellate-ganglion-block-with-a-linear-probe
#13
Hyuckgoo Kim, Sun Ok Song, Gul Jung
Recent reports suggest that ultrasound-guided stellate ganglion block (SGB) is safer and more accurate than classic SGB by the using the surface anatomical landmark. However, previous reports concern the classic paratracheal approach using a small specialized curved probe, which may not be appropriate in some patients. The authors have attempted several approaches, including paratracheal, trans-thyroidal, lateral paracarotid, and lateral approaches, to find a safe and suitable method for real-time ultrasound-guided SGB using a standard high-frequency linear probe...
April 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28451807/increased-risk-of-paclitaxel-induced-peripheral-neuropathy-in-patients-using-clopidogrel-a-retrospective-pilot-study
#14
Mitsuhiro Matsuo, Hisakatsu Ito, Yoshinori Takemura, Mizuki Hattori, Masaaki Kawakami, Norimasa Takahashi, Mitsuaki Yamazaki
Paclitaxel-induced peripheral neuropathy (PIPN) is one of the serious adverse events associated with paclitaxel-based cancer treatments. A recent case study showed that the antiplatelet agent clopidogrel inhibits paclitaxel metabolism via cytochrome P450 (CYP) 2C8, resulting in severe PIPN. The aim of this study was to determine the impact of clopidogrel as a risk factor for the development of PIPN, using a retrospective cohort study. Data from paclitaxel-treated patients with or without clopidogrel and low-dose aspirin treatment were retrieved from medical charts...
April 27, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28447227/the-efficacy-of-serratus-anterior-plane-block-in-analgesia-for-thoracotomy-a-retrospective-study
#15
Korgün Ökmen, Burcu Metin Ökmen
PURPOSE: A multimodal analgesic approach is necessary for post-thoracotomy pain, which can be severe. Intravenous access, central and peripheral nerve blocks are frequently used. The aim of this study was to evaluate the efficacy of serratus anterior plane block (SAPB) in the management of post-thoracotomy pain. METHODS: A total of 40 patients who underwent thoracotomy between January 2014 and January 2016 were retrospectively analyzed. The patients were divided into two groups: Group M (intravenous patient-controlled analgesia morphine; n = 20) and Group S (intravenous patient-controlled analgesia morphine + SAPB; n = 20)...
April 26, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28434041/airway-spray-efficacy-of-local-anesthetic-with-fiberscope
#16
LETTER
Masanori Tsukamoto, Jun Hirokawa, Takeshi Yokoyama
No abstract text is available yet for this article.
April 22, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28432468/population-pharmacokinetics-of-intravenous-acetaminophen-in-japanese-patients-undergoing-elective-surgery
#17
Tsuyoshi Imaizumi, Shinju Obara, Midori Mogami, Yuzo Iseki, Makiko Hasegawa, Masahiro Murakawa
INTRODUCTION: Intravenous (i.v.) acetaminophen is administered during surgery for postoperative analgesia. However, little information is available on the pharmacokinetics of i.v. acetaminophen in Japanese patients undergoing surgery under general anesthesia. METHODS: The study was approved by the Institutional Review Board and registered at UMIN-CTR (UMIN000013418). Patients scheduled to undergo elective surgery under general anesthesia were enrolled after obtaining written informed consent...
April 21, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28421317/effect-of-oral-carbohydrate-with-amino-acid-solution-on-serum-oxidative-anti-oxidative-status-in-healthy-volunteers
#18
Yasuo M Tsutsumi, Takuro Oyama, Nami Kakuta, Yousuke T Horikawa, Katsuyoshi Kume, Yoko Sakai, Rie Tsutsumi, Katsuya Tanaka
The aim of this work was to investigate the effect of oral carbohydrate with amino acid [oral nutritional supplement (ONS)] solution on oxidative stress in healthy persons. Fourteen healthy volunteers were segregated into control and ONS groups. Volunteers in the ONS group ingested 250 ml of Arginaid Water (Nestle Japan, Tokyo, Japan) in the evening before the experiment and at 7:00 am on the day of the experiment. Volunteers in the control group fasted after dinner and drank only water until 7:00 am on the day of the experiment...
April 18, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28421316/comparison-of-the-coracoid-and-retroclavicular-approaches-for-ultrasound-guided-infraclavicular-brachial-plexus-block
#19
Nilgun Kavrut Ozturk, Ali Sait Kavakli
PURPOSE: This prospective randomized study compared the coracoid and retroclavicular approaches to ultrasound-guided infraclavicular brachial plexus block (IBPB) in terms of needle tip and shaft visibility and quality of block. We hypothesized that the retroclavicular approach would increase needle tip and shaft visibility and decrease the number of needle passes compared to the coracoid approach. METHODS: A total of 100 adult patients who received IBPB block for upper limb surgery were randomized into two groups: a coracoid approach group (group C) and a retroclavicular approach group (group R)...
April 18, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28421315/in-reply-similarities-between-parasternal-intercostal-nerve-block-and-subpectoral-interfascial-plane-block
#20
LETTER
Yuichi Ohgoshi, Kentaro Ino, Masakazu Matsukawa
No abstract text is available yet for this article.
April 18, 2017: Journal of Anesthesia
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