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Journal of Anesthesia

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https://www.readbyqxmd.com/read/28434041/airway-spray-efficacy-of-local-anesthetic-with-fiberscope
#1
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
#2
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
#3
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
#4
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
#5
LETTER
Yuichi Ohgoshi, Kentaro Ino, Masakazu Matsukawa
No abstract text is available yet for this article.
April 18, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28421314/the-impact-of-body-mass-index-on-the-risk-of-high-spinal-block-in-parturients-undergoing-cesarean-delivery-a-retrospective-cohort-study
#6
Agnes M Lamon, Lisa M Einhorn, Mary Cooter, Ashraf S Habib
PURPOSE: To investigate the hypothesis that the risk of high spinal block is not increased in obese parturients undergoing cesarean delivery compared to non-obese parturients. METHODS: This is a retrospective study at an academic center. We searched the perioperative database for women who underwent cesarean delivery under spinal or combined spinal epidural anesthesia with hyperbaric bupivacaine ≥10.5 mg. A body mass index (BMI) ≥30 kg/m(2) was defined as obese...
April 18, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28409242/comparison-of-topical-ropivacaine-with-and-without-ketamine-on-post-surgical-pain-in-children-undergoing-tonsillectomy-a-randomized-controlled-double-blind-study
#7
Boohwi Hong, Chae Seong Lim, Yoon-Hee Kim, Jung Un Lee, Yong Min Kim, Choonho Jung, Yumin Jo
PURPOSE: Tonsillectomy in pediatric patients may cause severe postoperative pain. Topical local anesthetics are an easy and safe way to control post-tonsillectomy pain, but there is no benefit during the early postoperative stage. Topical ketamine shows a good effect on early stage postoperative pain. We compared the effect of topical ropivacaine with and without ketamine on post-tonsillectomy pain. METHODS: Patients aged 3-7 years undergoing tonsillectomy were selected to participate in the study...
April 13, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28391426/comparison-of-stroke-volume-measurement-between-non-invasive-bioreactance-and-esophageal-doppler-in-patients-undergoing-major-abdominal-pelvic-surgery
#8
Gennaro De Pascale, Mervyn Singer, David Brealey
PURPOSE: Bioreactance is a non-invasive technology for measuring stroke volume (SV) in the operating room and critical care setting. We evaluated how the NICOM(®) bioreactance device performed against the CardioQ(®) esophageal Doppler monitor in patients undergoing major abdominal-pelvic surgery, focusing on the effect of different hemodynamic interventions. METHODS: SVNICOM and SVODM were simultaneously measured intraoperatively, including before and after interventions including fluid challenge, vasopressor boluses, peritoneal gas insufflation/removal, and Trendelenburg/reverse Trendelenburg patient positioning...
April 8, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28389811/general-anesthetic-actions-on-gabaa-receptors-in-vivo-are-reduced-in-phospholipase-c-related-catalytically-inactive-protein-knockout-mice
#9
Masaki Hayashiuchi, Tomoya Kitayama, Katsuya Morita, Yosuke Yamawaki, Kana Oue, Taiga Yoshinaka, Satoshi Asano, Kae Harada, Youngnam Kang, Masato Hirata, Masahiro Irifune, Mitsugi Okada, Takashi Kanematsu
PURPOSE: The aim of this study was to investigate the action of general anesthetics in phospholipase C-related catalytically inactive protein (PRIP)-knockout (KO) mice that alter GABA receptor signaling. METHODS: PRIP regulates the intracellular trafficking of β subunit-containing GABAA receptors in vitro. In this study, we examined the effects of intravenous anesthetics, propofol and etomidate that act via β subunit-containing GABAA receptors, in wild-type and Prip-KO mice...
April 7, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28386739/analgesia-and-side-effects-of-the-addition-of-10-or-20%C3%A2-%C3%A2%C2%B5g-fentanyl-to-articaine-in-spinal-anesthesia-for-knee-arthroscopy-a-randomized-and-observer-blinded-study
#10
Paula Stenman, Merja Salonen, Pekka Tarkkila, Per Rosenberg
OBJECTIVES: Articaine, a popular and rapidly acting local anesthetic in dentistry, has been also found to be beneficial in ambulatory spinal anesthesia. Analgesia in the intraoperative and immediate postoperative period may be further improved by adding fentanyl to the local anesthetic solution for spinal anesthesia. The aim was to evaluate dose-dependency of analgesia and side effects associated with intrathecal fentanyl additive to articaine for spinal anesthesia in knee arthroscopy patients...
April 6, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28378206/feasibility-reliability-and-validity-of-the-japanese-version-of-the-12-item-world-health-organization-disability-assessment-schedule-2-in-preoperative-patients
#11
Mitsuru Ida, Yusuke Naito, Yuu Tanaka, Yasunori Matsunari, Satoki Inoue, Masahiko Kawaguchi
PURPOSE: The avoidance of postoperative functional disability is one of the most important concerns of patients facing surgery, but methods to evaluate disability have not been definitively established. The aim of our study was to evaluate the feasibility, reliability, and validity of the Japanese version of the 12-item World Health Organization Disability Assessment Schedule-2 (WHODAS 2.0-J) in preoperative patients. METHODS: Individuals aged ≥55 years who were scheduled to undergo surgery in a tertiary-care hospital in Japan between April 2016 and September 2016 were eligible for enrolment in the study...
April 4, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28378205/surgical-site-infection-clean-surgery-and-antimicrobials
#12
LETTER
Yusuke Asakura, Maho Kinoshita, Makoto Ozaki
No abstract text is available yet for this article.
April 4, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28374060/possible-utility-of-contrast-enhanced-ultrasonography-for-detecting-spread-of-local-anesthetic-in-nerve-block
#13
Hideaki Sasaki, Masanori Yamauchi, Takafumi Ninomiya, Haruyuki Tatsumi, Michiaki Yamakage
PURPOSE: This study demonstrated the effects of perfluorobutane (Sonazoid(®)) with contrast-enhanced ultrasonography (CEUS) to identify the spread of local anesthetics in ultrasound-guided nerve block. METHODS: This study consists of simulation, cadaveric, and animal studies. In a simulation study, 1% lidocaine with 10- to 1000-fold diluted Sonazoid(®), a US-specific contrast agent to diagnose hepatic and breast cancers (0.5 mL), was injected into a resin-based phantom to determine the optimal concentration for ultrasound-guided peripheral nerve block...
April 3, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28365848/attenuation-of-cortical-activity-triggering-descending-pain-inhibition-in-chronic-low-back-pain-patients-a-functional-magnetic-resonance-imaging-study
#14
Yohei Matsuo, Jiro Kurata, Miho Sekiguchi, Katsuhiro Yoshida, Takuya Nikaido, Shin-Ichi Konno
PURPOSE: A considerable portion of chronic low back pain (cLBP) patients lack anatomical abnormality, resist conventional therapeutic interventions, and their symptoms are often complicated with psychological and social factors. Such patients have been reported to show cerebral abnormalities both in anatomy and function by neuroimaging studies. Here we examined differences in cerebral reactivity to a simulated low back pain stimulus between cLBP patients and healthy controls by functional magnetic resonance imaging (fMRI), and their behavioral correlates from a psychophysical questionnaire...
April 1, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28365847/sevoflurane-in-patients-at-risk-of-ventricular-dysrhythmias
#15
LETTER
Beny Charbit
No abstract text is available yet for this article.
April 1, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28364165/post-mastectomy-cancer-recurrence-with-and-without-a-continuous-paravertebral-block-in-the-immediate-postoperative-period-a-prospective-multi-year-follow-up-pilot-study-of-a-randomized-triple-masked-placebo-controlled-investigation
#16
Daphna M Finn, Brian M Ilfeld, Jonathan T Unkart, Sarah J Madison, Preetham J Suresh, Nav Parkash S Sandhu, Nicholas J Kormylo, Nisha Malhotra, Vanessa J Loland, Mark S Wallace, Cindy H Wen, Anya C Morgan, Anne M Wallace
PURPOSE: Retrospective studies have associated perioperative regional anesthesia/analgesia during mastectomy for breast cancer with a decreased incidence of cancer recurrence. However, to date, no prospective data from a randomized controlled trial have been reported. In a previous study we found that extending a single-injection paravertebral block with a multiple-day perineural local anesthetic infusion improves analgesia. This follow-up study investigates the rates of cancer recurrence for the single-injection and multiple-day infusion treatments...
March 31, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28361328/the-past-present-and-future-of-the-postanesthesia-care-unit-pacu-in-japan
#17
Yoshiki Sento, Toshiyasu Suzuki, Yasuyuki Suzuki, David A Scott, Kazuya Sobue
The postanesthesia care unit (PACU), which is run and coordinated by anesthesiologists, delivers general medical supervision as well as close and constant care to patients who have just undergone a surgical procedure under anesthesia. Although PACU management has been considered a standard procedure in many developed countries since the 1940s, Japanese hospitals have tended to cease their management, and only 16.1% of hospitals in Japan currently have PACUs. In today's efficiency-required atmosphere in Japan, we need to consider a better postoperative management method, including facilities similar to the PACU, to prevent serious adverse events and improve the postoperative outcomes and quality of life...
March 30, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28352963/external-ear-findings-during-anaphylaxis
#18
LETTER
Alexandra Savage, Melissa K Nadler, Rafael Ortega
No abstract text is available yet for this article.
March 28, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28349203/can-the-descending-aortic-stroke-volume-be-estimated-by-transesophageal-descending-aortic-photoplethysmography
#19
Peng Ling, Gong Quan, Yu Siyuan, Gao Bo, Wei Wei
PURPOSE: The aim of this study was to investigate the ability of transesophageal photoplethysmography detected from the descending aorta (dPPG) for predicting low descending aortic stroke volume (dSV) level in cardiac surgical patients. METHODS: Fifteen patients scheduled for elective cardiac surgery were enrolled in our study. A transesophageal echocardiography (TEE) probe with an attached oximetry sensor was placed into the esophagus for paired dPPG signal and descending aortic Doppler blood flow signal acquisition...
March 27, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/28349202/prevention-of-chronic-post-surgical-pain-the-importance-of-early-identification-of-risk-factors
#20
REVIEW
Qutaiba Tawfic, Kamal Kumar, Zameer Pirani, Kevin Armstrong
Chronic post-surgical pain (CPSP) is currently an inevitable surgical complication. Despite the advances in surgical techniques and the development of new modalities for pain management, CPSP can affect 15-60% of all surgical patients. The development of chronic pain represents a burden to both the patient and to the community. In order to have a meaningful impact on this debilitating condition it is essential to identify those at risk. Early identification of patients at risk will help to reduce the percentage of patients who go on to develop CPSP...
March 27, 2017: Journal of Anesthesia
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