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Journal of Clinical Anesthesia

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https://www.readbyqxmd.com/read/30243062/intraoperative-hypotension-is-not-associated-with-postoperative-cognitive-dysfunction-in-elderly-patients-undergoing-general-anesthesia-for-surgery-results-of-a-randomized-controlled-pilot-trial
#1
Thomas Langer, Alessandro Santini, Francesco Zadek, Manuela Chiodi, Paola Pugni, Valentina Cordolcini, Barbara Bonanomi, Francesca Rosini, Maura Marcucci, Franco Valenza, Cristina Marenghi, Silvia Inglese, Antonio Pesenti, Luciano Gattinoni
STUDY OBJECTIVE: To assess the effect of different intraoperative blood pressure targets on the development of POCD and test the feasibility of a larger trial. DESIGN: Randomized controlled pilot trial. SETTING: Perioperative care in a tertiary care teaching hospital with outpatient follow-up. PATIENTS: One hundred one patients aged ≥75 years with ASA physical status <4, undergoing elective, non-cardiac surgery under general anesthesia and 33 age-matched healthy controls...
September 19, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30243061/comparison-of-caudal-epidural-block-with-paravertebral-block-for-renal-surgeries-in-pediatric-patients-a-prospective-randomised-blinded-clinical-trial
#2
Purnima Narasimhan, Lokesh Kashyap, V K Mohan, Mahesh Kumar Arora, Dilip Shende, Maddur Srinivas, Seema Kashyap, Sayan Nath, Puneet Khanna
STUDY OBJECTIVE: This study was undertaken to compare the analgesic efficacy of ultrasound-guided single-shot caudal block with ultrasound-guided single-shot paravertebral block in children undergoing renal surgeries. DESIGN: Randomised, interventional, blinded clinical trial. SETTING: Operating rooms of All India Institute of Medical Sciences, New Delhi, India. PATIENTS: 50 children aged 2-10 years, of ASA status I/II, posted for elective renal surgeries...
September 19, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30237085/does-spinal-chloroprocaine-pharmacokinetic-profile-actually-translate-into-a-clinical-advantage-in-terms-of-clinical-outcomes-when-compared-to-low-dose-spinal-bupivacaine-a-systematic-review-and-meta-analysis
#3
REVIEW
Andrea Saporito, Marcello Ceppi, Andreas Perren, Davide La Regina, Stefano Cafarotti, Alain Borgeat, José Aguirre, Marc Van De Velde, An Teunkens
STUDY OBJECTIVE: Spinal anesthesia is well suited for day-care surgery, however a persisting motor block after surgery can delay discharge. Among the new drugs available, chloroprocaine has been associated with a short onset time, and motor block duration and a quicker discharge. However, it is not clear if those outcomes are clinically significantly superior compared to those associated with the use of low-dose hyperbaric bupivacaine. DESIGN: Aim of the study was to determine if spinal 2-chloroprocaine was superior to low-dose spinal bupivacaine regarding the following outcomes: onset time, block duration, time to ambulation and time to discharge...
September 17, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30227321/minute-ventilation-assessment-in-the-pacu-is-useful-to-predict-postoperative-respiratory-depression-following-discharge-to-the-floor-a-prospective-cohort-study
#4
Roman Schumann, Brian Harvey, Farhad Zahedi, Iwona Bonney
STUDY OBJECTIVE: Reliably identifying patients at risk for postoperative respiratory depression (RD) remains an unmet need. We hypothesized that defined low minute ventilation events (LMVe) near the end of the post-anesthesia care unit (PACU) stay identifies patients at RD risk on the general hospital floor (GHF). DESIGN: Prospective observational study. SETTING: Tertiary care, urban academic medical center. PACU and GHF during the first postoperative night...
September 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30227320/the-intubating-laryngeal-tube-ilts-d-for-blind-intubation-in-superobese-patients
#5
LETTER
Tomasz Gaszynski
No abstract text is available yet for this article.
September 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30227319/preoxygenation-during-induction-of-anesthesia-in-non-critically-ill-patients-a-systematic-review
#6
REVIEW
Elena Bignami, Francesco Saglietti, Alessandro Girombelli, Andrea Briolini, Tiziana Bove, Luigi Vetrugno
We conducted a systematic review of the literature to better understand whether preoxygenation in non-critically ill patients (i.e. elective surgery patients) should be recommended, as it lengthens safe apnea time (the time required to reach oxygen saturation < 90% in an apneic patient). Furthermore, we looked for the most efficient technique amongst those currently employed in clinical practice. We searched Scopus, CINAHL, the Cochrane Library, PubMed and MeSH using various combinations of the words "preoxygenation", "general anesthesia", "induction", "operating room" and "oxygen"...
September 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30223170/ictal-asystole-a-rare-phenomenon-in-neauroanesthesia
#7
LETTER
Indu Kapoor, Charu Mahajan, Hemanshu Prabhakar
No abstract text is available yet for this article.
September 14, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30219619/pericapsular-nerve-group-peng-block-is-effective-for-dislocation-of-the-hip-joint
#8
LETTER
Hironobu Ueshima, Hiroshi Otake
No abstract text is available yet for this article.
September 13, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30219618/erector-spinae-block-at-l2-for-thigh-lift-surgery-a-new-application
#9
LETTER
David A Goodman
No abstract text is available yet for this article.
September 13, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30218887/modification-of-surgical-approach-and-cannulation-strategy-for-mitral-valve-repair-after-intraoperative-diagnosis-of-persistent-left-superior-vena-cava
#10
LETTER
Rohesh J Fernando, Blaine Farmer, David McKinley, Benjamin N Morris
No abstract text is available yet for this article.
September 12, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30218886/spinal-anesthesia-with-a-low-dosage-of-local-anesthetic-for-urgent-cesarean-delivery-in-a-parturient-with-klippel-feil-syndrome
#11
LETTER
Domenico Pietro Santonastaso, Annabella de Chiara, Adriana Addis, Rita Pini, Vanni Agnoletti
No abstract text is available yet for this article.
September 12, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30218885/anesthetic-management-of-an-infant-with-jeune-syndrome-and-severe-pulmonary-hypertension-for-tracheostomy
#12
LETTER
Irim Salik, Alina Genis, Samuel Barst
No abstract text is available yet for this article.
September 12, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30218884/postoperative-outcomes-with-neuraxial-versus-general-anesthesia-in-bilateral-total-hip-arthroplasty
#13
Brittany N Burton, Jennifer A Padwal, Matthew W Swisher, Courtni R Salinas, Rodney A Gabriel
STUDY OBJECTIVE: Current evidence remains limited on the postoperative outcomes of neuraxial (NA) versus general anesthesia (GA) as primary anesthesia type in patients receiving simultaneous bilateral total hip arthroplasty (BTHA). We aimed to evaluate the rates of postoperative outcomes among patients receiving NA versus GA for BTHA. DESIGN: Retrospective cohort study. SETTING: Multi-institutional. PATIENTS: A total of 798 patients undergoing BTHA with 519 and 279 who received GA and NA, respectively...
September 12, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30218883/sphenopalatine-ganglion-block-in-combination-with-greater-and-lesser-occipital-nerve-blocks-for-the-management-of-post-dural-puncture-headache
#14
LETTER
Ivan Urits, Omar Viswanath, Vwaire Orhurhu, Julie Petro, Viet Cai
No abstract text is available yet for this article.
September 12, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30216928/management-of-dural-puncture-headache-caused-by-caudal-epidural-steroid-injection
#15
LETTER
Ivan Urits, Omar Viswanath, Julie Petro, Musa Aner
No abstract text is available yet for this article.
September 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30216927/opioid-free-total-intravenous-anesthesia-with-ketamine-as-part-of-an-enhanced-recovery-protocol-for-bariatric-surgery-patients-with-sleep-disordered-breathing
#16
LETTER
Judith Aronsohn, Gabriel Orner, Greg Palleschi, Madina Gerasimov
No abstract text is available yet for this article.
September 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30216926/endoscopic-excision-of-hydatid-cyst-a-case-of-delayed-anaphylaxis-in-postoperative-period-the-risk-is-not-over-until-it-is-over
#17
LETTER
Aakriti Gupta, Neerja Bhardwaj, Soumya Sarkar, Ravi P Kanojia
No abstract text is available yet for this article.
September 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30216925/neuraxial-morphine-after-unintentional-dural-puncture-is-not-associated-with-reduced-postdural-puncture-headache-in-obstetric-patients
#18
Molly E Brinser, David L Seng, Gordon L Mandell, Jonathan Waters, Patricia L Dalby, Grace Lim
STUDY OBJECTIVE: To examine the relationship between neuraxial morphine exposure after unintentional dural puncture and the risk for postdural puncture headache in obstetric patients. DESIGN: Retrospective cohort study. SETTING: Obstetrical unit at a tertiary care referral center. PATIENTS: Parturients receiving labor epidural analgesia with recognized unintentional dural puncture. INTERVENTIONS: Cases in which neuraxial morphine was given for any reason were compared to cases in which it was not for the outcome of postdural puncture headache...
September 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30212662/reply-to-dr-ueshima-the-relationship-of-local-anesthetic-volume-and-dermatomal-spread-of-sensorial-block-in-erector-spinae-plane-blocks-a-new-dilemma
#19
LETTER
Serkan Tulgar, Ali Ahiskalioglu, Onur Balaban
No abstract text is available yet for this article.
September 10, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/30205356/erector-spinae-plane-block-for-acute-postoperative-pain-management-after-anterior-thoracolumbar-spine-surgery
#20
LETTER
Francesco Calandese, Angelina Adduci
No abstract text is available yet for this article.
September 8, 2018: Journal of Clinical Anesthesia
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