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Journal of Clinical Anesthesia

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https://www.readbyqxmd.com/read/29783184/postoperative-outcomes-in-patients-with-a-do-not-resuscitate-dnr-order-undergoing-elective-procedures
#1
Ethan Y Brovman, Elisa C Walsh, Brittany N Burton, Christine E Kuo, Charlotta Lindvall, Rodney A Gabriel, Richard D Urman
STUDY OBJECTIVE: Do-not-resuscitate (DNR) status has been shown to be an independent risk factor for mortality in the post-operative period. Patients with DNR orders often undergo elective surgeries to alleviate symptoms and improve quality of life, but there are limited data on outcomes for informed decision making. DESIGN: Retrospective cohort study. SETTING: A multi-institutional setting including operating room, postoperative recovery area, inpatient wards, and the intensive care unit...
May 18, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29778972/hypnotic-agents-for-induction-of-general-anesthesia-in-cesarean-section-patients-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#2
Kavita Houthoff Khemlani, Stephanie Weibel, Peter Kranke, Jan-Uwe Schreiber
STUDY OBJECTIVE: An ideal induction drug for cesarean section (CS) must have quick action, with minimum side effects such as awareness, hemodynamic compromise, and neonatal depression. Thiopentone is frequently used; however, no reliable evidence is available to support its use as a dedicated hypnotic agent in this setting. DESIGN: A systematic review and meta-analysis, using PRISMA methodology, of randomized controlled trials (RCTs), comparing women undergoing CS using thiopentone with those undergoing CS with propofol, ketamine, or benzodiazepines as hypnotic agents...
May 17, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29778971/infraclavicular-and-supraclavicular-approaches-to-brachial-plexus-for-ambulatory-elbow-surgery-a-randomized-controlled-observer-blinded-trial
#3
Shalini Dhir, Brigid Brown, Peter Mack, Yves Bureau, Janice Yu, Douglas Ross
STUDY OBJECTIVE: To compare the effectiveness of supraclavicular and infraclavicular approaches to brachial plexus block for elbow surgery. DESIGN: Prospective, parallel arm, observer-blinded, randomized controlled trial. SETTING: This study occurred in a designated block room at St. Joseph's hospital, a large academic tertiary hospital in London, Canada. PATIENTS: 150 adult ASA class I-III patients undergoing elective ambulatory elbow surgery...
May 17, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29778964/atypical-distribution-of-local-anesthetic-solution-in-a-patient-with-distal-adductor-canal-catheter
#4
LETTER
Onur Balaban, Tayfun Aydin, Merve Yaman
No abstract text is available yet for this article.
May 17, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29778415/interchangeability-of-counts-of-cases-and-hours-of-cases-for-quantifying-a-hospital-s-change-in-workload-among-four-week-periods-of-1-year
#5
Franklin Dexter, Richard H Epstein, Johannes Ledolter, Jonathan P Wanderer
STUDY OBJECTIVE: Recent studies have made longitudinal assessments of case counts using State (e.g., United States) and Provincial (e.g., Canada) databases. Such databases rarely include either operating room (OR) or anesthesia times and, even when duration data are available, there are major statistical limitations to their use. We evaluated how to forecast short-term changes in OR caseload and workload (hours) and how to decide whether changes are outliers (e.g., significant, abrupt decline in anesthetics)...
May 16, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29775780/successful-directional-thoracic-erector-spinae-plane-block-after-failed-lumbar-plexus-block-in-hip-joint-and-proximal-femur-surgery
#6
LETTER
Curtis E Darling, Stephanie Y Pun, Thomas J Caruso, Ban C H Tsui
No abstract text is available yet for this article.
May 15, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29763777/incorporation-of-point-of-care-ultrasound-into-morning-round-is-associated-with-improvement-in-clinical-outcomes-in-critically-ill-patients-with-sepsis
#7
Zhonghua Chen, Yucai Hong, Junru Dai, Lifeng Xing
OBJECTIVES: Point-of-care ultrasound (POCUS) has been widely used in the intensive care unit (ICU). However, it is largely unknown whether the use of POCUS is associated with improved patient-important outcomes. The study aimed to investigate whether incorporation of POCUS during morning round on a routine basis was able to improve clinical outcomes in critically ill patients with sepsis. DESIGN: It was a prospective observational study. SETTING: A tertiary care emergency intensive care unit...
May 11, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29753992/local-anesthetic-spread-during-erector-spinae-plane-block
#8
LETTER
Alessandro De Cassai, Tommaso Tonetti
No abstract text is available yet for this article.
May 10, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29753265/low-flow-vascular-malformations-of-cervico-facial-area-an-airway-challenge
#9
LETTER
Manpreet Kaur, Anjum Goth, Rajeshwari Subramaniam
No abstract text is available yet for this article.
May 9, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29753264/perineural-dexamethasone-successfully-prolongs-adductor-canal-block-when-assessed-by-objective-pinprick-sensory-testing-a-prospective-randomized-dose-dependent-placebo-controlled-equivalency-trial
#10
James D Turner, Daryl S Henshaw, Robert S Weller, J Douglas Jaffe, Christopher J Edwards, J Wells Reynolds, Gregory B Russell, Sean W Dobson
STUDY OBJECTIVE: To determine whether perineural dexamethasone prolongs peripheral nerve blockade (PNB) when measured objectively; and to determine if a 1 mg and 4 mg dose provide equivalent PNB prolongation compared to PNB without dexamethasone. SETTING: Multiple studies have reported that perineural dexamethasone added to local anesthetics (LA) can prolong PNB. However, these studies have relied on subjective end-points to quantify PNB duration. The optimal dose remains unknown...
May 8, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29751211/sphenopalatine-ganglion-block-by-transnasal-approach-in-post-dural-puncture-headache
#11
LETTER
Lúcia M Gonçalves, Pedro M Godinho, Francisco J Durán, Elisabete C Valente
No abstract text is available yet for this article.
May 8, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29751210/anesthetic-management-of-a-patient-with-freeman-sheldon-syndrome-in-thoracic-surgery
#12
LETTER
Silvia Fiorelli, Giulio Leopizzi, Domenico Massullo, Antonio D'Andrilli, Anna Maria Ciccone, Monica Rocco
No abstract text is available yet for this article.
May 8, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29747072/vicks%C3%A2-vaporub%C3%A2-intoxication-an-unusual-presentation-of-multiorgan-failure
#13
LETTER
Ivet T Cordoba Torres, Jimena Marino-Nieto, Heather B Barkin, Alexander C Fort, Miguel Cobas
No abstract text is available yet for this article.
May 7, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29730268/thoracic-paravertebral-block-versus-thoracic-epidural-analgesia-for-post-operative-pain-control-in-open-pancreatic-surgery-a-randomized-controlled-trial
#14
Jacob L Hutchins, Anthony J Grandelis, Alexander M Kaizer, Eric H Jensen
STUDY OBJECTIVE: The purpose of this study was to compare the efficacy of bilateral ultrasound guided thoracic paravertebral catheters to a thoracic epidural after open pancreatic surgery. DESIGN: This was a prospective non-blinded randomized controlled trial. SETTING: Academic hospital operating room, postoperative recovery area, and ward. PATIENTS: 53 patients aged 18 and above who had open pancreatic surgery. INTERVENTIONS: Patients received either bilateral thoracic paravertebral block at T8 with an infusion of 0...
May 3, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29729552/inadvertent-epidural-injection-of-labetalol-during-labor
#15
LETTER
Saleh Kanawati, Abdulmenhim Nassour
No abstract text is available yet for this article.
May 2, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29727761/systematic-review-and-meta-analyses-of-tranexamic-acid-use-for-bleeding-reduction-in-prostate-surgery
#16
REVIEW
Marcelo A Longo, Bárbara T Cavalheiro, Getúlio R de Oliveira Filho
BACKGROUND: Prostate cancer and benign prostatic hyperplasia have an increased incidence with aging. The most effective treatments are radical prostatectomy and transurethral resection of the prostate. To reduce perioperative bleeding in these surgeries, an approach is the use of tranexamic acid (TXA). Studies show that TXA is effective in reducing the blood loss and the need for transfusion in cardiac, orthopedic, and gynecological surgeries. In prostate surgeries, its efficacy and safety have not been established yet...
May 1, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29727760/continuous-erector-spinae-plane-block-at-the-lower-lumbar-level-in-a-lower-extremity-complex-regional-pain-syndrome-patient
#17
LETTER
Kyudon Chung, Eung Don Kim
No abstract text is available yet for this article.
May 1, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29727759/advanced-techniques-in-extubation-bailey-maneuver-tube-exchange-catheter-and-staged-extubation-set
#18
LETTER
Kemal T Saracoglu, Mehmet Yilmaz, Ipek Yakin Duzyol, Ayse Z Turan, Kezban A Okuyucu, Emine Yurt
No abstract text is available yet for this article.
May 1, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29727758/deliberate-practice-using-validated-metrics-improves-skill-acquisition-in-performance-of-ultrasound-guided-peripheral-nerve-block-in-a-simulated-setting
#19
Osman M A Ahmed, Imran Azher, Anthony G Gallagher, Dara S Breslin, Brian D O'Donnell, George D Shorten
STUDY OBJECTIVES: The aim of this study was to compare the effects of deliberate vs. self-guided practices (both using validated metrics) on the acquisition of needling skills by novice learners. DESIGN: Randomized Controlled Study. SETTING: Simulation lab, Department of Anesthesia, St.Vincent's Hospital, Dublin. SUBJECTS: Eighteen medical students. INTERVENTIONS: Students were assigned to either (i) deliberate practice (n = 10) or (ii) self-guided practice (n = 8) groups...
May 1, 2018: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/29727757/ultrasound-and-nerve-stimulator-guidance-decreases-the-use-of-local-anesthetic-for-1st-injection-in-pectoral-nerve-blocks
#20
LETTER
Hironobu Ueshima, Otake Hiroshi
No abstract text is available yet for this article.
May 1, 2018: Journal of Clinical Anesthesia
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