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BMC Anesthesiology

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https://www.readbyqxmd.com/read/30119647/correction-to-incidence-and-severity-of-postoperative-sore-throat-a-randomized-comparison-of-glidescope-with-macintosh-laryngoscope
#1
Mansoor Aqil, Mueen Ullah Khan, Saara Mansoor, Saad Mansoor, Rashid Saeed Khokhar, Abdul Sattar Narejo
We are thankful to Dr. Deepak Gupta (Clinical Assistant Professor Anesthesiology, Wayne State University/Detroit Medical Center) for bringing to our attention a typographical error in our manuscript [1].
August 17, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30119644/effects-of-perioperative-goal-directed-fluid-therapy-combined-with-the-application-of-alpha-1-adrenergic-agonists-on-postoperative-outcomes-a-systematic-review-and-meta-analysis
#2
Shuai Feng, Shuyi Yang, Wei Xiao, Xue Wang, Kun Yang, Tianlong Wang
BACKGROUND: Past studies have demonstrated that goal-directed fluid therapy (GDFT) may be more marginal than previously believed. However, beneficial effects of alpha-1 adrenergic agonists combined with appropriate fluid administration is getting more and more attention. This study aimed to systematically review the effects of goal-directed fluid therapy (GDFT) combined with the application of alpha-1 adrenergic agonists on postoperative outcomes following noncardiac surgery. METHODS: This meta-analysis included randomized controlled trials (RCTs) on GDFT combined with the application of alpha-1 adrenergic agonists in patients undergoing noncardiac surgery...
August 17, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30115031/effect-of-the-menstrual-cycle-on-circulation-during-combined-spinal-epidural-anaesthesia
#3
Hua Lin, Wen-Zhi Li
BACKGROUND: From adolescence to menopause, hormone levels during the menstrual cycle affect various body systems, from the cardiovascular system to the water and electrolyte balance. This study investigated the effect of different phases of the menstrual cycle on circulatory function relative to changes in body position and combined spinal-epidural anaesthesia (CSEA). METHODS: Forty-six women were selected who underwent scheduled gynaecological surgery, were classified as American Society of Anesthesiology (ASA) I-II, and met the test criteria...
August 17, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30115011/the-effect-of-patient-positions-on-perfusion-index
#4
Hakan Tapar, Serkan Karaman, Serkan Dogru, Tugba Karaman, Aynur Sahin, Gulsen Genc Tapar, Fatih Altiparmak, Mustafa Suren
BACKGROUND: The optimal position for surgery is one in which the patient is provided the best possible surgical intervention and put at minimum risk. Different surgical positions may cause changes in tissue perfusion. This study investigates the relationship between surgical patient positions and perfusion index. METHODS: A sample of 61 healthy individuals with no peripheral circulatory disorders, chronic diseases, or anemia was included in this study. Participants held six different positions: supine, prone, 45-degree sitting-supine, 45-degree supine with legs lifted, Trendelenburg (45-degrees head down), and reverse Trendelenburg (45-degrees head up)...
August 17, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30115007/early-postoperative-recovery-in-operating-room-after-desflurane-anesthesia-combined-with-bispectral-index-bis-monitoring-and-warming-in-lengthy-abdominal-surgery-a-randomized-controlled-study
#5
Hong Yu, Lu Zhang, Ye Ma, Hai Yu
BACKGROUND: This study aimed to determine whether the use of desflurane (DES) anesthesia combined with bispectral index (BIS) monitoring and warming is effective in reducing anesthesia-controlled operating room time (ACT) in patients undergoing lengthy abdominal surgery. METHODS: Seventy patients, 40 years of age or older, undergoing abdominal surgery expected to last three to five hours were randomly assigned to the DES group (n = 35) or the control group (n = 35)...
August 17, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30111299/palliative-care-in-intensive-care-units-why-where-what-who-when-how
#6
REVIEW
Sebastiano Mercadante, Cesare Gregoretti, Andrea Cortegiani
Palliative care is patient and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering when "curative" therapies are futile. In the Intensive Care Unit (ICU), critically ill patients receive life-sustaining therapies with the goal of restoring or maintaining organ function. Palliative Care in the ICU is a widely discussed topic and it is increasingly applied in clinics. It encompasses symptoms control and end-of-life management, communication with relatives and setting goals of care ensuring dignity in death and decision-making power...
August 16, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30111288/dental-injury-in-anaesthesia-a-tertiary-hospital-s-experience
#7
Yanni Tan, Nivan Loganathan, Kyu Kyu Thinn, Eugene Hern Choon Liu, Ne-Hooi Will Loh
BACKGROUND: Dental injury is a common perioperative complication, but there are no country specific data available, especially with the use of supraglottic airway devices (SAD). The aims of our study are to report the incidence, risk factors, and local practices in the management of perioperative dental injuries in Singapore. METHODS: We analyzed data from the departmental database from 2011 to 2014, noting the anticipated difficulty of airway instrumentation, intubation grade, pre-existing dental risk factors, location of dental trauma discovery, position of teeth injured and presence of dental referral...
August 16, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30111284/analgesic-effect-of-ropivacaine-combined-with-dexmedetomidine-on-brachial-plexus-block
#8
Zhenqing Liu, Menglu Jiang, Tongsheng Xu, Hao Hua
BACKGROUND: This randomized controlled study investigated the analgesic effect of ropivacaine in combination with dexmedetomidine versus ropivacaine alone on brachial plexus block to provide alternative anesthetic means for upper limb trauma surgery. METHODS: Totally 114 patients who received upper limb surgeries under brachial plexus block anesthesia in our hospital from February 2013 to July 2015 were enrolled. The patients were randomized to ropivacaine alone (the control group) or ropivacaine combined with dexmedetomidine (the combination group)...
August 16, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30111294/minimal-effective-weight-based-dosing-of-ondansetron-to-reduce-hypotension-in-cesarean-section-under-spinal-anesthesia-a-randomized-controlled-superiority-trial
#9
Maliwan Oofuvong, Thitikan Kunapaisal, Orarat Karnjanawanichkul, Nussara Dilokrattanaphijit, Jaranya Leeratiwong
BACKGROUND: The weight-based dosing of ondansetron to reduce hypotension has never been investigated. The aim of this study is to determine the optimal dose of ondansetron required based on the patient's weight to reduce hypotension following spinal anesthesia for cesarean section. METHODS: In this prospective, triple-blinded, parallel group, randomized controlled trial, a total of 228 pregnant women were randomized to receive either normal saline (group NS) or ondansetron 0...
August 15, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30103679/evaluation-of-the-effects-of-dexmedetomidine-infusion-on-oxygenation-and-lung-mechanics-in-morbidly-obese-patients-with-restrictive-lung-disease
#10
Ahmed Hasanin, Kareem Taha, Bassant Abdelhamid, Ayman Abougabal, Mohamed Elsayad, Amira Refaie, Sarah Amin, Shaimaa Wahba, Heba Omar, Mohamed Maher Kamel, Yaser Abdelwahab, Shereen M Amin
BACKGROUND: Dexmedetomidine infusion improves oxygenation and lung mechanics in patients with chronic obstructive lung disease; however, its effect in patients with restrictive lung disease has not been thoroughly investigated yet. The aim of this work was to evaluate the effects of dexmedetomidine infusion on oxygenation and lung mechanics in morbidly obese patients with restrictive lung disease. METHODS: Forty-two morbidly obese patients scheduled for bariatric surgery were included in the study...
August 14, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30086709/efficacy-of-different-doses-of-dexmedetomidine-as-a-rapid-bolus-for-children-a-double-blind-prospective-randomized-study
#11
Fang Chen, Chengyu Wang, Yi Lu, Mengmeng Huang, Zhijian Fu
BACKGROUND: Dexmedetomidine (DEX), a highly sensitive α2 -adrenoceptor agonist that possesses anxiolytic, sedative, and analgesic effects, has been documented as a preventative and treatment for emergence agitation (EA). The therapeutic should be given as a loading dose that is infused during a 10 min period, but if a rapid bolus injection is deemed to be hemodynamically appropriate, it would be a more opportune route of administration. So we studied the efficacy of different doses of DEX as a rapid bolus for children to prevent and treat EA...
August 7, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30064379/acute-heart-failure-after-orthotopic-liver-transplantation-a-case-series-from-one-center
#12
Sonal Sharma, Kunal Karamchandani, Ryan Wilson, Sean Baskin, Dmitri Bezinover
BACKGROUND: Patients undergoing liver transplantation (LT) can develop acute heart failure (HF) in the postoperative period despite having had a normal cardiac evaluation prior to surgery. End-stage liver disease is often associated with underlying cardiac dysfunction which, while not identified during preoperative testing, manifests itself during or immediately after surgery. CASE PRESENTATION: We describe three cases of non-ischemic acute HF developing shortly after LT in patients who had a normal preoperative cardiac evaluation...
July 31, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30064377/assessment-of-changes-of-regional-ventilation-distribution-in-the-lung-tissue-depending-on-the-driving-pressure-applied-during-high-frequency-jet-ventilation
#13
Szymon Bialka, Maja Copik, Katarzyna Rybczyk, Aleksander Owczarek, Ewa Jedrusik, Damian Czyzewski, Marek Filipowski, Eva Rivas, Kurt Ruetzler, Lukasz Szarpak, Hanna Misiolek
BACKGROUND: Electrical impedance tomography (EIT) is a tool to monitor regional ventilation distribution in patient's lungs under general anesthesia. The objective of this study was to assess the regional ventilation distribution using different driving pressures (DP) during high frequency jet ventilation (HFJV). METHODS: Prospective, observational, cross-over study. Patients undergoing rigid bronchoscopy were ventilated HFJV with DP 1.5 and 2.5 atm. Hemodynamic and ventilation parameters, as well as ventilation in different regions of the lungs in percentage of total ventilation, assessed by EIT, were recorded...
July 31, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30055572/k-y%C3%A2-jelly-inhibits-increase-in-endotracheal-tube-cuff-pressure-during-nitrous-oxide-exposure-in-vitro
#14
Yukihide Koyama, Hiroyuki Oshika, Hiroko Nishioka, Naoko Kamoshida, Sousuke Tanaka, Gaku Inagawa, Tomio Andoh
BACKGROUND: The increase in endotracheal tube cuff pressure due to nitrous oxide diffusion is a well-known risk during general anesthesia using nitrous oxide. We hypothesized that lubricating endotracheal tube cuffs with K-Y™ Jelly might inhibit the increase in cuff pressure that occurs during exposure to nitrous oxide. METHODS: We used two types of endotracheal tube cuffs: one made from ultrathin polyurethane (PU) and another made from conventional polyvinyl chloride (PVC)...
July 28, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30055566/heating-capabilities-of-small-fluid-warming-systems
#15
Norbert Zoremba, Christian Bruells, Rolf Rossaint, Thomas Breuer
BACKGROUND: Perioperative temperature management is fundamental to ensure normothermia in patients. Fluid warmers, which have become smaller in size over the past few years, can help to maintain a stable body temperature. Potentially, the reduction of the size may influence the heating performance. METHODS: Therefore, we tested the effectiveness of enFlow®, Fluido compact® and Thermosens® fluid warmers by measuring the inlet and outlet temperature for room-tempered and ice-cooled saline at flow rates of 25, 50, 75 and 100 ml/min...
July 28, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30055562/cost-effectiveness-of-anesthesia-maintained-with-sevoflurane-or-propofol-with-and-without-additional-monitoring-a-prospective-randomized-controlled-trial
#16
Timea Bocskai, Csaba Loibl, Zoltan Vamos, Gabor Woth, Tihamer Molnar, Lajos Bogar, Laszlo Lujber
BACKGROUND: We compared cost-effectiveness of anesthesia maintained with sevoflurane or propofol with and without additional monitoring, in the clinical setting of ear-nose-throat surgery. METHODS: One hundred twenty adult patients were randomized to four groups. In groups SEVO and SEVO+ anesthesia was maintained with sevoflurane, in group SEVO+ with additional bispectral index (BIS) and train-of-four (TOF) monitoring. In groups PROP and PROP+ anesthesia was maintained with propofol, in group PROP+ with additional BIS and TOF monitoring...
July 28, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30053804/anesthetic-drugs-modulate-feeding-behavior-and-hypothalamic-expression-of-the-pomc-polypeptide-precursor-and-the-npy-neuropeptide
#17
E Besnier, T Clavier, M C Tonon, G Pelletier, B Dureuil, H Castel, V Compère
BACKGROUND: Several hypnotic drugs have been previously identified as modulators of food intake, but exact mechanisms remain unknown. Feeding behavior implicates several neuronal populations in the hypothalamic arcuate nucleus including orexigenic neuropeptide Y and anorexigenic pro-opiomelanocortin producing neurons. The aim of this study was to investigate in mice the impact of different hypnotic drugs on food consumption and neuropeptide Y or pro-opiomelanocortine mRNA expression level in the hypothalamic arcuate nucleus...
July 27, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30053799/nefopam-downregulates-autophagy-and-c-jun-n-terminal-kinase-activity-in-the-regulation-of-neuropathic-pain-development-following-spinal-nerve-ligation
#18
Seon-Hee Oh, Myung Ha Yoon, Kyung Joon Lim, Byung Sik Yu, In Gook Jee, Ki Tae Jung
BACKGROUND: Neurodegeneration is associated with changes in basal cellular function due to the dysregulation of autophagy. A recent study introduced the involvement of autophagy during spinal nerve ligation (SNL). Nefopam has shown potential for reducing neuropathic pain, but the underlying mechanisms are unknown. Here, we investigated the effects of nefopam on neuropathic pain development following SNL, focusing on the involvement of autophagy. METHODS: The functional role of nefopam in capsaicin-induced autophagy was assessed by human glioblastoma M059 K cells...
July 27, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30049265/gender-differences-in-career-development-awards-in-united-states-anesthesiology-and-surgery-departments-2006-2016
#19
Lena M Mayes, Cynthia A Wong, Shanta Zimmer, Ana Fernandez-Bustamante, Karsten Bartels
BACKGROUND: Although the status of women in anesthesiology has advanced by many measures, obtaining career development funding remains challenging. Here, we sought to compare the characteristics of funded career development awards from the National Institutes of Health (NIH) between the specialties of anesthesiology and surgery. We hypothesized that the two groups differ in percentage of faculty with awards, gender distribution among principal investigators, as well as the number of awards promoting diversity...
July 27, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/30045695/elevated-preoperative-heart-rate-associated-with-increased-risk-of-cardiopulmonary-complications-after-resection-for-lung-cancer
#20
Danxia Fu, Chaoshuang Wu, Xiaoyu Li, Junping Chen
BACKGROUND: The study aimed to assess whether preoperative resting heart rate could be a risk factor for cardiopulmonary complications (CPCs) after lung cancer resection. METHODS: Eligible consecutive patients who underwent resection surgery for non-small cell lung cancer (NSCLC) at Ningbo NO.2 Hospital between May, 2010 and July, 2015 were included. The demographic, clinical characteristics and laboratory parameters were compared in patients with or without CPCs within postoperative 30 days...
July 25, 2018: BMC Anesthesiology
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