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Anesthesiology Research and Practice

Cattleya Thongrong, Pattramon Thaisiam, Pornthep Kasemsiri
Background: Nasotracheal intubation is a blind procedure that may lead to complications; therefore, several tests were introduced to assess a suitable nostril for nasotracheal intubation. However, the value of simple tests in clinical practice was insufficient to evaluate. Method: A diagnostic prospective study was conducted in 42 patients, ASA classes I-III, undergoing surgery requiring nasotracheal intubation for general anesthesia. Two simple methods for assessing the patency of nostrils were investigated...
2018: Anesthesiology Research and Practice
E Pushpanathan, T Setty, B Carvalho, P Sultan
Introduction: Regional anesthesia is a rapidly growing subspecialty. There are few published meta-analyses exploring pain outcome measures utilised in regional anesthesia randomized controlled trials (RCTs), which may be due to heterogeneity in outcomes assessed. This systematic review explores postoperative pain outcomes utilised in regional anesthesia RCTs. Methods: A literature search was performed using three databases (Medline, Embase, and CINAHL). Regional anesthesia RCTs with postoperative pain as a primary outcome were included if written in English and published in one of the top 20 impact factor journals between 2005 and 2017...
2018: Anesthesiology Research and Practice
Vorasruang Thongsukh, Chanida Kositratana, Aree Jandonpai
Introduction: In patients who require a massive intraoperative transfusion, cold fluid or blood transfusion can cause hypothermia and potential adverse effects. One method by which to prevent hypothermia in these patients is to warm the intravenous fluid before infusion. The aim of this study was to determine the effect of the fluid flow rate on the efficacy of a fluid warmer. Methods: The room air temperature was controlled at 24°C. Normal saline at room temperature was used for the experiment...
2018: Anesthesiology Research and Practice
Aikaterini Charana, Gregory Tripsianis, Vasiliki Matziou, Georgios Vaos, Christos Iatrou, Pelagia Chloropoulou
Background: A surgical operation in pediatric patients is a rather stressful experience for both children and their parents. The aim of this study was to assess the effect of specific demographic characteristics in parent's and children's preoperative anxiety. Methods: The sample was composed of 128 Greek-speaking children (1-14 years of age) who had to undergo minor surgery in a University General Hospital. Before surgical operation, the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire and a questionnaire for the social-demographic characteristics were completed by the parents...
2018: Anesthesiology Research and Practice
Giorgio Capogna, Alessandra Coccoluto, Emanuele Capogna, Angelica Del Vecchio
Background: In this study, we describe a custom-made new epidural simulator, created by modifying the inner structure of a commercially available one, in the attempt to make it adequately realistic. To validate and evaluate the realism of our device, we used the Computerized Epidural Instrument CompuFlo. Method: The Compuflo CompuFlo curves obtained from 64 experiments on the epidural simulator were compared to 64 curves obtained from a previous human study, from consecutive laboring parturients requesting epidural analgesia...
2018: Anesthesiology Research and Practice
Rachel A O'Farrell, Andrew G Foley, Donal J Buggy, Helen C Gallagher
There is concern that clinical use of anesthetic drugs may cause neurotoxicity in the developing brain and subsequent abnormal neurobehavior. We therefore evaluated neurotoxic effects of inhalation anesthetics in the neonatal rat brain, using in vivo histological and neurobehavioral outcomes. Wistar rats ( n =79, postnatal day 15) were subjected to a clinically relevant single exposure of urethane, isoflurane, sevoflurane, or placebo, without surgery. At 48 h and 96 h, behavioral parameters were recorded and the animals were sacrificed...
2018: Anesthesiology Research and Practice
Onur Balaban, Turan Cihan Dülgeroğlu, Tayfun Aydın
Objective: We aim to report our experiences regarding the implementation of the ultrasound-guided combined interscalene-cervical plexus block (CISCB) technique as a sole anesthesia method in clavicular fracture repair surgery. Materials and Methods: Charts of patients, who underwent clavicular fracture surgery through this technique, were reviewed retrospectively. We used an in-plane ultrasound-guided single-insertion, double-injection combined interscalene-cervical plexus block technique...
2018: Anesthesiology Research and Practice
Elena Theodorou, Evagelia Bali
No abstract text is available yet for this article.
2018: Anesthesiology Research and Practice
Sangeeta Kumaraswami, Suryanarayana Pothula, Mario Anthony Inchiosa, Keshar Paul Kubal, Micah Alexander Burns
Introduction: Neuraxial labor analgesia has become an integral part of modern obstetric anesthetic practice. Presence of a familiar person during its placement may be beneficial to the patient. A survey was sent to anesthesiologists practicing obstetric anesthesia in the USA to determine their views. Methods: The survey queried the following: existence of a written policy; would they allow a visitor; visitor's view, sitting or standing; reasons to allow or not allow a visitor; and influence by other staff on the decision...
2018: Anesthesiology Research and Practice
Demeke Yilkal Fentie, Henos Enyew Ashagrie, Habtamu Getinet Kasahun
Background: Job satisfaction is an important determinant of health staff's motivation, retention, and performance. Difficulties in critical decision-making and problems with lack of respect and recognition lead to lower job satisfaction level among anesthetists. It leads to high turnover intention, dropout from the profession, burnout, impaired health status of anesthetists, and lower work performance. Objective: The aim of this multicenter cross-sectional study was to assess the level of job satisfaction and associated factors among anesthetists working in Amhara National Regional State...
2018: Anesthesiology Research and Practice
Vidya K Rao, Ashish K Khanna
Postoperative respiratory impairment occurs as a result of a combination of patient, surgical, and management factors and contributes to both surgical and anesthetic risk. This complication is challenging to predict and has been associated with an increase in mortality and hospital length of stay. There is mounting evidence to suggest that patients remain vulnerable to respiratory impairment well into the postoperative period, with the vast majority of adverse events occurring during the first 24 hours following discharge from anesthesia care...
2018: Anesthesiology Research and Practice
Thomas Hesse, Andreas Julich, James Paul, Klaus Hahnenkamp, Taras I Usichenko
Objectives: Recent advances in the treatment of postoperative pain (POP) have increased the quality of life in surgical patients. The aim of this study was to examine the quality of POP management in patients after CS in comparison with patients after comparable surgical procedures. Methods: This was a prospective observational analysis in patients after CS in comparison with the patients of the same age, who underwent comparable abdominal gynaecological surgeries (GS group) at the university hospital...
2018: Anesthesiology Research and Practice
Ashwin Sankar, Minou Behboudi, Faraj W Abdallah, Alan Macfarlane, Richard Brull
Background: Transient neurologic symptoms (TNSs) can be distressing for patients and providers following uneventful spinal anesthesia. Spinal mepivacaine may be less commonly associated with TNS than lidocaine; however, reported rates of TNS with intrathecal mepivacaine vary considerably. Materials and Methods: We conducted a retrospective cohort study reviewing the internal medical records of surgical patients who underwent mepivacaine spinal anesthesia at Toronto Western Hospital over the last decade to determine the rate of TNS...
2018: Anesthesiology Research and Practice
Fulya Yilmaz, Hazal Ezgi Çifci
Introduction: For centuries before the advent of modern medicine, traditional medicinal plants were the major agents for primary health care. Their use declined in most developed western countries during the last century's industrialization and urbanization. But, the last two decades have witnessed a new resurgence of interest in herbal and alternative medicines. Methods: The survey was conducted at the Anaesthesiology and Reanimation Department of Training and Research Hospital of Health and Science University among patients who had undergone elective surgery between January 1st 2016 and April 1st 2016...
2018: Anesthesiology Research and Practice
Macario Camacho, Justin M Wei, Lauren K Reckley, Sungjin A Song
Objectives: During anesthesia emergence, patients are extubated and the upper airway can become vulnerable to obstruction. Nasal trumpets can help prevent obstruction. However, we have found no manuscript describing how to place nasal trumpets after nasal surgery (septoplasties or septorhinoplasties), likely because (1) the lack of space with nasal splints in place and (2) surgeons may fear that removing the trumpets could displace the splints. The objective of this manuscript is to describe how to place nasal trumpets even with nasal splints in place...
2018: Anesthesiology Research and Practice
Ahmed Said Elgebaly
Aim: The aim of the study was to assess the nitroglycerin patch as a new additive to Bier's block and its impact on the effects and dose of lidocaine. Methods: Forty patients of each sex belonging to ASA I or II underwent elective tendon repair surgeries of the forearm and hand. The patients were divided into two equal groups as follows: Group C received only lidocaine (1.5 mg/kg, 0.25%) and Group N received lidocaine (1.5 mg/kg, 0.25%) + 5 mg transcutaneous nitroglycerin patch...
2018: Anesthesiology Research and Practice
Antonella Cotoia, Floriana Dibello, Fiorenzo Moscatelli, Alberto Sciusco, Pietro Polito, Alberto Modolo, Crescenzio Gallo, Giuseppe Cibelli, Gilda Cinnella
Background: The aim of this study was to investigate the effects of listening to Tibetan music on anxiety and endocrine, autonomic, cognitive responses in patients waiting for urologic surgery. Methods: Sixty patients waiting for surgery were enrolled to the study. They were randomized in music (M) and control (C) groups. The M group listened to a low-frequency Tibetan music for 30 min (T0 -T30 ) through headphones, and the C group wore headphones with no sound...
2018: Anesthesiology Research and Practice
Sivesh K Kamarajah, Behrad Barmayehvar, Mustafa Sowida, Amirul Adlan, Christina Reihill, Parvez Ellahee
Background: Preoperative risk stratification and optimising care of patients undergoing elective surgery are important to reduce the risk of postoperative outcomes. Renal dysfunction is becoming increasingly prevalent, but its impact on patients undergoing elective gastrointestinal surgery is unknown although much evidence is available for cardiac surgery. This study aimed to investigate the impact of preoperative estimated glomerular filtration rate (eGFR) and postoperative outcomes in patients undergoing elective gastrointestinal surgeries...
2018: Anesthesiology Research and Practice
Zemedu Aweke, Wosenyeleh A Sahile, Sileshi Abiy, Nugusu Ayalew, Adugna A Kassa
Introduction: The pain after thyroid surgery is considered of moderate intensity and short duration. Most trials showed significant reduction in pain intensity and severity of pain in patients for whom bilateral superficial cervical plexus block (BSCPB) was done. Objective: To assess the postoperative analgesic effect of BSCPB for thyroid surgery. Methods: Sixty six euthyroid patients were recruited and assigned to two groups (33 patients each)...
2018: Anesthesiology Research and Practice
Seid Adem Ahemed, Zewditu Abdissa Denu, Habtamu Getinet Kassahun, Demeke Yilikal Fentie
Background: Caesarean delivery can be associated with considerable postoperative pain. While the benefits of transversus abdominis plane (TAP) and ilioinguinal-iliohypogastric (II-IH) nerve blocks on pain after caesarean delivery via Pfannenstiel incision have been demonstrated, no enough investigations on the comparison of these blocks on pain after caesarean delivery have been conducted in our setup. Method: An institutional-based prospective observational cohort study was conducted to compare the analgesic efficacy of those blocks...
2018: Anesthesiology Research and Practice
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