keyword
https://read.qxmd.com/read/38416798/high-sensitivity-cardiac-troponin-t-and-frailty-predict-short-term-mortality-in-patients-%C3%A2-75-years-undergoing-emergency-abdominal-surgery-a-prospective-observational-study
#21
JOURNAL ARTICLE
Elin Kismul Aakre, Kristin Moberg Aakre, Hans Flaatten, Karl Ove Hufthammer, Anette Hylen Ranhoff, Ib Jammer
BACKGROUND: An elevated cardiac troponin concentration is a prognostic factor for perioperative cardiac morbidity and mortality. In elderly patients undergoing emergency abdominal surgery, frailty is a recognized risk factor, but little is known about the prognostic value of cardiac troponin in these vulnerable patients. Therefore, we investigated the prognostic significance of elevated high-sensitivity cardiac troponin T (hs-cTnT) concentration and frailty in a cohort of elderly patients undergoing emergency abdominal surgery...
February 26, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38414663/factors-associated-with-residual-pivot-shift-after-acl-reconstruction-a-quantitative-evaluation-of-the-pivot-shift-test-preoperatively-and-at-minimum-12-month-follow-up
#22
JOURNAL ARTICLE
Yusuke Kawanishi, Makoto Kobayashi, Sanshiro Yasuma, Hiroaki Fukushima, Jiro Kato, Atsunori Murase, Tetsuya Takenaga, Masahito Yoshida, Gen Kuroyanagi, Yohei Kawaguchi, Hideki Murakami, Masahiro Nozaki
BACKGROUND: Postoperative residual rotatory laxity remains despite improvement in surgical techniques for anterior cruciate ligament (ACL) reconstruction (ACLR). PURPOSE: To evaluate factors associated with residual pivot shift after ACLR by quantitative measurement of the pivot shift before and after surgery. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: A total of 97 patients who underwent primary double-bundle ACLR between June 2016 and March 2021 and underwent surgery to remove staples, with at least 12 months of follow-up evaluation, were enrolled...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38414171/effects-of-pulsatile-and-non-pulsatile-cardiopulmonary-bypass-techniques-in-coronary-artery-bypass-grafting-surgeries-on-cerebral-perfusion
#23
JOURNAL ARTICLE
İpek Bostancı, Beyhan Güner, Evrim Kucur Tülübaş, Güray Demir, Zafer Çukurova
OBJECTIVE: We aimed to evaluate the effects of cardiopulmonary bypass (CPB) machines used in coronary artery bypass grafting surgeries on cerebral perfusion by performing cerebral oximetry monitoring [near-infrared spectroscopy (NIRS)], S100-β protein measurements, and neurocognitive function assessment tests using both pulsatile and non-pulsatile modes. METHODS: A total of 44 patients, 22 non-pulsatile (Group NP) and 22 pulsatile (Group P), were included in the study...
February 28, 2024: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/38410295/successful-opioid-minimization-following-kidney-transplant-a-quality-improvement-initiative
#24
JOURNAL ARTICLE
Sarah Bova, Ron E Samet, Jacob Deering, Susanne Gaines, Abby Weinrub, Chandra Bhati, Silke Niederhaus
Opioid use after kidney transplant has been associated with an increased risk of death and graft loss. Several transplant centers have reported reductions in opioid use using multimodal analgesia and education. This study evaluated the impact of an opioid minimization protocol on inpatient opioid use and opioid prescribing on discharge. This was a single-center, retrospective study of adult kidney recipients transplanted from October 2021 to July 2022. Patients on chronic opioids prior to transplant were excluded...
January 2024: Curēus
https://read.qxmd.com/read/38407589/fluids-and-body-composition-during-anesthesia-in-children-and-adolescents-a-pilot-study
#25
JOURNAL ARTICLE
Céline Betti, Ilaria Busi, Cinzia Cortesi, Luciano Anselmi, Mario Mendoza-Sagaon, Giacomo D Simonetti
The purpose of this study is to evaluate the intracellular and extracellular volume before and after anesthesia in order to ascertain their variations and determine the potential utility of this information in optimizing intraoperative fluid administration practices. A bioimpedance spectroscopy device (body composition monitor, BCM) was used to measure total body fluid volume, extracellular volume, and intracellular volume. BCM measurements were performed before and after general anesthesia in unselected healthy children and adolescents visiting the Pediatric Institute of Southern Switzerland for low-risk surgical procedures hydrated with an isotonic solution...
February 26, 2024: European Journal of Pediatrics
https://read.qxmd.com/read/38406148/efficacy-of-infraclavicular-brachial-plexus-block-alone-versus-combination-with-suprascapular-nerve-block-in-patients-undergoing-shoulder-surgeries-a-single-blind-randomized-trial
#26
JOURNAL ARTICLE
Parul Saxena, Manish K Singh, Manoj K Chaurasia, Sarita Singh
Background and aim The regional anesthesia technique is commonly used for upper extremity surgery as an alternative to general anesthesia. The study aimed to compare the efficacy of infraclavicular brachial plexus block (BPB) and a combination of infraclavicular brachial plexus block with suprascapular nerve block for postoperative analgesia in patients undergoing shoulder surgeries. Method A total of 62 patients of both sexes with the American Society of Anaesthesiologists (ASA) physical status I/II/III, aged between 18 and 65 years, and undergoing shoulder surgery, were included in this prospective, single-blinded, randomized controlled trial...
January 2024: Curēus
https://read.qxmd.com/read/38391722/awake-craniotomy-in-conscious-sedation-the-role-of-a2-agonists
#27
JOURNAL ARTICLE
Antonio Izzi, Giuseppe Mincolelli, Grazia D'Onofrio, Vincenzo Marchello, Aldo Manuali, Nadia Icolaro, Lucia Mirabella, Anna Riefolo, Barbara Mazzotta, Alessio Barile, Leonardo Pio Gorgoglione, Alfredo Del Gaudio
BACKGROUND: In Awake Craniotomy (AC), α2-agonists and remifentanil (clonidine and dexmedetomidine) are used in the preoperative phase and throughout the procedure to combine monitored anesthesia care and local anesthesia. The study aims were to specify the key role of α2-agonists administered and to evaluate complication presence/absence in anesthesiologic management. METHODS: 42 patients undergoing AC in 3 different centers in the south of Italy (Foggia, San Giovanni Rotondo, and Bari) were recruited...
January 30, 2024: Brain Sciences
https://read.qxmd.com/read/38388016/impact-of-psychosocial-factors-on-the-success-of-neuromodulation-treatment-for-patients-with-persistent-pain
#28
JOURNAL ARTICLE
Johnathan H Goree, Nalin Payakachat, Lauren Byers, G Lawson Smith, Jarna R Shah, Kimberly E Stephens
INTRODUCTION: Significant interindividual variability in spinal cord stimulation (SCS) outcomes exists. Due to its high cost and risks of complications, criteria to guide patient selection for SCS trials and their outcomes would be helpful. With increased focus on the use of patient-reported outcomes to improve care, we aim to evaluate the National Institute of Health Patient Reported Outcome Measurement Information System measures for an association with successful SCS trials in patients with persistent pain...
February 21, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38375113/effect-of-lite-touch-on-the-anxiety-of-low-risk-pregnant-women-in-the-latent-phase-of-childbirth-a-randomized-controlled-trial
#29
JOURNAL ARTICLE
Wenqian Yang, Yonghong Wang, Chingyuan Ko, Xiaoyu Niu, Yan Huang, Biru Luo, Guoyu Wang, Jingjing He, Huafeng Li
INTRODUCTION: Women with perinatal anxiety have reduced coping capacity during labor, which affects labor progress and increases the likelihood of a cesarean section. Several non-pharmacological interventions for anxiety during childbirth are available. This study used the "lite touch" method, a non-pharmacological intervention based on physiological responses and obstetric clinical experience in women. We aimed to evaluate whether lite touch could relieve perinatal anxiety and investigate the effect of light skin stroking on the maternal hormones, catecholamine, and cortisol...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38373480/the-effect-of-informative-video-before-the-procedure-on-anxiety-levels-in-patients-who-will-have-ureteral-stent-removal-under-local-anesthesia
#30
JOURNAL ARTICLE
O Can, M Bozkurt, E Danış, E Taha Keskin, E Kandemir, H Lutfi Canat
OBJECTIVE: Our objective was to assess the impact of video-animated information on the anxiety levels of patients undergoing ureteral stent removal under local anesthesia. METHOD: The study was designed as a randomized prospective trial. The one group received only verbal and written information before the surgery, while the other group received video-animated information in addition to the written and verbal instructions. The patients' anxiety levels were assessed using the STAI-S and STAI-T questionnaires, while their pain scores were evaluated using VAS scores...
February 17, 2024: Actas urologicas españolas
https://read.qxmd.com/read/38371374/consistency-analysis-of-consciousness-index-and-bispectral-index-in-monitoring-the-depth-of-sevoflurane-anesthesia-in-laparoscopic-surgery
#31
JOURNAL ARTICLE
Miao Huo, Qian Zhang, Xingxing Zheng, Hui Wang, Ning Bai, Ruifen Xu, Ziyu Zhao
BACKGROUND: The Index of Consciousness (IoC) is a new monitoring index of anesthesia depth reflecting the state of consciousness of the brain independently developed by China. The research on monitoring the depth of anesthesia mainly focuses on propofol, and bispectral index (BIS) is a sensitive and accurate objective index to evaluate the state of consciousness at home and abroad. This study mainly analyzed the effect of IoC on monitoring the depth of sevoflurane anesthesia and the consistency and accuracy with BIS when monitoring sevoflurane maintenance anesthesia...
2024: PeerJ
https://read.qxmd.com/read/38371009/ultrasound-guided-airway-evaluation-is-it-a-game-changer-for-predicting-difficult-endotracheal-intubation
#32
JOURNAL ARTICLE
Sri Vidhya, Bhanu P Swain, Anbesh Dash, Amlan Swain, Seelora Sahu
INTRODUCTION: Airway ultrasound has recently promised to be a valuable addition to preoperative airway assessment tools. This study was undertaken to determine the efficacy of ultrasound-guided measurement of soft tissue thickness (STT) at various levels of the anterior neck in predicting difficult airways in an eastern Indian population. OBJECTIVE:  The primary objective was to find out the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of anterior neck soft tissue thickness at the level of the hyoid (STT-Hyoid) and vocal cords (STT-VC), distance from the skin to the epiglottis midway (DSEM), and the ratio of the depth of the pre-epiglottic space (Pre-E) to the distance from the epiglottis to the mid-point of the vocal cords (E-VC)...
January 2024: Curēus
https://read.qxmd.com/read/38357687/validating-parallel-forms-tests-for-assessing-anesthesia-resident-knowledge
#33
JOURNAL ARTICLE
Allison J Lee, Stephanie R Goodman, Melissa E B Bauer, Rebecca D Minehart, Shawn Banks, Yi Chen, Ruth L Landau, Madhabi Chatterji
We created a serious game to teach first year anesthesiology (CA-1) residents to perform general anesthesia for cesarean delivery. We aimed to investigate resident knowledge gains after playing the game and having received one of 2 modalities of debriefing. We report on the development and validation of scores from parallel test forms for criterion-referenced interpretations of resident knowledge. The test forms were intended for use as pre- and posttests for the experiment. Validation of instruments measuring the study's primary outcome was considered essential for adding rigor to the planned experiment, to be able to trust the study's results...
2024: Journal of Medical Education and Curricular Development
https://read.qxmd.com/read/38355044/clinical-evaluation-of-the-biofire-respiratory-pathogen-panel-for-the-guidance-of-empirical-antimicrobial-therapy-in-critically-ill-patients-with-hospital-acquired-pneumonia-a-multicenter-quality-improvement-project
#34
JOURNAL ARTICLE
Cécile Poulain, Yoann Launey, Marwan Bouras, Karim Lakhal, Laura Dargelos, Lise Crémet, Sophie-Anne Gibaud, Stephane Corvec, Philippe Seguin, Bertrand Rozec, Karim Asehnoune, Fanny Feuillet, Antoine Roquilly
BACKGROUND: We aimed to determine whether implementing antimicrobial stewardship based on multiplex bacterial PCR examination of respiratory fluid can enhance outcomes of critically ill patients with hospital-acquired pneumonia (HAP). METHODS: We conducted a quality improvement study in two hospitals in France. Adult patients requiring invasive mechanical ventilation with a diagnosis of HAP were included. In the pre-intervention period (August 2019 to April 2020), antimicrobial therapy followed European guidelines...
February 12, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38352700/pre-adolescence-repeat-exposure-to-sub-anesthetic-doses-of-ketamine-induces-long-lasting-behaviors-and-cognition-impairment-in-male-and-female-rat-adults
#35
JOURNAL ARTICLE
Amir Barzegar Behrooz, Mahdieh Nasiri, Soheila Adeli, Maryam Jafarian, Seyed Khalil Pestehei, Javad Fahanik Babaei
In pre-adolescence, repeated anesthesia may be required for therapeutic interventions. Adult cognitive and neurobehavioral problems may result from preadolescent exposure to anesthetics. This study examined the long-term morphological and functional effects of repeated sub-anesthetic doses of ketamine exposure on male and female rat adults during pre-adolescence. Weaned 48 pre-adolescent rats from eight mothers and were randomly divided into four equal groups: control group and the ketamine group of males and females (20 mg/kg daily for 14 days); then animals received care for 20-30 days...
June 2024: IBRO neuroscience reports
https://read.qxmd.com/read/38344478/compliance-with-world-health-organization-who-world-federation-of-societies-of-anesthesiologists-wfas-standards-for-general-anesthesia-at-ibn-sina-university-hospital-center-morocco
#36
JOURNAL ARTICLE
Wafaa Harfaoui, Hicham Ziani, Zakaria Slaihi, Manal Arfaoui, Bouchra Armel, Hamza Elhamzaoui, Lahcen Belyamani, Mustapha Alilou, Majdouline Obtel
INTRODUCTION: Patient safety in anaesthesia has significantly improved over the past decades, largely due to pharmacological and technological advancements, as well as the widespread adoption of guidelines and standards recommended by international organisations. This study aimed to evaluate the practice of anaesthesia and its compliance with the international standards for safe anaesthesia practice recommended by the World Federation of Societies of Anaesthesiologists (WFSA) and the World Health Organization (WHO)...
January 2024: Curēus
https://read.qxmd.com/read/38343647/correlation-between-improvement-in-pain-after-ultrasound-guided-intra-articular-hip-injection-and-outcomes-after-arthroscopy-in-patients-with-femoroacetabular-impingement
#37
Ya-Juan Shuang, Yi Mao, Kang-Kang Yu, Chun-Bao Li, Ming-Bo Zhang
BACKGROUND: An accurate and objective criterion is needed to determine candidates who are suitable for hip arthroscopy in patients with femoroacetabular impingement (FAI). PURPOSE: To determine whether improvement in pain after ultrasound (US)-guided intra-articular hip injection during standardized examinations can be used to predict the outcomes of hip arthroscopy in patients with FAI. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: We enrolled 119 patients with FAI who underwent US-guided intra-articular hip injection of local anesthesia during standardized examinations, carried out from May 2018 to February 2020 (within 2 weeks before hip arthroscopy)...
February 2024: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/38331675/perioperative-analgesic-efficacy-of-lumbar-erector-spinae-plane-block-in-dogs-undergoing-hemilaminectomy-a-randomized-blinded-clinical-trial
#38
JOURNAL ARTICLE
Massimiliano Degani, Angela Briganti, Julien Dupont, Alexandru Tutunaru, Pierre P Picavet, Géraldine Bolen, Charlotte Sandersen
OBJECTIVE: To evaluate the perioperative analgesic effect of the unilateral lumbar erector spinae plane block (ESPBL ) in dogs undergoing hemilaminectomy. STUDY DESIGN: Randomized, blinded clinical study. ANIMALS: A total of 30 client-owned dogs undergoing thoracolumbar or lumbar hemilaminectomy for intervertebral disc extrusion (IVDE). METHODS: Dogs were randomly assigned to receive a unilateral ESPBL , performed either with 0...
2024: Veterinary Anaesthesia and Analgesia
https://read.qxmd.com/read/38322162/complication-rate-after-percutaneous-liver-biopsy-using-a-real-time-ultrasound-approach-and-introducing-a-uniform-methodology-a-brief-report
#39
JOURNAL ARTICLE
Mohammad Reza Sasani, Alireza Rasekhi
Following the initial liver biopsy attempts, several techniques using a wide range of methodologies and materials were developed. Many studies on the evaluation of post-liver biopsy complications were conducted. However, their fundamental limitation was significant variance in patient demographics and methodology, which might account for the inconsistent outcomes. Therefore, a uniform methodology to perform percutaneous liver biopsies that result in comparable outcomes around the world is required. This study aimed to determine the precise complication rate following percutaneous liver biopsy using a consistent method in all individuals...
January 2024: Iranian Journal of Medical Sciences
https://read.qxmd.com/read/38320417/difficult-intubation-in-ent-patient-simultaneous-videolaryngoscopy-with-flexible-bronchoscopy-a-combined-approach-case-report
#40
Gaetano Ottoveggio, Barbara Verro, Maria Lapi, Francesco Tarantino, Giovanna Beccia, Carmelo Saraniti
INTRODUCTION: Difficult intubation is the situation when a skilled anesthetist has difficulties to manage airway using face mask, laryngoscopy, supraglottic device, tracheal intubation, surgery. Videolaryngoscope and flexible fibroscope (FFS) represent valid alternatives for difficult airway management, with some limitations. However, literature lacks of studies about the efficacy of the combined use of videolaryngoscope and FFS. CASE REPORT: We report a case of a man, with glottic lesion, who needs surgery under general anesthesia...
February 4, 2024: International Journal of Surgery Case Reports
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