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Big data anesthesia

Ming-Dong Zhao, Jian-Shu Huang, Xin-Chao Zhang, Ke-Ke Gui, Min Xiong, Wang-Ping Yin, Feng-Lai Yuan, Guo-Ping Cai
Many studies aimed at investigating bone repair have been conducted through animal models in recent years. However, limitations do exist in these models due to varying regeneration potential among different animal species. Even using the same animal, big differences exist in the size of critical size defects (CSD) involving the same region. This study aimed to investigate the standardization of radial bone defect models in rabbits and further establish more reliable CSD data. A total of 40 6-month-old New Zealand white rabbits of clean grade totaling 80 radial bones were prepared for bone defect models, according to the principle of randomization...
2016: PloS One
Rakhee Goyal
Almost all supraglottic airways (SGAs) are now available in pediatric sizes. The availability of these smaller sizes, especially in the last five years has brought a marked change in the whole approach to airway management in children. SGAs are now used for laparoscopic surgeries, head and neck surgeries, remote anesthesia; and for ventilation during resuscitation. A large number of reports have described the use of SGAs in difficult airway situations, either as a primary or a rescue airway. Despite this expanded usage, there remains little evidence to support its usage in prolonged surgeries and in the intensive care unit...
October 2015: Journal of Anaesthesiology, Clinical Pharmacology
Richard P Dutton
PURPOSE OF REVIEW: The purpose of this study is to review the current state of large database research in anaesthesiology and to describe the evolution of the National Anesthesia Clinical Outcomes Registry (NACOR) in the USA. RECENT FINDINGS: The Anesthesia Quality Institute of the American Society of Anesthesiologists was created to develop a national anaesthesia registry for the USA. NACOR and the companion Anesthesia Incident Reporting System are now 5 years old and in daily use by hundreds of US practices...
December 2015: Current Opinion in Anaesthesiology
Thomas R Vetter, David T Redden
No abstract text is available yet for this article.
September 2015: Anesthesia and Analgesia
Ewan C Goligher, Ghislaine Douflé, Eddy Fan
Novel approaches to the management of acute respiratory distress syndrome include strategies to enhance alveolar liquid clearance, promote epithelial cell growth and recovery after acute lung injury, and individualize ventilator care on the basis of physiological responses. The use of extracorporeal membrane oxygenation (ECMO) is growing rapidly, and centers providing ECMO must strive to meet stringent quality standards such as those set out by the ECMONet working group. Prognostic tools such as the RESP score can assist clinicians in predicting outcomes for patients with severe acute respiratory failure but do not predict whether ECMO will enhance survival...
June 15, 2015: American Journal of Respiratory and Critical Care Medicine
A F Simpao, L M Ahumada, M A Rehman
Advances in computer technology, patient monitoring systems, and electronic health record systems have enabled rapid accumulation of patient data in electronic form (i.e. big data). Organizations such as the Anesthesia Quality Institute and Multicenter Perioperative Outcomes Group have spearheaded large-scale efforts to collect anaesthesia big data for outcomes research and quality improvement. Analytics--the systematic use of data combined with quantitative and qualitative analysis to make decisions--can be applied to big data for quality and performance improvements, such as predictive risk assessment, clinical decision support, and resource management...
September 2015: British Journal of Anaesthesia
J Mark Ansermino
No abstract text is available yet for this article.
October 2014: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Ronald S Litman
No abstract text is available yet for this article.
December 2013: Anesthesiology
Davide Dealberti, Francesca Riboni, Stefano Prigione, Carla Pisani, Enrico Rovetta, Fabio Montella, Giancarlo Garuti
PURPOSE: We investigated the feasibility and acceptability of office hysteroscopic polypectomy using a new continuous-flow operative 16 Fr Gubbini's mini-resectoscope. This is a prospective clinical study (Canadian Task Force classification III). METHODS: The office hysteroscopic polypectomy was performed with a mini-resectoscope without analgesia or anesthesia. We evaluated the polyp size and the number, the effectiveness of resection, the operating time, the pelvic pain and complications...
August 2013: Archives of Gynecology and Obstetrics
Janko Ahlbrandt, Michael Henrich, Bernd A Hartmann, Bettina B Bundschuh, Julia Schwarz, Joachim Klasen, Rainer Röhrig
In Germany the core data set for anesthesia version 3.0 was recently introduced for external quality assurance, which includes five surgical tracer procedures. We found a low rate of correctly documented tracers when compared to procedure data (OPS-Codes) documented separately. Examination revealed that the graphical user interface (GUI) contravened the dialogue principles as defined in EN ISO 9241-110. We worked with the manufacturer to implement small improvements and roll out the software. A crossover study was conducted at a university hospital and a municipal hospital chain with five hospitals...
2012: Studies in Health Technology and Informatics
I D Conacher
Edgar Pask worked before, during and after World War II with the anaesthetist Robert Macintosh. Both were ranking officers and engaged in work with the Royal Air Force Physiological Laboratories at Farnborough, then in the charge of Dr Bryan Matthews. Pask submitted as a Doctorate Thesis a compilation of much of the experimental work in which he was the main subject, most of the data being acquired while he was unconscious. Experiments in which the Farnborough Team were engaged form a central core to the Thesis and relate to the development of life jackets...
February 2010: Journal of Medical Biography
E P Pélissier, O Monek, D Blum, Ph Ngo
INTRODUCTION: The Polysoft patch was conceived to associate the advantages of placement of the patch in the preperitoneal space (PPS) and easiness of the inguinal incision. The aim of this study was to evaluate prospectively the feasibility and postoperative outcome of this method. METHODS: Two hundred Polysoft repairs were performed in 191 consecutive patients with Nyhus types III and IV hernias. The anesthesia was spinal in 146 patients (76.4%), local in 36 (18...
June 2007: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Laura E Ellison, Thomas J O'Shea, Jeffrey Wimsatt, Roger D Pearce, Daniel J Neubaum, Melissa A Neubaum, Richard A Bowen
Blood was collected from wild big brown bats (Eptesicus fuscus) with and without anesthesia in Fort Collins, Colorado in 2004 to assess the impacts of these procedures on short-term survival and 1-yr return rates. Short-term survival and 1-yr return rates after release were passively monitored using PIT tag detection hoops placed at selected buildings. Comparison of 14-day maximum likelihood survival estimates from bats not bled (142 adult females, 62 volant juveniles), and bats sampled for blood with anesthesia (96 adult females, 23 volant juveniles) and without anesthesia (112 adult females, 22 volant juveniles) indicated no adverse effects of either treatment (juveniles: chi(2) = 53...
October 2006: Journal of Wildlife Diseases
Lei Wu, Banghua Liu, Weijia Kong, Chengzhang Yang, Guangping Wang, Qingsong Yu, Xin'gao Xiong, Lixin Zhu, Jianxin Yue
OBJECTIVE: The aim of this study was to discuss the diagnosis and treatment of special airway foreign body. METHOD: Clinical data of 69 patients with airway foreign body were analyzed,of which 45 patients underwent rigid bronchoscopy while another 24 patients underwent tracheotomy. RESULT: The operations succeeded in 43 of the 45 patients who underwent rigid bronchoscopy, while the other 2 patients died of respiratory failure because of the foreign body slipping off at the level of the glottis...
September 2006: Lin Chuang Er Bi Yan Hou Ke za Zhi, Journal of Clinical Otorhinolaryngology
Jeffrey Wimsatt, Thomas J O'Shea, Laura E Ellison, Roger D Pearce, Valerie R Price
We anesthetized and blood sampled wild big brown bats (Eptesicus fuscus) in Fort Collins, Colorado (USA) in 2001 and 2002 and assessed effects on survival. Inhalant anesthesia was delivered into a specially designed restraint and inhalation capsule that minimized handling and bite exposures. Bats were immobilized an average of 9.1+/-5.1 (SD) min (range 1-71, n=876); blood sample volumes averaged 58+/-12 microl (range 13-126, n=718). We randomly selected control (subject to multiple procedures before release) and treatment (control procedures plus inhalant anesthesia and 1% of body weight blood sampling) groups in 2002 to assess treatment effects on daily survival over a 14-day period for adult female and volant juvenile bats captured at maternity roosts in buildings...
January 2005: Journal of Wildlife Diseases
J-E Bazin, J-M Constantin, G Gindre
The use of experimental animals requires anaesthesia to provide immobility and analgesia. Animals require anaesthesia not only for ethical reasons but also because pain and stress can alter the quality of research results. Recognition of pain, and its treatment is important throughout the procedure. Before anaesthesia, animals are acclimated and rehydrated. Except in small rodents and in ruminants, in order to avoid vomiting, a fast of 8 to 12 hours before anaesthesia is recommended. In order to protect animals against suffering and distress during transfer, restraint and management, a premedication is administered...
August 2004: Annales Françaises D'anesthèsie et de Rèanimation
G Ivani, F Tonetti
Nowadays, postoperative pain control in infants and children is a big challenge. The only effective solution is a multidisciplinary work with accurate guidelines, starting from the preoperative period throughout the surgery and arriving at the postoperative period. The approach must be scientific, based on the recent studies and research. In recent years, there has been a renaissance in regional anesthesia in children, in part because of a greater concern about postoperative pain management in young patients, and in part because of technical advances in equipment to perform the blocks...
May 2004: Minerva Anestesiologica
Jean Dubousset
The second half of the XXo century and especially the last 30 years have been the source of a great improvement for surgical treatment of spinal pathology essentially in 3 directions:--First, for the patient himself and his comfort by suppression for most of the cases of any post operative external support thanks to the rigidity, security and strength of segmental fixation given by the hooks, screws and rods systems, as well for posterior as anterior instrumentation. In addition, these new techniques allow the patient to return quickly to standing and walking activity and subsequently the surgery for adult people increased dramatically especially for all kind of degenerative diseases and more and more extended spinal deformities...
2003: Bulletin de L'Académie Nationale de Médecine
F Serour, Y Ben-Yehuda, M Boaz
BACKGROUND: Needle penetration and local anesthetic infiltration are painful steps of digital ring block. The objective of this study was to evaluate the efficacy of EMLA cream application prior to digital ring block for surgery for ingrown big toenail. METHODS: We conducted a prospective, double-blinded, placebo-controlled, randomized clinical trial with 81 patients (range: 12-75 years, mean +/- SD: 30.3 +/- 17.5 years), who underwent big toenail surgery. Prior to the digital block, EMLA cream (Group E) or a placebo cream (Group P) was applied...
February 2002: Acta Anaesthesiologica Scandinavica
H Drobetz, B Freudenschuss, E Kutscha-Lissberg, W Buchinger, W Mauritz
INTRODUCTION: We performed this study in order to assess epidemiology and current practice of treatment of severe traumatic brain injury in Austria. Our survey followed the methods of a study published by J. Ghajar et al in the USA in 1995 and we compared the results to the Brain Trauma Foundation's "Guidelines For The Management Of Severe Head Injury". METHODS: The collected data represent answers to telephone interviews of 60 surgical intensive care units. We were able to evaluate data from all departments which treat severe brain traumas (Glasgow Coma Scale < or = 8) in Austria...
October 2000: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
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