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Anesthesia cardiac surgery

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https://www.readbyqxmd.com/read/30105159/clinical-factors-associated-with-guillain-barr%C3%A3-syndrome-following-surgery
#1
Sara Hocker, Elanagan Nagarajan, Mark Rubin, Eelco F M Wijdicks
Background: We sought to identify clinical associations and potential triggers of Guillain-Barré syndrome (GBS) within 6 weeks of surgery. Methods: We retrospectively reviewed consecutive patients diagnosed with GBS within 6 weeks of a surgery between January 1995 and June 2014 at Mayo Clinic. Postsurgical GBS was defined as symptom onset within 6 weeks of surgery. Patients with postsurgical GBS were compared with patients who did not have a surgery prior to GBS onset to determine differences between groups...
June 2018: Neurology. Clinical Practice
https://www.readbyqxmd.com/read/30104852/vasovagal-mediated-cardiac-arrest-during-epidural-catheter-insertion-in-a-patient-with-previous-uneventful-surgeries-under-regional-anesthesia
#2
Jeetinder Kaur Makkar, Divya Jain, Kajal Jain, Ashish Pareek
No abstract text is available yet for this article.
April 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/30084773/monitoring-left-atrial-pressure-with-a-useful-epidural-catheter
#3
Ahmet Arnaz, Dilek Altun
BACKGROUND: Left atrial pressure (LAP) monitoring provides a valuable option for management of hemodynamic status in pediatric congenital heart surgery during the postoperative period. METHODS: We used a Perifix Soft Tip 701 filter set catheter (B. Braun Melsungen AG 34209 Melsungen, Germany), which is commonly used for continuous epidural anesthesia. The catheter was placed into the left atrium to provide LAP monitoring. The study included 33 children, who needed LAP monitoring during and post-surgery between January 2016 and September 2017...
June 14, 2018: Heart Surgery Forum
https://www.readbyqxmd.com/read/30077561/evaluation-of-the-fourth-generation-flotrac-vigileo-system-in-comparison-with-the-intermittent-bolus-thermodilution-method-in-patients-undergoing-cardiac-surgery
#4
Yusuke Kusaka, Fumihiro Ohchi, Toshiaki Minami
OBJECTIVES: The aim of this study was to evaluate the accuracy, precision, and trending ability of the fourth-generation FloTrac/Vigileo system (version 4.00; Edwards Lifesciences, Irvine, CA) by comparing cardiac output derived from FloTrac/Vigileo system (COAP ) with that measured by a pulmonary artery catheter (COTD ), and to determine the effects of hemodynamic variables on the bias between COTD and COAP . DESIGN: A prospective study. SETTING: University hospital...
June 28, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30075898/effect-of-dexmedetomidine-infusion-on-sublingual-microcirculation-in-patients-undergoing-on-pump-coronary-artery-bypass-graft-surgery-a-prospective-randomized-trial
#5
Hassan Mohamed, Hisham Hosny, Pierre Tawadros Md, Mohamed Elayashy Md Desa Fcai, Hossam El-Ashmawi Md
OBJECTIVES: Cardiac surgery is characterized by attenuation of microcirculatory perfusion. Dexmedetomidine has been proved to attenuate the microcirculatory derangements evoked by experimental sepsis. The authors investigated the effects of dexmedetomidine infusion on sublingual microcirculation in patients undergoing on-pump coronary artery bypass graft (CABG) surgery. DESIGN: Prospective, randomized blinded study. SETTINGS: Tertiary university hospital...
June 28, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30074124/outcome-impact-of-hemodynamic-and-depth-of-anesthesia-monitoring-during-major-cancer-surgery-a-before-after-study
#6
Mariana F Lima, Luiz Antonio Mondadori, Aline Y Chibana, Daniel B Gilio, Eduardo Henrique Giroud Joaquim, Frederic Michard
Hemodynamic and depth of anesthesia (DOA) monitoring are used in many high-risk surgical patients without well-defined indications and objectives. We implemented monitoring guidelines to rationalize hemodynamic and anesthesia management during major cancer surgery. In early 2014, we developed guidelines with specific targets (Mean arterial pressure > 65 mmHg, stroke volume variation < 12%, cardiac index > 2.5 l min-1  m-2 , central venous oxygen saturation > 70%, 40 < bispectral index < 60) for open abdominal cancer surgeries > 2 h...
August 3, 2018: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/30072269/history-and-current-status-of-cardiac-anesthesiology-in-russia
#7
REVIEW
Vladimir V Lomivorotov, Sergey M Efremov, Mikhail Y Kirov, Dmitri V Guvakov, Igor A Kozlov, Vladimir N Lomivorotov, Alexander M Karaskov
Anesthesiology, the branch of medicine concerning anesthesia and management of the vital functions of patients undergoing surgery, has played an important role in the development of cardiac surgery. In the middle of the last century, medical professionals had little experience in the treatment of congenital and acquired heart diseases. Progress of cardiac anesthesiology in Russia, as well as in countries across the globe, was due to requests to increase the safety of surgical procedures and to improve survival rates for the increasing number of patients with complex heart diseases...
June 28, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30072265/extracorporeal-membrane-oxygenation-is-a-team-sport-institutional-survival-benefits-of-a-formalized-ecmo-team
#8
Adam A Dalia, Jamel Ortoleva, Amy Fiedler, Mauricio Villavicencio, Ken Shelton, Gaston D Cudemus
OBJECTIVES: At the authors' institution, prior to 2014, patients requiring care in the peri-extracorporeal membrane oxygenation (ECMO) period were treated by intensivists with specific training in ECMO but worked independently. This isolated form of care was addressed in late 2013 with the formal initiation of an ECMO team. The authors wanted to assess the difference in overall mortality for ECMO patients cared for prior to the initiation of a multidisciplinary team compared to after its establishment...
June 20, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30066581/perioperative-sedation-in-mechanically-ventilated-cardiac-surgery-patients-with-dexmedetomidine-based-versus-propofol-based-regimens
#9
Taylor Chuich, Christopher Lewis Cropsey, Yaping Shi, Daniel Johnson, Matthew S Shotwell, Christopher Patrick Henson
BACKGROUND: Sedative agents used during cardiac surgery can influence the patient's time to extubation, intensive care unit (ICU) and hospital length of stay, and incidence of delirium. OBJECTIVE: This study evaluates the effects of the intraoperative and postoperative use of dexmedetomidine versus propofol infusions. METHODS: This 19-month retrospective observational study at an academic medical center included 278 patients 18 years of age or older who underwent coronary artery bypass grafting (CABG), valve replacement surgery, or combined CABG plus valve surgery, who received either a dexmedetomidine or propofol infusion in addition to general anesthesia intraoperatively...
August 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/30064852/opioid-based-anesthesia-and-analgesia-for-adult-cardiac-surgery-history-and-narrative-review-of-the-literature
#10
REVIEW
Lloyd Edward Kwanten, Ben O'Brien, Sibtain Anwar
Opioids have played in a key role in cardiac anesthesia and analgesia since the early years of cardiac surgery. Today, opioids continue to be the primary mode for analgesia in cardiac surgery, yet there is considerable variability in the choice, dose and route of used. A history of the use of opioids in cardiothoracic anesthesia is presented, followed by an examination of the differences among current opioids in use and of outcome variables important in cardiac anesthesia, such as postoperative analgesia, extubation times, fast-track cardiac anesthesia, chronic neuropathic pain, and cardioprotection...
June 5, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30055991/bilateral-erector-spinae-plane-block-for-acute-post-surgical-pain-in-adult-cardiac-surgical-patients-a-randomized-controlled-trial
#11
Siva N Krishna, Sandeep Chauhan, Debesh Bhoi, Brajesh Kaushal, Suruchi Hasija, Tsering Sangdup, Akshay K Bisoi
OBJECTIVES: To examine the analgesic efficacy of bilateral erector spinae plane (ESP) block compared with conventional treatment for pain after cardiac surgery in adult patients. DESIGN: A prospective, randomized, controlled, single-blinded study. SETTING: Single-center tertiary teaching hospital. PARTICIPANTS: One hundred and six adult patients undergoing elective cardiac surgery with cardiopulmonary bypass. INTERVENTIONS: Patients were randomized into 2 groups...
June 4, 2018: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/30052231/efficacy-of-bilateral-pectoralis-nerve-block-for-ultrafast-tracking-and-postoperative-pain-management-in-cardiac-surgery
#12
Karthik Narendra Kumar, Ravikumar Nagashetty Kalyane, Naveen G Singh, P S Nagaraja, Madhu Krishna, Balaji Babu, R Varadaraju, N Sathish, N Manjunatha
Background: Good postoperative analgesia in cardiac surgical patients helps in early recovery and ambulation. An alternative to parenteral, paravertebral, and thoracic epidural analgesia can be pectoralis nerve (Pecs) block, which is novel, less invasive regional analgesic technique. Aims: We hypothesized that Pecs block would provide superior postoperative analgesia for patients undergoing cardiac surgery through midline sternotomy compared to parenteral analgesia...
July 2018: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/30050462/unanesthetized-rodents-demonstrate-insensitivity-of-qt-interval-and-ventricular-refractory-period-to-pacing-cycle-length
#13
Wesam Mulla, Roni Gillis, Michael Murninkas, Hadar Klapper-Goldstein, Hovav Gabay, Michal Mor, Sigal Elyagon, Noah Liel-Cohen, Olivier Bernus, Yoram Etzion
Aim: The cardiac electrophysiology of mice and rats has been analyzed extensively, often in the context of pathological manipulations. However, the effects of beating rate on the basic electrical properties of the rodent heart remain unclear. Due to technical challenges, reported electrophysiological studies in rodents are mainly from ex vivo preparations or under deep anesthesia, conditions that might be quite far from the normal physiological state. The aim of the current study was to characterize the ventricular rate-adaptation properties of unanesthetized rats and mice...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/30045259/effects-of-n-acetyl-cysteine-and-melatonin-on-early-reperfusion-injury-in-patients-undergoing-coronary-artery-bypass-grafting-a-randomized-open-labeled-placebo-controlled-trial
#14
RANDOMIZED CONTROLLED TRIAL
Ebrahim Shafiei, Mehrzad Bahtoei, Pema Raj, Afshin Ostovar, Daryoush Iranpour, Samad Akbarzadeh, Hooshang Shahryari, Abdorasoul Anvaripour, Rahim Tahmasebi, Thomas Netticadan, Ali Movahed
OBJECTIVES: This study assessed the efficacy of oral consumption of N-acetyl cysteine (NAC) and melatonin (ML) in reducing early reperfusion injury and acute oxidative stress in patients undergoing coronary artery bypass grafting (CABG) with respect to the measurements of cardiac troponin I, lactate, malondealdehyde (MDA), and tumor necrosis factor-α (TNF-α) levels in the blood. METHODS: This study was a randomized, open-label, placebo-controlled trial. Eighty eight patients, aged between 39 to 76 years and eligible for CABG, were recruited and randomly assigned into 3 intervention groups through a simple randomization method and underwent CABG surgery...
July 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30037430/pectoral-nerve-block-as-a-single-anesthetic-technique-for-breast-surgery-and-sentinel-lymph-node-investigation
#15
M Campos, J Azevedo, L Mendes, H Rebelo
Breast cancer surgery is usually performed under general anesthesia or, more recently, combined with conventional regional techniques. Pectoral nerves (PECs) block appears as an analgesic alternative in these procedures, but few studies refer to it as a single anesthetic technique1-3 . In this case report, we describe a 56-year-old female patient, BMI 31kg/m2 , ASA IV, admitted for elective tumorectomy of the left upper quadrant of the breast and sentinel node investigation. Given the multiple comorbidities and the high anesthetic and surgical risk, the anaesthetic plan consisted in ultrasound guided PECs II block as a single anesthetic technique...
July 20, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/30028784/cardiac-surgery-associated-kidney-injury-in-children-and-renal-oximetry
#16
Rachel Joffe, Mohammed Al Aklabi, Sudeshna Bhattacharya, Dominic Cave, Thomas Calleja, Daniel Garros, Nicholas Majesic, Lindsay Ryerson, Catherine Morgan
OBJECTIVES: Cardiac surgery-associated acute kidney injury is common in children and associates with negative outcomes. Novel interventions to reduce cardiac surgery-associated acute kidney injury require knowledge of its pathophysiology. States of altered perfusion, oxygen delivery, and energy consumption occur during cardiopulmonary bypass and could protect against or contribute to renal cellular injury and recovery. Near-infrared spectroscopy is noninvasive technology for monitoring regional blood flow and tissue oxygenation...
July 19, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/30027443/hypotension-after-induction-of-general-anesthesia-occurrence-risk-factors-and-therapy-a-prospective-multicentre-observational-study
#17
Ondrej Jor, Jan Maca, Jirina Koutna, Michaela Gemrotova, Tomas Vymazal, Martina Litschmannova, Pavel Sevcik, Petr Reimer, Vera Mikulova, Michaela Trlicova, Vladimir Cerny
BACKGROUND: Hypotension after induction of general anesthesia (GAIH) is common in anesthesiology practice and can impact outcomes. METHODS: In this prospective multicenter, cross-sectional, observational study, the hypotension was defined as a decrease in mean arterial pressure of > 30% compared to the first measurement in the operation theatre before general anesthesia (GA) induction. Blood pressure was measured immediately at the time of endotracheal intubation (TETI ), at five (T5 ) and 10 (T10 ) minutes after...
July 19, 2018: Journal of Anesthesia
https://www.readbyqxmd.com/read/30026938/the-nociception-level-index-nol-response-to-intubation-and-incision-in-patients-undergoing-video-assisted-thoracoscopic-surgery-vats-with-and-without-thoracic-epidural-analgesia-a-pilot-study
#18
Laurent Bollag, Srdjan Jelacic, Carlos Delgado Upegui, Cynthia Wu, Philippe Richebe
Background: The PMD100™ (Medasense Biometrics Ltd., Ramat Yishai, Israel) is a novel non-invasive nociception monitor that integrates physiological parameters to compute a real-time nociception level index (NOL) in the anesthetized patients. Thoracic epidural analgesia provides effective analgesia and improves surgical outcomes. Side effects include sympathectomy, hypotension, changes in skin temperature and a decreased cardiac accelerator fiber tone. The purpose of this pilot study was to evaluate changes in NOL values after incision in patients with and without epidural analgesia...
2018: F1000Research
https://www.readbyqxmd.com/read/30015059/general-laryngeal-mask-airway-anesthesia-with-lumbar-plexus-and-sciatic-block-provides-better-outcomes-than-general-anesthesia-and-endotracheal-intubation-in-elderly-patients-undergoing-hip-surgery
#19
Wei-Qiang Chen, Na Guo, Shan-Shan Wang, Ren Wang, Fei Huang, Shang-Rong Li
OBJECTIVE: To compare the perioperative outcomes and hemodynamic effects at induction of general laryngeal mask airway (LMA) anesthesia with lumbar plexus-sciatic nerve block (LPSB) and general anesthesia with endotracheal intubation (ET) in elderly patients undergoing hip surgery. METHODS: A total of 63 patients having open reduction internal fixation of an intertrochanteric fracture were randomly assigned to receive LMA anesthesia with LPSB or general anesthesia with ET...
September 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/30006655/factors-causing-prolonged-mechanical-ventilation-and-peri-operative-morbidity-after-robot-assisted-coronary-artery-bypass-graft-surgery
#20
Huan Hsu, Hui-Chin Lai, Tsun-Jui Liu
Robot-assisted coronary artery bypass graft [robot-assisted (coronary artery bypass grafting (CABG)] surgery is the latest treatment for coronary artery disease. However, the surgery extensively affects cardiac and pulmonary function, and the risk factors associated with peri-operative morbidity, including prolong mechanical ventilation (PMV), have not been fully examined. In this retrospective cohort study, a total of 382 patients who underwent robot-assisted internal mammary artery harvesting with mini-thoracotomy direct-vision bypass grafting surgery (MIDCABG) from 2005 to 2012 at our tertiary care hospital were included...
July 13, 2018: Heart and Vessels
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