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Anesthesia, pain and critical care

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https://www.readbyqxmd.com/read/27828796/perioperative-anesthesia-care-and-tumor-progression
#1
Mir W Sekandarzad, André A J van Zundert, Philipp B Lirk, Chris W Doornebal, Markus W Hollmann
This narrative review discusses the most recent up-to-date findings focused on the currently available "best clinical practice" regarding perioperative anesthesia care bundle factors and their effect on tumor progression. The main objective is to critically appraise the current literature on local anesthetics, regional outcome studies, opioids, and nonsteroidal anti-inflammatory drugs (NSAIDs) and their ability to decrease recurrence in patients undergoing cancer surgery. A brief discussion of additional topical perioperative factors relevant to the anesthesiologist including volatile and intravenous anesthetics, perioperative stress and anxiety, nutrition, and immune stimulation is included...
November 8, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27490604/sedation-and-analgesia-in-pediatric-cardiac-critical-care
#2
Viviane G Nasr, James A DiNardo
OBJECTIVES: This review will focus on the pharmacokinetics (with an emphasis on the context-sensitive half-time), pharmacodynamics, and hemodynamic characteristics of the most commonly used sedative/hypnotic, analgesic, and IV anesthetics used in cardiac intensive care. In addition, the assessment of pain and agitation and withdrawal will be reviewed. DATA SOURCE: MEDLINE, PubMed. CONCLUSIONS: Children in the cardiac ICU often require one or more components of general anesthesia: analgesia, amnesia (sedation and hypnosis), and muscle relaxation to facilitate mechanical ventilation, to manage postoperative pain, to perform necessary procedures, and to alleviate fear and anxiety...
August 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27171143/pain-and-laboratory-animals-publication-practices-for-better-data-reproducibility-and-better-animal-welfare
#3
Larry Carbone, Jamie Austin
Scientists who perform major survival surgery on laboratory animals face a dual welfare and methodological challenge: how to choose surgical anesthetics and post-operative analgesics that will best control animal suffering, knowing that both pain and the drugs that manage pain can all affect research outcomes. Scientists who publish full descriptions of animal procedures allow critical and systematic reviews of data, demonstrate their adherence to animal welfare norms, and guide other scientists on how to conduct their own studies in the field...
2016: PloS One
https://www.readbyqxmd.com/read/27110536/comparison-of-two-pain-assessment-tools-facial-expression-and-critical-care-pain-observation-tool-in-intubated-patients-after-cardiac-surgery
#4
Majid Kiavar, Rasoul Azarfarin, Ziae Totonchi, Fatemeh Tavakoli, Azin Alizadehasl, Mitra Teymouri
BACKGROUND: Critical-care patients are at higher risk of untreated pain, because they are often unable to communicate owing to altered mental status, tracheal intubation and sedation. OBJECTIVES: This study compared two pain assessment tools on tracheal intubated critically ill patients in a cardiac post-anesthesia care unit, who were unable to communicate verbally. The studied tools were "critical-care pain observation tool (CPOT)" and "facial expression (FE)"...
February 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27108818/a-comparative-study-between-propofol-and-etomidate-in-patients-under-general-anesthesia
#5
Supriya Aggarwal, Vipin Kumar Goyal, Shashi Kala Chaturvedi, Vijay Mathur, Birbal Baj, Alok Kumar
BACKGROUND AND OBJECTIVES: Induction of anesthesia is a critical part of anesthesia practice. Sudden hypotension, arrhythmias, and cardiovascular collapse are threatening complications following injection of induction agent in hemodynamically unstable patients. It is desirable to use a safe agent with fewer adverse effects for this purpose. Present prospective randomized study is designed to compare propofol and etomidate for their effect on hemodynamics and various adverse effects on patients in general anesthesia...
May 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26993408/-a-comparative-study-between-propofol-and-etomidate-in-patients-under-general-anesthesia
#6
Supriya Aggarwal, Vipin Kumar Goyal, Shashi Kala Chaturvedi, Vijay Mathur, Birbal Baj, Alok Kumar
BACKGROUND AND OBJECTIVES: Induction of anesthesia is a critical part of anesthesia practice. Sudden hypotension, arrhythmias, and cardiovascular collapse are threatening complications following injection of induction agent in hemodynamically unstable patients. It is desirable to use a safe agent with fewer adverse effects for this purpose. Present prospective randomized study is designed to compare propofol and etomidate for their effect on hemodynamics and various adverse effects on patients in general anesthesia...
May 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26992643/pediatric-transport-medicine-and-the-dawn-of-the-pediatric-anesthesiology-and-critical-care-medicine-subspecialty-an-interview-with-pioneer-dr-alvin-hackel
#7
Christine L Mai, Zulfiqar Ahmed, Aubrey Maze, Fatima Noorulla, Myron Yaster
Dr. Alvin 'Al' Hackel (1932-) Professor Emeritus of Anesthesiology, Perioperative and Pain Medicine, and Pediatrics at the Stanford University School of Medicine, has been an influential pioneer in shaping the scope and practice of pediatric anesthesia. His leadership helped to formally define the subspecialty of pediatric anesthesiology ('who is a pediatric anesthesiologist?') and the importance of specialization and regionalization of expertise in both patient transport and perioperative care. His enduring impact on pediatric anesthesia and critical care practice was recognized in 2006 by the American Academy of Pediatrics when it bestowed upon him the profession's highest lifetime achievement award, the Robert M...
May 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26855897/critical-care-of-obese-patients-during-and-after-spine-surgery
#8
REVIEW
Hossein Elgafy, Ryan Hamilton, Nicholas Peters, Daniel Paull, Ali Hassan
Obesity is one of the most prevalent health problems facing the United States today, with a recent JAMA article published in 2014 estimating the prevalence of one third of all adults in the United States being obese. Also, due to technological advancements, the incidence of spine surgeries is growing. Considering these overall increases in both obesity and the performance of spinal surgeries, it can be inferred that more spinal surgery candidates will be obese. Due to this, certain factors must be taken into consideration when dealing with spine surgeries in the obese...
February 4, 2016: World Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/26803698/outcome-of-noncardiac-surgery-in-children-with-congenital-heart-disease-performed-outside-a-cardiac-center
#9
Shermayne M Ng, Xi Jin, Robert Yates, Anthony W R Kelsall
OBJECTIVE: The objective of this study was to review the outcome of children with congenital heart disease (CHD) undergoing noncardiac surgery requiring general anesthesia (GA) in a tertiary pediatric center between January 2010 and December 2012. STUDY DESIGN: A retrospective case note review of children <16years of age with confirmed CHD undergoing a surgical or interventional procedure requiring GA was performed. Patients were categorized into three risk groups according to White and Peyton's anesthetic risk classification of children with CHD undergoing noncardiac surgery [Critical Care and Pain 2012;12:17-22]...
February 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26712962/anesthesiologist-the-silent-force-behind-the-scene
#10
REVIEW
Rajan Verma, Brij Mohan, Joginder Pal Attri, Veena Chatrath, Anju Bala, Manjit Singh
The Anesthesiologist provides continuous medical care before, during, and after operation to permit the surgeons to perform surgeries; sometimes quite challenging that could otherwise cause substantial threats to the patient's survival. Anesthesiologists, because of their combination of skills are uniquely qualified to care for dying patients suffering from end diseases like cancer. These skills include knowledge of analgesic and sedative pharmacology for the management of pain, awareness of perceptual alterations along with well-known skills in drug titration and experience with critically ill and highly anxious, often agitated patients under stressful circumstances...
September 2015: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26620064/critical-elements-for-the-pediatric-perioperative-anesthesia-environment
#11
David M Polaner, Constance S Houck
The American Academy of Pediatrics proposes guidance for the pediatric perioperative anesthesia environment. Essential components are identified to optimize the perioperative environment for the anesthetic care of infants and children. Such an environment promotes the safety and well-being of infants and children by reducing the risk of adverse events.
December 2015: Pediatrics
https://www.readbyqxmd.com/read/26470672/effectiveness-of-ketamine-gargle-in-reducing-postoperative-sore-throat-in-patients-undergoing-airway-instrumentation-a-systematic-review
#12
Jillian Mayhood, Kayla Cress
BACKGROUND: Postoperative sore throat is a common, minor adverse event, second to postoperative nausea and vomiting, occurring in individuals undergoing general anesthesia. Postoperative sore throat has the potential to not only diminish patient satisfaction, but also increase the need for adjunct pain therapy in the post anesthesia care unit. Many techniques are utilized to reduce postoperative sore throat; however no one intervention has proven to be completely effective. The use of ketamine gargle is a novel intervention but the effectiveness of administering it prior to induction of general anesthesia is still uncertain...
September 2015: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/26380654/fast-track-anesthesia-for-liver-transplantation-review-of-the-current-practice
#13
REVIEW
Stephen Aniskevich, Sher-Lu Pai
Historically, patients undergoing liver transplantation were left intubated and extubated in the intensive care unit (ICU) after a period of recovery. Proponents of this practice argued that these patients were critically ill and need time to be properly optimized from a physiological and pain standpoint prior to extubation. Recently, there has been a growing movement toward early extubation in transplant centers worldwide. Initially fueled by research into early extubation following cardiac surgery, extubation in the operating room or soon after arrival to the ICU, has been shown to be safe with proper patient selection...
September 18, 2015: World Journal of Hepatology
https://www.readbyqxmd.com/read/26305700/anesthesia-and-monitoring-in-small-laboratory-mammals-used-in-anesthesiology-respiratory-and-critical-care-research-a-systematic-review-on-the-current-reporting-in-top-10-impact-factor-ranked-journals
#14
REVIEW
Christopher Uhlig, Hannes Krause, Thea Koch, Marcelo Gama de Abreu, Peter Markus Spieth
RATIONALE: This study aimed to investigate the quality of reporting of anesthesia and euthanasia in experimental studies in small laboratory mammals published in the top ten impact factor journals. METHODS: A descriptive systematic review was conducted and data was abstracted from the ten highest ranked journals with respect to impact factor in the categories 'Anesthesiology', 'Critical Care Medicine' and 'Respiratory System' as defined by the 2012 Journal Citation Reports...
2015: PloS One
https://www.readbyqxmd.com/read/26290263/propofol-a-review-of-its-role-in-pediatric-anesthesia-and-sedation
#15
REVIEW
Vidya Chidambaran, Andrew Costandi, Ajay D'Mello
Propofol is an intravenous agent used commonly for the induction and maintenance of anesthesia, procedural, and critical care sedation in children. The mechanisms of action on the central nervous system involve interactions at various neurotransmitter receptors, especially the gamma-aminobutyric acid A receptor. Approved for use in the USA by the Food and Drug Administration in 1989, its use for induction of anesthesia in children less than 3 years of age still remains off-label. Despite its wide use in pediatric anesthesia, there is conflicting literature about its safety and serious adverse effects in particular subsets of children...
July 2015: CNS Drugs
https://www.readbyqxmd.com/read/26005594/evidence-based-care-of-acute-wounds-a-perspective
#16
Dirk T Ubbink, Fleur E Brölmann, Peter M N Y H Go, Hester Vermeulen
Significance: Large variation and many controversies exist regarding the treatment of, and care for, acute wounds, especially regarding wound cleansing, pain relief, dressing choice, patient instructions, and organizational aspects. Recent Advances: A multidisciplinary team developed evidence-based guidelines for the Netherlands using the AGREE-II and GRADE instruments. A working group, consisting of 17 representatives from all professional societies involved in wound care, tackled five controversial issues in acute-wound care, as provided by any caregiver throughout the whole chain of care...
May 1, 2015: Advances in Wound Care
https://www.readbyqxmd.com/read/25910888/current-status-of-anesthesia-residency-in-taiwan-a-questionnaire-survey
#17
Ju-O Wang, Tzeng-Ji Chen, Senyeong Kao, Te-Chun Yeh, Shung-Tai Ho
PURPOSE: There are 26 teaching hospitals in Taiwan that provide anesthesia residency training programs (one program per hospital), and only an average of 40 medical graduates are accepted for residency training per year. The aim of this study is to understand how this situation affects the learning and working conditions of anesthesia residents in Taiwan. METHODS: A self-structured survey was mailed to all 178 anesthesia residents receiving training in Taiwan in April 20, 2012...
October 2015: Journal of Anesthesia
https://www.readbyqxmd.com/read/25886322/ketamine-current-applications-in-anesthesia-pain-and-critical-care
#18
REVIEW
Madhuri S Kurdi, Kaushic A Theerth, Radhika S Deva
Ketamine was introduced commercially in 1970 with the manufacturer's description as a "rapidly acting, nonbarbiturate general anesthetic" and a suggestion that it would be useful for short procedures. With the help of its old unique pharmacological properties and newly found beneficial clinical properties, ketamine has survived the strong winds of time, and it currently has a wide variety of clinical applications. It's newly found neuroprotective, antiinflammatory and antitumor effects, and the finding of the usefulness of low dose ketamine regimens have helped to widen the clinical application profile of ketamine...
September 2014: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/25727200/mouse-anesthesia-and-analgesia
#19
Sean Adams, Cholawat Pacharinsak
Providing anesthesia and analgesia for mouse subjects is a common and critical practice in the laboratory setting. These practices are necessary for performing invasive procedures, achieving prolonged immobility for sensitive imaging modalities (magnetic resonance imaging for instance), and providing intra- and post-procedural pain relief. In addition to facilitating the procedures performed by the investigator, the provision of anesthesia and analgesia is crucial for the preservation of animal welfare and for humane treatment of animals used in research...
2015: Current Protocols in Mouse Biology
https://www.readbyqxmd.com/read/25571240/ambulatory-pain-evaluation-based-on-heart-rate-variability-analysis-application-to-physical-therapy
#20
J De jonckheere, A Dassonneville, M Flocteil, M Delecroix, G Seoane, M Jeanne, R Logier
Pain assessment is critical for efficient pain management. Clinicians usually use self-report or behavioral pain scales. In practice, the choice of the most adaptive scale depends on several parameters like the clinical context, the patient consciousness or its age, but all evaluation scales are known to be more or less subjective and to present high inter and intra individual variability. Recently, several innovative medical devices have been developed in order to provide to the clinicians a physiological measure of pain...
2014: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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