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Anesthesia, anesthesiology, ultrasound,

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https://www.readbyqxmd.com/read/27852382/-effect-comparison-of-ultrasound-guided-lower-extremity-nerve-block-and-spinal-anesthesia-in-ankle-surgery
#1
L L Yang, J S Ji, Z W Zhao, W Wang, S Luo, Y C Mo, J L Wang
Objective: To compare the anesthesia effect between ultrasound-guided lower extremity nerve block and spinal anesthesia in ankle surgery. Methods: Upon the approval of institutional Ethics Committee and informed consent, 80 patients American Society of Anesthesiology (ASA)Ⅰ-Ⅱaged 18-70 yr, undergoing ankle surgery from December 2014 to May 2015 in the Fifth Affiliated Hospital of Wen Zhou Medical College, were randomly divided by random numbers into two groups (n=40): nerve block group (group N) and spinal anesthesia (group S)...
November 8, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27686512/assessment-of-perioperative-ultrasound-workflow-understanding-a-consensus
#2
Lu Yeh, Mario Montealegre-Gallegos, Feroze Mahmood, Philip E Hess, Marc Shnider, John D Mitchell, Stephanie B Jones, Azad Mashari, Vanessa Wong, Robina Matyal
OBJECTIVES: Understanding of the workflow of perioperative ultrasound (US) examination is an integral component of proficiency. Workflow consists of the practical steps prior to executing an US examination (eg, equipment operation). Whereas other proficiency components (ie, cognitive knowledge and manual dexterity) can be tested, workflow understanding is difficult to define and assess due to its contextual and institution-specific nature. The objective was to define the workflow components of specific perioperative US applications using an iterative process to reach a consensus opinion...
July 9, 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27185702/two-methods-for-teaching-basic-upper-airway-sonography
#3
Christina S Boncyk, Kristopher M Schroeder, Brooke Anderson, Richard E Galgon
STUDY OBJECTIVE: The purpose of this study was to evaluate and compare hands-on gel phantom versus instructional video teaching methods to improve anesthesia residents and staff members' ability to correctly identify airway structures using ultrasound on a human volunteer. DESIGN: Randomized, controlled trial. SETTING: Simulation laboratory. STUDY SUBJECTS: Fifty-four anesthesiology resident and staff members (27 anesthesiologists and 27 anesthesiology residents) at the University of Wisconsin-Madison...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/26980475/feasibility-of-eye-tracking-technology-to-quantify-expertise-in-ultrasound-guided-regional-anesthesia
#4
T Kyle Harrison, T Edward Kim, Alex Kou, Cynthia Shum, Edward R Mariano, Steven K Howard
Ultrasound-guided regional anesthesia (UGRA) requires an advanced procedural skill set that incorporates both sonographic knowledge of relevant anatomy as well as technical proficiency in needle manipulation in order to achieve a successful outcome. Understanding how to differentiate a novice from an expert in UGRA using a quantifiable tool may be useful for comparing educational interventions that could improve the rate at which one develops expertise. Exploring the gaze pattern of individuals performing a task has been used to evaluate expertise in many different disciplines, including medicine...
June 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/26952217/ultrasound-guidance-improves-the-success-rate-of-axillary-plexus-block-a-meta-analysis
#5
Qin Qin, Debao Yang, Hong Xie, Liyuan Zhang, Chen Wang
OBJECTIVE: To evaluate the value of real-time ultrasound (US) guidance for axillary brachial plexus block (AXB) through the success rate and the onset time. METHODS: The meta-analysis was carried out in the Anesthesiology Department of the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China. A literature search of Medline, EMBASE, Cochrane database from the years 2004 to 2014 was performed. The literature searches were carried out using medical subject headings and free-text word: "axilla", "axillary", "brachial plexus", "ultrasonography", "ultrasound", "ultrasonics"...
March 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26951450/anesthetic-management-of-the-first-pediatric-bilateral-hand-transplant
#6
Harshad G Gurnaney, John E Fiadjoe, L Scott Levin, Benjamin Chang, Heather Delvalle, Jorge Gálvez, Mohamed A Rehman
PURPOSE: The purpose of this case report is to describe the anesthetic and case management of the first vascularized composite allograft pediatric bilateral hand transplant. CLINICAL DETAILS: Our patient was an eight-year-old male with a medical history of Staphylococcus aureus sepsis at one year of age that resulted in end-stage renal disease as well as bilateral upper and lower extremity amputations. After referral for bilateral hand transplantation, the transplantation team, with expertise in all aspects of perioperative care (surgery, anesthesiology, nephrology, renal transplantation, pediatric intensive care, and therapeutic pharmacy), was consulted to help develop anesthetic and other perioperative protocols for surgery...
June 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/26866296/comparative-effectiveness-of-simulation-based-deliberate-practice-versus-self-guided-practice-on-resident-anesthesiologists-acquisition-of-ultrasound-guided-regional-anesthesia-skills
#7
Ankeet Deepak Udani, T Kyle Harrison, Edward R Mariano, Ryan Derby, Jack Kan, Toni Ganaway, Cynthia Shum, David M Gaba, Pedro Tanaka, Alex Kou, Steven K Howard
BACKGROUND AND OBJECTIVES: Simulation-based education strategies to teach regional anesthesia have been described, but their efficacy largely has been assumed. We designed this study to determine whether residents trained using the simulation-based strategy of deliberate practice show greater improvement of ultrasound-guided regional anesthesia (UGRA) skills than residents trained using self-guided practice in simulation. METHODS: Anesthesiology residents new to UGRA were randomized to participate in either simulation-based deliberate practice (intervention) or self-guided practice (control)...
March 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/26847538/-ultrasound-guidance-improves-the-success-rate-of-axillary-plexus-block-a-meta-analysis
#8
Qin Qin, Debao Yang, Hong Xie, Liyuan Zhang, Chen Wang
OBJECTIVE: To evaluate the value of real-time ultrasound (US) guidance for axillary brachial plexus block (AXB) through the success rate and the onset time. METHODS: The meta-analysis was carried out in the Anesthesiology Department of the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China. A literature search of Medline, Embase, Cochrane database from the years 2004 to 2014 was performed. The literature searches were carried out using medical subject headings and free-text word: "axilla", "axillary", "brachial plexus", "ultrasonography", "ultrasound", "ultrasonics"...
March 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26736948/peripheral-nerve-segmentation-using-nonparametric-bayesian-hierarchical-clustering
#9
Juan J Giraldo, Mauricio A Álvarez, Álvaro A Orozco
Several cases related to chronic pain, due to accidents, illness or surgical interventions, depend on anesthesiology procedures. These procedures are assisted with ultrasound images. Although, the ultrasound images are a useful instrument in order to guide the specialist in anesthesiology, the lack of intelligibility due to speckle noise, makes the clinical intervention a difficult task. In a similar manner, some artifacts are introduced in the image capturing process, challenging the expertise of anesthesiologists for not confusing the true nerve structures...
2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/26384608/evaluation-of-a-standardized-program-for-training-practicing-anesthesiologists-in-ultrasound-guided-regional-anesthesia-skills
#10
Edward R Mariano, T Kyle Harrison, T Edward Kim, Jack Kan, Cynthia Shum, David M Gaba, Toni Ganaway, Alex Kou, Ankeet D Udani, Steven K Howard
OBJECTIVES: Practicing anesthesiologists have generally not received formal training in ultrasound-guided perineural catheter insertion. We designed this study to determine the efficacy of a standardized teaching program in this population. METHODS: Anesthesiologists in practice for 10 years or more were recruited and enrolled to participate in a 1-day program: lectures and live-model ultrasound scanning (morning) and faculty-led iterative practice and mannequin-based simulation (afternoon)...
October 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/26296825/focused-transthoracic-cardiac-ultrasound-a-survey-of-training-practices
#11
Frederick Conlin, Neil Roy Connelly, Karthik Raghunathan, Jennifer Friderici, Adam Schwabauer
OBJECTIVE: The role of focused assessment by transthoracic echocardiography or focused cardiac ultrasound (FoCUS) in the perioperative setting is uncertain and evolving. To the authors' knowledge, there are no studies that evaluate the current teaching practices regarding FoCUS in US anesthesiology residencies. The authors surveyed residents and residency program directors to examine the frequency, type, and variability of instruction regarding training of FoCUS. DESIGN: A survey study...
January 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/26017720/development-and-validation-of-an-assessment-of-regional-anesthesia-ultrasound-interpretation-skills
#12
MULTICENTER STUDY
Glenn E Woodworth, Patricia A Carney, Joshua M Cohen, Sandy L Kopp, Lindsey E Vokach-Brodsky, Jean-Louis E Horn, Andres Missair, Shawn E Banks, Nathan F Dieckmann, Robert B Maniker
BACKGROUND: Interpretation of ultrasound images and knowledge of anatomy are essential skills for ultrasound-guided peripheral nerve blocks. Competency-based educational models promoted by the Accreditation Council for Graduate Medical Education require the development of assessment tools for the achievement of different competency milestones to demonstrate the longitudinal development of skills that occur during training. METHODS: A rigorous study guided by psychometric principles was undertaken to identify and validate the domains and items in an assessment of ultrasound interpretation skills for regional anesthesia...
July 2015: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/25622973/impact-of-a-focused-transthoracic-echocardiography-training-course-for-rescue-applications-among-anesthesiology-and-critical-care-medicine-practitioners-a-prospective-study
#13
José L Díaz-Gómez, Silvia Perez-Protto, Jennifer Hargrave, Angela Builes, Michelle Capdeville, Emir Festic, Sajid Shahul
OBJECTIVE: To investigate the impact of a sequence of educational interventions in a one-day course on focused transthoracic echocardiography (FOTE) by anesthesia and critical care practitioners. DESIGN: A prospective analysis of the educational data. SETTING: Educational setting in two academic medical centers and a medical meeting workshop organized by one of these institutions. PARTICIPANTS: Fifty-six anesthesia and critical care providers, divided into three groups, participated separately in a FOTE training course...
2015: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/25519308/sevoflurane-used-for-color-doppler-ultrasound-examination-in-children
#14
Conghai Fan, Fengchao Zhang, Xiaomei Huang, Cheng Wen, Chengjing Shan
The objective of this study is to investigate the feasibility of sevoflurane inhalation in pediatric color doppler ultrasound examination. In this study, 30 cases of children under 1 year were selected. They were all I or II levels according to American Society of Anesthesiology. Children with severe cyanotic congenital heart disease or severe pneumonia were excluded. All the children received anesthesia with sevoflurane. The University of Michigan Sedation Scale was assessed and bispectral index (BIS) was recorded before induction (T0), after induction (T1), when maintaining (T2), and when waking-up (T3)...
May 2015: Cell Biochemistry and Biophysics
https://www.readbyqxmd.com/read/25255655/-utilization-of-ultrasonography-in-the-fields-of-critical-care-medicine-and-anesthesiology-preface-and-comments
#15
Hirotsugu Okamoto
Recently, with the development of technology, opportunities for the clinical use of ultrasonography are increasing. Regarding this circumstance, the current issue highlights the use of ultrasonography in critical care and anesthesia Chapters include cardiac, lung and abdominal echography, and various perioperative use of ultrasonography including ultrasound-guided procedures. Every author emphasizes that "Seeing the image of ultrasonography is believing". Finally, I hope the current issue help the readers get cutting edge knowledge of the utilization of ultrasonography in the clinical practice...
September 2014: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/25155870/ultrasound-in-obstetric-anesthesia
#16
Allison Lee
Ultrasound has permeated the practice of anesthesiology and is becoming an essential tool for the obstetric anesthesiologist in the labor and delivery suite. The most common applications include guidance for neuraxial (epidural and spinal) anesthesia and acute pain nerve blocks, as well as guidance for central and peripheral vascular access. Obstetric anesthesiologists are becoming increasingly familiar with diagnostic applications, including transthoracic echocardiography (TTE) and lung and gastric ultrasound...
October 2014: Seminars in Perinatology
https://www.readbyqxmd.com/read/25007697/improved-residents-knowledge-after-an-advanced-regional-anesthesia-education-program
#17
Vicente Garcia-Tomas, Deborah Schwengel, Jean-Pierre P Ouanes, Sarah Hall, Marie N Hanna
BACKGROUND: Although residents in anesthesia are confident in performing neuraxial anesthesia, many are not confident in performing peripheral nerve blocks. The purpose of this study was to evaluate the effectiveness of a structured regional anesthesia teaching program in a large academic medical center. METHODS: Residents participated in regional anesthesia didactics that took place in a unique resident education program scheduled during two fully protected teaching days a month...
February 2014: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/25007696/curriculum-development-for-an-advanced-regional-anesthesia-education-program-one-institution-s-experience-from-apprenticeship-to-comprehensive-teaching
#18
Jean-Pierre P Ouanes, Deborah Schwengel, Vineesh Mathur, Omar I Ahmed, Marie N Hanna
Results of recent attitude survey studies suggest that most practicing physicians are inadequately treating postoperative pain. Residents in anesthesia are confident in performing lumbar epidural and spinal anesthesia, but many are not confident in performing the blocks with which they have the least exposure. Changes need to be made in the training processes to a comprehensive model that prepares residents to perform a wider array of blocks in postgraduate practice. Here, we describe one institution's approach to creating a standardized, advanced regional anesthesia curriculum for residents that follows the six core competencies of the ACGME...
February 2014: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/24773366/a-review-of-echocardiography-in-anaesthetic-and-peri-operative-practice-part-1-impact-and-utility
#19
REVIEW
R L Barber, S N Fletcher
Echocardiography is migrating rapidly across speciality boundaries and clinical demand is expanding. Echocardiography shows promise for evolving applications in the peri-operative assessment and therapeutic management of patients undergoing non-cardiac surgery, whether it be elective or emergency. Although evidence is limited with regard to significant impact on outcomes from anaesthesia and surgery, there is little doubt about the validity and power of two-dimensional real-time viewing of cardiac anatomy and function...
July 2014: Anaesthesia
https://www.readbyqxmd.com/read/24662376/accuracy-of-transthoracic-lung-ultrasound-for-diagnosing-anesthesia-induced-atelectasis-in-children
#20
Cecilia M Acosta, Gustavo A Maidana, Daniel Jacovitti, Agustín Belaunzarán, Silvana Cereceda, Elizabeth Rae, Ananda Molina, Sergio Gonorazky, Stephan H Bohm, Gerardo Tusman
BACKGROUND: The aim of this study was to test the accuracy of lung sonography (LUS) to diagnose anesthesia-induced atelectasis in children undergoing magnetic resonance imaging (MRI). METHODS: Fifteen children with American Society of Anesthesiology's physical status classification I and aged 1 to 7 yr old were studied. Sevoflurane anesthesia was performed with the patients breathing spontaneously during the study period. After taking the reference lung MRI images, LUS was carried out using a linear probe of 6 to 12 MHz...
June 2014: Anesthesiology
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