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PACU Recovery room

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https://www.readbyqxmd.com/read/27871520/cisatracurium-and-rocuronium-associated-residual-neuromuscular-dysfunction-under-intraoperative-neuromuscular-monitoring-and-postoperative-neostigmine-reversal-a-single-blind-randomized-trial
#1
Paolo Feltracco, Tommaso Tonetti, Stefania Barbieri, Anna Chiara Frigo, Carlo Ori
BACKGROUND: Postoperative residual neuromuscular blockade (RNMB) is a common complication in the postanesthesia care unit (PACU), but also one of the most controversial issues. Many studies and trials demonstrated that some methods and techniques can reduce the incidence and the extent of the phenomenon. STUDY OBJECTIVE: To determine the incidence of RNMB in the PACU at standardized times after extubation with the implementation of a protocol of careful neuromuscular blockade management...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27761415/preemptive-oral-clonidine-provides-better-sedation-than-intravenous-midazolam-in-brachial-plexus-nerve-blocks
#2
Faramarz Mosaffa, Seyed Amir Mohajerani, Reza Aminnejad, Ali Solhpour, Shideh Dabir, Gholam Reza Mohseni
BACKGROUND: Preemptive analgesia is the blocking of pain perception afferent pathways before noxious painful stimuli. Clonidine is an alpha agonist drug that is partially selective for α-2 adrenoreceptors. Clonidine is used as anti-anxiety medication and an, analgesic, and it prolongs the duration of the block in the brachial plexus block. OBJECTIVES: To compare the effect of preemptive clonidine with midazolam on intraoperative sedation, duration of block, and postoperative pain scores...
June 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27708522/anesthesia-for-endoscopic-retrograde-cholangiopancreatography-target-controlled-infusion-versus-standard-volatile-anesthesia
#3
Youssef Motiaa, Mustapha Bensghir, Abdelhamid Jaafari, Mohammed Meziane, Redouane Ahtil, Noureddine Drissi Kamili
BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is a technique used both for diagnosis and for the treatment of biliary and pancreatic diseases. ERCP has some anesthetic implications and specific complications. The primary outcome aim was to compare two protocols in terms of time of extubation. We also compared anesthetic protocols in terms of hemodynamic and respiratory instability, antispasmodics needs, endoscopist satisfaction, and recovery room stay. METHODS: Patients were randomized into two groups standard anesthesia group (Gr: SA) in whom induction was done by propofol, fentanyl and cisatracurium and maintenance was done by a mixture of oxygen, nitrousoxide (50%:50%) and sevoflurane; and intravenous anesthesia group to target concentration (Gr: TCI) in whom induction and maintenance of anesthesia were done with propofol with a target 0...
October 2016: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/27706117/the-effect-of-routine-availability-of-sugammadex-on-postoperative-respiratory-complications-a-historical-cohort-study
#4
Benjamin L Olesnicky, Catherine Traill, Frank B Marroquin-Harris
BACKGROUND: Postoperative residual curarisationf is a preventable cause of postoperative morbidity. Although sugammadex has been shown to reduce the risk of residual curarisation, it has not yet been shown if this directly translates to a reduction in morbidity. We aimed to demonstrate whether the introduction of unrestricted sugammadex for routine reversal changed the incidence of post-operative respiratory diagnoses and the rate of airway and respiratory complications in the post-operative care unit...
October 5, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27484887/sugammadex-facilitates-early-recovery-after-surgery-even-in-the-absence-of-neuromuscular-monitoring-in-patients-undergoing-laryngeal-microsurgery-a-single-center-retrospective-study
#5
Eui-Seok Park, Byung Gun Lim, Won-Joon Lee, Il Ok Lee
BACKGROUND: In many countries, routine clinical anaesthesia does not always involve neuromuscular monitoring. In these clinical settings, the efficacy and safety of sugammadex use has not yet been confirmed. We investigated the efficacy and safety of sugammadex in the absence of neuromuscular monitoring. METHODS: One hundred and forty patients who underwent laryngeal microsurgery with the use of rocuronium as a neuromuscular blocking agent, without the use of a neuromuscular monitoring device, were retrospectively investigated...
2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/26768928/effectiveness-of-dexmedetomidine-for-emergence-agitation-in-infants-undergoing-palatoplasty-a-randomized-controlled-trial
#6
Aiji Boku, Hiroshi Hanamoto, Aiko Oyamaguchi, Mika Inoue, Yoshinari Morimoto, Hitoshi Niwa
OBJECTIVES: In infants, there is a high incidence of emergence agitation (EA) after sevoflurane (Sev) anesthesia. This study aimed to test the hypothesis that dexmedetomidine (Dex) administration would reduce the incidence and severity of EA after Sev-based anesthesia in infants undergoing palatoplasty. METHODS: A prospective randomized clinical trial was conducted with 70 patients undergoing palatoplasty, aged 10-14 months. Infants were randomly allocated into two groups: Dex (n=35) and saline (n=35)...
January 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26642904/-effectiveness-of-dexmedetomidine-for-emergence-agitation-in-infants-undergoing-palatoplasty-a-randomized-controlled-trial
#7
Aiji Boku, Hiroshi Hanamoto, Aiko Oyamaguchi, Mika Inoue, Yoshinari Morimoto, Hitoshi Niwa
OBJECTIVES: In infants, there is a high incidence of emergence agitation (EA) after sevoflurane (Sev) anesthesia. This study aimed to test the hypothesis that dexmedetomidine (Dex) administration would reduce the incidence and severity of EA after Sev-based anesthesia in infants undergoing palatoplasty. METHODS: A prospective randomized clinical trial was conducted with 70 patients undergoing palatoplasty, aged 10-14 months. Infants were randomly allocated into two groups: Dex (n=35) and saline (n=35)...
January 2016: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26210572/a-trip-down-memory-lane-from-the-recovery-room-to-pacu-guest-editorial
#8
EDITORIAL
Cecil B Drain
No abstract text is available yet for this article.
August 2015: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/26194048/is-inpatient-admission-necessary-following-removal-of-airway-foreign-bodies
#9
Steven M Andreoli, Emma Kofmehl, Steven E Sobol
OBJECTIVE: To determine the need for postoperative admission following airway foreign body retrieval by examining the preoperative presentation, operative details, and postoperative recovery. INTRODUCTION: Inpatient admission following foreign body removal is common, however little evidence supports this practice. In the era of cost containment and prudent utilization of hospital resources, careful examination of the postoperative course following airway foreign body removal is required...
September 2015: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26102040/strategies-to-maintain-operating-room-functionality-following-the-complete-loss-of-the-recovery-room-due-to-an-internal-disaster
#10
Elise C Metzler, Bhavani S Kodali, Richard D Urman, Hugh L Flanagan, Monica Sa Rego, Joshua C Vacanti
The post-anesthesia care unit (PACU) is a major contributor to the operating room (OR) process flow and efficiency. A sudden failure of hospital facility infrastructure due to a burst pipe resulted in the complete loss of a 66-bed combined preoperative and PACU facility of a major academic medical center. The OR suites were undamaged. The clinical and administrative challenges of caring for surgical patients without the usual preoperative and postoperative care areas are discussed. Our strategy for maintaining OR functions and management of patient flow, OR personnel, case prioritization, and equipment needs are detailed from the time of initial crisis until restoration of these clinical care areas...
2015: American Journal of Disaster Medicine
https://www.readbyqxmd.com/read/25874562/meta-analysis-of-dexmedetomidine-on-emergence-agitation-and-recovery-profiles-in-children-after-sevoflurane-anesthesia-different-administration-and-different-dosage
#11
Min Zhu, Haiyun Wang, Ai Zhu, Kaijun Niu, Guolin Wang
The objective of this article is to evaluate the effect of dexmedetomidine on emergence agitation (EA) and recovery profiles in children after sevoflurane anesthesia and its pharmacological mechanisms. Standard bibliographic databases, including MEDLINE, EMBASE, PsycINFP, Springer and ISI Web of Knowledge, were artificially searched to identify all randomized controlled trials (RCTs) comparing the impact of dexmedetomidine with placebo, fentanyl and midazolam on EA and recovery profiles after sevoflurane anesthesia in post-anesthesia care unit (PACU)...
2015: PloS One
https://www.readbyqxmd.com/read/25669002/the-incidence-of-postoperative-residual-curarization-following-the-use-of-intermediate-acting-muscle-relaxants-and-related-factors
#12
Ozlem Kocaturk, Nil Kaan, Nurten Kayacan, Fatma Ertugrul
PURPOSE: To evaluate the incidence of residual curarization (RC) and related risk factors in the early and late postoperative periods in patients receiving general anesthesia with intermediate-acting muscle relaxants. METHODS: Two-hundred and eight American Society of Anesthesiologists class I and II patients, aged 18-70 years, who underwent general anesthesia with intermediate-acting muscle relaxants, were included. Heart rate, blood pressure, oxygen saturation, tympanic temperature were recorded for each patient who was transported to the recovery room, every 10 minutes by a trained nurse...
October 2014: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/25558980/novel-associations-between-faah-genetic-variants-and-postoperative-central-opioid-related-adverse-effects
#13
S Sadhasivam, X Zhang, V Chidambaran, J Mavi, V Pilipenko, T B Mersha, J Meller, K M Kaufman, L J Martin, J McAuliffe
Opioid effects are potentiated by cannabinoid agonists including anandamide, an endocannabinoid. Inter-individual variability in responses to opioids is a major clinical problem. Multiple deaths and anoxic brain injuries occur every year because of opioid-induced respiratory depression (RD) in surgical patients and drug abusers of opioids and cannabinoids. This study aimed to determine specific associations between genetic variants of fatty acid amide hydrolase (FAAH) and postoperative central opioid adverse effects in children undergoing tonsillectomy...
October 2015: Pharmacogenomics Journal
https://www.readbyqxmd.com/read/25538518/patient-controlled-sedation-with-propofol-remifentanil-versus-propofol-alfentanil-for-patients-undergoing-outpatient-colonoscopy-a-randomized-controlled-double-blind-study
#14
Sherif S Sultan
CONTEXT: Many techniques are used for sedation of colonoscopies. Patient-controlled sedation (PCS) is utilizing many drugs or drug combinations. AIMS: The aim of this study is to compare the safety and feasibility of propofol/remifentanil versus propofol/alfentanil given to sedate patients undergoing outpatient colonoscopies through a patient-controlled technique. SETTINGS AND DESIGN: Controlled randomized and double-blind study. MATERIALS AND METHODS: A total of 80 patients were randomly divided into two groups; PA group received a combination of propofol/alfentanil and PR group received propofol/remifentanil combination...
November 2014: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/25190522/intranasal-nicotine-increases-postoperative-nausea-and-is-ineffective-in-reducing-pain-following-laparoscopic-bariatric-surgery-in-tobacco-na%C3%A3-ve-females-a-randomized-double-blind-trial
#15
RANDOMIZED CONTROLLED TRIAL
Toby N Weingarten, Brian P McGlinch, Lavonne Liedl, Michael L Kendrick, Todd A Kellogg, Darrell R Schroeder, Juraj Sprung
BACKGROUND: Nicotine is a known analgesic. Our primary aim was to test the hypothesis that intranasal nicotine administered intraoperatively reduces the need for postoperative opioids. The secondary outcomes included evaluation of both postoperative pain and nausea and vomiting (PONV). MATERIAL AND METHODS: Nonsmoking female patients undergoing laparoscopic bariatric operations were randomized to receive either 3 mg intranasal nicotine (N = 42) or placebo spray (N = 47) at the conclusion of surgery...
March 2015: Obesity Surgery
https://www.readbyqxmd.com/read/25137866/emetogenicity-risk-procedures-in-same-day-surgery-center-of-an-academic-university-hospital-in-united-states-a-retrospective-cost-audit-of-postoperative-nausea-vomiting-management
#16
Deepak Gupta, Halim Haber
BACKGROUND: Despite the variable results of published studies, it is imperative for ambulatory surgery centers to self-audit local cost-implications for post-operative nausea and vomiting (PONV) management. OBJECTIVE: Our retrospective cost-audit assessed if there were comparative peri-anesthesia care cost-trends among patients who had undergone Low-Emetogenicity-Risk Procedures (LERP), Moderate-Emetogenicity-Risk Procedures (MERP) and Severe-Emetogenicity-Risk Procedures (SERP)...
June 2014: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/25103960/anesthetic-management-of-prophylactic-cervical-cerclage-a-retrospective-multicenter-cohort-study
#17
MULTICENTER STUDY
Alexander Ioscovich, Alla Popov, Yuri Gimelfarb, Yaacov Gozal, Sharon Orbach-Zinger, Joel Shapiro, Yehuda Ginosar
OBJECTIVES: Cervical incompetence complicates approximately 1 in 500 pregnancies and is the most common cause of second-trimester spontaneous abortion and preterm labor. No prospective or large retrospective studies have compared regional and general anesthesia for cervical cerclage. STUDY DESIGN: Following IRB approval, we performed a retrospective study in the two main medical centers over an 8-year period to assess the association of anesthesia choice with anesthetic and obstetric outcomes...
March 2015: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/25006514/an-audit-of-operating-room-time-utilization-in-a-teaching-hospital-is-there-a-place-for-improvement
#18
George Stavrou, Stavros Panidis, John Tsouskas, Georgia Tsaousi, Katerina Kotzampassi
Aim. To perform a thorough and step-by-step assessment of operating room (OR) time utilization, with a view to assess the efficacy of our practice and to identify areas of further improvement. Materials and Methods. We retrospectively analyzed the most ordinary general surgery procedures, in terms of five intervals of OR time utilization: anaesthesia induction, surgery preparation, duration of operation, recovery from anaesthesia, and transfer to postanaesthesia care unit (PACU) or intensive care unit (ICU)...
2014: ISRN Surgery
https://www.readbyqxmd.com/read/24687576/effect-of-pre-warmed-intravenous-fluids-on-perioperative-hypothermia-and-shivering-after-ambulatory-surgery-under-monitored-anesthesia-care
#19
RANDOMIZED CONTROLLED TRIAL
Gahyun Kim, Myung Hee Kim, Sangmin M Lee, Soo Joo Choi, Young Hee Shin, Hee Joon Jeong
PURPOSE: The aim of this study was to evaluate the effects of pre-warmed (approximately 41 °C) intravenous fluids (IV) on perioperative hypothermia and postoperative shivering in female patients undergoing short, ambulatory urological surgery under monitored anesthesia care (MAC). METHODS: Patients between the ages of 35 and 80 years were randomly assigned to either the pre-warmed (n = 27) or the room temperature (n = 26) group. According to group allocation, either pre-warmed IV fluids that had been stored in a warming cabinet for at least 8 h or room temperature IV fluids were administered intraoperatively up to approximately 600-700 ml, including a bolus infusion of 10 ml/kg within 20 min...
December 2014: Journal of Anesthesia
https://www.readbyqxmd.com/read/24485109/warmed-irrigation-fluid-does-not-decrease-perioperative-hypothermia-during-arthroscopic-shoulder-surgery
#20
RANDOMIZED CONTROLLED TRIAL
Joo Han Oh, Joon Yub Kim, Seok Won Chung, Ji Soon Park, Do Hun Kim, Sung Hoon Kim, Mi Ja Yun
PURPOSE: To compare the clinical efficacy of warmed irrigation fluid and room-temperature fluid in decreasing perioperative hypothermia during arthroscopic rotator cuff surgery. METHODS: In this prospective, randomized, comparative study, warmed (36°C) arthroscopic irrigation fluid (group W, n = 36) or room-temperature irrigation fluid (group RT, n = 36) was used without intraoperative warming devices during arthroscopic shoulder surgery in 72 patients. The serial core body temperature and the last and lowest core body temperatures were measured by use of an esophageal stethoscope with a thermometer and a digital tympanic thermometer at 15-minute intervals during the operation and recovery period, respectively...
February 2014: Arthroscopy: the Journal of Arthroscopic & related Surgery
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