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Preanesthesia

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https://www.readbyqxmd.com/read/28537983/comparison-of-the-mallampati-classification-in-sitting-and-supine-position-to-predict-difficult-tracheal-intubation-a-prospective-observational-cohort-study
#1
Jean-Luc Hanouz, Vincent Bonnet, Clément Buléon, Thérèse Simonet, Dorothée Radenac, Guillaume Zamparini, Marc Olivier Fischer, Jean-Louis Gérard
BACKGROUND: The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in predicting difficult tracheal intubation (DTI). We hypothesized that the diagnostic accuracy of the MLPT performed in sitting and supine positions would differ. METHODS: We performed a single-center prospective observational study in adult patients who received general anesthesia and orotracheal intubation for noncardiac surgery...
May 19, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28504991/tablet-e-logbooks-four-thousand-clinical-cases-and-complications-e-logged-by-14-nondoctor-anesthesia-providers-in-nepal
#2
Shristi Shah, Oliver Ross, Stephen Pickering, Stephen Knoble, Indra Rai
BACKGROUND: To meet the need for essential surgery across rural Nepal, anesthesia at district level is delivered by nondoctor anesthetists. They require support to maintain confidence and competence, and upgraded professional registration to secure their status. To meet these needs, a distance-blended learning course was pioneered and delivered. A core course requirement was to log all clinical cases; these were logged on a new e-logbook. METHODS: Fourteen nondoctor anesthesia providers working in 12 different districts across Nepal were enrolled in the 1-year course...
May 11, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28343636/interruptions-in-preanesthesia-nursing-workflow-a-pilot-study-of-pediatric-patient%C3%A2-safety
#3
Heidi M Filer, Brooke L Beringuel, Kathleen M Frato, Mary K Anthony, Pimpanitta Saenyakul
PURPOSE: Preanesthesia care is a high-risk system where interruptions during the preanesthesia assessment may jeopardize the quality of information obtained. The objective of this study was to (1) identify the number and nature of interruptions occurring during the nursing preanesthesia assessment, (2) evaluate effectiveness of a no interruption zone (NIZ) on the number and nature of interruptions experienced, and (3) determine the frequency with which nurses returned to their original task after interruption...
April 2017: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/28286626/periodic-lateralized-epileptiform-discharges-can-survive-anesthesia-and-result-in-asymmetric-drug-induced-burst-suppression
#4
Edward C Mader, Louis A Cannizzaro, Frank J Williams, Saurabh Lalan, Piotr W Olejniczak
Drug-induced burst suppression (DIBS) is bihemispheric and bisymmetric in adults and older children. However, asymmetric DIBS may occur if a pathological process is affecting one hemisphere only or both hemispheres disproportionately. The usual suspect is a destructive lesion; an irritative or epileptogenic lesion is usually not invoked to explain DIBS asymmetry. We report the case of a 66-year-old woman with new-onset seizures who was found to have a hemorrhagic cavernoma and periodic lateralized epileptiform discharges (PLEDs) in the right temporal region...
February 20, 2017: Neurology International
https://www.readbyqxmd.com/read/28217077/concerns-about-use-of-whatsapp-for-sharing-preanesthesia-evaluation-form-among-anesthesiologists
#5
Anjana S Wajekar
No abstract text is available yet for this article.
January 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28096598/cognitive-function-test-is-preanesthesia-checkup-complete-without-this
#6
Sheetal Yogesh Chiplonkar, Pratibha Vinayak Toal, Adit Jagdish Palsania
No abstract text is available yet for this article.
October 2016: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/28065227/influence-of-anesthetic-brochure-on-patient-s-information-gain-preoperative-anxiety-trust-and-satisfaction
#7
Min-Na Li, Xue-Rong Yu, Ya-Juan Wang, Man-Yun Bo, Yu-Guang Huang
Objective To assess the impacts of anesthetic brochure on anesthetic information gain, preoperative anxiety, trust to anesthesiologists, and satisfaction to the preanesthesia visit for patients undergoing general anesthesia. Methods Totally 134 patients scheduled for elective thyroid surgery under general anesthesia in Peking Union Medical College Hospital were assigned to two groups using the random number table method, among whom 68 patients received brochure before preoperative visit (brochure group) and 66 patients did not (control group)...
December 20, 2016: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/28025646/ketorolac-tromethamine-spray-prevents-postendotracheal-intubation-induced-sore-throat-after-general-anesthesia
#8
H L Yang, F C Liu, S C Tsai, P K Tsay, H T Lin, H E Liu
Background. Postoperative sore throat is one of the major complaints of general anesthesia in the postanesthesia care unit. This prospective study investigated the preventive effect of ketorolac tromethamine spray in postendotracheal-intubation-induced sore throat after general anesthesia. Methods. Surgical patients undergoing general anesthesia with endotracheal intubation were recruited from a medical center. Patients were randomly assigned to group K (treated with 5% ketorolac tromethamine spray) or group D (treated with distilled water spray)...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27979371/melatonin-premedication-improves-quality-of-recovery-following-bariatric-surgery-a-double-blind-placebo-controlled-prospective-study
#9
Michal Ivry, Goitein David, Welly Wiam, Berkenstadt Haim
BACKGROUND: Melatonin has hypnotic, sedative, analgesic, anti-inflammatory, and antioxidant properties, and is a widely used sleep agent. OBJECTIVES: Our aim was to evaluate the effect of melatonin premedication on postoperative recovery in patients undergoing bariatric surgery. SETTING: University Hospital, Israel. METHODS: Patients undergoing bariatric surgery were randomized to receive either 5 mg melatonin (M group) or placebo (P group) once on the night before surgery and again 2 hours before surgery...
March 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27833503/use-of-whatsapp-for-sharing-preanesthesia-evaluation-form-among-anesthesiologists
#10
Abhijit S Nair, Ravi Kiran Mudunuri, Muthuswamy Ganapathy, Venugopal Kulkarni
No abstract text is available yet for this article.
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27811595/objective-assessment-of-checklist-fidelity-using-digital-audio-recording-and-a-standardized-scoring-system-audit
#11
Douglas Salgado, Kimberly R Barber, Michael Danic
OBJECTIVES: The use of the World Health Organization Surgical Safety Checklist (SSC) has been reported to significantly reduce operative morbidity and mortality rates. Recent findings have cast doubt on the efficacy of such checklists in improving patient safety. The effectiveness of surgical safety checklists cannot be fully measured or understood without an accurate assessment of implementation fidelity, most effectively through direct observations of the checklist process. Here, we describe the use of a secure audio recording protocol in conjunction with a novel standardized scoring system to assess checklist compliance rates...
November 2, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27617688/neural-correlates-of-wakefulness-sleep-and-general-anesthesia-an-experimental-study-in-rat
#12
Dinesh Pal, Brian H Silverstein, Heonsoo Lee, George A Mashour
BACKGROUND: Significant advances have been made in our understanding of subcortical processes related to anesthetic- and sleep-induced unconsciousness, but the associated changes in cortical connectivity and cortical neurochemistry have yet to be fully clarified. METHODS: Male Sprague-Dawley rats were instrumented for simultaneous measurement of cortical acetylcholine and electroencephalographic indices of corticocortical connectivity-coherence and symbolic transfer entropy-before, during, and after general anesthesia (propofol, n = 11; sevoflurane, n = 13)...
November 2016: Anesthesiology
https://www.readbyqxmd.com/read/27529323/development-of-a-preoperative-patient-clearance-and-consultation-screening-questionnaire
#13
Thomas R Vetter, Arthur M Boudreaux, Brent A Ponce, Joydip Barman, Sandra J Crump
The optimal timing of the preanesthesia evaluation varies with the patient's comorbidities. As anesthesiologists assume a broader role in perioperative care, there may be opportunities to provide additional patient management beyond historical routine anesthesia services. This study was thus undertaken to survey our institutional perioperative clinicians regarding their perceptions of patient medical conditions that (a) need additional time for preoperative clearance by anesthesiology before actually scheduling the date of surgery and (b) warrant additional preoperative evaluation and management services by an anesthesiologist...
December 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27393809/a-new-decision-support-model-for-preanesthetic-evaluation
#14
Olivier Sobrie, Mohammed El Amine Lazouni, Saïd Mahmoudi, Vincent Mousseau, Marc Pirlot
BACKGROUND AND OBJECTIVE: The principal challenges in the field of anesthesia and intensive care consist of reducing both anesthetic risks and mortality rate. The ASA score plays an important role in patients' preanesthetic evaluation. In this paper, we propose a methodology to derive simple rules which classify patients in a category of the ASA scale on the basis of their medical characteristics. METHODS: This diagnosis system is based on MR-Sort, a multiple criteria decision analysis model...
September 2016: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/27375388/fear-of-going-under-general-anesthesia-a-cross-sectional-study
#15
M E Ruhaiyem, A A Alshehri, M Saade, T A Shoabi, H Zahoor, N A Tawfeeq
OBJECTIVES: Fears related to anesthesia have affected a considerable number of patients going for surgery. The purpose of this survey was to identify the most common concerns about general anesthesia during the preoperative anesthetic clinic in different healthcare settings, and whether they are affected by patients' sex, age, education, or previous experience of anesthesia or not. MATERIALS AND METHODS: Structured questionnaires with consent forms were distributed to patients in their preanesthesia clinic visit in three tertiary hospitals (King Abdul-Aziz Medical City, King Faisal Specialist Hospital, and King Khalid University Hospital) in Riyadh, Saudi Arabia...
July 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/27028775/a-multicenter-pilot-study-assessing-regional-cerebral-oxygen-desaturation-frequency-during-cardiopulmonary-bypass-and-responsiveness-to-an-intervention-algorithm
#16
Balachundhar Subramanian, Charles Nyman, Maria Fritock, Rebecca Y Klinger, Roman Sniecinski, Philip Roman, Julie Huffmyer, Michelle Parish, Gayane Yenokyan, Charles W Hogue
BACKGROUND: The purpose of this multicenter pilot study was to: (1) determine the frequency of regional cerebral oxygen saturation (rScO2) desaturations during cardiac surgery involving cardiopulmonary bypass (CPB); (2) evaluate the accuracy of clinician-identified rScO2 desaturations compared with those recorded continuously during surgery by the near-infrared spectroscopy (NIRS) monitor; and (3) assess the effectiveness of an intervention algorithm for reversing rScO2 desaturations...
June 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27017695/preanesthesia-testing-area-well-positioned-to-prepare-patients-for-surgery
#17
David Young, Alecia Torrance
No abstract text is available yet for this article.
February 2016: OR Manager
https://www.readbyqxmd.com/read/26781803/three-dimensional-printing-as-an-aid-to-airway-evaluation-after-tracheotomy-in-a-patient-with-laryngeal-carcinoma
#18
Bin Han, Yajie Liu, Xiaoqing Zhang, Jun Wang
BACKGROUND: Difficult airway may result in significant morbidity and mortality. Proficient airway evaluation, therefore, is one of the key elements in the safe conduct of anesthesia. A three-dimensional (3D) printing model was recently introduced for medical application. 3D printing is a fast, convenient, and relatively affordable technique. We present a case in which a 3D-printed airway model was successfully used for airway evaluation. CASE PRESENTATION: A 77-year-old man who had previously undergone total laryngectomy was scheduled for resection of a pelvic mass...
January 19, 2016: BMC Anesthesiology
https://www.readbyqxmd.com/read/26712969/patient-s-knowledge-and-perception-of-preanesthesia-check-up-in-rural-india
#19
Deepak Singla, Mishu Mangla
BACKGROUND: Preanesthesia assessment is an important aspect of patient care. If a patient shows lack of interest during preanesthesia check-up or tries to rush through, it may result in incomplete history and general physical examination, compromising patient care. AIM: The aim of this study was to assess the knowledge of patients presenting for elective surgery to Tertiary Care Hospital in Rural India regarding value and importance of preanesthesia check-up. SETTINGS AND DESIGN: This observational study was conducted in a Tertiary Care Teaching Hospital in Rural India...
September 2015: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/26626609/preoperative-cognitive-and-frailty-screening-in-the-geriatric-surgical-patient-a-narrative-review
#20
REVIEW
Michael S Axley, Katie J Schenning
PURPOSE: The identification of older patients who may have deficits in cognitive or functional domains will become more pressing as increasing numbers of these patients present for preoperative evaluations. The number of older adults with deficiencies in these areas is projected to grow, and more of these patients will present for assessment in preoperative clinics with the expectation that surgeries will be performed. METHODS: We review current outcomes data for preoperative cognitive impairment and frailty...
December 1, 2015: Clinical Therapeutics
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