keyword
https://read.qxmd.com/read/38524082/the-delicate-dance-of-intraoperative-anesthesia-addressing-patient-and-anesthesiologist-concerns
#1
JOURNAL ARTICLE
Zaid Al Modanat, Lou'i Al-Husinat, Bashar M Mistarihi, Mohammad Tashtoush, Jood Alsarabi, Rama Matalqah, Hassan Mistarihi, Mohammad Wasfi Amir, Nawal Debajah, Esra'a Rejoub, Raneem Bereshy, Mustafa Tawaha, Rana Talj, Giustino Varrassi
Background In the realm of surgical procedures, patients and anesthesiologists have distinct concerns that can have an impact on their relationship. Patients are often riddled with anxiety about the unknowns of anesthesia and the possible risks. Anesthesiologists, too, face their own set of concerns. Despite the importance of this interaction, there has been little research on the specific concerns of both parties. Our study aims to fill this gap by describing and comparing the concerns of patients and anesthesiologists in Jordan...
February 2024: Curēus
https://read.qxmd.com/read/38515426/barriers-to-healthcare-access-for-children-with-congenital-heart-disease-in-eight-latin-american-countries
#2
JOURNAL ARTICLE
Rodrigo Lopez-Barreda, Lorena Schaigorodsky, Claudia Rodríguez-Pinto, Wilbaldo Salas, Yamile Muñoz, Bianca Betanco, Oscar Angulo, Marina Huamán, Gladys Lejbusiewicz, Victor Pedrero, Milena Pavlova, Wim Groot, Juan C Ibla
BACKGROUND: Mortality from congenital heart disease has decreased considerably in the last two decades due to improvements in overall health care. However, there are barriers to access to healthcare in Latin America for this population, which could be related to factors such as healthcare system, policies, resources, geographic, cultural, educational, and psychological factors. Understanding the barriers to access to care is of paramount importance for the design and implementation of policies and facilitate the provision of care...
March 22, 2024: Paediatric Anaesthesia
https://read.qxmd.com/read/38504319/dissemination-of-clinical-and-scientific-practice-through-social-media-a-siaarti-consensus-based-document
#3
REVIEW
Andrea Cortegiani, Denise Battaglini, Giovanna Amato, Astrid Ursula Behr, Katia Donadello, Sharon Einav, Maria Grazia Frigo, Giorgio Fullin, Alberto Giannini, Mariachiara Ippolito, Franco Marozzi, Roberta Monzani, Gianpaola Monti, Marcus J Schultz, Vito Torrano, Gianluca Villa, Antonino Giarratano
BACKGROUND: Dissemination of medical practice and scientific information through social media (SoMe) by clinicians and researchers is increasing. Broad exposure of information can promote connectivity within the scientific community, overcome barriers to access to sources, increase debate, and reveal layperson perspectives and preferences. On the other hand, practices lacking scientific evidence may also be promoted, laypeople may misunderstand the professional message, and clinician may suffer erosion of professional status...
March 19, 2024: J Anesth Analg Crit Care
https://read.qxmd.com/read/38504188/effect-of-transcutaneous-electrical-acupoint-stimulation-on-the-quality-of-postoperative-recovery-a-meta-analysis
#4
JOURNAL ARTICLE
Meng Zhang, Huanhuan Zhang, Pan Li, Jianli Li
BACKGROUND: The purpose of the present study was to systematically delve into the efficacy and safety of transcutaneous electrical acupoint stimulation (TEAS) on the quality of recovery after general anesthesia. METHODS: Randomized controlled trials related to TEAS improving postoperative recovery quality were searched in Cochrane Library, Web of Science, Embase, PubMed, CNKI, VIP, Wanfang and Chinese biomedical database from the inception of each database to June 2023...
March 19, 2024: BMC Anesthesiology
https://read.qxmd.com/read/38488908/clinical-insights-into-traumatic-injury-of-the-inferior-alveolar-and-lingual-nerves-a-comprehensive-approach-from-diagnosis-to-therapeutic-interventions
#5
REVIEW
Peer W Kämmerer, Diana Heimes, Amely Hartmann, Marco Kesting, Fouad Khoury, Eik Schiegnitz, Daniel G E Thiem, Jörg Wiltfang, Bilal Al-Nawas, Wolfgang Kämmerer
OBJECTIVES: This scoping review explores the risk and management of traumatic injuries to the inferior alveolar and lingual nerves during mandibular dental procedures. Emphasizing the significance of diagnostic tools, the review amalgamates existing knowledge to offer a comprehensive overview. MATERIALS AND METHODS: A literature search across PubMed, Embase, and Cochrane Library informed the analysis. RESULTS: Traumatic injuries often lead to hypo-/anesthesia and neuropathic pain, impacting individuals psychologically and socially...
March 15, 2024: Clinical Oral Investigations
https://read.qxmd.com/read/38485466/preoperative-cognitive-impairment-and-postoperative-delirium-among-holocaust-survivors-who-achieved-longevity
#6
JOURNAL ARTICLE
Yotam Weiss, Shiri Zarour, Yossef Kiselevich, Maher Abu Ghanim, Daniel Hikry, Isaac Sinai Brzezinski, Lilach Zac, Barak Cohen, Idit Matot
BACKGROUND: Holocaust survivors (HS) experience higher rates of physiological and psychological morbidities, increasing their vulnerability to perioperative complications. Limited information exists regarding their perioperative neurocognitive disorders. This study aimed to assess the rates of preoperative cognitive impairment, postoperative delirium, and other complications among HS aged 75+ undergoing elective surgery. METHODS: This is a single-center retrospective cohort study that analyzed prospectively collected data...
March 14, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38478876/smallest-clinically-meaningful-improvement-in-amputation-related-pain-and-brief-pain-inventory-scores-as-defined-by-patient-reports-of-global-improvement-after-cryoneurolysis-a-retrospective-analysis-of-a-randomized-controlled-clinical-trial
#7
JOURNAL ARTICLE
Brian M Ilfeld, Cameron R Smith, Alparslan Turan, Edward R Mariano, Matthew E Miller, Rick L Fisher, Andrea M Trescot, Steven P Cohen, James C Eisenach, Daniel I Sessler, J David Prologo, Edward J Mascha, Liu Liu, Rodney A Gabriel
BACKGROUND: The smallest meaningful improvement in pain scores (minimal clinically important difference [MCID]) after an analgesic intervention is essential information when both interpreting published data and designing a clinical trial. However, limited information is available for patients with chronic pain conditions, and what is published is derived from studies involving pharmacologic and psychological interventions. We here calculate these values based on data collected from 144 participants of a previously published multicenter clinical trial investigating the effects of a single treatment with percutaneous cryoneurolysis...
March 14, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38477148/management-of-outpatient-pediatric-burns-at-a-pediatric-burn-center
#8
JOURNAL ARTICLE
Süleyman Arif Bostancı, Sabri Demir, Ahmet Ertürk, Gökhan Demirtaş, Can İhsan Öztorun, Doğuş Güney, Şükrüye Demirkaya, Elif Emel Erten, Müjdem Nur Azılı, Emrah Şenel
Burn injuries are a serious emergency. Most burn injuries in children can be treated as outpatients. The aim of this study was to present the clinical and epidemiologic characteristics of pediatric burn injuries treated in our outpatient burn clinic. This study included pediatric patients treated in an outpatient burn clinic over an eight-year period. The demographic and clinical characteristics of the patients were retrospectively analyzed. The patients were divided into four groups according to their age groups, and the differences between the groups were investigated...
March 13, 2024: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://read.qxmd.com/read/38439945/investigating-factors-associated-with-the-development-of-postnatal-depression-after-cesarean-delivery-a-validation-cohort-study
#9
JOURNAL ARTICLE
Daryl Jian An Tan, Rehena Sultana, Sheryl Yu Xuan Chow, Chin Wen Tan, Hon Sen Tan, Helen Yu Chen, Tze-Ern Chua, Ban Leong Sng
PURPOSE: This study aimed to validate a proposed association model previously published to determine the clinical relevance of pre-operative determinants in the development of PND after Cesarean delivery (CD). PATIENTS AND METHODS: Parturients undergoing elective CD under neuraxial anesthesia were recruited for a prospective cohort study between Oct 2021 and Oct 2022 at KK Women's and Children's Hospital, Singapore. Predelivery pain, psychological and mechanical temporal summation, and demographic data were recorded...
2024: Neuropsychiatric Disease and Treatment
https://read.qxmd.com/read/38413184/effect-of-virtual-reality-hypnosis-on-intraoperative-sedation-needs-and-functional-recovery-in-knee-arthroplasty-a-prospective-randomized-clinical-trial
#10
JOURNAL ARTICLE
Michele Carella, Florian Beck, Caroline Quoilin, Murielle M Azongmo, Adrien Loheac, Vincent L Bonhomme, Audrey Vanhaudenhuyse
BACKGROUND AND OBJECTIVES: Perioperative psychological stress and pharmacological anxiolysis can negatively affect the quality of recovery after total knee arthroplasty. We aimed to assess whether hypnosis combined with virtual reality could reduce intraoperative pharmacological sedation and improve quality of recovery after total knee arthroplasty surgery. METHODS: In this prospective randomized clinical trial, 60 patients scheduled for total knee arthroplasty with spinal anesthesia were randomly divided into 2 groups of 30 patients each...
February 27, 2024: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/38408640/evaluating-comt-rs4680-polymorphism-in-genetic-susceptibility-to-chronic-pain-post-total-knee-arthroplasty-a-prospective-cohort-study
#11
JOURNAL ARTICLE
Zihua Li, Yan Shi, Xujuan Chen, Wu Qiting, Huiqin Xi, Meimei Tian
BACKGROUND: The Catechol-O-methyltransferase (COMT) gene, responsible for encoding an enzyme crucial in the metabolism of catecholamines, is known to play a significant role in pain perception. Polymorphisms within this gene, particularly the COMT rs4680 genotypes, have been linked to various acute pain phenotypes. This prospective cohort study examines interactions among the genetic polymorphism COMT rs4680 genotypes, preoperative knee pain, and pain catastrophizing in chronic postsurgical pain (CPSP) at 3, 6, and 12 months post-total knee arthroplasty (TKA)...
February 24, 2024: Anaesthesia, Critical Care & Pain Medicine
https://read.qxmd.com/read/38383700/live-birth-following-a-two-way-transport-in-vitro-fertilization-using-a-portable-incubator-a-novel-protocol-executed-during-the-covid-19-pandemic
#12
JOURNAL ARTICLE
Zaher Merhi, Marco Mouanness
This case presents a live birth of a complete "two-way transport IVF" using a portable incubator during the COVID-19 pandemic, allowing the patient to undergo both oocyte collection and embryo transfer in a satellite office located 30 miles, 2-h drive, away from the central IVF laboratory. A 30-year-old patient who lives on Long Island NY, with a history of unexplained infertility and previously failed intra-uterine inseminations (IUI), had a telehealth consultation for IVF. Because of the high prevalence of the COVID-19 virus in Manhattan-NYC where the central IVF laboratory is located, the patient was consented to undergo a two-way transport IVF...
February 21, 2024: Reproductive Sciences
https://read.qxmd.com/read/38375113/effect-of-lite-touch-on-the-anxiety-of-low-risk-pregnant-women-in-the-latent-phase-of-childbirth-a-randomized-controlled-trial
#13
JOURNAL ARTICLE
Wenqian Yang, Yonghong Wang, Chingyuan Ko, Xiaoyu Niu, Yan Huang, Biru Luo, Guoyu Wang, Jingjing He, Huafeng Li
INTRODUCTION: Women with perinatal anxiety have reduced coping capacity during labor, which affects labor progress and increases the likelihood of a cesarean section. Several non-pharmacological interventions for anxiety during childbirth are available. This study used the "lite touch" method, a non-pharmacological intervention based on physiological responses and obstetric clinical experience in women. We aimed to evaluate whether lite touch could relieve perinatal anxiety and investigate the effect of light skin stroking on the maternal hormones, catecholamine, and cortisol...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38322604/combined-resection-approaches-decision-making-for-synchronous-resection-timing-of-staged-intervention-to-optimize-outcome
#14
REVIEW
Megumi Asai, Kaitlyn D Dobesh
Advancement in systemic and regional radiation therapy, surgical technique, and anesthesia has provided a path for increased long-term survival and potential cure for more patients with stage IV rectal cancer in recent years. When patients have resectable disease, the sequence for surgical resection is classified in three strategies: classic, simultaneous, or combined, and reversed. The classic approach consists of rectal cancer resection followed by metastatic disease at a subsequent operation. Simultaneous resection addresses both rectal and metastatic disease in a single surgery...
March 2024: Clinics in Colon and Rectal Surgery
https://read.qxmd.com/read/38313738/an-audit-on-surgery-cancellation-in-a-teaching-hospital
#15
JOURNAL ARTICLE
Baraa Tayeb
BACKGROUND: Operative procedure cancellations are a dilemma for the healthcare system as well as for the patients. It causes increased workload and cost to our system. For patients, it has major financial, psychological as well as medical consequences. We aim to self-identify the causes of cancellations for efficient operation room management. METHODS: We performed a retrospective chart review in a tertiary academic medical center for the last 66 months of operative records...
2024: Saudi Journal of Anaesthesia
https://read.qxmd.com/read/38301243/awake-brain-mapping-paradigms-for-nondominant-hemisphere-gliomas
#16
REVIEW
Justyna O Ekert, David S Sabsevitz, Isabel Martin Del Campo, Anshit Goyal, Conor S Gillespie, Erik H Middlebrooks, Kaisorn L Chaichana, Keng Siang Lee, Jesus E Sanchez-Garavito, Alfredo Quiñones-Hinojosa
OBJECTIVE: Traditionally, resection of nondominant hemisphere brain tumors was performed under general anesthesia. An improved understanding of right-lateralized neural networks has led to a paradigm shift in recent decades, where the right or nondominant hemisphere is no longer perceived as "functionally silent." There is an increasing interest in awake brain mapping for nondominant hemisphere resections. The objective of this study was to perform a comprehensive review of the existing brain mapping paradigms for patients with nondominant hemisphere gliomas undergoing awake craniotomies...
February 2024: Neurosurgical Focus
https://read.qxmd.com/read/38295119/a-prospective-cohort-study-of-acute-pain-and-in-hospital-opioid-consumption-after-cardiac-surgery-associations-with-psychological-and-medical-factors-and-chronic-postsurgical-pain
#17
JOURNAL ARTICLE
M Gabrielle Pagé, Praveen Ganty, Dorothy Wong, Vivek Rao, James Khan, Karim Ladha, John Hanlon, Sarah Miles, Rita Katznelson, Duminda Wijeysundera, Joel Katz, Hance Clarke
BACKGROUND: Understanding the association of acute pain intensity and opioid consumption after cardiac surgery with chronic postsurgical pain (CPSP) can facilitate implementation of personalized prevention measures to improve outcomes. The objectives were to (1) examine acute pain intensity and daily mg morphine equivalent dose (MME/day) trajectories after cardiac surgery, (2) identify factors associated with pain intensity and opioid consumption trajectories, and (3) assess whether pain intensity and opioid consumption trajectories are risk factors for CPSP...
January 31, 2024: Anesthesia and Analgesia
https://read.qxmd.com/read/38283136/comparison-of-remimazolam-versus-sevoflurane-on-the-postoperative-quality-of-recovery-in-cervical-spine-surgery-a-prospective-randomized-controlled-double-blind-trial
#18
RANDOMIZED CONTROLLED TRIAL
Jiwon Lee, Dong Woo Han, Na Young Kim, Keun-Su Kim, Yunil Yang, Juyeon Yang, Hye Sun Lee, Myoung Hwa Kim
PURPOSE: Remimazolam is a newly developed ultra-short-acting benzodiazepine. We compared overall functional recovery, including the postoperative Quality of Recovery-15 (QoR-15) questionnaire scores, between balanced inhalational anesthesia using sevoflurane and total intravenous anesthesia (TIVA) with remimazolam in patients undergoing anterior cervical discectomy and fusion (ACDF). PATIENTS AND METHODS: Seventy-two patients were randomized to the remimazolam (group R) or sevoflurane (group S) group...
2024: Drug Design, Development and Therapy
https://read.qxmd.com/read/38251621/peer-support-and-second-victim-programs-for-anesthesia-professionals-involved-in-stressful-or-traumatic-clinical-events
#19
REVIEW
Robyn E Finney, Adam K Jacob
Modern anesthetic care is very safe, but stressful and traumatic clinical events may occur. When they occur, anesthesia professionals are vulnerable to second victim experiences, resulting in significant and long-lasting psychological and emotional consequences if not addressed. Peer support can help anesthesia professionals cope with the negative effects of second victim experiences.
December 2023: Advances in Anesthesia
https://read.qxmd.com/read/38179461/the-efficacy-and-safety-of-ketamine-for-depression-in-patients-with-cancer-a-systematic-review
#20
JOURNAL ARTICLE
Leila Azari, Homa Hemati, Ronia Tavasolian, Sareh Shahdab, Stephanie M Tomlinson, Margarita Bobonis Babilonia, Jeffrey Huang, Danielle B Tometich, Kea Turner, Heather S L Jim, Amir Alishahi Tabriz
BACKGROUND: Management of depression in the oncology population includes supportive psychotherapeutic interventions with or without psychotropic medication, which take time to demonstrate effectiveness. Fast-acting interventions, like ketamine, can provide a rapid antidepressant effect; however, there has been limited research on effects of ketamine among cancer patients. The objective of this review is to provide an overview of research on the efficacy and safety of ketamine on depression in patients with cancer...
2024: International Journal of Clinical and Health Psychology: IJCHP
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