collection
https://read.qxmd.com/read/26475800/aspirin-and-spinal-haematoma-after-neuraxial-anaesthesia-myth-or-reality
#21
REVIEW
R S Vela Vásquez, R Peláez Romero
The safety of aspirin therapy in neuraxial anaesthesia has been historically questioned, and the current recommendations are still heterogeneous. A comprehensive review of clinical evidence and a comparative analysis of European and American guidelines were performed. Low-dose aspirin produces a selective, complete and irreversible cyclooxygenase-1 blockade, and higher doses do not increase the antiplatelet effect. Additional cyclooxygenase-2 blockade by high-dose aspirin might decrease the antithrombotic efficacy by inhibiting endothelial prostacyclin synthesis...
November 2015: British Journal of Anaesthesia
https://read.qxmd.com/read/28364145/deep-anesthesia-too-much-of-a-good-thing
#22
EDITORIAL
Matthew T V Chan, Mandy H M Chu, Carmen K M Lam, Bo Jia, Sharon Tsang, William K K Wu
No abstract text is available yet for this article.
June 2017: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/28184264/heated-carrier-fluids-in-decreasing-propofol-injection-pain-a-randomized-controlled-trial
#23
JOURNAL ARTICLE
Ann Misun Youn, Tzung-Min Hsu
BACKGROUND: Propofol is a commonly used intravenous drug during anesthetic induction because of its rapid onset and short duration. However, the injection pain that patients experience is so severe that they recall the induction of anesthesia as the most painful part of the perioperative period. Therefore, the objective of this study was to determine the effect of heated carrier fluids (40℃) in decreasing propofol injection pain. METHODS: A randomized, controlled clinical trial was conducted in 90 patients aged 18 to 65 who were scheduled for either elective or urgent surgery under general anesthesia classified as American Society of Anesthesiologists physical status I or II...
February 2017: Korean Journal of Anesthesiology
https://read.qxmd.com/read/21596885/gastric-sonography-in-the-fasted-surgical-patient-a-prospective-descriptive-study
#24
COMPARATIVE STUDY
Anahi Perlas, Liisa Davis, Masood Khan, Nicholas Mitsakakis, Vincent W S Chan
BACKGROUND: Aspiration pneumonia remains a serious anesthetic-related complication. A reliable diagnostic tool to assess gastric volume is currently lacking. We recently demonstrated that gastric sonography can provide reliable qualitative and quantitative information about gastric content and volume in healthy volunteers. In the current study, we performed a prospective qualitative and quantitative analysis of the gastric antrum in 200 fasted patients undergoing elective surgery. METHODS: A standardized gastric scanning protocol was applied before anesthetic induction...
July 2011: Anesthesia and Analgesia
https://read.qxmd.com/read/27440628/preoperative-heart-rate-and-myocardial-injury-after-non-cardiac-surgery-results-of-a-predefined-secondary-analysis-of-the-vision-study
#25
MULTICENTER STUDY
T E F Abbott, G L Ackland, R A Archbold, A Wragg, E Kam, T Ahmad, A W Khan, E Niebrzegowska, R N Rodseth, P J Devereaux, R M Pearse
BACKGROUND: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). METHODS: We performed a secondary analysis of a prospective international cohort study of patients aged ≥45 yr undergoing non-cardiac surgery. Preoperative heart rate was defined as the last measurement before induction of anaesthesia...
August 2016: British Journal of Anaesthesia
https://read.qxmd.com/read/27140683/stewart-acid-base-a-simplified-bedside-approach
#26
JOURNAL ARTICLE
David A Story
No abstract text is available yet for this article.
August 2016: Anesthesia and Analgesia
https://read.qxmd.com/read/27465522/current-evidence-is-not-in-support-of-lipid-rescue-therapy-in-local-anaesthetic-systemic-toxicity
#27
EDITORIAL
P H Rosenberg
No abstract text is available yet for this article.
September 2016: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/27087980/fluid-therapy-in-the-perioperative-setting-a-clinical-review
#28
REVIEW
Anders Winther Voldby, Birgitte Brandstrup
BACKGROUND: Perioperative hypovolemia and fluid overload have effects on both complications following surgery and on patient survival. Therefore, the administration of intravenous fluids before, during, and after surgery at the right time and in the right amounts is of great importance. This review aims to analyze the literature concerning perioperative fluid therapy in abdominal surgery and to provide evidence-based recommendations for clinical practice. RESULTS: Preoperative oral or intravenous administration of carbohydrate containing fluids has been shown to improve postoperative well-being and muscular strength and to reduce insulin resistance...
2016: Journal of Intensive Care
https://read.qxmd.com/read/26997303/the-impact-of-preoperative-corticosteroids-on-the-systemic-inflammatory-response-and-postoperative-complications-following-surgery-for-gastrointestinal-cancer-a-systematic-review-and-meta-analysis
#29
REVIEW
Stephen T McSorley, Paul G Horgan, Donald C McMillan
BACKGROUND: This meta-analysis examined the impact of preoperative corticosteroids on interleukin 6 (IL-6), C-reactive protein (CRP), and complications following surgery for gastrointestinal cancer. METHODS: A systematic review was performed using appropriate keywords. Random-effects meta-analysis was performed. RESULTS: 11 RCTs with 474 patients, were included. Corticosteroids were significantly associated with lower IL-6 on postoperative day 1 (mean difference -148pg/mL, 95% CI -205 to -92, p<0...
May 2016: Critical Reviews in Oncology/hematology
https://read.qxmd.com/read/20052816/regional-anesthesia-in-the-patient-receiving-antithrombotic-or-thrombolytic-therapy-american-society-of-regional-anesthesia-and-pain-medicine-evidence-based-guidelines-third-edition
#30
JOURNAL ARTICLE
Terese T Horlocker, Denise J Wedel, John C Rowlingson, F Kayser Enneking, Sandra L Kopp, Honorio T Benzon, David L Brown, John A Heit, Michael F Mulroy, Richard W Rosenquist, Michael Tryba, Chun-Su Yuan
The actual incidence of neurologic dysfunction resulting from hemorrhagic complications associated with neuraxial blockade is unknown. Although the incidence cited in the literature is estimated to be less than 1 in 150,000 epidural and less than 1 in 220,000 spinal anesthetics, recent epidemiologic surveys suggest that the frequency is increasing and may be as high as 1 in 3000 in some patient populations.Overall, the risk of clinically significant bleeding increase with age,associated abnormalities of the spinal cord or vertebral column, the presence of an underlying coagulopathy, difficulty during needle placement,and an indwelling neuraxial catheter during sustained anticoagulation( particularly with standard heparin or low-molecular weight heparin)...
2010: Regional Anesthesia and Pain Medicine
https://read.qxmd.com/read/26858095/what-works-and-what-s-safe-in-pediatric-emergency-procedural-sedation-an-overview-of-reviews
#31
REVIEW
Lisa Hartling, Andrea Milne, Michelle Foisy, Eddy S Lang, Douglas Sinclair, Terry P Klassen, Lisa Evered
BACKGROUND: Sedation is increasingly used to facilitate procedures on children in emergency departments (EDs). This overview of systematic reviews (SRs) examines the safety and efficacy of sedative agents commonly used for procedural sedation in children in the ED or similar settings. METHODS: We followed standard SR methods: comprehensive search; dual study selection, quality assessment, data extraction. We included SRs of children (1 month to 18 years) where the indication for sedation was procedure-related and performed in the ED...
May 2016: Academic Emergency Medicine
https://read.qxmd.com/read/26860016/rapid-fluid-administration-and-the-incidence-of-hypotension-induced-by-spinal-anesthesia-and-ephedrine-requirement-the-effect-of-crystalloid-versus-colloid-coloading
#32
RANDOMIZED CONTROLLED TRIAL
Hakki Unlugenc, Mediha Turktan, Ismail Cuneyt Evruke, Murat Gunduz, Refik Burgut, Hacer Yapicioglu-Yildizdas, Geylan Isik
PURPOSE: Spinal anesthesia for caesarean delivery is often associated with hypotension. This study was conducted to evaluate the effects of rapid crystalloid (Lactated Ringer's solution; LRS) or colloid (hydroxyethyl starch; HES) cohydration with a second intravenous access line on the incidence of hypotension and ephedrine requirement during spinal anesthesia for cesarean section. METHODS: We studied 90 women with uncomplicated pregnancies undergoing elective cesarean section under spinal anesthesia...
October 2015: Middle East Journal of Anesthesiology
https://read.qxmd.com/read/25246748/influence-of-propofol-and-fentanyl-on-deep-brain-stimulation-of-the-subthalamic-nucleus
#33
JOURNAL ARTICLE
Wonki Kim, In Ho Song, Yong Hoon Lim, Mi-Ryoung Kim, Young Eun Kim, Jae Ha Hwang, In Keyoung Kim, Sang Woo Song, Jin Wook Kim, Woong-Woo Lee, Han-Joon Kim, Cheolyoung Kim, Hee Chan Kim, In Young Kim, Hee Pyoung Park, Dong Gyu Kim, Beom Seok Jeon, Sun Ha Paek
We investigated the effect of propofol and fentanyl on microelectrode recording (MER) and its clinical applicability during subthalamic nucleus (STN) deep brain stimulation (DBS) surgery. We analyzed 8 patients with Parkinson's disease, underwent bilateral STN DBS with MER. Their left sides were done under awake and then their right sides were done with a continuous infusion of propofol and fentanyl under local anesthesia. The electrode position was evaluated by preoperative MRI and postoperative CT. The clinical outcomes were assessed at six months after surgery...
September 2014: Journal of Korean Medical Science
https://read.qxmd.com/read/22446010/dynamical-changes-in-neurological-diseases-and-anesthesia
#34
REVIEW
Michelle M McCarthy, ShiNung Ching, Miles A Whittington, Nancy Kopell
Dynamics of neuronal networks can be altered in at least two ways: by changes in connectivity, that is, the physical architecture of the network, or changes in the amplitudes and kinetics of the intrinsic and synaptic currents within and between the elements making up a network. We argue that the latter changes are often overlooked as sources of alterations in network behavior when there are also structural (connectivity) abnormalities present; indeed, they may even give rise to the structural changes observed in these states...
August 2012: Current Opinion in Neurobiology
https://read.qxmd.com/read/19224812/the-utility-of-ketamine-for-the-preoperative-management-of-a-patient-with-parkinson-s-disease
#35
JOURNAL ARTICLE
Justin J Wright, Peter D Goodnight, Matthew D McEvoy
Loss of dopaminergic neurons from the substantia nigra characterizes the classical pathology of Parkinson's disease, but persistent activation of N-methyl-D-aspartate receptors is also a major component. During difficult airway management in a patient with advanced Parkinson's disease, the use of low-dose (20 mg) i.v. ketamine resulted in complete abolition of severe tremor and dysarthria. This led to the current case report in which low-dose ketamine was used for preoperative sedation and dyskinesia attenuation...
March 2009: Anesthesia and Analgesia
https://read.qxmd.com/read/26866753/head-elevated-patient-positioning-decreases-complications-of-emergent-tracheal-intubation-in-the-ward-and-intensive-care-unit
#36
MULTICENTER STUDY
Nita Khandelwal, Sarah Khorsand, Steven H Mitchell, Aaron M Joffe
BACKGROUND: Based on the data from elective surgical patients, positioning patients in a back-up head-elevated position for preoxygenation and tracheal intubation can improve patient safety. However, data specific to the emergent setting are lacking. We hypothesized that back-up head-elevated positioning would be associated with a decrease in complications related to tracheal intubation in the emergency room environment. METHODS: This retrospective study was approved by the University of Washington Human Subjects Division (Seattle, WA)...
April 2016: Anesthesia and Analgesia
https://read.qxmd.com/read/26865152/anesthesia-exposure-and-risk-of-dementia-and-alzheimer-s-disease-a-prospective-study
#37
JOURNAL ARTICLE
Erin J Aiello Bowles, Eric B Larson, Ryan P Pong, Rod L Walker, Melissa L Anderson, Onchee Yu, Shelly L Gray, Paul K Crane, Sascha Dublin
OBJECTIVES: To evaluate the associations between anesthesia and dementia or Alzheimer's disease (AD) risk using prospectively collected data. DESIGN: Cohort study. PARTICIPANTS: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). MEASUREMENTS: Participants self-reported all prior surgical procedures with general or neuraxial (spinal or epidural) anesthesia at baseline and reported new procedures every 2 years...
March 2016: Journal of the American Geriatrics Society
https://read.qxmd.com/read/26684527/time-to-abandon-awake-fibreoptic-intubation
#38
EDITORIAL
I Ahmad, C R Bailey
No abstract text is available yet for this article.
January 2016: Anaesthesia
https://read.qxmd.com/read/26785445/persistent-postoperative-cognitive-decline-the-pyramid-of-evidence
#39
JOURNAL ARTICLE
Michael S Avidan, Alex S Evers
No abstract text is available yet for this article.
February 2016: Anesthesiology
https://read.qxmd.com/read/26620144/peri-operative-cardiac-protection-for-non-cardiac-surgery
#40
REVIEW
S S C Wong, M G Irwin
Cardiovascular complications are an important cause of morbidity and mortality after non-cardiac surgery. Pre-operative identification of high-risk individuals and appropriate peri-operative management can reduce cardiovascular risk. It is important to continue chronic beta-blocker and statin therapy. Statins are relatively safe and peri-operative initiation may be beneficial in high-risk patients and those scheduled for vascular surgery. The pre-operative introduction of beta-blockers reduces myocardial injury but increases rates of stroke and mortality, possibly due to hypotension...
January 2016: Anaesthesia
label_collection
label_collection
3261
2
3
2016-01-21 01:48:24
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.