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Anesthesia

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73 papers 25 to 100 followers
https://www.readbyqxmd.com/read/27837405/guidelines-to-the-practice-of-anesthesia-revised-edition-2017
#1
Gregory Dobson, Matthew Chong, Lorraine Chow, Alana Flexman, Matthew Kurrek, Claude Laflamme, Annie Lagacée, Shean Stacey, Barton Thiessen
The Guidelines to the Practice of Anesthesia Revised Edition 2017 (the guidelines) were prepared by the Canadian Anesthesiologists' Society (CAS), which reserves the right to determine their publication and distribution. Because the guidelines are subject to revision, updated versions are published annually. The Guidelines to the Practice of Anesthesia Revised Edition 2017 supersedes all previously published versions of this document. Although the CAS encourages Canadian anesthesiologists to adhere to its practice guidelines to ensure high-quality patient care, the society cannot guarantee any specific patient outcome...
November 11, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27820710/innovative-disruption-in-the-world-of-neuromuscular-blockade-what-is-the-state-of-the-art
#2
Mohamed Naguib, Ken B Johnson
No abstract text is available yet for this article.
November 7, 2016: Anesthesiology
https://www.readbyqxmd.com/read/26858095/what-works-and-what-s-safe-in-pediatric-emergency-procedural-sedation-an-overview-of-reviews
#3
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: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27777297/surgical-management-of-infective-endocarditis-complicated-by-embolic-stroke-practical-recommendations-for-clinicians
#4
Bobby Yanagawa, Gosta B Pettersson, Gilbert Habib, Marc Ruel, Gustavo Saposnik, David A Latter, Subodh Verma
There has been an overall improvement in surgical mortality for patients with infective endocarditis (IE), presumably because of improved diagnosis and management, centered around a more aggressive early surgical approach. Surgery is currently performed in approximately half of all cases of IE. Improved survival in surgery-treated patients is correlated with a reduction in heart failure and the prevention of embolic sequelae. It is reported that between 20% and 40% of patients with IE present with stroke or other neurological conditions...
October 25, 2016: Circulation
https://www.readbyqxmd.com/read/27785762/special-announcement-guidelines-to-the-practice-of-anesthesia-revised-edition-2017
#5
EDITORIAL
Gregory Dobson
No abstract text is available yet for this article.
October 26, 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27775997/withholding-versus-continuing-angiotensin-converting-enzyme-inhibitors-or-angiotensin-ii-receptor-blockers-before-noncardiac-surgery-an-analysis-of-the-vascular-events-in-noncardiac-surgery-patients-cohort-evaluation-prospective-cohort
#6
Pavel S Roshanov, Bram Rochwerg, Ameen Patel, Omid Salehian, Emmanuelle Duceppe, Emilie P Belley-Côté, Gordon H Guyatt, Daniel I Sessler, Yannick Le Manach, Flavia K Borges, Vikas Tandon, Andrew Worster, Alexandra Thompson, Mithin Koshy, Breagh Devereaux, Frederick A Spencer, Robert D Sanders, Erin N Sloan, Erin E Morley, James Paul, Karen E Raymer, Zubin Punthakee, P J Devereaux
BACKGROUND: The effect on cardiovascular outcomes of withholding angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers in chronic users before noncardiac surgery is unknown. METHODS: In this international prospective cohort study, the authors analyzed data from 14,687 patients (including 4,802 angiotensin-converting enzyme inhibitor/angiotensin II receptor blocker users) at least 45 yr old who had in-patient noncardiac surgery from 2007 to 2011...
October 24, 2016: Anesthesiology
https://www.readbyqxmd.com/read/27792079/obesity-hypoventilation-syndrome-sleep-apnea-overlap-syndrome-perioperative-management-to-prevent-complications
#7
Raviraj Raveendran, Jean Wong, Mandeep Singh, David T Wong, Frances Chung
PURPOSE OF REVIEW: The prevalence of sleep disordered breathing (SDB) is increasing proportional to the prevalence of obesity. Although anesthesiologists are familiar with obstructive sleep apnea (OSA) - the most common SDB, anesthesiologists may not be aware of other SDB such as obesity hypoventilation syndrome (OHS) and overlap syndrome (combination of OSA and chronic obstructive pulmonary disease). The present review provides an update of information regarding the perioperative management of OHS and overlap syndrome...
October 26, 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/27746578/caffeine-for-delayed-recovery
#8
Madhuri S Kurdi
No abstract text is available yet for this article.
September 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27781331/anesthetic-management-of-premature-conjoined-twins-posted-for-nonseparation-emergency-surgery
#9
Sunita Kulhari, Amit Rastogi, Ashish Kanaujia, Poulomi Biswas, Prabhat Kumar Singh
Craniopagus conjoined twins are rare, and the chance that an anesthesiologist might face the challenge of providing anesthesia for this condition is very rare. The incidence of conjoined twins ranges from 1 : 50 000 to 1 : 200 000 births. We describe the anesthetic management of a pair of premature craniopagus conjoined twins posted for emergency surgery prior to their separation.
December 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/27756812/the-effectiveness-of-10-years-of-interventions-to-control-postoperative-bleeding-in-adult-cardiac-surgery
#10
Marco Ranucci, Ekaterina Baryshnikova, Valeria Pistuddi, Lorenzo Menicanti, Alessandro Frigiola
OBJECTIVES: Postoperative bleeding in cardiac surgery remains an important complication, leading to increased morbidity and mortality. Different interventions are possible to prevent/treat postoperative bleeding. The present study aims to investigate the effectiveness of these interventions in a real-world scenario. METHODS: This is a retrospective study based on 19 670 consecutive adult cardiac surgery patients operated from 2000 to 2015. During the study period, the following interventions have been applied and tested for effectiveness with a before versus after analysis: thromboelastography (TEG)-based diagnosis and treatment in actively bleeding patients; platelet function tests (PFTs); timing of surgery based on PFTs; fresh frozen plasma (FFP)-free strategy using prothrombin complex concentrate and fibrinogen concentrate...
October 17, 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27776801/classification-and-prognostic-evaluation-of-left-ventricular-remodeling-in-patients-with-asymptomatic-heart-failure
#11
Nicola Riccardo Pugliese, Iacopo Fabiani, Salvatore La Carrubba, Lorenzo Conte, Francesco Antonini-Canterin, Paolo Colonna, Pio Caso, Frank Benedetto, Veronica Santini, Scipione Carerj, Maria Francesca Romano, Rodolfo Citro, Vitantonio Di Bello
Patients with asymptomatic heart failure (HF; stage A and B) are characterized by maladaptive left ventricular (LV) remodeling. Classic 4-group classification of remodeling considers only LV mass index and relative wall thickness as variables. Complex remodeling classification (CRC) includes also LV end-diastolic volume index. Main aim was to assess the prognostic impact of CRC in stage A and B HF. A total of 1,750 asymptomatic subjects underwent echocardiographic examination as a screening evaluation in the presence of cardiovascular risk factors...
September 29, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/27748653/protective-ventilation-during-anesthesia-is-it-meaningful
#12
Göran Hedenstierna, Lennart Edmark
No abstract text is available yet for this article.
September 30, 2016: Anesthesiology
https://www.readbyqxmd.com/read/27650346/blood-transfusion-and-coagulation-management
#13
REVIEW
Jens Meier
Despite impressive progress in surgical technique, aortic surgery is still associated with relatively high morbidity and mortality. One of the most important contributors to this phenomenon is the triad of bleeding, anemia, and transfusion. All three factors are known to influence the outcome of aortic surgery to a great extent. However, over the last few years a multidisciplinary, multimodal concept has been established, which enables the physician to avoid bleeding, anemia, and transfusion as much as possible...
September 2016: Best Practice & Research. Clinical Anaesthesiology
https://www.readbyqxmd.com/read/27650347/postoperative-management
#14
REVIEW
Stefan Schraag
Most patients undergoing major aortic surgery have multiple comorbidities and are at high risk of postoperative complications that affect multiple organ systems. Different aortic pathologies and surgical repair techniques have specific impact on the postoperative course. Ischemia-reperfusion injury is the common denominator in aortic surgery and influences the integrity of end-organ function. Common postoperative problems include hemodynamic instability due to the immediate inflammatory response, renal impairment, spinal cord ischemia, respiratory failure with prolonged mechanical ventilation, and gastrointestinal symptoms such as ileus or mesenteric ischemia...
September 2016: Best Practice & Research. Clinical Anaesthesiology
https://www.readbyqxmd.com/read/26620144/peri-operative-cardiac-protection-for-non-cardiac-surgery
#15
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
https://www.readbyqxmd.com/read/27350253/systematic-echocardiographic-evaluation-of-mitral-valve-regurgitation-for-transcatheter-edge-to-edge-repair
#16
REVIEW
Julia Wallenborn, Sebastian Herrmann, Marc Hansen, Kai Hu, Wolfram Voelker, Stefan Störk, Georg Ertl, Frank Weidemann
In patients with relevant mitral regurgitation (MR), transcatheter edge-to-edge repair (also called MitraClip) provides an alternative treatment option especially for inoperable or high-risk patients. In preparation for the procedure, echocardiography is the method of choice for assessment of mitral valve (MV) morphology and function and thus provides important information if successful treatment of MR can be accomplished by MitraClip. This review article provides structured and detailed guidance how to systematically assess functional and degenerative MR and MV pathology by echocardiography in order to select eligible patients for this procedure...
July 2016: Echocardiography
https://www.readbyqxmd.com/read/27440628/preoperative-heart-rate-and-myocardial-injury-after-non-cardiac-surgery-results-of-a-predefined-secondary-analysis-of-the-vision-study
#17
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://www.readbyqxmd.com/read/27669558/the-three-laws-of-autonomous-and-closed-loop-systems-in-anesthesia
#18
Kai Kuck, Ken B Johnson
No abstract text is available yet for this article.
September 23, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27212766/real-time-ultrasound-guided-comparison-of-adductor-canal-block-and-psoas-compartment-block-combined-with-sciatic-nerve-block-in-laparoscopic-knee-surgeries
#19
Medhat M Messeha
BACKGROUND: Lumbar plexus block, combined with a sciatic nerve block, is an effective locoregional anesthetic technique for analgesia and anesthesia of the lower extremity. The aim of this study was to compare the clinical results outcome of the adductor canal block versus the psoas compartment block combined with sciatic nerve block using real time ultrasound guidance in patients undergoing elective laparoscopic knee surgeries. PATIENTS AND METHODS: Ninety patients who were undergoing elective laparoscopic knee surgeries were randomly allocated to receive a sciatic nerve block in addition to lumbar plexus block using either an adductor canal block (ACB) or a posterior psoas compartment approach (PCB) using 25 ml of bupivacine 0...
May 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27212775/repeat-spinal-anesthesia-in-cesarean-section-a-comparison-between-10-mg-and-12-mg-doses-of-intrathecal-hyperbaric-0-05-bupivacaine-repeated-after-failed-spinal-anesthesia-a-prospective-parallel-group-study
#20
Debasish Bhar, Sandip RoyBasunia, Anjan Das, Subinay Chhaule, Sudipta Kumar Mondal, Subrata Bisai, Surajit Chattopadhyay, Subrata Kumar Mandal
BACKGROUND: Spinal anesthesia for cesarean section is not a 100% successful technique. At times, despite straightforward insertion and drug administration, intrathecal anesthesia for cesarean section fails to obtain any sensory or motor block. Very few studies and literature are available regarding repeat administration of spinal anesthesia and its drug dosage, especially after first spinal failure in cesarean section lower segment cesarean section (LSCS) due to fear of the excessive spread of drug...
May 2016: Anesthesia, Essays and Researches
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