Anesthesiology
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 16.
Stem cell-like human endothelial progenitors show enhanced colony-forming capacity after brief sevoflurane exposure: preconditioning of angiogenic cells by volatile anesthetics.
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CONCLUSIONS: Sevoflurane preconditioning promotes growth and proliferation of stem cell-like human endothelial progenitors. Hence, it may be used to promote perioperative vascular healing and to support cell replacement therapies.
PMID: 19762739 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Lucchinetti E, Zeisberger SM, Baruscotti I, Wacker J, Feng J, Zaugg K, Dubey R, Zisch AH, Zaugg M Tags: Anesth Analg Source Type: journals
Isoflurane inhibits cyclic adenosine monophosphate response element-binding protein phosphorylation and calmodulin translocation to the nucleus of SH-SY5Y cells.Email this article to a colleague.
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CONCLUSIONS: Our data demonstrate that isoflurane inhibits CaM translocation and P-CREB formation. This most likely occurs through isoflurane inhibition of Ca(2+)entry through L-type Ca(2+) channels.
PMID: 19762740 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Zhang J, Sutachan JJ, Montoya-Gacharna J, Xu CF, Xu F, Neubert TA, Recio-Pinto E, Blanck TJ Tags: Anesth Analg Source Type: journals
Monitoring with head-mounted displays: performance and safety in a full-scale simulator and part-task trainer.Email this article to a colleague.
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CONCLUSIONS: The HMD helped anesthesiologists detect events when physically constrained, but not when physically unconstrained. Although there was no conclusive evidence of worsened inattentional blindness, found in aviation, the perceptual properties of the HMD display appear to influence whether events are detected. Anesthesiologists wearing HMDs should self-adjust the focus to minimize eyestrain and should be aware that some changes may not attract their attention. Future areas of research include developing principles for the design of HMDs, evaluating other types of HMDs, and evaluating the HMD in clinical contexts.
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Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Liu D, Jenkins SA, Sanderson PM, Watson MO, Leane T, Kruys A, Russell WJ Tags: Anesth Analg Source Type: journals
Impact of multiaccess infusion devices on in vitro drug delivery during multi-infusion therapy.Email this article to a colleague.
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CONCLUSIONS: Multi-infusion therapy induces perturbation in drug delivery. These perturbations (lag time, backflow, and bolus) could be reduced by using infusion sets including very low dead space volume and an ARV.
PMID: 19762742 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Décaudin B, Dewulf S, Lannoy D, Simon N, Secq A, Barthélémy C, Debaene B, Odou P Tags: Anesth Analg Source Type: journals
An analysis of drug delivery dynamics via a pediatric central venous infusion system: quantification of delays in achieving intended doses.Email this article to a colleague.
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CONCLUSIONS: Current infusion techniques in the pediatric care setting can result in significant, unrecognized, and potentially hazardous delays in achieving delivery of intended drug doses to the patient. Total flow rate, priming of the infusion system, the dead volume of the fluid path, and the start-up performance of the infusion pump system contribute to delays in achieving targeted rates of drug delivery.
PMID: 19762743 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Bartels K, Moss DR, Peterfreund RA Tags: Anesth Analg Source Type: journals
Prevalence of malignant hyperthermia due to anesthesia in New York State, 2001-2005.Email this article to a colleague.
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CONCLUSION: The prevalence of MH due to anesthesia in surgical patients treated in New York State hospitals is approximately 1 per 100,000. MH risk in males is significantly higher than in females.
PMID: 19762744 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Brady JE, Sun LS, Rosenberg H, Li G Tags: Anesth Analg Source Type: journals
Core myopathies and risk of malignant hyperthermia.Email this article to a colleague.
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We describe in detail central core disease, multiminicore disease, and nemaline rod myopathy. We categorize the diseases according to the affected proteins and discuss the risk for MH, which is high or theoretically possible when the calcium-conducting proteins are affected.
PMID: 19762745 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Klingler W, Rueffert H, Lehmann-Horn F, Girard T, Hopkins PM Tags: Anesth Analg Source Type: journals
Epidemiology of anesthesia-related complications in labor and delivery, New York State, 2002-2005.Email this article to a colleague.
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CONCLUSION: The incidence of anesthesia-related complications during labor and delivery seems to be low but remains a cause of concern, particularly in women undergoing cesarean delivery, living in rural areas, or having preexisting medical conditions.
PMID: 19762746 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Cheesman K, Brady JE, Flood P, Li G Tags: Anesth Analg Source Type: journals
Obstructive sleep apnea is not a risk factor for difficult intubation in morbidly obese patients.Email this article to a colleague.
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CONCLUSIONS: In MO patients undergoing bariatric surgery in the "ramped position," there was no relationship between the presence and severity of OSA, BMI, or NC and difficulty of intubation or laryngoscopy grade. Only a Mallampati score of 3 or 4 or male gender predicted difficult intubation.
PMID: 19762747 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Neligan PJ, Porter S, Max B, Malhotra G, Greenblatt EP, Ochroch EA Tags: Anesth Analg Source Type: journals
The relative exposure of the operating room staff to sevoflurane during intracerebral surgery.Email this article to a colleague.
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CONCLUSIONS: The close proximity of the surgeon's breathing zone to the craniotomy window does not appear to be a source of increased exposure to sevoflurane. The observed higher exposure of the anesthesiologist to sevoflurane in the operating room environment warrants further exploration.
PMID: 19762748 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Tankó B, Molnár C, Budi T, Peto C, Novák L, Fülesdi B Tags: Anesth Analg Source Type: journals
A prediction model for out-of-hospital cardiopulmonary resuscitation.Email this article to a colleague.
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CONCLUSION: For out-of-hospital patients with cardiac arrest, parameters documented in the field did not allow accurate prediction of hospital survival.
PMID: 19762749 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Pircher IR, Stadlbauer KH, Severing AC, Mayr VD, Lienhart HG, Jahn B, Lindner KH, Wenzel V Tags: Anesth Analg Source Type: journals
Positive end-expiratory pressure improves survival in a rodent model of cardiopulmonary resuscitation using high-dose epinephrine.Email this article to a colleague.
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CONCLUSION: In asphyxial cardiac arrest in a small rodent model, continuous application of PEEP (5 cm H(2)O) during and after CPR had beneficial effects on survival that were independent of oxygenation and without adverse cardiovascular effects.
PMID: 19762750 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: McCaul C, Kornecki A, Engelberts D, McNamara P, Kavanagh BP Tags: Anesth Analg Source Type: journals
The effect of gender on compensatory neuromuscular response to upper airway obstruction in normal subjects under midazolam general anesthesia.Email this article to a colleague.
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CONCLUSION: We demonstrate that the arousal-independent compensatory neuromuscular responses to upper airway obstruction during midazolam anesthesia were partially maintained in women, and that gender may be a major determinant of the strength of compensatory responses during anesthesia.
PMID: 19762751 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Ayuse T, Hoshino Y, Kurata S, Ayuse T, Schneider H, Kirkness JP, Patil SP, Schwartz AR, Oi K Tags: Anesth Analg Source Type: journals
The effect of obesity on neuraxial technique difficulty in pregnant patients: a prospective, observational study.Email this article to a colleague.
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CONCLUSIONS: Despite concerns that obesity may cause difficulty with neuraxial technique, some obese patients have surprisingly easy neuraxial block placements. When approaching any neuraxial anesthetic in a pregnant patient, and especially in the obese parturient, back flexion and landmark palpation predict neuraxial technique difficulty.
PMID: 19762752 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Ellinas EH, Eastwood DC, Patel SN, Maitra-D'Cruze AM, Ebert TJ Tags: Anesth Analg Source Type: journals
Modeling procedure and surgical times for current procedural terminology-anesthesia-surgeon combinations and evaluation in terms of case-duration prediction and operating room efficiency: a multicenter study.Email this article to a colleague.
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CONCLUSIONS: OR case scheduling can be improved by using the 3-parameter lognormal model with surgeon effects and by using surgeons' prior guesses for rarely observed CPTs. Using the 3-parameter lognormal model for case-duration prediction and scheduling significantly reduces both the prediction error and OR inefficiency.
PMID: 19762753 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Stepaniak PS, Heij C, Mannaerts GH, de Quelerij M, de Vries G Tags: Anesth Analg Source Type: journals
Forecasting and perception of average and latest hours worked by on-call anesthesiologists.Email this article to a colleague.
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CONCLUSIONS: Historical data from OR or anesthesia information management systems, or from anesthesia billing systems, can be used months before staff scheduling to provide insight to anesthesia providers on respective calls. The data are useful because experience provides limited intuition. Updates on scheduled workload available closer to the day of surgery provided only marginal increases in knowledge over the use of historical data.
PMID: 19762754 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Dexter F, Epstein RH, Elgart RL, Ledolter J Tags: Anesth Analg Source Type: journals
The electrocortical effects of enflurane: experiment and theory.Email this article to a colleague.
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CONCLUSION: It is possible to use a mean field theory of neocortical dynamics to replicate the PED pattern observed in LFPs in rats under enflurane anesthesia. This pattern requires a combination of a moderately increased total area under the IPSP, prolonged IPSP decay time, and also activity-dependent modulation of EPSP amplitude.
PMID: 19762755 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Sleigh JW, Vizuete JA, Voss L, Steyn-Ross A, Steyn-Ross M, Marcuccilli CJ, Hudetz AG Tags: Anesth Analg Source Type: journals
Sevoflurane preconditioning induces rapid ischemic tolerance against spinal cord ischemia/reperfusion through activation of extracellular signal-regulated kinase in rabbits.Email this article to a colleague.
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CONCLUSIONS: This study demonstrates that sevoflurane preconditioning induces rapid tolerance to spinal cord I/R in rabbits, and the tolerance is possibly mediated through the activation of ERK. These data suggest that sevoflurane preconditioning might provide a new practical method for protecting perioperative spinal cord I/R.
PMID: 19762756 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Ding Q, Wang Q, Deng J, Gu Q, Hu S, Li Y, Su B, Zeng Y, Xiong L Tags: Anesth Analg Source Type: journals
Novel variants near the central domain of RYR1 in two malignant hyperthermia-susceptible families from Taiwan.Email this article to a colleague.
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CONCLUSIONS: Three novel ryanodine receptor isoform 1 variants located either near or within the central domain might predispose carriers to MH.
PMID: 19762757 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Chen PL, Chang YW, Chen CY, Hsiang YC, Day YJ Tags: Anesth Analg Source Type: journals
A comparison of intravenous oxycodone and intravenous morphine in patient-controlled postoperative analgesia after laparoscopic hysterectomy.Email this article to a colleague.
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CONCLUSIONS: Oxycodone was more potent than morphine for visceral pain relief but not for sedation.
PMID: 19762758 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Lenz H, Sandvik L, Qvigstad E, Bjerkelund CE, Raeder J Tags: Anesth Analg Source Type: journals
Complete Freund's adjuvant-induced intervertebral discitis as an animal model for discogenic low back pain.Email this article to a colleague.
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CONCLUSION: Intradiscal CFA injection led to chronic disk degeneration with allodynia, which was suggested by pain behavior and expression of pain-related mediators. The increment of CGRP, PGE, and iNOS also suggest pain-related signal processing between the IVD and the neural pathway in this animal model. This animal model may be useful for future research related to the pathophysiology and development of novel treatment for spine-related pain.
PMID: 19762759 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Lee M, Kim BJ, Lim EJ, Back SK, Lee JH, Yu SW, Hong SH, Kim JH, Lee SH, Jung WW, Sul D, Na HS Tags: Anesth Analg Source Type: journals
The peripheral antinociceptive effects of endomorphin-1 and kynurenic acid in the rat inflamed joint model.Email this article to a colleague.
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CONCLUSION: Peripherally administered endogenous opioid agonist and NMDA receptor antagonist ligands might be beneficial in inflammatory pain. Because both drugs barely cross the blood-brain barrier, their local administration causes no central side effects.
PMID: 19762760 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Mecs L, Tuboly G, Nagy E, Benedek G, Horvath G Tags: Anesth Analg Source Type: journals
Activation of extracellular signal-regulated kinase in sciatic nerve contributes to neuropathic pain after partial sciatic nerve ligation in mice.Email this article to a colleague.
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CONCLUSION: Activation of ERK in Schwann cells of the injured peripheral nervous system may play an important role in the development of neuropathic pain. Our results suggest that pERK itself and ERK-related mediators are potential therapeutic targets for the treatment of neuropathic pain.
PMID: 19762761 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Kiguchi N, Maeda T, Kobayashi Y, Fukazawa Y, Kishioka S Tags: Anesth Analg Source Type: journals
The synergistic interaction between morphine and maprotiline after intrathecal injection in rats.Email this article to a colleague.
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CONCLUSIONS: Selective norepinephrine reuptake inhibitors can significantly increase the intensity and duration of morphine antinociceptive activity via both alpha(2)-adrenergic and opioid receptors. This interaction was not observed with the selective serotonin inhibitor, citalopram.
PMID: 19762762 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Pettersen VL, Zapata-Sudo G, Raimundo JM, Trachez MM, Sudo RT Tags: Anesth Analg Source Type: journals
Licking decreases phosphorylation of extracellular signal-regulated kinase in the dorsal horn of the spinal cord after a formalin test.Email this article to a colleague.
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CONCLUSION: Licking decreased pERK of the spinal cord of the formalin test group. The findings suggested that licking attenuated the pain of the formalin test.
PMID: 19762763 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Fukuda T, Hisano S, Tanaka M Tags: Anesth Analg Source Type: journals
Lipid emulsion improves recovery from bupivacaine-induced cardiac arrest, but not from ropivacaine- or mepivacaine-induced cardiac arrest.Email this article to a colleague.
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CONCLUSIONS: These data show that the effects of lipid infusion on LA-induced cardiac arrest are strongly dependent on the administered LAs itself. We conclude that lipophilicity of LAs has a marked impact on the efficacy of lipid infusions to treat cardiac arrest induced by these drugs.
PMID: 19762764 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Zausig YA, Zink W, Keil M, Sinner B, Barwing J, Wiese CH, Graf BM Tags: Anesth Analg Source Type: journals
The analgesic effect of paracetamol when added to lidocaine for intravenous regional anesthesia.Email this article to a colleague.
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CONCLUSION: The addition of paracetamol during IVRA with lidocaine decreased tourniquet pain, increased anesthesia quality, and decreased postoperative analgesic consumption.
PMID: 19762765 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Sen H, Kulahci Y, Bicerer E, Ozkan S, Dagli G, Turan A Tags: Anesth Analg Source Type: journals
The median effective dose of bupivacaine, levobupivacaine, and ropivacaine after intrathecal injection in lower limb surgery.Email this article to a colleague.
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CONCLUSION: This study suggests that in intrathecal anesthesia for lower limb surgery, ropivacaine is less potent than levobupivacaine and bupivacaine, whereas the potency is similar between levobupivacaine and bupivacaine.
PMID: 19762766 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Lee YY, Kee WD, Fong SY, Liu JT, Gin T Tags: Anesth Analg Source Type: journals
Fractal cardiovascular dynamics and baroreflex sensitivity after stellate ganglion block.Email this article to a colleague.
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CONCLUSIONS: Loss of complexity (status of being complex behavior) of both heart rate and systolic blood pressure variability, indicated by increased fractal slopes, is one mechanism in attenuating baroreflex sensitivity after stellate ganglion block.
PMID: 19762767 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Taneyama C, Goto H Tags: Anesth Analg Source Type: journals
Is there evidence for improved maternal satisfaction with patient-controlled epidural anesthesia?Email this article to a colleague.
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PMID: 19762768 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Turkstra TP, Jones PM Tags: Anesth Analg Source Type: journals
Hydroxyethyl starch 130/0.4: does "modern" mean safe?Email this article to a colleague.
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PMID: 19762769 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Wiedermann CJ Tags: Anesth Analg Source Type: journals
Modern starches are not safer than old ones.Email this article to a colleague.
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PMID: 19762770 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Hartog C, Reinhart K Tags: Anesth Analg Source Type: journals
Continuous infraclavicular plexus blockade.Email this article to a colleague.
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PMID: 19762771 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Chin KJ, Perlas A, Chan V, Brull R Tags: Anesth Analg Source Type: journals
Blind enough? Sham subtenon block in pediatric patients.Email this article to a colleague.
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PMID: 19762772 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Fahy CJ Tags: Anesth Analg Source Type: journals
Unusual cause of leak in Datex Aisys.Email this article to a colleague.
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PMID: 19762773 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Kummar P, Korula G, Kumar S, Saravanan PA Tags: Anesth Analg Source Type: journals
A novel mechanism causing bradycardia during right lung pleurodesis.Email this article to a colleague.
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PMID: 19762774 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: Markewich SD, Stanger RP, Lucas WJ, Feins RH, Kyle RW, Zvara DA Tags: Anesth Analg Source Type: journals
Aspiration risk after esophagectomy.Email this article to a colleague.
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PMID: 19762775 [PubMed - in process]
Source: Anesthesia and Analgesia - September 20, 2009 Category: Anesthesiology Authors: de Souza DG, Gaughen CL Tags: Anesth Analg Source Type: journals
Neostigmine Methylsulphate Injection BP 2.5mg in 1ml (Hameln) - Revised SPCEmail this article to a colleague.
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Source: eMC (electronic Medicines Compendium)
Area: Other Library Updates > SPC Changes
Section 4.3 (contraindications) has been updated. The use of neostigmine with depolarising muscle relaxants is contraindicated.
The following statement has been added to section 4.4 (special warnings and precautions for use): Administration of anticholinesterase agents to patients with intestinal anastomoses may produce rupture of the anastomosis or leakage of intestinal contents.
Source: NeLM - Anaesthesia - September 19, 2009 Category: Anesthesiology Source Type: organizations
Xylocaine (lidocaine) 1% and 2% with Adrenaline - Revised SPCEmail this article to a colleague.
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Source: eMC (electronic Medicines Compendium)
Area: Other Library Updates > SPC Changes
Section 4.3 (contraindications) has been updated and now reads as follows:
Hypersensitivity to local anaesthetics of the amide type, or to any of the excipients.
Hypersensitivity to methyl and/or propyl parahydroxybenzoate (methyl-/propyl paraben), or to their metabolite para amino benzoic acid (PABA). Formulations of lidocaine containing parabens should be avoided in patients allergic to ester local anaesthetics or their metabolite PABA.
The use of a vasoconstrictor is contra-indicated for anaesthesia of fingers, toes, tip of no...
Source: NeLM - Anaesthesia - September 19, 2009 Category: Anesthesiology Source Type: organizations
Bloodbot, The Bright Future of Phlebotomy?Email this article to a colleague.
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Here is a project from the folks at the Department of Mechanical Engineering at Imperial College London, and its Mechatronics in Medicine Laboratory, who are bent on developing an "active robot designed to take blood samples from the ante-cubital fossa..."
The Bloodbot identifies the location of a suitable vein by pressing a probe against the surface tissue of the ante-cubital fossa and measuring the force on the probe. The difference in the characteristics of the tissue from its surroundings, in response to the applied force, indicates the presence of a vein.
Once a suitable vein has been found, it inserts a needle und...
Source: Medgadget Anesthesiology - September 19, 2009 Category: Anesthesiology Tags: Medicine Source Type: info
[Comparison of three ventilatory modes during immediate postoperative transfer of cardiac surgical patients.]Email this article to a colleague.
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CONCLUSION: When rebreathing bag is used for transfer in ICU, severe decrease in PaO(2) may be observed. In absence of intraoperative hypoxemia, a mechanical ventilation with FiO(2)0.6 seems to be the most suitable ventilatory strategy for such short immediate postoperative transfer.
PMID: 19773146 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - September 18, 2009 Category: Anesthesiology Authors: Ouattara A, Benhaoua H, Bréant V, Ayeb H, Amour J, Barraket M, Ziad A, Regan-Mastret M, Coriat P Tags: Ann Fr Anesth Reanim Source Type: journals
The rules of engagement.Email this article to a colleague.
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PMID: 19754484 [PubMed - in process]
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Anderson BJ Tags: Paediatr Anaesth Source Type: journals
Religious practice, blood transfusion, and major medical procedures.Email this article to a colleague.
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In this debate, we explore the dilemmas between the law, the ethical issues, the good clinical practice, and the wishes of the family. In the scenario chosen, the issues center around not only the senior family members but also of an older child with some rights to self-determination. There are no absolute rights or wrongs to this case, which is based on a synthesis of other actual clinical scenarios. The maze of considerations are not easy to negotiate, and in the final analysis, the surgeon and the anesthetist must also be comfortable with the decisions as they are the active elements that have to practically manage ...
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Hivey S, Pace N, Garside JP, Wolf AR Tags: Paediatr Anaesth Source Type: journals
Ethical concerns in the management of pain in the neonate.Email this article to a colleague.
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The debate about the management of pain in the neonate has continued to evolve over the past 30 years. This controversy can be understood as evolving through now three eras of thought about the effect of pain and its management in newborns and infants. The first generation was characterized by a widespread belief that newborns lacked the complete development of the neuroanatomical and neuroendocrine components necessary to perceive pain. During this period, newborns often received inadequate anesthesia and analgesia for painful procedures, if not no treatment at all. The second generation was heralded by research that ...
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Mancuso T, Burns J Tags: Paediatr Anaesth Source Type: journals
Withholding and withdrawing life-sustaining treatment in children.Email this article to a colleague.
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This article discusses some of the complex ethical and legal issues surrounding withholding and withdrawing life-sustaining treatment in children, including the concepts of futility, best interests and intolerability. We advocate the use of a structured framework to help guide decision-making, particularly in the more difficult situations. The lack of a morally or legally significant difference between withholding and withdrawing treatment is discussed, as is the role of the doctrine of double effect (particularly in relation to the use of neuromuscular blocking agents during withdrawal of ventilatory support).
PMID: 1...
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Wellesley H, Jenkins IA Tags: Paediatr Anaesth Source Type: journals
Safeguarding children: why an issue for pediatric anesthetists?Email this article to a colleague.
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This article seeks to briefly define maltreatment and provide statistics that outline the scale of the problem, and includes discussion of risk factors and recognition. We have focused on physical abuse and have provided a separate section on abusive head trauma, which is of particular importance to anesthetists. We also discuss the process of management, with some detail around Child Death Review procedures.
PMID: 19754488 [PubMed - in process]
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Deloughry J, Wilkinson K Tags: Paediatr Anaesth Source Type: journals
The Runaway Child: managing anticipatory fear, resistance and distress in children undergoing surgery.Email this article to a colleague.
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PMID: 19754489 [PubMed - in process]
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Hearst D Tags: Paediatr Anaesth Source Type: journals
Comparison of the On-Q Painbuster Post-Op Pain Relief System to a thoracic epidural for control of postoperative thoracotomy pain in a child.Email this article to a colleague.
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PMID: 19754490 [PubMed - in process]
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Rampersad SE, Rowell JC, Chang BM Tags: Paediatr Anaesth Source Type: journals
Anesthetic implications of Danon disease.Email this article to a colleague.
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PMID: 19754491 [PubMed - in process]
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: August DA Tags: Paediatr Anaesth Source Type: journals
The new air-Q intubating laryngeal airway for tracheal intubation in children with anticipated difficult airway: comment.Email this article to a colleague.
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PMID: 19754492 [PubMed - in process]
Source: Paediatric Anaesthesia - September 18, 2009 Category: Anesthesiology Authors: Parotto M, Micaglio M, Armellin G, Ori C Tags: Paediatr Anaesth Source Type: journals
