Anesthesiology
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 22.
Modafinil reduces patient-reported tiredness after sedation/analgesia but does not improve patient psychomotor skills
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Early recovery of patients following sedation/analgesia and anesthesia is important in ambulatory practice. The aim of this study was to assess whether modafinil, used for the treatment of narcolepsy, improves recovery following sedation/analgesia. Patients scheduled for extracorporeal shock wave lithotripsy were randomly assigned to one of four groups. Two groups received a combination of fentanyl/midazolam with either modafinil or placebo. The remaining groups received remifentanil/propofol with either modafinil or placebo. Modafinil 200 mg was administered to the treatment group patients 1 h before sedation/analgesia. G...
Source: Acta Anaesthesiologica Scandinavica - August 30, 2009 Category: Anesthesiology Authors: E. GALVIN, H. BOESJES, J. HOL, J. F. UBBEN, J. KLEIN, S. J. C. VERBRUGGE Source Type: journals
High or low current threshold for nerve stimulation for regional anaesthesiaEmail this article to a colleague.
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The purpose of this study was to determine whether the application of high stimulation current thresholds (SCT) leads to a distant needle to nerve proximity (NNP) compared with low SCT during nerve localization for regional anaesthesia in pigs. A minimal motor response to the stimulation of femoral or brachial plexus nerves in 16 anaesthetized pigs was triggered either by a minimal SCT of a low (0.01[ndash]0.3 mA) or a high (0.8[ndash]1.0 mA) current in a random order. After eliciting a motor response with a predetermined SCT, synthetic resin was injected via the needle. After postmortem dissection of the injection site, t...
Source: Acta Anaesthesiologica Scandinavica - August 30, 2009 Category: Anesthesiology Authors: T. STEINFELDT, J. GRAF, T. VASSILIOU, A. MORIN, K. FELDMANN, W. NIMPHIUS, J. DE ANDRES, H. WULF Source Type: journals
An evaluation of monitoring possibilities of argatroban using rotational thromboelastometry and activated partial thromboplastin timeEmail this article to a colleague.
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Rotational thrombelastometry/thrombelastography with ROTEM® and TEG® is becoming available bedside in an increasing number of intensive care units, where many patients with heparin-induced thrombocytopenia (HIT) are treated. The study has been performed in an effort to find out whether ROTEM® could be an alternative to activated partial thromboplastin time (aPTT) when argatroban is used for anticoagulation. Argatroban was added in vitro to a series of citrated whole-blood samples from 10 healthy volunteers to obtain whole-blood concentrations of 0, 0.125, 0.25, 0.5, 1.0, 2.0, 4.0 and 8.0 mg/l. ROTEM® and whole-blood aP...
Source: Acta Anaesthesiologica Scandinavica - August 30, 2009 Category: Anesthesiology Authors: M. ENGSTRÖM, M. RUNDGREN, U. SCHÖTT Source Type: journals
[About the awards of the "Laryngoscopes contest" at the national congress of the French Society of Anesthesiology and Critical Care Medicine. A window over the vitality of research in anesthesiology and critical care and emergency medicines.]Email this article to a colleague.
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PMID: 19726156 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 30, 2009 Category: Anesthesiology Authors: Capdevila X, Mantz J, , Tags: Ann Fr Anesth Reanim Source Type: journals
[Therapeutic options for perioperatively acquired platelet dysfunctions.]Email this article to a colleague.
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Increased intra-operative and postoperative blood loss might be caused by acquired platelet function disorders. In particular because conventional coagulation analyses and platelet count fail to detect impaired platelet function, implementation of bedside-tests for platelet function in the peri-operative period is desirable according to the results of retrospective studies. Following adequate adjustment of basic conditions of haemostasis (e.g. temperature, pH, Ca(2+)-concentration, haematocrit) a pharmacological approach with desmopressin (1-desamino-8-d-arginine vasopressin; DDAVP) or tranexamic acid potentially repre...
Source: Der Anaesthesist - August 29, 2009 Category: Anesthesiology Authors: Weber CF, Schneider AC, Kirschning T, Hofstetter C, Zacharowski K, Görlinger K Tags: Anaesthesist Source Type: journals
[Ascending hyperkaliemic paralysis revealing adrenal insufficiency.]Email this article to a colleague.
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PMID: 19720495 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 28, 2009 Category: Anesthesiology Authors: Lehot JJ, Cahen R Tags: Ann Fr Anesth Reanim Source Type: journals
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Ann Fr Anesth Reanim. 2009 Aug 29;
Authors: Boisson-Bertrand D
PMID: 19720494 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 28, 2009 Category: Anesthesiology Authors: Boisson-Bertrand D Tags: Ann Fr Anesth Reanim Source Type: journals
Laryngeal Tube((R)) pilot balloon kinking in the presence of a bite block.Email this article to a colleague.
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PMID: 19728003 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 28, 2009 Category: Anesthesiology Authors: Singh M, Rautela RS, Kumar S Tags: Can J Anaesth Source Type: journals
Compared with dual nerve stimulation, ultrasound guidance shortens the time for infraclavicular block performance.Email this article to a colleague.
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CONCLUSION: There was no statistically significant difference in the success rate between ultrasound guidance and dual motor endpoint stimulation for infraclavicular block. However, ultrasound guidance shortens performance time and improves readiness for surgery compared with dual motor endpoint stimulation (Clinical Trial Registration Number: NCT00326261).
PMID: 19728002 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 28, 2009 Category: Anesthesiology Authors: Brull R, Lupu M, Perlas A, Chan VW, McCartney CJ Tags: Can J Anaesth Source Type: journals
Five cases of seizures during intravenous propofol anesthesia for neurosurgery.Email this article to a colleague.
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PMID: 19728001 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 28, 2009 Category: Anesthesiology Authors: Mounir K, Bensghir M, Drissi Kamili N Tags: Can J Anaesth Source Type: journals
Ultrasound-assisted spinal anesthesia in obese patients.Email this article to a colleague.
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PMID: 19728000 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 28, 2009 Category: Anesthesiology Authors: O'Donnell D, Prasad A, Perlas A Tags: Can J Anaesth Source Type: journals
Dramatic Decline In Rheumatoid Vasculitis In US VeteransEmail this article to a colleague.
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Researchers at the University of Wisconsin School of Medicine and Public Health examined records of rheumatoid arthritis (RA) patients from the national Veterans Health Administration (VHA) system to determine the prevalence of rheumatoid vasculitis (RV) in this population. The study found a downward trend in the number of RA patients who go on to develop RV, with a significant drop of 53% among inpatients and 31% among outpatients between 2000 and 2001.
Source: Pain / Anesthetics News From Medical News Today - August 28, 2009 Category: Anesthesiology Tags: Arthritis / Rheumatology Source Type: news
Women With Strong Thigh Muscles Protected From Symptomatic Knee OsteoarthritisEmail this article to a colleague.
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A new study by researchers at the University of Iowa Hospitals and Clinics found that thigh muscle strength does not predict the occurrence of knee osteoarthritis (OA) uncovered in x-rays, but does predict incidence of painful or stiff knee OA. Women with the strongest quadriceps muscles appeared to be protected against the development of knee OA symptoms.
Source: Pain / Anesthetics News From Medical News Today - August 28, 2009 Category: Anesthesiology Tags: Arthritis / Rheumatology Source Type: news
Strong Thighs May Mean Less Knee Pain for WomenEmail this article to a colleague.
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Title: Strong Thighs May Mean Less Knee Pain for WomenCategory: Health NewsCreated: 8/27/2009 12:10:00 PMLast Editorial Review: 8/28/2009
Source: MedicineNet Chronic Pain General - August 28, 2009 Category: Anesthesiology Source Type: consumer
Imaging Sheds Light on How Acupuncture WorksEmail this article to a colleague.
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Title: Imaging Sheds Light on How Acupuncture WorksCategory: Health NewsCreated: 8/27/2009 4:10:00 PMLast Editorial Review: 8/28/2009
Source: MedicineNet Chronic Pain General - August 28, 2009 Category: Anesthesiology Source Type: consumer
High frequency jet ventilation through a supraglottic airway device: a case series of patients undergoing extra-corporeal shock wave lithotripsyEmail this article to a colleague.
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In this study, a simple method using supraglottic jet ventilation through a laryngeal mask attached to a circle absorber anaesthetic breathing system is described. The technique avoids the need for dense neuromuscular blockade for laryngoscopy and the potential complications associated with sub-glottic instrumentation and sub-glottic jet ventilation. The technique was successfully employed in a series of patients undergoing lithotripsy under general anaesthesia as an outpatient procedure.
Source: Anaesthesia - August 27, 2009 Category: Anesthesiology Authors: D. J. Canty, S. S. Dhara Source Type: journals
[Could anaesthesia, analgesia and sympathetic modulation affect neoplasic recurrence after surgery? A systematic review centred over the modulation of natural killer cells activity.]Email this article to a colleague.
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CONCLUSION: The effects of anaesthetic/analgesic drugs and techniques, the consequences of sympathomodulation on NK activity are numerous and sometimes opposite. It is important for the anaesthesiologist to keep in mind that the long term consequences of his techniques on the patients' outcome must be clarified.
PMID: 19717275 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 27, 2009 Category: Anesthesiology Authors: Forget P, De Kock M Tags: Ann Fr Anesth Reanim Source Type: journals
Health Tip: Tame Arthritis SymptomsEmail this article to a colleague.
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Title: Health Tip: Tame Arthritis SymptomsCategory: Health NewsCreated: 8/27/2009 8:10:00 AMLast Editorial Review: 8/27/2009
Source: MedicineNet Chronic Pain General - August 27, 2009 Category: Anesthesiology Source Type: consumer
Delirium following vascular surgery: increased incidence with preoperative beta-blocker administration.Email this article to a colleague.
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CONCLUSIONS: Preoperative administration of beta-blockers is associated with an increased risk of postoperative delirium after vascular surgery. Conversely, preoperative statin administration is associated with a lower risk of postoperative delirium. A randomized prospective controlled trial is required to validate these findings.
PMID: 19711147 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 26, 2009 Category: Anesthesiology Authors: Katznelson R, Djaiani G, Mitsakakis N, Lindsay TF, Tait G, Friedman Z, Wasowicz M, Beattie WS Tags: Can J Anaesth Source Type: journals
Supraglottic airways and pulmonary aspiration: the role of the drain tube.Email this article to a colleague.
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PMID: 19711146 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 26, 2009 Category: Anesthesiology Authors: Drolet P Tags: Can J Anaesth Source Type: journals
Ultrasound imaging of the airway.Email this article to a colleague.
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PMID: 19711145 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 26, 2009 Category: Anesthesiology Authors: Prasad A, Singh M, Chan VW Tags: Can J Anaesth Source Type: journals
Thinking clearly about postoperative delirium and perioperative medications: how concerned should we be?Email this article to a colleague.
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PMID: 19711144 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 26, 2009 Category: Anesthesiology Authors: Elkassabany N, Muravchick S, Fleisher LA Tags: Can J Anaesth Source Type: journals
A closer look at organ donation after cardiocirculatory death in Canada.Email this article to a colleague.
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PMID: 19711143 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - August 26, 2009 Category: Anesthesiology Authors: Baker A Tags: Can J Anaesth Source Type: journals
[Double way of the anesthetic risk information.]Email this article to a colleague.
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PMID: 19716675 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 26, 2009 Category: Anesthesiology Authors: Graftieaux JP Tags: Ann Fr Anesth Reanim Source Type: journals
Incompatibility of Braun Perifix® One epidural catheters with Opsite∗ sprayEmail this article to a colleague.
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After the introduction of Braun Perifix® One (B. Braun Medical Ltd., Melsungen, Germany) epidural catheter sets to the obstetric unit, it was noted that the black centimetre markings dissolved from the catheter on exposure to Opsite∗ spray film dressing (Smith & Nephew Medical Ltd., Hull, UK) used to fix it to the skin.
Source: International Journal of Obstetric Anesthesia - August 26, 2009 Category: Anesthesiology Authors: C. Moody, S. Millett Tags: Correspondence Source Type: journals
Placental Transfer and Fetal Metabolic Effects of Phenylephrine and Ephedrine during Spinal Anesthesia for Cesarean DeliveryEmail this article to a colleague.
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Conclusions: Ephedrine crosses the placenta to a greater extent and undergoes less early metabolism and/or redistribution in the fetus compared with phenylephrine. The associated increased fetal concentrations of lactate, glucose, and catecholamines support the hypothesis that depression of fetal pH and base excess with ephedrine is related to metabolic effects secondary to stimulation of fetal [beta]-adrenergic receptors. Despite historical evidence suggesting uteroplacental blood flow may be better maintained with ephedrine, the overall effect of the vasopressors on fetal oxygen supply and demand balance may favor phenyl...
Source: Anesthesiology - August 26, 2009 Category: Anesthesiology Tags: Perioperative Medicine Source Type: journals
Epinephrine Impairs Lipid Resuscitation from Bupivacaine Overdose: A Threshold EffectEmail this article to a colleague.
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Conclusions: Epinephrine over a threshold dose near 10 mcg/kg impairs lipid resuscitation from bupivacaine overdose, possibly by inducing hyperlactatemia.
(C) 2009 American Society of Anesthesiologists, Inc.
Source: Anesthesiology - August 26, 2009 Category: Anesthesiology Tags: Perioperative Medicine Source Type: journals
Precision of Traditional Approaches for Lumbar Plexus Block: Impact and Management of Interindividual Anatomic VariabilityEmail this article to a colleague.
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Conclusion: Improvement of both the proximity and the margin of error is possible by using diagonal landmark vectors. Relying on the position of the posterior superior iliac spine eliminates the sex and sided differences and individual body size, which can be problematic if firm metric distances are used in determining the entry point.
(C) 2009 American Society of Anesthesiologists, Inc.
Source: Anesthesiology - August 26, 2009 Category: Anesthesiology Tags: Perioperative Medicine Source Type: journals
Does Postoperative Delirium Limit the Use of Patient-controlled Analgesia in Older Surgical Patients?Email this article to a colleague.
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Conclusions: Postoperative delirium did not limit PCA use. Despite more opioid use, visual analog scale scores were higher in patients with delirium. Future studies on delirium should consider the role of pain and pain management as potential etiologic factors.
(C) 2009 American Society of Anesthesiologists, Inc.
Source: Anesthesiology - August 26, 2009 Category: Anesthesiology Tags: Pain Medicine Source Type: journals
Role of Central and Mixed Venous Oxygen Saturation Measurement in Perioperative CareEmail this article to a colleague.
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Complications after major surgery are a leading cause of morbidity and mortality. The etiology of postoperative complications is complex, but poor cardiorespiratory reserve appears to be a key factor. There is increasing interest in the use of central and mixed venous oxygen saturation to guide therapeutic interventions during the perioperative period. However, a detailed understanding of the physiologic principles of venous oximetry is essential for safe and effective use in clinical practice. Venous oxygen saturation reflects the balance between global oxygen delivery and oxygen consumption, which may be affected by a wi...
Source: Anesthesiology - August 26, 2009 Category: Anesthesiology Tags: Review Articles Source Type: journals
Predictors of Postoperative Pain and Analgesic Consumption: A Qualitative Systematic ReviewEmail this article to a colleague.
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Pain is a subjective and multidimensional experience that is often inadequately managed in clinical practice. Effective control of postoperative pain is important after anesthesia and surgery. A systematic review was conducted to identify the independent predictive factors for postoperative pain and analgesic consumption. The authors identified 48 eligible studies with 23,037 patients included in the final analysis. Preoperative pain, anxiety, age, and type of surgery were four significant predictors for postoperative pain. Type of surgery, age, and psychological distress were the significant predictors for analgesic consu...
Source: Anesthesiology - August 26, 2009 Category: Anesthesiology Tags: Review Articles Source Type: journals
Health Tip: Who's at Greater Risk of Hip Fracture?Email this article to a colleague.
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Title: Health Tip: Who's at Greater Risk of Hip Fracture?Category: Health NewsCreated: 8/26/2009 8:10:00 AMLast Editorial Review: 8/26/2009
Source: MedicineNet Chronic Pain General - August 26, 2009 Category: Anesthesiology Source Type: consumer
Acupuncture management of pain and emergence agitation in children after bilateral myringotomy and tympanostomy tube insertionEmail this article to a colleague.
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Conclusion: Our study suggests that acupuncture therapy may be effective in diminishing both pain and emergence agitation in children after BMT insertion without adverse effects.
Source: Pediatric Anesthesia - August 25, 2009 Category: Anesthesiology Authors: YUAN-CHI LIN, ROSALIE F. TASSONE, STEFAN JAHNG, REZA RAHBAR, ROBERT S. HOLZMAN, DAVID ZURAKOWSKI, NAVIL F. SETHNA Source Type: journals
Ethics and medical research in childrenEmail this article to a colleague.
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The ethics of clinical research is based on several well-known guidelines and documents. The guidelines vary between countries, but the principles of respect for persons, beneficence, and justice are constant. These principles are reflected in requirements to obtain free and informed consent, to minimize risk or harm, and to not overly burden or disadvantage particular populations. For research to be ethical, it must also be of such a standard, and be conducted in such a manner that it will generate knew and useful knowledge. Children have limited capacity for understanding and may be more open to coercion. Therefore, they...
Source: Pediatric Anesthesia - August 25, 2009 Category: Anesthesiology Authors: ANDREW J. DAVIDSON, MIKE O'BRIEN Source Type: journals
Health Tip: Protect Yourself From Running InjuriesEmail this article to a colleague.
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Title: Health Tip: Protect Yourself From Running InjuriesCategory: Health NewsCreated: 8/25/2009 8:10:00 AMLast Editorial Review: 8/25/2009
Source: MedicineNet Chronic Pain General - August 25, 2009 Category: Anesthesiology Source Type: consumer
Efficacy of a low-dose spinal morphine with bupivacaine for postoperative analgesia in children undergoing hypospadias repairEmail this article to a colleague.
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Conclusion: Spinal anesthesia provided by hyperbaric bupivacaine is adequate for distal hypospadias repair in children, but adding 2 [mu]g·kg[minus]1 intrathecal morphine provides better postoperative pain control when compared to placebo in these children.
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: SEZA APILIOGULLARI, ATES DUMAN, FUNDA GOK, ISAK AKILLIOGLU, ILHAN CIFTCI Source Type: journals
Anesthetic-specific electroencephalographic patterns during emergence from sevoflurane and isoflurane in infants and childrenEmail this article to a colleague.
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Conclusions: The principal finding of the present study was that there are anesthetic-specific and concentration-dependent EEG effects in children. Depth-of-anesthesia monitors that utilize algorithms based on the EEGs of adult reference populations therefore may not be appropriate for use in children.
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: SANSAN S. LO, JULIA B. SOBOL, NAVIN MALLAVARAM, MARGARET CARSON, CHUNG CHANG, PHILIP G. GRIEVE, RONALD G. EMERSON, RAYMOND I. STARK, LENA S. SUN Source Type: journals
Dexmedetomidine pharmacokinetics in pediatric intensive care – a pooled analysisEmail this article to a colleague.
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Conclusions: The sedation target concentration is similar to that described for adults. Immature clearance in the first year of life and a higher clearance (when expressed as l·h[minus]1·kg[minus]1) in small children dictate infusion rates that change with age. Extrapolation of dose from children given infusion in intensive care after cardiac surgery may not be applicable to those sedated for noninvasive procedures out of intensive care.
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: AMANDA L. POTTS, BRIAN J. ANDERSON, GUY R. WARMAN, JERROLD LERMAN, SUSAN M. DIAZ, SANNA VILO Source Type: journals
A comparison of the STORZ video laryngoscope and standard direct laryngoscopy for intubation in the Pediatric airway – a randomized clinical trialEmail this article to a colleague.
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This study demonstrates that the STORZ DCI video laryngoscope provides an improved view to the glottis in children with normal airway anatomy, but requires a longer time for intubation.
Source: Pediatric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: ARNIM VLATTEN, SYLVIE AUCOIN, SHARON LITZ, BRIAN MACMANUS, CHRIS SODER Source Type: journals
[Assessment of quality in day-case hand surgery.]Email this article to a colleague.
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CONCLUSION: For hand surgery on day case, quality of late postoperative analgesia (day 2-day 7) is strongly related to patient's satisfaction on day 7.
PMID: 19713066 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 24, 2009 Category: Anesthesiology Authors: Samin J, Collange O, Pourtalès MC, Ravaz T, Calon B, Pottecher T Tags: Ann Fr Anesth Reanim Source Type: journals
CKS topic review: HeadacheEmail this article to a colleague.
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Source: CKS
Area: Evidence > Guidelines
This Topic Minibite from the Clinical Knowledge Service (CKS) covers the assessment of children and adults with undiagnosed headache. It provides diagnostic criteria for the common headache disorders and for some of the less common headache disorders.
Separate Topic Minibites cover the management of cluster headaches, medication overuse headaches, and tension-type headache (see links below).
Source: NeLM - Pain control - August 24, 2009 Category: Anesthesiology Source Type: organizations
An observational study of anaesthesia and surgical time in elective caesarean section: spinal compared with general anaesthesiaEmail this article to a colleague.
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Conclusion: In our hospital, the use of spinal anaesthesia was not associated with decreased intra-operative time efficiency compared to general anaesthesia for elective caesarean section.
Source: International Journal of Obstetric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: S. Ismail, A. Huda Tags: Original Articles Source Type: journals
Caesarean delivery in a parturient with a femoro-femoral crossover graft and congenital aortic stenosis repaired by the Ross procedureEmail this article to a colleague.
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We report a case of a patient with congenital aortic stenosis previously repaired using the Ross procedure, who presented to our unit for urgent caesarean delivery. Management was complicated by moderate residual cardiac disease and the presence of a suprapubic femoro-femoral crossover graft. Following application of five-lead electrocardiogram and invasive blood pressure monitoring, anaesthesia was induced via combined spinal-epidural with epidural volume extension. A high transverse surgical approach avoided the course of the vascular graft, while further precautions included the immediate availability of vascular surgeo...
Source: International Journal of Obstetric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: P. Richardson, S. Whittaker, U. Rajesh, M. Bonduelle, J. Morgan, M. Garry, C. Weston, C. Ferguson, L. Fligelstone Tags: Case Reports Source Type: journals
An obstetric patient with neurocadiogenic syncopeEmail this article to a colleague.
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We report the peripartum management of a 29-year-old primigravid patient with neurocardiogenic syncope, which had been diagnosed six years previously on tilt-table testing. General principles were applied to minimise the risk of precipitating syncopal episodes. She had an uneventful ventouse-assisted vaginal delivery under epidural anaesthesia in our obstetric high dependency unit. The optimum management of these patients has yet to be established.
Source: International Journal of Obstetric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: K. Jarvi, N. Osborn, N. Wall Tags: Case Reports Source Type: journals
Anesthetic management for cesarean delivery in a parturient with exacerbated hemophagocytic syndromeEmail this article to a colleague.
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We report a 28-year-old primigravida with the onset of hemophagocytic syndrome and cyopenia at 23 weeks of gestation. A further exacerbation at 28 weeks of gestation brought on preterm labor. General anesthesia was provided successfully for cesarean delivery. The patient recovered completely after this episode. We suggest that early diagnosis, multi-disciplinary intervention, pre-operative correction of the hematological abnormalities, general anesthesia and close postoperative monitoring are necessary.
Source: International Journal of Obstetric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: C-T. Chien, F-J. Lee, H-N. Luk, C-C. Wu Tags: Case Reports Source Type: journals
Fogarty catheter sheath to assist extubationEmail this article to a colleague.
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The American Society of Anesthesiologists Task Force on Management of the Difficult Airway has made recommendations for an extubation strategy after difficult tracheal intubation, which include the use of an airway exchange catheter. We would like to report the successful use of a Fogarty catheter sheath to assist extubation.
Source: International Journal of Obstetric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: A. Panda, R. Sharma, A. Kumar, A.R. Bhalotra Tags: Correspondence Source Type: journals
Spinal anaesthetic failure from an easily overlooked defectEmail this article to a colleague.
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We report a case of suboptimal spinal anaesthesia as a result of an undetected defect on the syringe used for injection.
Source: International Journal of Obstetric Anesthesia - August 24, 2009 Category: Anesthesiology Authors: A. Mathews, L. Radhakrishnan, P. Sharpe Tags: Correspondence Source Type: journals
Psychophysical studies of imagined stimuli: Testing the limits of self-knowledgeEmail this article to a colleague.
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There is a coalescing trend in several areas of pain research. Studies endeavoring to measure the extent to which individuals differ in ascribing pain intensity to noxious stimuli are occurring in areas of pain research as diverse as self-assessment questionnaires, genetics, functional neuro-imaging and psychophysics. The article in this issue of Pain by Ruscheweyh et al. highlights on two important points relating to the measurement of individual responses to pain. The first is a point of terminology, the second is a point of critical importance in pain neurobiology: the extent to which responses to imagined stimuli predi...
Source: Pain - August 24, 2009 Category: Anesthesiology Authors: Beth B. Murinson, David Yarnitsky Tags: Commentaries Source Type: journals
Reduction of allodynia in patients with complex regional pain syndrome: A double-blind placebo-controlled trial of topical ketamineEmail this article to a colleague.
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Abstract: A double-blind placebo-controlled crossover trial was used to determine the effects of topical ketamine, an N-methyl-d-aspartate (NMDA) receptor antagonist, on the sensory disturbances in 20 patients with complex regional pain syndrome (CRPS). On two occasions separated by at least one week, sensory tests to light touch, pressure, punctate stimulation, light brushing and thermal stimuli were performed in the symptomatic and contralateral limb and on each side of the forehead before and 30min after 10% ketamine cream was applied to the symptomatic or healthy limb. Venous blood for the plasma estimations of ketamin...
Source: Pain - August 24, 2009 Category: Anesthesiology Authors: Philip M. Finch, Lone Knudsen, Peter D. Drummond Tags: Research papers Source Type: journals
Electrophysiological and morphological properties of neurons in the substantia gelatinosa of the mouse trigeminal subnucleus caudalisEmail this article to a colleague.
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Abstract: The excitability of the second order neurons within the trigeminal subnucleus caudalis underlies pain perception and processing in migraine and trigeminal neuralgia. These neurons were studied with whole-cell patch-clamp technique in slices from mouse brain stem. Electrical and morphological characteristics of 56 neurons were determined. Four categories were distinguished from electrophysiological properties: tonic (39%), phasic (34%), delayed (16%) and single spiking (11%). These categories did not show distinct morphological properties. Neurons had tetrodotoxin-sensitive sodium currents that activated and inact...
Source: Pain - August 24, 2009 Category: Anesthesiology Authors: Alexander J. Davies, R. Alan North Tags: Research papers Source Type: journals
