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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 24.

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[Assessment of quality in day-case hand surgery.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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. Save this article to My Clippings. Discuss or comment on this article.
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

[Risk factors for renal dysfunction after total hip arthrosplasty.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: PRD is common after THA and is prone to develop in aged patients with comorbidities. Duration of NSAID's administration should be limited in those patients. PMID: 19709848 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - August 23, 2009 Category: Anesthesiology Authors: Aveline C, Leroux A, Vautier P, Cognet F, Le Hetet H, Bonnet F Tags: Ann Fr Anesth Reanim Source Type: journals

Adverse effects of medical cannabinoids: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: DARE Area: Evidence > Patient Safety CRD Summary: This systematic review aimed to assess the safety of medical cannabinoids. The authors concluded that short-term use of medical cannabinoids appears to increase the risk of non-serious adverse events, but that risks associated with long-term use were poorly reported. Overall this was a well conducted systematic review and the authors' conclusions are likely to be reliable. [The cannabinoid preparations investigated were oral ?-9-tetrahydrocannabinol, oral ?-9-tetrahydrocannabinol-cannabidiol or oromucosal ?-9-tetrahydrocannabinol-cannabidiol. ] ...
Source: NeLM - Pain control - August 23, 2009 Category: Anesthesiology Source Type: organizations

Spend time on patients and families or on documentation?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19690232 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Girbes AR, Zijlstra JG Tags: Anesth Analg Source Type: journals

Not all strikes are easy to call.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19690233 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Fitzsimons MG, Baker KH Tags: Anesth Analg Source Type: journals

Barbarians at the gate.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19690234 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Sandberg WS Tags: Anesth Analg Source Type: journals

Lipopolysaccharide evokes resistance to erythropoiesis induced by the long-acting erythropoietin analogue darbepoetin alfa in rats.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: LPS abolishes erythropoiesis and iron use evoked by DA and this is accompanied by a decrease in hemoglobin concentration and red blood cell concentration. Accordingly, endotoxin suppresses DAs ability to increase erythropoiesis. PMID: 19690235 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Brendt P, Horwat A, Schäfer ST, Dreyer SC, Göthert J, Peters J Tags: Anesth Analg Source Type: journals

The reduced anticoagulant effect of fondaparinux at low antithrombin levels.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In the conventional prophylactic and therapeutic dose range, not only treatment with antithrombin concentrates but also an increase in fondaparinux dose normalizes the anticoagulant effect. A saturation effect is observed at high fondaparinux concentrations. Higher levels of antithrombin lead to an exaggerated effect of fondaparinux on Heptest. PMID: 19690236 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Dempfle CE, Eichner J, Suvajac N, Ahmad-Nejad P, Neumaier M, Borggrefe M Tags: Anesth Analg Source Type: journals

Aorto-pericardial filling without tamponade: an unusual late Bentall complication.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19690237 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Carmona P, Bowry R, Chen R, Tousignant C Tags: Anesth Analg Source Type: journals

Perioperative management of a child with von Willebrand disease undergoing surgical repair of craniosynostosis: looking at unusual targets.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the successful management of a craniosynostosis repair in a child with severe Type I von Willebrand disease diagnosed during the preoperative assessment and treated by coagulation factor VIII and ristocetin cofactor. Collaboration among the anesthesiologist, the neurosurgeon, the clinical pathologist, and the pediatric hematologist is important for successful management. PMID: 19690238 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Maquoi I, Bonhomme V, Born JD, Dresse MF, Ronge-Collard E, Minon JM, Hans P Tags: Anesth Analg Source Type: journals

Overweight/obesity and gastric fluid characteristics in pediatric day surgery: implications for fasting guidelines and pulmonary aspiration risk.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Twenty-seven percent of pediatric day surgery patients are overweight/obese. These children may be allowed clear liquids 2 h before surgery as GFV(IBW) averages 1 mL/kg regardless of BMI and fasting interval. Rare emetic episodes were not associated with shortened fasting intervals in this population. PMID: 19690239 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Cook-Sather SD, Gallagher PR, Kruge LE, Beus JM, Ciampa BP, Welch KC, Shah-Hosseini S, Choi JS, Pachikara R, Minger K, Litman RS, Schreiner MS Tags: Anesth Analg Source Type: journals

The perioperative validity of the visual analog anxiety scale in children: a discriminant and useful instrument in routine clinical practice to optimize postoperative pain management.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: VAS-anxiety is a useful and valid tool to assess perioperative anxiety in children aged 7-16 yr. The influence of children's and parents' anxiety on children's postoperative pain suggests that VAS-anxiety should be recommended routinely for postoperative clinical practice to optimize anxiety and pain management. PMID: 19690240 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Bringuier S, Dadure C, Raux O, Dubois A, Picot MC, Capdevila X Tags: Anesth Analg Source Type: journals

A comparison of dexmedetomidine with propofol for magnetic resonance imaging sleep studies in children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Dexmedetomidine provided an acceptable level of anesthesia for MRI sleep studies in children with OSA, producing a high yield of interpretable studies of the patient's native airway. The need for artificial airway support during the MRI sleep study was significantly less with dexmedetomidine than with propofol. Dexmedetomidine may be the preferred drug for anesthesia during MRI sleep studies in children with a history of severe OSA and may offer benefits to children with sleep-disordered breathing requiring anesthesia or anesthesia for other diagnostic imaging studies. PMID: 19690241 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Mahmoud M, Gunter J, Donnelly LF, Wang Y, Nick TG, Sadhasivam S Tags: Anesth Analg Source Type: journals

A novel skin-traction method is effective for real-time ultrasound-guided internal jugular vein catheterization in infants and neonates weighing less than 5 kilograms.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: STM facilitates IJV catheterization in infants and neonates weighing <5 kg by enlarging the IJV and preventing vein collapse. PMID: 19690242 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Morita M, Sasano H, Azami T, Sasano N, Fujita Y, Ito S, Sugiura T, Sobue K Tags: Anesth Analg Source Type: journals

Cardiac arrest in the neonate during laparoscopic surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a case of intraoperative neonatal cardiac arrest during attempted laparoscopic surgery. Circulatory collapse occurred before peritoneal insufflation, initially obscuring the diagnosis. Emergent transthoracic echocardiography during resuscitation demonstrated intracardiac gas bubbles consistent with venous gas embolism. The site of entrainment was probably a bleeding umbilical vein transected by the umbilical trocar. Greater awareness of this complication in neonates will facilitate early diagnosis and encourage preventive measures, such as the avoidance of umbilical vessels, use of an open instead of closed acc...
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Lalwani K, Aliason I Tags: Anesth Analg Source Type: journals

Management of the difficult infant airway with the Storz Video Laryngoscope: a case series.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the successful use of the Miller 1 Storz Video Laryngoscope in seven infants with difficult direct laryngoscopy. PMID: 19690244 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Hackell RS, Held LD, Stricker PA, Fiadjoe JE Tags: Anesth Analg Source Type: journals

Routine use of nasogastric tubes does not reduce postoperative nausea and vomiting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Routine use of a nasogastric (NG) tube has been suggested to prevent postoperative nausea and vomiting (PONV) despite conflicting data. Accordingly, we tested the hypothesis that routine use of a NG tube does not reduce PONV. Our work is based on data from a large trial of 4055 patients initially designed to quantify the effectiveness of combinations of antiemetic treatments for the prevention of PONV. This analysis uses propensity scores for case matching to ensure group comparability on baseline factors. Intraoperative NG tube use patients and perioperative NG tube use patients were respectively matched to nonuse pa...
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Kerger KH, Mascha E, Steinbrecher B, Frietsch T, Radke OC, Stoecklein K, Frenkel C, Fritz G, Danner K, Turan A, Apfel CC, Tags: Anesth Analg Source Type: journals

Automated responsiveness monitor to titrate propofol sedation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Reproducible ARM dynamics in individual subjects compares favorably with clinical and electroencephalogram sedation end points and suggests that the ARM could be used as an independent instrumental guide of drug effect during propofol-only sedation. PMID: 19690246 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Doufas AG, Morioka N, Mahgoub AN, Bjorksten AR, Shafer SL, Sessler DI Tags: Anesth Analg Source Type: journals

Should dosing of rocuronium in obese patients be based on ideal or corrected body weight?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In obese patients undergoing gastric banding or gastric bypass, rocuronium dosed according to IBW provided a shorter duration of action without a significantly prolonged onset time or compromised conditions for tracheal intubation. PMID: 19690247 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Meyhoff CS, Lund J, Jenstrup MT, Claudius C, Sørensen AM, Viby-Mogensen J, Rasmussen LS Tags: Anesth Analg Source Type: journals

Ketamine inhibits maturation of bone marrow-derived dendritic cells and priming of the Th1-type immune response.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Our findings suggest that ketamine inhibits the functional maturation of DCs and interferes with DC induction of Th1 immunity in the whole animal. These novel findings provide new insight into the immunopharmacological role of ketamine. PMID: 19690248 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Ohta N, Ohashi Y, Fujino Y Tags: Anesth Analg Source Type: journals

Increasing the duration of isoflurane anesthesia decreases the minimum alveolar anesthetic concentration in 7-day-old but not in 60-day-old rats.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: MAC of isoflurane decreases over 1-4 h of anesthesia in 7-day-old but not in 60-day-old rats. Both pharmacodynamic and a pharmacokinetic components contribute to the decrease in MAC in 7-day-old rats. Neither endorphins nor sensory desensitization mediate the pharmacodynamic component. PMID: 19690249 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Stratmann G, Sall JW, Eger EI, Laster MJ, Bell JS, May LD, Eilers H, Krause M, Heusen F, Gonzalez HE Tags: Anesth Analg Source Type: journals

Auditory event-related potentials, bispectral index, and entropy for the discrimination of different levels of sedation in intensive care unit patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Neither ERPs nor BIS or Entropy can replace clinical sedation assessment with standard scoring systems. Discrimination among very deep, deep to moderate, and no sedation after general anesthesia can be provided by ERPs and processed electroencephalograms, with similar P(K)s. The high inter- and intraindividual variability of Entropy and BIS precludes defining a target range of values to predict the sedation level in critically ill patients using these parameters. The variability of ERPs is unknown. PMID: 19690250 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Haenggi M, Ypparila-Wolters H, Buerki S, Schlauri R, Korhonen I, Takala J, Jakob SM Tags: Anesth Analg Source Type: journals

Evoked potential monitoring identifies possible neurological injury during positioning for craniotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case series of two patients who had SSEP monitoring for their surgical craniotomy procedure, and who, upon positioning supine with their head tilted 30 degrees-45 degrees, developed unilateral upper extremity SSEP changes. These SSEP changes were reversed when the patients were repositioned. These cases indicate the clinical usefulness of monitoring SSEPs while positioning the patient and adjusting position accordingly to prevent injury. PMID: 19690251 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Anastasian ZH, Ramnath B, Komotar RJ, Bruce JN, Sisti MB, Gallo EJ, Emerson RG, Heyer EJ Tags: Anesth Analg Source Type: journals

The diagnostic value of the upper lip bite test combined with sternomental distance, thyromental distance, and interincisor distance for prediction of easy laryngoscopy and intubation: a prospective study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: We conclude that the specificity and accuracy of the ULBT is significantly higher than the other tests and is more accurate in airway assessment. However, the ULBT in conjunction with the other tests could more reliably predict easy laryngoscopy or intubation. PMID: 19690252 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Khan ZH, Mohammadi M, Rasouli MR, Farrokhnia F, Khan RH Tags: Anesth Analg Source Type: journals

A Macintosh laryngoscope blade for videolaryngoscopy reduces stylet use in patients with normal airways.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The trachea of a large proportion of patients with normal airways can be intubated successfully with certain VLS blades without using a stylet, although the three studied VLSs clearly differ in outcome. The Storz VLS displaces soft tissues in the fashion of a classic Macintosh scope, affording room for tracheal tube insertion and limiting the need for stylet use compared with the other two scopes. Although VLSs offer several advantages, including better visualization of the glottic entrance and intubation conditions, a good laryngeal view does not guarantee easy or successful tracheal tube insertion. We recomm...
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: van Zundert A, Maassen R, Lee R, Willems R, Timmerman M, Siemonsma M, Buise M, Wiepking M Tags: Anesth Analg Source Type: journals

Nasogastric tube insertion using different techniques in anesthetized patients: a prospective, randomized study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The success rate of NG tube insertion can be increased by using a ureteral guidewire as stylet, a slit endotracheal tube as an introducer, or head flexion with lateral neck pressure. Head flexion with lateral neck pressure is the easiest technique that has a high success rate and fewest complications. PMID: 19690254 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Appukutty J, Shroff PP Tags: Anesth Analg Source Type: journals

"Where are my teeth?" A case of unnoticed ingestion of a dislodged fixed partial denture.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a patient with unnoticed ingestion of a dislodged fixed partial denture while undergoing general anesthesia and review the literature on dangers of swallowing foreign bodies of dental origin. Anesthesiologists should understand the dangers and recognize this complication when it happens, so that appropriate treatment can be pursued if necessary. PMID: 19690255 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Lau G, Kulkarni V, Roberts GK, Brock-Utne J Tags: Anesth Analg Source Type: journals

The practice of and documentation on withholding and withdrawing life support: a retrospective study in two Dutch intensive care units.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: ICU nonsurvivors and patients who die shortly after ICU discharge predominantly die with orders to withhold or withdraw life support. Documentation on the decisions to forgo full life support is poor. PMID: 19690256 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Spronk PE, Kuiper AV, Rommes JH, Korevaar JC, Schultz MJ Tags: Anesth Analg Source Type: journals

Low tidal volume ventilation in a porcine model of acute lung injury improves cerebral tissue oxygenation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Protective ventilation with LT yielded a significant improvement in cerebral tissue oxygenation and metabolism compared to HT ventilation in a porcine model of ALI. There was dissociation between arterial and cerebral tissue oxygenation. Cerebral oxygenation and metabolism might have possibly been impaired by a more distinctive inflammatory response in the HT group. PMID: 19690257 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Bickenbach J, Zoremba N, Fries M, Dembinski R, Doering R, Ogawa E, Rossaint R, Kuhlen R Tags: Anesth Analg Source Type: journals

Pressure support ventilation and biphasic positive airway pressure improve oxygenation by redistribution of pulmonary blood flow.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In this model of ALI, the improvements of oxygenation and venous admixture obtained during assisted mechanical ventilation with PSV and BIPAP + SB were explained by the redistribution of PBF toward nondependent lung regions rather than recruitment of dependent zones. PMID: 19690258 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Carvalho AR, Spieth PM, Pelosi P, Beda A, Lopes AJ, Neykova B, Heller AR, Koch T, Gama de Abreu M Tags: Anesth Analg Source Type: journals

The success of emergency endotracheal intubation in trauma patients: a 10-year experience at a major adult trauma referral center.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In the hands of experienced anesthesiologists, rapid sequence intubation followed by direct laryngoscopy is a remarkably effective approach to emergency airway management. An algorithm designed around this approach can achieve very high levels of success. PMID: 19690259 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Stephens CT, Kahntroff S, Dutton RP Tags: Anesth Analg Source Type: journals

The effects of endotracheal suctioning on the accuracy of oxygen consumption and carbon dioxide production measurements and pulmonary mechanics calculated by a compact metabolic monitor.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Pulmonary mechanics and indirect calorimetry measurements are not influenced after uneventful open ETS in well-sedated patients. The E-COVX is able to reliably record spirometry and metabolic indices as early as 5 min after suctioning at different ventilator modes. PMID: 19690260 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Briassoulis G, Briassoulis P, Michaeloudi E, Fitrolaki DM, Spanaki AM, Briassouli E Tags: Anesth Analg Source Type: journals

Long-acting local anesthetics attenuate FMLP-induced acute lung injury in rats.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Bupivacaine and ropivacaine attenuated N-formyl-L-leucine-methionyl-L-phenylalanine-induced PAP, reduced lung edema, and diminished ET-1 release. Lidocaine and mepivacaine are more effective in reducing PAP and edema formation, but long-acting local anesthetics also inhibit ET-1 depletion and therefore have increased anti-inflammatory properties. PMID: 19690261 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Schley MT, Casutt M, Haberthür C, Dusch M, Rukwied R, Schmelz M, Schmeck J, Schüpfer GK, Konrad CJ Tags: Anesth Analg Source Type: journals

Intraoperative awareness during general anesthesia for cesarean delivery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intraoperative awareness is defined as the spontaneous recall of an event occurring during general anesthesia. A move away from rigid anesthetic protocols, which were designed to limit drug transmission across the placenta, has reduced the incidence of awareness during cesarean delivery to approximately 0.26%. Nevertheless, it remains an undesirable complication with potential for the development of posttraumatic stress disorder. Assessing depth of anesthesia remains a challenge for the anesthesia provider as clinical signs are unreliable and there is no sensitive and specific monitor. Bispectral Index monitoring with ...
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Robins K, Lyons G Tags: Anesth Analg Source Type: journals

Anesthesiologists with substance use disorders: a 5-year outcome study from 16 state physician health programs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Anesthesiologists in our sample treated and monitored for substance disorders under supervision of PHPs had excellent outcomes similar to other physicians, with no higher mortality, relapse rate, or disciplinary rate and no evidence in their records of patient harm. It is postulated that differences of study design account for contradictory conclusions from other reports. PMID: 19690263 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Skipper GE, Campbell MD, Dupont RL Tags: Anesth Analg Source Type: journals

Seventh and eighth year follow-up on workforce and finances of the United States anesthesiology training programs: 2007 and 2008.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We sent follow-up financial and workforce surveys to 121 United States anesthesiology training programs in 2007 and 2008. Seventy-four respondents (61%) demonstrated a continued increase in the institutional support for faculty and stabilization in the number of open positions. Institutional support per faculty full time equivalent with certified nurse anesthetist support removed averages $109,000. A 7% open faculty position rate is characterized by a preponderance of generalists (31%) and pediatric (21%) anesthesiologists. PMID: 19690264 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Kheterpal S, Tremper K, Shanks A, Morris M Tags: Anesth Analg Source Type: journals

Numbers of simultaneous turnovers calculated from anesthesia or operating room information management system data.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The number of simultaneous turnovers can be calculated for each 1 min over 1 yr. The reduction in the daily minutes of simultaneous turnovers exceeding the number of teams achieved by the addition of a turnover team can be averaged over the year's 13 4-wk periods to provide insight as to the value (or not) of adding an additional team. PMID: 19690265 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Dexter F, Marcon E, Aker J, Epstein RH Tags: Anesth Analg Source Type: journals

The effect on cerebral tissue oxygenation index of changes in the concentrations of inspired oxygen and end-tidal carbon dioxide in healthy adult volunteers.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: TOI is an easy-to-monitor variable that provides real-time, multisite, and noninvasive assessment of the balance between cerebral oxygen delivery and utilization. However, TOI is a complex variable that is affected by SaO2 and ETCO2, and, to a lesser extent, by MBP and CBV. Clinicians need to be aware of the systemic and cerebral physiological changes that can affect TOI to interpret changes in this variable during clinical monitoring. PMID: 19690266 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Tisdall MM, Taylor C, Tachtsidis I, Leung TS, Elwell CE, Smith M Tags: Anesth Analg Source Type: journals

Deep hypothermia attenuates microglial proliferation independent of neuronal death after prolonged cardiac arrest in rats.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Deeper levels of hypothermia induced by the IC versus RT flush resulted in better neurological outcome in survivors. Surprisingly, deep hypothermia attenuated microglial activation but not hippocampal neuronal death. Minocycline had modest benefit on neurologic outcome in survivors but did not attenuate microglial activation in brain. Our findings suggest a novel effect of deep hypothermia on microglial proliferation during exsanguination CA. PMID: 19690267 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Drabek T, Tisherman SA, Beuke L, Stezoski J, Janesko-Feldman K, Lahoud-Rahme M, Kochanek PM Tags: Anesth Analg Source Type: journals

The safety of modern hydroxyethyl starch in living donor liver transplantation: a comparison with human albumin.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The use of HES 130/0.4 as an alternative to human albumin resulted in equivalent renal outcome after liver transplantation. PMID: 19690268 [PubMed - in process]
Source: Anesthesia and Analgesia - August 22, 2009 Category: Anesthesiology Authors: Mukhtar A, Aboulfetouh F, Obayah G, Salah M, Emam M, Khater Y, Akram R, Hoballah A, Bahaa M, Elmeteini M, Hamza A Tags: Anesth Analg Source Type: journals

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