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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 5.

Transforaminal 5% Phenol Neurolysis for the Treatment of Intractable Cancer Pain.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This is the first case report of using a transforaminal approach for phenol administration. A 76-yr-old patient with a history of leiomyosarcoma and multiple metastatic lesions had unremitting pain in the right thoracic and lumbar regions and had prohibitive opioid-induced side effects. The patient underwent phenol neurolysis using a transforaminal approach in 2 stages at 3 levels (L3-4, L1-2, and T12-L1). The patient had complete resolution of pain, without any complications, and opioid treatment was nearly discontinued. Transforaminal phenol neurolysis is a reasonable treatment option for patients suffering from intr...
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Candido KD, Philip CN, Ghaly RF, Knezevic NN Tags: Anesth Analg Source Type: journals

The First Scintigraphic Detection of Tumor Necrosis Factor-Alpha in Patients with Complex Regional Pain Syndrome Type 1.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Tumor necrosis factor (TNF)-alpha has been identified as a pathogenic factor in many immunologically based diseases and complex regional pain syndrome (CRPS). In this case series, we used radiolabeled technetium anti-TNF-alpha antibody to scintigraphically image TNF-alpha in 3 patients with type 1 CRPS. The results show that TNF-alpha was localized only in affected hands of patients with early-stage CRPS. No uptake was seen in clinically unaffected hands and late-stage CRPS. Our findings support the growing evidence for neuroimmune disturbance in patients with CRPS and may have important further implications for specif...
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Bernateck M, Karst M, Gratz KF, Meyer GJ, Fischer MJ, Knapp WH, Koppert W, Brunkhorst T Tags: Anesth Analg Source Type: journals

A Survey of Current Management of Neuromuscular Block in the United States and Europe.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Our results suggest a lack of agreement among anesthesia providers about the best way to monitor neuromuscular function. Efforts to improve awareness by developing formal training programs and/or publishing official guidelines on best practices to reduce the incidence of postoperative neuromuscular weakness and patient morbidity are warranted. PMID: 19910616 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Naguib M, Kopman AF, Lien CA, Hunter JM, Lopez A, Brull SJ Tags: Anesth Analg Source Type: journals

Lateral Antebrachial Cutaneous Neuropathy as a Result of Positioning While Under General Anesthesia.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of lateral antebrachial cutaneous neuropathy after prolonged general anesthesia for left medial meniscal transplant and microfracture surgery. In the orthopedic and sports medicine literature, <100 cases have been described. We discuss the possible causes and propose surgical positioning as the most likely cause of postoperative lateral antebrachial cutaneous neuropathy in our patient. PMID: 19910615 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Judge A, Fecho K Tags: Anesth Analg Source Type: journals

Pressures Available for Transtracheal Jet Ventilation from Anesthesia Machines and Wall-Mounted Oxygen Flowmeters.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Oxygen sources other than dedicated jet ventilator connectors to high-pressure pipeline oxygen may supply adequate working pressure, but each type of oxygen source needs testing to ensure that it supplies adequate working pressure. PMID: 19910614 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Fassl J, Jenny U, Nikiforov S, Murray WB, Foster PA Tags: Anesth Analg Source Type: journals

Control of perioperative muscle strength during ambulatory surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Purpose of review: This review describes strategies to control perioperative muscle strength in patients undergoing ambulatory surgery. Recent findings: Although it is impossible to improve muscle relaxation (defined as absence of electrical activity) of intact resting muscle by hypnotics, analgesia is required to prevent pain-evoked muscular contractions during surgery. Regional anesthesia, as well as hypnotics and opioids, promotes intraoperative muscle relaxation. Neuromuscular blocking agents (NMBAs) induce dose-dependent muscle relaxation, but their effects vary widely between individuals, and postoperative residual ...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Ambulatory anesthesia: Edited by Girish Joshi Source Type: journals

Depth of anesthesiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Purpose of review: The present review article provides a summary of the recent literature evaluating the technology for monitoring depth of anesthesia and patient outcomes associated with its use. Recent findings: The tentative and controversial findings of a 2006 study suggesting a correlation of mortality with lower intraoperative bispectral index scores were reproduced in a more recent study, but the correlation could be accounted for by controlling for patient comorbidities, particularly malignancy. In a large trial involving patients at high risk for awareness, general anesthesia with volatile agents guided by bispec...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Technology, education, training and information systems: Edited by Kirk Shelley Source Type: journals

Perioperative management of outpatients with implantable cardioverter defibrillatorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Purpose of review: Implantable cardioverter defibrillators (ICDs) are increasingly being placed in patients worldwide. These patients pose significant perioperative challenges and are at an increased risk of complications; the suitability of ambulatory surgery in this patient population remains controversial. The purpose of the present review is to examine the potential challenges and optimal perioperative care of patients with an ICD. Recent findings: The American Society of Anesthesiologists Advisory for the perioperative management of patients with cardiac rhythm management devices as well as the American College of Ca...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Ambulatory anesthesia: Edited by Girish Joshi Source Type: journals

Too Much Texting Could Cause Neck Pain In College Studentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The world record for fastest text message typing is held by a 21-year old college student from Utah, but his dexterous digits could mean serious injury later on. Most adults aged 18-21 prefer texting over e-mail or phone calls, and ergonomics researchers are starting to wonder whether it's putting the younger generation at risk for some overuse injuries - once reserved for older adults who have spent years in front of a computer.
Source: Pain / Anesthetics News From Medical News Today - November 11, 2009 Category: Anesthesiology Tags: IT / Internet / E-mail Source Type: news

'Emotions Increase Or Decrease Pain'email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Getting a flu shot this fall? Canadians scientists have found that focusing on a pretty image could alleviate the sting of that vaccine. According to a new Université de Montréal study, published in the latest edition of the Proceedings of the National Academy of Science (PNAS), negative and positive emotions have a direct impact on pain.
Source: Pain / Anesthetics News From Medical News Today - November 11, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

Brief Training in Meditation Eases Painemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Brief Training in Meditation Eases PainCategory: Health NewsCreated: 11/11/2009 10:42:00 AMLast Editorial Review: 11/11/2009 10:42:25 AM
Source: MedicineNet Chronic Pain General - November 11, 2009 Category: Anesthesiology Source Type: consumer

Breast Cancer May Be Gone, But Pain Lingersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Breast Cancer May Be Gone, But Pain LingersCategory: Health NewsCreated: 11/10/2009 4:10:00 PMLast Editorial Review: 11/11/2009
Source: MedicineNet Chronic Pain General - November 11, 2009 Category: Anesthesiology Source Type: consumer

[What can we learn from the Scott Reuben case? : Scientific misconduct in anaesthesiology.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In February 2009 a major case of scientific misconduct was discovered. The American pain researcher Dr. S. Reuben had published 21 papers over a period of 15 years that were found to be fraudulent. Suddenly many advances in postoperative pain therapy which had been assumed to be correct seemed questionable. In this review article the lessons which can be learnt from this case are described. This review also reveals that it is almost impossible for reviewers or readers of scientific journals to detect scientific fraud. However, several warning signs can be identified that might be useful when reading clinical papers. In...
Source: Der Anaesthesist - November 11, 2009 Category: Anesthesiology Authors: Rittner HL, Kranke P, Schäfer M, Roewer N, Brack A Tags: Anaesthesist Source Type: journals

Spinal anesthesia for Cesarean delivery following pre-existing epidural labour analgesia.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19904579 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 11, 2009 Category: Anesthesiology Authors: Vaida S, Dalal P, Mets B Tags: Can J Anaesth Source Type: journals

Severe hyponatremia associated with transcervical resection of a uterine myoma.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19904578 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 11, 2009 Category: Anesthesiology Authors: Ouellet P, Bergeron ME, Lapointe D, Laberge P, Côté M Tags: Can J Anaesth Source Type: journals

Author Index to Volume 146 (2009)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pain - November 10, 2009 Category: Anesthesiology Source Type: journals

Subject Index to Volume 146 (2009)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pain - November 10, 2009 Category: Anesthesiology Source Type: journals

Contents to Volume 146 (2009)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pain - November 10, 2009 Category: Anesthesiology Source Type: journals

Editorial listemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pain - November 10, 2009 Category: Anesthesiology Source Type: journals

Instructions to authorsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pain - November 10, 2009 Category: Anesthesiology Source Type: journals

Kicking The Smoking Habit Improves Surgical Outcomesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
With the American Cancer Society's Great American Smokeout Challenge just a week away, the American Society of Anesthesiologists (ASA) is giving smokers yet another reason to quit. The scientific evidence is clear -- smoking has a direct negative impact on postoperative outcomes. Quitting smoking is one of the best things people can do to improve their chances of recovering from surgery without complications.
Source: Pain / Anesthetics News From Medical News Today - November 10, 2009 Category: Anesthesiology Tags: Smoking / Quit Smoking Source Type: news

U-M Receives $1.8 Million To Develop Therapy For Neuropathic Painemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Researchers from the University of Michigan Department of Neurology have received a $1.8 million dollar grant to develop a novel therapy for neuropathic pain, a difficult to treat condition in which patients experience pain because of damage to nerve without obvious tissue injury.
Source: Pain / Anesthetics News From Medical News Today - November 10, 2009 Category: Anesthesiology Tags: Neurology / Neuroscience Source Type: news

A New LED Powered Endoscope from Schöllyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Schölly Fiberoptic out of Denzlingen, Germany is releasing a new video bronchoscope with CMOS "chip-in-the-tip" and bright LED technology. The device is going to be unveiled at MEDICA 2009 next week in Düsseldorf. The controller unit is plug-and-play with easy start-up. Its compact size saves table space and the simple controls eliminate the need for lengthy training. The controller is completely silent since it does not require a cooling fan. All video settings are preprogrammed, so no complicated and time consuming set-up is necessary. A single cable leads from the controller to the ergonomic handpiece. The ha...
Source: Medgadget Anesthesiology - November 10, 2009 Category: Anesthesiology Tags: Anesthesiology Source Type: info

Kicking The Smoking Habit Improves Surgical Outcomesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
With the American Cancer Society's Great American Smokeout Challenge just a week away, the American Society of Anesthesiologists (ASA) is giving smokers yet another reason to quit. The scientific evidence is clear -- smoking has a direct negative impact on postoperative outcomes. Quitting smoking is one of the best things people can do to improve their chances of recovering from surgery without complications.
Source: Pain / Anesthetics News From Medical News Today - November 10, 2009 Category: Anesthesiology Tags: Smoking / Quit Smoking Source Type: news

Correspondenceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Pediatric Anesthesia - November 10, 2009 Category: Anesthesiology Authors: Christopher F. Tirotta Source Type: journals

SMC accepts restricted use of fentanyl nasal spray (Instanyl®) in NHSScotlandemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Scottish Medicines Consortium (SMC) Area: Evidence > Drug Specific Reviews The Scottish Medicines Consortium (SMC) has accepted for restricted use within NHSScotland, fentanyl nasal spray (Instanyl®) for the management of breakthrough pain in adults already receiving maintenance opioid therapy for chronic cancer pain. Use should be restricted to patients who are unsuitable for other short-acting oral opioids (e.g. oral morphine) as an alternative to other buccal and sublingual fentanyl preparations.
Source: NeLM - Pain control - November 10, 2009 Category: Anesthesiology Source Type: organizations

[Promotility drugs use in critical care: Indications and limits?]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Enteral feeding is often limited by gastric and intestinal motility disturbances in critically ill patients, particularly in patients with shock. So, promotility agents are frequently used to improve tolerance to enteral nutrition. This review summaries the pathophysiology, presents the available pharmacological strategies, the clinical data, the counter-indications and the principal limits. The clinical data are poor. No study demonstrates a positive effect on clinical outcomes. Metoclopramide and erythromycin seems to be the more effective. Considering the risk of antibiotic resistance, the first line use of erythrom...
Source: Annales Francaises d'Anesthesie et de Reanimation - November 10, 2009 Category: Anesthesiology Authors: Libert N, De Rudnicki S, Cirodde A, Janvier F, Leclerc T, Borne M, Brinquin L Tags: Ann Fr Anesth Reanim Source Type: journals

[Interest of contrast test during ultrasound-guided reposition of a malpositioned venous sub-clavian central catheter.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19910154 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - November 10, 2009 Category: Anesthesiology Authors: Perbet S, Longeras F, Duchenne J, Constantin JM, Bazin JE Tags: Ann Fr Anesth Reanim Source Type: journals

[A case of malignant hyperthermia arising five hours after the beginning of anaesthesia with sevoflurane and after five uneventful surgical procedures.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of per anaesthesia malignant hyperthermia (MH) arisen in a 16-year-old young man presenting antecedents of five anaesthesia with use of halogenated agents without complication and having started a typical crisis of MH after five hours of anaesthesia with sevoflurane and with recurrence of the crisis after 14hours in ICU. The association in the same clinical case of these three peculiarities of the crisis of MH already described separately in the international literature allows us to insist on their importance, with the French-speaking anaesthesiologists community. PMID: 19910153 [PubMed - as supplied by publisher]
Source: Annales Francaises d'Anesthesie et de Reanimation - November 10, 2009 Category: Anesthesiology Authors: Barbier M, Lafaye AL, Guerin R, Viguier-Hourcastagnou L, Payen JF, Bazin JE Tags: Ann Fr Anesth Reanim Source Type: journals

Breastfeeding Benefits Moms and Babies: Reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Breastfeeding Benefits Moms and Babies: ReportCategory: Health NewsCreated: 11/6/2009 2:10:00 PMLast Editorial Review: 11/9/2009
Source: MedicineNet Chronic Pain General - November 9, 2009 Category: Anesthesiology Source Type: consumer

Correspondence.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19906092 [PubMed - as supplied by publisher]
Source: Paediatric Anaesthesia - November 9, 2009 Category: Anesthesiology Authors: Tirotta CF Tags: Paediatr Anaesth Source Type: journals

Validation of a novel fibreoptic intubation traineremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study supports the use of such a device in training and assessment although further studies will be required to determine whether the skills learned on the device can be transferred to the clinical environment.
Source: Anaesthesia - November 8, 2009 Category: Anesthesiology Authors: D. J. Williams, A. J. Byrne, O. Bodger Source Type: journals

Acknowledgment.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Authors: PMID: 19898916 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 7, 2009 Category: Anesthesiology Tags: Can J Anaesth Source Type: journals

Sugmmadex reverses vecuronium-induced NMB faster than neostigmineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Sugammadex provides significantly faster reversal of vecuronium-induced neuromuscular blockade than neostigmine, research results show.
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

Acetaminophen May Be Linked To Asthma In Children And Adultsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
New research shows that the widely used pain reliever acetaminophen may be associated with an increased risk of asthma and wheezing in both children and adults exposed to the drug. Researchers from the University of British Columbia, Vancouver, BC, Canada, conducted a systematic review and metaanalysis of 19 clinical studies (total subjects=425,140) that compared the risk of asthma or wheezing with acetaminophen exposure.
Source: Pain / Anesthetics News From Medical News Today - November 6, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

Osteomyelitisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: OsteomyelitisCategory: Diseases and ConditionsCreated: 11/6/2009 5:06:00 PMLast Editorial Review: 11/6/2009 5:06:05 PM
Source: MedicineNet Chronic Pain General - November 6, 2009 Category: Anesthesiology Source Type: consumer

Health Tip: What's Behind Hip Bursitis?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Health Tip: What's Behind Hip Bursitis?Category: Health NewsCreated: 11/6/2009 8:10:00 AMLast Editorial Review: 11/6/2009
Source: MedicineNet Chronic Pain General - November 6, 2009 Category: Anesthesiology Source Type: consumer

Comparison of fibrescope guided intubation via the classic laryngeal mask airway and i-gel in a manikin*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We compared the classic laryngeal mask airway and i-gel as adjuncts to fibrescope guided intubation in a manikin. Two methods of intubation were compared with each device: the tracheal tube directly over the fibrescope; and the tracheal tube over an Aintree Intubation Catheter. Thirty-two anaesthetists took part in this randomised crossover study. Each anaesthetist performed two intubations with each method via each device. The mean (SD) time for the first intubation using the tracheal tube over the fibrescope was 43 (24) s with the classic laryngeal mask airway and 22 (9) s with the i-gel (95% CI for the difference 12[nda...
Source: Anaesthesia - November 6, 2009 Category: Anesthesiology Authors: L. de Lloyd, I. Hodzovic, S. Voisey, A. R. Wilkes, I. P. Latto Source Type: journals

Stroke volume variation fails to predict fluid responsiveness in abdominal surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Measuring stroke volume variation using the FloTrac/Vigileo system does not reliably predict fluid responsiveness in patients undergoing major abdominal surgery, researchers report.
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

PPIs can be used with thienopyridinesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Clinicians do not need to avoid concomitant use of proton pump inhibitors during percutaneous coronary intervention surgery in acute coronary syndrome patients receiving clopidogrel or prasugrel, study findings indicate.
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

rFVIIa lessens bleeding after cardiac surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Recombinant activated factor VII may be beneficial for treating bleeding after cardiac surgery, preliminary research suggests.
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

[Therapy with blood components and plasma derivatives : The current cross-sectional guidelines.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19890616 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Biscoping J Tags: Anaesthesist Source Type: journals

[Anti-inflammatory effects of pentoxifylline : Importance in cardiac surgery.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Initially introduced as a rheologic agent for use in intermittent claudication due to peripheral artery disease and in ischemic cerebrovascular disease, the methylxanthine derivative pentoxifylline (PTX) has been shown to possess several anti-inflammatory properties which make this drug an interesting immunomodulating adjunct for the management of patients undergoing cardiac surgery. As an unspecific phosphodiesterase inhibitor PTX ameliorates the inflammatory response following a septic stimulus and blunts organ dysfunction after ischemia-reperfusion injury. Apart from this several small clinical studies have shown th...
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Groesdonk HV, Heringlake M, Heinze H Tags: Anaesthesist Source Type: journals

[Emergency medical treatment of palliative care patients at the end of life : Regulatory emergency medical care framework - a case control investigation of medical intervention and advance directives.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Every EP and paramedic may be involved in the care of palliative care patients who are at the end of their lives. EPs and paramedics do not always adapt their treatment to the will or supposed will of the patient (especially in accordance with the new German law concerning advance directives). The reasons for this usually concern legal uncertainties. Therefore, EPs and paramedics should know that different legal meanings could be important in emergency medical care therapy of palliative care patients. A written "do not resuscitate" order as an advance directive must be evaluated as a desired therapeutic limita...
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Wiese CH, Duttge G, Weber AK, Zausig YA, Ruppert D, Hanekop GG, Graf BM Tags: Anaesthesist Source Type: journals

[Volatile anesthetics and left ventricular diastolic function.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19890613 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Skarvan K, Meierhenrich R Tags: Anaesthesist Source Type: journals

[Incidence of infection from catheter procedures for regional anesthesia : First results from the network of DGAI and BDA.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Infectious complications of catheter-based regional anaesthesia are common. Strict hygienic standards must therefore be complied with. More data are necessary to calculate risk factors. The registry provided can also be used as a benchmark to reduce these rates further. PMID: 19890612 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - November 6, 2009 Category: Anesthesiology Authors: Volk T, Engelhardt L, Spies C, Steinfeldt T, Gruenewald D, Kutter B, Heller A, Werner C, Heid F, Bürkle H, Gastmeier P, Wernecke KD, Koch T, Vicent O, Geiger P, Wulf H Tags: Anaesthesist Source Type: journals

Atomised lidocaine for airway topical anaesthesia in the morbidly obese: 1% compared with 2%*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Airway anaesthesia using atomised lidocaine for awake oral fibreoptic intubation in morbidly obese patients was evaluated using two doses of local anaesthetic. In this randomised, blinded prospective study, 40 ml of atomised 1% (n = 11) or 2% (n = 10) lidocaine was administered with high oxygen flow as carrier. Outcomes included time for intubation, patient tolerance to airway manipulation, haemodynamic parameters, the bronchoscopist's overall satisfaction, and serial serum lidocaine concentrations. Patients receiving lidocaine 1% had a longer mean (SD) time from the start of topicalisation to tracheal tube cuff inflation ...
Source: Anaesthesia - November 6, 2009 Category: Anesthesiology Authors: C. Woodruff, P. M. Wieczorek, T. Schricker, B. Vinet, S. B. Backman Source Type: journals

The Use of the Behavioral Pain Scale to Assess Pain in Conscious Sedated Patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The BPS is a valid tool for measuring pain in conscious sedated patients during painful procedures. Thus, for noncommunicative and mechanically ventilated patients, it may be regarded as a bridge between the observational scale used by nurses and the VRS-4 used by patients who are able to self-report pain. PMID: 19897804 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 6, 2009 Category: Anesthesiology Authors: Ahlers SJ, van der Veen AM, van Dijk M, Tibboel D, Knibbe CA Tags: Anesth Analg Source Type: journals

The Influence of Time of Day of Administration on Duration of Opioid Labor Analgesia.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Time of day of administration did not seem to influence combined spinal-epidural or systemic labor analgesia duration under these study conditions. PMID: 19897803 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 6, 2009 Category: Anesthesiology Authors: Scavone BM, McCarthy RJ, Wong CA, Sullivan JT Tags: Anesth Analg Source Type: journals

The Brain Is a Source of S100B Increase During Endotoxemia in the Pig.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Our results support the hypothesis that the brain is an important source of S100B in endotoxemia even though there may be other sources. These findings make S100B a candidate as a marker of cerebral dysfunction in septic shock. PMID: 19897802 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 6, 2009 Category: Anesthesiology Authors: Lipcsey M, Olovsson M, Larsson E, Einarsson R, Qadhr GA, Sjölin J, Larsson A Tags: Anesth Analg Source Type: journals