Anesthesiology
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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 6.
Acid–base balance: maintenance of plasma pH
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Abstract: Homeostatic control of plasma pH (range 7.38–7.42) – defence of the alkaline environment in the face of massive daily acid production – is an essential requirement for life. This is achieved through three lines of defence: physico-chemical buffering, rapid respiratory changes in pCO2, and slow renal changes in H+ excretion and HCO3− reabsorption and production. Disturbances in acid–base balance are described according to the cause of a primary change in either pCO2 (respiratory acidosis, respiratory alkalosis) or plasma HCO3− concentration (metabolic acidosis, metabolic alkalosis). Buffering and respi...
Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Authors: John C. Atherton Tags: Physiology Source Type: journals
Contents
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Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Source Type: journals
Editorial Board
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Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Source Type: journals
Medical gases, their storage and delivery
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Abstract: Medical gas production supply and distribution is a closely regulated process with many intrinsic safety designs and procedures. Supply and storage of both bulk and cylinder based systems are reviewed together with the production of common anaesthetic gases.
Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Authors: David Highley Tags: Clinical anaesthesia Source Type: journals
The sacrum and caudal block
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Abstract: Typically, the sacrum represents five fused sacral vertebrae. Variations are common: lumbarization of S1, sacralization of L5 and fusion of the coccyx. Frequently, a degree of spina bifida occulta is seen. The sacrum has a central mass, four anterior sacral foramina and a lateral mass. The foramina transmit the anterior primary rami of S1–S4. The wings of the sacrum (the alae) are crossed by the lumbosacral trunk, L4 and L5, which joins the sacral plexus. Posteriorly, a median crest ends below as the sacral hiatus, bearing the cornu on either side. The hiatus is covered posteriorly by the tough posterior sacroc...
Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Authors: Harold Ellis Tags: Regional anaesthesia Source Type: journals
The spinal cord and its membranes
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Abstract: The spinal cord is 45 cm long in the adult. In the early foetus, it extends the length of the vertebral canal; differential growth results in its termination at L3 in the newborn. In the adult it terminates, as the conus medullaris, at the disc between L1 and L2, although there is a range from T12 to L3. Inferiorly, the nerve roots form the cauda equina, while the lower end of the cord is attached by the filum terminale, of pia mater, to the coccyx. The dural sac terminates usually at the second segment of the sacrum. The cord receives its arterial supply from the anterior and posterior spinal arteries, which des...
Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Authors: Harold Ellis Tags: Regional anaesthesia Source Type: journals
The anatomy of the epidural space
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Abstract: The epidural space is important to the anaesthetist as the site for epidural block. It surrounds the spinal part of the dura and extends from the foramen magnum of the skull to the sacral hiatus. It contains the vertebral plexus of veins, small arteries, lymphatics and the epidural fat. This fat is loose and allows injected fluid to diffuse through it. The space projects through each intervertebral canal to lie behind the parietal pleura, whose negative pressure is transmitted to it. Anteriorly, the space lies against the posterior aspects of the vertebral bodies covered by the posterior longitudinal ligament. Al...
Source: Anaesthesia and intensive care medicine - October 27, 2009 Category: Anesthesiology Authors: Harold Ellis Tags: Regional anaesthesia Source Type: journals
Big, Beefy Football Players May Face Heart Problems Later
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Title: Big, Beefy Football Players May Face Heart Problems LaterCategory: Health NewsCreated: 10/26/2009 12:10:00 PMLast Editorial Review: 10/27/2009
Source: MedicineNet Chronic Pain General - October 27, 2009 Category: Anesthesiology Source Type: consumer
Transient neurological symptoms after spinal anaesthesia with levobupivacaine 5 mg/ml or lidocaine 20 mg/ml
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Transient neurological symptoms (TNS) after spinal anaesthesia have been reported most commonly in association with lidocaine, but have been observed with other local anaesthetics. The aim of this prospective, randomized, double-blind study was to investigate the incidence of TNS after spinal anaesthesia with either levobupivacaine or lidocaine. Patients undergoing inguinal hernia, appendectomy, varicose vein or minor orthopaedic operations were included in the study (60 patients; 47 male, 13 female, overall mean age 30 years). All patients had an American Society of Anesthesiologists score of I or II. The patients were ra...
Source: Acta Anaesthesiologica Scandinavica - October 27, 2009 Category: Anesthesiology Authors: M. GOZDEMIR, B. MUSLU, H. SERT, B. USTA, R. I. DEMIRCIOGLU, O. F. KARATAS, O. SURGIT Source Type: journals
The Role of Catastrophizing in the Prediction of Postoperative Pain
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Conclusions. The present study findings suggest that it is possible to preoperatively identify patients at risk for experiencing more severe pain in the postoperative recovery period. In such cases, consideration might be given to utilizing a variety of resources to ameliorate or prevent pain.
Source: Pain Medicine - October 27, 2009 Category: Anesthesiology Authors: Marianna Papaioannou, Petros Skapinakis, Dimitris Damigos, Venetsanos Mavreas, Georgios Broumas, Androniki Palgimesi Source Type: journals
Preload or coload for spinal anesthesia for elective Cesarean delivery: a meta-analysis.
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CONCLUSIONS: It is unnecessary to delay surgery in order to deliver a preload of fluid. Regardless of the fluid loading strategy, the incidence of maternal hypotension is high. Prophylactic or therapeutic vasopressors may be required in a significant proportion of patients.
PMID: 19859776 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 27, 2009 Category: Anesthesiology Authors: Banerjee A, Stocche RM, Angle P, Halpern SH Tags: Can J Anaesth Source Type: journals
Ultrasound assessment of the vertebral level of the palpated intercristal (Tuffier's) line.
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CONCLUSIONS: According to ultrasound, the palpated intercristal line falls at the L3-4 interspace, or below, in the majority of subjects positioned for neuraxial block in the sitting position. A palpated intercristal line at L2-3 was more likely in tall and male individuals.
PMID: 19859775 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 27, 2009 Category: Anesthesiology Authors: Pysyk CL, Persaud D, Bryson GL, Lui A Tags: Can J Anaesth Source Type: journals
Common Knee Pain May Improve With Therapy
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Title: Common Knee Pain May Improve With TherapyCategory: Health NewsCreated: 10/23/2009 4:10:00 PMLast Editorial Review: 10/26/2009
Source: MedicineNet Chronic Pain General - October 26, 2009 Category: Anesthesiology Source Type: consumer
The Role of OROS® Hydromorphone in the Management of Cancer Pain
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The vast majority of cancer patients experience pain, and treatment with opioids offers the most effective option for pain management. Long-lasting opioid formulations are usually used as cancer pain management strategies. This review surveys the available literature on the only available once-daily sustained-release formulation of hydromorphone, and its use in cancer pain management. Sustained-release (SR) formulations have a more consistent opioid plasma concentration, thereby minimizing the peaks and troughs associated with immediate-release opioid formulations. OROS® hydromorphone (Jurnista[trade], Janssen Pharmaceuti...
Source: Pain Practice - October 26, 2009 Category: Anesthesiology Authors: Jackie Gardner-Nix, Sebastiano Mercadante Source Type: journals
Occipital Nerve Stimulator Lead Pathway Length Changes with Volunteer Movement: An In Vitro Study
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Conclusions: Internal pulse generators in sites other than the buttock, including infraclavicular or low abdomen, may be associated with lower lead migration risk. There are many considerations when selecting insertion sites and lead pathways for occipital nerve stimulation. Implanters and patients may consider these results when contemplating surgical approaches to this challenging form of peripheral nerve stimulation.
Source: Pain Practice - October 26, 2009 Category: Anesthesiology Authors: Terrence L. Trentman, Jeff T. Mueller, Deepesh M. Shah, Richard S. Zimmerman, Brie M. Noble Source Type: journals
Pelvic Girdle Pain and Low Back Pain in Pregnancy: A Review
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This article will focus on the diagnosis and management of PGP and PLBP, with discussion of terminology, epidemiology, risk factors, pathophysiology, and prognosis.
Source: Pain Practice - October 26, 2009 Category: Anesthesiology Authors: Era Vermani, Rajnish Mittal, Andrew Weeks Source Type: journals
A Severe Case of Complex Regional Pain Syndrome I (Reflex Sympathetic Dystrophy) Managed with Spinal Cord Stimulation
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We report a case of a severe form of a rapidly progressive complex regional pain syndrome type I developing after a right shoulder injury managed with spinal cord stimulation (SCS). After failed conservative treatments, a rechargeable SCS system was implanted in the cervical spine. Allodynia and dystonia improved but the patient subsequently developed similar symptoms in lower right extremity followed by her lower left extremity. The patient became wheelchair bound. A second rechargeable SCS with a paddle electrode was implanted for the lower extremity coverage. The patient's allodynia and skin lesions improved significant...
Source: Pain Practice - October 26, 2009 Category: Anesthesiology Authors: Bernard Canlas, Thomas Drake, Eric Gabriel Source Type: journals
Postoperative impact of regular tobacco use, smoking or snuffing, a prospective multi-center study
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The aim was to study the effects of different tobacco administration routes on pain and post-operative nausea and vomiting (PONV), following three common day surgical procedures: cosmetic breast augmentation (CBA), inguinal hernia repair (IHR) and arthroscopic procedures (AS). We have prospectively investigated the effects of regular tobacco use in ambulatory surgery. The 355 allocated patients were followed during recovery and the first day at home. Thirty-two percent of the patients used tobacco regularly, 33% of CBA, 27% of IHR and 34% of AS. Pain was well controlled in the post-anesthesia care unit at rest; during ambu...
Source: Acta Anaesthesiologica Scandinavica - October 26, 2009 Category: Anesthesiology Authors: M. BRATTWALL, M. WARRÉN STOMBERG, N. RAWAL, M. SEGERDAHL, E. HOULTZ, J. JAKOBSSON Source Type: journals
Neuroprotective effects of a combination of dexmedetomidine and hypothermia after incomplete cerebral ischemia in rats
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We examined whether a combination of dexmedetomidine and hypothermia reduces brain injury after transient forebrain ischemia in rats to a greater extent than either treatment alone. Thirty-eight male Sprague[ndash]Dawley rats were anesthetized with fentanyl and nitrous oxide in oxygen. Four groups were tested: group C (saline 1 ml/kg, temporal muscle temperature 37.5 °C); group H (saline 1 ml/kg, 35.0 °C); group D (dexmedetomidine 100 [mu]g/kg, 37.5 °C); and group DH (dexmedetomidine 100 [mu]g/kg, 35.0 °C). Dexmedetomidine or saline was administered intraperitoneally 30 min before ischemia. Cerebral ischemia was produc...
Source: Acta Anaesthesiologica Scandinavica - October 26, 2009 Category: Anesthesiology Authors: K. SATO, T. KIMURA, T. NISHIKAWA, Y. TOBE, Y. MASAKI Source Type: journals
Successful rotational thromboelastometry-guided treatment of traumatic haemorrhage, hyperfibrinolysis and coagulopathy
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We report a case of severe blunt abdominal trauma, successfully treated with antifibrinolytic medication and fibrinogen concentrate. Rotational thromboelastometry (ROTEM) was used to identify hyperfibrinolysis and afibrinogenaemia. In order to achieve haemostasis, over a 3-h period, the patient received a total of 1 g of tranexamic acid, 7 U of packed red blood cells, 16 g of fibrinogen concentrate (Haemocomplettan P), 3500 ml of colloids and 5500 ml of lactated Ringer's solution. Together with surgical measures, this treatment stopped the bleeding and stabilised the patient. There was no transfusion of either fresh-frozen...
Source: Acta Anaesthesiologica Scandinavica - October 26, 2009 Category: Anesthesiology Authors: M. BRENNI, M. WORN, M. BRÜESCH, D. R. SPAHN, M. T. GANTER Source Type: journals
SUNCT Syndrome Successfully Treated with the Combination of Oxcarbazepine and Gabapentin
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Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a syndrome of intermittent, brief, unilateral, severe paroxysms of orbital-temporal pain recurring multiple times per day. The pain modulation is often very difficult. The reported SUNCT patient is the first who responded to a combination treatment of oxcarbazepine and gabapentin.
Source: Pain Medicine - October 26, 2009 Category: Anesthesiology Authors: Martin Marziniak, Regina Breyer, Stefan Evers Source Type: journals
Paraplegia Following Image-Guided Transforaminal Lumbar Spine Epidural Steroid Injection: Two Case Reports
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Conclusion. These cases consolidate a pattern emerging in the literature. Distal cord and conus injury can occur following transforaminal injections at lumbar levels, whether injection is on the left or right. This conforms with the probability of radicular-medullary arteries forming an arteria radicularis magna at lumbar levels. All cases used particulate corticosteroids, which promotes embolization in a radicular artery as the likely mechanism of injury. The risk of this complication can be reduced, and potentially eliminated, by the utilization of particulate free steroids, testing for intra-arterial injection with digi...
Source: Pain Medicine - October 26, 2009 Category: Anesthesiology Authors: David J. Kennedy, Paul Dreyfuss, Charles N. Aprill, Nikolai Bogduk Source Type: journals
Postdural Puncture Headache in Complex Regional Pain Syndrome: A Retrospective Observational Study
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Conclusions. Our observations may suggest that other mechanisms besides intracranial hypotension play a role in the initiation and maintenance of PDPH in CRPS and stimulate new directions of research on this topic.
Source: Pain Medicine - October 26, 2009 Category: Anesthesiology Authors: Alexander G. Munts, Joan H. C. Voormolen, Johan Marinus, Elmar M. Delhaas, Jacobus J. van Hilten Source Type: journals
Book critique: “Functional Pain Syndromes: Presentation and Pathophysiology”, Emeran A. Mayer and M. Catherine Bushnell (Editors). IASP Press, Seattle, WA, 2009, 580 pp. ISBN 978-0-931092-75-6. Reviewed by: Christian Maihöfner and Beatrix Vill
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Functional pain syndromes can be universally found in the medical disciplines. Diagnosis and treatment are highly demanding. Treatment approaches are often frustrating, both for patients and physicians. Despite the significant clinical problem, the underlying pathophysiology remains elusive. However, over the last years there is accumulating evidence that abnormalities of central neural processing may account for distinct clinical features of this varicoloured group of syndromes. In their most recent book the authors make the most valuable contribution by bringing together current knowledge about this disease group. All au...
Source: European Journal of Pain - October 26, 2009 Category: Anesthesiology Authors: Christian Maihöfner, Beatrix Vill Tags: Bookshelf Source Type: journals
Perioperative Strokes and [beta]-Blockade
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Perioperative β-blocker therapy is associated with an increased incidence in postoperative strokes. However, if several aspects are addressed, the risk of stroke seems to be similar to that of patients not on β-blockers.
Source: Anesthesiology - October 24, 2009 Category: Anesthesiology Tags: Special Articles Source Type: journals
Hemoglobin-based Oxygen Carriers: Current Status and Future Directions
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Similarity of toxicities for molecularly dissimilar hemoglobin-based oxygen carriers and mitigation strategies were discussed at a National Institutes of Health/Food and Drug Administration-sponsored workshop. Finding appropriate clinical balance of risk:benefit remains challenging.
Source: Anesthesiology - October 24, 2009 Category: Anesthesiology Tags: Special Articles Source Type: journals
Long-term Cognitive Decline in Older Subjects Was Not Attributable to Noncardiac Surgery or Major Illness
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Conclusions: The study did not detect long-term cognitive decline independently attributable to surgery or illness, nor were these events associated with accelerated progression to dementia. The decision to proceed with surgery in elderly people, including those with early Alzheimer disease, may be made without factoring in the specter of persistent cognitive deterioration.
(C) 2009 American Society of Anesthesiologists, Inc.
Source: Anesthesiology - October 24, 2009 Category: Anesthesiology Tags: Perioperative Medicine Source Type: journals
Mathematical Modeling of the Pain and Progress of the First Stage of Nulliparous Labor
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Conclusions: Mathematical models can be used to detect subtle effects of patient covariates on the progress and pain of the first stage of labor. Asian women and heavier women had slower labor and slower onset of labor pain than others. These effects were modest compared with the substantial remaining unexplained subject-to-subject variability in labor progress and labor pain.
(C) 2009 American Society of Anesthesiologists, Inc.
Source: Anesthesiology - October 24, 2009 Category: Anesthesiology Tags: Pain Medicine Source Type: journals
Anaphylaxis and Anesthesia: Controversies and New Insights
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Anaphylaxis may be a life-threatening clinical condition and is likely a result of drugs or substances used for anesthesia or surgery. The criteria for the diagnosis and clinical treatment are discussed.
Source: Anesthesiology - October 24, 2009 Category: Anesthesiology Tags: Clinical Concepts and Commentary Source Type: journals
Differences in Quantitative Architecture of Sciatic Nerve May Explain Differences in Potential Vulnerability to Nerve Injury, Onset Time, and Minimum Effective Anesthetic Volume
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Conclusion: In SN, the ratio neural:nonneural tissue changes significantly from 2:1 (midgluteal and subgluteal) to 1:1 (midfemoral and popliteal). This suggests a higher vulnerability for neurologic sequelae in proximal SN, and may explain differences observed in minimum effective anesthetic volume and onset time between proximal and distal SN blocks.
(C) 2009 American Society of Anesthesiologists, Inc.
Source: Anesthesiology - October 24, 2009 Category: Anesthesiology Tags: Pain Medicine Source Type: journals
Spinal mepivacaine with fentanyl for outpatient knee arthroscopy surgery: a randomized controlled trial.
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CONCLUSIONS: When compared with 45 mg isobaric mepivacaine 1.5%, an intrathecal dose of 30 mg isobaric mepivacaine 1.5% plus 10 mug fentanyl produces reliable anesthesia, hastens block regression, shortens stay in Phase I recovery, and enables earlier ambulation for patients undergoing unilateral knee arthroscopy (Registration no. NCT00803725).
PMID: 19856040 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 24, 2009 Category: Anesthesiology Authors: O'Donnell D, Manickam B, Perlas A, Karkhanis R, Chan VW, Syed K, Brull R Tags: Can J Anaesth Source Type: journals
Sonographic assessment of the conventional 'blind' ilioinguinal block.
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PMID: 19856039 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 24, 2009 Category: Anesthesiology Authors: Randhawa K, Soumian S, Kyi M, Khaira H Tags: Can J Anaesth Source Type: journals
Rare complications and national databases.
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PMID: 19843768 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Lee LA, Morell RC Tags: Anesth Analg Source Type: journals
Sellick's Maneuver: To Do or Not Do.
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PMID: 19843769 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Ovassapian A, Salem MR Tags: Anesth Analg Source Type: journals
On cricoid pressure: "may the force be with you".
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PMID: 19843770 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Lerman J Tags: Anesth Analg Source Type: journals
Levosimendan in early sepsis: when good ideas give poor results.
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PMID: 19843771 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: De Backer D, Bracht H Tags: Anesth Analg Source Type: journals
Neuraxial anesthesia for cesarean delivery: what criteria define the "optimal" technique?
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PMID: 19843772 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Benhamou D, Wong C Tags: Anesth Analg Source Type: journals
The poppies of afghanistan.
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PMID: 19843773 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Pagel PS Tags: Anesth Analg Source Type: journals
Anesthesia and pharmacogenomics: not ready for prime time.
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PMID: 19843774 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Candiotti K Tags: Anesth Analg Source Type: journals
Craniotomy pain: trying to do better.
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PMID: 19843775 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Gottschalk A Tags: Anesth Analg Source Type: journals
A randomized clinical trial investigating the relationship between aprotinin and hypercoagulabilityin off-pump coronary surgery.
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CONCLUSION: This study demonstrates that aprotinin protects patients undergoing OPCAB surgery from a hypercoagulable state by diminishing thrombin-induced platelet activation and thrombin generation within saphenous vein grafts, while maintaining systemic hemostatic and antifibrinolytic benefits. These results support further investigation of aprotinin and other PAR-1 antagonists in OPCAB surgery.
PMID: 19843776 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Desai PH, Kurian D, Thirumavalavan N, Desai SP, Ziu P, Grant M, White C, Landis RC, Poston RS Tags: Anesth Analg Source Type: journals
Acute Methadone Treatment Reduces Myocardial Infarct Size via the {delta}-Opioid Receptor in Rats During Reperfusion.
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CONCLUSIONS: These findings demonstrate that methadone and morphine produce similar myocardial IS-sparing effects that are delta-opioid receptor mediated and that are dependent on the duration of myocardial ischemia.
PMID: 19843777 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Gross ER, Hsu AK, Gross GJ Tags: Anesth Analg Source Type: journals
The interrelationship between preoperative anemia and N-terminal pro-B-type natriuretic Peptide: the effect on predicting postoperative cardiac outcome in vascular surgery patients.
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CONCLUSIONS: Both anemia and NT-proBNP are independently associated with an increased risk for postoperative cardiac events in patients undergoing vascular surgery. NT-proBNP has less predictive value in anemic patients.
PMID: 19843778 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Goei D, Flu WJ, Hoeks SE, Galal W, Dunkelgrun M, Boersma E, Kuijper R, van Kuijk JP, Winkel TA, Schouten O, Bax JJ, Poldermans D Tags: Anesth Analg Source Type: journals
Left atrial dissection associated with pulmonary vein cannulation.
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PMID: 19843779 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Tolpin DA, Collard CD, Thomas Z, Pan W Tags: Anesth Analg Source Type: journals
Transesophageal echocardiography to redirect the intraoperative surgical approach for vena cava tumor resection.
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PMID: 19843780 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Cywinski JB, O'Hara JF Tags: Anesth Analg Source Type: journals
Transesophageal echocardiography is useful for an intraoperative diagnosis of pulmonary artery catheter entrapment.
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PMID: 19843781 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Kuroda M, Matsuoka H, Aso C, Iriuchijima N, Miyoshi S, Kadoi Y, Saito S Tags: Anesth Analg Source Type: journals
Lower bispectral index values in children who are intellectually disabled.
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CONCLUSIONS: We advise anesthesiologists to be alert to possible lower BIS values in intellectually disabled children. There is a risk that they will inadvertently misinterpret the state of consciousness in intellectually disabled children. New multicenter studies must find the optimal manner of evaluating (un)consciousness in intellectually disabled patients with documented and confirmed specific etiologies of their intellectual disability.
PMID: 19843782 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Valkenburg AJ, de Leeuw TG, Tibboel D, Weber F Tags: Anesth Analg Source Type: journals
Low-Dose 3 mg Levobupivacaine Plus 10 {micro}g Fentanyl Selective Spinal Anesthesia for Gynecological Outpatient Laparoscopy.
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CONCLUSIONS: Levobupivacaine 3 mg plus 10 mug fentanyl may be used as a suitable alternative to 10 mg lidocaine plus 10 mug fentanyl for spinal anesthesia of short duration. It achieved a clinically equivalent time for resolution of sensory block, similar intraoperative conditions, and comparable patient satisfaction..
PMID: 19843783 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: de Santiago J, Santos-Yglesias J, Giron J, Montes de Oca F, Jimenez A, Diaz P Tags: Anesth Analg Source Type: journals
The effect of perioperative intravenous lidocaine on postoperative pain and immune function.
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CONCLUSION: The present findings indicate that preoperative and intraoperative IV lidocaine improves immediate postoperative pain management and reduces surgery-induced immune alterations.
PMID: 19843784 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Yardeni IZ, Beilin B, Mayburd E, Levinson Y, Bessler H Tags: Anesth Analg Source Type: journals
The effects of sevoflurane and propofol on glucose metabolism under aerobic conditions in fed rats.
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CONCLUSIONS: During surgery, hyperglycemia was observed under sevoflurane and sevoflurane/buprenorphine anesthesia, but blood glucose levels were relatively stable under propofol and propofol/buprenorphine anesthesia. Whereas sevoflurane exaggerates glucose intolerance, propofol has no significant effects on glucose tolerance. We speculate that this feature of propofol contributes, at least in part, to the stable glucose metabolism during surgery observed in this study. The results of this study confirm the marked difference in the effects of sevoflurane and propofol on glucose metabolism.
PMID: 19843785 [PubMed - in process]
Source: Anesthesia and Analgesia - October 23, 2009 Category: Anesthesiology Authors: Kitamura T, Ogawa M, Kawamura G, Sato K, Yamada Y Tags: Anesth Analg Source Type: journals
