Anesthesiology via MedWorm.com MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Anesthesiology' source. Sun, 21 Mar 2010 13:42:13 +0100 Family-centered Pediatric Perioperative Care http://www.medworm.com/index.php?rid=3299449&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F03000%2FFamily_centered_Pediatric_Perioperative_Care.42.aspx This article advances the concept of family-centered pediatric perioperative care by providing a practical and clinically relevant model of delivery of care in this manner. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3299449 Wed, 24 Feb 2010 13:41:10 +0100 3299449 Ultrasound Imaging for Regional Anesthesia in Infants, Children, and Adolescents: A Review of Current Literature and Its Application in the Practice of Neuraxial Blocks http://www.medworm.com/index.php?rid=3299448&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F03000%2FUltrasound_Imaging_for_Regional_Anesthesia_in.35.aspx Complementary to a previous publication related to pediatric extremity and trunk blockade, the authors present a comprehensive narrative review of the literature pertaining to techniques described and outcomes evaluated for ultrasound imaging in pediatric neuraxial anesthesia. The sonoanatomy related to each block is also described and illustrated to serve as a foundation for better understanding the block techniques described. For neuraxial blockade, ultrasound may fairly reliably predict the depth to loss of resistance and can enable a dynamic view of the needle and catheter after entry into the spinal canal. Particularly, in young infants, direct visualization of the needle and catheter tip may be possible, whereas in older children surrogate markers including the displacement of dura m... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3299448 Wed, 24 Feb 2010 13:41:10 +0100 3299448 Preoperative C-reactive Protein Predicts Long-term Mortality and Hospital Length of Stay after Primary, Nonemergent Coronary Artery Bypass Grafting http://www.medworm.com/index.php?rid=3299447&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F03000%2FPreoperative_C_reactive_Protein_Predicts_Long_term.20.aspx Conclusion: We demonstrate that preoperative CRP levels as low as 3 mg/l are associated with increased long-term mortality and extended hospital length of stay in relatively lower-acuity patients undergoing primary, nonemergent coronary artery bypass graft-only surgery. These important findings may allow for more objective risk stratification of patients who present for uncomplicated surgical coronary revascularization. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3299447 Wed, 24 Feb 2010 13:41:10 +0100 3299447 Endothelial Dysfunction Enhances Vasoconstriction Due to Scavenging of Nitric Oxide by a Hemoglobin-based Oxygen Carrier http://www.medworm.com/index.php?rid=3299446&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F03000%2FEndothelial_Dysfunction_Enhances_Vasoconstriction.17.aspx Conclusions: Reduction in low molecular weight hemoglobin concentrations to less than 1% is insufficient to abrogate the vasoconstrictor effects of HBOC infusion in healthy awake sheep or in mice with reduced vascular nitric oxide levels associated with endothelial dysfunction. These findings suggest that testing HBOCs in animals with endothelial dysfunction can provide a more sensitive indication of their potential vasoconstrictor effects. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3299446 Wed, 24 Feb 2010 13:41:09 +0100 3299446 Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques: A Report by the American Society of Anesthesiologists Task Force on Infectious Complications Associated with Neuraxial Techniques* http://www.medworm.com/index.php?rid=3299445&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F03000%2FPractice_Advisory_for_the_Prevention%2C_Diagnosis%2C.12.aspx The American Society of Anesthesiologists Task Force on Infectious Complications Associated with Neuraxial Techniques presents a Practice Advisory addressing the prevention, diagnosis, and management of infectious complications associated with neuraxial techniques. This Advisory is intended to identify or describe patients at increased risk of infectious complications, describe techniques for reducing infectious risk, and describe interventions to improve outcomes after the occurrence of infectious complications. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3299445 Wed, 24 Feb 2010 13:41:09 +0100 3299445 Bumetanide Alleviates Epileptogenic and Neurotoxic Effects of Sevoflurane in Neonatal Rat Brain http://www.medworm.com/index.php?rid=3299444&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F03000%2FBumetanide_Alleviates_Epileptogenic_and_Neurotoxic.15.aspx Conclusion: These results support the possibility that excitatory output of sevoflurane-potentiated [gamma]-aminobutyric acid type A/glycine systems may contribute to epileptogenic and neurotoxic effects in early postnatal rats. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3299444 Wed, 24 Feb 2010 13:41:09 +0100 3299444 Ultrasound Imaging for Regional Anesthesia in Infants, Children, and Adolescents: A Review of Current Literature and Its Application in the Practice of Extremity and Trunk Blocks http://www.medworm.com/index.php?rid=3198875&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F02000%2FUltrasound_Imaging_for_Regional_Anesthesia_in.36.aspx The use of ultrasound guidance has provided an opportunity to perform many peripheral nerve blocks that would have been difficult to perform in children based on pure landmark techniques due to the potential for injection into contiguous sensitive vascular areas. This review article provides the readers with techniques on ultrasound-guided peripheral nerve blocks of the extremities and trunk with currently available literature to substantiate the available evidence for the use of these techniques. Ultrasound images of the blocks with corresponding line diagrams to demonstrate the placement of the ultrasound probe have been provided for all the relevant nerve blocks in children. The authors hope that this review will stimulate further research into ultrasound-guided regional anesthesia in i... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3198875 Sat, 23 Jan 2010 13:41:15 +0100 3198875 Perioperative Tobacco Interventions by Chinese Anesthesiologists: Practices and Attitudes http://www.medworm.com/index.php?rid=3198874&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F02000%2FPerioperative_Tobacco_Interventions_by_Chinese.18.aspx Conclusions: Given their adequate knowledge of health risks of smoking, strong perception of responsibilities, and willingness to participate in tobacco control, Chinese anesthesiologists are poised to play a significant role in tobacco control in China that could improve perioperative outcomes and promote long-term health. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3198874 Sat, 23 Jan 2010 13:41:15 +0100 3198874 Postoperative Noninvasive Ventilation http://www.medworm.com/index.php?rid=3198873&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F02000%2FPostoperative_Noninvasive_Ventilation.34.aspx No abstract available (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3198873 Sat, 23 Jan 2010 13:41:15 +0100 3198873 Comparison of Single-use and Reusable Metal Laryngoscope Blades for Orotracheal Intubation during Rapid Sequence Induction of Anesthesia: A Multicenter Cluster Randomized Study http://www.medworm.com/index.php?rid=3198872&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F02000%2FComparison_of_Single_use_and_Reusable_Metal.16.aspx Conclusions: The single-use metal blade was more efficient than a reusable metal blade in rapid sequence induction of anesthesia. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3198872 Sat, 23 Jan 2010 13:41:15 +0100 3198872 Hypercapnia and Acidosis in Sepsis: A Double-edged Sword? http://www.medworm.com/index.php?rid=3198871&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F02000%2FHypercapnia_and_Acidosis_in_Sepsis__A_Double_edged.35.aspx Acute respiratory distress syndrome is a devastating disease that causes substantial morbidity and mortality. Mechanical ventilation can worsen lung injury, whereas ventilatory strategies that reduce lung stretch, resulting in a "permissive" hypercapnic acidosis (HCA), improve outcome. HCA directly reduces nonsepsis-induced lung injury in preclinical models and, therefore, has therapeutic potential in these patients. These beneficial effects are mediated via inhibition of the host immune response, particularly cytokine signaling, phagocyte function, and the adaptive immune response. Of concern, these immunosuppressive effects of HCA may hinder the host response to microbial infection. Recent studies suggest that HCA is protective in the earlier phases of bacterial pneumonia-induced sepsis ... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3198871 Sat, 23 Jan 2010 13:41:14 +0100 3198871 Impact of Pulse Oximetry Surveillance on Rescue Events and Intensive Care Unit Transfers: A Before-and-After Concurrence Study http://www.medworm.com/index.php?rid=3198870&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F02000%2FImpact_of_Pulse_Oximetry_Surveillance_on_Rescue.10.aspx Conclusions: Patient surveillance monitoring results in a reduced need for rescues and intensive care unit transfers. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3198870 Sat, 23 Jan 2010 13:41:13 +0100 3198870 Incidence, Reversal, and Prevention of Opioid-induced Respiratory Depression http://www.medworm.com/index.php?rid=3116249&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F01000%2FIncidence%2C_Reversal%2C_and_Prevention_of.41.aspx Opioid treatment of pain is generally safe with 0.5% or less events from respiratory depression. However, fatalities are regularly reported. The only treatment currently available to reverse opioid respiratory depression is by naloxone infusion. The efficacy of naloxone depends on its own pharmacological characteristics and on those (including receptor kinetics) of the opioid that needs reversal. Short elimination of naloxone and biophase equilibration half-lives and rapid receptor kinetics complicates reversal of high-affinity opioids. An opioid with high receptor affinity will require greater naloxone concentrations and/or a continuous infusion before reversal sets in compared with an opioid with lower receptor affinity. The clinical approach to severe opioid-induced respiratory depressi... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3116249 Thu, 24 Dec 2009 13:41:06 +0100 3116249 Improving Postoperative Pain Management: What Are the Unresolved Issues? http://www.medworm.com/index.php?rid=3116248&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F01000%2FImproving_Postoperative_Pain_Management__What_Are.40.aspx Improving pain management has proven to be a major challenge despite the more widespread use of multimodal analgesic regimens. In facilitating the recovery process after surgery, an increased reliance on nonopioid analgesic drugs and procedure-specific analgesic regimens are of critical importance. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3116248 Thu, 24 Dec 2009 13:41:06 +0100 3116248 Predicting Success on the Certification Examinations of the American Board of Anesthesiology http://www.medworm.com/index.php?rid=3116247&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F01000%2FPredicting_Success_on_the_Certification.38.aspx Conclusions: The principal implication of this study is that higher ABA/ American Society of Anesthesiologists ITE scores taken at the end of the first clinical anesthesia year serve as a significant and moderately strong predictor of high performance on the ABA Part 1 (written) examination, and a significant predictor of success in completing both the Part 1 and Part 2 examinations within the calendar year after the year of graduation from residency. Future studies may identify other predictors, and it would be helpful to identify factors that predict clinical performance as well. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3116247 Thu, 24 Dec 2009 13:41:06 +0100 3116247 Randomized Study Assessing the Accuracy of Cervical Facet Joint Nerve (Medial Branch) Blocks Using Different Injectate Volumes http://www.medworm.com/index.php?rid=3116246&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F01000%2FRandomized_Study_Assessing_the_Accuracy_of.27.aspx Conclusions: Reducing the volume during cervical medial branch blocks may improve precision and accuracy. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3116246 Thu, 24 Dec 2009 13:41:06 +0100 3116246 Perioperative Intravenous Amiodarone Does Not Reduce the Burden of Atrial Fibrillation in Patients Undergoing Cardiac Valvular Surgery http://www.medworm.com/index.php?rid=3116245&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F01000%2FPerioperative_Intravenous_Amiodarone_Does_Not.25.aspx Background: Atrial fibrillation is a common complication after cardiac surgery. Postoperative atrial fibrillation is associated with increased risks of morbidity and mortality, and, therefore, preventive strategies using oral amiodarone have been developed but are often unpractical. Intravenous amiodarone administered after the induction of anesthesia and continued postoperatively for 48 h could represent an effective strategy to prevent postoperative atrial fibrillation in patients undergoing cardiac valvular surgery. Methods: Single-center, double-blinded, double-dummy, randomized controlled trial in patients undergoing valvular surgery. Patients received either an intravenous loading dose of 300 mg of amiodarone or placebo in the operating room, followed by a perfusion of 15 mg [middle... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3116245 Thu, 24 Dec 2009 13:41:06 +0100 3116245 Acute Surgical Anemia Influences the Cardioprotective Effects of [beta]-Blockade: A Single-center, Propensity-matched Cohort Study http://www.medworm.com/index.php?rid=3116244&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2010%2F01000%2FAcute_Surgical_Anemia_Influences_the.13.aspx Conclusions: [beta]-Blocked patients do not seem to tolerate surgical anemia when compared with patients who are naive to [beta]-blockers. Prospective studies are required to validate these findings. (C) 2010 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3116244 Thu, 24 Dec 2009 13:41:06 +0100 3116244 Neurotoxicity of General Anesthetics: Cause for Concern? http://www.medworm.com/index.php?rid=3019809&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F12000%2FNeurotoxicity_of_General_Anesthetics__Cause_for.33.aspx Accumulating evidence indicates that general anesthetics can have persistent adverse neurologic effects. Identification of risk factors and understanding their mechanisms is important to identify and minimize the risks. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3019809 Tue, 24 Nov 2009 13:41:39 +0100 3019809 Serious Complications Associated with External Intrathecal Catheters Used in Cancer Pain Patients: A Systematic Review and Meta-analysis http://www.medworm.com/index.php?rid=3019808&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F12000%2FSerious_Complications_Associated_with_External.31.aspx Conclusions: Serious complications are rare in both hospitalized and homebound patients with intrathecal catheters. This analysis supports the reasoning that the potential benefit of intrathecal catheters in the treatment of severe cancer pain is likely to outweigh the potential for serious complications associated with this technique. Therefore, an external intrathecal catheter can be considered an effective and low-cost solution for the control of pain in such patients. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3019808 Tue, 24 Nov 2009 13:41:39 +0100 3019808 Opioid-induced Decreases in Rat Brain Adenosine Levels Are Reversed by Inhibiting Adenosine Deaminase http://www.medworm.com/index.php?rid=3019807&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F12000%2FOpioid_induced_Decreases_in_Rat_Brain_Adenosine.29.aspx Conclusions: These data support the interpretation that decreased adenosine levels in sleep-regulating brain regions may be one of the mechanisms by which opioids disrupt sleep. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3019807 Tue, 24 Nov 2009 13:41:38 +0100 3019807 Pain Assessment Is Associated with Decreased Duration of Mechanical Ventilation in the Intensive Care Unit: A Post Hoc Analysis of the DOLOREA Study http://www.medworm.com/index.php?rid=3019806&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F12000%2FPain_Assessment_Is_Associated_with_Decreased.27.aspx Conclusions: Pain assessment in mechanically ventilated patients is independently associated with a reduction in the duration of ventilator support and of duration of ICU stay. This might be related to higher concomitant rates of sedation assessments and a restricted use of hypnotic drugs when pain is assessed. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3019806 Tue, 24 Nov 2009 13:41:38 +0100 3019806 Intraoperative Hypotension and 1-Year Mortality after Noncardiac Surgery http://www.medworm.com/index.php?rid=3019805&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F12000%2FIntraoperative_Hypotension_and_1_Year_Mortality.14.aspx Conclusions: This observational study showed no causal relation between IOH and 1-yr mortality after noncardiac surgery for any of the definitions of IOH. Nevertheless, additional analysis suggested that for elderly patients, the mortality risk increases when the duration of IOH becomes long enough. The length of this duration depends on the designated blood pressure threshold, suggesting that lower blood pressures are tolerated for shorter durations. The effect of IOH on 1-yr mortality remains debatable, and no firm conclusions on the lowest acceptable intraoperative blood pressures can be drawn from this study. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3019805 Tue, 24 Nov 2009 13:41:38 +0100 3019805 Perioperative Outcomes after Unilateral and Bilateral Total Knee Arthroplasty http://www.medworm.com/index.php?rid=3019804&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F12000%2FPerioperative_Outcomes_after_Unilateral_and.13.aspx Conclusion: BTKAs carry increased risk of perioperative morbidity and mortality compared with unilateral procedures. Staging BTKA procedures during the same hospitalization offers no mortality benefit and may even expose patients to increased morbidity. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=3019804 Tue, 24 Nov 2009 13:41:37 +0100 3019804 Anaphylaxis and Anesthesia: Controversies and New Insights http://www.medworm.com/index.php?rid=2921266&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F11000%2FAnaphylaxis_and_Anesthesia__Controversies_and_New.31.aspx 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) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2921266 Sat, 24 Oct 2009 12:40:42 +0100 2921266 Mathematical Modeling of the Pain and Progress of the First Stage of Nulliparous Labor http://www.medworm.com/index.php?rid=2921265&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F11000%2FMathematical_Modeling_of_the_Pain_and_Progress_of.25.aspx 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) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2921265 Sat, 24 Oct 2009 12:40:42 +0100 2921265 Long-term Cognitive Decline in Older Subjects Was Not Attributable to Noncardiac Surgery or Major Illness http://www.medworm.com/index.php?rid=2921264&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F11000%2FLong_term_Cognitive_Decline_in_Older_Subjects_Was.9.aspx 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) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2921264 Sat, 24 Oct 2009 12:40:42 +0100 2921264 Hemoglobin-based Oxygen Carriers: Current Status and Future Directions http://www.medworm.com/index.php?rid=2921263&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F11000%2FHemoglobin_based_Oxygen_Carriers__Current_Status.8.aspx 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) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2921263 Sat, 24 Oct 2009 12:40:42 +0100 2921263 Perioperative Strokes and [beta]-Blockade http://www.medworm.com/index.php?rid=2921262&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F11000%2FPerioperative_Strokes_and__beta__Blockade.7.aspx 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) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2921262 Sat, 24 Oct 2009 12:40:42 +0100 2921262 Differences in Quantitative Architecture of Sciatic Nerve May Explain Differences in Potential Vulnerability to Nerve Injury, Onset Time, and Minimum Effective Anesthetic Volume http://www.medworm.com/index.php?rid=2921261&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F11000%2FDifferences_in_Quantitative_Architecture_of.29.aspx 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) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2921261 Sat, 24 Oct 2009 12:40:41 +0100 2921261 Adenosine: An Old Drug Newly Discovered http://www.medworm.com/index.php?rid=2829426&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F10000%2FAdenosine__An_Old_Drug_Newly_Discovered.34.aspx Over decades, anesthesiologists have used intravenous adenosine as mainstay therapy for diagnosing or treating supraventricular tachycardia in the perioperative setting. More recently, specific adenosine receptor therapeutics or gene-targeted mice deficient in extracellular adenosine production or individual adenosine receptors became available. These models enabled physicians and scientists to learn more about the biologic functions of extracellular nucleotide metabolism and adenosine signaling. Such functions include specific signaling effects through adenosine receptors expressed by many mammalian tissues; for example, vascular endothelia, myocytes, heptocytes, intestinal epithelia, or immune cells. At present, pharmacological approaches to modulate extracellular adenosine signaling are... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2829426 Fri, 25 Sep 2009 16:07:23 +0100 2829426 Mortality Associated with Implantation and Management of Intrathecal Opioid Drug Infusion Systems to Treat Noncancer Pain http://www.medworm.com/index.php?rid=2829425&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F10000%2FMortality_Associated_with_Implantation_and.32.aspx Conclusions: Patients with noncancer pain treated with intrathecal opioid therapy experience increased mortality compared to similar patients treated by using other therapies. Respiratory depression as a consequence of intrathecal drug overdosage or mixed intrathecal and systemic drug interactions is one plausible, but hypothetical mechanism. The exact causes for patient deaths and the proportion of those deaths attributable to intrathecal opioid therapy remain to be determined. These findings, although based on incomplete information, suggest that it may be possible to reduce mortality in noncancer intrathecal opioid therapy patients. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2829425 Fri, 25 Sep 2009 16:07:23 +0100 2829425 Mechanical Ventilation Induces a Toll/Interleukin-1 Receptor Domain-containing Adapter-inducing Interferon [beta]-dependent Inflammatory Response in Healthy Mice http://www.medworm.com/index.php?rid=2829424&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F10000%2FMechanical_Ventilation_Induces_a.27.aspx Conclusions: The current study supports a prominent role for TRIF in the development of the pulmonary and systemic inflammatory response after MV. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2829424 Fri, 25 Sep 2009 16:07:23 +0100 2829424 Tidal Volume Lower than 6 ml/kg Enhances Lung Protection: Role of Extracorporeal Carbon Dioxide Removal http://www.medworm.com/index.php?rid=2829423&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F10000%2FTidal_Volume_Lower_than_6_ml_kg_Enhances_Lung.26.aspx Background: Tidal hyperinflation may occur in patients with acute respiratory distress syndrome who are ventilated with a tidal volume (VT) of 6 ml/kg of predicted body weight develop a plateau pressure (PPLAT) of 28 (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2829423 Fri, 25 Sep 2009 16:07:22 +0100 2829423 Operation Timing Does Not Affect Outcome after Coronary Artery Bypass Graft Surgery http://www.medworm.com/index.php?rid=2829422&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F10000%2FOperation_Timing_Does_Not_Affect_Outcome_after.21.aspx Conclusions: Elective coronary artery bypass graft surgery can be scheduled throughout the workday, any day of the work week and in any month of the year without compromising outcome. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2829422 Fri, 25 Sep 2009 16:07:22 +0100 2829422 Effect of [beta]-blocker Prescription on the Incidence of Postoperative Myocardial Infarction after Hip and Knee Arthroplasty http://www.medworm.com/index.php?rid=2829421&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F10000%2FEffect_of__beta__blocker_Prescription_on_the.13.aspx Conclusion: After adjustment for confounders, discontinuation of [beta]-blocker prescription during the first week after surgery was significantly associated with POMI and death. These findings confirm the American College of Cardiology/American Heart Association Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery, which recommend not to withdraw [beta]-blocker therapy. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2829421 Fri, 25 Sep 2009 16:07:22 +0100 2829421 Predictors of Postoperative Pain and Analgesic Consumption: A Qualitative Systematic Review http://www.medworm.com/index.php?rid=2731355&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F09000%2FPredictors_of_Postoperative_Pain_and_Analgesic.36.aspx Pain is a subjective and multidimensional experience that is often inadequately managed in clinical practice. Effective control of postoperative pain is important after anesthesia and surgery. A systematic review was conducted to identify the independent predictive factors for postoperative pain and analgesic consumption. The authors identified 48 eligible studies with 23,037 patients included in the final analysis. Preoperative pain, anxiety, age, and type of surgery were four significant predictors for postoperative pain. Type of surgery, age, and psychological distress were the significant predictors for analgesic consumption. Gender was not found to be a consistent predictor as traditionally believed. Early identification of the predictors in patients at risk of postoperative pain will... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2731355 Wed, 26 Aug 2009 11:43:45 +0100 2731355 Role of Central and Mixed Venous Oxygen Saturation Measurement in Perioperative Care http://www.medworm.com/index.php?rid=2731354&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F09000%2FRole_of_Central_and_Mixed_Venous_Oxygen_Saturation.35.aspx Complications after major surgery are a leading cause of morbidity and mortality. The etiology of postoperative complications is complex, but poor cardiorespiratory reserve appears to be a key factor. There is increasing interest in the use of central and mixed venous oxygen saturation to guide therapeutic interventions during the perioperative period. However, a detailed understanding of the physiologic principles of venous oximetry is essential for safe and effective use in clinical practice. Venous oxygen saturation reflects the balance between global oxygen delivery and oxygen consumption, which may be affected by a wide range of factors during the perioperative period. The purpose of this article is to describe the physiology and measurement of mixed and central venous oxygen saturati... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2731354 Wed, 26 Aug 2009 11:43:45 +0100 2731354 Does Postoperative Delirium Limit the Use of Patient-controlled Analgesia in Older Surgical Patients? http://www.medworm.com/index.php?rid=2731353&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F09000%2FDoes_Postoperative_Delirium_Limit_the_Use_of.32.aspx Conclusions: Postoperative delirium did not limit PCA use. Despite more opioid use, visual analog scale scores were higher in patients with delirium. Future studies on delirium should consider the role of pain and pain management as potential etiologic factors. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2731353 Wed, 26 Aug 2009 11:43:45 +0100 2731353 Precision of Traditional Approaches for Lumbar Plexus Block: Impact and Management of Interindividual Anatomic Variability http://www.medworm.com/index.php?rid=2731352&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F09000%2FPrecision_of_Traditional_Approaches_for_Lumbar.18.aspx Conclusion: Improvement of both the proximity and the margin of error is possible by using diagonal landmark vectors. Relying on the position of the posterior superior iliac spine eliminates the sex and sided differences and individual body size, which can be problematic if firm metric distances are used in determining the entry point. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2731352 Wed, 26 Aug 2009 11:43:45 +0100 2731352 Epinephrine Impairs Lipid Resuscitation from Bupivacaine Overdose: A Threshold Effect http://www.medworm.com/index.php?rid=2731351&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F09000%2FEpinephrine_Impairs_Lipid_Resuscitation_from.14.aspx Conclusions: Epinephrine over a threshold dose near 10 mcg/kg impairs lipid resuscitation from bupivacaine overdose, possibly by inducing hyperlactatemia. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2731351 Wed, 26 Aug 2009 11:43:45 +0100 2731351 Placental Transfer and Fetal Metabolic Effects of Phenylephrine and Ephedrine during Spinal Anesthesia for Cesarean Delivery http://www.medworm.com/index.php?rid=2731350&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F09000%2FPlacental_Transfer_and_Fetal_Metabolic_Effects_of.15.aspx Conclusions: Ephedrine crosses the placenta to a greater extent and undergoes less early metabolism and/or redistribution in the fetus compared with phenylephrine. The associated increased fetal concentrations of lactate, glucose, and catecholamines support the hypothesis that depression of fetal pH and base excess with ephedrine is related to metabolic effects secondary to stimulation of fetal [beta]-adrenergic receptors. Despite historical evidence suggesting uteroplacental blood flow may be better maintained with ephedrine, the overall effect of the vasopressors on fetal oxygen supply and demand balance may favor phenylephrine. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2731350 Wed, 26 Aug 2009 11:43:45 +0100 2731350 Anesthesia for Noncardiac Surgery in Adults with Congenital Heart Disease http://www.medworm.com/index.php?rid=2631535&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F08000%2FAnesthesia_for_Noncardiac_Surgery_in_Adults_with.30.aspx For the first time in history, the number of adults with congenital heart disease exceeds that of children. Many of these patients will require noncardiac surgery. The perioperative implications are reviewed. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2631535 Fri, 24 Jul 2009 10:37:06 +0100 2631535 Intravenous Infusion Tests Have Limited Utility for Selecting Long-term Drug Therapy in Patients with Chronic Pain: A Systematic Review http://www.medworm.com/index.php?rid=2631534&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F08000%2FIntravenous_Infusion_Tests_Have_Limited_Utility.29.aspx Since the first description in the early 1990s, the scope of intravenous infusions tests has expanded to encompass multiple drug classes and indications. Purported advantages of these tests include elucidating mechanisms of pain, providing temporary relief of symptoms, and usefulness as prognostic tools in guiding drug therapy. In an attempt to discern the value of these tests, the authors conducted a systematic review to explore the rationale and evidence behind the following intravenous infusion tests: lidocaine, ketamine, opioid, and phentolamine. The studies evaluating all intravenous infusion tests were characterized by lack of standardization, wide variations in outcome measures, and methodological flaws. The strongest evidence found was for the intravenous lidocaine test, with the p... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2631534 Fri, 24 Jul 2009 10:37:06 +0100 2631534 Clonidine as an Adjuvant to Local Anesthetics for Peripheral Nerve and Plexus Blocks: A Meta-analysis of Randomized Trials http://www.medworm.com/index.php?rid=2631533&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F08000%2FClonidine_as_an_Adjuvant_to_Local_Anesthetics_for.28.aspx The effect of adding clonidine to local anesthetics for nerve or plexus blocks remains unclear. The authors searched for randomized placebo-controlled trials testing the impact of adding clonidine to local anesthetics for peripheral single-injection nerve or plexus blocks in adults undergoing any surgery (except eye) without general anesthesia. Twenty trials (1,054 patients, 573 received clonidine) published 1992-2006 tested plexus (14 brachial, 1 cervical) and nerve blocks (2 sciatic/femoral, 1 midhumeral, 1 ilioinguinal/iliohypogastric, 1 ankle). Clonidine doses ranged from 30 to 300 [mu]g; most patients received 150 [mu]g. Clonidine prolonged the duration of postoperative analgesia (weighted mean difference 122 min; 95% confidence interval [CI] 74-169), sensory block (weighted mean diff... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2631533 Fri, 24 Jul 2009 10:37:06 +0100 2631533 Moderate Exposure to Allogeneic Blood Products Is Not Associated with Reduced Long-term Survival after Surgery for Coronary Artery Disease http://www.medworm.com/index.php?rid=2631532&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F08000%2FModerate_Exposure_to_Allogeneic_Blood_Products_Is.18.aspx Conclusions: Patients who have undergone coronary artery surgery and who have received moderate amounts of blood as part of responsible and conservative management should be reassured that they are unlikely to experience a reduction in long-term survival. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2631532 Fri, 24 Jul 2009 10:37:06 +0100 2631532 Prognostic Value of Brain Natriuretic Peptide in Noncardiac Surgery: A Meta-analysis http://www.medworm.com/index.php?rid=2631531&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F08000%2FPrognostic_Value_of_Brain_Natriuretic_Peptide_in.16.aspx Conclusions: Elevated BNP and NT-proBNP levels identify patients undergoing major noncardiac surgery at high risk of cardiac mortality, all-cause mortality, and MACE. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2631531 Fri, 24 Jul 2009 10:37:05 +0100 2631531 Methoxycarbonyl-etomidate: A Novel Rapidly Metabolized and Ultra-short-acting Etomidate Analogue that Does Not Produce Prolonged Adrenocortical Suppression http://www.medworm.com/index.php?rid=2631530&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F08000%2FMethoxycarbonyl_etomidate__A_Novel_Rapidly.6.aspx Conclusions: MOC-etomidate is an etomidate analogue that retains etomidate's important favorable pharmacological properties. However, it is rapidly metabolized, ultra-short-acting, and does not produce prolonged adrenocortical suppression after bolus administration. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2631530 Fri, 24 Jul 2009 10:37:05 +0100 2631530 Hydroxyethyl Starches: Different Products - Different Effects http://www.medworm.com/index.php?rid=2486002&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F07000%2FHydroxyethyl_Starches__Different_Products__.32.aspx With the development of a new generation of hydroxyethyl starches (HES), there has been renewed interest in their clinical potential. High doses of first- and second-generation HES were associated with adverse effects on renal function, coagulation, and tissue storage, thereby limiting their clinical applicability. Newer HES products have lower molar substitution and in vivo molecular weight, resulting in more rapid metabolism and clearance. In this review article, the differences between HES generations are highlighted, with particular emphasis on the improved safety profile of the third generation products. These improvements have been achieved with no loss of efficacy, and they contradict the assumption that efficacy of HES solutions is directly linked to plasma concentration. The impac... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2486002 Thu, 25 Jun 2009 07:19:39 +0100 2486002 Ultrasound Assessment of Gastric Content and Volume http://www.medworm.com/index.php?rid=2486001&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F07000%2FUltrasound_Assessment_of_Gastric_Content_and.19.aspx Conclusions: Our preliminary results suggest that bedside two-dimensional ultrasonography can be a useful noninvasive tool to determine gastric content and volume. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2486001 Thu, 25 Jun 2009 07:19:39 +0100 2486001 Preoperative Melatonin and Its Effects on Induction and Emergence in Children Undergoing Anesthesia and Surgery http://www.medworm.com/index.php?rid=2486000&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F07000%2FPreoperative_Melatonin_and_Its_Effects_on.13.aspx Conclusions: Midazolam is more effective than melatonin in reducing children's anxiety at induction of anesthesia. Melatonin showed a direct dose-dependent effect on emergence delirium. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2486000 Thu, 25 Jun 2009 07:19:39 +0100 2486000 An Estimation of the Minimum Effective Anesthetic Volume of 2% Lidocaine in Ultrasound-guided Axillary Brachial Plexus Block http://www.medworm.com/index.php?rid=2485999&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F07000%2FAn_Estimation_of_the_Minimum_Effective_Anesthetic.10.aspx Conclusion: Successful ultrasound-guided axillary brachial plexus block may be performed with 1 ml per nerve of 2% LidoEpi. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2485999 Thu, 25 Jun 2009 07:19:39 +0100 2485999 Impact of Gene Copy Number Variation on Anesthesia in Drosophila melanogaster http://www.medworm.com/index.php?rid=2485998&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F07000%2FImpact_of_Gene_Copy_Number_Variation_on_Anesthesia.9.aspx Conclusions: Variation in gene copy number has a significant impact on anesthetic sensitivity in Drosophila melanogaster. The level of transcription of a few genes must thus be limiting for a normal response to volatiles. Coupling between gene copy and gene expression is universal, and the components of the fly's nervous system are highly conserved; therefore, this work provides a rationale for investigating the clinical impact of copy number variation. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2485998 Thu, 25 Jun 2009 07:19:39 +0100 2485998 Cervical Spine Motion: A Fluoroscopic Comparison of the AirTraq Laryngoscope versus the Macintosh Laryngoscope http://www.medworm.com/index.php?rid=2485997&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F07000%2FCervical_Spine_Motion__A_Fluoroscopic_Comparison.21.aspx Conclusions: For patients in whom C-spine movement is undesirable, use of the AirTraq Laryngoscope(R) may be useful to limit movement without an increase in the duration of intubation. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2485997 Thu, 25 Jun 2009 07:19:39 +0100 2485997 Drowning: Update 2009 http://www.medworm.com/index.php?rid=2474947&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F06000%2FDrowning__Update_2009.30.aspx Over the past four decades, we have learned considerably more about the pathophysiology and treatment of drowning. This, coupled with increased emphasis in improvement in water safety and resuscitation, has produced a threefold decrease in the number of deaths, indexed to population, from drowning in the United States yearly. This review presents the current status of our knowledge of the epidemiology, the pathophysiology of drowning and its treatment, updates the definitions of drowning and the drowning process, and makes suggestions for further improvement in water safety. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2474947 Mon, 01 Jun 2009 04:00:00 +0100 2474947 Morphine-6[beta]-glucuronide Rapidly Increases Pain Sensitivity Independently of Opioid Receptor Activity in Mice and Humans http://www.medworm.com/index.php?rid=2474946&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F06000%2FMorphine_6_beta__glucuronide_Rapidly_Increases.26.aspx Conclusions: These data indicate that M6G causes hyperalgesia independent of previous or concurrent opioid receptor activity or analgesia. In mice, a causal role for the N-methyl-d-aspartate receptor is also indicated. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2474946 Mon, 01 Jun 2009 04:00:00 +0100 2474946 Anesthetic-induced Improvement of the Inflammatory Response to One-lung Ventilation http://www.medworm.com/index.php?rid=2474945&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F06000%2FAnesthetic_induced_Improvement_of_the_Inflammatory.21.aspx Conclusions: This prospective, randomized clinical study suggests an immunomodulatory role for the volatile anesthetic sevoflurane in patients undergoing OLV for thoracic surgery with significant reduction of inflammatory mediators and a significantly better clinical outcome (defined by postoperative adverse events) during sevoflurane anesthesia. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2474945 Mon, 01 Jun 2009 04:00:00 +0100 2474945 Feasibility of Tobacco Interventions in Anesthesiology Practices: A Pilot Study http://www.medworm.com/index.php?rid=2474944&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F06000%2FFeasibility_of_Tobacco_Interventions_in.8.aspx Conclusion: These results suggest that the AAR strategy is potentially feasible and well-accepted in anesthesiology clinical practice. Further work will be needed to define whether these practices and attitudes can be sustained and whether they are ultimately effective in modifying perioperative smoking behavior in surgical patients. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2474944 Mon, 01 Jun 2009 04:00:00 +0100 2474944 Preoperative Electrocardiograms: Patient Factors Predictive of Abnormalities http://www.medworm.com/index.php?rid=2474943&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F06000%2FPreoperative_Electrocardiograms__Patient_Factors.7.aspx Conclusion: Age greater than 65 yr remains an independent predictor for significant preoperative electrocardiograms abnormalities. The specific clinical risk factors that were found have a high sensitivity and identified all but 0.44% of patients with electrocardiograms abnormalities that may affect preoperative management. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2474943 Mon, 01 Jun 2009 04:00:00 +0100 2474943 Extraneural versus Intraneural Stimulation Thresholds during Ultrasound-guided Supraclavicular Block http://www.medworm.com/index.php?rid=2474942&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fjournals.lww.com%2Fanesthesiology%2FFulltext%2F2009%2F06000%2FExtraneural_versus_Intraneural_Stimulation.10.aspx Conclusion: Within the limitations of this study and the use of ultrasound, a stimulation current of 0.2 mA or less is reliable to detect intraneural placement of the needle. Furthermore, stimulation currents of more than 0.2 and no more than 0.5 mA could not rule out intraneural position. (C) 2009 American Society of Anesthesiologists, Inc. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=2474942 Mon, 01 Jun 2009 04:00:00 +0100 2474942 Acknowledgment. http://www.medworm.com/index.php?rid=1982788&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00043.htm Page: 1152DOI: 10.1097/ALN.0b013e3181926fcb (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982788 Tue, 25 Nov 2008 03:55:22 +0100 1982788 Awards. http://www.medworm.com/index.php?rid=1982787&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00042.htm Page: 1151DOI: 10.1097/ALN.0b013e3181926f70 (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982787 Tue, 25 Nov 2008 03:55:22 +0100 1982787 Announcement. http://www.medworm.com/index.php?rid=1982786&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00041.htm Page: 1149DOI: 10.1097/ALN.0b013e3181926f4e (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982786 Tue, 25 Nov 2008 03:55:22 +0100 1982786 Correction. http://www.medworm.com/index.php?rid=1982785&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00040.htm Page: 1148DOI: 10.1097/ALN.0b013e3181934e79 (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982785 Tue, 25 Nov 2008 03:55:22 +0100 1982785 Anesthesiology. http://www.medworm.com/index.php?rid=1982784&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00039.htm Page: 1147DOI: 10.1097/ALN.0b013e31818dd90eAuthors: Smith, Warner M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982784 Tue, 25 Nov 2008 03:55:22 +0100 1982784 Interactive TEE Review: Self-Assessment Examination (DVD). http://www.medworm.com/index.php?rid=1982783&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00038.htm Page: 1146DOI: 10.1097/ALN.0b013e31818dd8fcAuthors: Whitley, William S. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982783 Tue, 25 Nov 2008 03:55:22 +0100 1982783 Management of the Difficult and Failed Airway. http://www.medworm.com/index.php?rid=1982782&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00037.htm Page: 1146DOI: 10.1097/ALN.0b013e31818dd8eaAuthors: Morris, Garret K. M.D.; Salem, M Ramez M.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982782 Tue, 25 Nov 2008 03:55:22 +0100 1982782 Accidental Intravascular Injection of Local Anesthetic? http://www.medworm.com/index.php?rid=1982781&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00036.htm Page: 1144DOI: 10.1097/ALN.0b013e31818e2b59Authors: Zetlaoui, Paul J. M.D. *; Labbe, Jean-Philippe M.D.; Benhamou, Dan M.D., Ph.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982781 Tue, 25 Nov 2008 03:55:22 +0100 1982781 Accidental Intravascular Injection of Local Anesthetic? http://www.medworm.com/index.php?rid=1982780&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00035.htm Page: 1144DOI: 10.1097/ALN.0b013e31818e2b3eAuthors: Loubert, Christian M.D.; Williams, Stephan R. M.D., Ph.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982780 Tue, 25 Nov 2008 03:55:22 +0100 1982780 Accidental Intravascular Injection of Local Anesthetic? http://www.medworm.com/index.php?rid=1982779&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00034.htm Page: 1143DOI: 10.1097/ALN.0b013e31818dd8d3Authors: Nelson, Todd W. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982779 Tue, 25 Nov 2008 03:55:22 +0100 1982779 Ultrasound-guided Peripheral Nerve Blocks and Intravascular Injection. http://www.medworm.com/index.php?rid=1982778&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00033.htm Page: 1142DOI: 10.1097/ALN.0b013e31818dd8c1Authors: Shankar, Hariharan M.B.B.S. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982778 Tue, 25 Nov 2008 03:55:22 +0100 1982778 Minimizing the Risk of Intravascular Injection during Ultrasound-guided Peripheral Nerve Blockade. http://www.medworm.com/index.php?rid=1982777&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00032.htm Page: 1142DOI: 10.1097/ALN.0b013e31818dd8aaAuthors: Brull, Richard M.D., F.R.C.P.C. *; Perlas, Anahi M.D., F.R.C.P.C.; Cheng, Peter H. D.O.; Chan, Vincent W. S. M.D., F.R.C.P.C. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982777 Tue, 25 Nov 2008 03:55:22 +0100 1982777 Use of Cockroft and Gault Formula for Estimation of Creatinine Clearance. http://www.medworm.com/index.php?rid=1982776&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00031.htm Page: 1141DOI: 10.1097/ALN.0b013e31818e29ebAuthors: Kheterpal, Sachin M.D., M.B.A. *; Tremper, Kevin K. Ph.D., M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982776 Tue, 25 Nov 2008 03:55:22 +0100 1982776 Use of Cockroft and Gault Formula for Estimation of Creatinine Clearance. http://www.medworm.com/index.php?rid=1982775&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00030.htm Page: 1140DOI: 10.1097/ALN.0b013e31818dd6feAuthors: D'Souza, Genevieve M.B.B.S. *; Viscusi, Eugene R. M.D.; Rowlands, John B.S. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982775 Tue, 25 Nov 2008 03:55:22 +0100 1982775 Avoidance of Perioperative Acute Renal Failure: Land in Sight? http://www.medworm.com/index.php?rid=1982774&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00029.htm Page: 1140DOI: 10.1097/ALN.0b013e31818dd6ebAuthors: Chappell, Daniel M.D.; Rehm, Markus M.D.; Jacob, Matthias M.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982774 Tue, 25 Nov 2008 03:55:22 +0100 1982774 Intraoperative Pacemaker Rate Changes Associated with the Rest Mode. http://www.medworm.com/index.php?rid=1982773&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00028.htm Page: 1137DOI: 10.1097/ALN.0b013e31818db8a6Authors: Streckenbach, Scott C. M.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982773 Tue, 25 Nov 2008 03:55:22 +0100 1982773 Propofol: Its Role in Changing the Practice of Anesthesia. http://www.medworm.com/index.php?rid=1982772&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00027.htm This article is a revisiting of original material published as: Shafer A, Doze VA, Shafer SL, White PF: Pharmacokinetics and pharmacodynamics of propofol infusions during general anesthesia. Anesthesiology 1988; 69:348-56. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXTPage: 1132DOI: 10.1097/ALN.0b013e31818ddba8Authors: White, Paul F. Ph.D., M.D., F.A.N.Z.C.A. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982772 Tue, 25 Nov 2008 03:55:22 +0100 1982772 Sympathetic Nervous System: Evaluation and Importance for Clinical General Anesthesia. http://www.medworm.com/index.php?rid=1982771&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00026.htm This review evaluates different methods for determination of sympathetic nervous system activity and its role in human neurohumoral circulatory control with special regard to general anesthesia.Page: 1113DOI: 10.1097/ALN.0b013e31818e435cAuthors: Neukirchen, Martin M.D. *; Kienbaum, Peter M.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982771 Tue, 25 Nov 2008 03:55:22 +0100 1982771 Thoracic Epidural Analgesia with Low Concentration of Bupivacaine Induces Thoracic and Lumbar Sympathetic Block: A Randomized, Double-blind Clinical Trial. http://www.medworm.com/index.php?rid=1982770&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00025.htm Thoracic epidural anesthesia with 10 ml bupivacaine, 0.25%, alters thoracic and lumbar skin temperature regulation, indicating a caudally nonrestricted sympathetic block that correlates with sensory block.Page: 1107DOI: 10.1097/ALN.0b013e31818db16cAuthors: Freise, Hendrik M.D. *; Meissner, Andreas M.D. +; Lauer, Stefan M.D. *; Ellger, Bjorn M.D. ++; Radke, Robert M.D. [S]; Bruewer, Mathias M.D. [//]; Brodner, Gerd M.D. #; Van Aken, Hugo K. M.D. **; Sielenkamper, Andreas W. M.D. +; Fischer, Lars G. M.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982770 Tue, 25 Nov 2008 03:55:22 +0100 1982770 Sex Differences in the Effect of Dyspnea on Thermal Pain Threshold in Young Healthy Subjects. http://www.medworm.com/index.php?rid=1982769&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00024.htm Experimentally induced dyspnea causes an increase in thermal pain threshold in male subjects but not in female subjects.Page: 1100DOI: 10.1097/ALN.0b013e31818d8f43Authors: Nishino, Takashi M.D. *; Isono, Shiroh M.D. +; Ishikawa, Teruhiko M.D. ++; Shinozuka, Norihiro M.D. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982769 Tue, 25 Nov 2008 03:55:22 +0100 1982769 Tariquidar, a Selective P-glycoprotein Inhibitor, Does Not Potentiate Loperamide's Opioid Brain Effects in Humans despite Full Inhibition of Lymphocyte P-glycoprotein. http://www.medworm.com/index.php?rid=1982768&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00023.htm Loperamide, a potent opioid that is a P-glycoprotein substrate, is devoid of central nervous system effects. The authors studied the effect of the highly selective P-glycoprotein inhibitor tariquidar on the central opioid effects of loperamide in healthy subjects.Page: 1092DOI: 10.1097/ALN.0b013e31818d8f28Authors: Kurnik, Daniel M.D. *; Sofowora, Gbenga G. M.D. *; Donahue, John P. Ph.D. +; Nair, Usha B. Ph.D. ++; Wilkinson, Grant R. Ph.D. [S]#; Wood, Alastair J. J. M.D. [S]; Muszkat, Mordechai M.D. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982768 Tue, 25 Nov 2008 03:55:22 +0100 1982768 Phase 2, Double-blind, Placebo-controlled, Dose-Response Trial of Intravenous Adenosine for Perioperative Analgesia. http://www.medworm.com/index.php?rid=1982767&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00022.htm In a phase 2, randomized, double-blind, placebo-controlled study investigating the dose response of adenosine with respect to perioperative analgesia, the use of intraoperative adenosine did not provide a useful analgesic effect after gynecologic surgery.Page: 1085DOI: 10.1097/ALN.0b013e31818db88cAuthors: Habib, Ashraf S. M.B.B.Ch., M.Sc., F.R.C.A. *; Minkowitz, Harold M.D. +; Osborn, Timothy M.D. ++; Ogunnaike, Babatunde M.D. [S]; Candiotti, Keith M.D. [//]; Viscusi, Eugene M.D. #; Gu, Jiezhun Ph.D. **; Creed, Mary R. M.S.N. ++; Gan, Tong J. M.B., F.R.C.A. ++++; The Adenosine Study Group [S][S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982767 Tue, 25 Nov 2008 03:55:22 +0100 1982767 Gabapentin Acts within the Locus Coeruleus to Alleviate Neuropathic Pain. http://www.medworm.com/index.php?rid=1982766&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00021.htm Gabapentin is clinically used for analgesia, but its mechanisms of action are unclear. In the current study, the authors demonstrated that gabapentin acts primarily on local circuits in the brainstem to stimulate descending noradrenergic inhibition.Page: 1077DOI: 10.1097/ALN.0b013e31818dac9cAuthors: Hayashida, Ken-ichiro D.V.M., Ph.D. *; Obata, Hideaki M.D., Ph.D. +; Nakajima, Kunie M.D. ++; Eisenach, James C. M.D. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982766 Tue, 25 Nov 2008 03:55:22 +0100 1982766 Desmopressin Reduces Transfusion Needs after Surgery: A Meta-analysis of Randomized Clinical Trials. http://www.medworm.com/index.php?rid=1982765&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00020.htm This meta-analysis on the use of desmopressin as a hemostatic drug provides evidence for a reduction in blood product requirements in the perioperative period. WEBFEATUREPage: 1063DOI: 10.1097/ALN.0b013e31818db18bAuthors: Crescenzi, Giuseppe M.D. *; Landoni, Giovanni M.D. *; Biondi-Zoccai, Giuseppe M.D. +; Pappalardo, Federico M.D. ++; Nuzzi, Massimiliano M.D. ++; Bignami, Elena M.D. ++; Fochi, Oliviero M.D. [S]; Maj, Giulia M.D. [S]; Calabro, Maria Grazia M.D. ++; Ranucci, Marco M.D. [//]; Zangrillo, Alberto M.D. # (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982765 Tue, 25 Nov 2008 03:55:22 +0100 1982765 Effect of Ischemia-Reperfusion on Renal Expression and Activity of NG-NG-Dimethylarginine Dimethylaminohydrolases. http://www.medworm.com/index.php?rid=1982764&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00019.htm The results suggest that ischemia-reperfusion injury leads to reduced dimethylarginine dimethylaminohydrolase activity and modification of enzymatic isoform expression, thus leading to increased asymmetric dimethylarginine levels, which result in systemic effects, including increased cardiovascular risk.Page: 1054DOI: 10.1097/ALN.0b013e31818d8a77Authors: Volti, Giovanni Li M.D., Ph.D. *; Sorrenti, Valeria Ph.D. +; Acquaviva, Rosaria Ph.D. +; Murabito, Paolo M.D. ++; Gullo, Antonino M.D. [S]; Barcellona, Maria Luisa Ph.D. [//]; Galvano, Fabio Ph.D. *; Rodella, Luigi Ph.D. #; Rezzani, Rita Ph.D. #; Vanella, Luca Ph.D. **; Tringali, Giovanni M.D. ++; Caruso, Massimo B.D., Ph.D. ++; Gazzolo, Diego M.D., Ph.D. ++++; Di Giacomo, Claudia Ph.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982764 Tue, 25 Nov 2008 03:55:22 +0100 1982764 Involvement of [beta]3-Adrenoceptor in Altered [beta]-Adrenergic Response in Senescent Heart: Role of Nitric Oxide Synthase 1-derived Nitric Oxide. http://www.medworm.com/index.php?rid=1982763&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00018.htm In senescent heart, β3-adrenoceptor induces an altered positive inotropic response to β-adrenoceptor stimulation involving nitric oxide synthase 1-derived nitric oxide production. WEBFEATUREPage: 1045DOI: 10.1097/ALN.0b013e31818d7e5aAuthors: Birenbaum, Aurelie M.D. *; Tesse, Angela Ph.D. +; Loyer, Xavier Ph.D. ++; Michelet, Pierre M.D., Ph.D. [S]; Andriantsitohaina, Ramaroson Ph.D. [//]; Heymes, Christophe Ph.D. #; Riou, Bruno M.D., Ph.D. **; Amour, Julien M.D., Ph.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982763 Tue, 25 Nov 2008 03:55:22 +0100 1982763 Signaling Pathways Involved in Desflurane-induced Postconditioning in Human Atrial Myocardium In Vitro. http://www.medworm.com/index.php?rid=1982762&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00017.htm In isolated human atrial myocardium, desflurane-induced postconditioning involved protein kinase C activation, opening of mitochondrial adenosine triphosphate-sensitive potassium channels, Akt, extracellular-regulated kinase 1/2, and p38 mitogen-activated protein kinase phosphorylation.Page: 1036DOI: 10.1097/ALN.0b013e31818d6b09Authors: Lemoine, Sandrine B.Sc. *; Beauchef, Gallic B.Sc. +; Zhu, Lan M.D., Ph.D. *; Renard, Emmanuelle Ph.D. +; Lepage, Olivier M.D. ++; Massetti, Massimo M.D., Ph.D. [S]; Khayat, Andre M.D. [S]; Galera, Philippe Ph.D. [//]; Gerard, Jean-Louis M.D., Ph.D. #; Hanouz, Jean-Luc M.D., Ph.D. ** (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982762 Tue, 25 Nov 2008 03:55:22 +0100 1982762 How Much Does Pharmacologic Prophylaxis Reduce Postoperative Vomiting in Children?: Calculation of Prophylaxis Effectiveness and Expected Incidence of Vomiting under Treatment Using Bayesian Meta-analysis. http://www.medworm.com/index.php?rid=1982761&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00016.htm The most pessimistic expectations result in a 50-60% relative risk reduction of postoperative vomiting. With the combinations of a 5-hydroxytryptamine receptor antagonist and dexamethasone, a relative risk reduction of 80% is expected. WEBFEATUREPage: 1023DOI: 10.1097/ALN.0b013e31818d6b26Authors: Engelman, Edgard M.D. *; Salengros, Jean-Corentin M.D. +; Barvais, Luc M.D., Ph.D. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982761 Tue, 25 Nov 2008 03:55:22 +0100 1982761 Electroencephalographic Order Pattern Analysis for the Separation of Consciousness and Unconsciousness: An Analysis of Approximate Entropy, Permutation Entropy, Recurrence Rate, and Phase Coupling of Order Recurrence Plots. http://www.medworm.com/index.php?rid=1982760&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00015.htm The recently introduced order pattern analysis, in this investigation represented by permutation entropy, recurrence rate, and phase coupling of order recurrence plots, is suitable to analyze electroencephalographic signals and separate consciousness from unconsciousness.Page: 1014DOI: 10.1097/ALN.0b013e31818d6c55Authors: Jordan, Denis M.Sc. *; Stockmanns, Gudrun Ph.D. +; Kochs, Eberhard F. M.D. ++; Pilge, Stefanie M.D. [S]; Schneider, Gerhard M.D. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982760 Tue, 25 Nov 2008 03:55:22 +0100 1982760 Fiberoptic Oral Intubation: The Effect of Model Fidelity on Training for Transfer to Patient Care. http://www.medworm.com/index.php?rid=1982759&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00014.htm Training for fiberoptic orotracheal intubation using a high-fidelity simulator versus a low-fidelity simulator was compared. No differences between training effects were observed. These findings do not support the added expense of the high-fidelity simulator.Page: 1007DOI: 10.1097/ALN.0b013e31818d6c3cAuthors: Chandra, Deven B. M.D., F.R.C.P.C., M.Ed. *; Savoldelli, Georges L. M.D., M.Ed. +; Joo, Hwan S. M.D., F.R.C.P.C. ++; Weiss, Israel D. M.D. [S]; Naik, Viren N. M.D., M.Ed., F.R.C.P.C. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982759 Tue, 25 Nov 2008 03:55:22 +0100 1982759 Xenon Reduces N-Methyl-d-aspartate and [alpha]-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic Acid Receptor-mediated Synaptic Transmission in the Amygdala. http://www.medworm.com/index.php?rid=1982758&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00013.htm In acute brain slice preparations of the mouse amygdala, xenon depresses N-methyl-d-aspartate and α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor-mediated currents without affecting inhibitory synaptic transmission. The results provide evidence that the effects are mediated via postsynaptic mechanisms.Page: 998DOI: 10.1097/ALN.0b013e31818d6aeeAuthors: Haseneder, Rainer M.D. *; Kratzer, Stephan M.S. +; Kochs, Eberhard M.D. ++; Eckle, Veit-Simon M.D. *; Zieglgansberger, Walter M.D. [S]; Rammes, Gerhard Ph.D. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982758 Tue, 25 Nov 2008 03:55:22 +0100 1982758 Blood Transfusion Promotes Cancer Progression: A Critical Role for Aged Erythrocytes. http://www.medworm.com/index.php?rid=1982757&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00012.htm Mechanisms underlying the alleged cancer promoting effects of blood transfusion are unknown. Two tumor models were used in rats to study the impact of blood transfusion on the host ability to clear circulating cancer cells, and host survival rates. The potential deleterious characteristics of the transfusion were also studied. Blood transfusion was found to be a risk factor for cancer progression. In rats, blood storage time was the critical determinant of these deleterious effects and aged erythrocytes mediated the effects. These results have implications for cancer patients receiving erythrocyte transfusions. MAIN_WEBFEATUREPage: 989DOI: 10.1097/ALN.0b013e31818ddb72Authors: Atzil, Shir M.A. *; Arad, Michal M.A. *; Glasner, Ariella M.A. *; Abiri, Noa M.A. *; Avraham, Roi M.A. *; Greenfeld... Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982757 Tue, 25 Nov 2008 03:55:22 +0100 1982757 [gamma]-Aminobutyric Acid-mediated Neurotransmission in the Pontine Reticular Formation Modulates Hypnosis, Immobility, and Breathing during Isoflurane Anesthesia. http://www.medworm.com/index.php?rid=1982756&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00011.htm Isoflurane decreases pontine reticular formation γ-aminobutyric acid, and increasing or decreasing γ-aminobutyric acid increases or decreases time to loss of wakefulness. Pontine reticular formation γ-aminobutyric acid promotes wakefulness, and decreasing γ-aminobutyric acid contributes to isoflurane-induced loss of wakefulness. WEBFEATUREPage: 978DOI: 10.1097/ALN.0b013e31818e3b1bAuthors: Vanini, Giancarlo M.D. *; Watson, Christopher J. Ph.D. *; Lydic, Ralph Ph.D. +; Baghdoyan, Helen A. Ph.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982756 Tue, 25 Nov 2008 03:55:22 +0100 1982756 Effects of Supervision by Attending Anesthesiologists on Complications of Emergency Tracheal Intubation. http://www.medworm.com/index.php?rid=1982755&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00010.htm Supervision of anesthesia residents by an attending anesthesiologist is associated with a decreased incidence of complications during emergent intubations outside the operating room compared with intubations performed by resident physicians. WEBFEATUREPage: 973DOI: 10.1097/ALN.0b013e31818ddb90Authors: Schmidt, Ulrich H. M.D., Ph.D. *; Kumwilaisak, Kanya M.D. +; Bittner, Edward M.D., Ph.D. ++; George, Edward M.D., Ph.D. ++; Hess, Dean Ph.D., R.R.T. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982755 Tue, 25 Nov 2008 03:55:22 +0100 1982755 2008 in Review: Advancing Medicine in Anesthesiology. http://www.medworm.com/index.php?rid=1982754&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00009.htm This review of 2008 Anesthesiology publications highlights articles that have advanced clinical care and science in our medical specialty.Page: 962DOI: 10.1097/ALN.0b013e31818e4149Authors: Eisenach, James C. M.D. *; Borgeat, Alain M.D. +; Bosnjak, Zeljko J. Ph.D. ++; Brennan, Timothy J. Ph.D., M.D. [S]; Kersten, Judy R. M.D. [//]; Kochs, Eberhard M.D., Ph.D. #; Lerman, Jerrold M.D. **; Warner, David S. M.D., Ph.D. ++; Wiener-Kronish, Jeanine P. M.D. ++++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982754 Tue, 25 Nov 2008 03:55:22 +0100 1982754 I Can't Take My Eyes Off This Web Site (with Apologies to Frankie Valli). http://www.medworm.com/index.php?rid=1982753&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00008.htm Page: 960DOI: 10.1097/ALN.0b013e31818d4979Authors: Lichtor, J Lance M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982753 Tue, 25 Nov 2008 03:55:22 +0100 1982753 [beta]3-Adrenergic Receptor Subtype Signaling In Senescent Heart: Nitric Oxide Intoxication or "Endogenous" [beta] Blockade for Protection? http://www.medworm.com/index.php?rid=1982752&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00007.htm Page: 956DOI: 10.1097/ALN.0b013e31818d4942Authors: Zaugg, Michael M.D., D.E.A.A., F.R.C.P.C. *; Schaub, Marcus C. M.D., Ph.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982752 Tue, 25 Nov 2008 03:55:22 +0100 1982752 Xenon and the Pharmacology of Fear. http://www.medworm.com/index.php?rid=1982751&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00006.htm Page: 954DOI: 10.1097/ALN.0b013e31818d4964Authors: Hemmings, Hugh C. Jr M.D., Ph.D. *; Mantz, Jean M.D., Ph.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982751 Tue, 25 Nov 2008 03:55:22 +0100 1982751 Patient Blood Management: The Pragmatic Solution for the Problems with Blood Transfusions. http://www.medworm.com/index.php?rid=1982750&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00005.htm Page: 951DOI: 10.1097/ALN.0b013e31818e3d75Authors: Spahn, Donat R. M.D., F.R.C.A. *; Moch, Holger M.D. +; Hofmann, Axel M.E. ++; Isbister, James P. M.B., F.R.A.C.P. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982750 Tue, 25 Nov 2008 03:55:22 +0100 1982750 Multimodal Anesthesia and Systems Neuroscience: The New Frontier. http://www.medworm.com/index.php?rid=1982749&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00004.htm Page: 948DOI: 10.1097/ALN.0b013e31818e47fbAuthors: Orser, Beverley A. M.D., Ph.D., F.R.C.P.C. *; Saper, Clifford B. M.D., Ph.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982749 Tue, 25 Nov 2008 03:55:22 +0100 1982749 Emergency Airway Management: Competence versus Expertise? http://www.medworm.com/index.php?rid=1982748&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00003.htm Page: 945DOI: 10.1097/ALN.0b013e31818e3f8fAuthors: Boylan, John F. M.B., F.R.C.P.C. *; Kavanagh, Brian P. M.B., F.R.C.P.C. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982748 Tue, 25 Nov 2008 03:55:22 +0100 1982748 Anesthesia and Outcome after Neonatal Surgery: The Role for Randomized Trials. http://www.medworm.com/index.php?rid=1982747&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00002.htm Page: 941DOI: 10.1097/ALN.0b013e31818e3f79Authors: Davidson, Andrew J. M.B., B.S., M.D., F.A.N.Z.C.A. *; McCann, Mary Ellen M.D., M.P.H. +; Morton, Neil S. M.B., Ch.B., F.R.C.A. ++; Myles, Paul S. M.D., M.P.H., F.A.N.Z.C.A., F.C.A.R.S.C.I. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982747 Tue, 25 Nov 2008 03:55:22 +0100 1982747 This Month in Anesthesiology. http://www.medworm.com/index.php?rid=1982746&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200812000-00001.htm Page: A9DOI: 10.1097/01.anes.0000341664.58206.83 (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1982746 Tue, 25 Nov 2008 00:32:33 +0100 1982746 Correction. http://www.medworm.com/index.php?rid=1897996&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00040.htm Page: 940DOI: 10.1097/ALN.0b013e31818edff6 (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897996 Fri, 24 Oct 2008 07:06:57 +0100 1897996 Anesthesia for Cardiac Surgery, 3rd Edition. http://www.medworm.com/index.php?rid=1897995&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00039.htm Page: 938DOI: 10.1097/ALN.0b013e3181895dbbAuthors: Rehfeldt, Kent H. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897995 Fri, 24 Oct 2008 07:06:57 +0100 1897995 Anesthesia in Cosmetic Surgery. http://www.medworm.com/index.php?rid=1897994&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00038.htm Page: 938DOI: 10.1097/ALN.0b013e3181895dabAuthors: Cobas, Miguel M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897994 Fri, 24 Oct 2008 07:06:57 +0100 1897994 Fospropofol Assay Issues and Impact on Pharmacokinetic and Pharmacodynamic Evaluation. http://www.medworm.com/index.php?rid=1897993&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00037.htm Page: 937DOI: 10.1097/ALN.0b013e31818ad05eAuthors: Eisenach, James C. M.D. *; Shafer, Steven L. M.D. +; Pollard, Brian J. M.D. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897993 Fri, 24 Oct 2008 07:06:57 +0100 1897993 Fospropofol Assay Issues and Impact on Pharmacokinetic and Pharmacodynamic Evaluation. http://www.medworm.com/index.php?rid=1897992&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00036.htm Page: 937DOI: 10.1097/ALN.0b013e31818aa6e1Authors: Shah, Ajit Ph.D. *; Mistry, Bipin Ph.D.; Gibiansky, Ekaterina Ph.D.; Gibiansky, Leonid Ph.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897992 Fri, 24 Oct 2008 07:06:57 +0100 1897992 Inspiratory Increases in Systolic Blood Pressure ("Delta-up") and Pulse Pressure Are Not Equivalent. http://www.medworm.com/index.php?rid=1897991&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00035.htm Page: 935DOI: 10.1097/ALN.0b013e3181897dcdAuthors: Gelman, Simon M.D., Ph.D., F.A.N.Z.C.A. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897991 Fri, 24 Oct 2008 07:06:57 +0100 1897991 Inspiratory Increases in Systolic Blood Pressure ("Delta-up") and Pulse Pressure Are Not Equivalent. http://www.medworm.com/index.php?rid=1897990&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00034.htm Page: 934DOI: 10.1097/ALN.0b013e3181895de1Authors: Tavernier, Benoit M.D., Ph.D. *; Robin, Emmanuel M.D., Ph.D.; Granet, Fabrice M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897990 Fri, 24 Oct 2008 07:06:57 +0100 1897990 What Is Simple Is Perhaps Not Always the Truth. http://www.medworm.com/index.php?rid=1897989&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00033.htm Page: 933DOI: 10.1097/ALN.0b013e3181895dd0Authors: Jayant, Aveek M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897989 Fri, 24 Oct 2008 07:06:57 +0100 1897989 Venous Function and Pressure: What Is Their Role in the Management of Spinal Cord Ischemia after Thoracoabdominal Aortic Aneurysm Repair? http://www.medworm.com/index.php?rid=1897988&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00032.htm Page: 933DOI: 10.1097/ALN.0b013e3181895d7fAuthors: Augoustides, John G. T. M.D., F.A.S.E. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897988 Fri, 24 Oct 2008 07:06:57 +0100 1897988 Lost in Translation: The Mallampati Score? http://www.medworm.com/index.php?rid=1897987&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00031.htm Page: 932DOI: 10.1097/ALN.0b013e3181897fcdAuthors: Isono, Shiroh M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897987 Fri, 24 Oct 2008 07:06:57 +0100 1897987 Lost in Translation: The Mallampati Score? http://www.medworm.com/index.php?rid=1897986&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00030.htm Page: 931DOI: 10.1097/ALN.0b013e3181895d94Authors: Downing, John W. M.D. +; Baysinger, Curtis L. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897986 Fri, 24 Oct 2008 07:06:57 +0100 1897986 Role of Hydrogen Peroxide in Propofol Restoration of Microvascular Function Impaired by High Glucose. http://www.medworm.com/index.php?rid=1897985&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00029.htm Page: 930DOI: 10.1097/ALN.0b013e3181897c8cAuthors: Kinoshita, Hiroyuki M.D., Ph.D. *; Nakahata, Katsutoshi M.D., Ph.D.; Azma, Toshiharu M.D., Ph.D.; Matsuda, Naoyuki M.D., Ph.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897985 Fri, 24 Oct 2008 07:06:57 +0100 1897985 Role of Hydrogen Peroxide in Propofol Restoration of Microvascular Function Impaired by High Glucose. http://www.medworm.com/index.php?rid=1897984&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00028.htm Page: 930DOI: 10.1097/ALN.0b013e3181895beeAuthors: Xia, Zhengyuan M.D., Ph.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897984 Fri, 24 Oct 2008 07:06:57 +0100 1897984 Operating Room Desensitization as a Novel Treatment for Post-Traumatic Stress Disorder after Intraoperative Awareness. http://www.medworm.com/index.php?rid=1897983&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00027.htm Page: 927DOI: 10.1097/ALN.0b013e3181895c00Authors: Mashour, George A. M.D., Ph.D. *; Wang, Luke Y.-J. M.D. +; Esaki, Roy K. M.S. ++; Naughton, Norah N. M.D., M.B.A. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897983 Fri, 24 Oct 2008 07:06:57 +0100 1897983 Perioperative Hemostatic Management of Patients Treated with Vitamin K Antagonists. http://www.medworm.com/index.php?rid=1897982&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00026.htm Human fresh frozen plasma is used for many patients who need emergency reversal of oral anticoagulation therapy. However, current evidence supports the recommendation that prothrombin complex concentrates are the treatment of choice in this setting. WEBFEATUREPage: 918DOI: 10.1097/ALN.0b013e3181895bd8Authors: Levy, Jerrold H. M.D. *; Tanaka, Kenichi A. M.D. +; Dietrich, Wulf M.D. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897982 Fri, 24 Oct 2008 07:06:57 +0100 1897982 Addiction and Substance Abuse in Anesthesiology. http://www.medworm.com/index.php?rid=1897981&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00025.htm This article discusses the prevalence and current thoughts regarding the pathophysiologic basis of addiction among anesthesiologists, as well as clinical manifestations, legal issues, treatment strategies, and new testing methodologies. WEBFEATUREPage: 905DOI: 10.1097/ALN.0b013e3181895bc1Authors: Bryson, Ethan O. M.D. *; Silverstein, Jeffrey H. M.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897981 Fri, 24 Oct 2008 07:06:57 +0100 1897981 Lipophilic and Stereospecific Interactions of Amino-amide Local Anesthetics with Human Kv1.1 Channels. http://www.medworm.com/index.php?rid=1897980&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00024.htm Block of Kv1.1 channels by amino-amide local anesthetics is concentration dependent, voltage dependent, stereoselective, frequency independent, and reversible. The authors' results support the idea of lipophilic interactions of these anesthetics with neuronal potassium channels.Page: 895DOI: 10.1097/ALN.0b013e31818958c8Authors: Punke, Mark A. M.D. *; Friederich, Patrick M.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897980 Fri, 24 Oct 2008 07:06:57 +0100 1897980 Efficacy of Addition of Fentanyl to Epidural Bupivacaine on Postoperative Analgesia after Thoracotomy for Lung Resection in Infants. http://www.medworm.com/index.php?rid=1897979&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00023.htm Addition of 2 μg/ml fentanyl to 0.1% bupivacaine resulted in improved analgesia when compared with 0.1% bupivacaine alone, administered epidurally in neonates and young infants after thoracotomy in this prospective, randomized, double-blind study.Page: 890DOI: 10.1097/ALN.0b013e31818aa6cbAuthors: Ganesh, Arjunan M.B.B.S. *; Adzick, N Scott M.D. +; Foster, Travis Ph.D. ++; Cucchiaro, Giovanni M.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897979 Fri, 24 Oct 2008 07:06:57 +0100 1897979 Intrathecal Injection of the [final sigma]1 Receptor Antagonist BD1047 Blocks Both Mechanical Allodynia and Increases in Spinal NR1 Expression during the Induction Phase of Rodent Neuropathic Pain. http://www.medworm.com/index.php?rid=1897978&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00022.htm Intrathecal administration of the ς1 receptor antagonist BD1047 blocks the induction, but not the maintenance, of mechanical allodynia, as well as the early activation of spinal cord N-methyl-d-aspartate receptors in neuropathic rats.Page: 879DOI: 10.1097/ALN.0b013e3181895a83Authors: Roh, Dae-Hyun D.V.M., M.S. *; Kim, Hyun-Woo D.V.M., Ph.D. +; Yoon, Seo-Yeon D.V.M., Ph.D. ++; Seo, Hyoung-Sig D.V.M., M.S. *; Kwon, Young-Bae D.V.M., Ph.D. [S]; Kim, Kee-Won M.D., Ph.D. [//]; Han, Ho-Jae D.V.M., Ph.D. #; Beitz, Alvin J. Ph.D. **; Na, Heung-Sik M.D., Ph.D. ++; Lee, Jang-Hern D.V.M., Ph.D. ++++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897978 Fri, 24 Oct 2008 07:06:57 +0100 1897978 Capsaicin Combined with Local Anesthetics Preferentially Prolongs Sensory/Nociceptive Block in Rat Sciatic Nerve. http://www.medworm.com/index.php?rid=1897977&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00021.htm In a rat sciatic nerve block model, the permanently charged local anesthetic N-methyl amitriptyline and the ionizable local anesthetics amitriptyline, bupivacaine, and lidocaine are capable of pronounced nociceptor-selective nerve blockade when used with capsaicin.Page: 872DOI: 10.1097/ALN.0b013e31818958f7Authors: Gerner, Peter M.D. *; Binshtok, Alexander M. Ph.D. +; Wang, Chi-Fei M.D. ++; Hevelone, Nathanael D. M.P.H. [S]; Bean, Bruce P. Ph.D. [//]; Woolf, Clifford J. Ph.D. #; Wang, Ging Kuo Ph.D. ** (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897977 Fri, 24 Oct 2008 07:06:57 +0100 1897977 Long-term Outcome in Chest Trauma. http://www.medworm.com/index.php?rid=1897976&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00020.htm Impairment of the outcomes of patients with chest trauma is partially related to pulmonary function alterations. A lung-related reduced quality of life was observed, corroborated by a 71% rate of abnormal pulmonary function tests. WEBFEATUREPage: 864DOI: 10.1097/ALN.0b013e31818a4009Authors: Leone, Marc M.D., Ph.D. *; Bregeon, Fabienne M.D., Ph.D. +; Antonini, Francois M.D. *; Chaumoitre, Kathia M.D. ++; Charvet, Aude M.D. *; Ban, Leang H. M.D. [S]; Jammes, Yves M.D., Ph.D. [//]; Albanese, Jacques M.D., Ph.D. #; Martin, Claude M.D. ** (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897976 Fri, 24 Oct 2008 07:06:57 +0100 1897976 Continuous Invasive Blood Pressure and Cardiac Output Monitoring during Cesarean Delivery: A Randomized, Double-blind Comparison of Low-dose versus High-dose Spinal Anesthesia with Intravenous Phenylephrine or Placebo Infusion. http://www.medworm.com/index.php?rid=1897975&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00019.htm The aim of this study was to compare the effects of two different intrathecal doses of bupivacaine, with or without intravenous phenylephrine infusion, on cardiac output and systolic blood pressure in healthy women scheduled for an elective cesarean delivery. Although cardiac output was reduced by the phenylephrine infusion, reduction of the intrathecal bupivacaine dose and prophylactic phenylephrine infusion reduced hemodynamic instability in patients undergoing cesarean delivery. MAIN_WEBFEATUREPage: 856DOI: 10.1097/ALN.0b013e31818a401fAuthors: Langesaeter, Eldrid M.D. *; Rosseland, Leiv Arne M.D., Ph.D. *; Stubhaug, Audun M.D., Ph.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897975 Fri, 24 Oct 2008 07:06:57 +0100 1897975 Poor Agreement between Respiratory Variations in Pulse Oximetry Photoplethysmographic Waveform Amplitude and Pulse Pressure in Intensive Care Unit Patients. http://www.medworm.com/index.php?rid=1897974&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00018.htm Poor agreement between respiratory variations in pulse oximetry photoplethysmographic waveform amplitude and respiratory variations in pulse pressure limits the photoplethysmographic waveform amplitude as a tool for evaluation of fluid responsiveness in intensive care unit patients.Page: 849DOI: 10.1097/ALN.0b013e3181895f9fAuthors: Landsverk, Svein Aslak M.D. *; Hoiseth, Lars O. M.D. +; Kvandal, Per M.D. ++; Hisdal, Jonny Ph.D. [S]; Skare, Oivind Ph.D. [//]; Kirkeboen, Knut A. M.D., Ph.D. # (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897974 Fri, 24 Oct 2008 07:06:57 +0100 1897974 Hypercapnic Acidosis Attenuates Lung Injury Induced by Established Bacterial Pneumonia. http://www.medworm.com/index.php?rid=1897973&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00017.htm Hypercapnic acidosis, currently an integral component of protective lung ventilation strategies, reduces the severity of lung injury caused by an established Escherichia coli pneumonia in vivo, in the presence and absence of antibiotic therapy. WEBFEATUREPage: 837DOI: 10.1097/ALN.0b013e3181895fb7Authors: Chonghaile, Martina Ni M.B., F.C.A.R.C.S.I. *; Higgins, Brendan D. Ph.D. +; Costello, Joseph M.B., F.C.A.R.C.S.I. *; Laffey, John G. M.D., F.F.A.R.C.S.I. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897973 Fri, 24 Oct 2008 07:06:57 +0100 1897973 Helium-induced Preconditioning in Young and Old Rat Heart: Impact of Mitochondrial Ca2+-sensitive Potassium Channel Activation. http://www.medworm.com/index.php?rid=1897972&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00016.htm Helium induces cardiac preconditioning by Ca2+-sensitive potassium channel activation but does not protect the aged myocardium.Page: 830DOI: 10.1097/ALN.0b013e3181895aa0Authors: Heinen, Andre M.D. *; Huhn, Ragnar M.D. *; Smeele, Kirsten M. A. M.Sc. *; Zuurbier, Coert J. Ph.D. +; Schlack, Wolfgang M.D., D.E.A.A. ++; Preckel, Benedikt M.D., M.A., D.E.A.A. [S]; Weber, Nina C. Ph.D. +; Hollmann, Markus W. M.D., Ph.D., D.E.A.A. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897972 Fri, 24 Oct 2008 07:06:57 +0100 1897972 Postoperative Malignant Hyperthermia: An Analysis of Cases from the North American Malignant Hyperthermia Registry. http://www.medworm.com/index.php?rid=1897971&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00015.htm The authors analyzed suspected cases of postoperative malignant hyperthermia from the North American Malignant Hyperthermia Registry and describe the clinical characteristics of these cases. WEBFEATUREPage: 825DOI: 10.1097/ALN.0b013e31818958e5Authors: Litman, Ronald S. D.O. *; Flood, Christopher D. M.D. +; Kaplan, Richard F. M.D. ++; Kim, Yung Ly M.S. [S]; Tobin, Joseph R. M.D., F.A.A.P., F.C.C.M. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897971 Fri, 24 Oct 2008 07:06:57 +0100 1897971 Reversal of Profound Rocuronium-induced Blockade with Sugammadex: A Randomized Comparison with Neostigmine. http://www.medworm.com/index.php?rid=1897970&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00014.htm Profound neuromuscular blockade reversal with 4 mg/kg sugammadex administered at 1-2 posttetanic counts after rocuronium is approximately 17 times faster than after 70 μg/kg neostigmine. Sugammadex may have unique ability to reverse profound neuromuscular blockade.Page: 816DOI: 10.1097/ALN.0b013e31818a3feeAuthors: Jones, R Kevin M.D. *; Caldwell, James E. M.B., Ch.B. +; Brull, Sorin J. M.D. ++; Soto, Roy G. M.D. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897970 Fri, 24 Oct 2008 07:06:57 +0100 1897970 Manual Editing of Automatically Recorded Data in an Anesthesia Information Management System. http://www.medworm.com/index.php?rid=1897969&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00013.htm The frequency of editing of automatically recorded physiologic data in an anesthesia information management system was investigated, and such editing was found to be a common practice.Page: 811DOI: 10.1097/ALN.0b013e3181895f70Authors: Wax, David B. M.D. *; Beilin, Yaakov M.D. +; Hossain, Sabera M.S. ++; Lin, Hung-Mo Ph.D. [S]; Reich, David L. M.D. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897969 Fri, 24 Oct 2008 07:06:57 +0100 1897969 Metoclopramide Does Not Attenuate Cricoid Pressure-induced Relaxation of the Lower Esophageal Sphincter in Awake Volunteers. http://www.medworm.com/index.php?rid=1897968&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00012.htm This study demonstrates that cricoid pressure-induced reflex relaxation of the lower esophageal sphincter is not prevented or attenuated by metoclopramide administration.Page: 806DOI: 10.1097/ALN.0b013e31818a37dcAuthors: Salem, M Ramez M.D. *; Bruninga, Keith W. M.D. +; Dodlapatii, Jyothi M.D. ++; Joseph, Ninos J. B.S. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897968 Fri, 24 Oct 2008 07:06:57 +0100 1897968 Comparison between Bispectral Index and Patient State Index as Measures of the Electroencephalographic Effects of Sevoflurane. http://www.medworm.com/index.php?rid=1897967&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00011.htm The electroencephalogram-derived Bispectral Index and Patient State Index were compared to predict depth of sevoflurane anesthesia. The former reacted faster to changes in sevoflurane concentrations, whereas the latter made better use of the predefined index range.Page: 799DOI: 10.1097/ALN.0b013e3181895fd0Authors: Soehle, Martin M.D., D.E.S.A. *; Ellerkmann, Richard K. M.D., D.E.S.A. +; Grube, Matthias Cand.Med. ++; Kuech, Matthias Cand.Med. ++; Wirz, Stefan M.D. +; Hoeft, Andreas M.D. [S]; Bruhn, Joergen M.D. [//] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897967 Fri, 24 Oct 2008 07:06:57 +0100 1897967 Sevoflurane Anesthesia Alters Exploratory and Anxiety-like Behavior in Mice Lacking the [beta]2 Nicotinic Acetylcholine Receptor Subunit. http://www.medworm.com/index.php?rid=1897966&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00010.htm This study demonstrates that sevoflurane anesthesia alters exploratory and anxiety-like behavior in mice lacking the β2 nicotinic acetylcholine receptor subunit.Page: 790DOI: 10.1097/ALN.0b013e31818a379aAuthors: Wiklund, Andreas M.D., Ph.D. *; Granon, Sylvie Ph.D. +; Cloez-Tayarani, Isabelle Ph.D. ++; Faure, Philippe Ph.D. ++; le Sourd, Anne-Marie [S]; Sundman, Eva M.D., Ph.D. [//]; Changeux, Jean-Pierre Ph.D. #; Eriksson, Lars I. M.D., Ph.D. ** (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897966 Fri, 24 Oct 2008 07:06:57 +0100 1897966 Xenon and Sevoflurane Protect against Brain Injury in a Neonatal Asphyxia Model. http://www.medworm.com/index.php?rid=1897965&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00009.htm Perinatal hypoxia-ischemia causes significant morbidity and mortality. Preconditioning with xenon and sevoflurane provided long-lasting neuroprotection in a perinatal hypoxic-ischemic model in the rat.Page: 782DOI: 10.1097/ALN.0b013e3181895f88Authors: Luo, Yan M.D. *; Ma, Daqing M.D., Ph.D. +; Ieong, Edmund M.B., B.S. ++; Sanders, Robert D. M.B., B.S. [S]; Yu, Buwei M.D. [//]; Hossain, Mahmuda Ph.D. #; Maze, Mervyn M.B., Ch.B., F.R.C.A., F.Med.Sci. ** (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897965 Fri, 24 Oct 2008 07:06:57 +0100 1897965 Bilateral Inhibition of [gamma]-Aminobutyric Acid Type A Receptor Function within the Basolateral Amygdala Blocked Propofol-induced Amnesia and Activity-regulated Cytoskeletal Protein Expression Inhibition in the Hippocampus. http://www.medworm.com/index.php?rid=1897964&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00008.htm Results of this study indicate that amnesic doses of propofol could reduce activity-regulated cytoskeletal protein expression in the hippocampus, which occurs through a network interaction with the basolateral amygdala.Page: 775DOI: 10.1097/ALN.0b013e31818a37c4Authors: Ren, Yu Ph.D. *; Zhang, Fu-Jun M.D. +; Xue, Qing-Sheng M.D., Ph.D. ++; Zhao, Xin Ph.D. ++; Yu, Bu-Wei M.D., Ph.D. [S] (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897964 Fri, 24 Oct 2008 07:06:57 +0100 1897964 Measuring the True Cost of Trauma. http://www.medworm.com/index.php?rid=1897963&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00007.htm Page: 773DOI: 10.1097/ALN.0b013e31818aa709Authors: Dutton, Richard P. M.D., M.B.A. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897963 Fri, 24 Oct 2008 07:06:57 +0100 1897963 Hypercapnic Acidosis: How Far? http://www.medworm.com/index.php?rid=1897962&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00006.htm Page: 771DOI: 10.1097/ALN.0b013e3181895e00Authors: Michelet, Pierre M.D., Ph.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897962 Fri, 24 Oct 2008 07:06:57 +0100 1897962 Hypothesis: Suppression of Memory Protein Formation Underlies Anesthetic-induced Amnesia. http://www.medworm.com/index.php?rid=1897961&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00005.htm Page: 768DOI: 10.1097/ALN.0b013e31818aa6f2Authors: Alkire, Michael T. M.D. *; Guzowski, John F. Ph.D. + (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897961 Fri, 24 Oct 2008 07:06:57 +0100 1897961 Maternal Hemodynamic Monitoring in Obstetric Anesthesia. http://www.medworm.com/index.php?rid=1897960&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00004.htm Page: 765DOI: 10.1097/ALN.0b013e31818a3825Authors: Dyer, Robert A. F.C.A.(S.A.); James, Michael F. Ph.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897960 Fri, 24 Oct 2008 07:06:57 +0100 1897960 The Anesthesiology Community's Approach to Opioid- and Anesthetic-abusing Personnel: Time to Change Course. http://www.medworm.com/index.php?rid=1897959&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00003.htm Page: 762DOI: 10.1097/ALN.0b013e31818a3814Authors: Berge, Keith H. M.D. *; Seppala, Marvin D. M.D. +; Lanier, William L. M.D. ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897959 Fri, 24 Oct 2008 07:06:57 +0100 1897959 Anesthesia and Neurodevelopment in Children: Time for an Answer? http://www.medworm.com/index.php?rid=1897958&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00002.htm Page: 757DOI: 10.1097/ALN.0b013e31818a37fdAuthors: Sun, Lena S. M.D. *; Li, Guohua M.D., Dr.P.H. +; DiMaggio, Charles Ph.D., M.P.H. +; Byrne, Mary Ph.D., M.P.H. ++; Rauh, Virginia Sc.D., M.S.W. [S]; Brooks-Gunn, Jeanne Ph.D., Ed.M. [//]; Kakavouli, Athina M.D. #; Wood, Alastair M.D. **; Coinvestigators of the Pediatric Anesthesia Neurodevelopment Assessment (PANDA) Research Network ++ (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897958 Fri, 24 Oct 2008 07:06:57 +0100 1897958 This Month in Anesthesiology. http://www.medworm.com/index.php?rid=1897957&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200811000-00001.htm Page: 9ADOI: 10.1097/01.anes.0000338997.44440.e1 (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1897957 Thu, 23 Oct 2008 23:34:19 +0100 1897957 Understanding Anesthesia Equipment, 5th Edition. http://www.medworm.com/index.php?rid=1813801&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00037.htm Page: 754DOI: 10.1097/ALN.0b013e3181863209Authors: Alian, Aymen A. M.D.; Shelley, Kirk H. M.D., Ph.D. * (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813801 Tue, 23 Sep 2008 07:11:18 +0100 1813801 Atlas of Ultrasound- and Nerve Stimulation-guided Regional Anesthesia. http://www.medworm.com/index.php?rid=1813800&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00036.htm Page: 754DOI: 10.1097/ALN.0b013e31818631f9Authors: Clendenen, Steven R. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813800 Tue, 23 Sep 2008 07:11:18 +0100 1813800 In Ultrasound-guided Interscalene Block, Do We Know Where the Epineurium Is? http://www.medworm.com/index.php?rid=1813799&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00035.htm Page: 753DOI: 10.1097/ALN.0b013e3181865755Authors: Koff, Matthew M.D., M.S. *; Sites, Brian M.D.; Hebl, James R. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813799 Tue, 23 Sep 2008 07:11:18 +0100 1813799 In Ultrasound-guided Interscalene Block, Do We Know Where the Epineurium Is? http://www.medworm.com/index.php?rid=1813798&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00034.htm Page: 752DOI: 10.1097/ALN.0b013e3181863881Authors: Orebaugh, Steven L. M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813798 Tue, 23 Sep 2008 07:11:18 +0100 1813798 Nerve Blocks, Ultrasounds, and Multiple Sclerosis. http://www.medworm.com/index.php?rid=1813797&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00033.htm Page: 751DOI: 10.1097/ALN.0b013e3181863871Authors: Sia, Salvatore M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813797 Tue, 23 Sep 2008 07:11:18 +0100 1813797 Severe Brachial Plexopathy after an Ultrasound-guided Single-injection Nerve Block for Total Shoulder Arthroplasty in a Patient with Multiple Sclerosis: What Is the Likely Cause of This Complication? http://www.medworm.com/index.php?rid=1813796&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00032.htm Page: 750DOI: 10.1097/ALN.0b013e3181863861Authors: Borgeat, Alain M.D. *; Aguirre, Jose M.D.; Neudorfer, Claudio M.D.; Jutzi, Hans M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813796 Tue, 23 Sep 2008 07:11:18 +0100 1813796 To Be or Not to Be. http://www.medworm.com/index.php?rid=1813795&cid=s_33866_5_f&fid=33866&url=http%3A%2F%2Fwww.anesthesiology.org%2Fpt%2Fre%2Fanes%2Fabstract.00000542-200810000-00031.htm Page: 750DOI: 10.1097/ALN.0b013e3181863851Authors: Chelly, Jacques E. M.D., Ph.D., M.B.A. *; Bigeleisen, Paul M.D., Ph.D.; Montoya, Mario M.D. (Source: Anesthesiology) Anesthesiology journals http://www.medworm.com/rss/comments.php?id=1813795 Tue, 23 Sep 2008 07:11:18 +0100 1813795