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        <title>Current Opinion in Anaesthesiology via MedWorm.com</title>
        <description>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 'Current Opinion in Anaesthesiology' source.</description>
        <link><![CDATA[http://www.medworm.com/rss/search.php?qu=Current+Opinion+in+Anaesthesiology&t=Current+Opinion+in+Anaesthesiology&s=Search&f=source]]></link>
        <lastBuildDate>Sat, 20 Mar 2010 13:42:29 +0100</lastBuildDate>
        <item>
            <title>Disclosure of industry relationships by anesthesiologists: is the conflict of interest resolved?</title>
            <link>http://www.medworm.com/index.php?rid=3364411&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2010%2F04000%2FDisclosure_of_industry_relationships_by.11.aspx</link>
            <description>Purpose of review: Anesthesiologists are flooded with requests that they themselves reveal their associations with industry and other external sources of financial support and also with stories about adverse outcomes related to poorly managed conflict of interest (COI) in research, education, and clinical practice. Guidelines for evaluating COI in these areas are needed and provision of such guidelines is the goal of this review.
Recent findings: The medical literature and lay press provide ample publications outlining the extent of the COI problem and recent efforts to manage COI with numerous opinions on how to best accomplish COI management. The Institute of Medicine has provided significant guidance with a recent exhaustive review with recommendations. The central theme of managing CO...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Mon, 15 Mar 2010 13:41:58 +0100</pubDate>
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            <title>Challenges that limit meaningful use of health information technology</title>
            <link>http://www.medworm.com/index.php?rid=3364410&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2010%2F04000%2FChallenges_that_limit_meaningful_use_of_health.12.aspx</link>
            <description>Purpose: Health information technology (HIT) is perceived as an essential component for addressing inefficiencies in healthcare. Without understanding the challenges that limit meaningful use of HIT, there is a high chance that institutions will convert complex paper-based systems to expensive digital chaos.
Recent findings: Clinical information systems do not communicate with each other automatically because integration of existing data standards is lacking. Data standards for medical specialties need further development. Database architectures are often designed to support single clinical applications and are not easily modified to meet the enterprise-wide needs desired by all end-users. Despite the improvements in charge capture and better access to health information the realized savi...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3364410</comments>
            <pubDate>Mon, 15 Mar 2010 13:41:57 +0100</pubDate>
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            <title>Noninvasive respiratory support in the perioperative period</title>
            <link>http://www.medworm.com/index.php?rid=3351435&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2010%2F04000%2FNoninvasive_respiratory_support_in_the.18.aspx</link>
            <description>Purpose of review: The aims of this review are: to discuss the physiological rationale for noninvasive respiratory support (NRS) in the perioperative period; to give some practical recommendations to safely apply NRS; and to review available clinical data on preventive and curative NRS after cardiac, thoracic and abdominal surgery.
Recent findings: The most important morbid postoperative pulmonary complication is atelectasis formation, which increases significantly the risk for pneumonia and hypoxic acute respiratory failure. NRS refers to techniques allowing respiratory support without the need for an invasive airway. Two types of NRS are commonly used: noninvasive continuous positive airway pressure (nCPAP) and noninvasive positive pressure ventilation (nPPV). NRS may be an important to...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Thu, 11 Mar 2010 13:42:43 +0100</pubDate>
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            <title>Spinal cord protection and thoracic aortic surgery</title>
            <link>http://www.medworm.com/index.php?rid=3139723&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2010%2F02000%2FSpinal_cord_protection_and_thoracic_aortic_surgery.16.aspx</link>
            <description>Purpose of review: Spinal cord ischemia remains an important complication of open surgical and endovascular stent graft repair of thoracic and thoracoabdominal aortic aneurysm despite advances in operative technique. Identification of risk factors and interventions to prevent and treat spinal cord ischemia has the potential to prevent spinal cord infarction and the morbidity and mortality associated with paraplegia.
Recent findings: Risk factors for spinal cord ischemia are aneurysm extent, open surgical repair, prior distal aortic operations, and perioperative hypotension. Augmenting spinal cord perfusion by increasing arterial pressure, lumbar cerebrospinal fluid drainage, and reattachment of segmental arteries are effective for the treatment of spinal cord ischemia. Early detection of ...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
        <comments>http://www.medworm.com/rss/comments.php?id=3139723</comments>
            <pubDate>Tue, 05 Jan 2010 13:41:25 +0100</pubDate>
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            <title>Respiratory complications after oesophageal surgery</title>
            <link>http://www.medworm.com/index.php?rid=3139722&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2010%2F02000%2FRespiratory_complications_after_oesophageal.7.aspx</link>
            <description>Purpose of review: The most frequent complications of oesophageal surgery are respiratory and these are associated with increased critical care stay, hospital stay and mortality. This review focuses on the risk factors associated with the development of respiratory complications after oesophageal surgery.
Recent findings: An acceptable operative mortality, increased and improved quality of life can be gained in appropriately selected patients. When induction therapy is scheduled, smoking cessation is advised. The preoperative treatment of airway pathogens can reduce postoperative complications and this may be particularly relevant in patients who have received induction chemoradiotherapy. Nonrandomized studies suggest that thoracic epidural analgesia improves outcome. Minimally invasive s...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Tue, 05 Jan 2010 13:41:24 +0100</pubDate>
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            <title>Perioperative management of outpatients with implantable cardioverter defibrillators</title>
            <link>http://www.medworm.com/index.php?rid=2978555&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F12000%2FPerioperative_management_of_outpatients_with.2.aspx</link>
            <description>Purpose of review: Implantable cardioverter defibrillators (ICDs) are increasingly being placed in patients worldwide. These patients pose significant perioperative challenges and are at an increased risk of complications; the suitability of ambulatory surgery in this patient population remains controversial. The purpose of the present review is to examine the potential challenges and optimal perioperative care of patients with an ICD.
Recent findings: The American Society of Anesthesiologists Advisory for the perioperative management of patients with cardiac rhythm management devices as well as the American College of Cardiologists/American Heart Association guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery recommend that the tachyarrhythmia treatment ...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Wed, 11 Nov 2009 13:41:18 +0100</pubDate>
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            <title>Depth of anesthesia</title>
            <link>http://www.medworm.com/index.php?rid=2978554&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F12000%2FDepth_of_anesthesia.16.aspx</link>
            <description>Purpose of review: The present review article provides a summary of the recent literature evaluating the technology for monitoring depth of anesthesia and patient outcomes associated with its use.
Recent findings: The tentative and controversial findings of a 2006 study suggesting a correlation of mortality with lower intraoperative bispectral index scores were reproduced in a more recent study, but the correlation could be accounted for by controlling for patient comorbidities, particularly malignancy. In a large trial involving patients at high risk for awareness, general anesthesia with volatile agents guided by bispectral index monitoring was associated with a low incidence of awareness, but no more so than the use of alarms for limits on volatile agent concentration. Studies comparin...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Wed, 11 Nov 2009 13:41:18 +0100</pubDate>
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            <title>Control of perioperative muscle strength during ambulatory surgery</title>
            <link>http://www.medworm.com/index.php?rid=2978553&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F12000%2FControl_of_perioperative_muscle_strength_during.7.aspx</link>
            <description>Purpose of review: This review describes strategies to control perioperative muscle strength in patients undergoing ambulatory surgery.
Recent findings: Although it is impossible to improve muscle relaxation (defined as absence of electrical activity) of intact resting muscle by hypnotics, analgesia is required to prevent pain-evoked muscular contractions during surgery. Regional anesthesia, as well as hypnotics and opioids, promotes intraoperative muscle relaxation. Neuromuscular blocking agents (NMBAs) induce dose-dependent muscle relaxation, but their effects vary widely between individuals, and postoperative residual curarization (PORC) exposes patients to additional risk. Low doses of NMBAs should, therefore, be used, effects be monitored quantitatively by acceleromyography, and resi...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Wed, 11 Nov 2009 13:41:18 +0100</pubDate>
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            <title>Cerebral autoregulation and anesthesia</title>
            <link>http://www.medworm.com/index.php?rid=2775891&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F10000%2FCerebral_autoregulation_and_anesthesia.2.aspx</link>
            <description>Purpose of review: This review will examine the recent literature on anesthesia and monitoring techniques in relation to cerebral autoregulation. We will discuss the effect of physiologic and pharmacological factors on cerebral autoregulation alongside its clinical relevance with the help of new evidence.
Recent findings: Intravenous anesthesia, such as combination of propofol and remifentanil, provides best preservation of autoregulation. Among inhaled agents sevoflurane appears to preserve autoregulation at all doses, whereas with other agents autoregulation is impaired in a dose-related manner.
Summary: Intraoperative cerebral autoregulation monitoring is an important consideration for the patients with neurologic disease. Transcranial Doppler based static autoregulation measurements ap...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Wed, 09 Sep 2009 16:07:24 +0100</pubDate>
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            <title>A practical guide to commonly performed ultrasound-guided peripheral-nerve blocks</title>
            <link>http://www.medworm.com/index.php?rid=2775890&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F10000%2FA_practical_guide_to_commonly_performed.11.aspx</link>
            <description>This article serves to display the most clinically relevant nerve blocks utilized in the perioperative setting. It is meant to be used as a clinical starting point for the development of regional anesthesia skills.
(C) 2009 Lippincott Williams &amp; Wilkins, Inc. (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
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            <pubDate>Wed, 09 Sep 2009 16:07:24 +0100</pubDate>
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            <title>Update on inhalational anaesthetics</title>
            <link>http://www.medworm.com/index.php?rid=2581727&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F08000%2FUpdate_on_inhalational_anaesthetics.7.aspx</link>
            <description>Purpose of review: Inhalational anaesthetic agents are a cornerstone in modern anaesthetic practice. The currently used compounds are very effective and have a good safety profile. In addition, it has been demonstrated that they possess organ-protective properties that might provide an additional tool in the treatment or prevention of the consequences of organ ischaemia-reperfusion injury or both. The present review summarizes some of the most recent findings on this subject.
Recent findings: The mechanisms underlying the organ-protective effects of inhalational anaesthetics continue to be further unravelled. The main challenge, however, is to determine the clinical importance of these protective effects and their potential benefits for patients. Initial observations in cardiac surgery are...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2581727</comments>
            <pubDate>Thu, 09 Jul 2009 10:36:25 +0100</pubDate>
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            <title>Pediatric pharmacology in the first year of life</title>
            <link>http://www.medworm.com/index.php?rid=2581726&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F08000%2FPediatric_pharmacology_in_the_first_year_of_life.4.aspx</link>
            <description>Purpose of review: Toxicity concerns and awareness during anesthesia issues continue to concern pediatric anesthesiologists. Most developmental pharmacokinetic, pharmacodynamic and pharmacogenomic changes occur within the first year of life. Understanding these early changes can improve drug use in this cohort.
Recent findings: Growth and development are two major aspects of children not readily apparent in adults. Clearance in the pediatric population should be investigated using models that describe size, maturation and organ function influences. Glucuronide conjugation (hepatic phase II process) mirrors glomerular filtration maturation over the first year of life. Phase 1 processes appear more rapid, and differences attributable to single nuclear polymorphisms may be obvious by the end ...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2581726</comments>
            <pubDate>Thu, 09 Jul 2009 10:36:25 +0100</pubDate>
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            <title>Present and emerging strategies for reducing anesthesia-related maternal morbidity and mortality</title>
            <link>http://www.medworm.com/index.php?rid=2474922&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fjournals.lww.com%2Fco-anesthesiology%2FFulltext%2F2009%2F06000%2FPresent_and_emerging_strategies_for_reducing.4.aspx</link>
            <description>Purpose of review: As the demographic of pregnant women continues to change, anesthesiologists will need to continue to find new ways to prevent morbidity and mortality. In this article several new and emerging strategies to meet this challenge are discussed.
Recent findings: Emergence and recovery are now the most common times for airway loss. The proportion of liability claims involving neuraxial anesthesia have increased. Ultrasound can assist in spinal or epidural anesthesia. The most effective antiseptic is 0.5% chlorhexidine in 80% ethanol, which is generally accepted for use in neuraxial techniques. An animal study indicates that bupivacaine-induced cardiac arrest is more effectively treated by intravenous lipid emulsion than by epinephrine. In obstetric hemorrhage, consideration sh...</description>
            <author>Current Opinion in Anaesthesiology</author>
            <type>journals</type>
        <comments>http://www.medworm.com/rss/comments.php?id=2474922</comments>
            <pubDate>Mon, 01 Jun 2009 04:00:00 +0100</pubDate>
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            <title>Erratum.</title>
            <link>http://www.medworm.com/index.php?rid=2203051&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00024.htm</link>
            <description>Page: 140DOI: 10.1097/ACO.0b013e32832a5d68 (Source: Current Opinion in Anaesthesiology)</description>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Current World Literature.</title>
            <link>http://www.medworm.com/index.php?rid=2203050&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00023.htm</link>
            <description>Page: 128DOI: 10.1097/ACO.0b013e3283240150 (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Aprotinin: 1 year on.</title>
            <link>http://www.medworm.com/index.php?rid=2203049&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00022.htm</link>
            <description>Page: 121DOI: 10.1097/ACO.0b013e32831c833fAuthors: Dietrich, Wulf (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Ca2+: is there something new for the cardiovascular anesthesiologist?.</title>
            <link>http://www.medworm.com/index.php?rid=2203048&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00021.htm</link>
            <description>Page: 114DOI: 10.1097/ACO.0b013e32831a43c7Authors: Hannon, James D; Housmans, Philippe R (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Anaesthesia for noncardiac surgery in the heart transplant recipient.</title>
            <link>http://www.medworm.com/index.php?rid=2203047&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00020.htm</link>
            <description>Page: 109DOI: 10.1097/ACO.0b013e32831c83e0Authors: Blasco, Lucrecia Maria a; Parameshwar, Jayan b; Vuylsteke, Alain a (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Current aspects of perioperative fluid handling in vascular surgery.</title>
            <link>http://www.medworm.com/index.php?rid=2203046&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00019.htm</link>
            <description>Page: 100DOI: 10.1097/ACO.0b013e32831f1c65Authors: Jacob, Matthias a; Chappell, Daniel a; Hollmann, Markus W b (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Efficacy and safety of activated recombinant factor VII in cardiac surgical patients.</title>
            <link>http://www.medworm.com/index.php?rid=2203045&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00018.htm</link>
            <description>Page: 95DOI: 10.1097/ACO.0b013e32831a40a3Authors: Hardy, Jean-Francois a; Belisle, Sylvain a; Van der Linden, Philippe b (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Anesthesia in adult patients with congenital heart disease.</title>
            <link>http://www.medworm.com/index.php?rid=2203044&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00017.htm</link>
            <description>Page: 88DOI: 10.1097/ACO.0b013e32831c83cbAuthors: Cannesson, Maxime; Collange, Vincent; Lehot, Jean-Jacques (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>High thoracic epidural anaesthesia for cardiac surgery.</title>
            <link>http://www.medworm.com/index.php?rid=2203043&amp;cid=s_33868_5_f&amp;fid=33868&amp;url=http%3A%2F%2Fwww.co-anesthesiology.com%2Fpt%2Fre%2Fcoanes%2Fabstract.00001503-200902000-00016.htm</link>
            <description>Page: 84DOI: 10.1097/ACO.0b013e32831a40b6Authors: Royse, Colin F a,b (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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            <title>Management of mini-cardiopulmonary bypass devices: is it worth the energy?.</title>
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            <description>Page: 78DOI: 10.1097/ACO.0b013e32831a408eAuthors: Ranucci, Marco; Castelvecchio, Serenella (Source: Current Opinion in Anaesthesiology)</description>
            <author>Current Opinion in Anaesthesiology</author>
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            <pubDate>Sun, 22 Feb 2009 08:25:16 +0100</pubDate>
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