MedWorm: Anesthesiology

Infinity M540 from Draeger Makes Hospital Workflow and Patient Data Oh So So Smooth

Medgadget Anesthesiology — Fri, 20 Nov 2009 08:00:02 +0100

Here's another piece of news about medical gadgetry released at the ongoing Medica 2009. The Infinity M540 from Drägerwerk AG & Co. (aka Dräger) is designed to provide portability and full functionality of a stationary vitals signs monitor: The Dräger Infinity M540 measures and saves patient vital signs data, including 12-lead ECG and etCO2 values. For transport, the hospital staff can release the M540 from its docking station using one hand. The monitor continues to display and record vital data without interruption. As soon as the M540 is reconnected to a docking station – whether at its previous location or on a different ward – it automatically backfills the data recorded on transport into the Medical Cockpit, which is the central control and viewing uni...

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Removal of the laryngeal mask after tracheal intubation through it

Pediatric Anesthesia — Fri, 20 Nov 2009 00:00:00 +0100

(Source: Pediatric Anesthesia)

62-Year-Old Man Becomes First Patient In China Implanted With Rechargeable Neurostimulator For Chronic Pain

Pain / Anesthetics News From Medical News Today — Thu, 19 Nov 2009 23:00:00 +0100

St. Jude Medical, Inc. (NYSE:STJ) announced that a 62-year-old man from Shenzhen, Guangdong province has become the first patient in China to be implanted with the Eon™ neurostimulator, a rechargeable device used to help manage chronic pain. Despite prior back surgeries, the patient suffered from chronic back pain for more than a decade. (Source: Pain / Anesthetics News From Medical News Today)

Can EP4 Agonist Alleviate Gastric Lesions?

Pain / Anesthetics News From Medical News Today — Thu, 19 Nov 2009 14:00:00 +0100

Over 300 million patients use non-steroidal anti-inflammatory drugs (NSAIDs) in the world to treat pain, arthritis, fever and other diseases. Nearly 30% of the users suffer from gastric lesions and bleeding. To mitigate NSAIDs' adverse effects on the stomach, misoprostol, a non-selective prostaglandin E1 (PGE1) analogue, has been prescribed as the first choice for prevention of NSAID-induced injuries, but often induces severe adverse effects. (Source: Pain / Anesthetics News From Medical News Today)

Common Pain Relief Medication May Encourage Cancer Growth

Pain / Anesthetics News From Medical News Today — Thu, 19 Nov 2009 10:00:00 +0100

Although morphine has been the gold-standard treatment for postoperative and chronic cancer pain for two centuries, a growing body of evidence is showing that opiate-based painkillers can stimulate the growth and spread of cancer cells. Two new studies advance that argument and demonstrate how shielding lung cancer cells from opiates reduces cell proliferation, invasion and migration in both cell-culture and mouse models. (Source: Pain / Anesthetics News From Medical News Today)

My Lab One Portable Ultrasound from Esaote Makes Debut

Medgadget Anesthesiology — Thu, 19 Nov 2009 08:46:33 +0100

At the ongoing Medica 2009 in Düsseldorf, Esaote out of Genoa, Italy is releasing a new portable ultrasound system that features a 12 inch touch screen for manipulating settings without having to use buttons. The My Lab One can be worn on a shoulder strap and is designed for mobile applications such as ambulatory anesthesia, EMT, military and sports medicine. From the press release: The automatic rotation of the image according to the position of the system, an ergonomic probe equipped with controls, a long life battery, all add up to making this ultrasound an extraordinary innovation in the medical system arena. MyLab One is a “dedicated” ultrasound, which reflects perfectly today’s need for diagnostic capabilities in many different fields of application: from Ra...

Transplanting People's Own Stem Cells Into Heart Lessens Pain, Improves Ability To Walk

Pain / Anesthetics News From Medical News Today — Thu, 19 Nov 2009 08:00:00 +0100

The largest national stem cell study for heart disease showed the first evidence that transplanting a potent form of adult stem cells into the heart muscle of subjects with severe angina results in less pain and an improved ability to walk. The transplant subjects also experienced fewer deaths than those who didn't receive stem cells. (Source: Pain / Anesthetics News From Medical News Today)

Lidocaine Hydrochloride Injection BP 1% w/v/, 2% w/v - Revised SPC

NeLM - Anaesthesia — Thu, 19 Nov 2009 00:00:00 +0100

Source: eMC (electronic Medicines Compendium) Area: Other Library Updates > SPC Changes Revised SPC includes changes to: Section 4.2 (Posology and method of administration) Addition of children's age - "Single doses of Lidocaine (for anaesthesia other than spinal) should not exceed 4.5 mg/kg (or 200 mg) in adults or children 12 - 18 years of age." A further addition of: "Lidocaine by local infiltration for children under the age of 12 years should not exceed 3mg/kg, repeated not more often than every 4 hours." Section 4.3 (Contraindications) In ventricular arrhythmia: Sino-atrial disorders, all grades of atrioventricular block, severe myocardial depression, porphyria (use with caution in local anaesthesia). In local anaesthesia: complete heart block, hypovol...

Intranasal flumazenil and naloxone to reverse over-sedation in a child undergoing dental restorations: comment

Pediatric Anesthesia — Thu, 19 Nov 2009 00:00:00 +0100

(Source: Pediatric Anesthesia)

FDA Approves New Drug Treatment For Long-Term Pain Relief After Shingles Attacks

Pain / Anesthetics News From Medical News Today — Wed, 18 Nov 2009 12:00:00 +0100

The Food and Drug Administration (FDA) has approved the approval of Qutenza (capsaicin) 8% patch, a medicated skin patch that relieves the pain of post-herpetic neuralgia (PHN), a serious complication that can occur after a bout with shingles. Shingles is an outbreak of rash or blisters on the skin that is caused by the same virus that causes chickenpox - the varicella-zoster virus. (Source: Pain / Anesthetics News From Medical News Today)

Recovering With 4-Legged Friends Requires Less Pain Medication

Pain / Anesthetics News From Medical News Today — Wed, 18 Nov 2009 10:00:00 +0100

Adults who use pet therapy while recovering from total joint-replacement surgery require 50 percent less pain medication than those who do not. These findings were presented at the 18th Annual Conference of the International Society of Anthrozoology and the First Human Animal Interaction Conference (HAI) in Kansas City, Mo. (Source: Pain / Anesthetics News From Medical News Today)

FDA Discusses Neuromed NDA Application For Exalgo

Pain / Anesthetics News From Medical News Today — Wed, 18 Nov 2009 08:00:00 +0100

Covidien (NYSE: COV) announced that on November 13, 2009, representatives of Neuromed discussed the pending New Drug Application (NDA) for the product candidate ExalgoTM (hydromorphone HCl extended release) tablets with staff from the United States Food and Drug Administration (FDA). Mallinckrodt Inc., a Covidien company, obtained the commercial rights to Exalgo in the United States from Neuromed Development Inc., a subsidiary of Neuromed Pharmaceuticals Ltd., in June 2009. (Source: Pain / Anesthetics News From Medical News Today)

Winston Laboratories, Inc. Announces Positive Top-line Results Of Phase II Clinical Trial Of Civamide Patch

Pain / Anesthetics News From Medical News Today — Wed, 18 Nov 2009 08:00:00 +0100

Winston Laboratories, Inc. ("Winston Labs"), a wholly-owned subsidiary of Winston Pharmaceuticals, Inc. (OTC BB: WPHM) today announced positive top-line results from Study WL1001-04-03, a Phase II clinical trial evaluating the safety and efficacy of the company's patch formulation of Civamide, a novel TRPV-1 receptor modulator in the treatment of post-herpetic neuralgia (PHN). The study successfully demonstrated the efficacy of Civamide Patch 0. (Source: Pain / Anesthetics News From Medical News Today)

Qutenza Approved for Post-Shingles Nerve Pain

MedicineNet Chronic Pain General — Wed, 18 Nov 2009 07:00:00 +0100

Title: Qutenza Approved for Post-Shingles Nerve PainCategory: Health NewsCreated: 11/17/2009 12:10:00 PMLast Editorial Review: 11/18/2009 (Source: MedicineNet Chronic Pain General)

Jaw thrust: are we applying it correctly?

Pediatric Anesthesia — Wed, 18 Nov 2009 00:00:00 +0100

(Source: Pediatric Anesthesia)

The prevalence of anatomical variations that can cause inadvertent dural puncture when performing caudal block in Koreans: a study using magnetic resonance imaging

Anaesthesia — Wed, 18 Nov 2009 00:00:00 +0100

The purpose of this study was to investigate the prevalence of the anatomical abnormalities that can induce inadvertent dural puncture when performing caudal block. The anatomy of the lumbo-sacral area was evaluated using magnetic resonance imaging. In 2462 of the 2669 patients imaged, the dural sac terminal was located between the upper half of the 1st sacral vertebra and the lower half of the 2nd sacral vertebra. In 22 cases (0.8%), the dural sac terminal and the spinal canal were located at or below the 3rd sacral vertebra, and these were cases of simple anatomical variations. As regards pathologic conditions, there was one case of sacral meningocoele and 46 cases of sacral perineural cyst. In 21 cases (0.8%) out of the 46 perineural cyst cases, the cyst could be found at or below the 3...

Prescription and Administration of Opioids to Hospital In-patients, and Barriers to Effective Use

Pain Medicine — Wed, 18 Nov 2009 00:00:00 +0100

Conclusion. The majority of participants had incomplete pain relief and the maximum prescribed doses of opioids were not administered. Reported barriers included staff knowledge of opioid dose titration and opioid preparations, and time constraints. Identified barriers included poor knowledge of opioid preparations. (Source: Pain Medicine)

Comparing peripheral venous access between obese and normal weight children

Pediatric Anesthesia — Wed, 18 Nov 2009 00:00:00 +0100

Conclusion: These data indicate that i.v. placement is more difficult in obese children than their lean peers and that the most likely site for successful placement in obese children after a failed attempt on the dorsum of the hand is the volar surface of the hand. Knowledge of potential sites for successful i.v. access could help to improve the success rate for i.v. placement. (Source: Pediatric Anesthesia)

Presynaptic M1, M2, and A1 receptors play roles in tetanic fade induced by pancuronium or cisatracurium

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:17 +0100

Conclusion The tetanic fades produced by pancuronium and cisatracurium depend on the activation of presynaptic inhibitory M2 receptors; these agents also have anticholinesterase activities. The fades induced by these agents also depend on the activation of presynaptic inhibitory A1 receptors through the activation of stimulatory M1 receptors by acetylcholine. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0790-zAuthors Elaine Campana Sanches Bornia, State University of Maringa Department of Pharmacology Paraná BrazilÉrika Bando, State University of Maringa Department of Clinical Analysis and Toxicology Paraná BrazilMiguel Machinski, State University of Maringa Department of Clinical Analysis and Toxicology Paraná BrazilMonalisa Wolski ...

Transient lower limb pain following accidental thoracic subarachnoid insertion of an epidural catheter

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:16 +0100

We report a case of transient lower limb pain following the accidental placement of an epidural catheter into the thoracic subarachnoid space. A 31-year-old woman was scheduled to undergo laparoscopic myomectomy. An epidural catheter was accidentally inserted subarachnoid at the T12–L1 intervertebral space with a 2-ml test dose of 2% lidocaine, and was promptly removed. Fulgurant pain and allodynia extending over the L2–5 areas of the left lower limb and buttock started immediately postoperatively. We treated the persistent pain in our patient with epidural infusion of local anesthetics and steroids during her hospital stay, and with carbamazepine and a tricyclic antidepressant after her discharge from the hospital. All signs of allodynia had disappeared on postoperative day 25. ...

Anesthetic management of a patient with hyperthyroidism due to hydatidiform mole

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:15 +0100

We report here the perioperative management of hyperthyroidism due to hydatidiform mole. A 53-year-old woman underwent emergency surgery due to suspicion of hydatidiform mole. Tachycardiac atrial fibrillation was detected by electrocardiography at the preoperative examination. No abnormalities were found in blood count, coagulation, biochemical tests, chest radiographs, or respiratory function. General anesthesia with nitrous oxide, oxygen, and sevoflurane, combined with fentanyl and 1% mepivacaine, was administered intermittently from an epidural catheter. Intraoperative events included hypotension and tachycardia, although in general, tachycardia was prevented with antiarrhythmic agents and transfusion with a plasma expander and crystalloid fluid. Hyperthyroidism was highly suspec...

Postoperative analgesia with minidose intrathecal morphine for bipolar hip prosthesis in extremely elderly patients

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:14 +0100

Conclusion The results show that minidose intrathecal morphine provides a good analgesic effect without side effects, and it would be an effective and safe procedure for bipolar hip prosthesis in seniors. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0817-5Authors Kazunori Yamashita, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMakoto Fukusaki, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYuko Ando, Nagasaki University School of Medicine Division of Anesthesiology, Department of Translational Medical Science 1-7-1 Sakamoto Nagasaki 852-8501 JapanTakahiro Tanabe, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYoshiaki Terao, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanKoji Sumik...

Effects of sepsis on the neuromuscular blocking actions of d-tubocurarine on rat adductor and abductor laryngeal muscles

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:13 +0100

Conclusion Our study shows that sepsis has a depressive effect on dTc-induced neuromuscular blocking actions at both the adductor and abductor muscles of vocal cords in the larynx. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0816-6Authors Kohki Nishikawa, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8543 JapanEichi Narimatsu, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8543 JapanMotohiko Igarashi, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8543 JapanAkiyoshi Namiki, Sapporo Medical University, School of Medicine Department of Anesthesiology Sapporo 060-8543 Japan Journal Journal of AnesthesiaOnline IS...

Insertion length and resistance during advancing of epidural catheter

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:13 +0100

Conclusion At approximately 2.5 cm in the epidural space, advancing an epidural catheter causes resistance. Further advancing past this point may cause migration of the catheter into the vessels, or the coiling of the catheter. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0818-4Authors Pankaj Kundra, Jawaharlal Institute of Postgraduate Medical Education and Research (J.I.P.M.E.R) Department of Anaesthesiology and Critical Care Pondicherry IndiaSenthil Kumar Viswanath, Jawaharlal Institute of Postgraduate Medical Education and Research (J.I.P.M.E.R) Department of Anaesthesiology and Critical Care Pondicherry IndiaDharam S. Meena, Jawaharlal Institute of Postgraduate Medical Education and Research (J.I.P.M.E.R) Department of Anaesthesiolog...

Comparison of placental transfer of local anesthetics in perfusates with different pH values in a human cotyledon model

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:12 +0100

Conclusion Our data clearly show that it is the basic uncharged concentration that mainly determines the placental transfer of amide-type local anesthetics with protein-free perfusate. This finding suggests that Rop and Bup can be used more safely than Mep in terms of placental transfer. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0815-7Authors Ryusuke Ueki, Hyogo College of Medicine Department of Anesthesiology Mukogawa-cho 1-1 Nishinomiya, Hyogo 663-8501 JapanTsuneo Tatara, Hyogo College of Medicine Department of Anesthesiology Mukogawa-cho 1-1 Nishinomiya, Hyogo 663-8501 JapanNobutaka Kariya, Hyogo College of Medicine Department of Anesthesiology Mukogawa-cho 1-1 Nishinomiya, Hyogo 663-8501 JapanNoriko Shimode, Hyogo College of Medic...

Postoperative analgesic effect of preoperative intravenous flurbiprofen in arthroscopic rotator cuff repair

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:12 +0100

Conclusion These results show that preoperative intravenous flurbiprofen facilitates the analgesic effect in the early postoperative period after arthroscopic rotator cuff repair. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0799-3Authors Masafumi Takada, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMakoto Fukusaki, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYoshiaki Terao, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanKazunori Yamashita, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanMiwako Takada, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanYuko Ando, Nagasaki Rosai Hospital Department of Anesthesia Sasebo JapanKoji Sumikawa, Nagasaki University School of Me...

Effects of landiolol, a short-acting beta-1 blocker, on hemodynamic variables during emergence from anesthesia and tracheal extubation in elderly patients with and without hypertension

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:11 +0100

Conclusion This study indicates that the use of a landiolol infusion for preventing hemodynamic instability in elderly patients during the emergence period would be dependent on the presence or absence of hypertension in these patients. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0805-9Authors Masumi Miyazaki, Tomioka General Hospital Department of Anesthesia Tomioka JapanYuji Kadoi, Gunma University Hospital Department of Anesthesiology 3-39-22 Showa-Machi Maebashi, Gunma 371-8511 JapanShigeru Saito, Gunma University Hospital Department of Anesthesiology 3-39-22 Showa-Machi Maebashi, Gunma 371-8511 Japan Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 23 Journal Issue Volume 23...

Nafamostat prevents hypothermia and improves survival time after administration of lipopolysaccharide in a mouse surgical model

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:10 +0100

This study investigated the effect of systemic administration of nafamostat on thermogenic homeostasis and survival time in a mouse surgical model. Male C57Bl/6 mice were anesthetized with sevoflurane and implanted with intraabdominal telemetry transmitters. Following the surgery, three groups of animals were administered Escherichia coli LPS (0127: B8) subcutaneously at doses of 0.3, 1.0, or 3.0 mg·kg−1, and one group received saline without LPS. Three other groups received 3 mg·kg−1 LPS with 1, 3, or 10 mg·kg−1 of nafamostat. In another grou 10 mg·kg−11 of nafamostat only was administered. The times to the onset of hypothermia (body temperature < 30°C) and death were determined. L LPS significantly shortened the duration of both normothermia and survival, and nafamost...

A comparison of intra-articular magnesium and/or morphine with bupivacaine for postoperative analgesia after arthroscopic knee surgery

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:09 +0100

Conclusion Intra-articular administration of magnesium sulfate or morphine, with bupivacaine, had comparable analgesic effects in the doses used. Their combination provided more effective postoperative analgesia than either drug alone. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0822-8Authors Sherif Farouk, Ain-Shams University Department of Anaesthesiology, Faculty of Medicine Cairo EgyptAnsam Aly, Ain-Shams University Department of Physiology, Faculty of Medicine Cairo Egypt Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 23 Journal Issue Volume 23, Number 4 / November, 2009 (Source: Journal of Anesthesia)

Desflurane induces airway contraction mainly by activating transient receptor potential A1 of sensory C-fibers

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:08 +0100

Abstract We previously reported that desflurane induced airway contraction via antidromic tachykinin release from sensory C-fibers. Here, we investigated the effect of desflurane on airway lung resistance (R L) using specific receptor antagonists in C-fibers. Young guinea pigs were anesthetized and their tracheas were cannulated with an endotracheal tube via a tracheotomy. A Fleisch pneumotachograph and a differential transducer were used to monitor respiratory flow rate, intrapleural pressure, and airway pressure, and R L was calculated and recorded. A transient receptor potential A1 (TRPA1) or a transient receptor potential V1 (TRPV1) selective antagonist of sensory C-fibers, i.e., HC030031 or BCTC, was administered before the exposure to desflurane. In an additional ex...

Complexity of blood volume control system and its implications in perioperative fluid management

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:06 +0100

Abstract The use of fluid therapy attempts to optimize blood circulation by manipulating the circulating blood volume (BV). BV may be a key intermediate parameter between fluid therapy and the blood circulation, and it has been assumed that BV can be controlled by fluid therapy. In order to construct a fluid therapy protocol, firstly, we have to confirm whether BV can actually be controlled by fluid therapy. Volume kinetics studies and dilution techniques for BV measurements have enabled the actual effects of fluid management on BV to be analyzed in the presence of various pathological conditions. Various studies have shown that the effect of fluid, especially crystalloid, on BV varies considerably among individuals, and even BV values measured at a single time point vary ...

Physiology and pathophysiology at high altitude: considerations for the anesthesiologist

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:05 +0100

Abstract Millions of people live in, work in, and travel to areas of high altitude (HA). Skiers, trekkers, and mountaineers reach altitudes of 2500 m to more than 8000 m for recreation, and sudden ascents to high altitude without the benefits of acclimatization are increasingly common. HA significantly affects the human body, especially the cardiovascular and pulmonary systems, because of oxygen deprivation due to decreased ambient barometric pressure. Rapid ascents may lead to high-altitude diseases that sometimes have fatal consequences. Other factors, such as severe cold, dehydration, high winds, and intense solar radiation, increase the morbidity of patients at HA. Anesthesiologists working in or visiting areas of higher elevations should become familiar with the human...

Interactions between morphine and nitric oxide in various organs

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:05 +0100

Abstract Nitric oxide (NO) plays obligatory roles as an important intercellular messenger in the control of physiological functions and it also participates in pathophysiological interventions. This labile, gaseous molecule is also involved in mechanisms underlying the beneficial and untoward actions of therapeutic agents. Endogenous NO is formed by endothelial and neurogenic NO synthases that are constitutively present mainly in the endothelium and nervous system, respectively, and is induced by lipopolysaccharides or cytokines mainly in mitochondria, glial cells, and vascular smooth muscle cells. NO modulates the effects of morphine on processes involving the central nervous system, such as learning, memory, convulsion, thermoregulation, and penile erection. This molecul...

Effect of different anesthetic agents on oculocardiac reflex in pediatric strabismus surgery

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:05 +0100

Conclusion Propofol or remifentanil anesthesia was associated with a higher incidence of OCR during pediatric strabismus surgery than sevoflurane and desflurane anesthesia, when either ketamine or midazolam was used as an induction agent. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0801-0Authors So Ron Choi, Dong-A University Hospital Department of Anesthesiology and Pain Medicine Dongdaesin-dong, Seo-gu 602-715 Busan KoreaSang Won Park, Dong-A University Hospital Department of Anesthesiology and Pain Medicine Dongdaesin-dong, Seo-gu 602-715 Busan KoreaJong Hwan Lee, Dong-A University Hospital Department of Anesthesiology and Pain Medicine Dongdaesin-dong, Seo-gu 602-715 Busan KoreaSeung Cheol Lee, Dong-A University Hospital Department o...

Jugular bulb desaturation during off-pump coronary artery bypass surgery

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:05 +0100

Conclusion Changes in SvO2 and PaCO2 were associated with jugular bulb oxygen saturation, and SvO2 ≤ 70%, PaCO2 ≤ 40 mmHg, and CVP ≥ 8 mmHg had a significant odds ratio for jugular bulb desaturation. We suggest that achieving normal values of SvO2 , PaCO2 , and CVP may be important to prevent cerebral desaturation during OPCAB. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00540-009-0794-8Authors Norikazu Miura, National Cardiovascular Center Department of Anesthesiology 5-7-1 Fujishirodai Suita, Osaka 565-8565 JapanKenji Yoshitani, National Cardiovascular Center Department of Anesthesiology 5-7-1 Fujishirodai Suita, Osaka 565-8565 JapanMasahiko Kawaguchi, Nara Medical University Department of Anesthesiology Nara JapanMas...

Transvalvular leakage after the implantation of stented bovine pericardial valves is not only central

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:03 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0821-9Authors Takayuki Kunisawa, Asahikawa Medical College Hospital Surgical Operation Department 2-1-1-1 Midorigaoka-Higashi Asahikawa, Hokkaido 078-8510 JapanTomoki Sasakawa, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanMai Kishi, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanAkihiro Suzuki, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanOsamu Takahata, Asahikawa Medical College Department of Anesthesiology and Critical Care Medicine Asahikawa, Hokkaido JapanHiroshi Iwasaki, Asahikawa Medical College Department of Anesthesiol...

Operating table failure and suggested safety precautions

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:02 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0820-xAuthors Hiroyuki Kinoshita, Wakayama Medical University Department of Anesthesiology 811-1 Kimiidera Wakayama 641-0012 JapanMamoru Kawakami, Wakayama Medical University Department of Orthopedic Surgery Wakayama JapanToshiyuki Minonishi, Wakayama Medical University Department of Anesthesiology 811-1 Kimiidera Wakayama 641-0012 JapanYoshio Hatano, Wakayama Medical University Department of Anesthesiology 811-1 Kimiidera Wakayama 641-0012 Japan Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 23 Journal Issue Volume 23, Number 4 / November, 2009 (Source: Journal of Anesthesia)

Capnography and oxygenation via single-use bougie

Journal of Anesthesia — Tue, 17 Nov 2009 23:59:01 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00540-009-0800-1Authors Rajesh Mahajan, ASCOMS Department of Anaesthesia Jammu, J&K IndiaAnju Sharma, ASCOMS Department of Anaesthesia Jammu, J&K IndiaFirdos Shafi, ASCOMS Department of Anaesthesia Jammu, J&K India Journal Journal of AnesthesiaOnline ISSN 1438-8359Print ISSN 0913-8668 Journal Volume Volume 23 Journal Issue Volume 23, Number 4 / November, 2009 (Source: Journal of Anesthesia)

High-Dose Capsaicin Patch Approved

MedPage Today Pain Management — Tue, 17 Nov 2009 20:36:08 +0100

The FDA has approved a dermal patch delivering 8% capsaicin, tradenamed Qutenza, for postherpetic neuralgia. (Source: MedPage Today Pain Management)

Multiple Choice Questions

Continuing Education in Anaesthesia, Critical Care — Tue, 17 Nov 2009 14:32:52 +0100

(Source: Continuing Education in Anaesthesia, Critical Care)

Paediatric diabetic ketoacidosis

Continuing Education in Anaesthesia, Critical Care — Tue, 17 Nov 2009 14:32:52 +0100

(Source: Continuing Education in Anaesthesia, Critical Care)

Cardiomyopathy and anaesthesia

Continuing Education in Anaesthesia, Critical Care — Tue, 17 Nov 2009 14:32:52 +0100

(Source: Continuing Education in Anaesthesia, Critical Care)

Principles of antibiotic therapy

Continuing Education in Anaesthesia, Critical Care — Tue, 17 Nov 2009 14:32:52 +0100

(Source: Continuing Education in Anaesthesia, Critical Care)

Intensive care unit environment

Continuing Education in Anaesthesia, Critical Care — Tue, 17 Nov 2009 14:32:52 +0100

(Source: Continuing Education in Anaesthesia, Critical Care)

Practical gastric physiology

Continuing Education in Anaesthesia, Critical Care — Tue, 17 Nov 2009 14:32:52 +0100

(Source: Continuing Education in Anaesthesia, Critical Care)

Need To Address Hemophilia In Developing World Highlighted By Research

Pain / Anesthetics News From Medical News Today — Tue, 17 Nov 2009 13:00:00 +0100

When modern medicine finds a way to treat a medical condition, people often think that the problem is solved. But we also have to find ways to get that treatment into the hands of those who need it. For example, new research from North Carolina State University shows that much more needs to be done to help get existing treatment to hemophilia patients in the developing world, and that the current lack of treatment there is costing lives. (Source: Pain / Anesthetics News From Medical News Today)

BioElectronics Technology More Effective Than Extra Strength Tylenol(R) In Reducing Muscle Soreness In Clinical Study

Pain / Anesthetics News From Medical News Today — Tue, 17 Nov 2009 11:00:00 +0100

BioElectronics Corp. (PINKSHEETS: BIEL) announced that its disposable drug-free anti-inflammatory devices proved to be significantly more effective than acetaminophen in a clinical study of Delayed Onset Muscle Soreness (DOMS). The study tested the effectiveness of ActiPatch® Therapy versus acetaminophen in reducing the pain of Delayed Onset Muscle Soreness, a condition associated with increased physical exertion. (Source: Pain / Anesthetics News From Medical News Today)

Myoguide EMG Amplifier/Stimulator from Intronix Tech

Medgadget Anesthesiology — Tue, 17 Nov 2009 08:11:56 +0100

This week at Medica 2009 in Düsseldorf, a Canadian firm Intronix Technologies Corp is unveiling a new electrophysiological amplifier designed to identify where to place neuromodulator injections for muscle disorders, pain management, and cosmetic applications. The Myoguide is essentially a single-channel EMG amplifier with stimulator that sports a signal display with analysis and EMG audio, so a clinician can locate areas of hyperactive muscle fibers for treatment. Published features of the product: Ability to see and hear EMG signals, display real time analyzed EMG, and stimulation location capability. There are numerous advantages to embracing Myoguide for EMG guidance: Conveniently integrated into one handheld package Helps identify involved muscles i.e. pre-injection physiopat...

Recovering With Four-Legged Friends Requires Less Pain Medication

Pain / Anesthetics News From Medical News Today — Tue, 17 Nov 2009 08:00:00 +0100

CKS topic review: Low back pain

NeLM - Pain control — Tue, 17 Nov 2009 00:00:00 +0100

Source: CKS Area: Evidence > Guidelines This Topic Review from the Clinical Knowledge Service (CKS) covers the management of acute and chronic low back pain. It covers: . the management in primary care of non-specific low back pain without radiculopathy (sciatica) that has lasted less than about 6 weeks, and . the management in primary care of non-specific low back pain without radiculopathy (sciatica) that has lasted more than about 6 weeks. (Source: NeLM - Pain control)

CKS topic review: Sciatica (lumbar radiculopathy)

NeLM - Pain control — Tue, 17 Nov 2009 00:00:00 +0100

Source: CKS Area: Evidence > Guidelines This Topic Review from the Clinical Knowledge Service (CKS) covers the symptomatic management of sciatica (lumbar radiculopathy) in primary care. It focuses on the diagnostic and pharmacologic interventions that are available for primary healthcare practitioners in the NHS to recommend or prescribe. (Source: NeLM - Pain control)

Appropriate laryngeal mask airway size for overweight and underweight children

Anaesthesia — Tue, 17 Nov 2009 00:00:00 +0100

In conclusion, laryngeal mask airway sizing according to the manufacturer's weight-based recommendation is to be preferred in overweight children, but laryngeal mask airway size by an ideal weight estimated from the patient's age is a better choice in underweight children. (Source: Anaesthesia)

Radiation exposure to anaesthetists during interventional radiology*

Anaesthesia — Tue, 17 Nov 2009 00:00:00 +0100

This prospective study determined the level of radiation exposure of anaesthetists during interventional radiological procedures performed in the endoscopic retrograde cholangiopancreatography suite and cardiac catheterisation laboratory and compared it with the current safety guidelines. Anaesthetists wore area-specific lithium fluoride thermo-luminescent dosimeter badges at standardised positions. A total of 1344 procedures were performed over a 6-month period. Anaesthetists were involved in 39/645 (6.0%) procedures associated with ionisation radiation in the endoscopic retrograde cholangiopancreatography suite and 86/699 (12.3%) in the cardiac catheterisation laboratory. The mean (SD) duration of endoscopic retrograde cholangiopancreatography was 54.8 (29.1) min compared with 67.9 (42.8...

American Academy of Pain Medicine Ethics Council Statement on Conflicts of Interest: Interaction between Physicians and Industry in Pain Medicine

Pain Medicine — Tue, 17 Nov 2009 00:00:00 +0100

New concerns have appeared recently in regard to the increasingly complex relationship between physicians and the pharmaceutical or devices industry. The American Academy of Pain Medicine (AAPM) Council on Ethics has discussed the issue, especially focusing on the implication of conflicts of interest for Pain Medicine, and published several recommendations for specific professional situations that the Pain Medicine physician may encounter. (Source: Pain Medicine)

Caudal analgesia for prostate biopsy

Acta Anaesthesiologica Scandinavica — Tue, 17 Nov 2009 00:00:00 +0100

Although various local anesthesia techniques have been suggested to decrease pain and discomfort during a transrectal ultrasound (TRUS)-guided prostate biopsy, the best method has not yet been defined. The present prospective, double-blind, randomized study aims to investigate the clinical efficacy of 'walking' caudal block compared with an intrarectal lidocaine gel for this procedure. One hundred patients were randomly assigned to two groups. In the lidocaine gel group, 10 ml of gel containing 2% lidocaine was given intrarectally. In the caudal group, 20 ml 0.1% bupivacaine with 75 [mu]g fentanyl was injected. Pain scores, anal sphincter tone and patient satisfaction were evaluated. The pain scores were significantly lower in the caudal group at all stages. Verbal rating scores (scale 1[n...

Analgesia after pediatric cardiac surgery

Pediatric Anesthesia — Tue, 17 Nov 2009 00:00:00 +0100

(Source: Pediatric Anesthesia)

Proceedings of the 9th International Neuromuscular Meeting: Munich, Germany * July 1-4, 2009

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

Oxford Handbook of Critical Care

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

Cancer Pain (Clinical Pain Management)

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

The Structured Oral Examination in Clinical Anaesthesia: Practice Examination Papers

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

Pain Management from Basics to Clinical Practice

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

A unique effect of propofol on the jaw opening reflex

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

One-lung ventilation using ProsealTM laryngeal mask airway and Arndt endobronchial blocker in paediatric scoliosis surgery

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

Continuous i.v. infusion of remifentanil and intraosseous lidocaine provide better analgesia than intraosseous lidocaine alone in percutaneous vertebroplasty of osteoporotic fractures

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

Ultrasound-guided transversus abdominis plane block

British Journal of Anaesthesia — Mon, 16 Nov 2009 21:39:46 +0100

(Source: British Journal of Anaesthesia)

Therapeutic dose of acetaminophen may induce fulminant hepatitis in the presence of risk factors: a report of two cases