Association between postoperative shoulder pain and left-side laparoscopic urologic surgery: a single-center retrospective cohort study
ConclusionThe left operative side is associated with an increased incidence of postoperative shoulder pain after urologic laparoscopic surgery performed in the lateral recumbent position. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 20, 2024 Category: Anesthesiology Source Type: research

Machine learning in the prediction and detection of new-onset atrial fibrillation in ICU: a systematic review
This study aims to provide a comprehensive literature review on the application of machine learning (ML) algorithms for predicting and detecting new-onset atrial fibrillation (NOAF) in ICU-treated patients. Following the PRISMA recommendations, this systematic review outlines ML models employed in the prediction and detection of NOAF in ICU patients and compares the ML-based approach with clinical-based methods. Inclusion criteria comprised randomized controlled trials (RCTs), observational studies, cohort studies, and case –control studies. A total of five articles published between November 2020 and April 2023 were ide...
Source: Journal of Anesthesia - April 9, 2024 Category: Anesthesiology Source Type: research

Association between muscular tissue desaturation and acute kidney injury in older patients undergoing major abdominal surgery: a prospective cohort study
ConclusionMuscular desaturation was associated with postoperative AKI in older patients undergoing major abdominal surgery which may serve as a predictor of AKI. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 6, 2024 Category: Anesthesiology Source Type: research

Effects of palliative intrathecal analgesia on patients with refractory cancer bone pain
This study examined the effects of intrathecal analgesia (ITA) using an extracorporeal pump with a subcutaneous port system in cancer patients with bone metastasis. Among the patients who died of cancer with bone metastasis at the palliative care unit of our institution, 11 who received ITA were selected. Changes in pain, opioid doses, the palliative prognostic index (PPI), and Eastern Cooperative Oncology Group Performance Scale  after ITA were assessed. Pain, opioid doses, and PPI decreased after ITA (P = 0.002, 0.002, and 0.017). ITA for cancer patients with increased PPI due to refractory cancer bone pain decreas...
Source: Journal of Anesthesia - April 3, 2024 Category: Anesthesiology Source Type: research

Perinatal outcomes comparison between neuraxial and general anesthesia in pregnant women with placenta accreta spectrum: a multicenter retrospective study
ConclusionIn comparison to GA, cesarean delivery with NA in PAS patients appears to be associated with reduced intraoperative blood loss, PRBC transfusion, operating duration, and postoperative hospital stay. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

Association of preoperative neutrophil –lymphocyte ratios with the emergence delirium in pediatric patients after tonsillectomy and adenoidectomy: an observational prospective study
ConclusionsPreoperative NLR level and postoperative pain were independent risk factors for ED in pediatric patients undergoing T&A. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

Neurosteroids and their potential as a safer class of general anesthetics
AbstractNeurosteroids (NS) are a class of steroids that are synthesized within the central nervous system (CNS). Various NS can either enhance or inhibit CNS excitability and they play important biological roles in brain development, brain function and as mediators of mood. One class of NS, 3 α-hydroxy-pregnane steroids such as allopregnanolone (AlloP) or pregnanolone (Preg), inhibits neuronal excitability; these endogenous NS and their analogues have been therapeutically applied as anti-depressants, anti-epileptics and general anesthetics. While NS have many favorable properties as ane sthetics (e.g. rapid onset, rapid r...
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

Targeted local anesthesia: a novel slow-release Fe3O4 –lidocaine–PLGA microsphere endowed with a magnetic targeting function
ConclusionMagnetically responsive lidocaine microspheres can prolong analgesia by slowly releasing lidocaine, which can be immobilized around the nerve by a magnetic field on the body surface, avoiding premature diffusion of the microspheres to surrounding tissues and improving drug targeting. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

Effect of epidural analgesia on cervical ripening using dinoprostone vaginal inserts
ConclusionEpidural analgesia as labor relaxant adversely affected the progression of uterine cervical ripening when dinoprostone vaginal inserts were used, whereas it did not affect cervical ripening when a mechanical cervical dilatation balloon was used. The present results are significant for choosing the appropriate ripening method. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

Association between smoking and central sensitization pain: a web-based cross-sectional study
ConclusionSmoking is an independent risk factor for CSS. This indicates that smoking may be an important factor in the management of central pain disorders. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

Urine collection using a 3-way urethral catheter for PuO2
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research

General anesthesia at cesarean section for placenta previa
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - April 1, 2024 Category: Anesthesiology Source Type: research