In Reply

Drs. Fan and Faraday write with concerns about the Vasopressin and Cardiac Surgery Trial1 and my editorial2; I agree with some, but not all, of their points. My first point of agreement is the criticism that clinical treatment was not protocolized; however, in most randomized controlled trials, nonrandomized care is most often not protocolized for simple logistical reasons. The point is that nonprotocolized care was used in both masked arms of the Vasopressin and Cardiac Surgery Trial. Greater use of dobutamine in the norepinephrine group in the Vasopressin and Cardiac Surgery Trial could have been because vasopressin had less negative inotropic effects than norepinephrine, as vasopressin has some vasodilation action due to release of nitric oxide.3,4
Source: Anesthesiology - Category: Anesthesiology Source Type: research

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Authors: Chu C, Yi X, Sun J, Zhang X, Liu S, Zhang N, Wang J Abstract Anesthetic effects and safety of dexmedetomidine and tramadol, respectively, combined with propofol in ultrasound-guided percutaneous microwave coagulation therapy (PMCT) for hepatocellular carcinoma (HCC) were compared. One hundred and seventy-six patients with HCC, treated by ultrasound-guided PMCT in The Affiliated Hospital of Qingdao University from January 2014 to December 2016, were retrospectively analyzed and divided into two groups: dexmedetomidine group (anesthetized with dexmedetomidine combined with propofol, n=91) and tramadol group ...
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Publication date: Available online 13 September 2019Source: Saudi Journal of Biological SciencesAuthor(s): Lixia Zhang, Gang Wang, Jianhui Gan, Zhongci Dou, Liying BaiAbstractObjectiveTo elaborate the analgesic efficiency of midazolam-induced anesthesia in different doses on the patients following the thoracoscopic resection of lung cancer.MethodsNinety patients undergoing thoracoscopic resection of lung cancer between August 2017 and July 2018 were randomized in the observation group (n=45) and the control group (n=45). Patients in observation group underwent the anesthesia induced by 0.1 mg/kg midazolam, while for the co...
Source: Saudi Journal of Biological Sciences - Category: Biology Source Type: research
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Source: Epilepsy and Behavior - Category: Neurology Source Type: research
ConclusionsPatients with high ASA score, low ALB level or age>70 years were at high risk of ERAS failure in pancreaticoduodenectomy. These preoperative demographic and clinical characteristics are important determinants to obtain successful postoperative recovery in ERAS program.
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Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
ConclusionsTransferred patients with subarachnoid haemorrhage had lower survival rates. Septic shock and hypernatraemia were important complications among critically ill patients with subarachnoid haemorrhage and were associated increased mortality.ResumoJustificativa e objetivosA hemorragia subaracnoidea é uma causa importante de morbidade e mortalidade. O objetivo do estudo foi determinar os preditivos de mortalidade entre os pacientes com hemorragia subaracnoidea internados em uma Unidade de Terapia Intensiva.MétodosEstudo retrospectivo de pacientes com hemorragia subaracnoidea internados na Unidade de Ter...
Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
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Source: Brazilian Journal of Anesthesiology - Category: Anesthesiology Source Type: research
Publication date: Available online 13 September 2019Source: Advances in AnesthesiaAuthor(s): Ki Jinn Chin, Amit Pawa, Mauricio Forero, Sanjib Adhikary
Source: Advances in Anesthesia - Category: Anesthesiology Source Type: research
Publication date: Available online 13 September 2019Source: Advances in AnesthesiaAuthor(s): Allan F. Simpao, Mohamed A. Rehman
Source: Advances in Anesthesia - Category: Anesthesiology Source Type: research
Publication date: Available online 13 September 2019Source: Advances in AnesthesiaAuthor(s): Richard P. Dutton, Robert Isaak, Brian J. Cammarata, David A. Zvara
Source: Advances in Anesthesia - Category: Anesthesiology Source Type: research
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