Noninvasive Continuous Blood Pressure Monitoring: Are the Intraoperative Episodes of Hypotension in Clear Sight?
PMID: 30399020 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 1, 2018 Category: Anesthesiology Authors: Lakhal K Tags: Anesth Analg Source Type: research

Serum Concentrations of Lidocaine During Bariatric Surgery.
te; T Abstract Lidocaine has been shown to be clinically beneficial during bariatric surgery. However, information about lidocaine serum concentrations in this setting is scarce. This prospective clinical trial included 42 obese patients undergoing laparoscopic bariatric surgery. They received lidocaine based on adjusted body weight. Administration began with a 1.5 mg·kg bolus of intravenous lidocaine followed by a continuous infusion of 2 mg·kg·hour. After skin closure, administration was decreased to 1 mg·kg·hour until discharge from the recovery room. No serum concentrations o...
Source: Anesthesia and Analgesia - November 1, 2018 Category: Anesthesiology Authors: Carabalona JF, Delwarde B, Duclos A, Le Goff MC, Moulsma M, Citterio-Quentin A, Bouffard Y, Rimmelé T Tags: Anesth Analg Source Type: research

Comparison of Invasive and Noninvasive Blood Pressure Measurements for Assessing Signal Complexity and Surgical Risk in Cardiac Surgical Patients.
The objectives of present study were to: (1) determine whether noninvasive beat-to-beat ABP measurements also exhibit a complex temporal structure; (2) compare the complexity of noninvasive versus invasive ABP time series; and (3) quantify the relationship between the complexity of noninvasive ABP time series and the STS risk scores. METHODS: Fifteen adult patients undergoing coronary artery bypass graft, valve, or combined coronary artery bypass graft/valve surgery ;were enrolled in this observational study. Preoperative ABP waveforms were simultaneously recorded for ≥15 minutes using a radial artery catheter (inv...
Source: Anesthesia and Analgesia - November 1, 2018 Category: Anesthesiology Authors: Gibson LE, Henriques TS, Costa MD, Davis RB, Mittleman MA, Mathur P, Subramaniam B Tags: Anesth Analg Source Type: research

In Response.
PMID: 30399023 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 1, 2018 Category: Anesthesiology Authors: Maheshwari K, Makarova N, Sessler DI Tags: Anesth Analg Source Type: research

Balancing Act: Multimodal General Anesthesia.
PMID: 30335652 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Nathan N Tags: Anesth Analg Source Type: research

Protecting the Beans: Perioperative Acute Kidney injury.
PMID: 30335653 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Wanderer JP, Nathan N Tags: Anesth Analg Source Type: research

"Randomization at the Expense of Relevance." L. J. Cronbach and Intravenous Acetaminophen as an Opioid-Sparing Adjuvant.
"Randomization at the Expense of Relevance." L. J. Cronbach and Intravenous Acetaminophen as an Opioid-Sparing Adjuvant. Anesth Analg. 2018 Nov;127(5):1099-1100 Authors: Nelson AM, Wu CL PMID: 30335654 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Nelson AM, Wu CL Tags: Anesth Analg Source Type: research

Preoperative Intravenous Iron to Enhance a Blood Management Program: Is It All in "Vein"?
Preoperative Intravenous Iron to Enhance a Blood Management Program: Is It All in "Vein"? Anesth Analg. 2018 Nov;127(5):1101-1103 Authors: Simmons JW PMID: 30335655 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Simmons JW Tags: Anesth Analg Source Type: research

Multimodal General Anesthesia: A Principled Approach to Producing the Drug-Induced, Reversible Coma of Anesthesia.
PMID: 30335656 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Egan TD, Svensen CH Tags: Anesth Analg Source Type: research

Why Cost-Effectiveness?
PMID: 30335657 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Bartha E Tags: Anesth Analg Source Type: research

Intraoperative Oliguria: Physiological or Beginning Acute Kidney Injury?
h M PMID: 30335658 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Authors: Küllmar M, Meersch M Tags: Anesth Analg Source Type: research

Improvement of the Elevated Tryptase Criterion to Discriminate IgE- From Non-IgE-Mediated Allergic Reactions: Erratum.
Authors: PMID: 30335659 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Tags: Anesth Analg Source Type: research

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Postoperative Gastrointestinal Dysfunction Within an Enhanced Recovery Pathway for Elective Colorectal Surgery: Erratum.
Authors: PMID: 30335660 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Tags: Anesth Analg Source Type: research

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Patient-Reported Outcomes in an Enhanced Recovery Pathway: Erratum.
Authors: PMID: 30335661 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Tags: Anesth Analg Source Type: research

American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway: Erratum.
Authors: PMID: 30335662 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Tags: Anesth Analg Source Type: research

Safe Surgery Globally By 2030: The Essential Role Of Anesthesia, The View From Obstetrics: Erratum.
Authors: PMID: 30335663 [PubMed - in process] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 20, 2018 Category: Anesthesiology Tags: Anesth Analg Source Type: research

Recommendations for the Nomenclature of Cognitive Change Associated With Anaesthesia and Surgery-2018.
Abstract Cognitive change affecting patients after anaesthesia and surgery has been recognised for more than 100 yr. Research into cognitive change after anaesthesia and surgery accelerated in the 1980s when multiple studies utilised detailed neuropsychological testing for assessment of cognitive change after cardiac surgery. This body of work consistently documented decline in cognitive function in elderly patients after anaesthesia and surgery, and cognitive changes have been identified up to 7.5 yr afterwards. Importantly, other studies have identified that the incidence of cognitive change is similar after non...
Source: Anesthesia and Analgesia - October 16, 2018 Category: Anesthesiology Authors: Evered L, Silbert B, Knopman DS, Scott DA, DeKosky ST, Rasmussen LS, Oh ES, Crosby G, Berger M, Eckenhoff RG, Nomenclature Consensus Working Group Tags: Anesth Analg Source Type: research

Effect of Intravenous Lidocaine, Dexamethasone, and Their Combination on Postoperative Sore Throat: A Randomized Controlled Trial.
Abstract BACKGROUND: Postoperative sore throat (POST), hoarseness, and cough after tracheal intubation are not uncommon. Although both lidocaine and dexamethasone have been used independently to reduce these events, there is no study assessing the combined effects of lidocaine and dexamethasone. METHODS: This prospective, double-blind, randomized controlled study enrolled 180 patients requiring general anesthesia with endotracheal intubation for>90 minutes. They received 1 of the 4 intravenous agents just before induction of anesthesia: lidocaine (1.5 mg/kg) in group L, dexamethasone (8 mg) in group D, lid...
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Subedi A, Tripathi M, Pokharel K, Khatiwada S Tags: Anesth Analg Source Type: research

Clinical Use of the Pictorial Baxter Retching Faces Scale for the Measurement of Postoperative Nausea in Children.
Abstract BACKGROUND: Because nausea is difficult to evaluate in children, vomiting is used as the objective clinical end point in managing pediatric postoperative nausea and vomiting and postdischarge nausea and vomiting (PDNV). The recently developed pictorial Baxter Retching Faces (BARF) scale has content, construct, and convergent validity in quantifying pediatric nausea intensity. We determined its clinical usefulness in assessing pediatric postoperative nausea and vomiting and PDNV, establishing the lowest age associated with consistently reliable use, the score at which patients identify a need for therapy, ...
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Watcha MF, Lee AD, Medellin E, Felberg MT, Bidani SA Tags: Anesth Analg Source Type: research

Factor XI Deficiency: The Key Is Individualization.
PMID: 30320643 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Beilin Y, Katz DJ Tags: Anesth Analg Source Type: research

Prospective, Randomized Comparison of the i-gel and the Self-Pressurized air-Q Intubating Laryngeal Airway in Elderly Anesthetized Patients.
Abstract BACKGROUND: Age-related changes in upper airway anatomy may affect the overall performance of supraglottic airways significantly. The clinical performance of the i-gel and the self-pressurized air-Q intubating laryngeal airways with noninflatable cuffs for elderly populations remains unknown, unlike in children. Thus, we performed a prospective, randomized comparison of these 2 supraglottic airways in elderly patients undergoing general anesthesia. METHODS: We recruited 100 patients, 65-90 years of age, who were scheduled for elective surgery under general anesthesia with muscle relaxation. The enrol...
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Lee JS, Kim DH, Choi SH, Ha SH, Kim S, Kim MS Tags: Anesth Analg Source Type: research

Concepts for the Development of Anesthesia-Related Patient Decision Aids.
Abstract Patient decision aids are educational tools used by health care providers to assist patients in choosing their treatment and care. The use of anesthesia-related patient decision aids can help practitioners provide patient-centered care by facilitating shared decision-making. The benefits of these aids have been well documented, yet a structured approach for developing patient decision aids in anesthesia has not been well established. Educating patients on various anesthesia-related options is paramount in their decision-making, yet accessible and validated resources are limited. In addition, many limitati...
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Urman RD, Southerland WA, Shapiro FE, Joshi GP Tags: Anesth Analg Source Type: research

Attenuation of Unevoked Mechanical and Cold Pain Hypersensitivities Associated With Experimental Neuropathy in Mice by Angiotensin II Type-2 Receptor Antagonism.
This study aimed to investigate whether AT2R antagonism could provide effective analgesia in voluntary measures of unevoked/ongoing pain-like behaviors in mice with experimental neuropathy. Mice were subjected to spared nerve injury to induce neuropathy and tested in 2 operant behavioral tests to measure ongoing mechanical and cold pain hypersensitivities. Systemic administration of an AT2R antagonist provided effective analgesia in these behavioral measures of mechanical and cold pain in spared nerve injury mice, suggesting its effectiveness in neuropathic pain. PMID: 30320646 [PubMed - as supplied by publisher] (Sou...
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Shepherd AJ, Mohapatra DP Tags: Anesth Analg Source Type: research

Anesthesia in Enhanced Recovery Pathways for Hip and Knee Arthroplasty: Where Is the Evidence?
PMID: 30320647 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Kehlet H, Joshi GP Tags: Anesth Analg Source Type: research

In Response.
PMID: 30320648 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Soffin EM, Wick E, Kates S, Wu CL Tags: Anesth Analg Source Type: research

Prohemostatic Activity of Factor X in Combination With Activated Factor VII in Dilutional Coagulopathy.
CONCLUSIONS: The combination of FVIIa and FX improved TG more efficiently than rFVIIa alone or plasma in dilutional coagulopathy models. The required FVIIa dose in FVIIa/FX was considerably lower than those reported during bypassing therapy in hemophilia patients (1.4-2.8 μg/mL). The combination of plasma could restore coagulation more efficiently compared to FVIIa/FX alone. Lesser FVIIa requirement to exert procoagulant activity may be favorable in terms of reducing systemic thromboembolic complications. PMID: 30320649 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Takeshita S, Ogawa S, Nakayama Y, Mukai N, Nakajima Y, Mizobe T, Sawa T, Tanaka KA Tags: Anesth Analg Source Type: research

Electronic Audit and Feedback With Positive Rewards Improve Anesthesia Provider Compliance With a Barcode-Based Drug Safety System.
Abstract BACKGROUND: We implemented a previously described barcode-based drug safety system in all of our anesthetizing locations. Providers were instructed to scan the barcode on syringes using our Anesthesia Information Management System before drug administration, but the rate of provider adherence was low. We studied an implementation intervention intended to increase the rate of scanning. METHODS: Using our Anesthesia Information Management System and Smart Anesthesia Manager software, we quantified syringe drug administrations by anesthesia providers with and without barcode scanning. We use an anesthes...
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Bowdle TA, Jelacic S, Nair B, Zucker F, Bussey LS, Togashi K, Yang JT, Lang J Tags: Anesth Analg Source Type: research

Rapid Titration of Intravenous Treprostinil to Treat Severe Pulmonary Arterial Hypertension Postpartum: A Retrospective Observational Case Series Study.
CONCLUSIONS: Our experience suggested that rapid uptitration of intravenous treprostinil combined with oral sildenafil in the postpartum period may be a safe and effective approach for these very sick parturients with severe pulmonary hypertension. PMID: 30320651 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Wang T, Lu J, Li Q, Chen Y, Ye Q, Gao J, Yang D, Zhao L, Huang J, Zhang J Tags: Anesth Analg Source Type: research

In Response.
PMID: 30320652 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 12, 2018 Category: Anesthesiology Authors: Shander A, Palleschi G, Shore-Lesserson L Tags: Anesth Analg Source Type: research

Preclinical Evaluation of Ropivacaine in 2 Liposomal Modified Systems.
, Tofoli GR Abstract BACKGROUND: Our research group has recently developed liposomes with ionic gradient and in a combined manner as donor and acceptor vesicles containing ropivacaine (RVC; at 2% or 0.75%). Looking for applications of such novel formulations for postoperative pain control, we evaluated the duration of anesthesia, pharmacokinetics, and tissue reaction evoked by these new RVC formulations. METHODS: The formulations used in this study were large multivesicular vesicle (LMVV) containing sodium acetate buffer at pH 5.5 or in a combined manner with LMVV as donor and large unilamellar vesicles (LUVs...
Source: Anesthesia and Analgesia - October 9, 2018 Category: Anesthesiology Authors: Rennó CC, Papini JZB, Cereda CMS, Martinez E, Montalli VA, de Paula E, Pedrazzoli Júnior J, Calafatti SA, Tofoli GR Tags: Anesth Analg Source Type: research

Dexamethasone Is Superior to Dexmedetomidine as a Perineural Adjunct for Supraclavicular Brachial Plexus Block: Systematic Review and Indirect Meta-analysis.
CONCLUSIONS: There is low-quality evidence that both adjuncts similarly prolong sensory/motor blockade. However, dexamethasone may be a superior adjunct; it improves the duration of analgesia by a statistically significant increase, albeit clinically modest, equivalent to 2.5 hours more than dexmedetomidine, without the risks of hypotension or sedation. Future direct comparisons are encouraged. PMID: 30303864 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 9, 2018 Category: Anesthesiology Authors: Albrecht E, Vorobeichik L, Jacot-Guillarmod A, Fournier N, Abdallah FW Tags: Anesth Analg Source Type: research

Airway Management and Clinical Outcomes in External Laryngeal Trauma: A Case Series.
Abstract External laryngeal trauma is a rare but potentially fatal event that presents several management challenges. This retrospective observational case series conducted at a level-1 trauma center over a 12-year period consists of 62 cases of acute external laryngeal trauma. Patient demographics, mode and mechanisms of injury, presenting signs and symptoms, initial imaging results, airway management, time to surgical management, and 6-month outcomes including airway status, deglutition status, and voice quality were investigated. No difference was found in mortality or 6-month outcomes between patients requirin...
Source: Anesthesia and Analgesia - October 9, 2018 Category: Anesthesiology Authors: DePorre AR, Schechtman SA, Hogikyan ND, Thompson A, Westman AJ, Sargent RA, Rosko AJ, Bauer A, Shanks AM, Kupfer RA, Healy DW Tags: Anesth Analg Source Type: research

Labor Pain's Relationship With Depression: From Whence, and What Shall be Done?
PMID: 30303866 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 9, 2018 Category: Anesthesiology Authors: Lim G Tags: Anesth Analg Source Type: research

Propofol Regulates Neural Stem Cell Proliferation and Differentiation via Calmodulin-Dependent Protein Kinase II/AMPK/ATF5 Signaling Axis.
CONCLUSIONS: The results from study demonstrated that propofol inhibits the proliferation, differentiation, and migration of NSCs, and these effects are partially mediated by CaMkII/pS485/AMPK/ATF5 signaling pathway. PMID: 30303867 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 9, 2018 Category: Anesthesiology Authors: Liang C, Du F, Wang J, Cang J, Xue Z Tags: Anesth Analg Source Type: research

Best Practices for Postoperative Brain Health: Recommendations From the Fifth International Perioperative Neurotoxicity Working Group.
The objective of this workshop was to discuss and develop consensus solutions to improve patient management and outcomes and to discuss what older adults should be told (and by whom) about postoperative brain health risks. Thus, the workshop was provider and patient oriented as well as solution focused rather than etiology focused. For those areas in which we determined that there were limited evidence-based recommendations, we identified knowledge gaps and the types of scientific knowledge and investigations needed to direct future best practice. Because concerns about perioperative neurocognitive injury in pediatric pati...
Source: Anesthesia and Analgesia - October 9, 2018 Category: Anesthesiology Authors: Berger M, Schenning KJ, Brown CH, Deiner SG, Whittington RA, Eckenhoff RG, Angst MS, Avramescu S, Bekker A, Brzezinski M, Crosby G, Culley DJ, Eckenhoff M, Eriksson LI, Evered L, Ibinson J, Kline RP, Kofke A, Ma D, Mathew JP, Maze M, Orser BA, Price CC, S Tags: Anesth Analg Source Type: research

Effect of Apneic Oxygenation on Tracheal Oxygen Levels, Tracheal Pressure, and Carbon Dioxide Accumulation: A Randomized, Controlled Trial of Buccal Oxygen Administration.
Abstract BACKGROUND: Apneic oxygenation via the oral route using a buccal device extends the safe apnea time in most but not all obese patients. Apneic oxygenation techniques are most effective when tracheal oxygen concentrations are maintained>90%. It remains unclear whether buccal oxygen administration consistently achieves this goal and whether significant risks of hypercarbia or barotrauma exist. METHODS: We conducted a randomized trial of buccal or sham oxygenation in healthy, nonobese patients (n = 20), using prolonged laryngoscopy to maintain apnea with a patent airway until arterial oxygen saturati...
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Toner AJ, Douglas SG, Bailey MA, Avis HJ, Pillai AV, Phillips M, Heard A Tags: Anesth Analg Source Type: research

Contemporary Academic Contributions From Anesthesiologists in Adult Critical Care Medicine.
CONCLUSIONS: When compared to non-US anesthesiologists, US anesthesiologists had more CCM publications in anesthesiology journals and fewer publications in multidisciplinary CCM journals. The number of anesthesiology CCM publications decreased for both US and non-US anesthesiologists throughout the study period. PMID: 30300172 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Kiefer JJ, Cartron A, Galvagno S, Mazzeffi MA Tags: Anesth Analg Source Type: research

Mild Perioperative Hypothermia and Myocardial Injury: A Retrospective Cohort Analysis.
Abstract BACKGROUND: We tested the primary hypothesis that final intraoperative esophageal temperature is associated with increased odds of a composite of in-hospital all-cause mortality and myocardial injury within 7 days after noncardiac surgery. Secondary exposures were time-weighted average intraoperative temperature and area
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Schacham YN, Cohen B, Bajracharya GR, Walters M, Zimmerman N, Mao G, Tanios MA, Sessler DI Tags: Anesth Analg Source Type: research

Intensive Care Unit Readmission After Left Ventricular Assist Device Implantation: Causes, Associated Factors, and Association With Patient Mortality.
Abstract BACKGROUND: Previous studies on readmissions after left ventricular assist device (LVAD) implantation have focused on hospital readmissions after dismissal from the index hospitalization. Because few data exist, the purpose of this study was to examine intensive care unit (ICU) readmissions in patients during their initial hospitalization for LVAD implantation to determine reasons for, factors associated with, and incidence of mortality after ICU readmission. METHODS: A retrospective analysis was performed from February 2007 to March 2015 of patients at our institution receiving first-time LVAD impla...
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Hui J, Mauermann WJ, Stulak JM, Hanson AC, Maltais S, Barbara DW Tags: Anesth Analg Source Type: research

Recognizing the Chinese Pioneer of Neuraxial Labor Analgesia: Dr Guang-Bo Zhang and Her Unpublished Manuscript From More Than a Half-Century Ago.
Abstract Dr Guang-Bo Zhang was the first anesthesiologist to administer and study the effects of labor epidural analgesia in China. Between September 1963 and March 1964, she conducted an observational study evaluating the effects of neuraxial analgesia for laboring women. She presented her research and prepared an article; however, due to the Great Proletarian Cultural Revolution (Cultural Revolution), which began in 1966, her work went unpublished. She successfully preserved her unpublished article, notes, and slides throughout the Cultural Revolution by hiding them in a countryside location near Beijing. These ...
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Cai ZY, Hu LQ, Stellaccio FS, Wang DX Tags: Anesth Analg Source Type: research

Emergency Department Airway Management Responsibilities in the United States.
CONCLUSIONS: The majority of institutions have EM physicians managing their airways in both emergency rooms and trauma bays. This may support the observations of an increased percentage of airway management in the emergency room and trauma bay setting by EM physicians compared to 20 years ago. PMID: 30300176 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Chiaghana C, Giordano C, Cobb D, Vasilopoulos T, Tighe PJ, Sappenfield JW Tags: Anesth Analg Source Type: research

Fluid Challenge During Anesthesia: A Systematic Review and Meta-analysis.
CONCLUSIONS: The key components of FC including type of fluid (colloids, often 6% HES), volume (500 and 250 mL in non-GDT studies and GDT studies, respectively), and time of infusion (10 minutes) are quite standardized in operating room. However, pooled sensitivity and specificity of both PPV and SVV are limited. PMID: 30300177 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Messina A, Pelaia C, Bruni A, Garofalo E, Bonicolini E, Longhini F, Dellara E, Saderi L, Romagnoli S, Sotgiu G, Cecconi M, Navalesi P Tags: Anesth Analg Source Type: research

Regional Analgesia Added to General Anesthesia Compared With General Anesthesia Plus Systemic Analgesia for Cardiac Surgery in Children: A Systematic Review and Meta-analysis of Randomized Clinical Trials.
Abstract BACKGROUND: The aim of this systematic review was to compare the effects of regional analgesic (RA) techniques with systemic analgesia on postoperative pain, nausea and vomiting, resources utilization, reoperation, death, and complications of the analgesic techniques in children undergoing cardiac surgery. METHODS: A search was done in May 2018 in PubMed, Embase, and the Cochrane Central Register of Controlled Trials for randomized controlled trials comparing RA techniques with systemic analgesia. Risks of bias of included trials were judged with the Cochrane tool. Data were analyzed with fixed- (I
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Monahan A, Guay J, Hajduk J, Suresh S Tags: Anesth Analg Source Type: research

The Importance of Differentiating Charges and Cost.
PMID: 30300179 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Kurian DJ Tags: Anesth Analg Source Type: research

Use of the Bougie Endotracheal Tube Introducer in Unstable Cervical Spine Airway Management?
PMID: 30300180 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Stephens CT, De Haan JB, Gumbert SD, Pivalizza EG Tags: Anesth Analg Source Type: research

Resting Hemodynamics and Response to Exercise Using the 6-Minute Walk Test in Late Pregnancy: An International Prospective Multicentre Study.
Abstract BACKGROUND: Cardiac disease is the leading cause of maternal death. Assessment of cardiovascular fitness is important in pregnant women because it is linked to increased risk of cardiac disease but is rarely undertaken or studied. The 6-Minute Walk Test (6MWT) is a safe exercise test but is not used in pregnancy. We determined the 95% reference interval for resting heart rate (HR) and distance walked for the 6MWT, as well as hemodynamic recovery variables, and quantified expectations and actual experiences of exertion and breathlessness with exercise in late pregnancy. METHODS: After institutional re...
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Dennis AT, Salman M, Paxton E, Flint M, Leeton L, Roodt F, Yentis S, Dyer RA Tags: Anesth Analg Source Type: research

Implementing a Pediatric Perioperative Surgical Home Integrated Care Coordination Pathway for Laryngeal Cleft Repair.
Abstract BACKGROUND: The Pediatric Perioperative Surgical Home (PPSH) model is an integrative care model designed to provide better patient care and value by shifting focus from the patient encounter level to the overarching surgical episode of care. So far, no PPSH model has targeted a complex airway disorder. It was hypothesized that the development of a PPSH for laryngeal cleft repair would reduce the high rates of postoperative resource utilization observed in this population. METHODS: Institutional review board approval was obtained for the purpose of data collection and analysis. A multidisciplinary tea...
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Leahy I, Johnson C, Staffa SJ, Rahbar R, Ferrari LR Tags: Anesth Analg Source Type: research

In Response.
PMID: 30300183 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 8, 2018 Category: Anesthesiology Authors: Kingeter AJ, Pandharipande PP Tags: Anesth Analg Source Type: research

Predicting the Depth of the Lumbar Plexus in Pediatric Patients: A Retrospective Magnetic Resonance Imaging Study.
Abstract BACKGROUND: The lumbar plexus (LP) block is commonly used for analgesia for lower extremities. If the depth of the LP (LPD) can be predicted, the performance time and procedure-related complications could be reduced. METHODS: Three hundred sixty-one magnetic resonance images of pediatric patients (
Source: Anesthesia and Analgesia - October 3, 2018 Category: Anesthesiology Authors: Jang YE, Lee JH, Yoon HC, Kim EH, Lee JH, Kim HS, Kim JT Tags: Anesth Analg Source Type: research

Predicting the Size of a Left Double-Lumen Tube for Asian Women Based on the Combination of the Diameters of the Cricoid Ring and Left Main Bronchus: A Randomized, Prospective, Controlled Trial.
CONCLUSIONS: The correct size of DLT for Asian women should be selected based on the combination of transverse diameter of cricoid ring and the ED-LMB. PMID: 30286004 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - October 3, 2018 Category: Anesthesiology Authors: Shiqing L, Wenxu Q, Yuqiang M, Youjing D Tags: Anesth Analg Source Type: research