Comparison of the Effects of Desflurane, Sevoflurane, and Propofol on the Glottic Opening Area during Remifentanil-Based General Anesthesia Using a Supraglottic Airway Device.
Authors: Kondo T, Izumi H, Kitagawa M Abstract Purpose: The aim of this study was to compare the effects of desflurane, sevoflurane, and propofol on the glottic opening area during general anesthesia using remifentanil. Methods: Ninety patients undergoing hand and upper limb surgery combined with brachial plexus block under general anesthesia were enrolled in the study. The patients were randomized into three groups to receive desflurane (group D), sevoflurane (group S), or propofol (group P) for maintenance of anesthesia. Following induction of general anesthesia with remifentanil, continuous fiberoptic video ...
Source: Anesthesiology Research and Practice - July 10, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

High Incidence of Burst Suppression during Propofol Sedation for Outpatient Colonoscopy: Lessons Learned from Neuromonitoring.
Authors: Bloom J, Wyler D, Torjman MC, Trinh T, Li L, Mehta A, Fitchett E, Kastenberg D, Mahla M, Romo V Abstract Background: Although anesthesia providers may plan for moderate sedation, the depth of sedation is rarely quantified. Using processed electroencephalography (EEG) to assess the depth of sedation, this study investigates the incidence of general anesthesia with variable burst suppression in patients receiving propofol for outpatient colonoscopy. The lessons learned from neuromonitoring can then be used to guide institutional best sedation practice. Methods: This was a prospective observational study ...
Source: Anesthesiology Research and Practice - July 10, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effect of Laryngeal Mask Air Way Insertion versus Endotracheal Intubation over Hemodynamic Responses in Pediatrics Patient Who Underwent Ophthalmic Surgery at Menelik II Hospital, Addis Ababa: A Prospective Observational Study Design.
Conclusions: A significant hemodynamic pressor response was observed after the insertion of both LMA and ETT groups. However, the LMA group has less hemodynamic change as compared to the ETT group. Therefore, the practice of LMA insertion was strongly recommended. PMID: 32565787 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 23, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

The Quality of Recovery after Dexamethasone, Ondansetron, or Placebo Administration in Patients Undergoing Lower Limbs Orthopedic Surgery under Spinal Anesthesia Using Intrathecal Morphine. A Randomized Controlled Trial.
Conclusion. Neither ondansetron nor dexamethasone improves the quality of recovery after lower limbs orthopedic surgery under spinal anesthesia using intrathecal morphine. PMID: 32518560 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 12, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Use of Cognitive Aids: Results from a National Survey among Anaesthesia Providers in France and Canada.
Conclusion: CAs were better known in Canada than in France, but their actual use in real life was low in both countries. Simulation appears to play a potentially important role training anaesthesia providers in the use of CAs. PMID: 32454815 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 28, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effect of Ketamine/Propofol Admixture on Peri-Induction Hemodynamics: A Systematic Review and Meta-Analysis.
In conclusion, among patients undergoing airway manipulation and needing sedation, the use of a ketamine/propofol admixture may be associated with better hemodynamics compared to nonketamine/propofol sedation. This trial is registered with CRD42019125725. PMID: 32454816 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 28, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Retrospective Evaluation of Anesthetic Management in Cesarean Sections of Pregnant Women with Placental Anomaly.
In this study, patients who underwent cesarean section and had placenta previa and placenta accreta were examined and compared in terms of haemorrhagic indicators and perioperative anesthetic management. Methods: A retrospective study was conducted in a university hospital in Kahramanmaras, Turkey. It included 95 pregnant women who had placental anomaly and underwent cesarean section between December 15, 2014, and February 15, 2016. Results: The pregnant women were divided into two groups: Group P (previa) (n = 67) and Group A (accreta) (n = 28). The types of anesthesia administered were...
Source: Anesthesiology Research and Practice - May 17, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Incidence and Associated Factors of Laryngospasm among Pediatric Patients Who Underwent Surgery under General Anesthesia, in University of Gondar Compressive Specialized Hospital, Northwest Ethiopia, 2019: A Cross-Sectional Study.
This study aimed to assess the incidence and associated factors of laryngospasm among pediatric patients who underwent surgery under general anesthesia (GA). Methods: Institution-based, cross-sectional study was conducted on pediatric patients from February to August, 2019, in University of Gondar Comprehensive Specialized Hospital (UOGCSH). Data were entered and analyzed with SPSS version 20. Variables with P value less than
Source: Anesthesiology Research and Practice - May 17, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Epidural Needle Extension through the Ligamentum Flavum Using the Standard versus the CompuFlo ®-Assisted Loss of Resistance to Saline Technique: A Simulation Study.
Epidural Needle Extension through the Ligamentum Flavum Using the Standard versus the CompuFlo®-Assisted Loss of Resistance to Saline Technique: A Simulation Study. Anesthesiol Res Pract. 2020;2020:9651627 Authors: Capogna E, Coccoluto A, Velardo M Abstract Background: The CompuFlo® epidural system has been recently introduced and validated as an objective and sensible tool to detect the epidural space. We aimed to verify whether the high sensitivity of the instrument may help the anesthesiologist to identify the epidural space very early, limiting the extension of the Tuohy needle into the epi...
Source: Anesthesiology Research and Practice - May 14, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

A Review of Nonanesthetic Uses of Ketamine.
Authors: Pribish A, Wood N, Kalava A Abstract Ketamine, a nonselective NMDA receptor antagonist, is used widely in medicine as an anesthetic agent. However, ketamine's mechanisms of action lead to widespread physiological effects, some of which are now coming to the forefront of research for the treatment of diverse medical disorders. This paper aims at reviewing recent data on key nonanesthetic uses of ketamine in the current literature. MEDLINE, CINAHL, and Google Scholar databases were queried to find articles related to ketamine in the treatment of depression, pain syndromes including acute pain, chronic pain, ...
Source: Anesthesiology Research and Practice - April 21, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Appropriate Blood Pressure in Cerebral Aneurysm Clipping for Prevention of Delayed Ischemic Neurologic Deficits.
Conclusion: To prevent DNID, we recommend that optimal blood pressure should not be lower than 95 for SBP, 50 for DBP, and 61.7 mmHg for MAP. Additionally, we suggest that Δ SBP, Δ DBP, and Δ MAP should be less than 36, 27, and 32 mmHg, respectively. PMID: 32308677 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - April 21, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Outcomes of the Extreme Elderly Undergoing Anaesthesia and Surgery amongst Southeast Asians.
Conclusions: We have provided a snapshot of very elderly patients coming for surgery. The results show that this group of elderly patients do well postoperatively with relatively low complication and 30-day mortality rates. The outcomes presented can be used as a guide for risk counseling in the perioperative period. PMID: 32292478 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - April 17, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Patient Complications after Interscalene Block: A Retrospective Comparison of Liposomal Bupivacaine to Nonliposomal Bupivacaine.
Conclusions: The use of LB in an ISB demonstrated no significant difference compared to nonliposomal bupivacaine in numbers of complications, emergency room visits, and readmissions. PMID: 32280340 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - April 14, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

The Effect of Intraoperative Methadone Compared to Morphine on Postsurgical Pain: A Meta-Analysis of Randomized Controlled Trials.
Authors: Kendall MC, Alves LJ, Pence K, Mukhdomi T, Croxford D, De Oliveira GS Abstract Methods: We performed a quantitative systematic review of randomized controlled trials in PubMed, Embase, Cochrane Library, and Google Scholar electronic databases. Meta-analysis was performed using the random effects model, weighted mean differences (WMD), standard deviation, 95% confidence intervals, and sample size. Methodological quality was evaluated using Cochrane Collaboration's tool. Results: Seven randomized controlled trials evaluating 337 patients across different surgical procedures were included. The aggregated ...
Source: Anesthesiology Research and Practice - April 14, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Maternal Satisfaction and Its Associated Factors towards Spinal Anesthesia for Caesarean Section: A Cross-Sectional Study in Two Eritrean Hospitals.
This study aimed to determine mothers' level of satisfaction and the predicting factors of dissatisfaction towards spinal anesthesia during caesarean section. Methods: Cross-sectional study design was utilized in Orotta Maternity Hospital (OMH) and Sembel Hospital from December 2017 to February 2018, in Asmara, Eritrea. Satisfaction of the mothers was measured using a pretested questionnaire. Bivariate and multivariate logistic regression were utilized to identify predictors of dissatisfaction using SPSS (Version 22.0). Results: Involvement of mothers in the choice of anesthesia (3.3%) and explanation about the sta...
Source: Anesthesiology Research and Practice - April 8, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Are Intoxicated Trauma Patients at an Increased Risk for Intraoperative Anesthetic Complications? A Retrospective Study.
Conclusions: Trauma patients who presented with a positive urine toxicology screening are not at an increased risk for intraoperative anesthetic complications compared to those with a negative urine toxicology screening. However, our results indicated that the need for postoperative mechanical ventilation increased in the acutely intoxicated trauma patients when compared to those without preinjury intoxication. PMID: 32190046 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - March 21, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Dying in the Intensive Care Unit (ICU): A Retrospective Descriptive Analysis of Deaths in the ICU in a Communal Tertiary Hospital in Germany.
Conclusions: About one-third of patients dying in the hospital died in ICU/IMC. At least one life-sustaining therapy was limited/withdrawn in more than 60% of those patients. Withholding of a therapy was more common than active therapy withdrawal. Ventilation and renal replacement therapy were withdrawn in less than 5% of patients, respectively. PMID: 32190047 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - March 21, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Dexmedetomidine Pharmacokinetics in Neonates with Hypoxic-Ischemic Encephalopathy Receiving Hypothermia.
Authors: McAdams RM, Pak D, Lalovic B, Phillips B, Shen DD Abstract Dexmedetomidine is a promising sedative and analgesic for newborns with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia (TH). Pharmacokinetics and safety of dexmedetomidine were evaluated in a phase I, single-center, open-label study to inform future trial strategies. We recruited 7 neonates ≥36 weeks' gestational age diagnosed with moderate-to-severe HIE, who received a continuous dexmedetomidine infusion during TH and the 6 h rewarming period. Time course of plasma dexmedetomidine concentration was characterized...
Source: Anesthesiology Research and Practice - March 12, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Quo Vadis PCA? A Review on Current Concepts, Economic Considerations, Patient-Related Aspects, and Future Development with respect to Patient-Controlled Analgesia.
Authors: Nardi-Hiebl S, Eberhart LHJ, Gehling M, Koch T, Schlesinger T, Kranke P Abstract This review assesses four interrelating aspects of patient-controlled analgesia (PCA), a long-standing and still widely used concept for postoperative pain management. Over the years, anaesthesiologists and patients have appreciated the benefits of PCA alike. The market has seen new technologies leveraging noninvasive routes of administration and, thus, further increasing patient and staff satisfaction as well as promoting safety aspects. Pharmaceutical research focuses on the reduction or avoidance of opioids, side effects, a...
Source: Anesthesiology Research and Practice - February 28, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

The Effect of Perioperative Music Listening on Patient Satisfaction, Anxiety, and Depression: A Quasiexperimental Study.
Authors: Tan DJA, Polascik BA, Kee HM, Hui Lee AC, Sultana R, Kwan M, Raghunathan K, Belden CM, Sng BL Abstract Background: The effect of perioperative music listening has been proven to relieve preoperative anxiety and depression, while improving patient satisfaction. However, music listening has not been extensively studied in Singapore. Therefore, the primary aim of our study is to investigate the patient satisfaction towards perioperative music listening in the local setting. The secondary aim is to investigate the effect of perioperative music listening in reducing patient surgery-related anxiety and depressio...
Source: Anesthesiology Research and Practice - February 26, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Success and Challenge When Returning to Clinical Practice: A Case Series in Anesthesiologist Re-Entry.
We report results achieved for 12 anesthesiologists who successfully completed the course between August 2012 and February 2018. Results: Seven men and five women left their practices for various reasons, which included relocation, family or medical reasons, substance use, and burnout. None left practice for medical negligence. Range away from clinical activity was 0-10 years. Five had active licenses. Seven were US graduates and five were international. Nine of 12 achieved their goals. Of the 3 others, 1 did not pursue her goal, another did not obtain a residency, and the other just finished the program. Seven out of ...
Source: Anesthesiology Research and Practice - January 15, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Dimensional Variations of Left-Sided Double-Lumen Endobronchial Tubes.
Conclusions: Endobronchial tube size selection carries unnecessary uncertainty because clinically relevant parameters are unknown and vary considerably between different manufacturers. PMID: 31915436 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - January 11, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Comparison of the Effects of Target-Controlled Infusion of Propofol and Sevoflurane as Maintenance of Anesthesia on Hemodynamic Profile in Kidney Transplantation.
This study compared the effect of TCI propofol and sevoflurane on intraoperative hemodynamic profile in kidney transplant patients. Methods: A single-blinded prospective study was performed in 46 kidney transplant recipients who were randomized into receiving TCI propofol or sevoflurane as anesthetics maintenance. Hemodynamic parameters such as mean arterial pressure (MAP), cardiac index (CI), stroke volume index (SVI), and systemic vascular resistance index (SVRI) were measured at baseline before induction, postintubation, first surgical incision, every 15 minutes after the first incision, reperfusion, and 15 minutes ...
Source: Anesthesiology Research and Practice - January 1, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications.
Conclusions: We have a high success rate of first-attempt insertions compared with other published data, as well as an acceptable and low rate of pneumothorax, hematoma, and infections. However, the number of malpositioned catheters was relatively high. This could probably have been avoided with routine use of fluoroscopy during the procedure. PMID: 31885552 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - January 1, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effect of Depth of Total Intravenous General Anesthesia on Intraoperative Electrically Evoked Compound Action Potentials in Cochlear Implantation Surgery.
Conclusion: The depth of TIVA may have no significant influence on the e-ECAP thresholds as there was no statistical difference between the light and deep anesthesia. PMID: 31885553 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - January 1, 2020 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Goal-Directed vs Traditional Approach to Intraoperative Fluid Therapy during Open Major Bowel Surgery: Is There a Difference?
Conclusions: Use of goal-directed fluid management, either with FloTrac or pleth variability index results in a lower volume infusion and lower net fluid balance. However, the complication rate is similar to that of traditional fluid therapy. This trial is registered with CTRI/2018/04/013016. PMID: 31871449 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - December 26, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Anesthesia Practice: Review of Perioperative Management of H-Type Tracheoesophageal Fistula.
Authors: Edelman B, Selvaraj BJ, Joshi M, Patil U, Yarmush J Abstract Tracheoesophageal fistula (TEF) is a rare congenital developmental anomaly, affecting 1 in 2500-3000 live births. The H-type TEF, consisting of a fistula between the trachea and a patent esophagus, is one of the rare anatomic subtypes, accounting for 4% of all TEFs. The presentation and perioperative management of neonates with H-type TEFs and all other TEFs are very similar to each other. Patients present with congenital heart disease and other defects and are prone to recurrent aspirations. A barium esophagogram or computed tomography of the ch...
Source: Anesthesiology Research and Practice - December 1, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Risk Factors for Moderate to Severe Pain during the First 24  Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia.
Risk Factors for Moderate to Severe Pain during the First 24 Hours after Laparoscopic Bariatric Surgery While Receiving Intravenous Patient-Controlled Analgesia. Anesthesiol Res Pract. 2019;2019:6593736 Authors: Iamaroon A, Tangwiwat S, Nivatpumin P, Lertwacha T, Rungmongkolsab P, Pangthipampai P Abstract Objective: To investigate the incidence of and risk factors for moderate to severe pain during the first 24 hours after laparoscopic bariatric surgery. Materials and Methods: This retrospective study included morbidly obese patients who underwent laparoscopic sleeve gastrectomy or Ro...
Source: Anesthesiology Research and Practice - November 8, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Emergency Surgery Mortality (ESM) Score to Predict Mortality and Improve Patient Care in Emergency Surgery.
Authors: Tribuddharat S, Sathitkarnmanee T, Sappayanon P Abstract Background: Emergency surgery has poor outcomes with high mortality. Numerous studies have reported the risk factors for postoperative death in order to stratify risk and improve perioperative care; nevertheless, a predictive model based upon these risk factors is lacking. Objective: We aimed to identify the risk factors of postoperative mortality and to construct a new model for predicting mortality and improving patient care. Methods: We included adult patients undergoing emergency surgery at Srinagarind Hospital between January 2012 and De...
Source: Anesthesiology Research and Practice - November 1, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Audit on Current Practice of Rapid Sequence Induction and Intubation of Anesthesia in the University of Gondar Hospital, Northwest Ethiopia, 2018.
Conclusion: Most anesthetists were good at preparing all available monitoring and drugs, making sure that IV line is well-functioning, preparing suction with a suction machine, preoxygenation, application of cricoid pressure, and checking the position of the ETT after intubation was performed. Preparing difficult airway equipment during planning of rapid sequence induction and intubation, giving roles and told to proceed their assigned role for the team, attempt to ventilate with a small tidal volume, and routine use of bougie or stylet to increase the chance of success of intubation needed improvement. PMID: 31662743 ...
Source: Anesthesiology Research and Practice - November 1, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effect of Spinal Anesthesia versus General Anesthesia on Blood Glucose Concentration in Patients Undergoing Elective Cesarean Section Surgery: A Prospective Comparative Study.
Authors: El-Radaideh K, Alhowary AA, Alsawalmeh M, Abokmael A, Odat H, Sindiani A Abstract Background: This prospective study compared the blood glucose concentration with spinal anesthesia or general anesthesia in patients undergoing elective cesarean section surgery. Methods: In total, 58 pregnant women who underwent elective cesarean section surgery were included in this prospective comparative study. Group S (n = 35) included patients who chose spinal anesthesia, and group G (n = 23) included patients who chose general anesthesia. The patients were allocated to the groups upon pa...
Source: Anesthesiology Research and Practice - November 1, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Sevoflurane Alleviates Reperfusion Arrhythmia by Ameliorating TDR and MAPD90 in Isolated Rat Hearts after Ischemia-Reperfusion.
Authors: Wang G, Dai D, Gao H, Liu Y, Wang Z, Li H, Fu X Abstract Objective: To investigate the effect of sevoflurane on the monophasic action potentials (MAPs) in isolated rat hearts after ischemia-reperfusion. Methods: Twenty-four healthy SD male rats, weighing 280-320 g, were randomly divided into three groups after successful preparation of a Langendorff isolated heart perfusion model with a stabilization period perfusion of 15 min with Krebs-Henseleit (K-H) fluid (n = 8): the control group (group A, continuously perfused with K-H fluid for 105 min), the ischemia-reperfusi...
Source: Anesthesiology Research and Practice - November 1, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Compuflo ®-Assisted Training vs Conventional Training for the Identification of the Ligamentum Flavum with an Epidural Simulator: A Brief Report.
Compuflo®-Assisted Training vs Conventional Training for the Identification of the Ligamentum Flavum with an Epidural Simulator: A Brief Report. Anesthesiol Res Pract. 2019;2019:3804743 Authors: Capogna E, Coccoluto A, Gibiino G, Del Vecchio A Abstract The ability of recognizing the ligamentum flavum is the first, crucial, important skill to teach novices when they are learning the epidural technique. The aim of this preliminary prospective study was to evaluate whether the Compuflo® Epidural instrument may help inexperienced trainees to better identify the ligamentum flavum during an epidural ...
Source: Anesthesiology Research and Practice - October 16, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Epidemiology of Pediatric Traumatic Brain Injury at Sylvanus Olympio University Hospital of Lom é in Togo.
This study was conducted at the ICU of SOUH of Lome. It was a retrospective study based on patients' records from 0 to 15 years old admitted during the period from 1 January 2012 to 30 June 2018 (5 years and 6 months). Results: We recorded 91 pTBI included in the study. The mean age was 7.7 ± 4.3 years. The male predominated with 67.0%. Road traffic accidents were the most common cause (79.1%), followed by falls (19.8%). The average pediatric Glasgow Coma Scale (pGCS) was 6.6 ± 1.4, with a mean Injury Severity Score (ISS) of 23.1 ±&thin...
Source: Anesthesiology Research and Practice - August 31, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Are Anesthesiology Providers Good Guessers? Heart Rate and Oxygen Saturation Estimation in a Simulation Setting.
This study aims to evaluate the ability of different anesthesia providers to estimate heart rate and oxygen saturation in a simulation setting. Methods: Sixty anesthesia providers (residents, nurse anesthetics, and anesthesiologists) were studied. Four scenarios were arranged in a simulation context. Two baseline scenarios with and without waveform visual aid, and two scenarios with variation of heart rate and/or oxygen saturation were used to assess the accuracy of the estimation made by the participants. Results: When the accurate threshold for the heart rate was set at less than 5 beats per minute, the providers...
Source: Anesthesiology Research and Practice - August 21, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Anesthesia Workspace Cleanliness and Safety: Implementation of a Novel Syringe Bracket Using 3D Printing Techniques.
Authors: Long DR, Doney A, Bartels DL, Tan CE, Sayal PK, Anderson TA, Agarwala AV Abstract Purpose: Wide variability persists in the preparation and storage of common anesthetic medications despite the recognition of anesthesia workspace standardization as a national quality improvement priority. Syringe contamination and medication swaps continue to pose significant hazards to patient safety. Methods: We assessed differences in practice related to the availability of commonly prepared anesthetic medications. Using baseline provider surveys (n = 87) and anesthesia workspace audits (n =&thin...
Source: Anesthesiology Research and Practice - July 31, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Magnitude and Associated Factors of Awareness with Recall under General Anesthesia in Amhara Regional State Referral Hospitals, 2018.
Conclusion and Recommendation: Our study showed higher magnitude of awareness with recall under general anesthesia. Lack of premedication was the only associated factor with awareness with recall under general anesthesia. Anesthetists should give emphasis to prevent the possibility of awareness under general anesthesia by providing premedication. Cohort studies should be done including the consequences of awareness with recall under general anesthesia. PMID: 31360165 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - July 31, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Labor Epidural Analgesia to Cesarean Section Anesthetic Conversion Failure: A National Survey.
Discussion: Our survey revealed variations in the clinical management of a failed epidural top up for cesarean delivery, suggesting guidelines to aid decision-making are needed. PMID: 31281354 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - July 11, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Subparalyzing Doses of Rocuronium Reduce Muscular Endurance without Detectable Effect on Single Twitch Height in Awake Subjects.
Conclusions: Subparalyzing doses of rocuronium show a distinct effect on muscular endurance as opposed to momentary force. The findings support the hypothesis that low doses of rocuronium act mainly by reducing muscular endurance, thereby facilitating, for example, tracheal intubation. PMID: 31191651 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 15, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Predictive Values of Preoperative Tests for Difficult Laryngoscopy and Intubation in Adult Patients at Tikur Anbessa Specialized Hospital.
In this study, we found the magnitude of difficult laryngoscopy and intubation as 13.6% and 5%, respectively. 33.3% of patients with difficult laryngoscopy were found to be difficult for intubation. Mallampati test, interincisor distance, and thyromental distance were identified to be good preoperative tests to predict difficult laryngoscopic intubation when used in combination. Recommendation: We recommend anesthesia professionals to use combination of MMC/TMD/IID for their routine preoperative airway assessment. PMID: 31065265 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 9, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Differentiating False Loss of Resistance from True Loss of Resistance While Performing the Epidural Block with the CompuFlo ® Epidural Instrument.
Conclusion: An easier identification of dubious losses of resistance during the epidural procedure is essential to reduce the number of epidural attempts and/or needle reinsertions with the potential of a reduced risk of accidental dural puncture especially in difficult cases or when the procedure is performed by trainees. PMID: 30863447 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - March 15, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

The Difficult Airway Trolley: A Narrative Review and Practical Guide.
Authors: Bjurström MF, Bodelsson M, Sturesson LW Abstract Death and severe morbidity attributable to anesthesia are commonly associated with failed difficult airway management. When an airway emergency develops, immediate access to difficult airway equipment is critical for implementation of rescue strategies. Previously, national expert consensus guidelines have provided only limited guidance for the design and setup of a difficult airway trolley. The overarching aim of the current work was to create a dedicated difficult airway trolley (for patients>12 years old) for use in anesthesia theatres, intensive ...
Source: Anesthesiology Research and Practice - March 6, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Intraoperative Blood Loss during Induced Abortion: A Comparison of Anesthetics.
Conclusions: The difference in blood loss between the two types of anesthetic techniques was statistically significant. These findings may be important for patients with significant anemia or at an increased risk of bleeding, such as those with unrecognized coagulopathies. PMID: 30631348 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - January 13, 2019 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effects of Intraoperative Dexamethasone and Ondansetron on Postoperative Nausea and Vomiting in Microvascular Decompression Surgery: A Randomized Controlled Study.
Conclusion: Administration of dexamethasone and ondansetron 4 mg seemed to decrease the incidence of PONV in the first 24 hours but not significantly. Therefore, further studies are to be carried out by escalating either dexamethasone dose or the dose of ondansetron or both. PMID: 30534153 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - December 12, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

A Comparative Study of 0.25% Levobupivacaine, 0.25% Ropivacaine, and 0.25% Bupivacaine in Paediatric Single Shot Caudal Block.
Authors: Sharma J, Gupta R, Kumari A, Mahajan L, Singh J Abstract Aim: There are limited data comparing levobupivacaine, ropivacaine, and bupivacaine in paediatric patients. So, this study was performed to evaluate the caudal effectiveness of all the three drugs in paediatric patients undergoing infraumbilical surgeries and associated complications with these drugs. Material and Methods: 90 patients of ASA grade I and II posted for elective infraumbilical surgeries were randomly divided into three groups of 30 each. A standardized anaesthetic protocol was used. Patients received 0.25% levobupivacaine in group 1...
Source: Anesthesiology Research and Practice - December 7, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Corrigendum to "Pregabalin Effect on Acute and Chronic Pain after Cardiac Surgery".
Corrigendum to "Pregabalin Effect on Acute and Chronic Pain after Cardiac Surgery". Anesthesiol Res Pract. 2018;2018:5981895 Authors: Bouzia A, Tassoudis V, Karanikolas M, Vretzakis G, Petsiti A, Tsilimingas N, Arnaoutoglou E Abstract [This corrects the article DOI: 10.1155/2017/2753962.]. PMID: 30416521 [PubMed - in process] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - November 14, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Comparison between Vapocoolant Spray and Eutectic Mixture of Local Anesthetics Cream in Reducing Pain during Spinal Injections.
Conclusions: Both EMLA cream and vapocoolant spray were equally effective in reducing pain during spinal injection. There was no difference in degree of pain reduction and patient movement between the EMLA cream group and the vapocoolant spray group during spinal injection. PMID: 30271434 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - October 3, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Comparison of Preoperative Assessment of Patient's Metabolic Equivalents (METs) Estimated from History versus Measured by Exercise Cardiac Stress Testing.
Conclusions: The METs of a patient estimated by preoperative history often underestimates the METs measured by exercise stress testing. This demonstrates that the preoperative assessments of patients' METs are often conservative which errs on the side of patient safety as it lowers the threshold for deciding to order further cardiac stress testing for screening for ischemia or cardiac failure. PMID: 30250484 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - September 26, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

A Systematic Review of Postoperative Pain Outcome Measurements Utilised in Regional Anesthesia Randomized Controlled Trials.
Conclusion: Analysis of the articles demonstrated heterogeneity and inconsistency in choice of pain outcome and time of measurement within regional anesthesia studies. Identification of these pain outcomes utilised can help to create a definitive list of core outcomes, which may guide future researchers when designing such studies. PMID: 30151005 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - August 30, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Validation of Simple Methods to Select a Suitable Nostril for Nasotracheal Intubation.
Conclusion and Recommendations: The simple occlusion test is more useful than the spatula test. However, combining the results from both tests in series helped to improve the diagnostic value for selecting a suitable nostril for nasotracheal intubation. PMID: 30154839 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - August 30, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research