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

Preoperative Anxiety in Greek Children and Their Parents When Presenting for Routine Surgery.
Authors: Charana A, Tripsianis G, Matziou V, Vaos G, Iatrou C, Chloropoulou P Abstract Background: A surgical operation in pediatric patients is a rather stressful experience for both children and their parents. The aim of this study was to assess the effect of specific demographic characteristics in parent's and children's preoperative anxiety. Methods: The sample was composed of 128 Greek-speaking children (1-14 years of age) who had to undergo minor surgery in a University General Hospital. Before surgical operation, the Spielberger State-Trait Anxiety Inventory (STAI) questionnaire and a questionnaire for t...
Source: Anesthesiology Research and Practice - August 6, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effect of Fluid Flow Rate on Efficacy of Fluid Warmer: An In Vitro Experimental Study.
Authors: Thongsukh V, Kositratana C, Jandonpai A Abstract Introduction: In patients who require a massive intraoperative transfusion, cold fluid or blood transfusion can cause hypothermia and potential adverse effects. One method by which to prevent hypothermia in these patients is to warm the intravenous fluid before infusion. The aim of this study was to determine the effect of the fluid flow rate on the efficacy of a fluid warmer. Methods: The room air temperature was controlled at 24°C. Normal saline at room temperature was used for the experiment. The fluid was connected to an infusion pump and covered...
Source: Anesthesiology Research and Practice - August 6, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Objective Evaluation of a New Epidural Simulator by the CompuFlo ® Epidural Instrument.
In this study, we describe a custom-made new epidural simulator, created by modifying the inner structure of a commercially available one, in the attempt to make it adequately realistic. To validate and evaluate the realism of our device, we used the Computerized Epidural Instrument CompuFlo. Method: The Compuflo CompuFlo curves obtained from 64 experiments on the epidural simulator were compared to 64 curves obtained from a previous human study, from consecutive laboring parturients requesting epidural analgesia. Results: Epidural simulator and human pressure curves were very similar. There was a significant diffe...
Source: Anesthesiology Research and Practice - July 28, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Neurotoxicity of Inhalation Anesthetics in the Neonatal Rat Brain: Effects on Behavior and Neurodegeneration in the Piriform Cortex.
Authors: O'Farrell RA, Foley AG, Buggy DJ, Gallagher HC Abstract There is concern that clinical use of anesthetic drugs may cause neurotoxicity in the developing brain and subsequent abnormal neurobehavior. We therefore evaluated neurotoxic effects of inhalation anesthetics in the neonatal rat brain, using in vivo histological and neurobehavioral outcomes. Wistar rats (n=79, postnatal day 15) were subjected to a clinically relevant single exposure of urethane, isoflurane, sevoflurane, or placebo, without surgery. At 48 h and 96 h, behavioral parameters were recorded and the animals were sacrificed. In...
Source: Anesthesiology Research and Practice - July 20, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Comment on "Pregabalin Effect on Acute and Chronic Pain after Cardiac Surgery".
Comment on "Pregabalin Effect on Acute and Chronic Pain after Cardiac Surgery". Anesthesiol Res Pract. 2018;2018:2603865 Authors: Theodorou E, Bali E PMID: 29973953 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - July 7, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Ultrasound-Guided Combined Interscalene-Cervical Plexus Block for Surgical Anesthesia in Clavicular Fractures: A Retrospective Observational Study.
Conclusions: The ultrasound-guided combined interscalene-cervical plexus block was a successful and effective regional anesthesia method in clavicular fracture repair. Prospective comparative studies would report the superiority of the regional technique over general anesthesia. PMID: 29973954 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - July 7, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Anesthesiologists' Preferences regarding Visitor Presence during Placement of Neuraxial Labor Analgesia.
Conclusion: The practice of visitor presence during the placement of neuraxial labor analgesia is gaining acceptance. PMID: 29887886 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 13, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Postoperative Respiratory Impairment Is a Real Risk for Our Patients: The Intensivist's Perspective.
Authors: Rao VK, Khanna AK Abstract Postoperative respiratory impairment occurs as a result of a combination of patient, surgical, and management factors and contributes to both surgical and anesthetic risk. This complication is challenging to predict and has been associated with an increase in mortality and hospital length of stay. There is mounting evidence to suggest that patients remain vulnerable to respiratory impairment well into the postoperative period, with the vast majority of adverse events occurring during the first 24 hours following discharge from anesthesia care. At present, preoperative risk strati...
Source: Anesthesiology Research and Practice - June 3, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Job Satisfaction and Associated Factors among Anesthetists Working in Amhara National Regional State, Northwest Ethiopia, May 2017: A Multicenter Cross-Sectional Study.
Conclusion and Recommendation: Job satisfaction of anesthetists was low, and we suggest that facilitation of professional development, creation of smooth relationship in working environment, increasing the number of anesthetists, and recognition of the anesthesia professional are of paramount importance to increase job satisfaction of anesthetists. PMID: 29853872 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 3, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Herbal Use among Presurgical Patients in Turkey: A Cross-Sectional Study.
Conclusion: Anesthesiologist should be aware of the effects of herbals on body functions and possible herbal-drug interactions to take care of such potentional perioperative complications. PMID: 29849607 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 1, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Transient Neurologic Symptoms following Spinal Anesthesia with Isobaric Mepivacaine: A Decade of Experience at Toronto Western Hospital.
Conclusion: Our retrospective data suggest that the rate of TNS associated with mepivacaine spinal anesthesia is lower than that previously reported in the literature. PMID: 29849608 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - June 1, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Disparity between High Satisfaction and Severe Pain in Patients after Caesarean Section: A Prospective Observational-Controlled Investigation.
Authors: Hesse T, Julich A, Paul J, Hahnenkamp K, Usichenko TI Abstract Objectives: Recent advances in the treatment of postoperative pain (POP) have increased the quality of life in surgical patients. The aim of this study was to examine the quality of POP management in patients after CS in comparison with patients after comparable surgical procedures. Methods: This was a prospective observational analysis in patients after CS in comparison with the patients of the same age, who underwent comparable abdominal gynaecological surgeries (GS group) at the university hospital. A standardised questionnaire including...
Source: Anesthesiology Research and Practice - June 1, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Double Barrel Nasal Trumpets to Prevent Upper Airway Obstruction after Nasal and Non-Nasal Surgery.
Conclusions: The Double Barrel Technique allows for a safe emergence from anesthesia in patients predisposed to upper airway obstruction (such as in obstructive sleep apnea and morbidly obese patients). To our knowledge, the Modified Double Barrel Technique is the first description for the use of nasal trumpets in patients who had nasal surgery and who have nasal splints in place. PMID: 29755518 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 15, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Does the Use of Nitroglycerin Patch Improve Local Anaesthetic Effects in Bier's Block? A Double-Blind Placebo Controlled Study.
Conclusion: Supplementation of Bier's block with transcutaneous nitroglycerin patch reduces the lidocaine dose, the sensory and motor block onset times, VAS scores, and analgesic consumption intra- and postoperatively. Length of the block recovery times for the sensory and motor effects, duration of postoperative analgesic effect, and the first time to analgesic requirement improved the quality of Bier's block with better patients' satisfaction and surgeons' opinion and had no adverse effects. PMID: 29706996 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 2, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Absence of Association between Preoperative Estimated Glomerular Filtration Rates and Postoperative Outcomes following Elective Gastrointestinal Surgeries: A Prospective Cohort Study.
This study aimed to investigate the impact of preoperative estimated glomerular filtration rate (eGFR) and postoperative outcomes in patients undergoing elective gastrointestinal surgeries. Methods: This prospective study included consecutive adult patients undergoing elective gastrointestinal surgeries attending preassessment screening (PAS) clinics at the Queen Elizabeth Hospital Birmingham (QEHB) between July and August 2016. Primary outcome measure was 30-day overall complication rates and secondary outcomes were grade of complications, 30-day readmission rates, and postoperative care setting. Results: This stu...
Source: Anesthesiology Research and Practice - April 27, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effects of Tibetan Music on Neuroendocrine and Autonomic Functions in Patients Waiting for Surgery: A Randomized, Controlled Study.
Authors: Cotoia A, Dibello F, Moscatelli F, Sciusco A, Polito P, Modolo A, Gallo C, Cibelli G, Cinnella G Abstract Background: The aim of this study was to investigate the effects of listening to Tibetan music on anxiety and endocrine, autonomic, cognitive responses in patients waiting for urologic surgery. Methods: Sixty patients waiting for surgery were enrolled to the study. They were randomized in music (M) and control (C) groups. The M group listened to a low-frequency Tibetan music for 30 min (T0-T30) through headphones, and the C group wore headphones with no sound. The State Trait Anxiety Invento...
Source: Anesthesiology Research and Practice - April 27, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Efficacy of Bilateral Transversus Abdominis Plane and Ilioinguinal-Iliohypogastric Nerve Blocks for Postcaesarean Delivery Pain Relief under Spinal Anesthesia.
Conclusion and Recommendations: There was no statically significant difference between TAP and II-IH blocks regarding postoperative pain score, but the II-IH block significantly reduced the total tramadol consumption and prolonged the time to first analgesic request than TAP. Thus, we recommend the II-IH nerve block. PMID: 29610571 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - April 5, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Effectiveness of Bilateral Superficial Cervical Plexus Block as Part of Postoperative Analgesia for Patients Undergoing Thyroidectomy in Empress Zewditu Memorial Hospital, Addis Ababa, Ethiopia.
Authors: Aweke Z, Sahile WA, Abiy S, Ayalew N, Kassa AA Abstract Introduction: The pain after thyroid surgery is considered of moderate intensity and short duration. Most trials showed significant reduction in pain intensity and severity of pain in patients for whom bilateral superficial cervical plexus block (BSCPB) was done. Objective: To assess the postoperative analgesic effect of BSCPB for thyroid surgery. Methods: Sixty six euthyroid patients were recruited and assigned to two groups (33 patients each). Group 1 BSCPB and Group 2 standard analgesia. The unpaired Student's t-test and Mann-Whitney test w...
Source: Anesthesiology Research and Practice - April 5, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Utilization of Smartphone Applications by Anesthesia Providers.
Authors: Green MS, Mathew JJ, Gundigi Venkatesh A, Green P, Tariq R Abstract Health care-related apps provide valuable facts and have added a new dimension to knowledge sharing. The purpose of this study is to understand the pattern of utilization of mobile apps specifically created for anesthesia providers. Smartphone app stores were searched, and a survey was sent to 416 anesthesia providers at 136 anesthesiology residency programs querying specific facets of application use. Among respondents, 11.4% never used, 12.4% used less than once per month, 6.0% used once per month, 12.1% used 2-3 times per month, 13.6% u...
Source: Anesthesiology Research and Practice - March 31, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Achieving the Recommended Endotracheal Tube Cuff Pressure: A Randomized Control Study Comparing Loss of Resistance Syringe to Pilot Balloon Palpation.
Conclusion: The loss of resistance syringe method was superior to pilot balloon palpation at administering pressures in the recommended range. This method provides a viable option to cuff inflation. PMID: 29463980 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - February 27, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Preoperative Anaemia and Associated Postoperative Outcomes in Noncardiac Surgery Patients in Central Region of Ghana.
Conclusion: Preoperative anaemia is common among noncardiac surgical patients. It is independently and significantly associated with prolonged hospital stay leading to the use of increased healthcare resources. It is also the main predictor for perioperative allogeneic blood transfusions and the use of haematinics. PMID: 29375620 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - January 31, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Intravenous Magnesium Sulphate for Analgesia after Caesarean Section: A Systematic Review.
Conclusions: Adjunct analgesic agents are utilised to improve analgesic outcomes and minimise opioid side effects. Preoperative intravenous magnesium may decrease total postcaesarean rescue analgesia consumption with few side effects; however, small sample size and heterogeneity of methodology in included trials restricts the ability to draw strong conclusions. Therefore, given the apparent safety and efficacy of magnesium, its role as an adjunct analgesic in caesarean section patients should be further investigated with the most current anaesthetic techniques. PMID: 29333156 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - January 17, 2018 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Lateral Supratrochanteric Approach to Sciatic and Femoral Nerve Blocks in Children: A Feasibility Study.
Conclusion: The lateral supratrochanteric approach to SNB and FNB in children can be an effective lower limb analgesic technique in supine patients. The trial is registered with ISRCTN70969666. PMID: 29213283 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - December 9, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Drug Errors and Protocol for Prevention among Anaesthetists in Nigeria.
Conclusion: Drug errors are common among anaesthetists in Nigeria and their incidence is greater during general anaesthesia for emergency procedures, largely as a result of ampoule swaps due to similarities in ampoule design and packaging. Guidelines on their prevention should be developed by all health institutions. PMID: 29201048 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - December 6, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Corrigendum to "Sugammadex-Enhanced Neuronal Apoptosis following Neonatal Sevoflurane Exposure in Mice".
Corrigendum to "Sugammadex-Enhanced Neuronal Apoptosis following Neonatal Sevoflurane Exposure in Mice". Anesthesiol Res Pract. 2017;2017:1368514 Authors: Satomoto M, Sun Z, Adachi YU, Makita K Abstract [This corrects the article DOI: 10.1155/2016/9682703.]. PMID: 29181024 [PubMed - in process] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - November 29, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

What Do Anesthesiologists Know about p Values, Confidence Intervals, and Correlations: A Pilot Survey.
Conclusions: Anesthesiologists seem to demonstrate a poor understanding of statistical key concepts. Further studies are needed to address statistical knowledge gaps among anesthesiologists more comprehensively. PMID: 29158732 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - November 22, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Feasibility of Cervical Epidural Anesthesia for Breast Cancer Surgery.
DISCUSSION: Epidural punctures in the cervical region are feasible but do bear potential for major complications. Anesthesiologists should familiarize themselves with high epidural block techniques. PMID: 28804498 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - August 16, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Magnitude and Predisposing Factors of Difficult Airway during Induction of General Anaesthesia.
Authors: Workeneh SA, Gebregzi AH, Denu ZA Abstract OBJECTIVE: To assess magnitude and predisposing factors of difficult airway during induction of general anaesthesia. METHODS: Hospital based cross sectional study carried out to determine the incidence of difficult mask ventilation, difficult laryngoscopy (Cormack and Lehane III and IV), difficult intubation (IDS ≥ 5), and failed intubation. The association between each predisposing factor and airway parameters with components of difficult airway is investigated with binary logistic regression. Sensitivity, specificity, positive and negative predictive valu...
Source: Anesthesiology Research and Practice - August 9, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Factors Associated with Postoperative Prolonged Mechanical Ventilation in Pediatric Liver Transplant Recipients.
Authors: Nafiu OO, Carello K, Lal A, Magee J, Picton P Abstract INTRODUCTION: Almost all pediatric orthotopic liver transplant (OLT) recipients require mechanical ventilation in the early postoperative period. Prolonged postoperative mechanical ventilation (PPMV) may be a marker of severe disease and may be associated with morbidity and mortality. We determined the incidence and risk factors for PPMV in children who underwent OLT. METHODS: This was a retrospective analysis of data collected on 128 pediatric OLT recipients. PPMV was defined as postoperative ventilation ≥ 4 days. Perioperative characteristics ...
Source: Anesthesiology Research and Practice - August 2, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Organs Blood Flow during Elevation of Body Temperature in Sevoflurane Anesthetized Rats.
Authors: Shimo K, Takakura K, Shigemi K Abstract The aim of this study is to investigate how elevation of body temperature changes organs blood flow during sevoflurane anesthesia. We conducted in vivo research on 14 male Wistar rats to monitor pulse rate and arterial blood pressure and measure hepatic, small intestinal, renal, and descending aortic blood flow using a laser Doppler blood flowmeter. We assessed the changes in organ blood flow, pulse rate, and arterial blood pressure during elevation of the rats' body temperatures up to 41.5°C under anesthesia with 2.0% or 3.0% sevoflurane. We concluded that eleva...
Source: Anesthesiology Research and Practice - July 1, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Pregabalin Effect on Acute and Chronic Pain after Cardiac Surgery.
Conclusion. Preoperative oral pregabalin 75 or 150 mg reduces postoperative morphine requirements and acute and chronic pain after cardiac surgery. PMID: 28539936 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 26, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

A Retrospective Analysis of Oxygen Desaturation during Acoustic Respiratory Rate Monitoring in Non-ICU Patients following Tracheal Extubation after General Anesthesia.
Conclusion. Postoperative oxygen desaturation was observed in more than 10% of the patients whose RR was monitored by RRa under oxygen therapy. It is more likely to occur in patients with impaired pulmonary function or morbid pulmonary status and can also occur in the absence of abnormal RR. PMID: 28487734 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - May 12, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

The Effect of Tracheal Intubation-Induced Autonomic Response on Photoplethysmography.
Authors: Talke P Abstract Introduction. Intraoperative stress responses and postoperative pain can be monitored using photoplethysmography (PPG). PPG signal has two components, AC and DC. Effects of noxious stimuli-induced stress responses have not been studied on the DC component of PPG. The aim of this study was to investigate the effect of a known noxious stimulus (endotracheal intubation) on both the AC and DC components of PPG. Methods. 15 surgical patients having general anesthesia were enrolled into this clinical study. PPG was recorded electronically from a pulse oximeter. Maximum changes in the AC and DC c...
Source: Anesthesiology Research and Practice - May 6, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Analgesic Effects of Preincision Ketamine on Postspinal Caesarean Delivery in Uganda's Tertiary Hospital: A Randomized Clinical Trial.
Conclusion. Preincision intravenous ketamine (0.25 mg/kg) offered 30-minute prolongation to postoperative analgesia requirement with reduced 24-hour pain scores. We recommend larger studies to explore this benefit. This trial is registered with Pan African Clinical Trial Registry number PACTR201404000807178. PMID: 28321251 [PubMed] (Source: Anesthesiology Research and Practice)
Source: Anesthesiology Research and Practice - March 24, 2017 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research