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Splanchnic and systemic circulation cross talks: Implications for hemodynamic management of liver transplant recipients
Publication date: Available online 17 December 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Ahmed Mukhtar, Ahmed Lotfy, Amr Hussein, Eman FouadThe interaction between splanchnic and systemic circulation has many hemodynamic and renal consequences during liver transplant. In a patient with liver cirrhosis, splanchnic vasodilatation causes arterial steal from the systemic circulation into the splanchnic bed, which decreases the effective blood volume. Moreover, rapid volume loading in these patients has less impact on the cardiac output because a higher proportion of infused fluid is shifted to the...
Source: Best Practice and Research Clinical Anaesthesiology - January 13, 2020 Category: Anesthesiology Source Type: research

Manuscript submission to Best Practice & Research: Clinical Anesthesiology Acute Kidney Injury: A Critical Care Perspective for Orthotopic Liver Transplantation
Publication date: Available online 17 December 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Andrew J. MacDonald, Constantine J. KarvellasAbstractAcute kidney injury is associated with high perioperative mortality in patients undergoing liver transplantation. In the era of Model of End-stage Liver Disease score-based allocation, more patients with impaired renal function are receiving liver transplantation. The majority of preoperative acute kidney injury is secondary to azotemia, including hepatorenal syndrome—a progressive form of renal impairment unique to liver failure. Prompt recognition an...
Source: Best Practice and Research Clinical Anaesthesiology - December 18, 2019 Category: Anesthesiology Source Type: research

Splanchnic and systemic circulation cross talks: Implication for hemodynamic management of liver transplant recipient
Publication date: Available online 17 December 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Ahmed Mukhtar, Ahmed Lotfy, Amr Hussein, Eman FouadAbstractThe interaction between splanchnic and systemic circulation has many hemodynamic and renal consequences during liver transplant. In patient with liver cirrhosis, splanchnic vasodilatation causes arterial steal from systemic circulation into splanchnic bed which decreases effective blood volume. Moreover, rapid volume loading in these patients has little impact on cardiac output because higher proportion of infused fluid is shifted to splanchnic are...
Source: Best Practice and Research Clinical Anaesthesiology - December 18, 2019 Category: Anesthesiology Source Type: research

Liver Transplantation For Acute-On-Chronic Liver Failure
Publication date: Available online 16 December 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Dana Tomescu, Mihai Popescu, Gianni BiancofioreAbstractAcute-on-chronic liver failure represents a newly defined entity in patients with liver disease leading to multiple organs failures and increased mortality. To date, no universally accepted definition exists, and different academic societies developed guidelines on the early diagnosis and classification of Acute-on-chronic liver failure. Recently published trials focused on factors associated with a poor outcome and on the development of severity score...
Source: Best Practice and Research Clinical Anaesthesiology - December 17, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: December 2019Source: Best Practice & Research Clinical Anaesthesiology, Volume 33, Issue 4Author(s): (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - November 30, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: September 2019Source: Best Practice & Research Clinical Anaesthesiology, Volume 33, Issue 3Author(s): (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - November 28, 2019 Category: Anesthesiology Source Type: research

Ultrasound for peripheral and arterial access
Publication date: Available online 25 October 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Lori-Ann Oliver, Jodi-Ann Oliver, Sargis Ohanyan, William Park, Aharon Benelyahoo, Nalini VadiveluPeripheral venous access is perhaps the most commonly performed procedure in hospitals, urgent care, or surgical centers across the country. The ability to obtain peripheral intravenous (IV) access, and in a timely manner, is arguably one of the most important skill sets to be mastered by health care professionals. While skill and experience play a role in successful and timely vascular access, numerous patient...
Source: Best Practice and Research Clinical Anaesthesiology - November 16, 2019 Category: Anesthesiology Source Type: research

A Survey of postoperative pain treatments and unmet needs
Publication date: Available online 31 October 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Winfried Meissner, Ruth ZaslanskyAbstractMore than 300 million patients undergo surgery worldwide each year. Pain associated with these procedures is associated with short-and long term negative sequelae for patients, healthcare providers and healthcare systems. The following chapter is a review of the reality of postoperative pain management in everyday clinical routine, based on survey- and registry-derived data with a focus on care in adults.Between thirty and up to 80% of patients report moderate to sev...
Source: Best Practice and Research Clinical Anaesthesiology - October 31, 2019 Category: Anesthesiology Source Type: research

Ultrasound for peripheral and arterial access Lori-Ann Oliver, MD Assistant Professor Department of Anesthesiology
Publication date: Available online 25 October 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Jodi-Ann Oliver, Sargis Ohanyan, William Park, Aharon Benelyahoo, Nalini VadiveluAbstractPeripheral venous access is perhaps the most commonly performed procedure in hospitals, urgent care, or surgical centers across the country. Thus, arguably the ability to obtain peripheral intravenous access in a timely manner is one of the most important skill sets to be mastered by health care professionals. While the skill and experience of a health care professional is an important factor in determining successful a...
Source: Best Practice and Research Clinical Anaesthesiology - October 27, 2019 Category: Anesthesiology Source Type: research

Preface
Publication date: Available online 21 October 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Girish P. Joshi, Francis Bonnet (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - October 22, 2019 Category: Anesthesiology Source Type: research

Adjuvants in clinical regional anesthesia practice: A comprehensive review
Publication date: Available online 2 July 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Amit Prabhakar, Todd Lambert, Rachel J. Kaye, Scott M. Gaignard, Joseph Ragusa, Shannon Wheat, Vanessa Moll, Elyse M. Cornett, Richard D. Urman, Alan David KayeAdjuvants are medications that work synergistically with local anesthetics to help enhance the duration and quality of analgesia in regional techniques. Regional anesthesia has become more prevalent as evidence continues to show efficacy, enhancement of patient care, increased patient satisfaction, and improved patient safety. Practitioners in the periop...
Source: Best Practice and Research Clinical Anaesthesiology - October 10, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: June 2019Source: Best Practice & Research Clinical Anaesthesiology, Volume 33, Issue 2Author(s): (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - October 2, 2019 Category: Anesthesiology Source Type: research

Preface on advances in hemodynamic monitoring in perioperative medicine
Publication date: June 2019Source: Best Practice & Research Clinical Anaesthesiology, Volume 33, Issue 2Author(s): Thomas W.L. Scheeren, Bernd Saugel (Source: Best Practice and Research Clinical Anaesthesiology)
Source: Best Practice and Research Clinical Anaesthesiology - October 2, 2019 Category: Anesthesiology Source Type: research

Opioid-free anesthesia
Publication date: Available online 26 September 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Helene BeloeilAbstractOpioid Free Anesthesia (OFA) is emerging as a new stimulating research perspective. The rationale to propose OFA is based on the aim to avoid the negative impact of intraoperative opioid on patient’s postoperative outcomes and also on the physiology of pathways involved in intraoperative nociception. It is based on the concept of multimodal anesthesia. OFA has been shown to be feasible but the literature is still scarce on the clinically meaningful benefits for patients as well as ...
Source: Best Practice and Research Clinical Anaesthesiology - September 27, 2019 Category: Anesthesiology Source Type: research

Newer Nerve Blocks in Pediatric Surgery
Publication date: Available online 20 September 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Jeremy Green, Kelly S. Davidson, Sonja Gennuso, Morgan Brown, Allison Pinner, Jordan Renschler, Kelsey Cramer, Rachel J. Kaye, Elyse M. Cornett, Alan D. Kaye, Ira W. Padnos, Richard D. Urman, Charles J. FoxAbstractPurposeof review: The purpose of this manuscript is to provide a brief discussion of the current direction in pediatric regional anesthesia, highlighting both newer nerve blocks and techniques, as well as traditional blocks.Recent findingsThe number of nerve blocks performed in pediatric patient...
Source: Best Practice and Research Clinical Anaesthesiology - September 20, 2019 Category: Anesthesiology Source Type: research