Opioid prescribing and utilization patterns in patients having elective hip and knee arthroplasty: association between prescription patterns and opioid consumption
Can J Anaesth. 2021 Dec 6. doi: 10.1007/s12630-021-02145-5. Online ahead of print.ABSTRACTPURPOSE: Although guidelines can reduce postoperative opioid prescription, the problem of unused opioids persists. We assessed the pattern of opioid prescription and utilization after total hip arthroplasty (THA) and total knee arthroplasty (TKA). We hypothesized that opioid prescription patterns can influence opioid utilization.METHODS: With institutional ethics approval, patients undergoing THA and TKA were enrolled prospectively. Surveys on opioid use were completed at two, six, and 12 weeks after surgery. Patients' age, sex, Ameri...
Source: Canadian Journal of Anaesthesia - December 7, 2021 Category: Anesthesiology Authors: Bokman Chan Sarah Ward Faraj W Abdallah Caroline Jones Angelo Papachristos Kyle Chin Karim S Ladha Gregory M T Hare Source Type: research

Acute plastic bronchitis after Ross procedure treated with veno-venous extracorporeal membrane oxygenation
CONCLUSION: Plastic bronchitis can present in adult patients and be life-threatening when associated with acute respiratory failure. We report an unusual case of an adult patient treated with veno-venous ECMO for plastic bronchitis following cardiac surgery. Use of ECMO support while providing airway cleaning can be lifesaving in patients with respiratory failure secondary to plastic bronchitis.PMID:34859374 | DOI:10.1007/s12630-021-02148-2 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 3, 2021 Category: Anesthesiology Authors: Charles St-Arnaud Mohamed Abdel Halim Michael Mayette Source Type: research

Acute plastic bronchitis after Ross procedure treated with veno-venous extracorporeal membrane oxygenation
CONCLUSION: Plastic bronchitis can present in adult patients and be life-threatening when associated with acute respiratory failure. We report an unusual case of an adult patient treated with veno-venous ECMO for plastic bronchitis following cardiac surgery. Use of ECMO support while providing airway cleaning can be lifesaving in patients with respiratory failure secondary to plastic bronchitis.PMID:34859374 | DOI:10.1007/s12630-021-02148-2 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 3, 2021 Category: Anesthesiology Authors: Charles St-Arnaud Mohamed Abdel Halim Michael Mayette Source Type: research

Acute plastic bronchitis after Ross procedure treated with veno-venous extracorporeal membrane oxygenation
CONCLUSION: Plastic bronchitis can present in adult patients and be life-threatening when associated with acute respiratory failure. We report an unusual case of an adult patient treated with veno-venous ECMO for plastic bronchitis following cardiac surgery. Use of ECMO support while providing airway cleaning can be lifesaving in patients with respiratory failure secondary to plastic bronchitis.PMID:34859374 | DOI:10.1007/s12630-021-02148-2 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 3, 2021 Category: Anesthesiology Authors: Charles St-Arnaud Mohamed Abdel Halim Michael Mayette Source Type: research

Acute plastic bronchitis after Ross procedure treated with veno-venous extracorporeal membrane oxygenation
CONCLUSION: Plastic bronchitis can present in adult patients and be life-threatening when associated with acute respiratory failure. We report an unusual case of an adult patient treated with veno-venous ECMO for plastic bronchitis following cardiac surgery. Use of ECMO support while providing airway cleaning can be lifesaving in patients with respiratory failure secondary to plastic bronchitis.PMID:34859374 | DOI:10.1007/s12630-021-02148-2 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 3, 2021 Category: Anesthesiology Authors: Charles St-Arnaud Mohamed Abdel Halim Michael Mayette Source Type: research

Severe macroglossia after pediatric posterior fossa tumour surgery in the prone position
Can J Anaesth. 2021 Dec 1. doi: 10.1007/s12630-021-02153-5. Online ahead of print.NO ABSTRACTPMID:34854023 | DOI:10.1007/s12630-021-02153-5 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 2, 2021 Category: Anesthesiology Authors: Dan Annie Zhu Bradley Jackson Raymond Lee Jonathan D S Sniderman Julie Yu Source Type: research

Intra-abdominal pressure during and after cardiac surgery: a single-centre prospective cohort study
CONCLUSIONS: Intra-abdominal hypertension is very common during cardiac surgery but its clinical implications are uncertain.PMID:34850369 | DOI:10.1007/s12630-021-02141-9 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 1, 2021 Category: Anesthesiology Authors: Émilie Richer-Séguin Christian Ayoub Jean-S ébastien Lebon Jennifer Cogan St éphanie Jarry Yoan Lamarche Andr é Y Denault William Beaubien-Souligny Source Type: research

Intra-abdominal pressure during and after cardiac surgery: a single-centre prospective cohort study
CONCLUSIONS: Intra-abdominal hypertension is very common during cardiac surgery but its clinical implications are uncertain.PMID:34850369 | DOI:10.1007/s12630-021-02141-9 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - December 1, 2021 Category: Anesthesiology Authors: Émilie Richer-Séguin Christian Ayoub Jean-S ébastien Lebon Jennifer Cogan St éphanie Jarry Yoan Lamarche Andr é Y Denault William Beaubien-Souligny Source Type: research

Point-of-care ultrasound in the management of shock: what is the optimal prescription?
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02151-7. Online ahead of print.NO ABSTRACTPMID:34820765 | DOI:10.1007/s12630-021-02151-7 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 25, 2021 Category: Anesthesiology Authors: Kyle Fiorini John Basmaji Source Type: research

Point-of-care ultrasound in the management of shock: what is the optimal prescription?
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02151-7. Online ahead of print.NO ABSTRACTPMID:34820765 | DOI:10.1007/s12630-021-02151-7 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 25, 2021 Category: Anesthesiology Authors: Kyle Fiorini John Basmaji Source Type: research

Point-of-care ultrasound in the management of shock: what is the optimal prescription?
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02151-7. Online ahead of print.NO ABSTRACTPMID:34820765 | DOI:10.1007/s12630-021-02151-7 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 25, 2021 Category: Anesthesiology Authors: Kyle Fiorini John Basmaji Source Type: research

Point-of-care ultrasound in the management of shock: what is the optimal prescription?
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02151-7. Online ahead of print.NO ABSTRACTPMID:34820765 | DOI:10.1007/s12630-021-02151-7 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 25, 2021 Category: Anesthesiology Authors: Kyle Fiorini John Basmaji Source Type: research

Point-of-care ultrasound in the management of shock: what is the optimal prescription?
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02151-7. Online ahead of print.NO ABSTRACTPMID:34820765 | DOI:10.1007/s12630-021-02151-7 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 25, 2021 Category: Anesthesiology Authors: Kyle Fiorini John Basmaji Source Type: research

Low levels of end-tidal carbon dioxide during general anesthesia and postoperative mortality
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02154-4. Online ahead of print.NO ABSTRACTPMID:34817800 | DOI:10.1007/s12630-021-02154-4 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 24, 2021 Category: Anesthesiology Authors: Ali Solhpour Source Type: research

In reply: Low levels of end-tidal carbon dioxide during general anesthesia and postoperative mortality
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02155-3. Online ahead of print.NO ABSTRACTPMID:34817801 | DOI:10.1007/s12630-021-02155-3 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 24, 2021 Category: Anesthesiology Authors: Li Dong Toshiyuki Mizota Source Type: research

Low levels of end-tidal carbon dioxide during general anesthesia and postoperative mortality
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02154-4. Online ahead of print.NO ABSTRACTPMID:34817800 | DOI:10.1007/s12630-021-02154-4 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 24, 2021 Category: Anesthesiology Authors: Ali Solhpour Source Type: research

In reply: Low levels of end-tidal carbon dioxide during general anesthesia and postoperative mortality
Can J Anaesth. 2021 Nov 24. doi: 10.1007/s12630-021-02155-3. Online ahead of print.NO ABSTRACTPMID:34817801 | DOI:10.1007/s12630-021-02155-3 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 24, 2021 Category: Anesthesiology Authors: Li Dong Toshiyuki Mizota Source Type: research

Uterine exteriorization versus in situ repair in Cesarean delivery: a systematic review and meta-analysis
CONCLUSIONS: In this updated systematic review and meta-analysis, uterine exteriorization was associated with an increased risk of IONV but no significant change in perioperative hemoglobin decrease compared with in situ repair.STUDY REGISTRATION: PROSPERO (CRD42020190074); registered 5 July 2020.PMID:34811700 | DOI:10.1007/s12630-021-02142-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 23, 2021 Category: Anesthesiology Authors: Hon Sen Tan Cameron R Taylor Nadir Sharawi Rehena Sultana Karen D Barton Ashraf S Habib Source Type: research

Uterine exteriorization versus in situ repair in Cesarean delivery: a systematic review and meta-analysis
CONCLUSIONS: In this updated systematic review and meta-analysis, uterine exteriorization was associated with an increased risk of IONV but no significant change in perioperative hemoglobin decrease compared with in situ repair.STUDY REGISTRATION: PROSPERO (CRD42020190074); registered 5 July 2020.PMID:34811700 | DOI:10.1007/s12630-021-02142-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 23, 2021 Category: Anesthesiology Authors: Hon Sen Tan Cameron R Taylor Nadir Sharawi Rehena Sultana Karen D Barton Ashraf S Habib Source Type: research

Comparison of qualitative information obtained with the echocardiographic assessment using subcostal-only view and focused transthoracic echocardiography examinations: a prospective observational study
CONCLUSIONS: When images could be obtained from the subcostal window (the EASy examination), qualitative diagnostic information was sufficiently accurate compared with information obtained during FTTE examination. Our findings suggest that the EASy examination can serve as the entry point technique to FTTE for novice clinicians.PMID:34796459 | PMC:PMC8601751 | DOI:10.1007/s12630-021-02152-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 19, 2021 Category: Anesthesiology Authors: Nibras Bughrara J Ross Renew Kenneth Alabre Josh Schulman-Marcus Krishnaveni Sirigaddi Aliaksei Pustavoitau Elizabeth R Lesser Jose L Diaz-Gomez Source Type: research

The practice of regional anesthesia during the COVID-19 pandemic: an international survey of members of three regional anesthesia societies
CONCLUSIONS: Given the perceived benefits of regional over general anesthesia, approximately half of the members of three regional anesthesia societies seem to have expanded their use of regional anesthesia techniques during the initial surge of the COVID-19 pandemic.PMID:34796460 | PMC:PMC8601752 | DOI:10.1007/s12630-021-02150-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 19, 2021 Category: Anesthesiology Authors: Vishal Uppal Harsha Shanthanna Hari Kalagara Rakesh V Sondekoppam Sameh M Hakim Meg A Rosenblatt Amit Pawa Alan J R Macfarlane Eleni Moka Samer Narouze Source Type: research

Comparison of qualitative information obtained with the echocardiographic assessment using subcostal-only view and focused transthoracic echocardiography examinations: a prospective observational study
CONCLUSIONS: When images could be obtained from the subcostal window (the EASy examination), qualitative diagnostic information was sufficiently accurate compared with information obtained during FTTE examination. Our findings suggest that the EASy examination can serve as the entry point technique to FTTE for novice clinicians.PMID:34796459 | PMC:PMC8601751 | DOI:10.1007/s12630-021-02152-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 19, 2021 Category: Anesthesiology Authors: Nibras Bughrara J Ross Renew Kenneth Alabre Josh Schulman-Marcus Krishnaveni Sirigaddi Aliaksei Pustavoitau Elizabeth R Lesser Jose L Diaz-Gomez Source Type: research

The practice of regional anesthesia during the COVID-19 pandemic: an international survey of members of three regional anesthesia societies
CONCLUSIONS: Given the perceived benefits of regional over general anesthesia, approximately half of the members of three regional anesthesia societies seem to have expanded their use of regional anesthesia techniques during the initial surge of the COVID-19 pandemic.PMID:34796460 | PMC:PMC8601752 | DOI:10.1007/s12630-021-02150-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 19, 2021 Category: Anesthesiology Authors: Vishal Uppal Harsha Shanthanna Hari Kalagara Rakesh V Sondekoppam Sameh M Hakim Meg A Rosenblatt Amit Pawa Alan J R Macfarlane Eleni Moka Samer Narouze Source Type: research

Comparison of qualitative information obtained with the echocardiographic assessment using subcostal-only view and focused transthoracic echocardiography examinations: a prospective observational study
CONCLUSIONS: When images could be obtained from the subcostal window (the EASy examination), qualitative diagnostic information was sufficiently accurate compared with information obtained during FTTE examination. Our findings suggest that the EASy examination can serve as the entry point technique to FTTE for novice clinicians.PMID:34796459 | DOI:10.1007/s12630-021-02152-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 19, 2021 Category: Anesthesiology Authors: Nibras Bughrara J Ross Renew Kenneth Alabre Josh Schulman-Marcus Krishnaveni Sirigaddi Aliaksei Pustavoitau Elizabeth R Lesser Jose L Diaz-Gomez Source Type: research

The practice of regional anesthesia during the COVID-19 pandemic: an international survey of members of three regional anesthesia societies
CONCLUSIONS: Given the perceived benefits of regional over general anesthesia, approximately half of the members of three regional anesthesia societies seem to have expanded their use of regional anesthesia techniques during the initial surge of the COVID-19 pandemic.PMID:34796460 | DOI:10.1007/s12630-021-02150-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 19, 2021 Category: Anesthesiology Authors: Vishal Uppal Harsha Shanthanna Hari Kalagara Rakesh V Sondekoppam Sameh M Hakim Meg A Rosenblatt Amit Pawa Alan J R Macfarlane Eleni Moka Samer Narouze Source Type: research

Retraction Note to: Fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence
Can J Anaesth. 2021 Nov 17. doi: 10.1007/s12630-021-02125-9. Online ahead of print.NO ABSTRACTPMID:34787841 | DOI:10.1007/s12630-021-02125-9 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 17, 2021 Category: Anesthesiology Authors: Joachim Boldt Source Type: research

Retraction Note to: Fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence
Can J Anaesth. 2021 Nov 17. doi: 10.1007/s12630-021-02125-9. Online ahead of print.NO ABSTRACTPMID:34787841 | DOI:10.1007/s12630-021-02125-9 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 17, 2021 Category: Anesthesiology Authors: Joachim Boldt Source Type: research

Retraction Note to: Fluid choice for resuscitation of the trauma patient: a review of the physiological, pharmacological, and clinical evidence
Can J Anaesth. 2021 Nov 17. doi: 10.1007/s12630-021-02125-9. Online ahead of print.NO ABSTRACTPMID:34787841 | DOI:10.1007/s12630-021-02125-9 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 17, 2021 Category: Anesthesiology Authors: Joachim Boldt Source Type: research

Fluid management for kidney transplantation: is it really about more or less?
Can J Anaesth. 2021 Nov 16. doi: 10.1007/s12630-021-02131-x. Online ahead of print.NO ABSTRACTPMID:34782997 | DOI:10.1007/s12630-021-02131-x (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 16, 2021 Category: Anesthesiology Authors: Paula Perez Jimenez S Joseph Kim Stuart A McCluskey Source Type: research

Reflection, refraction, resilience: the transformative potential of art
Can J Anaesth. 2021 Nov 16:1-4. doi: 10.1007/s12630-021-02147-3. Online ahead of print.NO ABSTRACTPMID:34782998 | PMC:PMC8592672 | DOI:10.1007/s12630-021-02147-3 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 16, 2021 Category: Anesthesiology Authors: Melany Gaetani Kyung-Seo Min Catherine Proulx Briseida Mema Source Type: research

Performance and impact of an airway management team launched during the COVID-19 pandemic
CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team.PMID:34761327 | PMC:PMC8580171 | DOI:10.1007/s12630-021-02144-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 11, 2021 Category: Anesthesiology Authors: Keziah Magor Tejinder Chhina Ivan Cacic Bill I Wong Hossam El Beheiry Source Type: research

Performance and impact of an airway management team launched during the COVID-19 pandemic
CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team.PMID:34761327 | PMC:PMC8580171 | DOI:10.1007/s12630-021-02144-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 11, 2021 Category: Anesthesiology Authors: Keziah Magor Tejinder Chhina Ivan Cacic Bill I Wong Hossam El Beheiry Source Type: research

Performance and impact of an airway management team launched during the COVID-19 pandemic
CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team.PMID:34761327 | DOI:10.1007/s12630-021-02144-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 11, 2021 Category: Anesthesiology Authors: Keziah Magor Tejinder Chhina Ivan Cacic Bill I Wong Hossam El Beheiry Source Type: research

Performance and impact of an airway management team launched during the COVID-19 pandemic
CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team.PMID:34761327 | DOI:10.1007/s12630-021-02144-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 11, 2021 Category: Anesthesiology Authors: Keziah Magor Tejinder Chhina Ivan Cacic Bill I Wong Hossam El Beheiry Source Type: research

Performance and impact of an airway management team launched during the COVID-19 pandemic
CONCLUSION: An AMT assembled during the COVID-19 pandemic showed high competency and effectiveness, and had favourable impact on the main responsible physicians who activated the team.PMID:34761327 | DOI:10.1007/s12630-021-02144-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 11, 2021 Category: Anesthesiology Authors: Keziah Magor Tejinder Chhina Ivan Cacic Bill I Wong Hossam El Beheiry Source Type: research

Feasibility study of cumulative sum (CUSUM) analysis as a competency assessment tool for ultrasound-guided venous access procedures
CONCLUSION: Our study showed that CUSUM can be used to assess competence in USG-PIV procedures performed by pediatric anesthesia fellows and to identify learners not progressing toward competency in procedural skills. Ultrasound-guided venous access required more attempts to achieve competency in younger patients.PMID:34755274 | DOI:10.1007/s12630-021-02149-1 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 10, 2021 Category: Anesthesiology Authors: Suryakumar Narayanasamy Lili Ding Fang Yang Joel Gunter Paul Samuels Marc Mecoli Source Type: research

Pediatric Anesthesia Procedures : Anna Clebone, Barbara K. Burian. Oxford University Press 2020; (paperback version); 224 pages. ISBN 978-0-19-068518-8
Can J Anaesth. 2021 Nov 9. doi: 10.1007/s12630-021-02146-4. Online ahead of print.NO ABSTRACTPMID:34755273 | DOI:10.1007/s12630-021-02146-4 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 10, 2021 Category: Anesthesiology Authors: Jarmila Kim Source Type: research

Feasibility study of cumulative sum (CUSUM) analysis as a competency assessment tool for ultrasound-guided venous access procedures
CONCLUSION: Our study showed that CUSUM can be used to assess competence in USG-PIV procedures performed by pediatric anesthesia fellows and to identify learners not progressing toward competency in procedural skills. Ultrasound-guided venous access required more attempts to achieve competency in younger patients.PMID:34755274 | DOI:10.1007/s12630-021-02149-1 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 10, 2021 Category: Anesthesiology Authors: Suryakumar Narayanasamy Lili Ding Fang Yang Joel Gunter Paul Samuels Marc Mecoli Source Type: research

In reply: Please stop using nitrous oxide in routine clinical practice (comment on: Use of nitrous oxide in contemporary anesthesia-an ongoing tug of war)
Can J Anaesth. 2021 Nov 8. doi: 10.1007/s12630-021-02137-5. Online ahead of print.NO ABSTRACTPMID:34750745 | DOI:10.1007/s12630-021-02137-5 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 9, 2021 Category: Anesthesiology Authors: Chee Sam Chan Matthew T V Chan Source Type: research

Evaluation of a quality improvement bundle aimed to reduce opioid prescriptions after Cesarean delivery: an interrupted time series study
Can J Anaesth. 2021 Nov 8. doi: 10.1007/s12630-021-02143-7. Online ahead of print.ABSTRACTPURPOSE: To evaluate whether opioid prescriptions at discharge after Cesarean delivery decreased following implementation of a quality improvement bundle.METHODS: A quality improvement bundle was instituted at Mount Sinai Hospital in Toronto. Interventions included opioid prescribing instructions in resident orientation, nursing and patient education, and standard electronic prescriptions. We used an interrupted time series study design and included patients who had a Cesarean delivery six months pre intervention and six months post i...
Source: Canadian Journal of Anaesthesia - November 9, 2021 Category: Anesthesiology Authors: Isabelle Laksono John Matelski David Flamer Shira Gold Amanda Selk Source Type: research

The effect of pulse pressure variation compared with central venous pressure on intraoperative fluid management during kidney transplant surgery: a randomized controlled trial
CONCLUSION: Pulse pressure variation -guided fluid administration significantly decreased the total volume of crystalloids compared with CVP-guided fluid therapy during the intraoperative period in patients who underwent kidney transplant surgery. Nevertheless, our study was underpowered to detect differences in secondary outcomes.TRIAL REGISTRATION: www.ctri.nic.in (CTRI/2018/01/011638); registered 31 January 2018.PMID:34750747 | DOI:10.1007/s12630-021-02130-y (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 9, 2021 Category: Anesthesiology Authors: Gowtham Kannan Sekar Loganathan Kamal Kajal Amarjyoti Hazarika Sameer Sethi Indu Mohini Sen Rajeev Subramanyam Sarbpreet Singh Source Type: research

An endotracheal tube as a conduit for neonatal tracheostomy
Can J Anaesth. 2021 Nov 8:1-2. doi: 10.1007/s12630-021-02138-4. Online ahead of print.NO ABSTRACTPMID:34750748 | PMC:PMC8575490 | DOI:10.1007/s12630-021-02138-4 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 9, 2021 Category: Anesthesiology Authors: Indu Sen Aditi Jain Source Type: research

Please stop using nitrous oxide in routine clinical practice (comment on: Use of nitrous oxide in contemporary anesthesia-an ongoing tug of war)
Can J Anaesth. 2021 Nov 8. doi: 10.1007/s12630-021-02136-6. Online ahead of print.NO ABSTRACTPMID:34750749 | DOI:10.1007/s12630-021-02136-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 9, 2021 Category: Anesthesiology Authors: Christian H önemann Se-Chan Kim Source Type: research

Comparison of analgesic modalities for patients undergoing midline laparotomy: a systematic review and network meta-analysis
CONCLUSIONS: Single-shot AWB were only clinically effective for analgesia in the early postoperative period. Continuous regional anesthesia modalities increased the duration of analgesia relative to their single-shot counterparts. Epidural analgesia remained clinically superior to alternative continuous regional anesthesia techniques for the first 24 hr, but reached equivalence, at least with respect to static pain, with continuous AWB and WI by 48 hr.TRIAL REGISTRATION: PROSPERO (CRD42021238916); registered 25 February 2021.PMID:34739706 | DOI:10.1007/s12630-021-02128-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: Ryan Howle Su-Cheen Ng Heung-Yan Wong Desire Onwochei Neel Desai Source Type: research

Constrictive pericarditis: portal, splenic, and femoral venous Doppler pulsatility: a case series
CONCLUSION: In patients with CP, changes in hemodynamic and echocardiographic signs of RV dysfunction are rapidly reflected by changes in peripheral venous velocities. Identifying signs of splanchnic and peripheral vascular venous congestion could help identify patients at higher risk of developing postoperative complications following pericardiectomy.PMID:34739707 | DOI:10.1007/s12630-021-02126-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: C éline Gonzalez Marie-Eve Chamberland Matthew P Aldred Etienne Couture William Beaubien-Souligny Alexander Calderone Yoan Lamarche Andr é Denault Source Type: research

Comparison of analgesic modalities for patients undergoing midline laparotomy: a systematic review and network meta-analysis
CONCLUSIONS: Single-shot AWB were only clinically effective for analgesia in the early postoperative period. Continuous regional anesthesia modalities increased the duration of analgesia relative to their single-shot counterparts. Epidural analgesia remained clinically superior to alternative continuous regional anesthesia techniques for the first 24 hr, but reached equivalence, at least with respect to static pain, with continuous AWB and WI by 48 hr.TRIAL REGISTRATION: PROSPERO (CRD42021238916); registered 25 February 2021.PMID:34739706 | DOI:10.1007/s12630-021-02128-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: Ryan Howle Su-Cheen Ng Heung-Yan Wong Desire Onwochei Neel Desai Source Type: research

Constrictive pericarditis: portal, splenic, and femoral venous Doppler pulsatility: a case series
CONCLUSION: In patients with CP, changes in hemodynamic and echocardiographic signs of RV dysfunction are rapidly reflected by changes in peripheral venous velocities. Identifying signs of splanchnic and peripheral vascular venous congestion could help identify patients at higher risk of developing postoperative complications following pericardiectomy.PMID:34739707 | DOI:10.1007/s12630-021-02126-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: C éline Gonzalez Marie-Eve Chamberland Matthew P Aldred Etienne Couture William Beaubien-Souligny Alexander Calderone Yoan Lamarche Andr é Denault Source Type: research

Comparison of analgesic modalities for patients undergoing midline laparotomy: a systematic review and network meta-analysis
CONCLUSIONS: Single-shot AWB were only clinically effective for analgesia in the early postoperative period. Continuous regional anesthesia modalities increased the duration of analgesia relative to their single-shot counterparts. Epidural analgesia remained clinically superior to alternative continuous regional anesthesia techniques for the first 24 hr, but reached equivalence, at least with respect to static pain, with continuous AWB and WI by 48 hr.TRIAL REGISTRATION: PROSPERO (CRD42021238916); registered 25 February 2021.PMID:34739706 | DOI:10.1007/s12630-021-02128-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: Ryan Howle Su-Cheen Ng Heung-Yan Wong Desire Onwochei Neel Desai Source Type: research

Constrictive pericarditis: portal, splenic, and femoral venous Doppler pulsatility: a case series
CONCLUSION: In patients with CP, changes in hemodynamic and echocardiographic signs of RV dysfunction are rapidly reflected by changes in peripheral venous velocities. Identifying signs of splanchnic and peripheral vascular venous congestion could help identify patients at higher risk of developing postoperative complications following pericardiectomy.PMID:34739707 | DOI:10.1007/s12630-021-02126-8 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: C éline Gonzalez Marie-Eve Chamberland Matthew P Aldred Etienne Couture William Beaubien-Souligny Alexander Calderone Yoan Lamarche Andr é Denault Source Type: research

Comparison of analgesic modalities for patients undergoing midline laparotomy: a systematic review and network meta-analysis
CONCLUSIONS: Single-shot AWB were only clinically effective for analgesia in the early postoperative period. Continuous regional anesthesia modalities increased the duration of analgesia relative to their single-shot counterparts. Epidural analgesia remained clinically superior to alternative continuous regional anesthesia techniques for the first 24 hr, but reached equivalence, at least with respect to static pain, with continuous AWB and WI by 48 hr.TRIAL REGISTRATION: PROSPERO (CRD42021238916); registered 25 February 2021.PMID:34739706 | DOI:10.1007/s12630-021-02128-6 (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - November 5, 2021 Category: Anesthesiology Authors: Ryan Howle Su-Cheen Ng Heung-Yan Wong Desire Onwochei Neel Desai Source Type: research