Uncertainty in the methods and interpretation of a meta-analysis of airway complications from lidocaine lubrication.
PMID: 32440904 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 21, 2020 Category: Anesthesiology Authors: Kataoka E Tags: Can J Anaesth Source Type: research

A simple negative-pressure protective barrier for extubation of COVID-19 patients.
PMID: 32440905 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 21, 2020 Category: Anesthesiology Authors: Hung O, Hung D, Hung C, Stewart R Tags: Can J Anaesth Source Type: research

A proposed lung ultrasound and phenotypic algorithm for the care of COVID-19 patients with acute respiratory failure.
let P Abstract Pulmonary complications are the most common clinical manifestations of coronavirus disease (COVID-19). From recent clinical observation, two phenotypes have emerged: a low elastance or L-type and a high elastance or H-type. Clinical presentation, pathophysiology, pulmonary mechanics, radiological and ultrasound findings of these two phenotypes are different. Consequently, the therapeutic approach also varies between the two. We propose a management algorithm that combines the respiratory rate and oxygenation index with bedside lung ultrasound examination and monitoring that could help determine earl...
Source: Canadian Journal of Anaesthesia - May 21, 2020 Category: Anesthesiology Authors: Denault AY, Delisle S, Canty D, Royse A, Royse C, Serra XC, Gebhard CE, Couture ÉJ, Girard M, Cavayas YA, Peschanski N, Langevin S, Ouellet P Tags: Can J Anaesth Source Type: research

Safety of neurolytic erector spinae plane blocks for cancer pain.
PMID: 32440907 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 21, 2020 Category: Anesthesiology Authors: Elkoundi A, Kartite N, Doghmi N, Baite A Tags: Can J Anaesth Source Type: research

Organ donation in patients on extracorporeal membrane oxygenation: considerations for determination of death and withdrawal of life support.
Abstract The use of extracorporeal membrane oxygenation (ECMO) is increasing globally, although mortality in this setting remains high. Patients on ECMO may be potential organ donors in the context of withdrawal of life-sustaining measures (WLSM) or neurologic determination of death (NDD). Nevertheless, there are currently no Canadian standards to guide clinicians on NDD or WLSM for the purposes of organ donation in this patient population. Apnea testing remains fundamental to determining NDD and is an area where ECMO may alter routine procedures. In this review, we outline protocols for the performance of apnea t...
Source: Canadian Journal of Anaesthesia - May 21, 2020 Category: Anesthesiology Authors: Taran S, Steel A, Healey A, Fan E, Singh JM Tags: Can J Anaesth Source Type: research

Bilateral scalp blocks help reduce postoperative pain and opioid requirement, but the impact cannot be so huge.
PMID: 32436150 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 20, 2020 Category: Anesthesiology Authors: Bhakta P, Dash H Tags: Can J Anaesth Source Type: research

In reply: Bilateral scalp blocks help reduce postoperative pain and opioid requirement, but the impact cannot be so huge.
PMID: 32436151 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 20, 2020 Category: Anesthesiology Authors: Rigamonti A, Ma K, Garavaglia MM, Hare GMT, Mazer CD Tags: Can J Anaesth Source Type: research

Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (pPE)?
PMID: 32424697 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 18, 2020 Category: Anesthesiology Authors: Lee TW, Enns J Tags: Can J Anaesth Source Type: research

In reply: Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (pPE)?
PMID: 32424698 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 18, 2020 Category: Anesthesiology Authors: Bracco D Tags: Can J Anaesth Source Type: research

Optimal sleep health among frontline healthcare workers during the COVID-19 pandemic.
PMID: 32424699 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 18, 2020 Category: Anesthesiology Authors: Singh M, Sharda S, Gautam M, Hawa R Tags: Can J Anaesth Source Type: research

Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (pPE)?
PMID: 32425329 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 18, 2020 Category: Anesthesiology Authors: Lee TW, Enns J Tags: Can J Anaesth Source Type: research

In reply: Making transesophageal echocardiography safer during COVID-19: is there a role for probe protective equipment (pPE)?
PMID: 32425330 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 18, 2020 Category: Anesthesiology Authors: Bracco D Tags: Can J Anaesth Source Type: research

Optimal sleep health among frontline healthcare workers during the COVID-19 pandemic.
PMID: 32425331 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 18, 2020 Category: Anesthesiology Authors: Singh M, Sharda S, Gautam M, Hawa R Tags: Can J Anaesth Source Type: research

Cognitive aids with roles defined (CARD) for obstetrical crises: a multisite before-and-after cohort study.
CONCLUSIONS: The CARD cognitive aid did not significantly improve time-based or clinical maternal and neonatal outcomes of emergency Cesarean delivery at our academic maternity unit. PMID: 32415478 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 15, 2020 Category: Anesthesiology Authors: Boet S, Posner G, Bariciak E, Crooks S, Mitchell A, Bryson GL, Burns JK, Bould MD Tags: Can J Anaesth Source Type: research

Improving adherence to a monitoring protocol for myocardial injury after non-cardiac surgery.
PMID: 32415479 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 15, 2020 Category: Anesthesiology Authors: Pelland A, Chau A, Shin HJ, Prabhakar C Tags: Can J Anaesth Source Type: research

Pakistan's National Surgical, Obstetric, and Anesthesia Plan: an adapted model for a devolved federal-provincial health system.
PMID: 32409943 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 14, 2020 Category: Anesthesiology Authors: Fatima I, Shoman H, Peters AW, Samad L, Nishtar S Tags: Can J Anaesth Source Type: research

A randomized-controlled trial of sugammadex versus neostigmine: impact on early postoperative strength.
CONCLUSIONS: Measures of postoperative strength, such as incentive spirometry, hand group strength, and the ability to sit up in the early postoperative period were not different in patients who received neostigmine or sugammadex for the reversal of neuromuscular blockade. TRIAL REGISTRATION: www.clinicaltrials.gov (NCT02909439); registered: 21 September, 2016. PMID: 32405975 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 13, 2020 Category: Anesthesiology Authors: Abola RE, Romeiser J, Rizwan S, Lung B, Gupta R, Bennett-Guerrero E Tags: Can J Anaesth Source Type: research

In reply: Clear plastic drapes for aerosol-generating medical procedures in COVID-19 patients: questions still remain.
PMID: 32399784 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 12, 2020 Category: Anesthesiology Authors: Matava CT, Yu J, Denning S Tags: Can J Anaesth Source Type: research

In reply: Clear plastic drapes for aerosol-generating medical procedures in COVID-19 patients: questions still remain.
PMID: 32405147 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 12, 2020 Category: Anesthesiology Authors: Matava CT, Yu J, Denning S Tags: Can J Anaesth Source Type: research

Corticosteroids for critically ill COVID-19 patients with cytokine release syndrome: a limited case series.
PMID: 32394335 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Yang SS, Lipes J Tags: Can J Anaesth Source Type: research

An innovative endotracheal tube clamp for use in COVID-19.
PMID: 32394336 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Jacob M, Ruivo E, Portela I, Tavares J, Varela M, Moutinho S, Costa H, Nunez D Tags: Can J Anaesth Source Type: research

Clear plastic drapes for aerosol-generating medical procedures in COVID-19 patients: questions still remain.
PMID: 32394337 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Endersby RVW, Spencer AO, Ho ECY, Goldstein DH, Schubert E Tags: Can J Anaesth Source Type: research

End-of-life care in patients with a highly transmissible respiratory virus: implications for COVID-19.
Abstract Symptom management and end-of-life care are core skills for all physicians, although in ordinary times many anesthesiologists have fewer occasions to use these skills. The current coronavirus disease (COVID-19) pandemic has caused significant mortality over a short time and has necessitated an increase in provision of both critical care and palliative care. For anesthesiologists deployed to units caring for patients with COVID-19, this narrative review provides guidance on conducting goals of care discussions, withdrawing life-sustaining measures, and managing distressing symptoms. PMID: 32394338 [Pu...
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Mottiar M, Hendin A, Fischer L, Roze des Ordons A, Hartwick M Tags: Can J Anaesth Source Type: research

Delayed graft function after kidney transplantation: is saline really responsible?
PMID: 32394339 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Gueret G, Le Maguet P, Fabre R, Laffon M Tags: Can J Anaesth Source Type: research

In reply: Physical distancing or social distancing: that is the question.
PMID: 32394340 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Prin M, Bartels K Tags: Can J Anaesth Source Type: research

Physical distancing or social distancing: that is the question.
PMID: 32394341 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Aminnejad R, Alikhani R Tags: Can J Anaesth Source Type: research

In reply: Delayed graft function after kidney transplantation: is saline really responsible?
PMID: 32394342 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 11, 2020 Category: Anesthesiology Authors: Nesseler N, Ross JT, Rached A, Garlantezec R Tags: Can J Anaesth Source Type: research

Impact of leg movement on skin-adductor canal distance: a potential cause for catheter tip displacement?
Abstract PURPOSE: Catheter-based adductor canal blocks are an effective pain management strategy for total knee arthroplasty. Nevertheless, catheter-based techniques may fail if the tip migrates because of leg movement. This observational study used ultrasound to measure the distance from the skin to the adductor canal (SAC). We tested the hypothesis that leg movements mimicking those occurring during postoperative physiotherapy change the SAC distance. METHODS: Following total knee arthroplasty under spinal anesthesia, the SAC distance was measured using ultrasound in 40 patients. The leg was passively moved...
Source: Canadian Journal of Anaesthesia - May 8, 2020 Category: Anesthesiology Authors: Tholin M, Wilson J, Lee S, Tang R, Sawka A, Vaghadia H Tags: Can J Anaesth Source Type: research

Variability in deceased donor care in Canada: a report of the Canada-DONATE cohort study.
CONCLUSION: These study findings highlight areas for knowledge translation and further clinical research. Interprovincial discrepancies will likely pose unique challenges to national randomized trials. TRIAL REGISTRATION: www.clinicaltrials.gov (NCT03114436); registered 10 April, 2017. PMID: 32385825 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 8, 2020 Category: Anesthesiology Authors: D'Aragon F, Lamontagne F, Cook D, Dhanani S, Keenan S, Chassé M, English S, Burns KEA, Frenette AJ, Ball I, Boyd JG, Masse MH, Breau R, Akhtar A, Kramer A, Rochwerg B, Lauzier F, Kutsogiannis DJ, Ibrahim Q, Hand L, Zhou Q, Meade MO, Canadian Critical Car Tags: Can J Anaesth Source Type: research

An exploratory study of the McKay airway to assist bag-mask ventilation.
PMID: 32385826 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 8, 2020 Category: Anesthesiology Authors: McKay WP, Okpalauwaekwe U, Conly C, Pooni B Tags: Can J Anaesth Source Type: research

In reply: Does length of intubation explain the failure of intracuff local anesthetic to reduce postoperative sore throat.
PMID: 32383123 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 7, 2020 Category: Anesthesiology Authors: McLachlan M, Gamble J, O'Brien J Tags: Can J Anaesth Source Type: research

External validation of a prognostic model for intensive care unit mortality: a retrospective study using the Ontario Critical Care Information System.
CONCLUSIONS: A risk prediction model primarily based on the MODS shows reproducibility and transportability after intercept recalibration. Risk adjusting models that use existing and feasible data collection can support performance measurement at the individual ICU level. PMID: 32383124 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 7, 2020 Category: Anesthesiology Authors: Priestap F, Kao R, Martin CM Tags: Can J Anaesth Source Type: research

Post-exposure prophylaxis or pre-emptive therapy for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2): study protocol for a pragmatic randomized-controlled trial.
We describe the design of a clinical trial of hydroxychloroquine for post-exposure prophylaxis (PEP) and pre-emptive therapy (PET) for COVID-19. METHODS: We will conduct two nested multicentre international double-blind randomized placebo-controlled clinical trials of hydroxychloroquine for: 1) PEP of asymptomatic household contacts or healthcare workers exposed to COVID-19 within the past four days, and 2) PET for symptomatic outpatients with COVID-19 showing symptoms for less than four days. We will recruit 1,500 patients each for the PEP and PET trials. Participants will be randomized 1:1 to receive five days of hy...
Source: Canadian Journal of Anaesthesia - May 7, 2020 Category: Anesthesiology Authors: Lother SA, Abassi M, Agostinis A, Bangdiwala AS, Cheng MP, Drobot G, Engen N, Hullsiek KH, Kelly LE, Lee TC, Lofgren SM, MacKenzie LJ, Marten N, McDonald EG, Okafor EC, Pastick KA, Pullen MF, Rajasingham R, Schwartz I, Skipper CP, Turgeon AF, Zarychanski Tags: Can J Anaesth Source Type: research

La d éfinition des moments critiques et non critiques en salle d'opération : une étude de consensus Delphi modifiée.
CONCLUSIONS: By defining the most critical moments of surgery, future research can determine the relative importance of behaviour and actions at each stage and target interventions to these stages. PMID: 32377936 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 6, 2020 Category: Anesthesiology Authors: Boet S, Etherington N, Crnic A, Kenna J, Jung J, Cairns M, Posner G, Grantcharov T Tags: Can J Anaesth Source Type: research

Does length of intubation explain the failure of intracuff local anesthetic to reduce postoperative sore throat?
PMID: 32377937 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 6, 2020 Category: Anesthesiology Authors: Basaran B, Ankay Yilbas A, Kutahya E Tags: Can J Anaesth Source Type: research

A report of probable paroxysmal sympathetic hyperactivity syndrome in a patient with necrotizing fasciitis.
PMID: 32372180 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 5, 2020 Category: Anesthesiology Authors: Fraser S, Ovakim DH Tags: Can J Anaesth Source Type: research

Sedation during vitreoretinal surgery: practice patterns in Canada.
PMID: 32367490 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 4, 2020 Category: Anesthesiology Authors: McCusker S, Chaudhary V, Blew P, Mak M, Barbosa J, Qian J, Shanthanna H, Ligori T Tags: Can J Anaesth Source Type: research

Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letter #1).
eta F PMID: 32358763 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 1, 2020 Category: Anesthesiology Authors: Soberón JR, Urdaneta F Tags: Can J Anaesth Source Type: research

Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letter #2).
PMID: 32358764 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 1, 2020 Category: Anesthesiology Authors: Aliste J, Altermatt FR, Atton R, Bravo D, Layera S, Miranda P, Pesce I Tags: Can J Anaesth Source Type: research

In reply: Regional anesthesia during the COVID-19 pandemic: a time to reconsider practices? (Letters #1 and #2).
PMID: 32358765 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 1, 2020 Category: Anesthesiology Authors: Lie SA, Wong SW, Wong LT, Wong TGL, Chong SY Tags: Can J Anaesth Source Type: research

What to do when perioperative point-of-care ultrasound shows evidence of a full stomach despite fasting?
PMID: 32358766 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - May 1, 2020 Category: Anesthesiology Authors: Schwarz SKW, Prabhakar C Tags: Can J Anaesth Source Type: research

Re-purposing a face tent as a  disposable aerosol evacuation system to reduce contamination in COVID-19 patients: a simulated demonstration.
Re-purposing a face tent as a disposable aerosol evacuation system to reduce contamination in COVID-19 patients: a simulated demonstration. Can J Anaesth. 2020 Apr 30;: Authors: Tsui BCH PMID: 32356164 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 30, 2020 Category: Anesthesiology Authors: Tsui BCH Tags: Can J Anaesth Source Type: research

Directed organ donation after medical assistance in dying: little to gain and much to lose.
PMID: 32356165 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 30, 2020 Category: Anesthesiology Authors: Middleton C Tags: Can J Anaesth Source Type: research

Perioperative personal protective equipment stewardship (POPPiES).
PMID: 32350813 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 29, 2020 Category: Anesthesiology Authors: Mandhari MA, Caldeira M, Dickinson M, Donnell CM Tags: Can J Anaesth Source Type: research

A survey of self-reported research knowledge in Guyanese, Rwandan, Zambian, and Ethiopian anesthesia residents.
PMID: 32347458 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 28, 2020 Category: Anesthesiology Authors: Bleeker H, Bould MD, Harvey A, Hamstra J, McIsaac DI Tags: Can J Anaesth Source Type: research

Personal protective equipment (PPE) for anesthesiologists: the need for national guidelines.
PMID: 32347459 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 28, 2020 Category: Anesthesiology Authors: Bainbridge D Tags: Can J Anaesth Source Type: research

Quality of clinical care provided during simulated pediatric cardiac arrest: a simulation-based study.
CONCLUSIONS: Review of simulated resuscitation events found suboptimal compliance with resuscitation guidelines, particularly the times to starting CPR and delivering the first shock, as well as compression rate and depth. PMID: 32347460 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 28, 2020 Category: Anesthesiology Authors: Garcia-Jorda D, Martin DA, Camphaug J, Bissett W, Spence T, Mahoney M, Cheng A, Lin Y, Gilfoyle E Tags: Can J Anaesth Source Type: research

Spinal anesthesia for Cesarean delivery in women with COVID-19 infection: questions regarding the cause of hypotension.
te;trique [CARO]) PMID: 32342348 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 27, 2020 Category: Anesthesiology Authors: Benhamou D, Meyer HK, Morau E, Chassard D, Mercier FJ, French Obstetric Anesthesia Working Group (Club Anesthésie-Réanimation en Obstétrique [CARO]) Tags: Can J Anaesth Source Type: research

In reply: Spinal anesthesia for Cesarean delivery in women with COVID-19 infection: questions regarding the cause of hypotension.
PMID: 32342349 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 27, 2020 Category: Anesthesiology Authors: Chen R, Zhang YY, Zhou Q, Meng QT Tags: Can J Anaesth Source Type: research

Video laryngoscopy in COVID-19 patients: a word of caution.
PMID: 32342350 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - April 27, 2020 Category: Anesthesiology Authors: Singh N, Rao PB, Mishra N Tags: Can J Anaesth Source Type: research