Post-thyroidectomy prothrombin time elevation and hematoma in a patient who received sugammadex
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 16, 2021 Category: Anesthesiology Source Type: research

Regarding intraoperative neurophysiologic monitoring in idiopathic scoliosis surgery: other techniques to improve safety
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 16, 2021 Category: Anesthesiology Source Type: research

“Nature exposed to our method of questioning”—resuscitation preferences and complex interventions
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 16, 2021 Category: Anesthesiology Source Type: research

Manuel d' échographie en anesthésie-réanimation et médecine péri-opératoire
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 16, 2021 Category: Anesthesiology Source Type: research

Correction to: Intravenous immune globulin in septic shock: a Canadian national survey of critical care medicine and infectious disease specialist physicians
This article was updated to correct Alexis F. Turgeon ’s name and affiliations. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 16, 2021 Category: Anesthesiology Source Type: research

Comments on: Mechanisms of action of the erector spinae plane (ESP) block: a narrative review (Letter #2)
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 16, 2021 Category: Anesthesiology Source Type: research

Comparison between a novel 2D –3D ultrasound system (Accuro®) and conventional two-dimensional ultrasound for assessment of the lumbar spine: a prospective cohort study in volunteers
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 9, 2021 Category: Anesthesiology Source Type: research

Critical care archetypes
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 9, 2021 Category: Anesthesiology Source Type: research

Seven years on from the Canadian Airway Focus Group Difficult Airway Guidelines: an observational survey
ConclusionsDespite widespread awareness of the national CAFG Difficult Airway Guidelines, they are not widely adopted in clinical practice. Further research is warranted to explore barriers to adoption of airway management guidelines for both individual anesthesiologists and anesthesia departments. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 6, 2021 Category: Anesthesiology Source Type: research

In a forest of airway guidelines, it ’s time to make a shared path
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 6, 2021 Category: Anesthesiology Source Type: research

Leadership and teaching in airway management
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 6, 2021 Category: Anesthesiology Source Type: research

Conduct of virtual summative anesthesiology Objective Structured Clinical Examination during the COVID-19 pandemic
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 6, 2021 Category: Anesthesiology Source Type: research

Investigating faculty assessment of anesthesia trainees and the failing-to-fail phenomenon: a randomized controlled trial
ConclusionsThough often discussed, this is the first study to quantitatively show that the “failing-to-fail” phenomenon likely occurs during residency training performance evaluations. Passing underperforming learners can potentially affect patient safety and result in severe personal consequences to the learner. The results indicate the need for better performance assessment training for faculty members. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Intranasal administration of 40 and 80 units of insulin does not cause hypoglycemia during cardiac surgery: a randomized controlled trial
AbstractPurposeIntranasal insulin administration may improve cognitive function in patients with  dementia and may prevent cognitive problems after surgery. Although the metabolic effects of intranasal insulin in non-surgical patients have been studied, its influence on glucose concentration during surgery is unknown.MethodsWe conducted a randomized, double-blind, placebo-contolled trial in patients scheduled for elective cardiac surgery. Patients with type 2 diabetes mellitus (T2DM) and non-T2DM  patients were randomly allocated to one of three groups (normal saline, 40 interna...
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

An appraisal of published clinical guidelines in anesthesiology practice using the AGREE II instrument
ConclusionsThe overall quality of most guidelines relevant to the practice of anesthesiology were poor, and the domains applicability and rigor of development rated particularly low. Future groups developing clinical guidelines should consider using methodological support to improve the quality of guidelines relevant to the practice of anesthesiology. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Tracheal distortion in achalasia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

A survey assessing the need for spinal chloroprocaine to provide subarachnoid neuraxial anesthesia for short-duration surgeries in Canada
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Ultrasound-guided posterior scrotal nerve block in adults
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

In reply: Comment on: Anesthesiology airway-related medicolegal cases from the Canadian Medical Protective Association
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

COVID-19 vaccination status within anesthesia services: navigating uncharted waters
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Six tips for successful virtual anesthesiology interviews in the COVID-19 era and beyond
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Transthoracic utilization of the transesophageal echocardiography probe —a novel window to non-invasive hemodynamic monitoring for the pediatric anesthesiologist
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Correction to: Anesthesiology airway-related medicolegal cases from the Canadian Medical Protective Association
A correction to this paper has been published: https://doi.org/10.1007/s12630-021-01978-4 (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Correction to: Interventions to reduce medication errors in anesthesia: a systematic review
Under the Results section of the abstract, a reduction in rates of errors should read “of 21-35% per administration” (instead of 210-235%). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Correction to: COVID-19 pandemic: the 3R ’s (reduce, refine, and replace) of personal protective equipment (PPE) sustainability
This article was updated to fix a typo in the title introduced during the production process. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Comment on: Anesthesiology airway-related medicolegal cases from the Canadian Medical Protection Association
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

Correction to: Transversus abdominis plane block compared with wound infiltration for postoperative analgesia following Cesarean delivery: a systematic review and network meta-analysis
The original article was updated to amend number “0.09” in Table 2a (instead “-0.09”). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 3, 2021 Category: Anesthesiology Source Type: research

A randomized controlled trial comparing nociception level (NOL) index, blood pressure, and heart rate responses to direct laryngoscopy versus videolaryngoscopy for intubation: the NOLint project
ConclusionLaryngoscopy alone with GVL induces less nociception than with MAC. The NOL was more sensitive than HR at detecting nociceptive responses to MACvs GVL. Additionally, and irrespective of which technique/blade was used, the combination of laryngoscopy + tracheal intubation produced a much greater nociceptive response than the laryngoscopy alone.Trial registrationwww.clinicaltrials.gov (NCT03277872); registered 29 August 2017. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

Face transplantation: anesthesia and other organizational considerations
This report details the anesthetic and organizational considerations of our experience. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

The difficult clearance of the elective surgical backlog caused by the cancellation of cases due to the COVID-19 pandemic
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

The Edmonton Frail Scale as a preoperative assessment tool in elective outpatient surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

Not aligning the research question to the statistical analysis led to potentially flawed results and conclusions
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

Comparison of thoracic epidural hematoma visualized by computed tomography versus magnetic resonance imaging
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

Perioperative management of patients with diabetes mellitus: ketone screening
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

Function of the sympathetic supply in the erector spinae plane block
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

In reply: Function of the sympathetic supply in the erector spinae plane block
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 28, 2021 Category: Anesthesiology Source Type: research

COVID-19 infection prevention and control procedures and institutional trust: Perceptions of Canadian intensive care and emergency department nurses
AbstractPurposeHealthcare workers must ensure effective infection prevention and control (IPC) to prevent nosocomial spread of SARS-CoV-2, the virus that causes COVID-19. This questionnaire study aims to evaluate Canadian critical care and emergency department nurses ’ readiness to follow IPC guidelines in their workplace, and to understand their perceptions of trust in organizational preparedness, communication, and infection risk.MethodsWe adapted an internationally distributed survey for the Canadian context. This cross-sectional questionnaire, incorporating validated scales for items including institutional trust...
Source: Canadian Journal of Anesthesia - May 27, 2021 Category: Anesthesiology Source Type: research

Adductor canal block with or without added magnesium sulfate following total knee arthroplasty: a multi-arm randomized controlled trial
ConclusionWe found no analgesic benefit of a postoperative ACB, with or without added MgSO4, in TKA patients undergoing spinal anesthesia and receiving intrathecal morphine, an intraoperative PAI, and multimodal systemic analgesia.Trial registrationwww.clinicaltrials.gov (NCT02581683); registered 21 October 2015. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 26, 2021 Category: Anesthesiology Source Type: research

Three (more) tips to reduce socioeconomic bias in virtual anesthesiology interviews
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 26, 2021 Category: Anesthesiology Source Type: research

In reply: Personal protective equipment penetration performance may be affected by temperature and humidity
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 25, 2021 Category: Anesthesiology Source Type: research

Implementation of the Canadian Cardiovascular Society guidelines for perioperative risk assessment and management: an interrupted time series study
AbstractPurposeThe Canadian Cardiovascular Society (CCS) guidelines for patients undergoing non-cardiac surgery address the lack of standardized management for patients at risk of perioperative cardiovascular complications. Our interdisciplinary group evaluated the implementation of these guidelines.MethodsWe used an interrupted time series design to evaluate the effect of implementation of the CCS guidelines, using routinely collected hospital data. The study population consisted of elective, non-cardiac surgery patients who were: i) inpatients following surgery and ii) age ≥ 65 or age 45–64 yr with a Revised Car...
Source: Canadian Journal of Anesthesia - May 24, 2021 Category: Anesthesiology Source Type: research

In reply: Three (more) tips to reduce socioeconomic bias in virtual anesthesiology interviews
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 24, 2021 Category: Anesthesiology Source Type: research

Letter to the Editor on “Investigating faculty assessment of anesthesia trainees and the failing-to-fail phenomenon: a randomized controlled trial”
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 24, 2021 Category: Anesthesiology Source Type: research

Significant retraction of the sciatic nerve due to neuroma formation after above the knee amputation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 24, 2021 Category: Anesthesiology Source Type: research

Personal protective equipment penetration performance may be affected by temperature and humidity
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 24, 2021 Category: Anesthesiology Source Type: research

Diagnostic performance and clinical application of preoperative COVID-19 bedside testing with ID NOW ™
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 21, 2021 Category: Anesthesiology Source Type: research

Aiming for safer patient care: development of a needs-based anesthesia return-to-work program after a non-remedial leave of absence
ConclusionsLeave of absences are common among anesthesiologists. Appropriate departmental support before, during, and after a gap in clinical practice could be provided by an RTW program to help endorse knowledge, skills, and confidence. Results identified the needs of Albertan anesthesiologists and provided initial guidance in the design of a user-centred RTW program. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 20, 2021 Category: Anesthesiology Source Type: research

Dimensional compatibility and limitations of tracheal intubation through supraglottic airway devices: a mannequin-based in vitro study
ConclusionClinically relevant combinations of adult-size TTs and SGAs can be incompatible, rendering flexible bronchoscope-guided tracheal intubation through an SGA impossible. Additional limitations exist regarding removal of the SGA and maneuverability of the flexible bronchoscope. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 20, 2021 Category: Anesthesiology Source Type: research

Novel cause of hypoxemia and difficult bag-mask ventilation in a patient with nasocutaneous fistula
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 20, 2021 Category: Anesthesiology Source Type: research

Oxygen supplementation during upper gastrointestinal endoscopy with sedation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 20, 2021 Category: Anesthesiology Source Type: research