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Another pressurization system for invasive monitoring
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - April 9, 2015 Category: Anesthesiology Source Type: research

In reply: Another pressurization system for invasive monitoring
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - April 9, 2015 Category: Anesthesiology Source Type: research

Celecoxib pharmacogenetics and pediatric adenotonsillectomy: a double-blinded randomized controlled study
Conclusions A three-day course of oral celecoxib reduces early pain and co-analgesic consumption; however, an increase in dose, dose frequency, and duration of dose may be required for sustained pain relief in the pediatric setting. The CYP2C9*3 allele may influence recovery. This trial was registered at: ClinicalTrials.gov: NCT00849966. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - April 7, 2015 Category: Anesthesiology Source Type: research

Reversal of warfarin anticoagulation for urgent surgical procedures
Conclusion Reversal of warfarin anticoagulation can be achieved in a safe and timely manner when the appropriate agent is selected and administered correctly. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - April 7, 2015 Category: Anesthesiology Source Type: research

Reading in the operating room
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 31, 2015 Category: Anesthesiology Source Type: research

Risk factors for oxygen desaturation on arrival in the postanesthesia care unit
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 26, 2015 Category: Anesthesiology Source Type: research

A technique to facilitate laryngeal passage during flexible bronchoscopic intubation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 25, 2015 Category: Anesthesiology Source Type: research

Residents’ reluctance to challenge negative hierarchy in the operating room: a qualitative study
Conclusions Study results showed that hierarchy played a dominant role in the functioning of the operating room. Participants spoke of both the positive and negative effects of such a hierarchical learning environment. The majority of participants described a negative perception of hierarchy as the norm, and they employed many coping strategies. This study provides insight into how a negative hierarchical culture can adversely impact patient safety, resident learning, and team functioning. We propose a theoretical model to describe challenging authority in this context. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 20, 2015 Category: Anesthesiology Source Type: research

Using qualitative and mixed methodologies to explore hierarchy in the operating room
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 19, 2015 Category: Anesthesiology Source Type: research

Thoracoscopic visualization of a misdirected paravertebral catheter
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 14, 2015 Category: Anesthesiology Source Type: research

Confirmation of endotracheal tube depth using ultrasound in adults
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 12, 2015 Category: Anesthesiology Source Type: research

Low serum vitamin D levels are not associated with increased postoperative pain and opioid requirements: a historical cohort study
Conclusion We did not find any association between preoperative vitamin D levels and postoperative pain scores/opioid consumption in morbidly obese patients undergoing bariatric surgery. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 10, 2015 Category: Anesthesiology Source Type: research

Pain Management: Essential Topics for Examinations
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 6, 2015 Category: Anesthesiology Source Type: research

In reply: Unrecognized arterial cannulation due to the backflow feature of the BD Insyte™ Autoguard™ BC cannula
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 5, 2015 Category: Anesthesiology Source Type: research

An explanation and invitation: making space for conversation in the digital world
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 2, 2015 Category: Anesthesiology Source Type: research

Safety-engineered intravenous catheter utilization among Canadian pediatric anesthesiologists
Abstract Introduction Compared with other specialties, anesthesiologists are at increased risk of acquiring a blood-borne pathogen (BBP) through needle-stick injuries (NSIs). Safety-engineered intravenous catheters (SEICs) have been designed to reduce NSIs but have not been well received. Our objective was to determine SEIC usage by pediatric anesthesiologists, including availability, utilization, perceived utility, and sources of NSI before and after legislation mandating their use in Canada. Methods After Ethics Committee approval, we conducted two ele...
Source: Canadian Journal of Anesthesia - February 28, 2015 Category: Anesthesiology Source Type: research

Increased postoperative day one discharges after implementation of a hysterectomy enhanced recovery pathway: a retrospective cohort study
Abstract Purpose In 2011, the hysterectomy enhanced recovery (HER) pathway, a multi-disciplinary, evidence-based care plan designed to improve recovery after open gynecologic surgery for non-malignant lesions, was introduced at The Ottawa Hospital (TOH). This before-and-after study examined the impact of the HER pathway on postoperative day (POD) 1 hospital discharge. Methods Ethical approval was obtained. This retrospective cohort study included patients who had undergone open abdominal gynecologic surgery for non-malignant lesions at TOH Civic Campus b...
Source: Canadian Journal of Anesthesia - February 28, 2015 Category: Anesthesiology Source Type: research

Engineering solutions for safety: not always as simple as they seem
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 28, 2015 Category: Anesthesiology Source Type: research

Anesthetic considerations in organ procurement surgery: a narrative review
Conclusion Anesthesiologist-guided physiological optimization of the brain-dead donor may be a factor in determining the outcome of the organ recipient. Additionally, anesthesiologists have an important role in helping to ensure that the highest quality and most appropriate care are rendered to non-heart-beating donors. This is achieved through establishing protocols in their hospitals for donation after cardiac death that maximize the number of available organs with the best chance for long-term graft viability. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2015 Category: Anesthesiology Source Type: research

Évaluation de la courbe d’apprentissage du bloc du plan transverse abdominal: étude prospective observationnelle
Conclusion Cette étude démontre que le TAP bloc est un bloc d’acquisition rapide même si son apprentissage est soumis à une variabilité inter-individuelle due à une différence de dextérité des opérateurs tant technique que d’acquisition des images échographiques. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2015 Category: Anesthesiology Source Type: research

Syndrome coronarien aigu après injection de carbétocine 100 µg au cours d’une césarienne en urgence
Conclusion L’analyse rétrospective de l’utilisation de carbétocine dans notre établissement sur l’année 2012 permet de suspecter une incidence d’événement coronaire de 1/245 (0,34 %) proche de celles rapportées dans différentes études. Nous discutons la prise en charge de douleurs angineuses chez les patientes au cours des césariennes et la prise en charge ultérieure de cette patiente. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 26, 2015 Category: Anesthesiology Source Type: research

Les différentes alternatives d’anticoagulation au couple héparine/protamine en chirurgie cardiaque sous circulation extra-corporelle
Conclusion L’anticoagulant idéal pouvant être utilisé en chirurgie cardiaque sous CEC n’existe pas. L’héparine et de la protamine reste la stratégie d’anticoagulation de référence. La Bivalirudine est la molécule la plus prometteuse à ce jour malgré l’absence de stratégie d’antagonisation facile et un coût d’utilisation élevé. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 20, 2015 Category: Anesthesiology Source Type: research

Evolution of Thoracic Surgery in Canada
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 20, 2015 Category: Anesthesiology Source Type: research

A simple maneuver for confirmation of the guidewire during ultrasound-guided internal jugular vein cannulation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 20, 2015 Category: Anesthesiology Source Type: research

Transient abdominal motor block after a transversus abdominis plane block in an elderly patient
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 18, 2015 Category: Anesthesiology Source Type: research

Intraoperative awareness risk, anesthetic sensitivity, and anesthetic management for patients with natural red hair: a matched cohort study
Abstract Purpose The red-hair phenotype, which is often produced by mutations in the melanocortin-1 receptor gene, has been associated with an increase in sedative, anesthetic, and analgesic requirements in both animal and human studies. Nevertheless, the clinical implications of this phenomenon in red-haired patients undergoing surgery are currently unknown. Methods In a secondary analysis of a prospective trial of intraoperative awareness, red-haired patients were identified and matched with five control patients, and the relative risk for intraoperati...
Source: Canadian Journal of Anesthesia - February 14, 2015 Category: Anesthesiology Source Type: research

A comparison between left molar direct laryngoscopy and the use of a Bonfils intubation fibrescope for tracheal intubation in a simulated difficult airway
Abstract Background Tracheal intubation in patients with an immobilized cervical spine can be difficult because of a restricted mouth opening and limited neck movements. Use of the Bonfils intubation fibrescope (BIF) or left molar (LM) laryngoscopy may be suitable options for tracheal intubation in such patients. Intubation adjuncts, such as an endotracheal tube introducer, may improve the overall intubation success rate with the LM approach. Formal studies are currently lacking on the use of LM laryngoscopy with a tube introducer. Methods After Institut...
Source: Canadian Journal of Anesthesia - February 14, 2015 Category: Anesthesiology Source Type: research

Erratum to: Perioperative fellowship curricula in anesthesiology: a systematic review
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 14, 2015 Category: Anesthesiology Source Type: research

Does intravenous lidocaine infusion during video-assisted thoracoscopic surgery reduce postoperative analgesia? A randomized controlled study
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 11, 2015 Category: Anesthesiology Source Type: research

Reliability of a point-of-care device for international normalized ratio testing during the three surgical phases of orthotopic liver transplantation: a retrospective observational study
Conclusion Point-of-care INR was accurate prior to hepatic reperfusion, but reliability decreased in the neohepatic phase. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 10, 2015 Category: Anesthesiology Source Type: research

Ultrasound-guided supraclavicular brachial plexus block in a patient with a cervical rib
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 6, 2015 Category: Anesthesiology Source Type: research

Intubation with VivaSight or conventional left-sided double-lumen tubes: a randomized trial
Conclusion The VivaSight DLT camera allowed faster insertion and facilitated initial positioning. It also confirmed proper tube positioning intraoperatively and facilitated repositioning when necessary. This trial was registered at clinicaltrials.gov: NCT01807676. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 6, 2015 Category: Anesthesiology Source Type: research

Novel use of the Nexfin HD monitor for hemodynamic management during electroconvulsive therapy in a patient with an unrepaired abdominal aortic aneurysm
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 6, 2015 Category: Anesthesiology Source Type: research

Preoperative brain magnetic resonance imaging and postoperative delirium after off-pump coronary artery bypass grafting: a prospective cohort study
Conclusions Magnetic resonance imaging findings of new cerebral ischemic lesions, carotid stenosis, and deep subcortical white matter hyperintensity correlated significantly with postoperative delirium in patients who had undergone OPCAB surgery. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 5, 2015 Category: Anesthesiology Source Type: research

Accuracy of identifying the cricothyroid membrane by anesthesia trainees and staff in a Canadian institution
Abstract Purpose We sought to determine the rate of successful identification of the cricothyroid membrane by anesthesia residents and staff at a Canadian institution. Methods In this prospective study, healthy adult volunteer subjects were positioned supine with their necks placed in neutral position. There were 12 subjects, half of whom were non-obese (body mass index 
Source: Canadian Journal of Anesthesia - January 31, 2015 Category: Anesthesiology Source Type: research

Spinal anesthesia in a patient with Marchiafava-Bignami disease
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 30, 2015 Category: Anesthesiology Source Type: research

Red hair and anesthetic requirement
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 29, 2015 Category: Anesthesiology Source Type: research

Combined general and neuraxial anesthesia versus general anesthesia: a population-based cohort study
Conclusion The addition of spinal or epidural anesthesia to general anesthesia was not associated with a reduced risk of major medical complications among 21 different elective procedures when compared with general anesthesia alone. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 27, 2015 Category: Anesthesiology Source Type: research

Échographie en anesthésie régionale, médullaire et périmédullaire – 2 e édition enrichie
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 27, 2015 Category: Anesthesiology Source Type: research

Pneumocephalus following breathalyzer use
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 27, 2015 Category: Anesthesiology Source Type: research

Providing quality in anesthesia care in low- and middle-income countries
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 27, 2015 Category: Anesthesiology Source Type: research

Epidural hematoma unmasked after a contralateral craniectomy for a depressed skull fracture
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 27, 2015 Category: Anesthesiology Source Type: research

Perioperative medicine: why do we care?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 23, 2015 Category: Anesthesiology Source Type: research

Cardiopulmonary exercise testing, prehabilitation, and Enhanced Recovery After Surgery (ERAS)
Conclusions Perioperative CPET is finding an increasing spectrum of roles, including risk evaluation, collaborative decision-making, personalized care, monitoring interventions, and guiding prescription of prehabilitation. These indications are potentially of importance to patients having surgery within an ERAS program, but there are currently few publications specific to CPET in the context of ERAS programs. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 22, 2015 Category: Anesthesiology Source Type: research

Teaching blind nasal intubation in Rwanda
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 22, 2015 Category: Anesthesiology Source Type: research

Peripherally Inserted Central Venous Catheters
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 22, 2015 Category: Anesthesiology Source Type: research

Ultrasound-guided peripheral nerve blocks for total knee arthroplasty in the context of severe aortic stenosis: avoiding the general anesthetic
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 22, 2015 Category: Anesthesiology Source Type: research

Neuraxial anesthesia improves long-term survival after total joint replacement: a retrospective nationwide population-based study in Taiwan
This study explored the effects of general (GA) and neuraxial (NA) anesthesia on the outcomes of primary total joint replacement (TJR) in terms of postoperative mortality, length of stay (LOS), and hospital treatment costs. Methods From 1997 to 2010, this nationwide population-based study retrospectively evaluated 7,977 patients in Taiwan who underwent primary total hip or knee replacement. We generated two propensity-score-matched subgroups, each containing an equal number of patients who underwent TJR with either GA or NA. Results Of the 7,97...
Source: Canadian Journal of Anesthesia - January 22, 2015 Category: Anesthesiology Source Type: research

Tracheal ultrasound to assess endotracheal tube depth: an exploratory study
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 22, 2015 Category: Anesthesiology Source Type: research

Anesthésie-réanimation en chirurgie cardiaque, 2 e édition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 21, 2015 Category: Anesthesiology Source Type: research