Ethical concerns for anesthesiologists during an Ebola threat
Conclusions Government, public health authorities, and anesthesia departments need to be prepared to respond to an outbreak of Ebola. Anesthesiologists have a skill that is suited to treat the complications of Ebola virus disease, and in case they are called for duty, anesthesiologists should be aware of the ethical concerns of treating a highly contagious communicable disease. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments
Conclusion The prevalence of substance abuse among Canadian anesthesiologists and the substances abused appear comparable with data from the United States, with residents being the group most often affected. Early recognition and treatment of chemically dependent anesthesiologists remain imperfect. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Perspectives of anesthesia residents training in Canada on fellowship training, research, and future practice location
Conclusion The majority of anesthesia residents training in Canada choose to pursue fellowship training and work at an academic hospital. Approximately one-third of residents have an interest in incorporating research into their future careers. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Mentoring during anesthesia residency training: challenges and opportunities
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

So…why do you want to become an anesthesiologist?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Chestnut’s Obstetric Anesthesia Principles and Practice, Fifth Edition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Replacing a double-lumen tube with a single-lumen tube or a laryngeal mask airway device to reduce coughing at emergence after thoracic surgery: a randomized controlled single-blind trial
In this study, the DLT was replaced with either a single-lumen endotracheal tube (ETT) or a laryngeal mask airway (LMA) device or left in place, and the incidence of coughing at emergence was compared between the three groups. Methods Fifty-eight adults scheduled for thoracic surgery with a DLT were included. Exclusion criteria were an anticipated difficult airway, obesity, and contraindication to the use of an LMA ProSeal™ (LMA-P). After surgery but before emergence, patients were randomized to having the DLT (1) removed and replaced by an LMA-P (LMA-P Group), (2) removed ...
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

The impact of two different inspiratory to expiratory ratios (1:1 and 1:2) on respiratory mechanics and oxygenation during volume-controlled ventilation in robot-assisted laparoscopic radical prostatectomy: a randomized controlled trial
Abstract Background Volume-controlled ventilation with a prolonged inspiratory to expiratory ratio (I:E ratio) has been used to optimize gas exchange and respiratory mechanics in various surgical settings. We hypothesized that, when compared with an I:E ratio of 1:2, a prolonged I:E ratio of 1:1 would improve respiratory mechanics without reducing cardiac output (CO) during pneumoperitoneum and steep Trendelenburg positioning, both of which can impair respiratory function in robot-assisted laparoscopic radical prostatectomy. Furthermore, we evaluated its effect on oxygenation during robot-a...
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

A survey of mentorship among Canadian anesthesiology residents
Conclusions Formal mentorship programs were present in half of anesthesiology training programs. Although 74% of the residents identified a mentor, 42% did not interact regularly with their mentor. The presence of a formal mentorship program was positively associated with mentorship. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Analysis of the number of publications by Canadian anesthesiology departments from 2000-2013
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Anesthesiology: Is it a career, a job, or both?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Oh’s Intensive Care Manual, 7 th Edition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Airway neurofibroma
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

The complications of awake tracheal intubation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

The real cost of care: focus on value for money, rather than price-tags
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2015 Category: Anesthesiology Source Type: research

Intrathecal hyperbaric 2% prilocaine versus 0.4% plain ropivacaine for same-day arthroscopic knee surgery: a prospective randomized double-blind controlled study
Abstract Background Short-duration spinal anesthesia is a good option for ambulatory knee surgery. Hyperbaric 2% prilocaine has short onset and rapid recovery times and, therefore, may be well suited in this setting. The aim of this study was to compare the times to reach motor block, motor block resolution, and discharge from the postanesthesia care unit (PACU) between hyperbaric 2% prilocaine and 0.4% plain ropivacaine. Methods In this prospective randomized double-blind study, 140 patients (ages 18-80 yr and American Society of Anesthesiologists physi...
Source: Canadian Journal of Anesthesia - August 14, 2015 Category: Anesthesiology Source Type: research

Prophylactic intravenous ephedrine to minimize fetal bradycardia after combined spinal-epidural labour analgesia: a randomized controlled study
Conclusions We conclude that prophylactic intravenous ephedrine administration at the time of CSE during labour was ineffective at reducing the risk for EPFB associated with CSE. Nevertheless, a lower than expected rate of EPFB resulted in the trial being underpowered. This trial was registered at ClinicalTrials.gov, identifier: NCT02062801. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 14, 2015 Category: Anesthesiology Source Type: research

Neonatal Anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 14, 2015 Category: Anesthesiology Source Type: research

iTIVA Anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 13, 2015 Category: Anesthesiology Source Type: research

Unsuspected difficulty using a laryngeal mask airway and a video laryngoscope due to unanticipated congenital pharyngeal bands
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 7, 2015 Category: Anesthesiology Source Type: research

Managing the challenging pediatric airway: Continuing Professional Development
Conclusion Although direct laryngoscopy can still be used to manage the care of the majority of children with a known or suspected challenging airway, there is now a noticeable trend towards the use of a supraglottic airway and apneic intubation using fibreoptic and video laryngoscopic equipment. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 5, 2015 Category: Anesthesiology Source Type: research

Limiting the accessibility of cost-prohibitive drugs reduces overall anesthetic drug costs: a retrospective before and after analysis
Abstract Purpose Cost effectiveness is becoming increasingly important in today’s healthcare environment. Remifentanil, dexmedetomidine, and desflurane are costly agents that often have suitable alternatives to their use. We sought to identify changes in cost and outcomes following interventions that limited the availability of these drugs. Methods We calculated anesthetic drug costs for all operating room procedures performed before and after the accessibility interventions. We retrospectively compared drug costs per case and the frequency of agen...
Source: Canadian Journal of Anesthesia - August 4, 2015 Category: Anesthesiology Source Type: research

Inferior vena cava filter migration during the prone position for spinal surgery: a case report
Conclusions The prone position during surgery can induce anatomic and hemodynamic changes in the IVC. This may contribute to the migration of IVC filters—especially flexible retrievable filters. Careful handling and positioning of patients with IVC filters is recommended to avoid a sudden increase in IVC pressure that may predispose to IVC filter migration. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 4, 2015 Category: Anesthesiology Source Type: research

Point-of-care ultrasound defines gastric content and changes the anesthetic management of elective surgical patients who have not followed fasting instructions: a prospective case series
Conclusions This prospective case series suggests that a standardized point-of care gastric ultrasound examination informs anesthesiologists’ perceived level of aspiration risk and leads to changes in anesthetic management in a significant proportion of elective patients who did not follow fasting instructions. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 4, 2015 Category: Anesthesiology Source Type: research

Reviving older drugs to deal with anesthesia drug shortages
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 4, 2015 Category: Anesthesiology Source Type: research

Guidelines for Reporting Health Research: A User’s Manual
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 4, 2015 Category: Anesthesiology Source Type: research

Curtailing the cost of anesthetic drugs: prudent economics or an infringement of clinical autonomy?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 4, 2015 Category: Anesthesiology Source Type: research

Real-time ultrasound-guided epidural catheter insertion in obese parturients
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 1, 2015 Category: Anesthesiology Source Type: research

Impact of ambulatory surgery day of the week on postoperative outcomes: a population-based cohort study
Conclusion On a population level, there was a small effect of the day of the week of ambulatory surgery on outcomes; however, the clinical impact is likely not relevant. Certain surgical types may be more susceptible to a day of the week effect, but more research is needed to elucidate this notion. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Postoperative recovery after anesthesia in morbidly obese patients: a systematic review and meta-analysis of randomized controlled trials
Conclusion Postoperative recovery was significantly faster after desflurane than after sevoflurane, isoflurane, or propofol anesthesia in obese patients. No clinically relevant differences were observed regarding PACU discharge time, incidence of PONV, or postoperative pain scores. The systematic review was registered with PROSPERO (CRD42014009480). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Anesthetic considerations and airway management in professional singers: an “orphan disease”?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Undiagnosed vertebral hemangioma causing a lumbar compression fracture and epidural hematoma in a parturient undergoing vaginal delivery under epidural analgesia: a case report
Conclusion Vertebral fractures secondary to acute expansion of a vertebral hemangioma rarely occur during vaginal delivery. In such cases, the labour epidural technique and analgesia may challenge the physician in making the diagnosis. Postpartum severe back pain should be thoroughly investigated even in the absence of neurological deficits, and osseous spinal pathology should be considered in the differential diagnosis. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Anesthesia for Trauma: New Evidence and New Challenges
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Combined saphenous and sciatic catheters for analgesia after major ankle surgery: a double-blinded randomized controlled trial
Conclusion A saphenous catheter with a low-dose continuous infusion of ropivacaine, as an adjunct to a sciatic catheter, had no effect on the postoperative analgesia after major ankle surgery when both catheters were inserted along the short axis of the nerves. This trial was registered at ClinicalTrials.gov (NCT01445210). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Salvaging catastrophe in transcatheter aortic valve implantation: rehearsal, preassigned roles, and emergency preparedness
Conclusion A well-organized regularly-rehearsed emergency rescue plan that preassigns resuscitative roles may shorten the duration of patient instability and resuscitation and improve patient outcomes when catastrophe occurs in TAVI. The anesthesia team plays a central role in preventing, detecting, and treating intraprocedural complications during TAVI. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

A naloxone admixture to prevent opioid-induced pruritus in children: a randomized controlled trial
Conclusion This admixture of naloxone and morphine in normal saline did not decrease the incidence or severity of OIP in this sample. Separate administration of naloxone may be the more effective strategy for prevention of OIP. This trial was registered at ClinicalTrials.gov (NCT01071057). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

The “Friday effect”: Can epidemiology tell us when to operate?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Effect of superficial cervical plexus block on postoperative quality of recovery after anterior cervical discectomy and fusion: a randomized controlled trial
Conclusion We showed that preoperative SCPB is an effective strategy for improving the early quality of recovery in patients undergoing single- or two-level ACDF. Nevertheless, there was no impact on opioid consumption or discharge times. This trial was registered at www.clinicaltrials.gov (NCT01662219). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

In reply: Airway management strategies in patients with halo vest fixation devices
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

The Role of Anesthesiology in Global Health: A Comprehensive Guide
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

M-mode colour Doppler : where  art  meets  science
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Black box audio/video recording in the operating room: time for anesthesiologists to get with the picture
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Airway management strategies in patients with halo vest fixation devices
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Retraction Note to: Nicorandil accelerates recovery of neuromuscular block caused by vecuronium
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Fluid management issues in Enhanced Recovery After Surgery and Canadian Anesthesiologists’ Society standards
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

In reply: Fluid management issues in Enhanced Recovery After Surgery and Canadian Anesthesiologists’ Society standards
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 18, 2015 Category: Anesthesiology Source Type: research

Ultrasound gel dispensing: There may be more going around than centripetal acceleration
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 9, 2015 Category: Anesthesiology Source Type: research

In reply: Ultrasound gel dispensing: There may be more going around than centripetal acceleration
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 9, 2015 Category: Anesthesiology Source Type: research

Role of contextualizing a crisis scenario on the performance of a cricothyrotomy procedural task
Conclusions Contextualization of a crisis scenario did not affect the performance of a cricothyrotomy procedural task on a tissue-mannequin simulator. These findings may have implications when considering the feasibility and cost-effectiveness for assessing the performance of cricothyrotomy procedural tasks. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 8, 2015 Category: Anesthesiology Source Type: research

Perspectives on Canadian core fellowship training in pediatric anesthesia: a survey of graduate fellows
Conclusions This survey reports perceived deficiencies in domains of pediatric anesthesia fellowship training. These findings should help guide the future development of core and advanced fellowship training programs in pediatric anesthesia. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - July 7, 2015 Category: Anesthesiology Source Type: research