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Lingual traction to aid fibreoptic orotracheal intubation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 4, 2014 Category: Anesthesiology Source Type: research

A bedside clinical and ultrasound-based approach to hemodynamic instability - Part II: bedside ultrasound in hemodynamic shock: Continuing Professional Development
Abstract Shock is defined as a situation where oxygen transport and delivery is inadequate to meet oxygen demand. The patient in shock is evaluated through medical history, physical examination, and careful observation of the hemodynamic and respiratory monitors. The patient is initially managed with basic resuscitation measures, however bedside ultrasound should be performed if hemodynamic instability persists. We propose to use ultrasound of the inferior vena cava (IVC), and the concept of venous return, as the initial step in order to identify the mechanism of shock. Doppler examination of the hepatic venous f...
Source: Canadian Journal of Anesthesia - October 2, 2014 Category: Anesthesiology Source Type: research

Abstracts 2014
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 1, 2014 Category: Anesthesiology Source Type: research

Acknowledgment
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 30, 2014 Category: Anesthesiology Source Type: research

The future of decision-making in critical care after Cuthbertson v. Rasouli
Conclusion The SCC ruled that due to the legal definition of “health-related purpose”, which is distinct from medical benefit, consent is required to withdraw life-support and outlined the steps to be taken should conflict arise. The SCC decision did not directly address the role of medical standard of care in these situations. In order to ensure optimal decision-making and communication with patients and their families, it is critical for healthcare providers to have a clear understanding of the implications of this legal ruling on medical practice. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Effectiveness of using high-fidelity simulation to teach the management of general anesthesia for Cesarean delivery
The objective of this study was to assess the influence of a teaching plan consisting of didactic teaching and repeated simulations on the performance of anesthesia residents in the management of general anesthesia (GA) for emergency Cesarean delivery (CD). Methods Twenty-one postgraduate year 2 (PGY2) and 3 (PGY3) anesthesia residents from the University of Toronto were recruited in this prospective cohort study. All participants received didactic teaching in the management of GA for emergency CD, which was followed one week later by assessment of performance in the same scenari...
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Pneumocephalus: an unusual case of postoperative seizure after intradural spine surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

The median effective seated time for hypotension induced by spinal anesthesia at Cesarean delivery with two doses of hyperbaric bupivacaine: a randomized up-down sequential allocation study
Conclusions There exists a seated time after intrathecal injection of hyperbaric bupivacaine where 50% of parturients do not experience hypotension. This seated time increases with an increased dose of bupivacaine. Further work is required to determine the full relationship between seated time and hypotension for other doses of anesthetic and to investigate the clinical utility of this technique for prevention of hypotension. This trial was registered at www.clinicaltrials.gov (NCT01561274). (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Regional anesthesia for pectoralis major tendon repair
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

In defence of consent and capacity boards for end-of-life care
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Expanding the use of volatile anesthetic agents beyond the operating room
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Sevoflurane therapy for life-threatening acute severe asthma: a case report
Conclusion The volatile anesthetic agent, sevoflurane, is used widely in anesthesia practice. Its utility for treatment of refractory bronchospasm has been appreciated for years; however, its administration was difficult within the environment of the intensive care unit due to the need for an anesthesia machine and a scavenging system. The introduction of the AnaConDa eliminates these obstacles and makes the use of sevoflurane safe and simple. Our case report reveals the potential of sevoflurane as a “two-in-one” (bronchodilator and sedative) drug to treat a severe acute asthma attack. (Source: Canad...
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

From the Journal archives: Improving patient outcomes in the era of Big Data
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Guide for bougie as an adjunct for an anterior larynx
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Effect of beam steering on the visibility of echogenic and non-echogenic needles: a laboratory study
Abstract Purpose During peripheral nerve block procedures, needle visibility decreases as the angle of needle insertion relative to skin increases due to loss of reflective signals. The primary aim of our study was to compare the effect of beam steering on the visibility of echogenic and non-echogenic block needles. Methods PAJUNK® non-echogenic and echogenic needles were inserted into pork meat at 20°, 40°, 60°, and 70° angles, and electronic beam steering was applied at three different angles (shallow, medium, and steep) to o...
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

The withdrawal of treatment is still treatment
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Use of a point-of-view camera and an Apple® iPad to teach direct laryngoscopy to trainees
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Effects of fresh gas flow, tidal volume, and charcoal filters on the washout of sevoflurane from the Datex Ohmeda® (GE) Aisys®, Aestiva®/5, and Excel 210 SE Anesthesia Workstations
Abstract Purpose We investigated the effects of tidal volume (VT), fresh gas flow (FGF), and a charcoal filter in the inspiratory limb on the washout of sevoflurane from the following Datex Ohmeda® (GE) Anesthesia Workstations (AWSs): Aisys®, Aestiva®/5, and Excel 210SE. Methods After equilibrating the AWSs with 2% sevoflurane, the anesthetic was discontinued, and the absorbent anesthesia breathing circuit (ABC), reservoir bag, and test lung were changed. The lung was ventilated with 350 or 200 mL·breath−1, 15 br...
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Equipment in Anaesthesia and Critical Care: A complete guide for the FRCA
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Chronic Postsurgical Pain
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Publishing in science: a collaborative process
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2014 Category: Anesthesiology Source Type: research

Association between intrapartum fetal head malrotation and motor block by neuraxial analgesia: a randomized trial
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 18, 2014 Category: Anesthesiology Source Type: research

Urinary retention occurring one week after spinal anesthesia: a case of Elsberg syndrome
Conclusion This case suggests that Elsberg syndrome is important in the differential diagnosis of urinary retention after spinal anesthesia and should be discriminated from other anesthesia-related complications. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 16, 2014 Category: Anesthesiology Source Type: research

Perioperative gabapentin and delirium following total knee arthroplasty: a post-hoc analysis of a double-blind randomized placebo-controlled trial
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 13, 2014 Category: Anesthesiology Source Type: research