Awake GlideScope ®-assisted foreign body retrieval
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 10, 2017 Category: Anesthesiology Source Type: research

The effect of simulator fidelity on acquiring non-technical skills: a randomized non-inferiority trial
ConclusionThis study suggests that low-fidelity simulators are non-inferior to the more costly high-fidelity simulators for teaching NTS to postgraduate medical trainees. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 6, 2017 Category: Anesthesiology Source Type: research

The effect of pericardial incision on right ventricular systolic function: a prospective observational study
ConclusionPericardial opening and suspension had no significant effect on the indices of RV systolic function derived from speckle tracking or colour tissue Doppler. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 5, 2017 Category: Anesthesiology Source Type: research

Anesthetic implications of recreational drug use
ConclusionsFor optimal patient care through the perioperative period, it is critical to obtain information about patient drug use and other associated treatment in order to construct an appropriate anesthetic plan, including specific considerations during surgery, emergence, and in the postanesthesia care unit. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 27, 2017 Category: Anesthesiology Source Type: research

Anesthetic management of a patient allergic to ethylene oxide: a case report
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 27, 2017 Category: Anesthesiology Source Type: research

Idiopathic hyperCKemia and malignant hyperthermia susceptibility
ConclusionWhen investigating patients with idiopathic hyperCKemia, susceptibility to MH should be taken into account, and guidance should be offered to prevent anesthetic complications in the family. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 26, 2017 Category: Anesthesiology Source Type: research

Randomized comparison of the effectiveness of nasal intubation using a GlideScope video laryngoscope with Magill forceps versus vascular forceps in patients with a normal airway
ConclusionThe total intubation time was significantly less with the vascular forceps (and tube exchanger) than with the Magill forceps. Using vascular forceps also reduced the incidence of epistaxis compared with that using the Magill forceps. Using a tube exchanger and vascular forceps offers advantages over use of Magill forceps when a GlideScope video laryngoscope is used for nasotracheal intubation.Trial registration:http://www.who.int/ictrp/network/cris2/en/, CRIS, KCT0001310. Registered 29 July 2014. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 26, 2017 Category: Anesthesiology Source Type: research

In reply: Use of early postoperative serum creatinine elevation to identify acute kidney injury after cardiac surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2017 Category: Anesthesiology Source Type: research

Use of early postoperative serum creatinine elevation to identify acute kidney injury after cardiac surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 25, 2017 Category: Anesthesiology Source Type: research

Anesthesiologists, it ’s time to get social!
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 21, 2017 Category: Anesthesiology Source Type: research

The effect of an increased pulse width on the pattern of motor response (unilateral versus bilateral) during the Tsui test in labouring parturients: a randomized crossover trial
AbstractBackground and objectivesThe typical response to the Tsui test performed via an epidural catheter placed in the lumbar area is the unilateral motor response of the lower limbs. Studies show that longer pulse widths can stimulate peripheral nerves at a lower threshold current from a farther distance. Therefore, we designed a study to test the hypothesis that epidural catheter stimulation with a 1.0-msec pulse width would increase the incidence of bilateral motor response in parturients when compared with stimulation with a 0.1-msec pulse width.MethodsParturients requesting epidural analgesia were recruited into this...
Source: Canadian Journal of Anesthesia - September 21, 2017 Category: Anesthesiology Source Type: research

A method for improving access to the paramedian epidural space in the lumbar region
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 19, 2017 Category: Anesthesiology Source Type: research

In reply: Analysis of perioperative antibiotic administration in electronic medical records: correlations among patients addressed by analyzing control chart data using the batch means method
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 15, 2017 Category: Anesthesiology Source Type: research

Analysis of perioperative antibiotic administration in electronic medical records: correlations among patients addressed by analyzing control chart data using the batch means method
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 15, 2017 Category: Anesthesiology Source Type: research

Point-of-care ultrasonography in Canadian anesthesiology residency programs: a national survey of program directors
ConclusionPoint-of-care ultrasonography training within Canadian anesthesiology residency programs is highly variable. Given the importance of POCUS abilities and their relevance to modern anesthesia practice, POCUS training and assessment within Canadian anesthesiology residency programs should be formalized. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Pre- or postoperative interscalene block and/or general anesthesia for arthroscopic shoulder surgery: a retrospective observational study
AbstractPurposeArthroscopic shoulder surgery can be performed with an interscalene brachial plexus block (ISBPB) alone, ISBPB combined with general anesthesia (GA), or GA alone. Postoperative pain is typically managed with opioids; however, both GA and opioids have adverse effects which can delay discharge. This retrospective study compares the efficacy of four methods of anesthesia management for arthroscopic shoulder surgery.MethodsCharts of all patients who underwent shoulder surgery by a single surgeon from 2012-2015 were categorized by analgesic regimen: GA only (n = 177), single-shot ISBPB only (n =&nb...
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

An observational study examining the effects of a surgically induced inflammatory response on the distribution of morphine and its metabolites into cerebrospinal fluid
AbstractPurpose Morphine is administered intravenously for pain management in the perioperative period. The effect of the inflammatory response to surgery on morphine distribution across the blood-brain barrier (BBB) in humans was investigated. We hypothesized that a graded surgically induced, systemic inflammatory response alters cerebrospinal fluid (CSF) levels of morphine, morphine-3-glucuronide (M3G), and morphine-6-glucuronide (M6G) through a temporary reduction in BBB drug efflux transporter function.MethodsWe conducted a prospective pharmacokinetic study of the plasma and CSF distribution of the P-glycoprotein (PG...
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Airway arteriovenous malformation in pregnancy
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Strategies for prevention of spinal-associated hypotension during Cesarean delivery: Are we paying attention?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Morphine and the blood-brain barrier: diffusion, uptake, or efflux?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Front-of-neck airway meets front-of-neck simulation: improving cricothyroidotomy skills using a novel open-access three-dimensional model and the Airway App
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Coming soon: an expansion of the Journal ’s critical care offerings
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Clinical Fluid Therapy in the Perioperative Setting
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Interactive video game built for mask induction in pediatric patients
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

An up-down determination of the required seated duration after intrathecal injection of bupivacaine and fentanyl for the prevention of hypotension during Cesarean delivery
AbstractPurposeA prolonged seated time after intrathecal injection of hyperbaric bupivacaine and morphine is related to the incidence of hypotension during Cesarean delivery, but results in a high incidence of pain during peritoneal closure. We conducted this study to determine the effect of the addition of intrathecal fentanyl on the relationship between seated time and hypotension and intraoperative analgesia requirements.MethodsWomen undergoing Cesarean delivery were randomized to receive an intrathecal injection of either 11.25 or 15 mg of hyperbaric bupivacaine with morphine 150 µg and fentanyl 15 µg using...
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Patient retention and satisfaction with information exchange concerning peripheral nerve block risks
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Weaning from mechanical ventilation using tracheostomy cuff deflation and a one-way speaking valve: a historical-cohort series
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

Risk of look-a-like equipment in anesthesiology: it ’s not just medications
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 11, 2017 Category: Anesthesiology Source Type: research

In reply: Assessing flexible bronchoscopic intubation through the AuraGain ™ laryngeal mask versus a slit Guedel tube
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 8, 2017 Category: Anesthesiology Source Type: research

Assessment of flexible bronchoscopic intubation through the AuraGain ™ laryngeal mask versus a slit Guedel tube
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 8, 2017 Category: Anesthesiology Source Type: research

“Eyeball test” of thermographic patterns for predicting a successful lateral infraclavicular block
ConclusionWe conclude that visual evaluation by an eyeball test of specific thermographic patterns of the blocked hands may be useful as a valid and reliable diagnostic test for predicting a successful LIC block. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 7, 2017 Category: Anesthesiology Source Type: research

Guest Reviewers
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 5, 2017 Category: Anesthesiology Source Type: research

Assessment of cough strength in patients with a tracheostomy
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 5, 2017 Category: Anesthesiology Source Type: research

In reply: Clinical supervision: what does it mean to be better?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 1, 2017 Category: Anesthesiology Source Type: research

Clinical supervision: what does it mean to be better?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - September 1, 2017 Category: Anesthesiology Source Type: research

Provider-controlled virtual reality experience may adjust for cognitive load during vascular access in pediatric patients
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 31, 2017 Category: Anesthesiology Source Type: research

Even low doses of dexmedetomidine produced obstructive apnea during spinal anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 31, 2017 Category: Anesthesiology Source Type: research

Coagulation after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a retrospective cohort analysis
AbstractPurposeCytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) benefit patients with peritoneal carcinomatosis. Nevertheless, this therapy is associated with considerable postoperative pain due to the extensive abdominal incision. While epidural analgesia offers efficacious pain control, CRS and HIPEC therapy is associated with perioperative coagulopathy that may impact its use. The purpose of this retrospective study is to characterize the postoperative coagulopathy in this patient subset and to develop a model that will help predict those at risk.MethodsOur database of patients treated w...
Source: Canadian Journal of Anesthesia - August 29, 2017 Category: Anesthesiology Source Type: research

Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance - A handbook for acute care health professionals
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 29, 2017 Category: Anesthesiology Source Type: research

A safe and effective technique for application of a multi-level cervical epidural blood patch
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 28, 2017 Category: Anesthesiology Source Type: research

Agreement between venous and arterial blood gas analysis of acid-base status in critical care and ward patients: a retrospective cohort study
ConclusionsVenous gases are suitable for initial evaluation of acid-base status in critically ill patients. Based on clinical evaluation, an arterial sample may then be considered for confirmation, and thereafter, venous blood gases could be sufficient for monitoring response to treatment. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 23, 2017 Category: Anesthesiology Source Type: research

From visualizing nerves to visualizing blocks: a natural trend?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 22, 2017 Category: Anesthesiology Source Type: research

Radial artery spasm: Should we worry?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 18, 2017 Category: Anesthesiology Source Type: research

SOFT block ( S ciatic, O bturator and F emoral nerve block T echnique): a single-puncture, sole anesthetic for knee surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 18, 2017 Category: Anesthesiology Source Type: research

The tipping point: unanticipated dangers of operating room table position changes
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 18, 2017 Category: Anesthesiology Source Type: research

Post-ictal missing dentures
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 17, 2017 Category: Anesthesiology Source Type: research

Anesthesia in Yemen: Working with M édecins Sans Frontières
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 17, 2017 Category: Anesthesiology Source Type: research

Using a Mcintosh blade for retromolar intubation: a comment
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 16, 2017 Category: Anesthesiology Source Type: research

In reply: Using a Mcintosh blade for retromolar intubation: a comment
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 16, 2017 Category: Anesthesiology Source Type: research

Physiologie humaine appliqu ée, 2nde édition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - August 15, 2017 Category: Anesthesiology Source Type: research