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The C-MAC ® D-BLADE™: use of the guide rail as a guiding channel for a gum elastic bougie
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

Strategies for lung isolation: to block or not to block?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

Lack of data on standardized metrics for surgical care in a developing country with middle total expenditure on health
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

Novel maneuvers to increase the internal jugular vein diameter during ultrasound-guided cannulation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

In Reply: Fellowships and subspecialization in anesthesia: Are they good, bad, or both?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

The “William Tell” sign: difficult airway resulting from cranial transfixion by an arrow
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

In reply: Neuromuscular monitoring should be required when neuromuscular blocking drugs are used: Is it time to change the Canadian guidelines?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

Fellowships and subspecialization in anesthesia: Are they good, bad, or both?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

Neuromuscular monitoring should be required when neuromuscular blocking drugs are used: Is it time to change the Canadian guidelines?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - June 8, 2016 Category: Anesthesiology Source Type: research

Postoperative awake paralysis in the intensive care unit after cardiac surgery due to residual neuromuscular blockade: a case report and prospective observational study
Conclusion Postoperative residual paralysis after fast-track cardiac surgery was common in our institution and likely contributed to the reported case of postoperative awake paralysis. We suggest that an NMB not be administered after intubation in fast-track patients. If given, however, it must be well communicated to the ICU team upon ICU admission. We further recommend routine assessment of neuromuscular function before sedation is weaned prior to extubation. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Managing critically ill patients with severe traumatic brain injury: How should we season the recipe?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

A randomized clinical trial of prone position extubation to reduce the severity of coughing in patients undergoing dorsolumbar spine surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

The relationship between study findings and publication outcome in anesthesia research: a retrospective observational study examining publication bias
Abstract Purpose Many areas of medicine have shown bias towards the publication of studies with positive results. To estimate publication bias in the anesthesia literature, we reviewed all abstracts presented at the American Society of Anesthesiologists (ASA) annual meetings over a four-year period and compared study results (positive vs negative) with publication outcomes. Methods This review included all abstracts from the 2001-2004 ASA annual meetings performed as randomized-controlled trials in humans. We scored their outcome results as positi...
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Stress ulcer prophylaxis in critical illness: a Canadian survey
Conclusions Stress ulcer prophylaxis is reportedly used primarily for the duration of mechanical ventilation. The CCCTG physicians believe that a placebo-controlled RCT is needed to evaluate the effectiveness and safety of contemporary SUP with PPIs. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Pre-procedural ultrasonography and marking for neuraxial anesthesia: an observational study
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Thinking globally, training locally
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Intraperitoneal ketorolac for post-cholecystectomy pain: a double-blind randomized-controlled trial
Conclusion This study did not demonstrate any advantage for the off-label topical intraperitoneal administration of ketorolac in this surgical population. Intraperitoneal and IV ketorolac showed comparable analgesic efficacy following laparoscopic cholecystectomy. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Monitoring recovery from rocuronium-induced neuromuscular block using acceleromyography at the trapezius versus the adductor pollicis muscle: an observational trial
Conclusions We conclude that recording evoked acceleromyographic responses at the trapezius muscle is an acceptable alternative when monitoring from the adductor pollicis muscle is compromised. Nevertheless, we caution that recording a 90% TOF response at the trapezius muscle may overestimate functional recovery from the neuromuscular blockade. This trial was registered at ClinicalTrials.gov identifier, NCT01849198. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Publication bias in the anesthesiology literature: shifting the focus from the “positive” to the “truth”
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Anesthetic management of the first pediatric bilateral hand transplant
Conclusion This report describes the anesthetic management of the first pediatric bilateral hand transplant. This procedure required considerable preoperative planning and communication between various teams to ensure all resources needed to deliver the care for this complex and novel transplant surgery were readily available. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Reply to book review of Neonatal Anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Erratum to: Potential strategies for preventing chronic postoperative pain: a practical approach: Continuing Professional Development
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

A modified device for removing large regurgitation volume during tracheal intubation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 7, 2016 Category: Anesthesiology Source Type: research

Early recovery of tricuspid annular isovolumic acceleration after mitral valve surgery – an observational study
Conclusion Persistent, significant depression of longitudinal markers of RV function despite functional improvement (discharge from hospital) make it difficult to assess recovery during the early perioperative period. Isovolumic acceleration, a load-independent measure of contractility, might be a more reliable measure of early recovery in RV function in this patient population. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 4, 2016 Category: Anesthesiology Source Type: research

Deficiencies in locating the cricothyroid membrane by palpation: We can’t and the surgeons can’t, so what now for the emergency surgical airway?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 4, 2016 Category: Anesthesiology Source Type: research

Breath alcohol of anesthesiologists using alcohol hand gel and the “five moments for hand hygiene” in routine practice
Conclusion Anesthesia practitioners using alcohol hand gel in a manner that conforms with recommended hand hygiene can test positive for alcohol on a breathalyzer assay. Positive tests probably arose from inhalation of alcohol vapour into the respiratory dead space following gel application. If workplace breath testing for alcohol is implemented, it should be completed more than 15 min after applying alcohol hand gel. Positive results should be verified with a BAC test. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 2, 2016 Category: Anesthesiology Source Type: research

Our love-hate relationship with succinylcholine: Is sugammadex any better?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - May 2, 2016 Category: Anesthesiology Source Type: research

Bronchial blocker versus left double-lumen endotracheal tube in video-assisted thoracoscopic surgery: a randomized-controlled trial examining time and quality of lung deflation
Abstract Introduction Double-lumen endotracheal tubes (DL-ETT) and bronchial blockers (BB) have both been used for lung isolation in video-assisted thoracic surgery (VATS). Though not well studied, it is widely thought that a DL-ETT provides faster and better quality lung collapse. The aim of this study was to compare a BB technique vs a left-sided DL-ETT strategy with regard to the time and quality of lung collapse during one-lung ventilation (OLV) for elective VATS. Methods Forty patients requiring OLV for VATS were randomized to receive a BB (n = 20) ...
Source: Canadian Journal of Anesthesia - May 1, 2016 Category: Anesthesiology Source Type: research

Alpha-stat, beach chair, cerebral autoregulation… But who is at risk?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - April 4, 2016 Category: Anesthesiology Source Type: research

Narrowing the blockade field: development of an optimal postoperative analgesia regimen for total knee arthroplasty
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - April 4, 2016 Category: Anesthesiology Source Type: research

Perioperative complications in adults with a posterior mediastinal mass: a retrospective observational cohort study
Abstract Background We studied the incidence of perioperative complications in patients presenting with a posterior mediastinal mass and the possible predictors of complications in these patients. Methods We conducted a review of the perioperative records of patients aged over 18 years with a posterior mediastinal mass confirmed by computed tomography (CT) who were admitted for surgical procedures relating to the mass during 2004-2014. Perioperative complications were defined as 1) hypoxemia (pulse oximetry 40 cm H2O or respiratory acidosis with P...
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Bonfils intubation in parallel with a supraglottic air-Q® intubating laryngeal airway
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Cathéters sciatiques: une alternative analgésique chez les patients diabétiques
Conclusion L’utilisation de cathéters périnerveux sciatique, comme technique analgésique alternative au sein d’un milieu extra chirurgical, chez des patients diabétiques douloureux chroniques, a été possible et efficace. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Studying propofol-induced cardioprotection: from mechanism to clinical phenomenon and back again
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Fetal descending aortic flow and heart rate monitoring with transesophageal echocardiography during maternal cardiac surgery
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

A systematic review of transthoracic and transesophageal echocardiography in non-cardiac surgery: implications for point-of-care ultrasound education in the operating room
Conclusion In this systematic review examining the use of TTE or TEE in non-cardiac surgery, the most frequent diagnoses were valvulopathy, low LVEF, hypovolemia, PE, SWMAs, and RV failure. This information should be used to inform evidence-based curricula for POCU in anesthesiology. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Perioperative genomics: coming soon to (operating) theatres near you
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Novel techniques for increasing the size of the radial artery during ultrasound-guided cannulation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Erratum to: Extracranial contamination in the INVOS 5100C versus the FORE-SIGHT ELITE cerebral oximeter: a prospective observational crossover study in volunteers
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Atlas of Functional Anatomy for Regional Anesthesia and Pain Medicine
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Severe spinal and chest deformity secondary to neurofibromatosis
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - March 4, 2016 Category: Anesthesiology Source Type: research

Stoelting’s Pharmacology & Physiology in Anesthetic Practice—5 th Edition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 13, 2016 Category: Anesthesiology Source Type: research

Ketamine as an adjunct to patient-controlled analgesia: why, for whom, and how much?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 13, 2016 Category: Anesthesiology Source Type: research

Cardiac and Critical Care Ultrasonography
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 13, 2016 Category: Anesthesiology Source Type: research

Post-traumatic giant occipital pseudomeningocele
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 13, 2016 Category: Anesthesiology Source Type: research

Video imaging of arytenoid prolapse
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 13, 2016 Category: Anesthesiology Source Type: research

Interleukin-1β gene variants are associated with QTc interval prolongation following cardiac surgery: a prospective observational study
Conclusion The results suggest a contribution of IL1β in modulating susceptibility to postoperative QTc prolongation after cardiac surgery. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 8, 2016 Category: Anesthesiology Source Type: research

Prewarming neurosurgical patients to minimize hypotension on induction of anesthesia: a randomized trial
Abstract Purpose Prewarming prior to surgery is effective in preventing perioperative hypothermia. There is a paucity of evidence, however, regarding the hemodynamic effects of prewarming. We hypothesized that the nadir mean arterial pressure during anesthesia induction would be higher after prewarming than after no prewarming. Methods We randomized 32 patients prior to elective neurosurgery to receive either one hour of forced-air convective warming at 46°C or routine care (full body blanket with convective warmer attached but not turned on). All pa...
Source: Canadian Journal of Anesthesia - February 8, 2016 Category: Anesthesiology Source Type: research

Medical cannabis: considerations for the anesthesiologist and pain physician
Conclusion The science of medical cannabis and the need for education of healthcare professionals and patients require continued effort. Although cannabinoids work to decrease pain, there is still a need to confirm these beneficial effects clinically and to exploit them with acceptable benefit-to-risk ratios. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - February 5, 2016 Category: Anesthesiology Source Type: research

Perioperative management and oncological outcomes following radical cystectomy for bladder cancer: a matched retrospective cohort study
Abstract Purpose The immune system plays an important role in tumour progression. Systemic opioids are immunosuppressive; thus, theoretically they may promote tumour spread. Our primary aim was to test the hypothesis that general anesthesia (GA) with spinal analgesia (SA) in patients with bladder cancer undergoing radical cystectomy (RC) will both reduce systemic opioid use and improve oncological outcomes. Since blood transfusions also induce immunosuppression, a secondary aim was to evaluate the effect of perioperative transfusions on oncological outcomes. Metho...
Source: Canadian Journal of Anesthesia - February 5, 2016 Category: Anesthesiology Source Type: research