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Reducing Mortality in Critically Ill Patients
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

Stoelting’s Handbook of Pharmacology & Physiology in Anesthetic Practice - 3rd Edition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

Complementary and alternative medicine in anesthesia: Are we really going there?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

Observational study of prolonged times to tracheal extubation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

A political thought on the “Friday effect”
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

In reply: No reduction in fibreoptic intubation rates with universal video laryngoscopy
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

In reply: Observational study of prolonged times to tracheal extubation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

No reduction in fibreoptic intubation rates with universal video laryngoscopy
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - January 1, 2016 Category: Anesthesiology Source Type: research

Dental protection with a padded laryngoscope flange
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 21, 2015 Category: Anesthesiology Source Type: research

Traumatic lung herniation
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 21, 2015 Category: Anesthesiology Source Type: research

Parecoxib sodium reduces the need for opioids after tonsillectomy in children: a double-blind placebo-controlled randomized clinical trial
Conclusions A single intravenous injection of parecoxib sodium 1 mg·kg−1 after anesthesia induction is an effective method for the control of postoperative pain. It provides a morphine-sparing effect, prolongs the time to first rescue analgesic, and reduces PONV in children undergoing tonsillectomy. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 18, 2015 Category: Anesthesiology Source Type: research

A novel systematic ABC approach to D iaphragmatic E valuation (ABCDE)
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 18, 2015 Category: Anesthesiology Source Type: research

In reply: Sevoflurane or desflurane: Which one is more expensive? Limiting the accessibility of cost-prohibitive drugs: The story is incomplete
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 17, 2015 Category: Anesthesiology Source Type: research

Sevoflurane or desflurane: Which one is more expensive?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 16, 2015 Category: Anesthesiology Source Type: research

Limiting the accessibility of cost-prohibitive drugs: The story is incomplete
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 16, 2015 Category: Anesthesiology Source Type: research

Predicting outcomes: Is there utility in risk scores?
Conclusions Preoperative risk scores help inform perioperative clinical decision-making. Future research must determine how estimates of preoperative risk can be updated with information from the intraoperative period, how risk information should be communicated to patients, and which interventions can improve outcomes among patients within newly identified risk strata. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 15, 2015 Category: Anesthesiology Source Type: research

Les produits de l’anesthésie 5e édition
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 15, 2015 Category: Anesthesiology Source Type: research

Efficacy of a simple scavenging system for long-term critical care sedation using volatile agent-based anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 15, 2015 Category: Anesthesiology Source Type: research

A new analgesic paradigm for pediatric tonsillectomy: Are we dragging our heels?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 15, 2015 Category: Anesthesiology Source Type: research

The challenges in producing high-quality clinical evidence
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 15, 2015 Category: Anesthesiology Source Type: research

Calibration of the neuromuscular monitor: Is it necessary?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 14, 2015 Category: Anesthesiology Source Type: research

In reply: Calibration of the neuromuscular monitor: Is it necessary?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 14, 2015 Category: Anesthesiology Source Type: research

David Lussier and Pierre Beaulieu (eds): Adjuvant analgesics
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 11, 2015 Category: Anesthesiology Source Type: research

Ketamine added to morphine or hydromorphone patient-controlled analgesia for acute postoperative pain in adults: a systematic review and meta-analysis of randomized trials
Conclusions Adding ketamine to morphine/hydromorphone PCA provides a small improvement in postoperative analgesia while reducing opioid requirements. Adjunctive ketamine also reduces postoperative nausea and vomiting without a detected increase in other adverse effects; however, adverse events were probably underreported. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 10, 2015 Category: Anesthesiology Source Type: research

A comparison of motor stimulation threshold in ultrasound-guided interscalene brachial plexus block for arthroscopic shoulder surgery: a randomized trial
This study included 94 patients undergoing arthroscopic shoulder surgery with ultrasound-guided interscalene brachial plexus block (ISBPB) plus nerve stimulation. Patients were randomized into two groups for the ISBPB procedure, i.e., when an evoked motor response was obtained at a current intensity of either 0.2 mA (Group 0.2) or 0.5 mA (Group 0.5). Block onset time, location of the needle tip, and distribution of local anesthetic were assessed. Results A response was elicited at the appropriate motor stimulation threshold in 88 patients (Group 0.2 = 43; Group 0.5 = 45). Block failu...
Source: Canadian Journal of Anesthesia - December 10, 2015 Category: Anesthesiology Source Type: research

The need for consensus, consistency, and core outcome sets in perioperative research
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 10, 2015 Category: Anesthesiology Source Type: research

Left atrial involvement of a right lung tumour
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 10, 2015 Category: Anesthesiology Source Type: research

Substance use disorder in Canadian university departments of anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 8, 2015 Category: Anesthesiology Source Type: research

In reply: Substance use disorder in Canadian university departments of anesthesia
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 8, 2015 Category: Anesthesiology Source Type: research

Preoperative optimization in pheochromocytoma: phenoxybenzamine may be redundant but not alpha blockade
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 7, 2015 Category: Anesthesiology Source Type: research

A novel approach for monitoring volatile anesthetic concentration during cardiopulmonary bypass
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 3, 2015 Category: Anesthesiology Source Type: research

Chasing myocardial outcomes: perioperative myocardial infarction and cardiac troponin
Abstract Perioperative myocardial infarction represents the most common cardiovascular complication following non-cardiac surgery, but frequently presents without the usual clinical signs and symptoms consistent with acute coronary syndrome. Given the silent nature of this event, a clinician’s reliance on risk stratification tools and cardiac specific biomarkers to assist in the identification of at-risk individuals is heightened in the perioperative setting. Although cardiac troponin elevations following non-cardiac surgery have been consistently linked to increased mortality, uncertainty remains over how t...
Source: Canadian Journal of Anesthesia - December 3, 2015 Category: Anesthesiology Source Type: research

Interscapular pain associated with neuraxial labour analgesia: a case series
Conclusions While little is understood about the etiology of this unique anesthetic complication, it may have important clinical consequences, including inadequate analgesia, inability to provide timely epidural anesthesia, and an increased risk of Cesarean delivery. Future work should characterize at-risk patients, delineate effective treatment strategies, and identify any associated long-term consequences. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 3, 2015 Category: Anesthesiology Source Type: research

Is 60 mg a suitable dosage for same-day spinal prilocaine?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 2, 2015 Category: Anesthesiology Source Type: research

In reply: Is 60 mg a suitable dosage for same-day spinal prilocaine?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - December 2, 2015 Category: Anesthesiology Source Type: research

Novel use of the Nexfin TM HD monitor for real-time physiological assessment of blood flow during creation of an upper extremity arteriovenous fistula
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 18, 2015 Category: Anesthesiology Source Type: research

Failure of metyrosine therapy for preoperative management of pheochromocytoma: a case report
Conclusion In the case of this patient’s PHEO, the use of metyrosine was unsatisfactory in achieving sufficient inhibition of catecholamine synthesis as evidenced by significant intraoperative hypertension. Metyrosine could have a role in preoperative management of these patients, but it may not be optimal as monotherapy for some patients with actively secreting tumours. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Anesthetic management of a parturient with hypermobility phenotype but possible vascular genotype Ehlers-Danlos syndrome
Conclusion The risk of severe morbidity and mortality in parturients with vascular EDS has warranted recommendations for modified management of labour, particularly regarding mode and timing of delivery. Nevertheless, a multidisciplinary approach and consideration of phenotype rather than genotype alone were instrumental in the successful management of this patient. Genetic testing of patients who display features of EDS and/or who have a positive family history of the disease is important in the preparation for labour and delivery. In the absence of convincing signs of vascular EDS and a negative family history...
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Concepts of safety reporting
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Improving perioperative outcomes in low-resource countries: It can’t be fixed without data
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

A closed-circuit anesthesia ventilator facilitates significant reduction in sevoflurane consumption in clinical practice
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

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

The impact of changes in drug availability for hemodynamic management in pheochromocytoma: prêt-à-porter or tailor-made?
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Anesthetic substance abuse: international perspectives and parallels
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Erratum to: A prospective observational study comparing a physiological scoring system with time-based discharge criteria in pediatric ambulatory surgical patients
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Erratum to: Managing the challenging pediatric airway: Continuing Professional Development
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 14, 2015 Category: Anesthesiology Source Type: research

Special announcement: Guidelines to the Practice of Anesthesia - Revised Edition 2016
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - November 3, 2015 Category: Anesthesiology Source Type: research

Definitive airway management of patients presenting with a pre-hospital inserted King LT(S)-D™ laryngeal tube airway: a historical cohort study
Conclusion In this study of patients presenting to a hospital with a King LT, the majority of airway exchanges required an advanced airway management technique beyond direct laryngoscopy. Upper airway edema was the most common adverse observation associated with King LT use. (Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 30, 2015 Category: Anesthesiology Source Type: research

In reply: Ultrasound-guided internal jugular vein cannulation: a novel technique for confirming that the guidewire is directed towards the right atrium
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 28, 2015 Category: Anesthesiology Source Type: research

Ultrasound-guided internal jugular vein cannulation: a novel technique for confirming that the guidewire is directed towards the right atrium
(Source: Canadian Journal of Anesthesia)
Source: Canadian Journal of Anesthesia - October 27, 2015 Category: Anesthesiology Source Type: research