Suspected propofol infusion syndrome during normal targeted propofol concentration
AbstractTo this day, the pathophysiology and risk factors of propofol infusion syndrome (PRIS) remain unknown. Moreover, there is no widely accepted definition of PRIS, even though it is a potentially fatal condition. While many suspected cases of PRIS have been reported in both pediatric and adult populations, the actual propofol plasma concentration (Cp) has never been clarified. In this clinical report, we described the first suspected PRIS case in which the propofol Cp was measured 25  min after 226 min of propofol infusion (7.2 µg/mL), which was 12 times higher than the predicted value (0.6 &...
Source: Journal of Anesthesia - July 23, 2020 Category: Anesthesiology Source Type: research

Incidence of hemi-diaphragmatic paresis after ultrasound-guided intermediate cervical plexus block: a prospective observational study
This study investigated whether an intermediate CPB affects the phrenic nerve, inducing hemidiaphragmatic pares is.MethodsIn this prospective observational study, 20 patients undergoing single-incision transaxillary robot-assisted right thyroidectomy were enrolled. The intermediate CPB (0.25% ropivacaine 0.2  ml/kg) was performed at the C4–5 intervertebral level carefully, without penetrating the prevertebral fascia, before the patient emerged from general anesthesia. Diaphragmatic motions of the block side were measured by M-mode ultrasonography at three time points: before anesthesia (baseline) and at 30 and 6...
Source: Journal of Anesthesia - July 23, 2020 Category: Anesthesiology Source Type: research

Review 1: Lung transplant —from donor selection to graft preparation
AbstractFor various end-stage lung diseases, lung transplantation remains one of the only viable treatment options. While the demand for lung transplantation has steadily risen over the last few decades, the availability of donor grafts is limited, which have resulted in progressively longer waiting lists. In the early years of lung transplantation, only the ‘ideal’ donor grafts are considered for transplantation. Due to the donor shortages, there is ongoing discussion about the safe use of ‘suboptimal’ grafts to expand the donor pool. In this review, we will discuss the considerations around donor ...
Source: Journal of Anesthesia - July 23, 2020 Category: Anesthesiology Source Type: research

A reply to a letter
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - July 23, 2020 Category: Anesthesiology Source Type: research

Accuracy of predictive factors for difficult intubation
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - July 23, 2020 Category: Anesthesiology Source Type: research

Postoperative outcomes in patients with treatment-emergent central sleep apnea: a case series
ConclusionPatients with TECSA have high rates of postoperative complications, characterized by an increased rate of unplanned intensive care admissions and both high 30-day readmission and mortality rates. When dealing with these patients perioperative physicians should implement an increased level of respiratory monitoring, and early postoperative use of their home prescribed non-invasive ventilation devices. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - July 21, 2020 Category: Anesthesiology Source Type: research

The effectiveness of the intramuscular quadratus lumborum block in postoperative analgesia after cesarean section with vertical incision: a randomized, double-blinded placebo-controlled study
ConclusionsQLBi with the concentration and amount of local anesthetic used in the present study was clinically slightly effective, and the effect was limited for postoperative analgesia after cesarean section. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - July 20, 2020 Category: Anesthesiology Source Type: research

Preparing for the SARS-CoV-2 pandemic: creation and implementation of new recommendations
AbstractDuring the SARS-CoV-2 pandemic in 2020, departments of anesthesiology worldwide have encountered new and unique challenges. In this short communication, we present and assess our recommendations for orotracheal intubation, a frequent high-risk procedure. We will point out that interdisciplinary cooperation with “non-patient care” departments like the Institute for Medical Microbiology and Hygiene tremendously helped us in creating this and other new, clear standards for anesthesiological procedures. Moreover, to reliably implement our newly created measures, we distributed incisive posters and organize ...
Source: Journal of Anesthesia - July 20, 2020 Category: Anesthesiology Source Type: research

Review 2: Primary graft dysfunction after lung transplant —pathophysiology, clinical considerations and therapeutic targets
AbstractPrimary graft dysfunction (PGD) is one of the most common complications in the early postoperative period and is the most common cause of death in the first postoperative month. The underlying pathophysiology is thought to be the ischaemia –reperfusion injury that occurs during the storage and reperfusion of the lung engraftment; this triggers a cascade of pathological changes, which result in pulmonary vascular dysfunction and loss of the normal alveolar architecture. There are a number of surgical and anaesthetic factors which may be related to the development of PGD. To date, although treatment options for...
Source: Journal of Anesthesia - July 20, 2020 Category: Anesthesiology Source Type: research

Introduction of evolving roles of Japanese perianesthesia nurses
AbstractThe aim of this special article is to introduce Perianesthesia Nurses (PANs) who play an essential role in assisting anesthesiologists to ensure the safety of patients undergoing anesthesia and to improve the quality of anesthetic care. In Japan, there is no national license for nurse anesthesia providers. Therefore, most of the tasks related to anesthesia are performed by the anesthesiologists. Due to the size and complexity of the aging population, higher quality perioperative care is needed. In search of a solution, PANs were introduced to improve anesthetic care in Japan, enabling anesthesiologists to delegate ...
Source: Journal of Anesthesia - July 17, 2020 Category: Anesthesiology Source Type: research

COVID-19: review of case reports
AbstractRecently published case reports relating to anesthesia in patients with coronavirus disease (COVID-19) were reviewed. The diagnosis of COVID-19 was confirmed by positive results of reverse transcriptase polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Numerous reports handled emergency cesarean delivery. Primary symptoms and laboratory data of pregnant women with COVID-19 were similar to those of non-pregnant patients. Although the mortality rate is reported to be high after surgery in patients with COVID-19, cesarean delivery was successfully performed under regional...
Source: Journal of Anesthesia - July 12, 2020 Category: Anesthesiology Source Type: research

Individual pharmacometric analysis for sugammadex reversal and re-administration of neuromuscular blockade
AbstractSugammadex is an innovative reversal agent for neuromuscular blockade (NMB) induced by rocuronium. Although there is a case that re-paralysis is necessary after sugammadex administration, limited reports can be found on the sugammadex dosage for reversal from profound paralysis after induction and immediate re-paralysis following such reversal in detail. We experienced a case in which NMB reversal was required in a short period after paralysis for induction due to the discovery of anisocoria. We successfully re-induced general anesthesia with tracheal intubation soon after. To examine the validity of the dosing, we...
Source: Journal of Anesthesia - July 12, 2020 Category: Anesthesiology Source Type: research

Tapentadol is effective in the management of moderate-to-severe cancer-related pain in opioid-na ïve and opioid-tolerant patients: a retrospective study
ConclusionTapentadol is effective and well tolerated in opioid-na ïve and opioid-tolerant patients with cancer pain of varying pathophysiology, including those with nociceptive and/or neuropathic components. Tapentadol may be considered for first-line use in moderate-to-severe cancer-related pain. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - July 9, 2020 Category: Anesthesiology Source Type: research

Aligning difficult airway guidelines with the anesthetic COVID-19 guidelines to develop a COVID-19 difficult airway strategy: a narrative review
AbstractThe coronavirus disease 2019 (COVID-19) pandemic is caused by a coronavirus that is transmitted primarily via aerosol, droplets or direct contact. This may place anesthetists at higher risk of infection due to their frequent involvement in aerosol-generating airway interventions. Many anesthethetic COVID-19 guidelines have emerged, whose underlying management principles include minimizing aerosol contamination and protecting healthcare workers. These guidelines originate from Australia and New Zealand, Canada, China, India, Italy, Korea, Singapore, the United States and the United Kingdom. Hospitalized COVID-19 pat...
Source: Journal of Anesthesia - July 8, 2020 Category: Anesthesiology Source Type: research

The analgesic efficacy of quadratus lumborum block in caesarean delivery: a meta-analysis and trial sequential analysis
ConclusionQLB significantly reduces opioid requirements in CD and may have analgesic effects lasting 24  h. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - July 8, 2020 Category: Anesthesiology Source Type: research

The analgesic effect of tramadol combined with butorphanol on uterine cramping pain after repeat caesarean section: a randomized, controlled, double-blind study
This study aimed to explore the effect of patient-controlled intravenous analgesia (PCIA) using tramadol combined with butorphanol on uterine cramping pain in women undergoing repeat caesarean section.MethodsA total of 126 patients, who were scheduled to undergo repeat caesarean section under spinal anesthesia, were included. PCIA using tramadol combined with butorphanol or sufentanil was randomly performed for postoperative pain control. Postoperative uterine cramping pain and wound pain within 48  h after surgery were evaluated. Postoperative analgesic consumption, early activity time, and length of hospital stay we...
Source: Journal of Anesthesia - July 5, 2020 Category: Anesthesiology Source Type: research

General anesthesia affecting on developing brain: evidence from animal to clinical research
AbstractAs the recent update of General anaesthesia compared to spinal anaesthesia (GAS) studies has been published in 2019, together with other clinical evidence, the human studies provided an overwhelming mixed evidence of an association between anaesthesia exposure in early childhood and later neurodevelopment changes in children. Pre-clinical studies in animals provided strong evidence on how anaesthetic and sedative agents (ASAs) causing neurotoxicity in developing brain and deficits in long-term cognitive functions. However pre-clinical results cannot translate to clinical practice directly. Three well designed large...
Source: Journal of Anesthesia - June 29, 2020 Category: Anesthesiology Source Type: research

Instant oxygenation after tracheal intubation in patients with COVID-19
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 29, 2020 Category: Anesthesiology Source Type: research

Perioperative complications of abdominal surgery in smokers
This study examined the association between smoking and perioperative complications of laparoscopic abdominal surgery and whether these complications were reduced with  ≥ 4 weeks of preoperative smoking cessation.MethodsA total of 555 patients who underwent gastric and colorectal cancer surgeries under general anesthesia were divided into the following groups retrospectively: 290 individuals without smoking history (NS group), 144 previous smokers (stopped smoking more than 8  weeks before surgery, PS group), and 121 current smokers (CS group) divided to two groups according to preoperative smoki...
Source: Journal of Anesthesia - June 23, 2020 Category: Anesthesiology Source Type: research

Evaluating coagulation status with thromboelastography in a woman with antiphospholipid syndrome and sepsis: a case report
This study presents the case of a pregnant woman with antiphospholipid syndrome (APS) who developed septic shock after labor induction. Prolonged coagulation times suggested a hypocoagulable state and contraindication to anticoagulation. Thromboelastography (TEG) similarly indicated hypocoagulation. To exclude the impact of lupus anticoagulant on the coagulation assays, a mixing test of prolonged activated partial thromboplastin times was conducted. The mixing test confirmed that prolongation of coagulation times in vitro was affected by antiphospholipid antibodies (aPL), such as lupus anticoagulant. The patient was admini...
Source: Journal of Anesthesia - June 21, 2020 Category: Anesthesiology Source Type: research

Air contamination with SARS-CoV-2 in the operating room
AbstractAngiotensin converting enzyme 2 (ACE2) is a target cell receptor for internalization and proliferation of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). When ACE2-highly expressed tissues are manipulated, SARS-CoV-2 containing aerosols may be generated. Normal breathing and speaking are capable of producing aerosols so mask ventilation, suction of airway tract and bucking during tracheal intubation and extubation are clinical procedures capable of significant aerosol production. Whilst no data have been reported on the distribution of SARS-CoV-2 in the operating room (OR), contamination in the OR...
Source: Journal of Anesthesia - June 19, 2020 Category: Anesthesiology Source Type: research

Effects of spinal anesthesia and sedation with dexmedetomidine or propofol on cerebral regional oxygen saturation and systemic oxygenation a period after spinal injection
ConclusionSpinal anesthesia decreased rSO2; however, the decline was not severe. Dexmedetomidine and propofol did not compromise cerebral oxygenation under spinal anesthesia. Nevertheless, MAP and SpO2 were more stable in dexmedetomidine sedation than in propofol sedation. Dexmedetomidine may be suitable for spinal anesthesia. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 18, 2020 Category: Anesthesiology Source Type: research

Thromboelastometry and a hemostasis management system are most beneficial for guiding hemostatic therapy in cardiac surgery patients with a EuroSCORE II of ≥1.83%: a randomized controlled two-step trial
ConclusionsPOC testing is beneficial for cardiac surgery patients with a EuroSCORE II of ≥1.83%. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 17, 2020 Category: Anesthesiology Source Type: research

Airtight, flexible, disposable barrier for extubation
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 14, 2020 Category: Anesthesiology Source Type: research

Functional analysis of newly identified RYR1 variants in patients susceptible to malignant hyperthermia
This study aimed to evaluate whether the three ryanodine receptor type 1 (RYR1) variants (p.Ser2345Thr, p.Ser2345Arg, and p.Lys3367Arg) which we identified in Japanese malignant hyperthermia (MH) patients with a clinical grading scale rank of 6 were causative for MH.MethodsWe prepared human embryonic kidney (HEK)-293 cells transfected with wild-typeRYR1 or one of theRYR1 variants, along with myotubes cultured from muscle pieces. Calcium kinetics were examined by calculating the 340/380-nm ratio under various caffeine and 4-chloro-m-cresol (4CmC) concentrations with the ratiometric dye Fura-2 AM. Half-maximal effective conc...
Source: Journal of Anesthesia - June 13, 2020 Category: Anesthesiology Source Type: research

Comparison of the ultrasound-guided single-injection femoral triangle block versus adductor canal block for analgesia following total knee arthroplasty: a randomized, double-blind trial
ConclusionsThe preoperative FT block provided improved analgesic outcomes without compromising functional mobility in the context of multimodal analgesia following TKA compared with the AC block.Trial registrationhttps://www.chictr.org.cn. Identifier: ChiCTR-INR-17012716. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 12, 2020 Category: Anesthesiology Source Type: research

Combination of ultrasound-guided lumbosacral plexus block with anterior quadratus lumborum block in supine position for hip surgery: a case report
AbstractIt was widely recognized that the procedure of ultrasound-guided lumbar and sacral plexus block is required to be performed in a lateral decubitus position that patients ’ hips and knees were bended. It is difficult, however, for patients with hip fractures to change position because of severe pain and confined movements. We here reported a new modified combination of ultrasound-guided lumbosacral plexus block with anterior quadratus lumborum block in supine posit ion that had been successfully applied in one elderly patient who underwent hip surgery. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 12, 2020 Category: Anesthesiology Source Type: research

Comparison of 1-year recurrence-free survival between sevoflurane and propofol use for general anesthesia management in primary breast cancer surgery
ConclusionIn patients undergoing primary breast cancer surgery, the use of either sevoflurane or propofol without regional anesthesia did not appear to affect the risk of recurrence after 1  year. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 10, 2020 Category: Anesthesiology Source Type: research

Intensivist-led care in the COVID-19 pandemic
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 8, 2020 Category: Anesthesiology Source Type: research

Emergence delirium is associated with increased postoperative delirium in elderly: a prospective observational study
ConclusionsEmergence delirium in elderly admitted to the PACU after general anesthesia and major surgery is independently associated with an increased risk of postoperative delirium. Patients with emergence delirium had worse perioperative outcomes.Chinese Clinical Trial Registry (chictr.org.cn) ChiCTR-OOC-17012734 (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 7, 2020 Category: Anesthesiology Source Type: research

Anesthetic management in MAO-A and MAO-B deficiency: a case report
AbstractMonoamine oxidase (MAO) deficiency is an X-linked hereditary disease characterized by spontaneous deletion of MAO-A and/or MAO-B on the X chromosome. Here, we describe the first reported case of a patient with MAO-A and MAO-B deficiency managed under general anesthesia in dental treatment. The patient was aged 11  years old when he was scheduled for dental treatment. He was diagnosed with MAO-A and MAO-B deficiency on genetic testing at 2 years of age. He was not given premedication, and standard monitoring with noninvasive blood pressure monitoring, pulse oximetry, and ECG was instituted. We also preempt...
Source: Journal of Anesthesia - June 5, 2020 Category: Anesthesiology Source Type: research

Efficacy of a novel urinary catheter for men with a local anesthetic injection port for catheter-related bladder discomfort: a randomized controlled study
ConclusionOur results suggest that the use of the NMOC-3WAY catheter® for the injection of 2% lidocaine into the urethra does not reduce the incidence of CRBD immediately after EVAR. However, it may reduce moderate or severe CRBD that may lead to postoperative distress and agitation. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - June 4, 2020 Category: Anesthesiology Source Type: research

Continuous quadratus lumborum block and femoral nerve block for total hip arthroplasty: a randomized study
ConclusionsAnalgesic effects of continuous QLB were inferior to those of continuous FNB in patients undergoing THA under the current study condition. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 28, 2020 Category: Anesthesiology Source Type: research

Preoperative cognitive impairment associated with oversedation during recovery from anesthesia
AbstractPurposeOur objective was to examine the association between preoperative cognitive status and postoperative recovery from anesthesia.MethodsWe included patients (70 –91 years old) from the Mayo Clinic Study of Aging who received general anesthesia and were admitted to the postanesthesia care unit from January 1, 2010 through April 30, 2018. Procedures were categorized according to patient’s preoperative cognitive status: cognitive impaired (CI) and cogniti ve unimpaired (CU). Perioperative records were reviewed and analyses were performed with generalized estimating equations.ResultsA total of 896 ...
Source: Journal of Anesthesia - May 28, 2020 Category: Anesthesiology Source Type: research

Intraoperative fluid therapy and postoperative complications during minimally invasive esophagectomy for esophageal cancer: a single-center retrospective study
AbstractPurposeCompared with open thoracotomy, minimally invasive esophagectomy (MIE) methods, such as transhiatal or thoracoscopic esophagectomy, likely have lower morbidity. However, the relationship between intraoperative fluid management and postoperative complications after MIE remains unclear. Thus, we investigated the association of cumulative intraoperative fluid balance and postoperative complications in patients undergoing MIE.MethodsThis single-center retrospective cohort study examined patients undergoing thoracoscopic esophagectomy for esophageal cancer in the prone position. Postoperative complications includ...
Source: Journal of Anesthesia - May 28, 2020 Category: Anesthesiology Source Type: research

Videolaryngoscopy for transesophageal echocardiography probe insertion: a systematic review and meta-analysis of randomized controlled trials
AbstractTransesophageal echocardiography (TEE) is a well-established procedure, but serious complications may occur. This systematic review and meta-analysis assessed the utility of videolaryngoscopy-assisted technique in TEE probe insertion. We performed a systematic search in MEDLINE, EMBASE, CENTRAL, and ICTRP. We included RCTs comparing TEE probe insertion techniques assisted with videolaryngoscopy and with any other insertion technique in adult patients. Primary outcome measures were (1) the number of attempts before successful TEE probe insertion, and (2) the risk of any procedural injury to related structures. The s...
Source: Journal of Anesthesia - May 28, 2020 Category: Anesthesiology Source Type: research

PENG block and LIA as a possible anesthesia technique for total hip arthroplasty
We reported 10 ASA I –II patients admitted for elective primary THA, receiving LIA during (5) and at the end of surgery (5). For the PENG block we used a single injection of 40 ml levobupivacaine 0.25% and dexamethasone 4 mg. For LIA, a mixture of 0.25% levobupivacaine, ketorolac, epinephrine, and morphine was injec ted into periarticular tissues. The pain intensity was evaluated with a numeric rating scale. All patients were fully satisfied and improvement in pain relief, symptoms, and functional activity was remarkable. Intraoperative blood losses ranged 100–600 ml. No intraoperative complicati...
Source: Journal of Anesthesia - May 28, 2020 Category: Anesthesiology Source Type: research

The predictive performance of propofol target-controlled infusion during robotic-assisted laparoscopic prostatectomy with CO 2 pneumoperitoneum in the head-down position
ConclusionThe predictive performance of propofol TCI during RALP with CO2 pneumoperitoneum in the HDP was acceptable. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 28, 2020 Category: Anesthesiology Source Type: research

It was not accurate
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 27, 2020 Category: Anesthesiology Source Type: research

Evaluation of fluid responsiveness during COVID-19 pandemic: what are the remaining choices?
AbstractNon-protocolized fluid administration in critically ill patients, especially those with acute respiratory distress syndrome (ARDS), is associated with poor outcomes. Therefore, fluid administration in patients with Coronavirus  disease (COVID-19) should be properly guided. Choice of an index to guide fluid management during a pandemic with mass patient admissions carries an additional challenge due to the relatively limited resources. An ideal test for assessment of fluid responsiveness during this pandemic should be acc urate in ARDS patients, economic, easy to interpret by junior staff, valid in patients in ...
Source: Journal of Anesthesia - May 25, 2020 Category: Anesthesiology Source Type: research

Anesthesia in the times of COVID-19
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 25, 2020 Category: Anesthesiology Source Type: research

Usefulness of pre- and intraoperative risk scores in nonagenarian surgical patients
The objective of this study was to compare the usefulness of different risk scales in a series of nonagenarian surgical patients.MethodsA total of 244 surgical nonagenarians, 148 women (60.7%), median age 91  years (IQR: 90–93), were analysed. The following scales were evaluated: preoperative status (ASA-PS, Charlson Comorbidity Index, Lee Index, Reiss Index, and surgical mortality probability model—S-MPM); intraoperative status (Surgical Apgar Score and SASA score), and, as output variables, surgi cal outcomes (morbidity measured by the Comprehensive Complication Index—CCI, and death). Univariate an...
Source: Journal of Anesthesia - May 24, 2020 Category: Anesthesiology Source Type: research

A learning curve of LMA ® ProSeal™ insertion: a prospective analysis of cumulative sum method
AbstractPurposeLMA® ProSeal ™ (pLMA) has been used as an alternative to tracheal tubes. It is unclear how many cases are required to achieve proficiency in performing pLMA insertion among novice residents. Therefore, we analyzed the learning curve of pLMA insertion using a cumulative sum (CUSUM) chart and assessed the effect s of learning.MethodsIn this single-center, prospective, observational study, we included 15 novice residents. Staff anesthesiologists recorded success or failure; insertion time; and incidences of bleeding or reflex including cough, hiccups, and limb movement. A successful pLMA insertion was...
Source: Journal of Anesthesia - May 23, 2020 Category: Anesthesiology Source Type: research

An overview of management of intracranial hypertension in the intensive care unit
AbstractIntracranial hypertension (IH) is a clinical condition commonly encountered in the intensive care unit, which requires immediate treatment. The maintenance of normal intracranial pressure (ICP) and cerebral perfusion pressure in order to prevent secondary brain injury (SBI) is the central focus of management. SBI can be detected through clinical examination and invasive and non-invasive ICP monitoring. Progress in monitoring and understanding the pathophysiological mechanisms of IH allows the implementation of targeted interventions in order to improve the outcome of these patients. Initially, general prophylactic ...
Source: Journal of Anesthesia - May 21, 2020 Category: Anesthesiology Source Type: research

Can a new scoring system reliably predict failed facemask ventilation?
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 21, 2020 Category: Anesthesiology Source Type: research

Has anesthesia research activity in Japan successfully recovered?
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 19, 2020 Category: Anesthesiology Source Type: research

Anesthesia and protection in an emergency cesarean section for pregnant woman infected with a novel coronavirus: case report and literature review
AbstractAn outbreak of novel coronavirus pneumonia occurred worldwide since December 2019, which had been named COVID-19 subsequently. It is extremely transmissive that infection in pregnant women were unavoidable. The delivery process will produce large amount of contaminated media, leaving a challenge for medical personnel to ensure both the safety of the mother and infant and good self-protection. Only rare cases of pregnant women with COVID-19 are available for reference. Here, we report a 30-year-old woman had reverse transcription polymerase chain reaction-confirmed COVID-19 at 36  weeks 2 days of gestation...
Source: Journal of Anesthesia - May 19, 2020 Category: Anesthesiology Source Type: research

A “crush” course on rhabdomyolysis: risk stratification and clinical management update for the perioperative clinician
This article reviews the pathophysiology and discusses key issues in the perioperative diagnosis, risk stratification, and management of rhabdomyolysis. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 18, 2020 Category: Anesthesiology Source Type: research

Continuous basal infusion versus programmed intermittent bolus for quadratus lumborum block after laparoscopic colorectal surgery: a randomized-controlled, double-blind study
ConclusionProgrammed intermittent boluses of local anesthetic for continuous QLB did not produce better analgesia or wider sensory blockade compared with continuous basal infusion in patients undergoing laparoscopic colorectal surgery. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 18, 2020 Category: Anesthesiology Source Type: research

A new scoring system to predict failed facemask ventilation: a reply to the letter of Professor Priebe
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - May 18, 2020 Category: Anesthesiology Source Type: research