The efficacy and safety of opioid-free anesthesia combined with ultrasound-guided intermediate cervical plexus block vs. opioid-based anesthesia in thyroid surgery —a randomized controlled trial
ConclusionCompared with opioid-based anesthesia, the OFA combined with the ultrasound-guided ICPB can better improve patients' postoperative recovery, reduce nausea, and decrease pain scores.Trial registrationChinese Clinical Trial Regisrty, ChiCTR2200056344,https://www.chictr.org.cn (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 23, 2023 Category: Anesthesiology Source Type: research

Continuous cardiac output estimation using a new modified Fick method during off-pump coronary artery bypass graft surgery: a retrospective observational study
ConclusionsThe original Fick method is not reliable when oxygen extraction is low, but a modification using data-driven approach could enable continuous estimation of cardiac output during the dynamic intraoperative period with minimal bias. However, further improvements in precision and trending ability are needed. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 23, 2023 Category: Anesthesiology Source Type: research

Stroke volume variation and dynamic arterial elastance predict fluid responsiveness even in thoracoscopic esophagectomy: a prospective observational study
ConclusionsSVV and Eadyn are reliable parameters for predicting fluid responsiveness in patients undergoing TE. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 21, 2023 Category: Anesthesiology Source Type: research

Programmed intermittent epidural bolus in maintenance of epidural labor analgesia: a literature review
AbstractProgrammed intermittent epidural bolus (PIEB), administered by the infusion pump programmed to deliver boluses of epidural solution at certain intervals, is gradually gaining more attention as a technique to maintain the labor analgesia in recent years. Many studies find that it may have some advantages when compared with other methods. However, its exact effectiveness and optimal regimen are still unclear. We conducted a literature search in PubMed, Web of Science, and Cochrane Database of Systematic Reviews for studies published between January 2010 and June 2022. Of the 263 publications identified, 27 studies we...
Source: Journal of Anesthesia - September 21, 2023 Category: Anesthesiology Source Type: research

Correct interpretation of between-group statistical differences in analgesic efficacy of different intercostal nerve block modalities
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 21, 2023 Category: Anesthesiology Source Type: research

Stroke volume variation and dynamic arterial elastance predict fluid responsiveness even in thoracoscopic esophagectomy: a prospective observational study
ConclusionsSVV and Eadyn are reliable parameters for predicting fluid responsiveness in patients undergoing TE. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 21, 2023 Category: Anesthesiology Source Type: research

Programmed intermittent epidural bolus in maintenance of epidural labor analgesia: a literature review
AbstractProgrammed intermittent epidural bolus (PIEB), administered by the infusion pump programmed to deliver boluses of epidural solution at certain intervals, is gradually gaining more attention as a technique to maintain the labor analgesia in recent years. Many studies find that it may have some advantages when compared with other methods. However, its exact effectiveness and optimal regimen are still unclear. We conducted a literature search in PubMed, Web of Science, and Cochrane Database of Systematic Reviews for studies published between January 2010 and June 2022. Of the 263 publications identified, 27 studies we...
Source: Journal of Anesthesia - September 21, 2023 Category: Anesthesiology Source Type: research

Correct interpretation of between-group statistical differences in analgesic efficacy of different intercostal nerve block modalities
(Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 21, 2023 Category: Anesthesiology Source Type: research

Effect of height versus height/weight-based spinal bupivacaine on maternal hemodynamics for elective cesarean in short stature patients: a randomized clinical trial
ConclusionWe found that height-based dosing in short parturients provides the optimal trade-off between intraoperative hemodynamic instability and provision of pain-free anesthesia.Trial registrationclinicaltrial.gov-NCT04082676.https://clinicaltrials.gov/ct2/show/NCT04082676. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 14, 2023 Category: Anesthesiology Source Type: research

Effects of driving pressure-guided ventilation by individualized positive end-expiratory pressure on oxygenation undergoing robot-assisted laparoscopic radical prostatectomy: a randomized controlled clinical trial
ConclusionsIndividualized PEEP could improve PaO2/FiO2 in patients who underwent RALP and do not increase the dosage of intraoperative vasoactive drug and the release of inflammatory factors.Trial registrationwww.chictr.org.cn (registration no. ChiCTR2100047271). (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 14, 2023 Category: Anesthesiology Source Type: research

Effect of height versus height/weight-based spinal bupivacaine on maternal hemodynamics for elective cesarean in short stature patients: a randomized clinical trial
ConclusionWe found that height-based dosing in short parturients provides the optimal trade-off between intraoperative hemodynamic instability and provision of pain-free anesthesia.Trial registrationclinicaltrial.gov-NCT04082676.https://clinicaltrials.gov/ct2/show/NCT04082676. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 14, 2023 Category: Anesthesiology Source Type: research

Effects of driving pressure-guided ventilation by individualized positive end-expiratory pressure on oxygenation undergoing robot-assisted laparoscopic radical prostatectomy: a randomized controlled clinical trial
ConclusionsIndividualized PEEP could improve PaO2/FiO2 in patients who underwent RALP and do not increase the dosage of intraoperative vasoactive drug and the release of inflammatory factors.Trial registrationwww.chictr.org.cn (registration no. ChiCTR2100047271). (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 14, 2023 Category: Anesthesiology Source Type: research

Comparison of the effect of sevoflurane and propofol on the optic nerve sheath diameter in patients undergoing middle ear surgery
ConclusionThe ONSD was significantly increased during middle ear surgery. No significant difference was observed in the amount of ONSD increase between the sevoflurane and propofol groups. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - September 1, 2023 Category: Anesthesiology Source Type: research

Effects of the attachment method of the stimulating electrodes Nihon-Kohden NM-345Y ™ and changes in forearm position on stimulus current values during calibration in electromyography-based neuromuscular monitoring: a single-center experimental study
ConclusionCrossing the ulnar nerve with the line connecting the anode and cathode of the stimulating electrodes may stabilize EMG-based neuromuscular monitoring accuracy. (Source: Journal of Anesthesia)
Source: Journal of Anesthesia - August 31, 2023 Category: Anesthesiology Source Type: research