Postoperative pain management for tracheoesophageal fistula repair using transverse, in-plane, ultrasound guided paravertebral technique in a 2  kg neonate
We read with interest the recent paper discussing an ultrasound guided oblique intercostal approach for paravertebral catheters placement in 2 neonates scheduled for tracheoesophageal fistula repair [1]. While we applaud the author's choice of using for paravertebral catheters (PVBCs) in such small neonates, we question the technique used; an ultrasound image was not presented, and the figure and block details do not seem to be in concordance with the approach used. The depth of paravertebral space with intercostal approach is only few millimiters, making this approach extremely challenging, with a high risk of pneumothora...
Source: Journal of Clinical Anesthesia - September 16, 2018 Category: Anesthesiology Authors: Maria A. Hernandez, Mihaela Visoiu Tags: Correspondence Source Type: research

Editorial Board w/barcode
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - September 16, 2018 Category: Anesthesiology Source Type: research

Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - September 16, 2018 Category: Anesthesiology Source Type: research

Editorial Board w/barcode
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 27, 2018 Category: Anesthesiology Source Type: research

Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 27, 2018 Category: Anesthesiology Source Type: research

Anesthetic management of carcinoid heart disease after cardiac surgery. A possible use of veno-arterial extracorporeal membrane oxygenation support
Carcinoid heart disease (CHD) is the cardiac manifestation of a “functioning” neuroendocrine tumour. Patients with CHD undergoing cardiac surgery are at higher risk of developing postoperative haemodynamic instability due to carcinoid crisis and right ventricular (RV) dysfunction. In particular the former is related to the clinical vasomotor manifestations d ue to the release of serotonin, 5-hydroxytryptophan, histamine, bradykinin, tachykinins, kallikrein and prostaglandins [1] secreted by neuroendocrine tumours. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 16, 2018 Category: Anesthesiology Authors: Nora Di Tomasso, Francesco Carc ò, Cristina Arangino, Monica De Luca, Tiziana Bove, Alberto Zangrillo, Fabrizio Monaco Tags: Correspondence Source Type: research

Perioperative cardiac arrests – A subanalysis of the anesthesia -related cardiac arrests and associated mortality
To determine the incidence, risk factors, and predictors of survival of perioperative cardiac arrests (PCAs) occurring in patients who underwent non-cardiac and non-obstetric surgery from January 2008 to May 2015 at a tertiary hospital; determine the incidence and risk factors of anesthesia-related PCA. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 14, 2018 Category: Anesthesiology Authors: Diogo Sobreira-Fernandes, Laetitia Teixeira, Tiago S. Lemos, Liliana Costa, Manuela Pereira, Ant ónio C. Costa, Paula S. Couto Tags: Original contribution Source Type: research

The association between intraoperative dexmedetomidine and 1  year morbidity and mortality after cardiac surgery: A propensity matched analysis of over 1400 patients
Dexmedetomidine is widely used during surgery. Recent studies have demonstrated that dexmedetomidine administered perioperatively is associated with lower postoperative mortality and complications in patients undergoing cardiac surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 10, 2018 Category: Anesthesiology Authors: Fei Xu, Qian Wang, Sipeng Chen, Hushan Ao, Jun Ma Tags: Original Contribution Source Type: research

Aligning Anesthesiology and Perioperative Services with Value-Based Care: Proceedings of the Annual Meeting of the Association of Anesthesia Clinical Directors (AACD)
The Association of Anesthesia Clinical Directors (AACD) was founded in 1989. It is an organization rooted in the belief that anesthesiologists are in the unique position to effectively manage many aspects of patient care and administration within the perioperative period [1]. The Association's Perioperative Leadership Summit was established as a venue for perioperative medical directors, nursing leaders and administrators to gather and exchange data and ideas. “Aligning Anesthesiology and Perioperative Services with Value-Based Care” was the theme of the 2018 Perioperative Leadership Summit held in New Orleans,...
Source: Journal of Clinical Anesthesia - July 10, 2018 Category: Anesthesiology Authors: Andrew A Serdiuk, Richard D. Urman, S. Andrew Seong, Mitchell H. Tsai, Richard P. Dutton, Claudette Lajam, Gary R. Haynes, Dominic S. Carollo, Paul St Jacques, Joshua A Hirsch Tags: Editorial Source Type: research

Thoracic paravertebral nerve block for treating contraction of the latissimus dorsi muscle after breast cancer surgery
We describe two cases of contraction of the latissimus dorsi muscle after total mastectomy. Thoracic paravertebral nerve block was an effective therapy for the contraction. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 4, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: A randomized controlled study
To evaluate the analgesic effect of ultrasound-guided erector spinae plane (ESP) block in breast cancer surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 3, 2018 Category: Anesthesiology Authors: Yavuz G ürkan, Can Aksu, Alparslan Kuş, Ufuk H. Yörükoğlu, Cennet T. Kılıç Tags: Original Contribution Source Type: research

Anesthetic management of patients with systemic mastocytosis
Systemic mastocytosis is a rare disease of mast cell proliferation in multiple organs and carries a risk of anaphylactic reaction by degranulation induced by physical and psychological stimuli, alcohol, elevated temperature, and drugs known to release histamine [1, 2]. Although the prevalence is unknown, familial occurrences are unusual and equally in both sexes. Various drugs and physical and psychological stimuli can trigger degranulation of mast cells, which can cause anaphylaxis. General anesthesia is also potentially hazardous. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 3, 2018 Category: Anesthesiology Authors: Koji Ishii, Hiroshi Miyoshi, Daiji Akiyama, Tetsuji Makita, Koji Sumikawa, Hiroaki Murata, Tetsuya Hara Tags: Correspondence Source Type: research

Corrigendum to “Paradoxical postural cerebrospinal fluid leak-induced headache: Report of two cases” [J Clin Anesth 20 (5) (2008 Aug) 383–5]
The authors regret that an incomplete listing was provided for the second author. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 3, 2018 Category: Anesthesiology Authors: Henry Liu, Alan Kaye, Neal Comarda, Marilyn Li Tags: Corrigendum Source Type: research

Analysis of adverse outcomes in the post-anesthesia care unit based on anesthesia liability data
The aim of this study is to provide a contemporary medicolegal analysis of claims brought against anesthesiologists in the United States for events occurring in the post-anesthesia care unit (PACU). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Daniel B. Kellner, Richard D. Urman, Penny Greenberg, Ethan Y. Brovman Tags: Original Contribution Source Type: research

Delayed recovery of limb muscle power after general anesthesia with cisatracurium in a dermatomyositis patient
We report a case of delayed recovery after anesthesia with cisatracurium in a dermatomyositis patient, particularly in terms of proximal limb muscle power. A written informed consent to publish was obtained from the patient. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Ann Hee You, Hee-Yong Kang, Sung-Wook Park, Youngsoon Kim Tags: Correspondence Source Type: research

Persistent cortical blindness following total laparoscopic distal gastrectomy
Although postoperative visual loss (POVL) is rare, prevention is becoming more important because POVL can lead to permanent visual loss [1]. Cortical blindness resulting in loss of visual acuity due to lesions of the bilateral occipital lobes is one cause of POVL. Herein we report a rare case of cortical blindness that caused permanent POVL. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Ji-Uk Yoon, Yun Mi Choi, Eun Ji Choi, Ju Yeon Park, Hee Young Kim Tags: Correspondence Source Type: research

Drop in oxygen supply pressures: Misleading gas cylinder color coding to be blamed for nearing a mishap?
We would like to report a case of an erroneous carbon-dioxide cylinder color coding which was mistaken as oxygen cylinder. However with prompt recognition and immediate intervention serious patient morbidity and mortality was averted. There are several international safety mechanisms for medical gas cylinders like labeling, pin index safety system, pressure relief valve and color coding [1, 2]. Inaccurate cylinder color coding and ambiguous labeling of oxygen cylinders can cause catastrophic complications [3, 4]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Chitta R. Mohanty, Suma R. Ahmad Tags: Correspondence Source Type: research

Opioid sparing effect of Erector Spinae Plane block for pediatric bilateral inguinal hernia surgeries
Inguinal hernia repair is one of the most common procedures in pediatric surgeries. One of the primary aims after this surgery is to mobilize the patient as quick as possible and to discharge the patient early. Providing an adequate postoperative analgesia is vital to ensure this. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Can Aksu, Yavuz G ürkan Tags: Correspondence Source Type: research

Perioperative dexmedetomidine reduces delirium after cardiac surgery: A meta-analysis of randomized controlled trials
To evaluate the efficiency of dexmedetomidine on the incidence of delirium in patients after cardiac surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 27, 2018 Category: Anesthesiology Authors: Mimi Wu, Yongxin Liang, Zhao Dai, Shiduan Wang Tags: Original contribution Source Type: research

Clinical experiences with ultrasound-guided supra-inguinal fascia iliaca block: A new approach
Conventional fascia iliaca block, which blocks the femoral and the lateral femoral cutaneous nerves, has been reported to be an effective analgesic technique for hip surgery. However, conventional fascia iliaca block may not block both the nerves because the lateral femoral cutaneous nerve may branch at the cranial level of the anterior superior iliac spine [1]. Ultrasound-guided supra-inguinal fascia iliaca block is a new approach in which the local anesthetic solution is injected at the cranial level of the anterior iliac spine. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 27, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

At all hospitals in the State of Iowa over a decade, the number of cases performed during weekends or holidays increased approximately proportionally to the total caseload
We tested the hypothesis that over many years – a decade – hospitals' proportions of surgical cases that were performed on weekends and holidays remained stable. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 26, 2018 Category: Anesthesiology Authors: Franklin Dexter, Richard H. Epstein, Craig Jarvie, Kokila N. Thenuwara Tags: Original Contribution Source Type: research

Unexpected local anesthesia toxicity during the ultrasonography-guided peripheral nerve block
Currently, ultrasonography-guided peripheral nerve blocks decrease complications with ability to display target nerves, prevent unnecessary needle movement, visualize spread of local anesthetic drug, and increase success rate of the block, providing an active role in using lower doses of local anesthetics. Although it has been proven as a safe and valid method, local anesthetics may sometimes lead systemic toxicity (LAST) [1]. Aim of this letter is to introduce the intraoperatively occurred LAST management through a case. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 23, 2018 Category: Anesthesiology Authors: Gulcin Aydin Tags: Correspondence Source Type: research

The novel early use of dexmedetomidine in the management of tetanus
Tetanus is a neurotoxin-mediated disease characterized by muscle spasms, rigidity, airway compromise, and sympathetic overactivity. The incidence of tetanus in developed countries has fallen significantly with the implementation of the tetanus vaccine, with only 233 cases reported in the United States from 2001 to 2008. Due to the decreasing incidence, many providers in developed countries lack experience in the management of tetanus. Autonomic dysfunction, which manifests as intermittent labile tachycardia, hypertension and arrhythmias often followed by periods of hypotension and bradycardia, is a major cause of morbidity...
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Andrea M. Talukdar, Guelay Bilen-Rosas, Michael Wilhelm, Awni Al-Subu Tags: Correspondence Source Type: research

Hyperbaric oxygen treatment resistant carbon monoxide poisoning
In literature, carbon monoxide intoxication (COI) is described by nonspecific symptoms (headache, myalgia, dizziness, weakness, confusion, unconsciousness) like in present patient with unconsciousness [1]. All organs, especially brain and heart, can suffer from COI. On radiological images, hypoxic brain injury can be observed in cerebral cortex and white matter, basal ganglia and especially globus pallidus [2]. In long-term, it can also cause to neuropsychiatric disorders, neurocognitive dysfunctions, and delayed encephalopathy in 0.06 –40% of the survivors. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Gulcin Aydin Tags: Correspondence Source Type: research

Clinical experience of ultrasound-guided single and bi-level erector spinae plane block for postoperative analgesia in patients undergoing thoracotomy
Ultrasound guided erector [1] spinae plane block (ESPB) was recently described by Forero. Literature reports its effective use for postoperative analgesia in thoracotomy and breast surgery as well as treatment of chronic pain [1 –3]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Serkan Tulgar, Onur Selvi, Zeliha Ozer Tags: Correspondence Source Type: research

Failure of ventilation intra-operatively with NIM EMG endotracheal tube
We are presenting a case of failure of ventilation intra-operatively under general anesthesia with neural integrity monitor (NIM) electromyogram (EMG) endotracheal tube (a silicone-based endotracheal tube). A 59-year-old man with bilateral thyroid nodular goiter is scheduled for subtotal thyroidectomy in our facility. His medical record was unremarkable. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 22, 2018 Category: Anesthesiology Authors: Chien-Hsun Chen, Cheng-Yu Chen, Yi-Jer Hsieh Tags: Correspondence Source Type: research

Induction techniques for pediatric patients with congenital heart disease undergoing noncardiac procedures are influenced by cardiac functional status and residual lesion burden
Appropriate agent selection in patients with congenital heart disease (CHD) undergoing cardiac surgery and catheterization have been extensively reviewed in the literature. To date, there has not been an analysis of induction drug choices made in a large group of CHD patients undergoing non-cardiac procedures and intraoperative events.The primary objective was to characterize induction agent selection in CHD patients undergoing non-cardiac procedures and examine its association with intraoperative events. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 21, 2018 Category: Anesthesiology Authors: Koichi Yuki, Sandra Lee, Steven J. Staffa, James A. DiNardo Tags: Original Contribution Source Type: research

Continuous monitoring of ventilation by diaphragm ultrasonography using a new tool during procedural sedation
The number of procedures performed under sedation has increased, and so there is a need for a continuous respiratory monitoring for the initiation of interventions to prevent risk factors due to the ventilatory depression. However, continuous monitoring methods, such as clinical observation, pulse oximetry and capnography, are known to have limitations [1, 2]. The respiration is primarily driven by the diaphragm motion, and ultrasonography (USG) can be used for assessment of the diaphragm [3]. Transthoracic diaphragm USG used for evaluating the thickness, contractile activity, function or predicting extubation during the m...
Source: Journal of Clinical Anesthesia - June 21, 2018 Category: Anesthesiology Authors: Alper Kilicaslan, Funda Gok, Hilmi Gunuc Tags: Correspondence Source Type: research

Comparison of intravenous ibuprofen and acetaminophen for postoperative multimodal pain management in bariatric surgery: A randomized controlled trial
Multimodal analgesic strategies are recommended to decrease opioid requirements and opioid-induced respiratory complications in patients undergoing laparoscopic bariatric surgery. Recent studies have demonstrated that intravenous ibuprofen decreases opioid consumption compared with placebo. The primary aim of this study was to compare the effect of intravenous ibuprofen and intravenous acetaminophen on opioid consumption. We also aimed to compare postoperative pain levels and side effects of the drugs. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 20, 2018 Category: Anesthesiology Authors: Gulay Erdogan Kayhan, Mukadder Sanli, Ulku Ozgul, Ramazan Kirteke, Saim Yologlu Tags: Original Contribution Source Type: research

The importance of monitoring volatile anesthetic concentration
We present here two cases of improper administration of volatile anesthetics to patients during surgery due to malfunctioning anesthetic vaporizer. Despite apparently normal performance of the anesthetic machines, subsequent malfunction of vaporizer was detected. We received written consent forms from the patients for the publication of these cases. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 19, 2018 Category: Anesthesiology Authors: Jae Myeong Lee Tags: Correspondence Source Type: research

Hallermann-Streiff Syndrome: Difficulty in airway increases with increasing age
We present a case of HSS who was operated for bilateral cataract surgery as an infant and then for entropion correction at the age of twelve years. Approximately 150 case have been reported in the world literature [1]. The aetiology of HSS remains unknown. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 18, 2018 Category: Anesthesiology Authors: Lakshmi Prasanna Srinivasan, Jagadeesh Viswanathan Tags: Correspondence Source Type: research

Ultrasound-guided posterior quadratus lumborum block for postoperative pain after laparoscopic cholecystectomy: A randomized controlled double blind study
Laparoscopic techniques are commonly used in surgical operations of the gallbladder. There are very few regional anesthesia methods used to achieve this goal. We aimed to investigate the effect of ultrasound-guided posterior quadratus lumborum block (QLB), administered bilaterally on pain scores after laparoscopic cholecystectomy operations. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 18, 2018 Category: Anesthesiology Authors: Korg ün Ökmen, Burcu Metin Ökmen, Serra Topal Tags: Original Contribution Source Type: research

Editorial Board w/barcode
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Source Type: research

Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Source Type: research

The effect of nonsteroidal anti-inflammatory drugs on bone healing in humans: A qualitative, systematic review
Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely used in postoperative pain management. While an increasing number of in vitro and animal studies point toward an inhibitory effect of NSAIDs on bone healing process, the few existing retro- and prospective clinical studies present conflicting data. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Alain Borgeat, Christian Ofner, Andrea Saporito, Mazda Farshad, Jos é Aguirre Source Type: research

Medication errors in a pediatric anesthesia setting: Incidence, etiologies, and error reduction strategies
The objective of the study was to: a) characterize the frequency, type, and outcome of anesthetic medication errors spanning an 8.5-year period, b) describe the targeted error reduction strategies and c) measure the effects, if any, of a focused, continuous, multifaceted Medication Safety Program. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Izabela C. Leahy, Meghan Lavoie, David Zurakowski, Amanda W. Baier, Robert M. Brustowicz Tags: Original Contribution Source Type: research

Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: A prospective, randomized, controlled clinical trial
In this study, we evaluated the effectiveness of Erector Spinae Plane Block (ESPB) for postoperative analgesia management in LC. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Serkan Tulgar, Mahmut Sertan Kapakli, Ozgur Senturk, Onur Selvi, Talat Ercan Serifsoy, Zeliha Ozer Tags: Original Contribution Source Type: research

Many US hospital-affiliated freestanding ambulatory surgery centers are located on hospital campuses, relevant to interpretation of studies involving ambulatory surgery
The US Agency for Healthcare Research and Quality's State Ambulatory Surgery Database includes procedures performed at hospital outpatient surgery departments. We hypothesized that, among US hospitals with an anesthesia department and freestanding outpatient surgical center, the prevalence on hospital campuses (i.e., within 250  yards of the main hospital building) would be sufficiently large (e.g.,>10%) to influence interpretation of observational studies performed with US national ambulatory surgery datasets. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Dean Elhag, Franklin Dexter, Mohamed Elhakim, Richard H. Epstein Tags: Original Contribution Source Type: research

Scalp block for drainage of cerebral abscess in a patient with tetralogy of Fallot
We report a case of 21  year old male, having complains of headache and vomiting. The patient was conscious and oriented with GCS 15/15, HR 72/min and blood pressure 130/80 mm Hg. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Aalekh Prasad, Tulsi Nag Tags: Correspondence Source Type: research

Perioperative mortality related to anesthesia within 48  h and up to 30 days following surgery: A retrospective cohort study of 11,562 anesthetic procedures
Studying postoperative in-hospital mortality is crucial to the understanding of the perioperative process failures and to the implementation of strategies to improve patient outcomes. We intend to classify the causes of perioperative deaths up to 30  days after procedures requiring anesthesia and to evaluate the risk factors for early (48 h) or late (30 day) mortality. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 14, 2018 Category: Anesthesiology Authors: Luciana C. Stefani, Patricia W. Gamermann, Amanda Backof, Fernanda Guollo, Rafael M.J. Borges, Adriana Martin, Wolnei Caumo, Elaine A. Felix Tags: Original Contribution Source Type: research

A systematic approach to scoring bleeding risk in regional anesthesia procedures
An anticoagulation risk with regional anesthesia has been the subject of many articles and guidelines [1]. Recent guidelines now classify the common regional or pain procedures according to the potential risk of serious bleeding. There are several excellent review guidelines describing the appropriate alterations to anticoagulation regimes based on the risk of the regional procedure [2, 3]. Typically, these guidelines categorized procedures as low-risk, intermediate-risk, and high-risk. However, the approach and methodology to how a procedure is classified to be in a certain risk category is seldom explained. (Source: Jour...
Source: Journal of Clinical Anesthesia - June 14, 2018 Category: Anesthesiology Authors: Ban C.H. Tsui Tags: Correspondence Source Type: research

Upper lobectomy of the left lung using a left retrolaminar block
A retrolaminar block can induce anesthesia around the thoracic spinal nerve [1]. Therefore, this block has been effectively used to provide analgesia in cases of breast cancer and transapical transcatheter aortic valve implantation [2, 3]. In addition, the retrolaminar block is safer than the alternative approach, the thoracic paravertebral nerve block, as it provides a shallower block. However, there are no reports on the application of the retrolaminar block for thoracic surgery. Herein, we report the successful use of the retrolaminar block in a 32-year-old man (height, 170  cm; body weight, 49 kg) who underwent an ...
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Daiki Nagane, Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

Proficiency of Dams Tulip-i ® in awake fiberoptic orotracheal intubation for difficult airway
Awake fiberoptic intubation is often performed in cases of patients with difficult airway [1, 2]. However, there are cases such as trismus and pharynx failure in which awake fiberoptic intubation is problematic. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

Reply to Ince et al.: “Ultrasound guided Quadratus Lumborum Block for pediatric extracorporeal shock wave lithotripsy: Safety and indication?”
Dear Editor; (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Ali Ahiskalioglu, Ahmet Murat Yayik, Erkan Cem Celik Tags: Original Contribution Source Type: research

A proposal for rapid response system education to excessive procedure sedation
American Society of Anesthesiologists published ‘Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (ASA-SED)’ in 1993 and it was updated in 2002 and 2018 [1]. The present 2018 ASA-SED guideline indicates recommendations and cautions on effective and safe moderate sedation for procedure (e.g. surgery under local anesthesi a). High quality and safety sedation requires not only appropriate respiratory monitoring but also adequate rapid response system to excessive procedure sedation [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Nobuyasu Komasawa, Toshiaki Minami Tags: Correspondence Source Type: research

Documentation of perioperative resuscitation status for non-elective surgical patients
Variable understanding of national guidelines for perioperative management of Advance Directives (AD) by anesthesiologists has been previously reported in the Journal [1]. Nurok et al. revealed that some anesthesiologists correctly answered questions related to the perioperative management of patients with AD [1]. Answering questions on a survey is one thing; documenting the AD, as it relates to the proposed surgery, in accordance with the guidelines put forth by several national bodies [2 –4] is a higher level of quality care to consider and is rarely reported in the literature. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 12, 2018 Category: Anesthesiology Authors: Imane Belcaid, Alexander Poulton, Christopher L. Pysyk Tags: Correspondence Source Type: research

Successful case of perioperative management with i-gel during a case of wide-awake hand surgery
Insertion of a supraglottic airway device i-gel ® (Intersurgical, UK) is a relatively less invasive technique: hence airway management has been performed using i-gel® for awake craniotomy [1, 2]. Wide-awake hand surgery (WAHS) is a procedure during which motor nerve function is preserved by blocking only sensory nerves for restitution of hand m otor function [3]. Perioperative anaesthetic management for the WAHS is considered difficult because of the challenge of keeping the patient awake while maintaining analgesia in the perioperative period. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 12, 2018 Category: Anesthesiology Authors: Hironobu Ueshima Tags: Correspondence Source Type: research

Thrombosis and compartment syndrome requiring fasciotomy: Complications of internal iliac artery balloon catheters for morbidly adherent placenta
The incidence of Morbidly-Adherent-Placenta (MAP) is on the rise. Bilateral-internal-iliac-artery-occlusion-catheters (BIIABOC) are used to reduce bleeding during cesarean-hysterectomy (CH) for MAP in some institutions. Thrombosis is a possible complication of these catheters. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 11, 2018 Category: Anesthesiology Authors: Shamantha Reddy, Ricardo Maturana, Yelena Spitzer, Jeffrey Bernstein Tags: Correspondence Source Type: research

C-MAC videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: A systematic review and meta-analysis with trial sequential analysis
The C-MAC laryngoscope (C-MAC) is a videolaryngoscope that uses a modified Macintosh blade. Although several anecdotal reports exist, it remains unclear whether the C-MAC is superior to the Macintosh laryngoscope for tracheal intubation in the adult population. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 9, 2018 Category: Anesthesiology Authors: Hiroshi Hoshijima, Takahiro Mihara, Koichi Maruyama, Yohei Denawa, Kentaro Mizuta, Toshiya Shiga, Hiroshi Nagasaka Tags: Original Contribution Source Type: research

Early experience with PECS 1 block for Port-a-Cath insertion or removal in children at a single institution
The pectoral nerves (PECS) 1 block has been successfully utilized as a perioperative analgesia adjunct in adult breast surgery and minimal invasive cardiac surgery. [1, 2] Originally demonstrated as an interfascial plane block with local anesthetic deposited between the pectoralis major and minor muscles, this technique can sufficiently anesthetize the medial and lateral pectoral nerves and third to sixth intercostal nerves. [3] Despite promising results in adults, the PECS 1 block has not been studied in children. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 9, 2018 Category: Anesthesiology Authors: Farrukh Munshey, Radhamangalam J. Ramamurthi, Ban Tsui Tags: Correspondence Source Type: research