Two plane two block for surgical anesthesia: Ultrasound-guided serratus and Erector Spinae Plane Blocks
Interfacial plane blocks have become very popular in recent years. Plane blocks have a potential to take the place of neuroaxial techniques due to their being easily performed with an ultrasound, having low complication rates and providing adequate postoperative analgesia and reducing opioid consumption [1]. Serratus plane block (SPB) and Erector Spinae Plane Block (ESPB) are interfacial injection techniques for analgesia of the chest and abdominal wall. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 13, 2018 Category: Anesthesiology Authors: Ali Ahiskalioglu, Ahmet Murat Yayik, Erkan Cem Celik, Elif Oral Ahiskalioglu, Murat Emsen Tags: Correspondence Source Type: research

Epidural compared with non-epidural analgesia and cardiopulmonary complications after colectomy: A retrospective cohort study of 20,880 patients using a national quality database
This study used the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) to assess any association between epidural analgesia (versus non-epidural) and complications after colectomy. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 12, 2018 Category: Anesthesiology Authors: Kenneth C. Cummings III, Nicole M. Zimmerman, Kamal Maheshwari, Gregory S. Cooper, Linda C. Cummings Tags: Original Contribution Source Type: research

A “Z” shaped flexible stylet to facilitate GlideScope intubation
Inability to intubate using the GlideScope is usually related to difficulty getting the endotracheal tube (ETT) to the larynx —not a problem with visualizing the larynx. The fixed stylet that comes with the GlideScope is not always successful. An alternative is to bend a flexible stylet (as shown below) in such a fashion as to bring the tip of the endotracheal tube anteriorly to allow for intubation of the anterior laryn x. A second bend in the flexible stylet just proximal to the cuff is helpful in avoiding prominent upper incisors. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 9, 2018 Category: Anesthesiology Authors: Fred A. Rotenberg, Rudy Wu Chen, Suchit Aggarwal Tags: Correspondence Source Type: research

Ultrasound guided low thoracic erector spinae plane block for postoperative analgesia in radical retropubic prostatectomy, a new indication
Erector spinae plane block (ESP) is a recently described regional anesthesia technique used for thoracic neuropathic pain [1] and more recently in thoracic, breast and upper abdominal surgeries [2,3]. When performed at the level of the 8th thoracic vertebra, the local anesthesia administered in ESP block has been demonstrated to spread both cranially and caudally in the paravertebral space between C7-T2 and L2 –3 [3]. On the other hand, multiple paravertebral block performed at the lower thoracic level (T10-11-12) for retropubic prostatectomies is reported to lead to effective postoperative analgesia [4]. (Source: Journa...
Source: Journal of Clinical Anesthesia - March 8, 2018 Category: Anesthesiology Authors: Serkan Tulgar, Ozgur Senturk Tags: Correspondence Source Type: research

Serial fiber optic bronchoscopy (FOB) to predict the need of tracheostomy in tracheomalacia after thyroidectomy in long standing goiter
Tracheomalacia, a rare complication after thyroidectomy, presents with post-operative stridor immediately after extubation of trachea. Tracheomalacia is defined as dynamic airway collapse in excess of 50% of diameter due to inability of cartilaginous framework to maintain airway patency [1,2]. Tracheostomy is the most common and definitive modality of treatment [3]. Diagnosis of tracheomalacia and decision to go for tracheostomy is a difficult task as spontaneous improvement occurs with time. Cuff leak tests during positive pressure ventilation and spontaneous respiration are described and done routinely to predict or rule...
Source: Journal of Clinical Anesthesia - March 7, 2018 Category: Anesthesiology Authors: Mekhala Paul, Ashish Kannaujia, Arindam Chatterjee, Sabaretnam Mayilvaganan Tags: Correspondence Source Type: research

Clinical experiences of ultrasound-guided lumbar erector spinae plane block for hip joint and proximal femur surgeries
There are several anecdotal reports of Erector Spinae Plane Block (ESPB) - recently described by Forero et al. [1], being used for thoracic and abdominal surgeries [2,3]. All reported ESPB have been performed from the thoracic area, with only one report from our institute of ESPB performed from the lumbar area [4]. Herein, we present our experience in 12 patients undergoing hip and proximal femur surgery in which lumbar ESPB was performed. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 6, 2018 Category: Anesthesiology Authors: Serkan Tulgar, Onur Selvi, Ozgur Senturk, Mehmet Nurullah Ermis, Rahmi Cubuk, Zeliha Ozer Tags: Correspondence Source Type: research

Is ultrasound guided erector spinae plane block sufficient for surgical anesthesia in minor surgery at thoracal region?
Ultrasound-guided erector spinae plane blocks (ESPB) have been sufficiently performed for postoperative analgesia and pain management. Analgesic efficacy of ESPB was demonstrated in thoracic surgery, breast surgery, hip surgery and pain relief of rib fractures [1 –5]. ESPB has not been performed for surgical anesthesia up to date. We would like to present 3 cases who underwent minor surgery at thoracal region under ultrasound (US) guided ESPB. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 6, 2018 Category: Anesthesiology Authors: Onur Balaban, Tayfun Aydin, Merve Yaman Tags: Correspondence Source Type: research

A case of 28 seconds asystole after a stimulus for modified electroconvulsive therapy
We describe a case of asystole lasting 28 s, which developed after a stimulus during m-ECT in a patient without pre-existing cardiovascular complication. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 1, 2018 Category: Anesthesiology Authors: Yoshimune Osaka, Yoshihisa Morita Tags: Correspondence Source Type: research

Editorial Board w/barcode
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 1, 2018 Category: Anesthesiology Source Type: research

Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 1, 2018 Category: Anesthesiology Source Type: research

Editorial Board w/barcode
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 1, 2018 Category: Anesthesiology Source Type: research

Table of Contents
(Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - March 1, 2018 Category: Anesthesiology Source Type: research

Landiolol hydrochloride to successfully treat refractory ventricular arrhythmia during weaning from cardiopulmonary bypass
We effectively treated refractory ventricular arrhythmia (RVA) at the time of weaning from the cardiopulmonary bypass (CPB) during aortic valve replacement with landiolol for three patients who failed to respond to electrical defibrillation. Demographic data, comorbid factors, and preoperative finding were noted [Table 1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - February 27, 2018 Category: Anesthesiology Authors: Mariko Yamada, Shinji Takahashi, Soichiro Yamashita, Makoto Tanaka Tags: Correspondence Source Type: research

Acute compartment syndrome of the hand secondary to propofol extravasation
We present the following case from a 52-year-old African American woman treated at our institution after obtaining the appropriate written consent from the patient for publication. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - February 21, 2018 Category: Anesthesiology Authors: Matthew Varacallo, Lora Shirey, Venkat Kavuri, Susan Harding Tags: Correspondence Source Type: research