Intraoperative clevidipine use to manage an acute hypertensive episode in a patient with a simultaneous kidney-pancreatic transplant
Arterial hypertension represents one of the most common diagnoses pathology in general population and usually is associated with a high appearance of complications and an increase in the mortality and morbidity during the perioperative period [1]. Refractory hypertension episodes following a simultaneous kidney-pancreatic transplant (SKPT) are not described by the current literature, and usually are associated with a multifactorial pathogenesis (immunosuppressive drugs use, chronic allograft dysfunction, genetic susceptibility or vascular complications) [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Mar ía J. Pascual, José A. Sastre, José M. Calvo Tags: Correspondence Source Type: research
Anesthetic and pharmacologic considerations in perioperative care of obese children
Anesthetic management of obese pediatric patients is challenging. With increasing prevalence of childhood obesity, more severely obese children with comorbidities present for surgery every day. The purpose of this review is to provide an up-to-date comprehensive narrative review on the impact of pathophysiological changes imposed by pediatric obesity on the perioperative management of obese children, especially drug dosing. This knowledge is necessary to provide safe delivery of anesthesia for severely obese children. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Vidya Chidambaran, Anurag Tewari, Mohamed Mahmoud Tags: Review Source Type: research
The correlation of the depth of anesthesia and postoperative cognitive impairment: A meta-analysis based on randomized controlled trials
To comprehensively evaluate the associations between the depth of anesthesia and postoperative delirium (POD) or postoperative cognitive dysfunction (POCD). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Xing Lu, Xin Jin, Suwei Yang, Yanfei Xia Tags: Original Contribution Source Type: research
Ultrasound guided low thoracic erector spinae plane block for management of acute herpes zoster
Interfascial plane blocks have become very popular in recent years. A novel interfascial plane block, erector spinae plane (ESP) block can target the dorsal and ventral rami of the thoracic spinal nerves but its effect in neuropathic pain is unclear [1]. If acute pain management for herpes zoster is not done aggressively, it can turn into chronic pain. However; ESP block is first described as inject local anesthetics around the erector spinae muscle at the level of T5 spinous process for thoracic region, if the block is performed at lower levels it could be effective for abdominal and lumbar region [2]. (Source: Journal of...
Source: Journal of Clinical Anesthesia - December 21, 2017 Category: Anesthesiology Authors: Ali Ahiskalioglu, Haci Ahmet Alici, Muhammet Ali Ari Tags: Correspondence Source Type: research
Should videolaryngoscopy be the standard of care for routine tracheal intubation in obese adults?
In this issue of the Journal of Clinical Anesthesia, Hoshijima and colleagues [1] report the results of a meta-analysis comparing the use of traditional direct laryngoscopy (DL) with the Macintosh blade to videolaryngoscopy (VL) in obese adult patients. The authors report improvements in glottic visualization, number of intubation attempts, and intubation success when VL is used as the first-line tracheal intubation method versus Macintosh DL. The results of this meta-analysis, together with those of a recent Cochrane review on VL in the general adult population by Lewis and colleagues [2] raise the question of whether VL ...
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Michael R. King, Narasimhan Jagannathan Tags: Editorial Source Type: research
Anesthetic management of an adult patient with Cor Triatriatum Sinistrum: Utility of transesophageal echocardiography
Cor Triatriatum Sinistrum (CTS) is an uncommon congenital cardiac defect, reported in 0.1% to 0.4% of patients with congenital heart disease, and which results from the division of the left atrium into two chambers by a perforated fibromuscular septum [1]. CTS is commonly diagnosed in childhood, though cases with incomplete or fenestrated membranes may remain asymptomatic throughout adulthood. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: J.J. Arcas-Bellas, J. Ar évalo-Ludeña, B. Martín-Piñeiro, P. Mellado, R. Álvarez-Rementería, L.E. Muñoz-Alameda Tags: Correspondence Source Type: research
Plasma neutrophil gelatinase-associated lipocalin: Biomarker of the future or just another test?
Acute kidney injury (AKI) is a serious complication of critical illness in intensive care units (ICU), responsible for a mortality rate of 40 –80% [1,2]. Despite advances in renal replacement therapies (RRT) and improved ICU care, the mortality rate has remained relatively stagnant. Those patients who do survive an ICU admission with a diagnosis of AKI often go on to experience significant morbidity, including life-long RRT in a third o f these survivors [3]. AKI has presented clinicians and researchers with several challenges and continues to elude even the most state-of-the-art diagnostic and therapeutic approaches. (S...
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Dominic V. Pisano, Maurice F. Joyce Tags: Editorial Source Type: research
Erector spinae plane block and brachial plexus
We read with interest the work by Bonvicini et al. [1] regarding bilateral ultrasound-guided erector spinae plane (ESP) blocks in breast cancer and reconstruction surgery. It is interesting to learn about novel way to provide analgesia in a surgery with an estimated chronic post-operative pain between 25% and 60% [2]. ESP is a novel block developed by Forero [3] to treat severe neuropathic pain (in a case resulting from metastatic disease of the ribs, and in another one from malunion of multiple rib fractures). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: A. De Cassai, G. Stefani, C. Ori Tags: Correspondence Source Type: research
Erector spinae plane block for combined lovectomy and radical mastectomys
An erector spinae plane (ESP) block, firstly reported in 2016, has been shown to be able to block the dorsal and ventral rami of the thoracic spinal nerves [1,2]. Additionally, it may also block sympathetic nerve fibers [3]. Therefore, it may provide pain relief for thoracic surgery. We herein report successful use of the ESP block for combined thoracic and breast surgery. Our patient was an 83-year-old woman (148cm, 53kg) who underwent a combined left lower lobectomy for primary lung cancer and radical mastectomy for breast cancer. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Noriko Tanaka, Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
Ultrasound guided erector spinae block for postoperative analgesia in pediatric nephrectomy surgeries
Erector spinae block (ESB) is a newly identified regional anesthesia technique, which became popular between the clinicians for its ease and relatively safer administration [1]. There were quite many cases reporting its use for many different indications in adults. By far its use in pediatric cases was just defined for thoracic surgery [2,3]. We would like to share our experience about the use of ESB for postoperative analgesia in two pediatric cases undergoing nephrectomy for Wilms tumor. Written informed consent of all patients' parents was provided for using data of the children in this report. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Can Aksu, Yavuz G ürkan Tags: Correspondence Source Type: research
Should videolaryngoscopy be the standard of care for routine tracheal intubation in obese adults?
In this issue of the Journal of Clinical Anesthesia, Hoshijima and colleagues [1] report the results of a meta-analysis comparing the use of traditional direct laryngoscopy (DL) with the Macintosh blade to videolaryngoscopy (VL) in obese adult patients. The authors report improvements in glottic visualization, number of intubation attempts, and intubation success when VL is used as the first-line tracheal intubation method versus Macintosh DL. The results of this meta-analysis, together with those of a recent Cochrane review on VL in the general adult population by Lewis and colleagues [2] raise the question of whether VL ...
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Michael R. King, Narasimhan Jagannathan Tags: Editorial Source Type: research
Anesthetic management of an adult patient with Cor Triatriatum Sinistrum: Utility of transesophageal echocardiography
Cor Triatriatum Sinistrum (CTS) is an uncommon congenital cardiac defect, reported in 0.1% to 0.4% of patients with congenital heart disease, and which results from the division of the left atrium into two chambers by a perforated fibromuscular septum [1]. CTS is commonly diagnosed in childhood, though cases with incomplete or fenestrated membranes may remain asymptomatic throughout adulthood. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: J.J. Arcas-Bellas, J. Ar évalo-Ludeña, B. Martín-Piñeiro, P. Mellado, R. Álvarez-Rementería, L.E. Muñoz-Alameda Tags: Correspondence Source Type: research
Plasma neutrophil gelatinase-associated lipocalin: Biomarker of the future or just another test?
Acute kidney injury (AKI) is a serious complication of critical illness in intensive care units (ICU), responsible for a mortality rate of 40 –80% [1,2]. Despite advances in renal replacement therapies (RRT) and improved ICU care, the mortality rate has remained relatively stagnant. Those patients who do survive an ICU admission with a diagnosis of AKI often go on to experience significant morbidity, including life-long RRT in a third o f these survivors [3]. AKI has presented clinicians and researchers with several challenges and continues to elude even the most state-of-the-art diagnostic and therapeutic approaches. (S...
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Dominic V. Pisano, Maurice F. Joyce Tags: Editorial Source Type: research
Erector spinae plane block and brachial plexus
We read with interest the work by Bonvicini et al. [1] regarding bilateral ultrasound-guided erector spinae plane (ESP) blocks in breast cancer and reconstruction surgery. It is interesting to learn about novel way to provide analgesia in a surgery with an estimated chronic post-operative pain between 25% and 60% [2]. ESP is a novel block developed by Forero [3] to treat severe neuropathic pain (in a case resulting from metastatic disease of the ribs, and in another one from malunion of multiple rib fractures). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: A. De Cassai, G. Stefani, C. Ori Tags: Correspondence Source Type: research
Erector spinae plane block for combined lovectomy and radical mastectomys
An erector spinae plane (ESP) block, firstly reported in 2016, has been shown to be able to block the dorsal and ventral rami of the thoracic spinal nerves [1,2]. Additionally, it may also block sympathetic nerve fibers [3]. Therefore, it may provide pain relief for thoracic surgery. We herein report successful use of the ESP block for combined thoracic and breast surgery. Our patient was an 83-year-old woman (148cm, 53kg) who underwent a combined left lower lobectomy for primary lung cancer and radical mastectomy for breast cancer. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 20, 2017 Category: Anesthesiology Authors: Noriko Tanaka, Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
