Statistical models to predict adverse perioperative outcomes: A case for longer follow up time frames
Large datasets have become available and widely adopted by perioperative medicine researchers in the last decade [1 –3]. The use of electronic medical records has facilitated massive data collection not only by single institutions, but also by multicenter initiatives [4–6]. Large datasets enabled the evaluation of infrequent (but important) perioperative outcome with the expectation that interventions could h ave been implemented to improve the care of patients undergoing surgical procedures. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 12, 2017 Category: Anesthesiology Authors: Gildasio S. De Oliveira Tags: Editorial Source Type: research
Pectoral nerve blocks to improve analgesia after breast cancer surgery: A prospective, randomized and controlled trial
To evaluate the analgesic efficacy of ultrasound guided combined pectoral nerve blocks I and II in patients scheduled for surgery for breast cancer. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 11, 2017 Category: Anesthesiology Authors: Neethu M, Ravinder Kumar Pandey, Ankur Sharma, Vanlalnghaka Darlong, Jyotsna Punj, Renu Sinha, Preet Mohinder Singh, Nandini Hamshi, Rakesh Garg, Chandralekha Chandralekha, Anurag Srivastava Tags: Original Contribution Source Type: research
Improving patient safety during procedural sedation via respiratory volume monitoring: A randomized controlled trial
Assess the utility of a respiratory volume monitor (RVM) to reduce the incidence of low minute ventilation events in procedural sedation. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 7, 2017 Category: Anesthesiology Authors: Donald M. Mathews, Michael J. Oberding, Eric L. Simmons, Stephen E. O'Donnell, Kevin R. Abnet, Kathleen MacDonald Tags: Original Contribution Source Type: research
A comparison between inhalational (Desflurane) and total intravenous anaesthesia (Propofol and dexmedetomidine) in improving postoperative recovery for morbidly obese patients undergoing laparoscopic sleeve gastrectomy: A double-blinded randomised controlled trial
Laparoscopic sleeve gastrectomy is commonly performed under total intravenous anaesthesia (TIVA) or balanced anaesthesia using an intravenous and inhalation agent. It is still unclear which anaesthesia regimen is better for this group of patients. The present study has been conducted to compare the use of the inhalation anaesthesia technique using desflurane with the TIVA technique, using propofol and dexmedetomidine. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 7, 2017 Category: Anesthesiology Authors: Abd-Elazeem Elbakry, Wesam-Eldin Sultan, Ezzeldin Ibrahim Tags: Original contribution Source Type: research
Improving patient safety during procedural sedation via respiratory volume monitoring: A randomized controlled trial
Assess the utility of a respiratory volume monitor (RVM) to reduce the incidence of low minute ventilation events in procedural sedation. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 7, 2017 Category: Anesthesiology Authors: Donald M. Mathews, Michael J. Oberding, Eric L. Simmons, Stephen E. O'Donnell, Kevin R. Abnet, Kathleen MacDonald Tags: Original Contribution Source Type: research
T1, T2 paraverterbal blocks provide opioid sparing in first rib resection for thoracic outlet syndrome
Thoracic outlet syndrome (TOS) is caused by compression of one or more of the 3 neurovascular structures between the first rib and clavicle: the brachial plexus, subclavian vein, or subclavian artery [1]. When conservative treatments fail, surgical intervention may be the only option, i.e. first rib resection (FRR) [1,2]. Cervical-thoracic PVB has been incorporated into the anesthetic regimen by previous authors to better manage postoperative pain and minimize opioid use [3]. While thoracic PVBs are effective for post-thoracotomy pain [4], existing literature is limited and there is no current description of its use for FR...
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Arun Kalava, Enrico Camporesi, Karl A. Illig, Christopher B. Robards Tags: Correspondence Source Type: research
Burnout: Yes, it's a health problem, but is the solution partly linked to professionalism?
The recent editorial by De Oliveira [1] offering suggestions for how to address burnout in anesthesiologists accompanied the non-randomized observational study by Zanaty et al. [2] that highlighted telomere shortening (and other biological measures) as tangible biologic evidence for the frequent occurrence of physician burnout. In doing so, De Oliveira outlines several potential solutions as to how our specialty can potentially address this increasingly prevalent problem. For example, the importance of national organizations (e.g., ASA) focusing appropriate attention on the issue of burnout is specifically mentioned [1]. (...
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Hilary P. Grocott Tags: Correspondence Source Type: research
Application of laryngeal mask Protector ™ Cuff Pilot™ for safe recovery from general anesthesia in a patient with difficult mask ventilation
We report use of the laryngeal mask LMA Protector ™ Cuff Pilot™ (Protector-CP, Teleflex Medical, U.S.A.) for safe recovery from general anesthesia in a patient with nasal obstruction due to gauze after nasal septum correction surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Shugo Yonehara, Nobuyasu Komasawa, Nobuko Watanabe, Toshiaki Minami Tags: Correspondence Source Type: research
T1, T2 paraverterbal blocks provide opioid sparing in first rib resection for thoracic outlet syndrome
Thoracic outlet syndrome (TOS) is caused by compression of one or more of the 3 neurovascular structures between the first rib and clavicle: the brachial plexus, subclavian vein, or subclavian artery [1]. When conservative treatments fail, surgical intervention may be the only option, i.e. first rib resection (FRR) [1,2]. Cervical-thoracic PVB has been incorporated into the anesthetic regimen by previous authors to better manage postoperative pain and minimize opioid use [3]. While thoracic PVBs are effective for post-thoracotomy pain [4], existing literature is limited and there is no current description of its use for FR...
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Arun Kalava, Enrico Camporesi, Karl A. Illig, Christopher B. Robards Tags: Correspondence Source Type: research
Burnout: Yes, it's a health problem, but is the solution partly linked to professionalism?
The recent editorial by De Oliveira [1] offering suggestions for how to address burnout in anesthesiologists accompanied the non-randomized observational study by Zanaty et al. [2] that highlighted telomere shortening (and other biological measures) as tangible biologic evidence for the frequent occurrence of physician burnout. In doing so, De Oliveira outlines several potential solutions as to how our specialty can potentially address this increasingly prevalent problem. For example, the importance of national organizations (e.g., ASA) focusing appropriate attention on the issue of burnout is specifically mentioned [1]. (...
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Hilary P. Grocott Tags: Correspondence Source Type: research
Application of laryngeal mask Protector ™ Cuff Pilot™ for safe recovery from general anesthesia in a patient with difficult mask ventilation
We report use of the laryngeal mask LMA Protector ™ Cuff Pilot™ (Protector-CP, Teleflex Medical, U.S.A.) for safe recovery from general anesthesia in a patient with nasal obstruction due to gauze after nasal septum correction surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Shugo Yonehara, Nobuyasu Komasawa, Nobuko Watanabe, Toshiaki Minami Tags: Correspondence Source Type: research
Pneumocephalus and seizures following combined spinal-epidural for labor
We report the finding of simultaneous pneumocephalus and a cavernoma in a patient who received a combined spinal-epidural analgesia for labor, using loss of resistance to saline (LORS). The patient provided written consent for the authors to publish this report. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - December 4, 2017 Category: Anesthesiology Authors: Joana M. Jones, Jo ão P. Gouveia, Nuno M. Rodrigues Tags: Correspondence Source Type: research
Nasotracheal intubation through pharyngeal flap after pharyngeal flap construction
A 24-year-old woman provided her written consent to publish the details of her case. She had undergone multiple surgeries including pharyngeal flap construction for bilateral cleft lip and palate. All previous operations were performed under general anesthesia by oral intubation. In the present procedure, sagittal split ramus osteotomy under general anesthesia with nasotracheal intubation was planned. We obtained the three-dimensional morphological structure of the pharyngeal flap (Fig. 1). The measurements of the cross-section at the narrowest were 5.1 ×12.8mm for the left orifice and 3.2×13.2mm for the right. (Source: ...
Source: Journal of Clinical Anesthesia - November 29, 2017 Category: Anesthesiology Authors: Kazumi Takaishi, Shinji Kawahito, Shigeki Fujiwara, Hiroshi Kitahata Tags: Correspondence Source Type: research
