Claw hand mask ventilation in adults: An alternative and effective technique
In the eyes of a casual observer, mask ventilation looks so easy and simple but the reality is that the technique is difficult even in the best of hands and will require considerable practice before it can be done effectively on a patient. The ability to mask ventilate a patient is a basic and essential skill that needs to be learned by every healthcare provider. This basic and crucial component of airway management technique provides oxygenation and ventilation prior to the establishment of a definitive airway. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 9, 2017 Category: Anesthesiology Authors: Mir Mousa Aghdashi, Shahram Shokohi Tags: Correspondence Source Type: research

Point-of-care viscoelastic testing improves the outcome of pregnancies complicated by severe postpartum hemorrhage
Postpartum hemorrhage (PPH) —defined as an estimated blood loss>500mL following vaginal delivery and>1000mL following cesarean [1,2] —is the leading cause of maternal mortality worldwide accounting for 27% of all maternal deaths, [3,4] and is the foremost cause of direct obstetric death in developed countries [5,6]. It is also a major cause of maternal morbidity and intensive care unit (ICU) admissions [7,8]. The incidence of P PH is increasing [9,10]. This is especially true of severe PPH, defined as an estimated blood loss in excess of 1500mL [11,12]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 6, 2017 Category: Anesthesiology Authors: Denis Snegovskikh, Dmitri Souza, Zachary Walton, Feng Dai, Rachel Rachler, Angelique Garay, Victoria V. Snegovskikh, Ferne R. Braveman, Errol R. Norwitz Tags: Original Contribution Source Type: research

Failed neonatal intubation rescued with a tongue stitch and Glidescope-assisted fiberoptic technique
We describe an intubation technique using a surgical stitch to pull the tongue forward while combining video laryngoscopy (VL) and fiberoptic bronchoscopy (FOB) following failure using other techniques. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 6, 2017 Category: Anesthesiology Authors: Ehab Meselhy, Remi Akopyan, Vivian Onyewuche Tags: Correspondence Source Type: research

Magnesium suprascapular nerve block for the management of painful shoulder disorders
Acute or chronic shoulder pain is common, but difficult to treat. The pain may be due to arthritis, surgery or trauma [1,2,3,4,5]. Systemic analgesia or complementary therapy may be ineffective [1,2,3,4]. Suprascapular nerve block provides temporary relief for shoulder pain and dysfunction [4,5,6]. Agents used for suprascapular block include local anesthetic or steroid [5]. Another suitable anti-nociceptive agent is magnesium, but there is no previous report of its use for shoulder pain management. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 6, 2017 Category: Anesthesiology Authors: Olumuyiwa A. Bamgbade Tags: Correspondence Source Type: research

Pectoral nerves 1 block is effective for silent manipulation of frozen shoulder
We report two cases in which that the addition of the pectoral nerves (PECS) 1 block to interscalene brachial plexus block provided effective anesthesia for silent manipulation of frozen shoulder [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 6, 2017 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

The effect of tranexamic acid to reduce blood loss and transfusion on off-pump coronary artery bypass surgery: A systematic review and cumulative meta-analysis
To assess the safety and efficacy of tranexamic acid (TA) on off-pump coronary artery bypass (OPCAB) surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 3, 2017 Category: Anesthesiology Authors: Zhao Dai, Haichen Chu, Shiduan Wang, Yongxin Liang Source Type: research

Is CPAP treatment not effective after supratentorial craniotomy?
We read with great interest the study by Sah et al. [1] regarding the efficacy of continuous positive airway pressure (CPAP) and incentive spirometry on respiratory functions during the postoperative period following supratentorial craniotomy. In this prospective, randomized, placebo controlled study, they compared the effects of incentive spirometry (IS), CPAP and 4L/min O2 inspiration (Control group) on forced vital capacity (FVC) and other pulmonary function tests of and arterial blood gases of patients who were followed up in intensive care unit after supratentorial craniotomy. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 3, 2017 Category: Anesthesiology Authors: Fatma Y ıldırım, Antonio M. Esquinas Tags: Correspondence Source Type: research

A combination of AirTraq and Truflex for intubation in morbidly obese patient
We read very interesting paper of Casillo-Monzon et al. about use of AirTraq optical laryngoscope for intubation in morbidly obese patients [1]. Optical laryngoscope AirTraq (Prodol, Spain) is the intubation device which can be successfully used both in case of expected [2] and unexpected [3] difficult intubation. However, in some cases it may be difficult to introduce endotracheal tube (ET) although good visualisation of entrance to larynx [4,5]. In those cases the use of the intubation stylet [5] or the gum elastic bougie [4] is described. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 3, 2017 Category: Anesthesiology Authors: Tomasz Gaszynski Tags: Correspondence Source Type: research

Distal adductor canal block for administering postoperative analgesia in lower limb surgery
To the Editor: (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 3, 2017 Category: Anesthesiology Authors: Kohei Morozumi, Hidemasa Takahashi, Takeo Suzuki Tags: Correspondence Source Type: research

Regressive quadriparesis following tracheal resection anastomosis: A rare debilitating but avoidable complication
A 24-year-old male, ASA I patient underwent an uneventful tracheal resection and primary end to end anastomosis. A guardian suture (chin to chest) was placed and the trachea extubated following which the patient was monitored in a seated position. Fentanyl citrate 0.5 μgkg−1h−1 was administered for postoperative analgesia. However (17h postoperatively), the patient complained of uneasiness in the neck along with weakness of both lower limbs (power 1/5) which rapidly progressed to involve the upper limbs too (power 2/5). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 2, 2017 Category: Anesthesiology Authors: Akhil Kumar, Ashwin Marwaha, Ameya Pappu, Shikha Sharma, Jayashree Sood Tags: Correspondence Source Type: research

Acute pain management in lumbar vertebrae re-surgery
Performing a trunk nerve block for acute pain management in re-surgery is difficult because of crushing muscle tissue and interfascial plane. Additionally, as lumbar vertebrae re-surgery carries a high risk of infection, it is very difficult to perform the trunk nerve block for the lumbar vertebrae re-surgery. However, if acute pain management for the lumbar vertebrae surgery is neglected, there is a risk that it might turn into chronic postoperative pain [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 1, 2017 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

Factors associated with mortality within 24h of liver transplantation: An updated analysis of 65,308 adult liver transplant recipients between 2002 and 2013
Intracardiac and pulmonary thromboembolism (ICPTE), its risk factors and contribution to 24-hour mortality after adult liver transplantation for end-stage liver disease. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 1, 2017 Category: Anesthesiology Authors: Kyota Fukazawa, Ernesto A. Pretto, Seigo Nishida, Jorge D. Reyes, Edward Gologorsky Tags: Original Contribution Source Type: research

Clinical experiences of erector spinae plane block for children
We reported two cases using the ESP block for children. Case 1 was a 6-year-old girl (115cm, 24kg) with no complications who underwent a funnel chest. To provide good perioperative pain management, we recommended her to receive an epidural anesthesia before a general anesthesia. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - November 1, 2017 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research

Selected highlights in clinical anesthesia research
To review research highlights of manuscripts published in 2016 that pertain to all aspects of the clinical practice of anesthesiology. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - October 31, 2017 Category: Anesthesiology Authors: Mark C. Kendall, Zachary M. Robbins, Alexander Cohen, Mary Minn, Scott E. Benzuly, Andrew S. Triebwasser, Zachary L. McCormick, Michelle Gorgone Source Type: research

Intraoperative magnesium supplementation improves gynecology major surgery perioperative outcome
Magnesium is an important component of human physiology and medical therapies. Hypomagnesemia occurs in major surgical patients; and is associated with cardiovascular, neuromuscular, coagulation, nociceptive and inflammatory complications [1]. Reliable systematic reviews showed that intraoperative administration of magnesium reduces neuromuscular blocker and anesthetic requirements [2,3]. Reliable clinical studies showed beneficial effects of magnesium on intraoperative hemodynamics, analgesia and comfort [4,5,6,7]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - October 27, 2017 Category: Anesthesiology Authors: Olumuyiwa A. Bamgbade Tags: Correspondence Source Type: research