The relationship between end-expired carbon dioxide tension and severity of venous air embolism during sitting neurosurgical procedures – A contemporary analysis
Determine if changes in expired carbon dioxide tension correlate with the severity of venous air embolism (VAE) associated hemodynamic changes in humans. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 7, 2018 Category: Anesthesiology Authors: Caitlin J. Kapurch, Arnoley S. Abcejo, Jeffrey J. Pasternak Tags: Original Contribution Source Type: research
Hepatotoxicity after desflurane anesthesia in a morbidly obese patient
Postoperative hepatotoxicity has been reported after exposure to halothane, but rarely after the use of subsequent generations of halogenated anesthetics, including enflurane, isoflurane, sevoflurane, and desflurane [1]. To our knowledge, hepatotoxicity has not been previously reported in morbidly obese patients receiving desflurane anesthesia. The patient provided written consent for the publication of this report. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 7, 2018 Category: Anesthesiology Authors: Giulia Gabellini, Alessandro Graziano, Michele Carron Tags: Correspondence Source Type: research
Novel method of securing 15 mm endotracheal tube adapter to avoid unnecessary tube exchange
Endotracheal tube exchange is a procedure that carries inherent risks. Reported complications include all the problems of airway securement via direct/video laryngoscopy (dental damage, tissue laceration, damage to glottic structures) [1]. Additional factors from airway adjuncts like tube exchangers can cause bronchial injury and pneumothorax [2,3]. Loss of a secure airway is a distinct possibility and can result in hypoxemia and death [4]. Approximately 7% of reported problems related to endotracheal tubes requiring an intervention were due to disconnections and/or leaks [5]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 7, 2018 Category: Anesthesiology Authors: Mario DeAngelis, Christopher Ryan Hoffman, Kevin Russo Tags: Correspondence Source Type: research
Interpreting meta-analysis of ultrasound-guided vs palpation methods for radial artery cannulation may not fully capture differences in technique optimization
The recent updated systematic review and meta-analysis by Bhattacharjee et al. [1] outlining the comparison of ultrasound-guided versus digital palpation techniques for radial artery cannulation discusses a number of methods that have been used to optimize ultrasound visualization of the radial artery prior to needle puncture. In particular, they mention both short-axis out-of-plane and long-axis in-plane techniques, as well as dynamic needle tip positioning. [2] However, there are other techniques which have also been utilized including distal radial artery compression as outlined by Shao et al. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 7, 2018 Category: Anesthesiology Authors: Hilary P. Grocott Tags: Correspondence Source Type: research
Quadratus lumborum block is not effective for anterior cutaneous nerve entrapment syndrome
Anterior cutaneous nerve entrapment syndrome (ACNES) is one of the most distressing causes of chronic pain of the abdominal wall, but it is often misdiagnosed to be of intra-abdominal origin [1,2]. In these cases of misdiagnoses, there can be a resultant decrease in the quality of life. To diagnose and treat ACNES, we performed a quadratus lumborum block (QL block). However, the QL block was not effective in the pain management of ACNES. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 7, 2018 Category: Anesthesiology Authors: Hironobu Ueshima Tags: Letter to the editor Source Type: research
Combined suprascapular nerve block and selective lateral and posterior cord infraclavicular block for reverse total shoulder arthroplasty: A case report
Interscalene blocks (ISB) are considered the gold standard for analgesia in shoulder surgery. Although effective, ISB can cause phrenic nerve blockade (PNB) and hemidiaphragmatic paralysis (HDP) [1]. In patients with pulmonary comorbidities, HDP can lead to significant respiratory complications [2]. A search for “diaphragm-sparing” blocks is therefore appropriate for these patients. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 3, 2018 Category: Anesthesiology Authors: Denise Cinquegrana, Tiffany Chu, Edward George McFarland, Marie Naguib Hanna, Jonathan Dun-Chi Lin Tags: Correspondence Source Type: research
Predicting patients requiring discharge to post-acute care facilities following primary total hip replacement: Does anesthesia type play a role?
We sought to develop a predictive model for discharge to post-acute care facilities in patients undergoing unilateral total hip replacement (THR). Furthermore, we sought to determine if the use of neuraxial anesthesia was an important covariate for the predictive model. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 1, 2018 Category: Anesthesiology Authors: Beamy S. Sharma, Matthew W. Swisher, Christina N. Doan, Bahareh Khatibi, Rodney A. Gabriel Tags: Original Contribution Source Type: research
Erector spinae plane block for pain management of wide post-herpetic neuralgia
Post-herpetic neuralgia (PHN) is a common complication of acute herpes zoster and requires acute pain management. Wide PNH, in particular, has a substantial effect on the quality of life [1]. An erector spinae plane (ESP) block, first reported in 2016, has been demonstrated to block transmission through the wide spinal nerves [2]. Additionally, it may also block transmission through sympathetic nerve fibers [3]. Therefore, ESP block may provide pain relief for acute PNH. Herein, we report the successful use of the ESP block for the pain management of wide post-herpetic neuralgia. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - August 1, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
Comparison of the postoperative effect between epidural anesthesia and continuous wound infiltration on patients with open surgeries: A meta-analysis
The study aimed to compare the effect of epidural anesthesia (EA) and continuous wound infiltration (CWI) on surgical patients. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 28, 2018 Category: Anesthesiology Authors: Haifang Li, Rui Chen, Zaiqi Yang, Cuifang Nie, Shengqiang Yang Tags: Original Contribution 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
Effect and safety of propofol for sedation during colonoscopy: A meta-analysis
The study is to compare the efficacy and safety of propofol with traditional sedation agents for sedation during colonoscopy. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 27, 2018 Category: Anesthesiology Authors: Wenyu Zhang, Zhihua Zhu, Yan Zheng Tags: Original Contribution Source Type: research
Novel use of unstaffed operating room personnel - The swing shift CRNA
Operating room (OR) staff member wages are the single greatest cost of delivering surgical care [1]. When opening new operating rooms, it is necessary to maximize surgical case utilization of the OR's to pay for the staff wages. Operating room labor costs for full-time employees are a fixed cost [2]. The OR staff must be available to run the operating room at full utilization. When OR's are not utilized, staff may perform other duties, however they are not being utilized to their full capacity. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 27, 2018 Category: Anesthesiology Authors: Thomas E. Schulte, Ellen K. Roberts, Allyson L. Hascall, Steven J. Lisco Tags: Correspondence Source Type: research
Difficult airway management in a child with fibrodysplasia ossificans progressiva in status asthmaticus
We present a challenging case of an 11-year-old, 28 kg girl with fibrodysplasia ossificans progressiva. She had severe neck rotation and flexion, kyphosis, scoliosis, decreased chest size (TIS) and extremity contractures. She presented with hypoxia due to parainfluenza virus infection. She became progressively worse requiring continuous nebulized albuterol (1 mg·kg−1·h−1), methylprednisolone, intravenous magnesium, terbutaline infusion, and nasal bilevel positive airway pressure (BiPAP). Approaching respiratory failure, anesthesiology and otolaryngology were consulted to evaluate and secure the airway. (Source: ...
Source: Journal of Clinical Anesthesia - July 20, 2018 Category: Anesthesiology Authors: Bukola Ojo, Michael Collins, Henry Ou, Sally Rampersad, Daniel Rubens, Lance Patak Tags: Correspondence Source Type: research
Effect of nasal or nasopharyngeal apneic oxygenation on desaturation during induction of anesthesia and endotracheal intubation in the operating room: A narrative review of randomized controlled trials
To determine whether apneic oxygenation through nasal or nasopharyngeal catheters can counteract hypoxemia and desaturation during induction of anesthesia and endotracheal intubation. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 17, 2018 Category: Anesthesiology Authors: Ola Grude, Helene J ørgensen Solli, Claus Andersen, Nils Petter Oveland Source Type: research
