Medication errors in a pediatric anesthesia setting: Incidence, etiologies, and error reduction strategies
The objective of the study was to: a) characterize the frequency, type, and outcome of anesthetic medication errors spanning an 8.5-year period, b) describe the targeted error reduction strategies and c) measure the effects, if any, of a focused, continuous, multifaceted Medication Safety Program. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Izabela C. Leahy, Meghan Lavoie, David Zurakowski, Amanda W. Baier, Robert M. Brustowicz Tags: Original Contribution Source Type: research
Evaluation of ultrasound-guided erector spinae plane block for postoperative analgesia in laparoscopic cholecystectomy: A prospective, randomized, controlled clinical trial
In this study, we evaluated the effectiveness of Erector Spinae Plane Block (ESPB) for postoperative analgesia management in LC. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Serkan Tulgar, Mahmut Sertan Kapakli, Ozgur Senturk, Onur Selvi, Talat Ercan Serifsoy, Zeliha Ozer Tags: Original Contribution Source Type: research
Many US hospital-affiliated freestanding ambulatory surgery centers are located on hospital campuses, relevant to interpretation of studies involving ambulatory surgery
The US Agency for Healthcare Research and Quality's State Ambulatory Surgery Database includes procedures performed at hospital outpatient surgery departments. We hypothesized that, among US hospitals with an anesthesia department and freestanding outpatient surgical center, the prevalence on hospital campuses (i.e., within 250 yards of the main hospital building) would be sufficiently large (e.g.,>10%) to influence interpretation of observational studies performed with US national ambulatory surgery datasets. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Dean Elhag, Franklin Dexter, Mohamed Elhakim, Richard H. Epstein Tags: Original Contribution Source Type: research
Scalp block for drainage of cerebral abscess in a patient with tetralogy of Fallot
We report a case of 21 year old male, having complains of headache and vomiting. The patient was conscious and oriented with GCS 15/15, HR 72/min and blood pressure 130/80 mm Hg. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 15, 2018 Category: Anesthesiology Authors: Aalekh Prasad, Tulsi Nag Tags: Correspondence Source Type: research
Perioperative mortality related to anesthesia within 48 h and up to 30 days following surgery: A retrospective cohort study of 11,562 anesthetic procedures
Studying postoperative in-hospital mortality is crucial to the understanding of the perioperative process failures and to the implementation of strategies to improve patient outcomes. We intend to classify the causes of perioperative deaths up to 30 days after procedures requiring anesthesia and to evaluate the risk factors for early (48 h) or late (30 day) mortality. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 14, 2018 Category: Anesthesiology Authors: Luciana C. Stefani, Patricia W. Gamermann, Amanda Backof, Fernanda Guollo, Rafael M.J. Borges, Adriana Martin, Wolnei Caumo, Elaine A. Felix Tags: Original Contribution Source Type: research
A systematic approach to scoring bleeding risk in regional anesthesia procedures
An anticoagulation risk with regional anesthesia has been the subject of many articles and guidelines [1]. Recent guidelines now classify the common regional or pain procedures according to the potential risk of serious bleeding. There are several excellent review guidelines describing the appropriate alterations to anticoagulation regimes based on the risk of the regional procedure [2, 3]. Typically, these guidelines categorized procedures as low-risk, intermediate-risk, and high-risk. However, the approach and methodology to how a procedure is classified to be in a certain risk category is seldom explained. (Source: Jour...
Source: Journal of Clinical Anesthesia - June 14, 2018 Category: Anesthesiology Authors: Ban C.H. Tsui Tags: Correspondence Source Type: research
Upper lobectomy of the left lung using a left retrolaminar block
A retrolaminar block can induce anesthesia around the thoracic spinal nerve [1]. Therefore, this block has been effectively used to provide analgesia in cases of breast cancer and transapical transcatheter aortic valve implantation [2, 3]. In addition, the retrolaminar block is safer than the alternative approach, the thoracic paravertebral nerve block, as it provides a shallower block. However, there are no reports on the application of the retrolaminar block for thoracic surgery. Herein, we report the successful use of the retrolaminar block in a 32-year-old man (height, 170 cm; body weight, 49 kg) who underwent an ...
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Daiki Nagane, Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
Proficiency of Dams Tulip-i ® in awake fiberoptic orotracheal intubation for difficult airway
Awake fiberoptic intubation is often performed in cases of patients with difficult airway [1, 2]. However, there are cases such as trismus and pharynx failure in which awake fiberoptic intubation is problematic. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
Reply to Ince et al.: “Ultrasound guided Quadratus Lumborum Block for pediatric extracorporeal shock wave lithotripsy: Safety and indication?”
Dear Editor; (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Ali Ahiskalioglu, Ahmet Murat Yayik, Erkan Cem Celik Tags: Original Contribution Source Type: research
A proposal for rapid response system education to excessive procedure sedation
American Society of Anesthesiologists published ‘Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists (ASA-SED)’ in 1993 and it was updated in 2002 and 2018 [1]. The present 2018 ASA-SED guideline indicates recommendations and cautions on effective and safe moderate sedation for procedure (e.g. surgery under local anesthesi a). High quality and safety sedation requires not only appropriate respiratory monitoring but also adequate rapid response system to excessive procedure sedation [2]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 13, 2018 Category: Anesthesiology Authors: Nobuyasu Komasawa, Toshiaki Minami Tags: Correspondence Source Type: research
Documentation of perioperative resuscitation status for non-elective surgical patients
Variable understanding of national guidelines for perioperative management of Advance Directives (AD) by anesthesiologists has been previously reported in the Journal [1]. Nurok et al. revealed that some anesthesiologists correctly answered questions related to the perioperative management of patients with AD [1]. Answering questions on a survey is one thing; documenting the AD, as it relates to the proposed surgery, in accordance with the guidelines put forth by several national bodies [2 –4] is a higher level of quality care to consider and is rarely reported in the literature. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 12, 2018 Category: Anesthesiology Authors: Imane Belcaid, Alexander Poulton, Christopher L. Pysyk Tags: Correspondence Source Type: research
Successful case of perioperative management with i-gel during a case of wide-awake hand surgery
Insertion of a supraglottic airway device i-gel ® (Intersurgical, UK) is a relatively less invasive technique: hence airway management has been performed using i-gel® for awake craniotomy [1, 2]. Wide-awake hand surgery (WAHS) is a procedure during which motor nerve function is preserved by blocking only sensory nerves for restitution of hand m otor function [3]. Perioperative anaesthetic management for the WAHS is considered difficult because of the challenge of keeping the patient awake while maintaining analgesia in the perioperative period. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 12, 2018 Category: Anesthesiology Authors: Hironobu Ueshima Tags: Correspondence Source Type: research
Thrombosis and compartment syndrome requiring fasciotomy: Complications of internal iliac artery balloon catheters for morbidly adherent placenta
The incidence of Morbidly-Adherent-Placenta (MAP) is on the rise. Bilateral-internal-iliac-artery-occlusion-catheters (BIIABOC) are used to reduce bleeding during cesarean-hysterectomy (CH) for MAP in some institutions. Thrombosis is a possible complication of these catheters. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 11, 2018 Category: Anesthesiology Authors: Shamantha Reddy, Ricardo Maturana, Yelena Spitzer, Jeffrey Bernstein Tags: Correspondence Source Type: research
C-MAC videolaryngoscope versus Macintosh laryngoscope for tracheal intubation: A systematic review and meta-analysis with trial sequential analysis
The C-MAC laryngoscope (C-MAC) is a videolaryngoscope that uses a modified Macintosh blade. Although several anecdotal reports exist, it remains unclear whether the C-MAC is superior to the Macintosh laryngoscope for tracheal intubation in the adult population. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 9, 2018 Category: Anesthesiology Authors: Hiroshi Hoshijima, Takahiro Mihara, Koichi Maruyama, Yohei Denawa, Kentaro Mizuta, Toshiya Shiga, Hiroshi Nagasaka Tags: Original Contribution Source Type: research
Early experience with PECS 1 block for Port-a-Cath insertion or removal in children at a single institution
The pectoral nerves (PECS) 1 block has been successfully utilized as a perioperative analgesia adjunct in adult breast surgery and minimal invasive cardiac surgery. [1, 2] Originally demonstrated as an interfascial plane block with local anesthetic deposited between the pectoralis major and minor muscles, this technique can sufficiently anesthetize the medial and lateral pectoral nerves and third to sixth intercostal nerves. [3] Despite promising results in adults, the PECS 1 block has not been studied in children. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 9, 2018 Category: Anesthesiology Authors: Farrukh Munshey, Radhamangalam J. Ramamurthi, Ban Tsui Tags: Correspondence Source Type: research
