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Specialty: Anesthesiology
Condition: Pain
Procedure: Anesthesia

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Total 55 results found since Jan 2013.

From preoperative evaluation to stroke center: Management of postoperative acute ischemic stroke
This article reviews the perioperative management (covering diagnosis and treatment), prevention (covering surgery postponement, management with anticoagulant/antiplatelet and the growing interest in statins and beta-blockers) and intraoperative recommendations (covering anaesthetic techniques, ventilation strategies, transfusion and blood pressure management) specifically for the general surgical population. A summary of current treatments is enlightened by recently described evidence for the effectiveness of mechanical thrombectomy.
Source: Anaesthesia, Critical Care and Pain Medicine - May 31, 2016 Category: Anesthesiology Source Type: research

Dynamic Arterial Elastance Obtained Using Arterial Signal Does Not Predict An Increase In Arterial Pressure After A Volume Expansion in the Operating Room
Conclusion In the present study performed in the OR and in hypotensive patients, Eadyn obtained using arterial signal was unable to predict an increase in MAP after volume expansion.
Source: Anaesthesia, Critical Care and Pain Medicine - July 8, 2017 Category: Anesthesiology Source Type: research

Outcomes of Dexmedetomidine with Local Regional Anesthesia in Carotid Endarterectomy
CONCLUSIONS: The use of dexmedetomidine in addition to LRA is a safe and acceptable alternative to conventional GETA or LRA alone in CEA with shorter length of hospital stay when compared with GETA, improved patient tolerance based on physician observation and similar rates of immediate and short-term complications, as well as post-operative pain scores.PMID:36229003 | DOI:10.1016/j.avsg.2022.08.009
Source: Pain Physician - October 13, 2022 Category: Anesthesiology Authors: Samik H Patel Vikram L Sundararaghavan Amber M Pawlikowski Jeremy Albright Jason M Adams Michael J Heidenreich Robert J Beaulieu Abdulhameed Aziz Source Type: research

Postoperative dissection of the vertebral artery in two steps.
We report a case revealed by a tegmento-thalamic stroke after an abdominal second surgical look. The interest of this observation is related to a particular evolution in two steps separated by a 2-month-interval and an intercurrent cervical manipulation. After the second anesthesia, neck pain associated with a third cranial nerve palsy and a supranuclear ophtalmoplegia revealed a tegmento-thalamic ischemic stroke due to vertebral artery dissection. We discuss here the different factors possibly involved in the pathophysiology of postoperative vertebral artery dissection: positioning, cervical manipulation, subclavian centr...
Source: Annales Francaises d'Anesthesie et de Reanimation - October 28, 2014 Category: Anesthesiology Authors: Bien JY, Morel J, Demasles S, Abboud K, Molliex S Tags: Ann Fr Anesth Reanim Source Type: research

Safety and efficiency of ultrasound-guided intermediate cervical plexus block for carotid surgery
Conclusions The present work reports our first 50 cases of intermediate CPB using ultrasound guidance. The results underline that this technique is easy to perform, safe and reliable, provided good surgical conditions with continuous intraoperative neurologic monitoring and stable haemodynamics are respected.
Source: Anaesthesia, Critical Care and Pain Medicine - December 6, 2015 Category: Anesthesiology Source Type: research

Postoperative dissection of the vertebral artery in two steps
We report a case revealed by a tegmento-thalamic stroke after an abdominal second surgical look. The interest of this observation is related to a particular evolution in two steps separated by a 2-month-interval and an intercurrent cervical manipulation. After the second anesthesia, neck pain associated with a third cranial nerve palsy and a supranuclear ophtalmoplegia revealed a tegmento-thalamic ischemic stroke due to vertebral artery dissection. We discuss here the different factors possibly involved in the pathophysiology of postoperative vertebral artery dissection: positioning, cervical manipulation, subclavian centr...
Source: Annales Francaises d'Anesthesie et de Reanimation - December 3, 2014 Category: Anesthesiology Authors: J-Y Bien J Morel S Demasles K Abboud S Molliex Source Type: research

Follow-up to ‘Cholecystectomy in the presence of a large patent foramen ovale: laparoscopic or open?’
We previously reported an obese patient with cholelithiasis and acute cholecystitis, who was scheduled to undergo an emergency laparoscopic cholecystectomy, but was recognized preoperatively to have a large patent foramen ovale (PFO) with a right-to-left shunt that was open at rest . She also had concomitant choledocholithiasis, and she underwent an endoscopic sphincterotomy with prompt resolution of her fever and abdominal pain. At the time, the benefits of laparoscopy were weighed against the risk of paradoxical emboli and stroke, and the choice of either a laparoscopic or open cholecystectomy was discussed carefully wit...
Source: Journal of Clinical Anesthesia - April 22, 2013 Category: Anesthesiology Authors: Pringl L. Miller, Larry Litt, Nelson Schiller, John Maa Tags: Correspondence Source Type: research

Bilateral carotid artery dissection in a severe preeclamptic setting: An unusual cause of postpartum headache.
Abstract A 30-year-old woman with severe preeclampsia presented at 27weeks of amenorrhea with left headache, neck pain, blurred vision and numbness of left hemiface that resolved spontaneously within 2hours. A week later, hypertension remained poorly controlled despite combination of nicardipine and labetalol intravenous therapy; an urgent caesarean section was eventually performed due to onset of HELLP syndrome. At day 5 postpartum, the patient had a Horner syndrome with right ipsilateral disabling tinnitus. A CT-angiography of supra-aortic trunks was performed urgently; it showed a bilateral carotid arterial dis...
Source: Annales Francaises d'Anesthesie et de Reanimation - April 1, 2013 Category: Anesthesiology Authors: Hoffmann C, Augé M, Falzone E, Martel-Jacob S, Mercier FJ Tags: Ann Fr Anesth Reanim Source Type: research

Minimally invasive cardiac surgery and transesophageal echocardiography.
Abstract Improved cosmetic appearance, reduced pain and duration of post-operative stay have intensified the popularity of minimally invasive cardiac surgery (MICS); however, the increased risk of stroke remains a concern. In conventional cardiac surgery, surgeons can visualize and feel the cardiac structures directly, which is not possible with MICS. Transesophageal echocardiography (TEE) is essential during MICS in detecting problems that require immediate correction. Comprehensive evaluation of the cardiac structures and function helps in the confirmation of not only the definitive diagnosis, but also the succe...
Source: Annals of Cardiac Anaesthesia - April 1, 2014 Category: Anesthesiology Authors: Jha AK, Malik V, Hote M Tags: Ann Card Anaesth Source Type: research

A Pilot Study for a Prospective, Randomized, Double-Blind Trial of the Influence of Anesthetic Depth on Long-Term Outcome.
CONCLUSIONS:: This pilot study demonstrated that depth of anesthesia targeting with BIS or SE was achievable in a high-risk population with adequate separation of processed electroencephalogram monitor targets. The expected incidence of postoperative complications and mortality occurred. We conclude that a large, multicenter, randomized controlled trial is feasible. PMID: 24781568 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - May 1, 2014 Category: Anesthesiology Authors: Short TG, Leslie K, Campbell D, Chan MT, Corcoran T, O'Loughlin E, Frampton C, Myles P Tags: Anesth Analg Source Type: research

Drugs used to treat joint and muscle disease
Publication date: Available online 19 February 2015 Source:Anaesthesia & Intensive Care Medicine Author(s): David G. Lambert Joint disease: Arthritis can be simply broken into osteoarthritis and rheumatoid arthritis (RA). Osteoarthritis is treated with symptomatic pain relief and surgery. RA is a chronic autoimmune disease that causes inflammation of joints (leading to their destruction), tissues around joints and other organ systems. Treatment (for pain) of RA in the first instance is with non-steroidal anti-inflammatory drugs, with second-line treatment using disease-modifying antirheumatic drugs (DMARDs). DMAR...
Source: Anaesthesia and intensive care medicine - February 24, 2015 Category: Anesthesiology Source Type: research

Treatment of status migrainosus by general anesthesia: a case report
Conclusion Status migrainosus is a rare disabling complication and anesthetics have been the subject of research in its treatment; the option for general anesthesia with agents that stimulate GABA receptors, propofol and isoflurane, in association with fentanyl, proved effective and should encourage new research.
Source: Brazilian Journal of Anesthesiology - August 29, 2015 Category: Anesthesiology Source Type: research

Mini-fluid challenge can predict arterial pressure response to volume expansion in spontaneously breathing patients under spinal anaesthesia
Conclusion A ΔSV100 over 5% accurately predicted arterial pressure response to volume expansion during surgery.
Source: Anaesthesia, Critical Care and Pain Medicine - December 1, 2015 Category: Anesthesiology Source Type: research

Cardiovascular effects of low-dose spinal anaesthesia as a function of age: An observational study using echocardiography
Conclusions Hypotension is more frequent among elderly patients, even after low-dose SA. Known age-related changes in cardiovascular performance, such as impaired myocardial relaxation and decreased systolic function could be responsible for the decrease in cardiac output (CO) and SVR seen in these patients.
Source: Anaesthesia, Critical Care and Pain Medicine - December 1, 2015 Category: Anesthesiology Source Type: research

In-hospital organization of primary care of patients presenting a life-threatening emergency: A French national survey in 32 university hospitals
Conclusion This survey is the first to assess the in-hospital organization of primary care for instable and life-threatening patients in France. Our results confirmed the extreme heterogeneity of structural and human organizations for primary in-hospital care of patients presenting at least one organ failure. Thus, a consensus is probably needed to homogenize and improve our practices.
Source: Anaesthesia, Critical Care and Pain Medicine - December 1, 2015 Category: Anesthesiology Source Type: research