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Specialty: Anesthesiology
Countries: Canada Health
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Total 46 results found since Jan 2013.
General anesthesia or conscious sedation for thrombectomy in stroke patients: an updated systematic review and meta-analysis
ConclusionsIn this updated systematic review and meta-analysis, the choice of anesthetic strategy for endovascular treatment of stroke patients did not significantly impact functional outcome as measured with the mRS at three months. Patients managed with general anesthesia may have more frequent successful reperfusion.Trial registrationPROSPERO (CRD42022319368); registered 19 April 2022.
Source: Canadian Journal of Anesthesia - June 2, 2023 Category: Anesthesiology Source Type: research
A brain-based definition of death and criteria for its determination after arrest of circulation or neurologic function in Canada: a 2023 clinical practice guideline
Can J Anaesth. 2023 May 2. doi: 10.1007/s12630-023-02431-4. Online ahead of print.ABSTRACTThis 2023 Clinical Practice Guideline provides the biomedical definition of death based on permanent cessation of brain function that applies to all persons, as well as recommendations for death determination by circulatory criteria for potential organ donors and death determination by neurologic criteria for all mechanically ventilated patients regardless of organ donation potential. This Guideline is endorsed by the Canadian Critical Care Society, the Canadian Medical Association, the Canadian Association of Critical Care Nurses, Ca...
Source: Canadian Journal of Anaesthesia - May 2, 2023 Category: Anesthesiology Authors: Sam D Shemie Lindsay C Wilson Laura Hornby John Basmaji Andrew J Baker C écile M Bensimon Jennifer A Chandler Micha ël Chassé Rosanne Dawson Sonny Dhanani Owen T Mooney Aimee J Sarti Christy Simpson Jeanne Teitelbaum Sylvia Torrance J Gordon Boyd Joann Source Type: research
Association of Preoperative Medical Consultation With Reduction in Adverse Postoperative Outcomes and Use of Processes of Care Among Residents of Ontario, Canada
CONCLUSIONS AND RELEVANCE: In this cohort study, preoperative medical consultation was not associated with a reduction but rather with an increase in adverse postoperative outcomes, suggesting a need for further refinement of target populations, processes, and interventions related to preoperative medical consultation. These findings highlight the need for further research and suggest that referral for preoperative medical consultation and subsequent testing should be carefully guided by individual-level consideration of risks and benefits.PMID:36972037 | DOI:10.1001/jamainternmed.2023.0325
Source: Pain Physician - March 27, 2023 Category: Anesthesiology Authors: Weiwei Beckerleg Daniel Kobewka Duminda N Wijeysundera Manish M Sood Daniel I McIsaac Source Type: research
The impact of hypoalbuminemia on postoperative outcomes after outpatient surgery: a national analysis of the NSQIP database
CONCLUSIONS: Hypoalbuminemia is associated with major complications and death in outpatient surgery. Since hypoalbuminemia is a potential modifiable intervention, future clinical trials to evaluate the impact of optimizing preoperative albumin levels before outpatient surgery are warranted.PMID:35761062 | DOI:10.1007/s12630-022-02280-7
Source: Canadian Journal of Anaesthesia - June 27, 2022 Category: Anesthesiology Authors: Sean Curran Patricia Apruzzese Mark C Kendall Gildasio De Oliveira Source Type: research
Anesthetic consideations for endovascular treatment of acute ischemic stroke
CONCLUSIONS: Timely intervention for patients with acute ischemic stroke is of utmost importance. Endovascular thrombectomy is a minimally invasive procedure that has evolved over recent decades and improves outcomes for selected patients with ischemic stroke. Anesthesiologists should have a good understanding of potential complications and anesthetic options. Recent randomized trials have shown that both general anesthesia and sedation are associated with good outcomes; the anesthetic approach should be individualized and may vary by institution. Careful monitoring and maintenance of hemodynamic goals are critical, as is ...
Source: Canadian Journal of Anaesthesia - April 22, 2022 Category: Anesthesiology Authors: Tumul Chowdhury Alana M Flexman Melinda Davis Source Type: research
Comparison of carbetocin as a bolus or an infusion with prophylactic phenylephrine on maternal heart rate during Cesarean delivery under spinal anesthesia: a double-blinded randomized controlled trial
CONCLUSION: Carbetocin infused over ten minutes did not reduce the magnitude of maternal heart rate variation but delayed its occurrence. This finding could be relevant to the anesthesiologist caring for parturients in whom a slight increase in maternal heart rate is clinically undesirable.STUDY REGISTRATION: www.CLINICALTRIALS: gov (NCT03404544); registered 19 January 2018.PMID:35352277 | DOI:10.1007/s12630-022-02227-y
Source: Canadian Journal of Anaesthesia - March 30, 2022 Category: Anesthesiology Authors: Marie- Ève Boisselle Val érie Vasiliki Zaphiratos Annik Fortier Philippe Richeb é Christian Loubert Source Type: research
