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Intraoperative factors contributory to myocardial injury in high-risk patients undergoing abdominal surgery in a South Indian population
Conclusions: Female patients with CAD undergoing abdominal surgery, needing vasopressors and transfusion of plasma are at high risk for MINS with higher hospital mortality and merit vigilant monitoring postoperatively.
Source: Indian Journal of Anaesthesia - August 31, 2020 Category: Anesthesiology Authors: G Gopan Lakshmi Kumar Anjana Rajan Babu Abish Sudhakar Rubin George Vidya P Menon Source Type: research

Targeted temperature management in the ICU: Guidelines from a French expert panel
We present herein recommendations for the use of TTM in adult and paediatric critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de réanimation de langue française [SRLF]) and the French Society of Anesthesia and Intensive Care Medicine (Société francaise d’anesthésie réanimation [SFAR]) with the participation of the French Emergency Medicine Association (Société française de médecine d’urgence [SFMU]), the French Group for Pediatric...
Source: Anaesthesia, Critical Care and Pain Medicine - September 18, 2018 Category: Anesthesiology Source Type: research

Comparison of immediate extubation versus ultrafast tracking strategy in the management of off-pump coronary artery bypass surgery.
Conclusion: IE appears to be safe and effective in OPCAB patients without any major complications. It can be achieved after fulfilling traditional extubation criteria but is confined to highly selective group of patients. PMID: 29652272 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - April 1, 2018 Category: Anesthesiology Authors: Nagre AS, Jambures NP Tags: Ann Card Anaesth Source Type: research

Targeted temperature management in the ICU: guidelines from a French expert panel
We present herein recommendations for the use of TTM in adult and paediatric critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de Réanimation de Langue Française [SRLF]) and the French Society of Anesthesia and Intensive Care Medicine (Société Francaise d’Anesthésie Réanimation [SFAR]) with the participation of the French Emergency Medicine Association (Société Française de Médecine d’Urgence [SFMU]), the French Group for Pediatric...
Source: Anaesthesia, Critical Care and Pain Medicine - July 6, 2017 Category: Anesthesiology Source Type: research

Arterial Cannulation and Cerebral Perfusion Strategies for Aortic Arch Operations
Neurologic injuries following aortic arch operations can be devastating, with stroke occurring in up to 12% of elective operations and significant cerebral dysfunction occurring in up to 25% of cases. The primary challenge unique to aortic arch operations involves interruption of direct perfusion of the brachiocephalic vessels during arch reconstruction. For this reason, neuroprotection is paramount. The 2 main modes of protection are (1) reducing metabolic demand through hypothermia and (2) limiting, or even eliminating, the ischemic period. Preoperative selection of the cerebral perfusion plan for each operation is imper...
Source: Seminars in Cardiothoracic and Vascular Anesthesia - November 5, 2016 Category: Anesthesiology Authors: Foley, L. S., Yamanaka, K., Reece, T. B. Tags: Reviews Source Type: research

Brain temperature: physiology and pathophysiology after brain injury.
Authors: Mrozek S, Vardon F, Geeraerts T Abstract The regulation of brain temperature is largely dependent on the metabolic activity of brain tissue and remains complex. In intensive care clinical practice, the continuous monitoring of core temperature in patients with brain injury is currently highly recommended. After major brain injury, brain temperature is often higher than and can vary independently of systemic temperature. It has been shown that in cases of brain injury, the brain is extremely sensitive and vulnerable to small variations in temperature. The prevention of fever has been proposed as a therapeut...
Source: Anesthesiology Research and Practice - September 23, 2015 Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research

Postoperative ICU management of patients after subarachnoid hemorrhage
This article reviews recent advances in the postoperative ICU management of patients after subarachnoid hemorrhage (SAH), especially with regards to hemodynamic management, methods of improving neurological outcomes, and management of cardiac and pulmonary complications. Recent findingsSeveral hemodynamic monitors and parameters may be useful for guiding volume therapy, including cardiac output, stroke volume variation monitoring, and global end-diastolic volume index. Early goal-directed hemodynamic therapy after SAH has recently been shown to improve clinical outcomes in patients with a poor clinical grade or coexisting ...
Source: Current Opinion in Anaesthesiology - October 1, 2014 Category: Anesthesiology Tags: NEUROANESTHESIA: Edited by Kristin Engelhard Source Type: research

Accidental hypothermia and local cold injury: physiological and epidemiological studies on risk
ConclusionsHypothermia and cold injury continue to cause injury and hospitalisation in the northern region of Sweden. Assessment and management is not standardised across hospitals. With the identification of groups at high risk for fatal hypothermia, it should be possible to reduce the incidence, particularly for highest risk subjects: rural, living alone, alcohol imbibing, and psychiatric diagnosis‐carrying citizens. Long‐term cold‐weather training may affect hand‐rewarming patterns after a cold provocation, and a warmer baseline hand temperature with faster rewarming after a cold provocation may be associated wi...
Source: Acta Anaesthesiologica Scandinavica - January 7, 2013 Category: Anesthesiology Authors: HELGE BRÄNDSTRÖM Tags: PhD Abstract Source Type: research