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Preoperative preparation and premedication of bariatric surgical patient
Marina Varbanova, Brittany Maggard, Rainer LenhardtSaudi Journal of Anaesthesia 2022 16(3):287-298 The prevalence of obesity has tripled worldwide over the past four decades. The United States has the highest rates of obesity, with 88% of the population being overweight and 36% obese. The UK has the sixth highest prevalence of obesity. The problem of obesity is not isolated to the developed world and has increasingly become an issue in the developing world as well. Obesity carries an increased risk of many serious diseases and health conditions, including type 2 diabetes, heart disease, stroke, sleep...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Marina Varbanova Brittany Maggard Rainer Lenhardt Source Type: research

Restricted, optimized or liberal fluid strategy in thoracic surgery: A narrative review
Marc Licker, Andres Hagerman, Benoit Bedat, Christoph Ellenberger, Frederic Triponez, Raoul Schorer, Wolfram KarenovicsSaudi Journal of Anaesthesia 2021 15(3):324-334 Perioperative fluid balance has a major impact on clinical and functional outcome, regardless of the type of interventions. In thoracic surgery, patients are more vulnerable to intravenous fluid overload and to develop acute respiratory distress syndrome and other complications. New insight has been gained on the mechanisms causing pulmonary complications and the role of the endothelial glycocalix layer to control fluid transfer from the intravascular to the...
Source: Saudi Journal of Anaesthesia - June 19, 2021 Category: Anesthesiology Authors: Marc Licker Andres Hagerman Benoit Bedat Christoph Ellenberger Frederic Triponez Raoul Schorer Wolfram Karenovics Source Type: research

Goal-directed fluid therapy using transoesophageal echocardiographic inferior venacaval index in patients with low left ventricular ejection fraction undergoing major cytoreductive surgery: A clinical trial
Conclusion: DeltaIVCD-guided intravenous fluid therapy is valuable in low LVEF patients where tight fluid control is essential and any fluid overload may precipitate cardiac failure.
Source: Saudi Journal of Anaesthesia - January 5, 2020 Category: Anesthesiology Authors: Shagun Bhatia Shah Ajay Kumar Bhargava Uma Hariharan Chamound Rai Jain Anita Kulkarni Namrata Gupta Source Type: research

Risk of early postoperative acute kidney injury with stroke volume variation-guided tetrastarch versus Ringer & #39;s lactate
Conclusion: SVV-guided tetrastarch and Ringer's lactate do not result in postoperative AKI diagnosed by urinary NGAL >100 ng/mL; however, an insignificant trend for better renal functions as well as significantly more efficacious volume expansion and hemodynamic stability were seen with tetrastarch instead.
Source: Saudi Journal of Anaesthesia - December 28, 2018 Category: Anesthesiology Authors: Asha Tyagi Gaurav Verma Ankit Luthra Shubham Lahan Shukla Das Gargi Rai Ashok Kumar Sethi Source Type: research

The utility of limited trans-thoracic echocardiography in the stratification of pulse pressure variation: A feasibility study in major open abdominal surgery
Conclusions: Echocardiography using the suprasternal window in the operating room during abdominal surgery is feasible, but the utility of Eadyn in stratification of patients with PPV 8–13% is inconclusive.
Source: Saudi Journal of Anaesthesia - October 4, 2018 Category: Anesthesiology Authors: Tanvir Samra R Deepak Aveek Jayant Vikas Saini Source Type: research

General versus local anesthesia for carotid endarterectomy: Special considerations
Nikolaos Patelis, Maria Diakomi, Anastasios Maskanakis, Konstantinos Maltezos, Dimitrios Schizas, Marianna PapaioannouSaudi Journal of Anaesthesia 2018 12(4):612-617 Anesthesia for carotid endarterectomy (CEA), general or locoregional, has been an issue of debate in literature ever since the first Cochrane review in 1991. The largest available study on the subject, the GALA trial, has not shown any difference in patient's outcome – incidence of stroke and 30-day-mortality postsurgery. However, increasing evidence favors regional anesthesia as an independent factor of reduced morbidity after CEA. Th...
Source: Saudi Journal of Anaesthesia - October 4, 2018 Category: Anesthesiology Authors: Nikolaos Patelis Maria Diakomi Anastasios Maskanakis Konstantinos Maltezos Dimitrios Schizas Marianna Papaioannou Source Type: research

Endovascular aspiration of clot in a 3-year-old child with embolic infarct of right middle cerebral artery
We present a case of a 3-year-old female child with embolic stroke of right middle cerebral artery managed with endovascular clot retrieval done under general anesthesia.
Source: Saudi Journal of Anaesthesia - October 4, 2018 Category: Anesthesiology Authors: Rajashree Uday Gandhe Chinmaya Pradeep Bhave Avinash Sahebarav Kakde Kalyani Anand Sathe Source Type: research