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Source: Canadian Journal of Anaesthesia

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Total 28 results found since Jan 2013.

Perioperative stroke.
CONCLUSIONS: Perioperative stroke carries a significant clinical burden. The incidence of perioperative stroke may be higher than previously recognized, and there are diverse pathophysiologic mechanisms. There are many opportunities for further investigation of the pathophysiology, prevention, and management of perioperative stroke. PMID: 26391795 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - September 21, 2015 Category: Anesthesiology Authors: Vlisides P, Mashour GA Tags: Can J Anaesth Source Type: research

Knowledge and perceptions about perioperative stroke: a cross-sectional survey of patients scheduled for non-neurologic and non-cardiac surgery.
CONCLUSIONS: Patients at higher risk of stroke frequently underestimate their risk of perioperative stroke. The majority of patients had not discussed perioperative stroke prior to anesthetic consultation. PMID: 31531829 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - September 16, 2019 Category: Anesthesiology Authors: Roughead T, Chui J, Gelb AW, Meng L, Sewell D, Flexman AM Tags: Can J Anaesth Source Type: research

Review article: The role of hypotension in perioperative stroke.
CONCLUSIONS: Unusually low blood pressure will eventually result in neurological damage; however, the threshold and duration at which an association might be found between a perioperative stroke and hypotension have not been well investigated. Thus, the exact role of hypotension in the etiology of perioperative stroke is still largely unknown. PMID: 23239486 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - December 13, 2012 Category: Anesthesiology Authors: Bijker JB, Gelb AW Tags: Can J Anaesth 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

Noninvasive pulse pressure variation and stroke volume variation to predict fluid responsiveness at multiple thresholds: a prospective observational study.
CONCLUSION: Noninvasive PPV and SVV measurements allow an acceptable FR prediction, although the reliability of both variables is dependent on the intended increase in SVI, which improves substantially with concomitant smaller grey zones at higher ↑SVI thresholds. PMID: 26335905 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - September 3, 2015 Category: Anesthesiology Authors: Vos JJ, Poterman M, Salm PP, Van Amsterdam K, Struys MM, Scheeren TW, Kalmar AF Tags: Can J Anaesth Source Type: research

General anesthesia or conscious sedation for thrombectomy in stroke patients: an updated systematic review and meta-analysis
CONCLUSIONS: In 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 REGISTRATION: PROSPERO (CRD42022319368); registered 19 April 2022.PMID:37268801 | DOI:10.1007/s12630-023-02481-8
Source: Canadian Journal of Anaesthesia - June 2, 2023 Category: Anesthesiology Authors: Federico Geraldini Paolo Diana Davide Fregolent Alessandro De Cassai Annalisa Boscolo Tommaso Pettenuzzo Nicol ò Sella Irene Lupelli Paolo Navalesi Marina Munari Source Type: research

Anesthesiologists' perception of perioperative stroke risk during non-neurologic and non-cardiac surgery.
PMID: 29150780 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 17, 2017 Category: Anesthesiology Authors: Sewell D, Gelb AW, Meng L, Chui J, Flexman AM Tags: Can J Anaesth Source Type: research

Cerebral oxygen desaturation during one-lung ventilation: correlation with hemodynamic variables.
CONCLUSIONS: Cerebral oxygen desaturation was universal during one-lung ventilation in this study. There was no correlation between cerebral desaturation and cardiac output or other hemodynamic variables. PMID: 23661297 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - May 10, 2013 Category: Anesthesiology Authors: Brinkman R, Amadeo RJ, Funk DJ, Girling LG, Grocott HP, Mutch WA Tags: Can J Anaesth Source Type: research

Combined general and neuraxial anesthesia versus general anesthesia: a population-based cohort study.
CONCLUSION: The addition of spinal or epidural anesthesia to general anesthesia was not associated with a reduced risk of major medical complications among 21 different elective procedures when compared with general anesthesia alone. PMID: 25622933 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - January 27, 2015 Category: Anesthesiology Authors: Nash DM, Mustafa RA, McArthur E, Wijeysundera DN, Paterson JM, Sharan S, Vinden C, Wald R, Welk B, Sessler DI, Devereaux PJ, Walsh M, Garg AX Tags: Can J Anaesth Source Type: research

Efficacy and safety of erythropoietin and iron therapy to reduce red blood cell transfusion in surgical patients: a systematic review and meta-analysis.
CONCLUSION: Administration of ESA and iron therapy reduced the risk for RBC transfusion compared with iron therapy alone in patients undergoing cardiac and non-cardiac surgery. Nevertheless, publication bias and heterogeneity reduces the confidence of the finding. Although the analysis was probably under-powered for some outcomes, no difference in the incidence of serious adverse events was observed with ESA and iron compared with iron alone. Further large prospective trials are required to confirm these findings. PMID: 30924000 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - March 27, 2019 Category: Anesthesiology Authors: Kei T, Mistry N, Curley G, Pavenski K, Shehata N, Tanzini RM, Gauthier MF, Thorpe K, Schweizer TA, Ward S, Mazer CD, Hare GMT Tags: Can J Anaesth Source Type: research

Prolonged transesophageal echocardiography during percutaneous closure of the left atrial appendage without general anesthesia: the utility of the Janus mask.
CONCLUSION: Deep sedation with noninvasive ventilation may be a reasonable and safe alternative to general endotracheal anesthesia in patients requiring prolonged TEE for noninvasive cardiac procedures, including LAA closure. PMID: 27117991 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - April 25, 2016 Category: Anesthesiology Authors: Zangrillo A, Mazzone P, Votta CD, Villari N, Della Bella P, Monaco F Tags: Can J Anaesth Source Type: research