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Procedure: Anesthesia

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Total 3904 results found since Jan 2013.

Perioperative adverse cardiac events and mortality after non-cardiac surgery: a multicenter study
CONCLUSIONS: A nationwide multicenter study showed that PACE was significantly associated with increased one-year mortality. This association was stronger in high-risk surgery, older, male, and chronic kidney disease subgroups. Further studies to improve mortality associated with PACE are needed.PMID:37169362 | DOI:10.4097/kja.23043
Source: Korean Journal of Anesthesiology - May 11, 2023 Category: Anesthesiology Authors: Byungjin Choi Ah Ran Oh Jungchan Park Jong-Hwan Lee Kwangmo Yang Dong Yun Lee Sang Youl Rhee Sang-Soo Kang Seung Do Lee Sun Hack Lee Chang Won Jeong Bumhee Park Soobeen Seol Rae Woong Park Seunghwa Lee Source Type: research

A protocol based on Hypotension probability indicator vs. standard care to prevent intraoperative hypotension during supratentorial brain surgery: a prospective randomized pilot trial
CONCLUSIONS: In this pilot trial, the HPI-based protocol decreased the incidence of hypotension during the anesthesia maintenance but non-significant trends among secondary outcomes were also documented. Larger trials are needed to confirm our findings.PMID:37158627 | DOI:10.23736/S0375-9393.23.17197-5
Source: Minerva Anestesiologica - May 9, 2023 Category: Anesthesiology Authors: Jiri Pouska Jakub Kletecka Jan Zatloukal Vaclav Cerveny Jan Benes Source Type: research

Polish recommendations for diagnosis and therapy of paediatric stroke
Neurol Neurochir Pol. 2023 May 5. doi: 10.5603/PJNNS.a2023.0034. Online ahead of print.ABSTRACTStroke remains one of the greatest health challenges worldwide, due to a high mortality rate and, despite great progress in its treatment, the significant disability that it causes. Studies conducted around the world show that the diagnosis of stroke in children is often significantly delayed. Paediatric ischaemic arterial stroke (PAIS) is not only a problem that varies greatly in frequency compared to the adult population, it is also completely different in terms of its risk factors, clinical course and outcome. The main reason ...
Source: Neurologia i Neurochirurgia Polska - May 5, 2023 Category: Neurology Authors: Ewa Pilarska Ilona Kopyta Edyta Szurowska Julia Rado ń-Proskura Ninela Irga-Jaworska Grzegorz Kozera Robert Sabiniewicz Ewa Emich-Widera Joanna Wojczal Source Type: research

How to create a nervous system aneurysm model in canines? ligation of the lingual artery is a simple and effective method
Conclusion: We have established a safe, effective, stable and simple method to establish a canine nervous system aneurysm model with controllable size. In addition, this method has the advantages of no arteriotomy, less trauma, constant anatomical location, and low risk of stroke.
Source: Frontiers in Physiology - May 5, 2023 Category: Physiology Source Type: research

Right Ventricular Failure after Left Ventricular Assist Device Placement —Have We Finally Arrived at the Crux of the Matter?
Pre-left ventricular assist device (LVAD) risk stratification is integral in identifying patients predisposed to right ventricular failure (RVF).1 To date, clinical scoring models such as the Michigan Risk Score in conjunction with specific hemodynamic parameters obtained from the preoperative right heart catheterization, including central venous pressure (CVP), CVP/pulmonary capillary wedge pressure, and right ventricular stroke work index, have been the cornerstone of post-LVAD RVF risk stratification.
Source: Journal of Cardiothoracic and Vascular Anesthesia - May 5, 2023 Category: Anesthesiology Authors: Manoj H. Iyer, Nicolas Kumar, Jonathan E. Tang, Leonid Gorelik Tags: Letter to the Editor 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

Hypotension Prediction Index guided Goal Directed therapy and the amount of Hypotension during Major Gynaecologic Oncologic Surgery: a Randomized Controlled clinical Trial
AbstractIntraoperative hypotension (IOH) is associated with increased morbidity and mortality. Hypotension Prediction Index (HPI) is a machine learning derived algorithm that predicts IOH shortly before it occurs. We tested the hypothesis that the application of the HPI in combination with a pre-defined Goal Directed Therapy (GDT) hemodynamic protocol reduces IOH during major gynaecologic oncologic surgery. We enrolled women scheduled for major gynaecologic oncologic surgery under general anesthesia with invasive arterial pressure monitoring. Patients were randomized to a GDT protocol aimed at optimizing stroke volume inde...
Source: Journal of Clinical Monitoring and Computing - April 29, 2023 Category: Information Technology Source Type: research

A method for calculating left ventricular end-diastolic volume as an index of left ventricular preload from the pre-ejection period, ejection time, blood pressure, and stroke volume: a prospective, observational study
This study pre...
Source: BMC Anesthesiology - April 28, 2023 Category: Anesthesiology Authors: Mitsuyo Hayabuchi, Yuka Matsuki, Shuhei Kidoguchi and Kenji Shigemi Tags: Research Source Type: research

Sex differences in clinical outcomes amongst 1105 patients admitted with hip fractures
AbstractAmongst hip fracture admissions, mortality is higher in men than in women. However, sex differences in other care-quality measures have not been well-documented. We aimed to examine sex differences in mortality as well as a wide range of underlying health indicators and clinical outcomes in adults  ≥ 60 year of age admitted with hip fractures from their own homes to a single NHS hospital between April-2009 and June-2019. Sex differences in delirium, length of stay (LOS) and mortality in hospital, readmission, and discharge destination, were examined by logistic regression. There were 7 87 women and 318 men o...
Source: Internal and Emergency Medicine - April 26, 2023 Category: Emergency Medicine Source Type: research

Post-induction hypotension and intraoperative hypotension as potential separate risk factors for the adverse outcome: a cohort study
ConclusionsThe presence of IOH defined as MAP  ≤ 65 mmHg is relevant to post-operative organ complications, the presence of PIH does not appear to be of such significance. Because cumulative duration of PIH and IOH differs significantly, especially in long-lasting procedures, direct comparison of the influence of PIH and IOH on outcome s eparately may be biased and should be taken into account in data interpretation. Further research is needed to deeply investigate this phenomenon.
Source: Journal of Anesthesia - April 21, 2023 Category: Anesthesiology Source Type: research