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Specialty: Anesthesiology
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Total 1850 results found since Jan 2013.
Hypothermic Circulatory Arrest (HCA) In Adult Aortic Arch Surgery: A Review of HCA and its Anesthetic Implications
Diseases affecting the aortic arch often require surgical intervention. Hypothermic circulatory arrest (HCA) enables a safe approach during open aortic arch surgeries. Additionally, HCA provides neuroprotection by reducing cerebral metabolism and oxygen requirements. However, HCA comes with significant risk (e.g. neurologic dysfunction, stroke, and coagulopathy), and it is important for the cardiac anesthesiologist to have a complete understanding of the surgical techniques, possible complications, and management strategies.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 22, 2023 Category: Anesthesiology Authors: Samit Ghia, Andre Savadjian, DaWi Shin, Gabriele Diluozzo, Menachem M. Weiner, Himani V. Bhatt Tags: Expert Review Source Type: research
Hypothermic Circulatory Arrest in Adult Aortic Arch Surgery: A Review of Hypothermic Circulatory Arrest and its Anesthetic Implications
Diseases affecting the aortic arch often require surgical intervention. Hypothermic circulatory arrest (HCA) enables a safe approach during open aortic arch surgeries. Additionally, HCA provides neuroprotection by reducing cerebral metabolism and oxygen requirements. However, HCA comes with significant risks (eg, neurologic dysfunction, stroke, and coagulopathy), and the cardiac anesthesiologist must completely understand the surgical techniques, possible complications, and management strategies.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 22, 2023 Category: Anesthesiology Authors: Samit Ghia, Andre Savadjian, DaWi Shin, Gabriele Diluozzo, Menachem M. Weiner, Himani V. Bhatt Tags: Expert Review Source Type: research
Risk Factors for Stroke Development after Thoracic Aortic Surgery
Stroke after thoracic aortic surgery is a complication that is associated with poor outcomes. We aim to characterize the intra-operative risk factors for stroke development.
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 19, 2023 Category: Anesthesiology Authors: Akram M Zaaqoq, Jason Chang, Sri Raksha Pothapragada, Lindsay Ayers, Xue Geng, Jacqueline L Russell, Sadia Ilyas, Christian Shults Tags: Original Article Source Type: research
Methemoglobin as a marker of acute anemic stress in cardiac surgery
iScience. 2023 Jul 20;26(8):107429. doi: 10.1016/j.isci.2023.107429. eCollection 2023 Aug 18.ABSTRACTBiological evidence supports plasma methemoglobin as a biomarker for anemia-induced tissue hypoxia. In this translational planned substudy of the multinational randomized controlled transfusion thresholds in cardiac surgery (TRICS-III) trial, which included adults undergoing cardiac surgery requiring cardiopulmonary bypass with a moderate-to-high risk of death, we investigated the relationship between perioperative hemoglobin concentration (Hb) and methemoglobin; and evaluated its association with postoperative outcomes. Th...
Source: Pain Physician - August 14, 2023 Category: Anesthesiology Authors: Nikhil Mistry Gregory M T Hare Nadine Shehata Robert S Kramer Hosam F Fawzy Robert A Baker Paula Carmona Richard Saczkowski Daniela Filipescu Christella S Alphonsus Antoine Rochon Alexander J Gregory Boris Khanykin Jonathan D Leff Eva Mateo Dimos Karangel Source Type: research
The Price of Keeping the Rhythm: Increased Bleeding Risk in Patients with Atrial Fibrillation Concurrently Prescribed Amiodarone and Factor Xa Inhibitors
Atrial fibrillation is the most common sustained cardiac arrhythmia affecting nearly 2% of the population of the United States.1 Patients with atrial fibrillation are twice as likely to have a myocardial infarction and five-times as likely to have a stroke.1 Current guidelines recommend antiarrhythmic pharmacotherapy in patients with symptomatic atrial fibrillation as first-line management.2-4 Amiodarone is a very effective, and therefore, a commonly prescribed agent for this purpose.5 Anticoagulation is a key tenet in the management of atrial fibrillation due to the increased tendency of left atrial appendage clot formati...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 10, 2023 Category: Anesthesiology Authors: Nicolas Kumar, Manoj H. Iyer, Adam Dalia, Amit Bardia Tags: Editorial Source Type: research
Prognostic Nutritional Index (PNI) as a potential predictor and intervention target for perioperative ischemic stroke: a retrospective cohort study
This study aims to ev...
Source: BMC Anesthesiology - August 10, 2023 Category: Anesthesiology Authors: Min Liu, Miao Sun, Ting Zhang, Peng Li, Jin Liu, Yanhong Liu, Yuxiang Song, Siyuan Liu, Huikai Yang, Zhikang Zhou, Dandan Chang, Guyan Wang, Weidong Mi and Yulong Ma Tags: Research Source Type: research
The Impact of Burst Motor Cortex Stimulation on Cardiovascular Autonomic Modulation in Chronic Pain: A Feasibility Study for a New Approach to Objectively Monitor Therapeutic Effects
ConclusionFour months of adjunctive burstMCS was associated with an increase in parameters reflecting both total and parasympathetic autonomic modulation and baroreceptor reflex sensitivity. In contrast, sympathetic tone declined in our three patients, suggesting stimulation-associated improvement not only in subjectively perceived VAS pain scores, but also in objectifiable parameters of autonomic cardiovascular modulation.
Source: Pain and Therapy - August 2, 2023 Category: Anesthesiology Source Type: research
Diagnostic accuracy of the peripheral venous pressure variation induced by an alveolar recruitment maneuver to predict fluid responsiveness during high-risk abdominal surgery
In patients undergoing high-risk surgery, it is recommended to titrate fluid administration using stroke volume or a dynamic variable of fluid responsiveness (FR). However, this strategy usually requires the u...
Source: BMC Anesthesiology - July 22, 2023 Category: Anesthesiology Authors: Olivier Desebbe, Sylvain Vallier, Laurent Gergel é, Brenton Alexander, Alexandre Marx, Elias Ben Jaoude, Hiromi Kato, Leila Toubal, Antoine Berna, Jacques Duranteau, Jean-Louis Vincent and Alexandre Joosten Tags: Research Source Type: research
HIT-Heparin Induced Thrombocytopenia Simulation Case
Discussion: The simulation improved awareness of the symptoms of HIT and contraindications of immediate platelet and/or heparin initiation upon vessel occlusion and thrombocytopenia discovery.Topics: Heparin-induced thrombocytopenia, pain control, resuscitation efforts, coagulation disorders, history taking, undifferentiated patient, arterial occlusion, hematology, emergency medicine simulation.PMID:37465544 | PMC:PMC10332759 | DOI:10.21980/J89Q0M
Source: Pain Physician - July 19, 2023 Category: Anesthesiology Authors: Shaza Aouthmany Alyssa Siano De Ante' Russ Mark Bustillo Source Type: research
Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: Pain Physician - July 13, 2023 Category: Anesthesiology Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research
Fire Needling Therapy versus Manual Acupuncture in Post-Stroke Complex Regional Pain Syndrome of the Upper Limb: Study Protocol for a Pilot Randomised Controlled Trial
Source: Journal of Pain Research - July 11, 2023 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research
The association between intraoperative fluid management and perioperative allogenic blood transfusion during adolescent idiopathic scoliosis surgery
CONCLUSION: These results indicate a statistical association between the increase in crystalloid intake and the risk of allogenic blood transfusion during surgical correction of adolescent idiopathic scoliosis. Controlled studies are needed to address the causative relation between intraoperative fluid intake and the risk of allogenic transfusion.PMID:37386846 | DOI:10.1111/pan.14722
Source: Paediatric Anaesthesia - June 30, 2023 Category: Anesthesiology Authors: Pierre Pardessus Maud Loiselle Vilnis Silins Anne-Laure Horlin Kelly Brouns Lucile Marsac Charlotte Fait Brice Ilharreborde Florence Julien-Marsollier Souhayl Dahmani Source Type: research
Systemic lupus erythematosus associated with development of macrophage activation syndrome and disseminated aspergillosis
CONCLUSIONS: Four features of this case merit discussion, including the: 1) infrequent association of SLE with MAS; 2) short interval between SLE diagnosis and critical illness; 3) manifestation of fungal tracheobronchitis with airway obstruction; and 4) lack of response to antifungal treatment while receiving ECMO.PMID:37349668 | DOI:10.1007/s12630-023-02506-2
Source: Canadian Journal of Anaesthesia - June 22, 2023 Category: Anesthesiology Authors: Vorakamol Phoophiboon Paula Brown Karen E A Burns Source Type: research
