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Specialty: Anesthesiology

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Total 1850 results found since Jan 2013.

Systemic lupus erythematosus associated with development of macrophage activation syndrome and disseminated aspergillosis
ConclusionsFour 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.
Source: Canadian Journal of Anesthesia - June 22, 2023 Category: Anesthesiology Source Type: research

The Effect of Intraoperative Hypotension on Postoperative Renal Function
AbstractPurpose of ReviewThis review summarizes the most recent literature on the association between intraoperative hypotension (IOH) and the occurrence of postoperative acute kidney injury (AKI). It provides recommendations for the management of intraoperative blood pressure to reduce the incidence of postoperative AKI. Fluid management strategies, administration of vasopressor medications, and other methods for reducing the incidence of AKI are also briefly discussed.Recent FindingsRecent retrospective studies have demonstrated a solid association of IOH with postoperative AKI. IOH is associated not only with AKI but al...
Source: Current Anesthesiology Reports - June 14, 2023 Category: Anesthesiology Source Type: research

Septic Shock From Pan-Spinal Epidural Abscess Attributed to Recent Acupuncture and Trigger Point Injections for Acute Lower Back Pain in a Previously Undiagnosed Diabetic Patient: A Case Report
We report the case of a 60-year-old woman with undiagnosed diabetes mellitus who presented to the hospital with a complaint of progressive altered mental status for the past two days. Eight days prior to presentation, the patient tripped over a pillow at home and developed mildly nagging, acute lower back pain. Upon the recommendation of her friends, she underwent two sessions of acupuncture around the lumbar area on days six and five prior to being brought to the hospital. She also saw her primary care physician on day three prior to presentation, who performed a history and physical examination and, after feeling that sh...
Source: Pain Physician - June 9, 2023 Category: Anesthesiology Authors: Shaheryar Usman Faraz Badar Carlos Collado Andrew Weber Alan Kaell Source Type: research

Driving the wrong way on a one-way street. Reversal of coronary flow in aortic regurgitation
Aortic regurgitation (AR) represents the quintessential left ventricular volume overload state. In contrast to mitral regurgitation, where the left ventricle (LV) ejects blood into both the relatively low pressure left atrium and higher-pressure aorta, in AR, the entirety of LV stroke volume is ejected into the relatively higher pressure aorta. The severity of AR is obviously related to the regurgitant volume ejected into the LV during diastole. When severe, the forward stroke volume available for tissue perfusion represents a minority of the cardiac output.
Source: Journal of Cardiothoracic and Vascular Anesthesia - June 7, 2023 Category: Anesthesiology Authors: Carey Kimmelstiel Tags: Editorial 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

Complementary methods in the treatment of complex regional pain syndrome
CONCLUSIONS: Integrative, complementary medical therapy options support the CRPS patient in coping with their disease and the related pain. These options can play an important role in the multimodal, interdisciplinary treatment of this disease.PMID:37268791 | DOI:10.1007/s00482-023-00724-7
Source: Schmerz - June 2, 2023 Category: Anesthesiology Authors: T Gabriel P Klose 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