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Specialty: Anesthesiology

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Total 1850 results found since Jan 2013.

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

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

Long-Term Safety and Efficacy of Mirogabalin for Central Neuropathic Pain: A Multinational, Phase 3, 52-Week, Open-Label Study in Asia
ConclusionMirogabalin was generally safe, well tolerated, and effective for treatment of CNeP in this long-term study.Trial registrationClinicalTrials.gov identifier, NCT03901352.
Source: Pain and Therapy - April 28, 2023 Category: Anesthesiology 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

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

Close your eyes and see - stroke sequelae versus functional neurological disorder in a physician
Eur Neurol. 2023 Apr 20. doi: 10.1159/000530753. Online ahead of print.ABSTRACTThe first author was a left-handed, 51-year-old nephrologist who experienced a neurologic event. She underwent neurosurgery complicated by hemorrhage. Post-operatively, she developed persistent vertigo and unilateral tongue pain which persisted for over five years. Early neuroimaging revealed expected encephalomalacia but no neuroanatomical basis for my symptoms. A functional neurological disorder was suspected, and she was seen by several psychiatrists and psychotherapists. However, she suspected a neuroanatomical lesion would better explain he...
Source: Pain Physician - April 20, 2023 Category: Anesthesiology Authors: E Jennifer Weil Harold Keyserling Burt Feuerstein Olwen Murphy Source Type: research

Role of Sensory Pathway Injury in Central Post-Stroke Pain: A Narrative Review of Its Pathogenetic Mechanism
Source: Journal of Pain Research - April 20, 2023 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Top 20 Research Studies of 2022 for Primary Care Physicians
This article summarizes the top 20 research studies of 2022 identified as POEMs (patient-oriented evidence that matters), excluding COVID-19. Statins for primary prevention of cardiovascular disease produce only a small absolute reduction in a person's likelihood of dying (0.6%), having a myocardial infarction (0.7%), or having a stroke (0.3%) over three to six years. Supplemental vitamin D does not reduce the risk of a fragility fracture, even in people with low baseline vitamin D levels or a previous fracture. Selective serotonin reuptake inhibitors are preferred medical therapy for panic disorder, and patients who disco...
Source: Pain Physician - April 13, 2023 Category: Anesthesiology Authors: Roland Grad Mark H Ebell Source Type: research

Correction: Correlation of carotid corrected flow time and respirophasic variation in blood flow peak velocity with stroke volume variation in elderly patients under general anaesthesi
Source: BMC Anesthesiology - April 13, 2023 Category: Anesthesiology Authors: Yu Chen, Ziyou Liu, Jun Fang, Yanhu Xie, Min Zhang and Jia Yang Tags: Correction Source Type: research

Predictors and outcomes of stroke after isolated coronary artery bypass grafting. A single-center experience in 20,582 patients
Stroke remains a devastating complication after cardiac surgical procedures despite advances in perioperative monitoring and management. The purpose of this study was to determine the predictors of stroke in a large, contemporary coronary surgery population.
Source: Journal of Cardiothoracic and Vascular Anesthesia - April 12, 2023 Category: Anesthesiology Authors: Vincent J. Kroeze, Jules R Olsthoorn, Albert H.M. van Straten, Anouk Princee, Mohamed A. Soliman-Hamad Tags: Original Article Source Type: research

Cerebral fungal infections as a cause of stroke in cardiac surgery patients: Be Cautious!!
Neurological dysfunction in the postoperative period following cardiac surgery is most commonly attributed to thromboembolism or an intracranial bleed. Fungal infection is a rare cause of cerebral infarction and hemiparesis in an otherwise healthy patient. Cerebral Aspergillus infections are common in immunocompromised patients and is not considered as the first-line differential diagnosis of cerebral infarcts in a cardiac surgery patient. The infection is usually a secondary from lung, paranasal sinuses, or heart and forms microthrombi in large or medium sized cerebral vessels.
Source: Journal of Cardiothoracic and Vascular Anesthesia - March 30, 2023 Category: Anesthesiology Authors: Avneet Singh, Arushi Goyal, Manpreet Singh, Sidharth Garg, Sandeep Moudgil, Vipin Gupta Tags: Letter to the Editor Source Type: research