Anesthetic management of carcinoid heart disease after cardiac surgery. A possible use of veno-arterial extracorporeal membrane oxygenation support
Carcinoid heart disease (CHD) is the cardiac manifestation of a “functioning” neuroendocrine tumour. Patients with CHD undergoing cardiac surgery are at higher risk of developing postoperative haemodynamic instability due to carcinoid crisis and right ventricular (RV) dysfunction. In particular the former is related to the clinical vasomotor manifestations d ue to the release of serotonin, 5-hydroxytryptophan, histamine, bradykinin, tachykinins, kallikrein and prostaglandins [1] secreted by neuroendocrine tumours. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 16, 2018 Category: Anesthesiology Authors: Nora Di Tomasso, Francesco Carc ò, Cristina Arangino, Monica De Luca, Tiziana Bove, Alberto Zangrillo, Fabrizio Monaco Tags: Correspondence Source Type: research
Perioperative cardiac arrests – A subanalysis of the anesthesia -related cardiac arrests and associated mortality
To determine the incidence, risk factors, and predictors of survival of perioperative cardiac arrests (PCAs) occurring in patients who underwent non-cardiac and non-obstetric surgery from January 2008 to May 2015 at a tertiary hospital; determine the incidence and risk factors of anesthesia-related PCA. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 14, 2018 Category: Anesthesiology Authors: Diogo Sobreira-Fernandes, Laetitia Teixeira, Tiago S. Lemos, Liliana Costa, Manuela Pereira, Ant ónio C. Costa, Paula S. Couto Tags: Original contribution Source Type: research
The association between intraoperative dexmedetomidine and 1 year morbidity and mortality after cardiac surgery: A propensity matched analysis of over 1400 patients
Dexmedetomidine is widely used during surgery. Recent studies have demonstrated that dexmedetomidine administered perioperatively is associated with lower postoperative mortality and complications in patients undergoing cardiac surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 10, 2018 Category: Anesthesiology Authors: Fei Xu, Qian Wang, Sipeng Chen, Hushan Ao, Jun Ma Tags: Original Contribution Source Type: research
Aligning Anesthesiology and Perioperative Services with Value-Based Care: Proceedings of the Annual Meeting of the Association of Anesthesia Clinical Directors (AACD)
The Association of Anesthesia Clinical Directors (AACD) was founded in 1989. It is an organization rooted in the belief that anesthesiologists are in the unique position to effectively manage many aspects of patient care and administration within the perioperative period [1]. The Association's Perioperative Leadership Summit was established as a venue for perioperative medical directors, nursing leaders and administrators to gather and exchange data and ideas. “Aligning Anesthesiology and Perioperative Services with Value-Based Care” was the theme of the 2018 Perioperative Leadership Summit held in New Orleans, Louisia...
Source: Journal of Clinical Anesthesia - July 10, 2018 Category: Anesthesiology Authors: Andrew A Serdiuk, Richard D. Urman, S. Andrew Seong, Mitchell H. Tsai, Richard P. Dutton, Claudette Lajam, Gary R. Haynes, Dominic S. Carollo, Paul St Jacques, Joshua A Hirsch Tags: Editorial Source Type: research
Thoracic paravertebral nerve block for treating contraction of the latissimus dorsi muscle after breast cancer surgery
We describe two cases of contraction of the latissimus dorsi muscle after total mastectomy. Thoracic paravertebral nerve block was an effective therapy for the contraction. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 4, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
Ultrasound guided erector spinae plane block reduces postoperative opioid consumption following breast surgery: A randomized controlled study
To evaluate the analgesic effect of ultrasound-guided erector spinae plane (ESP) block in breast cancer surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 3, 2018 Category: Anesthesiology Authors: Yavuz G ürkan, Can Aksu, Alparslan Kuş, Ufuk H. Yörükoğlu, Cennet T. Kılıç Tags: Original Contribution Source Type: research
Anesthetic management of patients with systemic mastocytosis
Systemic mastocytosis is a rare disease of mast cell proliferation in multiple organs and carries a risk of anaphylactic reaction by degranulation induced by physical and psychological stimuli, alcohol, elevated temperature, and drugs known to release histamine [1, 2]. Although the prevalence is unknown, familial occurrences are unusual and equally in both sexes. Various drugs and physical and psychological stimuli can trigger degranulation of mast cells, which can cause anaphylaxis. General anesthesia is also potentially hazardous. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 3, 2018 Category: Anesthesiology Authors: Koji Ishii, Hiroshi Miyoshi, Daiji Akiyama, Tetsuji Makita, Koji Sumikawa, Hiroaki Murata, Tetsuya Hara Tags: Correspondence Source Type: research
Corrigendum to “Paradoxical postural cerebrospinal fluid leak-induced headache: Report of two cases” [J Clin Anesth 20 (5) (2008 Aug) 383–5]
The authors regret that an incomplete listing was provided for the second author. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 3, 2018 Category: Anesthesiology Authors: Henry Liu, Alan Kaye, Neal Comarda, Marilyn Li Tags: Corrigendum Source Type: research
Analysis of adverse outcomes in the post-anesthesia care unit based on anesthesia liability data
The aim of this study is to provide a contemporary medicolegal analysis of claims brought against anesthesiologists in the United States for events occurring in the post-anesthesia care unit (PACU). (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Daniel B. Kellner, Richard D. Urman, Penny Greenberg, Ethan Y. Brovman Tags: Original Contribution Source Type: research
Delayed recovery of limb muscle power after general anesthesia with cisatracurium in a dermatomyositis patient
We report a case of delayed recovery after anesthesia with cisatracurium in a dermatomyositis patient, particularly in terms of proximal limb muscle power. A written informed consent to publish was obtained from the patient. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Ann Hee You, Hee-Yong Kang, Sung-Wook Park, Youngsoon Kim Tags: Correspondence Source Type: research
Persistent cortical blindness following total laparoscopic distal gastrectomy
Although postoperative visual loss (POVL) is rare, prevention is becoming more important because POVL can lead to permanent visual loss [1]. Cortical blindness resulting in loss of visual acuity due to lesions of the bilateral occipital lobes is one cause of POVL. Herein we report a rare case of cortical blindness that caused permanent POVL. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Ji-Uk Yoon, Yun Mi Choi, Eun Ji Choi, Ju Yeon Park, Hee Young Kim Tags: Correspondence Source Type: research
Drop in oxygen supply pressures: Misleading gas cylinder color coding to be blamed for nearing a mishap?
We would like to report a case of an erroneous carbon-dioxide cylinder color coding which was mistaken as oxygen cylinder. However with prompt recognition and immediate intervention serious patient morbidity and mortality was averted. There are several international safety mechanisms for medical gas cylinders like labeling, pin index safety system, pressure relief valve and color coding [1, 2]. Inaccurate cylinder color coding and ambiguous labeling of oxygen cylinders can cause catastrophic complications [3, 4]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Chitta R. Mohanty, Suma R. Ahmad Tags: Correspondence Source Type: research
Opioid sparing effect of Erector Spinae Plane block for pediatric bilateral inguinal hernia surgeries
Inguinal hernia repair is one of the most common procedures in pediatric surgeries. One of the primary aims after this surgery is to mobilize the patient as quick as possible and to discharge the patient early. Providing an adequate postoperative analgesia is vital to ensure this. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - July 2, 2018 Category: Anesthesiology Authors: Can Aksu, Yavuz G ürkan Tags: Correspondence Source Type: research
Perioperative dexmedetomidine reduces delirium after cardiac surgery: A meta-analysis of randomized controlled trials
To evaluate the efficiency of dexmedetomidine on the incidence of delirium in patients after cardiac surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 27, 2018 Category: Anesthesiology Authors: Mimi Wu, Yongxin Liang, Zhao Dai, Shiduan Wang Tags: Original contribution Source Type: research
Clinical experiences with ultrasound-guided supra-inguinal fascia iliaca block: A new approach
Conventional fascia iliaca block, which blocks the femoral and the lateral femoral cutaneous nerves, has been reported to be an effective analgesic technique for hip surgery. However, conventional fascia iliaca block may not block both the nerves because the lateral femoral cutaneous nerve may branch at the cranial level of the anterior superior iliac spine [1]. Ultrasound-guided supra-inguinal fascia iliaca block is a new approach in which the local anesthetic solution is injected at the cranial level of the anterior iliac spine. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - June 27, 2018 Category: Anesthesiology Authors: Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
