Heterogeneity among hospitals statewide in percentage shares of the annual growth of surgical caseloads of inpatient and outpatient major therapeutic procedures
Suppose that it were a generalizable finding, in both densely populated and rural states, that there is marked heterogeneity among hospitals in the percentage change in surgical caseload and/or in the total change in caseload. Then, individual hospitals should not simply rely on federal and state forecasts to infer their expected growth. Likewise, individual hospitals and their anesthesiology groups would best not rely on national or US regional surgical trends as causal reasons for local trends in caseload. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 17, 2018 Category: Anesthesiology Authors: Franklin Dexter, Craig Jarvie, Richard H. Epstein Tags: Original Contribution Source Type: research
Corrigendum to “Point-of-care viscoelastic testing improves the outcome of pregnancies complicated by severe postpartum hemorrhage” [J Clin Anesth 44(2018) 50–56]
We regret that the abstract for the article was inadvertently omitted. It is printed here: (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 15, 2018 Category: Anesthesiology Authors: Denis Snegovskikh, Dmitri Souza, Zachary Walton, Feng Dai, Rachel Rachler, Angelique Garay, Victoria V. Snegovskikh, Ferne R. Braveman, Errol R. Norwitz Source Type: research
A suspected case of coronary vasospasm induced by anaphylactic shock caused by rocuronium-sugammadex complex
The cause of anaphylaxis during general anaesthesia is often related to muscle relaxants, and anaphylaxis due to rocuronium has often been reported [1]. Sugammadex reverses the effects of steroidal neuromuscular blocking agents, and perioperative anaphylaxis associated with sugammadex has also recently been reported [2]. However, anaphylaxis associated with the rocuronium-sugammadex complex has only been reported in two cases to date [3,4]. On the other side, Kounis syndrome is an acute coronary syndrome associated with allergic response, classified as type I (coronary spasm) and as type II (coronary thrombosis) [5]. (Sour...
Source: Journal of Clinical Anesthesia - April 13, 2018 Category: Anesthesiology Authors: Ayako Okuno, Yuka Matsuki, Mari Tabata, Kenji Shigemi Tags: Correspondence Source Type: research
Successful anesthetic management of limb artery thrombectomy by posterior QL block in conjunction with FNB
Patient who develop acute artery thrombosis usually have associated complications, such as cardiac and renal dysfunction; these issues are typically more complicated in elderly patients. Anesthetic management for such patients is difficult [1]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 12, 2018 Category: Anesthesiology Authors: Reiya Itoh, Hironobu Ueshima, Hiroshi Otake Tags: Correspondence Source Type: research
Erector spinae plane block provides sufficient surgical anesthesia for ileostomy closure in a high-risk patient
Dear Editor, (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 11, 2018 Category: Anesthesiology Authors: Serkan Tulgar, David Terence Thomas, Ugur Deveci Tags: Correspondence Source Type: research
Lumbar versus thoracic erector spinae plane block: Similar nomenclature, different mechanism of action
Since being first reported by Forero for the treatment of thoracic neuropathic pain, Erector spinae plane block (ESPB) has been increasingly reported for postoperative analgesia in varying surgical procedures [1,2]. In literature, in all but two reports, ESPB has been performed from the thoracic vertebral level. We read with interest the two successive publications by Tulgar et al. in which the authors reported the first application of ESPB from the lumbar vertebral level, followed by a case series [3,4]. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 10, 2018 Category: Anesthesiology Authors: Halil Cihan Kose, Selin Guven Kose, David Terence Thomas Tags: Correspondence Source Type: research
Pulsus alternans induced by spinal anesthesia
Pulsus alternans is attributed to an alteration of the stroke volume with every other cardiac cycle, and reduced venous return is considered an important causative factor. Tachycardia can exacerbate this process as diastolic filling becomes further impaired. During pulsus alternans, increased end-diastolic volume can increase wall stress, which further reduces systolic performance [1], making appropriate treatment essential, even if the patient shows no signs or symptoms of heart failure. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 10, 2018 Category: Anesthesiology Authors: Youngsoon Kim, Jeong-Hyun Choi, Sung Wook Park, Hee Yong Kang Tags: Correspondence Source Type: research
Whether time of operation does not increase the mortality rate in emergency surgery?
In a retrospective analysis, Rodney AG and colleagues [1] claim that time of operation (after-hours versus day-time hours) was not associated with death in emergency surgery, and those patients who undergoing intrathoracic or intraabdominal surgery, older patients and patients with a higher ASA PS may be at a higher risk of intraoperative mortality. However, we think it is inappropriate to reach the conclusion that no association of perioperative mortality with time of day in emergency surgery. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 9, 2018 Category: Anesthesiology Authors: Hailing Tan, Jianfang Song, Haichen Chu, Yongxin Liang Tags: Correspondence Source Type: research
Airtraq ® reduces the hemodynamic response to tracheal intubation using single-lumen tubes in adults compared with the Macintosh laryngoscope: A systematic review and meta-analysis of randomized control trials
To investigate whether Airtraq ® attenuate the hemodynamic responses to tracheal intubation using single-lumen tubes in adults as compared with the Macintosh laryngoscope. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 7, 2018 Category: Anesthesiology Authors: Hiroshi Hoshijima, Koichi Maruyama, Takahiro Mihara, Tsutomu Mieda, Toshiya Shiga, Hiroshi Nagasaka Tags: Original Contribution Source Type: research
Bilateral continuous erector spinae plane blocks for sternotomy in a pediatric cardiac patient
Effectiveness of continuous erector spinae plane (ESP) block as an alternative to thoracic epidural anesthesia have been reported for pain management in pulmonary malignancy [1]. In fact, there are multiple reports [2 –5] can provide good analgesia for selective major thoracic procedures when epidural anesthesia is contraindicated, or if there are other concerns about administering an epidural. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 6, 2018 Category: Anesthesiology Authors: J. Wong, M. Navaratnam, G. Boltz, K. Maeda, R.J. Ramamurthi, B.C.H. Tsui Tags: Correspondence Source Type: research
Ultrasound-guided erector spinae plane block elicits sensory loss around the lateral, but not the parasternal, portion of the thorax
Ultrasound-guided erector spinae plane block (US-ESPB) has been recently reported to be an effective technique for thoracic surgery [1,2]. US-ESPB is a type of fascial block requiring a sufficient dose of drug to adequately cover the interfascial plane [3]. We performed US-ESPB for 12 patients in cases of thoracoscopic lobectomy and assessed the anesthetized area from anterior to lateral thorax, as well as postoperative pain scores, to verify the analgesic features for thoracic surgery. After obtaining written informed consent from all patients and approval from the Institutional Review Board of Ehime Prefectural Central H...
Source: Journal of Clinical Anesthesia - April 6, 2018 Category: Anesthesiology Authors: Yasuko Taketa, Yumi Irisawa, Taro Fujitani Tags: Correspondence Source Type: research
Transnasal sphenopalatine nerve block for patients with headaches
Letter to the editor (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 5, 2018 Category: Anesthesiology Authors: Alexandre Slullitel, Ivan S. Santos, Felipe C. Machado, Angela M. Sousa Tags: Correspondence Source Type: research
Efficacy and safety of interscalene block combined with general anesthesia for arthroscopic shoulder surgery: A meta-analysis
There is controversy regarding the efficacy and safety of using interscalene block (ISB) combined with general anesthesia (GA) for arthroscopic shoulder surgery. Our meta-analysis was undertaken to evaluate the utility of this approach. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 3, 2018 Category: Anesthesiology Authors: Siyi Yan, Yanjun Zhao, Huan Zhang Tags: Original Contribution Source Type: research
Incidence of hypersensitivity and anaphylaxis with sugammadex
To evaluate the incidence of hypersensitivity and anaphylaxis after administration of sugammadex. (Source: Journal of Clinical Anesthesia)
Source: Journal of Clinical Anesthesia - April 3, 2018 Category: Anesthesiology Authors: K. Chris Min, Tiffany Woo, Christopher Assaid, Jacqueline McCrea, Deborah M. Gurner, Christine McCrary Sisk, Franklin Adkinson, W. Joseph Herring Tags: Original Contribution Source Type: research
