Thoracic Anesthesia Intubated Versus Nonintubated General Anesthesia for Video-Assisted Thoracoscopic Surgery—A Case-Control Study
(Abstracted from J Cardiothorac Vasc Anesth, 31:411–417, 2017)
Although deemed mandatory to provide safe and optimal operating conditions for surgical manipulation, general anesthesia with endobronchial intubation and 1-lung positive-pressure ventilation for thoracic surgery has been known to cause lung injury. Nonintubated thoracic anesthetic techniques for video-assisted thoracoscopic surgery (VATS) in awake and sedated patients can be an alternate method to decrease the overall invasiveness and surgical stress. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Targeted Bleeding Management Reduces the Requirements for Blood Component Therapy in Lung Transplant Recipients
(Abstracted from J Cardiothorac Vasc Anesth, 31:426–433, 2017)
High rates of bleeding and allogeneic blood transfusions to treat bleeding are associated with adverse outcomes in bilateral sequential lung-transplant patients. The aim of this study was to determine if point-of-care coagulation testing could minimize unnecessary transfusion in lung-transplant patients. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Thromboelastometry Guided Fibrinogen Replacement Therapy in Cardiac Surgery: A Retrospective Observational Study
(Abstracted from J Anesth, 31:286–290, 2017)
Bleeding causes increased morbidity and mortality in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). Inadequate management of bleeding and allogeneic blood products leads to prolonged hospital stays and adverse outcomes. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Ocular Motor Palsy After Spinal Puncture
(Abstracted from Reg Anesth Pain Med, 42(1):1–9, 2017)
The purpose of this literature review is to better understand extraocular muscle palsy (EOMP), an underdiagnosed complication of subarachnoid puncture. Unfortunately, anesthesiologists are often unaware of this potential complication, and patients who developed EOMP are often initially sent to neurologists and/or ophthalmologists, resulting in extensive workups. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Miscellaneous Source Type: research
Innovative Disruption in the World of Neuromuscular Blockade: What Is the “State of the Art?”
(Abstracted from Anesthesiology, 126:12–15, 2017)
This editorial provides an overview of why sugammadex should be preferred for the reversal of neuromuscular block, especially now that it has US Food and Drug Administration approval, as well as highlighting the need for neuromuscular blockade monitoring. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Techniques and Monitoring Source Type: research
Current Status of Neuromuscular Reversal and Monitoring: Challenges and Opportunities
(Abstracted from Anesthesiology, 126(1):173–190, 2017)
The purpose of this article was to arrive at a scalable solution to the common problem of postoperative residual neuromuscular block (NB). While neuromuscular-blocking agents (NMBAs) were revolutionary and invaluable tools for a surgeon, their adverse effects have contributed significantly to postoperative mortality and morbidity. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Techniques and Monitoring Source Type: research
Relationship Between Intraoperative Hypotension, Defined by Either Reduction From Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury After Noncardiac Surgery: A Retrospective Cohort Analysis
(Abstracted from Anesthesiology, 126(1):47–65, 2017)
The characteristics and definition of intraoperative hypotension have been poorly defined. The purpose of this retrospective cohort analysis was to assess relationship between various absolute and relative characterizations of intraoperative hypotension and myocardial injury after noncardiac surgery (MINS) as well as acute kidney injury (AKI). (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Techniques and Monitoring Source Type: research
Effect of Nerve Stimulation Use on the Success Rate of Ultrasound-Guided Subsartorial Saphenous Nerve Block: A Randomized Controlled Trial
(Abstracted from Reg Anesth Pain Med, 42(1):25–31, 2017)
When regional anesthesia is used for lower limb surgery, it is necessary to have dependable surgical anesthesia of the saphenous nerve. The purpose of this randomized controlled trial was to investigate the optimal approach to achieving a successful subsartorial saphenous nerve block using nerve stimulation (NS) and ultrasound (US)–guided techniques. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
Diaphragm-Sparing Nerve Blocks for Shoulder Surgery
(Abstracted from Reg Anesth Pain Med, 42(1):32–38, 2017)
The main aim of this article is to arrive at feasible diaphragm-sparing alternatives to interscalene brachial plexus blocks (ISBs) that can provide satisfactory surgical local anesthesia and postoperative pain relief with a low incidence of hemidiaphragmatic paralysis. The most common adverse effect of ISB for standard post–shoulder surgery analgesia is the occurrence of ipsilateral phrenic nerve block which causes a hemidiaphragmatic paralysis in 100% of patients and a 27% decrease in the patients forced vital capacity and forced expiratory volume at 1 second. ...
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
Prospective, Double-blind, Randomized Study to Evaluate Single-Injection Adductor Canal Nerve Block Versus Femoral Nerve Block Postoperative Functional Outcomes After Total Knee Arthroplasty
(Abstracted from Reg Anesth Pain Med, 42(1):10–16, 2017)
The aim of this prospective, randomized, double-blind, single-center trial was to compare single injection adductor canal block (ACB) with single-injection femoral nerve block (FNB) for total knee arthroplasty (TKA) over a wider range of time points. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
A Randomized Comparison Between Intravenous and Perineural Dexamethasone for Ultrasound-Guided Axillary Block
(Abstracted from Can J Anaesth, 64(1):29–36, 2017)
The purpose of this randomized trial was to compare intravenous (IV) and perineural (PN) dexamethasone in the axillary approach to the brachial plexus. The primary outcome recorded was the duration of the ultrasound (US)–guided axillary motor block (AXB) rather than sensory blockade, which can be influenced by drugs and nerve trauma. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
Dexamethasone as a Ropivacaine Adjuvant for Ultrasound-Guided Interscalene Brachial Plexus Block: A Randomized, Double-blinded Clinical Trial
(Abstracted from J Clin Anesth, 38:133–136, 2017)
Significant pain results from arthroscopic subacromial decompression in shoulder surgeries. Extended analgesia is achieved by combining dexamethasone with local anesthetics to prolong single-injection interscalene block. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
Systematic Review of the Systemic Concentrations of Local Anaesthetic After Transversus Abdominis Plane Block and Rectus Sheath Block
(Abstracted from Br J Anaesth, 118(4):517–526, 2017)
This systematic review aimed to assess data from clinical trials to determine perioperative local anesthetic (LA) systemic concentrations following single-bolus transversus abdominis plane block (TAPB) or rectus sheath block (RSB) during abdominal surgery in order to improve our understanding of LA absorption and risk of toxicity following these blocks. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
Preoperative Administration of Angiotensin-Converting Enzyme Inhibitors or Angiotensin II Receptor Blockers: Do We Have Enough “VISION” to Stop It?
(Abstracted from Anesthesiology, 126(1):1–3, 2017)
There is significant controversy regarding administration of angiotensin-converting enzyme inhibitors (ACEIs) as well as angiotensin II receptor blockers (ARBs). This editorial comments on the study by Roshanov et al1 (“Withholding Versus Continuing Angiotensin-Converting Enzyme Inhibitors or Angiotensin II Receptor Blockers Before Noncardiac Surgery: An Analysis of the Vascular events In noncardiac Surgery patIents cOhort evaluatioN Prospective Cohort”), which examined the large multinational, prospective Vascular events In noncardiac Surgery patIents cOhort evalua...
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Preoperative and Postoperative Care Source Type: research
Withholding Versus Continuing Angiotensin-Converting Enzyme Inhibitors or Angiotensin II Receptor Blockers Before Noncardiac Surgery: An Analysis of the Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Prospective Cohort
(Abstracted from Anesthesiology, 126(1):16–27, 2017)
The purpose of this international prospective cohort study was to assess the effect of withholding angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) on the risk of 30-day composite outcome of all-cause death, myocardial injury following noncardiac surgery (MINS), and stroke, as well as to determine the relationship between withholding ACEIs/ARBs and perioperative hypotension. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - August 1, 2017 Category: Anesthesiology Tags: Preoperative and Postoperative Care Source Type: research
