Process Improvement Initiative for the Perioperative Management of Patients With a Cardiovascular Implantable Electronic Device
The objective of this observational study was to evaluate whether a new care model involving a wide-ranging anesthesiologist-run perioperative cardiovascular implantable electronic device (CIED) service improved operating room efficiency, reduced institutional cost, and provided adequate patient safety. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Raising the Alarm on Brain Attacks in Surgical Patients: Are We Doing Enough to Prevent and Treat Postoperative Strokes?
(Abstracted from Anesthesiology, 127(1):3–5, 2017)
This editorial provides an overview of the study by Christiansen et al,1 which demonstrates that a history of acute ischemic stroke within 3 months of emergency noncardiac, nonintracranial surgery significantly increased the risk of a postoperative stroke using data from the Danish National Patient Registry. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Risks of Cardiovascular Adverse Events and Death in Patients With Previous Stroke Undergoing Emergency Noncardiac, Nonintracranial Surgery: The Importance of Operative Timing
(Abstracted from Anesthesiology 127(1):9–19, 2017)
The purpose of this study was to assess the risk of adverse events after emergency noncardiac, noncranial surgery in association with time elapsed after ischemic stroke by retrospectively analyzing the data from a nationwide study population from Denmark that covered patients older than 20 years undergoing the aforementioned emergency surgeries between 2005 and 2011. The primary outcomes measured were the 30-day all-cause mortality and a combined end point of 30-day major adverse cardiovascular events (MACEs), such as nonfatal myocardial infarction and ischemic stroke, ...
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Preoperative Treatment of Obstructive Sleep Apnea With Positive Airway Pressure Is Associated With Decreased Incidence of Atrial Fibrillation After Cardiac Surgery
(Abstracted from J Cardiothorac Vasc Anesth, 31:1250–1256, 2017)
Postoperative atrial fibrillation (POAF) is a common complication following cardiac surgery. Obstructive sleep apnea (OSA) has been identified as a risk factor for POAF after cardiac surgery in nonsurgical patients. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Coexisting Disease Source Type: research
Two Minutes to Improve Cardiac Surgery Outcomes
(Abstracted from Anesth Analg, 125(2):380–382, 2017)
This editorial reviews the comparative research on a standardized approach to transfer of care in the intensive care unit (ICU) following cardiac surgery presented by Hall et al1 in the current issue of Anesthesia & Analgesia. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
A Structured Transfer of Care Process Reduces Perioperative Complications in Cardiac Surgery Patients
This study aimed to assess whether the introduction of a comprehensive multidisciplinary transfer of care protocol improved patient outcomes by examining them before and after the introduction of the patient handoff protocol. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Inhaled Pulmonary Vasodilators in Cardiac Surgery Patients: Correct Answer Is “No”
(Abstracted from Anesth Analg, 125(2):375–377, 2017)
This editorial provides an overview of the systematic review and meta-analysis by Elmi-Sarabi et al1 on the effects of aerosolized vasodilators for the treatment of pulmonary hypertension in cardiac surgery patients. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Aerosolized Vasodilators for the Treatment of Pulmonary Hypertension in Cardiac Surgical Patients: A Systematic Review and Meta-analysis
(Abstracted from Anesth Analg, 125(2):393–402, 2017)
This systematic review and meta-analysis aims to compare the efficiency of inhaled aerosolized vasodilators, intravenously administered ones, and a placebo on pulmonary hypertension (PH) treatment and management in cardiac surgery patients. With PH being a hemodynamic issue, which can cause right ventricular failure leading to a worsening of the condition of cardiac surgery patients, managing PH and addressing the challenge are important. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Routine Use of Viscoelastic Blood Tests for Diagnosis and Treatment of Coagulopathic Bleeding in Cardiac Surgery: Updated Systematic Review and Meta-analysis
(Abstracted from Br J Anaesth, 118(6):823–833, 2017)
Coagulopathic bleeding in cardiac surgery can lead to increased mortality and resource use. Viscoelastic point-of-care testing of whole-blood coagulation is used for rapid quantitative assessment for clotting. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Hemodynamic Consequence of Hand Ventilation Versus Machine Ventilation During Transport After Cardiac Surgery
(Abstracted from J Cardiothorac Vasc Anesth, 31(4):1246–1249, 2017)
Manual hand ventilation and portable machine ventilation are both widely used during in-hospital transport of intubated patients following surgery, but the comparative safety and reliability of each mode of ventilation are still unclear. This prospective randomized study aimed at examining the hemodynamic consequences of manual and portable ventilation during transport from the operating room (OR) to the intensive care unit (ICU) in intubated patients following cardiac surgery. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Effect of Perioperative Pregabalin on Postoperative Quality of Recovery in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting (OPCABG): A Prospective, Randomized, Double-blind Trial
(Abstracted from J Cardiothorac Vasc Anesth, 31(4):1241–1245, 2017)
Pregabalin use is increasing in cardiac surgical patients. Although pregabalin aids in postoperative recovery compared with placebo, studies using comprehensive scoring systems to evaluate its impact on the postoperative recovery are still lacking. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Reliability of Percutaneous Pulmonary Vent and Coronary Sinus Cardioplegia in the Setting of Minimally Invasive Aortic Valve Replacement: A Single-Center Experience
(Abstracted from J Cardiothorac Vasc Anesth, 31(4):1203–1209, 2017)
Although percutaneous pulmonary vent and coronary sinus (CS) cardioplegia have been identified as a fundamental skill to provide a safe surgical environment for patients undergoing minimally invasive cardiac surgery for aortic valve replacement (MIAVR), data on the feasibility and results of these have not yet been reported. The aim of this retrospective analysis was to evaluate the reliability and efficacy of ProPlege and EndoVent catheters, commonly referred to as “necklines,” for intraoperative CS cardioplegia and pulmonary artery venting in the ...
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Cardiothoracic Anesthesia Source Type: research
Publisher’s Note
No abstract available (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Publisher Note Source Type: research
Financial and Environmental Costs of Reusable and Single-Use Anaesthetic Equipment
(Abstracted from Br J Anaesth, 118(6):862–869, 2017)
Environmental sustainability in anesthesia is gaining importance. Anesthetic equipment for airway management and ventilation can be reusable or single use/disposable, and the comparisons between the environmental effects (carbon dioxide [CO2] emissions, water use, etc) of reusables and single-use equipment are more complex and dependent particularly upon the source of energy (eg, coal, renewables) to manufacture or clean the equipment. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Miscellaneous Source Type: research
Apneic Oxygenation: Let’s All Just Take a Deep Breath
(Abstracted from Can J Anaesth, 64(4):358–360, 2017)
The diffusion of oxygen into the lungs without ventilation is known as apneic oxygenation and was first highlighted in 1959. The article by Wong et al1 assessed the effectiveness of apneic oxygenation with a narrative review examining 19 studies of apneic oxygenation in varied cohorts. (Source: Survey of Anesthesiology)
Source: Survey of Anesthesiology - October 1, 2017 Category: Anesthesiology Tags: Miscellaneous Source Type: research
