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
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
