Anesthesiology

Article Anesthesiology

Noninvasive hemoglobin monitoring for maintaining hemoglobin concentration within the target range during major noncardiac surgery: A randomized controlled trial

Sun-Kyung Park, Chahnmee Hur, Young-Won Kim, Seokha Yoo, Young-Jin Lim, Jin-Tae Kim

Summary: In major noncardiac surgeries with a potential risk of hemorrhage, SpHb-guided management can significantly reduce the rate of hemoglobin deviation outside the target range intraoperatively.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

Recovery and safety with prolonged high-frequency jet ventilation for catheter ablation of atrial fibrillation: A hospital registry study from a New England healthcare network

Ricardo Munoz-Acuna, Tim M. Tartler, Basit A. Azizi, Aiman Suleiman, Elena Ahrens, Luca J. Wachtendorf, Felix C. Linhardt, Guanqing Chen, Patricia Tung, Jonathan W. Waks, Maximilian S. Schaefer, Sankalp Sehgal

Summary: This study compared the effects of high-frequency jet ventilation (HFJV) with conventional ventilation in catheter ablation procedures for atrial fibrillation. The results showed that patients receiving HFJV had a longer length of stay in the post-anesthesia care unit (PACU) and an increased risk of intra-procedural hypocarbia and hypotension.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Letter Anesthesiology

Periorbital skin injury of elderly patients related to polyethylene covers during general anesthesia

Xiangyi Tong, Limei Wang, Fengshou Chen

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

Determinants of postoperative complications in high-risk noncardiac surgery patients optimized with hemodynamic treatment strategies: A post-hoc analysis of a randomized multicenter clinical trial

Stephane Bar, Mouhamed Djahoum Moussa, Richard Descamps, Younes El Amine, Belaid Bouhemad, Marc-Olivier Fischer, Emmanuel Lorne, Herve Dupont, Momar Diouf, Gregoire Guinot

Summary: Surgical complications, lower preoperative hemoglobin concentration, age, and vascular surgery were associated with postoperative complications in high-risk noncardiac surgery patients supported with hemodynamic treatment strategies.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Correction Anesthesiology

Single midline injection for bilateral superior laryngeal nerve block (vol 66,109922, 2020)

Jacob G. Fowler, David P. VanEenenaam, Kathleen N. Johnson, Chad D. Courtemanche, Andrea J. Strathman, John E. Reynolds, Sarah Jane Bost

JOURNAL OF CLINICAL ANESTHESIA (2024)

Editorial Material Anesthesiology

Post-operative acute kidney injury in the intensive care unit: Before we treat it, we must diagnose it!

Ryan Ruiyang Ling, Ne Hooi Will Loh, Kollengode Ramanathan

JOURNAL OF CLINICAL ANESTHESIA (2024)

Editorial Material Anesthesiology

Challenges of obesity in today's surgical healthcare

Carolin Muller, Kurt Ruetzler

JOURNAL OF CLINICAL ANESTHESIA (2024)

Editorial Material Anesthesiology

Quality metrics in anesthesiology: Do we need a more holistic approach?

Manoj H. Iyer, Nicolas Kumar, Erica Stein

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

Respiratory mechanics and mechanical power during low vs. high positive end-expiratory pressure in obese surgical patients - A sub-study of the PROBESE randomized controlled trial

Martin Scharffenberg, Maura Mandelli, Thomas Bluth, Francesca Simonassi, Jakob Wittenstein, Robert Teichmann, Katharina Birr, Thomas Kiss, Lorenzo Ball, Paolo Pelosi, Marcus J. Schultz, Marcelo Gama de Abreu, Robert Huhle

Summary: The study aimed to examine the impact of low or high positive end-expiratory pressure (PEEP) and recruitment manoeuvres (RM) on intra-tidal recruitment/derecruitment and overdistension in obese patients. The results showed that higher PEEP and RM reduced intra-tidal recruitment/derecruitment, driving pressure, elastance, resistance, and mechanical power.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

Association between an anesthesia department development program for junior faculty and long-term production of publications: A longitudinal cohort study

Franklin Dexter, Richard H. Epstein, Bradley J. Hindman

Summary: A faculty development program for junior faculty in the Department of Anesthesia can effectively increase the production of publications by at least one per year. However, there is significant heterogeneity in publication output among faculty members.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Letter Anesthesiology

Tramadol antimicrobial activity in peripheral nerve blocks. Is it a real possibility?

Eros Pilia, Gabriele Finco

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

A randomized controlled trial of spinal morphine with an enhanced recovery pathway and its effect on duration of analgesia after cesarean delivery

Maria C. Borrelli, Andrew J. Sprowell, Anna Moldysz, Mohammed Idris, Samantha L. Armstrong, John J. Kowalczyk, Yunping Li, Philip E. Hess

Summary: This study investigates the relationship between intrathecal morphine and enhanced recovery pathways after cesarean delivery. The results indicate that lower doses provide shorter duration of analgesia and higher pain scores. In contrast, a dose of 250 mcg offers longer-lasting pain relief with similar side effects. Both 150 mcg and 250 mcg doses allow a majority of patients to avoid additional opioid use within 72 hours.

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE (2024)

Article Anesthesiology

Pain during cesarean delivery: A patient-related prospective observational study assessing the incidence and risk factors for intraoperative pain and intravenous medication administration

Jose Sanchez, Rohan Prabhu, Jean Guglielminotti, Ruth Landau

Summary: This study evaluates the incidence of self-reported pain and the administration of intravenous medication (IVM) during cesarean delivery. The results show that 11.5% of women reported pain during the procedure, and a proportion of them received analgesic IVM. Risk factors for pain included substance use disorder and intrapartum epidural extension.

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE (2024)

Editorial Material Anesthesiology

The impact of preoperative stress testing on cardiovascular and surgical care - Does it actually improve outcomes?

Nathaniel R. Smilowitz

JOURNAL OF CLINICAL ANESTHESIA (2024)

Editorial Material Anesthesiology

New insights in mechanical ventilation in the obese patients

Carolina S. Romero, Andrea Cortegiani, Markus M. Luedi

JOURNAL OF CLINICAL ANESTHESIA (2024)

Editorial Material Anesthesiology

What's in a name? Internal coherence as a marker of rigour in research

Gianni R. Lorello, Ayelet Kuper

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

Intravenous tranexamic acid for intracerebral meningioma resections: A randomized, parallel-group, non-inferiority trial

Shu Li, Minying Liu, Jingchao Yang, Xiang Yan, Yaru Wu, Liyong Zhang, Min Zeng, Dabiao Zhou, Yuming Peng, Daniel I. Sessler

Summary: The study aimed to determine whether tranexamic acid (TXA) increases the risk of postoperative seizures after intracranial tumor resections. The findings suggest that a single intraoperative dose of TXA does not significantly increase the risk of postoperative seizures in patients undergoing supratentorial meningioma resection.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

A comparison of ultrafast and conventional spectral Doppler ultrasound to measure cerebral blood flow velocity during inguinal hernia repair in infants

Mathies Rondagh, Anna J. Kortenbout, Sophie de Munck, Gerbrich E. van den Bosch, Jeroen Dudink, Hendrik J. Vos, Johan G. Bosch, Jurgen C. de Graaff

Summary: This study compares the use of conventional and ultrafast spectral Doppler cerebral ultrasound during anesthesia and their ability to quantify cerebral blood flow velocities. It was found that ultrafast Doppler allows for the measurement of cortical blood flow velocity during general anesthesia and provides novel insights into perfusion within the cerebral cortex. However, it has a lower success rate and a more rigorous learning curve compared to the conventional method.

JOURNAL OF CLINICAL ANESTHESIA (2024)

Article Anesthesiology

Association of postoperative hypernatremia with outcomes after elective craniotomy

Tiangui Li, Yu Zhang, Xing Chen, Lu Jia, Yixing Tian, Jialing He, Miao He, Lvlin Chen, Pengfei Hao, Yangchun Xiao, Liyuan Peng, Weelic Chong, Yang Hai, Chao You, Fang Fang

Summary: This study aimed to investigate the prognostic implications of postoperative hypernatremia on the 30-day mortality of patients undergoing elective craniotomy. The results showed that the presence of hypernatremia is associated with increased mortality and complications, particularly in cases of severe hypernatremia.

JOURNAL OF CLINICAL ANESTHESIA (2024)