Anesthesiology

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Editorial Material Anesthesiology

Regional analgesia as the core component of multimodal analgesia technique: Current controversies and future directions

Girish P. Joshi

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Editorial Material Anesthesiology

POCUS focus: Dilemmas of the technologically advanced device

Amanda M. Frantz, Brenda G. Fahy

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Editorial Material Anesthesiology

Early postoperative desaturation: A measurable educational warning sign in anesthesiology residency training

F. Cole Dooley, Brenda G. Fahy

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Review Anesthesiology

Anesthetic management in patients having catheter-based thrombectomy for acute pulmonary embolism: A narrative review

Julian Rossler, Jacek B. Cywinski, Maged Argalious, Kurt Ruetzler, Sandeep Khanna

Summary: This narrative review aims to provide guidance to anesthesiologists for the assessment and management of patients undergoing catheter-based thrombectomy for acute pulmonary embolism. It covers available techniques for catheter-based thrombectomy, risk stratification tools for pulmonary embolism, assessment of patients prior to the procedure, risks and benefits of anesthetic strategies, and considerations for managing right ventricular failure with mechanical circulatory support.

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Article Anesthesiology

Teleconsultation compared with face-to-face consultation in the context of pre-anesthesia evaluation: TELANESTH, a randomized controlled single-blind non-inferiority study

Estelle Morau, Thierry Chevallier, Chris Serrand, Mikael Perin, Yann Gricourt, Philippe Cuvillon

Summary: During the COVID crisis, pre-anesthesia teleconsultations were widely used, with the study showing that pre-anesthesia teleconsultation (PATC) was not inferior to traditional pre-anesthesia consultation (PAC) for preoperative patient evaluation. Additionally, patients in the PATC group saved an average of 30 kilometers, 36 minutes, and 18 euros per patient.

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Letter Anesthesiology

Shoulder tip pain after cesarean delivery: A prospective questionnaire survey

Kei Ugata, Katsushi Doi, Noritaka Imamachi, Keita Matsumoto, Hiroyuki Kushizaki

ANAESTHESIA CRITICAL CARE & PAIN MEDICINE (2024)

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Article Anesthesiology

Distal subsartorial compartment block of the saphenous nerve- A dissection study and a patient case series

Anne E. Jensen, Siska Bjorn, Thomas D. Nielsen, Bernhard Moriggl, Romed Hoermann, Michael Vaeggemose, Thomas F. Bendtsen

Summary: The study demonstrates that a subsartorial compartment block targeting the saphenous nerve can provide efficient analgesia without impairing quadriceps motor function. Injecting the anesthesia distal to the intersection of the saphenous nerve and the tendon of the adductor magnus proves to be a successful method for pain management after foot and ankle surgery.

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Article Anesthesiology

The association between midazolam premedication and postoperative delirium - a retrospective cohort study

Shiri Zarour, Yotam Weiss, Yossef Kiselevich, Liat Iacubovici, Dana Karol, Ruth Shaylor, Tamara Davydov, Idit Matot, Barak Cohen

Summary: This study evaluated the association between midazolam premedication and postoperative delirium in a large retrospective cohort of patients aged 70 years or older. The results showed that midazolam premedication was not associated with an increased risk of postoperative delirium.

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Editorial Material Anesthesiology

Postoperative intrahospital monitoring: Transforming the danger zone

Corina Bello, Markus M. Luedi

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Editorial Material Anesthesiology

Enhanced Regional Anesthesia for pain management. (ERAPM)

Steve Coppens, Sari Casaer, Aaron Berg, Athmaja Thottungal

JOURNAL OF CLINICAL ANESTHESIA (2024)

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Article Anesthesiology

Effect of dexmedetomidine versus fentanyl on recovery responses to tracheal extubation in vitrectomy, randomized, controlled trial

Abeer A. M. Hassanin, Nagy S. Ali, Mohammed M. M. A. Elhiny

Summary: Our study compared the effects of fentanyl 1 mcg/kg IV and dexmedetomidine 0.5 mcg/kg IV as single bolus doses. Dexmedetomidine was found to stabilize IOP and hemodynamic responses to extubation, improve extubation quality, and shorten extubation times compared to fentanyl.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Can statins reduce mortality in critically ill COVID-19 patients? A retrospective cohort study

Heba A. Labib, Rania M. Ali, Ayman I. Tharwat

Summary: This study investigates the association between continuation of statin treatment and mortality, length of ICU stay, and need for mechanical ventilation in critically ill COVID-19 cases. The findings suggest that maintaining statin therapy in severely ill patients can reduce mortality and prolong ICU stay.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Hematological, Biochemical and Hemodynamic Changes during Operative Hysteroscopy using Consecutive Distension Media

Ahmed Mohamed Mandour, Abdelraheem Elawamy, Abdelraouf M. S. Abdelraouf, Ahmed Mohamed Elsonbaty, Mostafa Elsonbaty, Atef M. Darwish, Esam Abdalla, Zein . Z. Hassan, Mohamed Anwar

Summary: This study compared the effects of using saline 0.9% and glycine 1.5% as distension media in hysteroscopy. It was found that the group using saline 0.9% and glycine 1.5% had significantly higher blood pressure and heart rate postoperatively compared to the group using glycine 1.5% alone. However, they showed better results in terms of thoracic electrical bioimpedance parameters, blood biochemistry, and hospital stay. Therefore, the sequential use of saline 0.9% and glycine 1.5% can reduce the amount of absorbed glycine 1.5% and the related side effects and complications.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Comparison of ultrasound-based measures of inferior vena cava and internal jugular vein for prediction of hypotension during induction of general anesthesia

Dalia Khaled, Ismail Fathy, Yasser M. Elhalafawy, Dina Zakaria, Islam Rasmy

Summary: This study compared the effectiveness of ultrasonographic measurements of the inferior vena cava (IVC) and internal jugular vein (IJV) in predicting hypotension during general anesthesia (GA) induction. The results showed that the change rate of the IJV had a better predictive value for prolonged post-induction hypotension compared to any IVC measurement.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Effect of adding neostigmine to bupivacaine for ultrasound-guided supraclavicular brachial plexus block in forearm surgeries a randomized, blinded, controlled study

Abeer A. M. Hassanin, Ibrahim A. Youssef, Heba A. A. Mohamed, George A. Hanna

Summary: In this study, the effect of adding neostigmine to local anesthetic on supraclavicular brachial plexus block was investigated. The results showed that the neostigmine group had an earlier onset and longer duration of sensory and motor blockade, longer time to first analgesia, and lower VAS scores compared to the control group at 1, 2, 4, and 6 hours.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Impact of mode of anesthesia on ischemia modified albumin, operative conditions, and outcome in emergency craniotomies

Omyma Shehata Mohamed, Mohab Mohamad Darwish, Mahmoud Mohamed Mousa, Abd Elrahman Hassan Abd Elaziz, Ahmed Korani Mohamed

Summary: This study aimed to investigate the impact of different anesthetic techniques on operative condition and outcomes in emergency craniotomies, as well as their effect on the level of ischemia modified albumin (IMA). The results showed that the TIVA group (propofol + dexmedetomidine) had lower ICP, better brain relaxation, and shorter extubation time compared to the inhalational anesthesia group (isoflurane + fentanyl). The IMA level was also lower in the TIVA group, and there was a significant correlation between IMA level and GCS. Therefore, the use of TIVA anesthesia can lead to better surgical outcomes and lower IMA levels in emergency craniotomies.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Pre-emptive epinephrine nebulization prior to nasotracheal intubation for mandibular fracture fixation surgeries: Does it really differ? A randomised controlled clinical trial

Rehab Abdelfattah Abdelraziq, Sabah Nagiub Barsoom Ayoub, Hagar Mahmoud El-Sherief, Mohammed Sayed Shorbagy

Summary: This study aimed to investigate the use of epinephrine and lidocaine nebulization session before induction of anesthesia to prevent nasal bleeding and control intraoperative bleeding during nasotracheal intubation. The group receiving lidocaine and epinephrine nebulization had significantly shorter intubation time and lower incidence of nasal bleeding compared to the control group. Therefore, lidocaine and epinephrine nebulization session can be considered as an efficient method for prophylaxis against nasotracheal intubation induced epistaxis and controlling intraoperative bleeding and pain.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Influence of ultrasound-guided erector spinae plane block on post-operative pain and diaphragmatic dysfunction in obese patients undergoing repair of Epigastric Hernia

Asmaa Ragab Eid, Mona Blough El Mourad, Salah Eldeen Ibrahim Al Sherief, Shaimaa Waheed Zahra

Summary: Ultrasound-guided erector spine plane (ESP) block was found to effectively reduce postoperative pain, decrease analgesic dose, and maintain diaphragmatic excursion in obese cases undergoing repair of epigastric hernia. This was a prospective randomized-controlled double-blinded study with 50 participants. The results showed significant improvement in pain scores and decreased medication use in the ESP block group.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Dexmedetomidine sedation reduces the incidence of atrial fibrillation in mechanically ventilated patients with COVID-19 pneumonia: A randomized controlled trial

Ahmed Mohamed Fetouh, Motaz Amr Abu Sabaa, Ahmed Fekry Aboelezz, Amr Arafa Elbadry

Summary: In this study, it was tested whether dexmedetomidine could reduce the occurrence of atrial fibrillation (AF) in mechanically ventilated COVID-19 patients. The results showed that dexmedetomidine administration significantly reduced the number of AF attacks, the need for electrical cardioversion shocks, and the consumption of antiarrhythmic medication. However, dexmedetomidine did not impact the mortality rates of the patients.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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Article Anesthesiology

Dexmedetomidine versus fentanyl effect as adjuvants to bupivacaine on post spinal urinary retention in knee joint arthroscopic surgeries

Ghada M. El-Saeid, Mohsen A. Bassiouny, Toqa H. Al Sharabasy, Tamer N. Abdelrahman

Summary: This study aimed to evaluate the impact of intrathecally injected dexmedetomidine or fentanyl as adjuvants to bupivacaine in low dose spinal anesthesia for unilateral arthroscopic knee surgeries. The addition of dexmedetomidine decreased the incidence of post-operative urinary retention compared to fentanyl. There were no significant differences in the duration of sensory and motor blocks or time to micturition between the two groups.

EGYPTIAN JOURNAL OF ANAESTHESIA (2023)

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