SummaryUnplanned intensive care admission is a devastating complication of lung resection and is associated with significantly increased mortality. We carried out a two‐year retrospective national multicentre cohort study to investigate the influence of anaesthetic and analgesic technique on the need for unplanned postoperative intensive care admission. All patients undergoing lung resection surgery in 16 thoracic surgical centres in the UK in the calendar years 2013 and 2014 were included....
Mon Apr 08, 2019 21:38
Mon Apr 08, 2019 21:13
Mon Apr 08, 2019 21:09
SummaryAnaemia is associated with a reduction in quality of life, and is common in patients with colorectal cancer . We recently reported the findings of the intravenous iron in colorectal cancer‐associated anaemia (IVICA) trial comparing haemoglobin levels and transfusion requirements following intravenous or oral iron replacement in anaemic colorectal cancer patients undergoing elective surgery. In this follow‐up study, we compared the efficacy of intravenous and oral iron at improving...
Mon Apr 08, 2019 20:28
Mon Apr 08, 2019 20:18
SummaryWe assessed the impact of raising the upper section of the bed, and patient positioning, on ultrasound assessment of gastric fluid contents. We performed ultrasound examinations in 25 subjects lying on their back, left and right sides at bed angles of 0°, 30°, 45° and 90°; this was carried out while the subjects were fasted, and repeated 10 min after drinking ≥ 50 ml water. After drinking, gastric contents were detected more frequently in the 45° semirecumbent position compared with...
Mon Apr 08, 2019 20:08
SummaryGuidelines are presented for the organisational and clinical management of anaesthesia for day‐case surgery in adults and children. The advice presented is based on previously published recommendations, clinical studies and expert opinion.
Mon Apr 08, 2019 16:00
Mon Apr 08, 2019 12:35
Mon Apr 08, 2019 12:35
Mon Apr 08, 2019 12:35
Mon Apr 08, 2019 12:35
Mon Apr 08, 2019 12:35
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Mon Apr 08, 2019 12:35
SummarySurgery is the primary therapeutic intervention for breast cancer and can result in significant postoperative pain. We searched the current literature and performed a meta‐analysis in order to compare the analgesic efficacy of the pectoral type‐2 (Pecs II) block with systemic analgesia alone and with a thoracic paravertebral block for breast cancer surgery. Primary outcome was postoperative opioid consumption in the first 24 h after surgery. Secondary outcomes were pain scores at 0,...
Mon Apr 08, 2019 12:35
Allan M Klompas, Robert C Albright, Simon Maltais, Onur DemirciAnnals of Cardiac Anaesthesia 2019 22(2):204-206 Heparin-induced thrombocytopenia type II is a rare but devastating complication of heparin exposure. We review a case of a 66-year-old female who underwent aortic valve surgery requiring venoarterial extracorporeal membranous oxygenation (ECMO) support postoperatively. She subsequently developed acute renal failure due to bilateral renal vein thromboses and thrombocytopenia and was...
Tue Apr 09, 2019 00:00
Abhijit S NairAnnals of Cardiac Anaesthesia 2019 22(2):233-233
Tue Apr 09, 2019 00:00
Bruna Galvão de Wafae, Rose Mary Ferreira da Silva, Henrique Horta VelosoAnnals of Cardiac Anaesthesia 2019 22(2):113-121 Direct current cardioversion is a low-risk and standard procedure to restore normal sinus rhythm in patients with tachyarrhythmias. It requires sedation to facilitate the procedure, as it is painful and distressful. The preferred anesthetic drug must be short acting, producing conscious sedation, to enable rapid recovery after the procedure. In this sense, this narrative review...
Tue Apr 09, 2019 00:00
Vishnu Datt, Priyanka Khurana, Saket Aggarwal, Smita Mishra, CN Sujith, Sanjula VirmaniAnnals of Cardiac Anaesthesia 2019 22(2):215-220 Double-orifice mitral valve (DOMV) is an unusual congenital anomaly characterized by a mitral valve with a single fibrous annulus with two orifices or rarely two orifices with two separate mitral annuli opening into the left ventricle. We present a first report of a patient with a DOMV with supramitral ring (SMR), subaortic membrane (SAM), a large ventricular...
Tue Apr 09, 2019 00:00
Francesca Nespoli, Simone Redaelli, Laura Ruggeri, Francesca Fumagalli, Davide Olivari, Giuseppe RistagnoAnnals of Cardiac Anaesthesia 2019 22(2):122-135 The noble gas argon (Ar) is a "biologically" active element and has been extensively studied preclinically for its organ protection properties. This work reviews all preclinical studies employing Ar and describes the clinical uses reported in literature, analyzing 55 pertinent articles found by means of a search on PubMed and Embase. Ventilation...
Tue Apr 09, 2019 00:00
Suresh G NairAnnals of Cardiac Anaesthesia 2019 22(2):111-112
Tue Apr 09, 2019 00:00
Mai Mohsen Abdelazziz, Hadil Magdi AbdelhamidAnnals of Cardiac Anaesthesia 2019 22(2):136-142 Introduction: Milrinone at inotropic doses requires the addition of a vasoconstrictive drug. We hypothesized that terlipressin use could selectively recover the systemic vascular hypotension induced by milrinone without increasing the pulmonary vascular resistance (PVR) and mean pulmonary artery pressure (MPAP) as norepinephrine in cardiac surgery patients. Patients and Methods: Patients with pulmonary...
Tue Apr 09, 2019 00:00
Julie D Dunlap, Morton C Green, Aali M Shah, Brandon T Kibby, Deborah F BillmireAnnals of Cardiac Anaesthesia 2019 22(2):210-212 A 2-month-old male infant presented for elective repair of inguinal hernias. His preoperative medical history and physical examination were unremarkable. During induction of anesthesia, the infant sustained an adverse cardiac event. The event was characterized by tachycardia, hypotension, and massive ST-segment elevation. Despite vigorous resuscitation, spontaneous...
Tue Apr 09, 2019 00:00
Jamileh Ramazani, Mohammad HosseiniAnnals of Cardiac Anaesthesia 2019 22(2):143-148 Context: The Glasgow Coma Scale (GCS) is the most commonly used scale, and Full Outline of Unresponsiveness (FOUR) score is new validated coma scale as an alternative to GCS in the evaluation of the level of consciousness. Aim: The aim of the current study was to evaluate FOUR score and GCS ability in predicting the outcomes (Survivors, nonsurvivors) in Medical Intensive Care Unit (MICU). Setting and Design: This...
Tue Apr 09, 2019 00:00
Theodoros Kratimenos, Vasileios Patris, Nikolaos G Baikoussis, Dimitrios Tomais, Ilias Samiotis, Michalis ArgiriouAnnals of Cardiac Anaesthesia 2019 22(2):225-228 We present a case with aortic rupture during an operation of thoracic endovascular aortic repair of an anastomotic pseudoaneurysm. This happened after the use of a low-pressure remodeling balloon inside the covered part of the deployed endografts. It was successfully treated with a second more centrally in the aortic arch-implanted...
Tue Apr 09, 2019 00:00
Jayantee Kalita, Usha K MisraAnnals of Cardiac Anaesthesia 2019 22(2):149-150
Tue Apr 09, 2019 00:00
Satyen Parida, Pranit Patil, Prasanna Udupi Bidkar, Sakthirajan Panneerselvam, MV S SatyaprakashAnnals of Cardiac Anaesthesia 2019 22(2):235-236
Tue Apr 09, 2019 00:00
Rabie Soliman, Hussein NofalAnnals of Cardiac Anaesthesia 2019 22(2):151-157 Objective: The aim of the present study was to evaluate the perioperative effect of magnesium infusion on blood sugar level in patients with diabetes mellitus undergoing cardiac surgery. Design: This was a double-blind randomized study. Setting: The study was conducted at cardiac center. Patients: The study included 122 adult patients. Intervention: Group M – The patients received a continuous infusion of magnesium sulfate...
Tue Apr 09, 2019 00:00
Jahan Porhomayon, Leili Pourafkari, Ata Mahmoodpoor, Nader D NaderAnnals of Cardiac Anaesthesia 2019 22(2):199-203 Background: Electronic monitoring of physiologic variables has gained widespread support over the past decade for critical patients in the intensive care setting. Specifically, anesthesiologists have increased the emphasis and practice of hemodynamic control through monitoring cardiac output (CO). However, these physicians are presented with several options in terms of how they wish...
Tue Apr 09, 2019 00:00
Dilek Ceyhan, Cengiz OvaliAnnals of Cardiac Anaesthesia 2019 22(2):158-161 Background: During carotid arterial endarterectomy (CAE) surgery, an intraluminal shunt is used to prevent hypoperfusion, which can be caused by a cross-clamping cerebral ischemia. However, routine shunt use is not recommended. Various cerebral monitoring techniques are used to determine the need for shunt placement. In this study, retrospective analysis of data on the efficacy of cerebral oximetry in the decision of shunt...
Tue Apr 09, 2019 00:00
Angel L Fernández, Aurora Baluja, Zaid Al-Hamwy, Julian AlvarezAnnals of Cardiac Anaesthesia 2019 22(2):207-209 We report a series of seven patients with Gilbert's syndrome undergoing cardiac surgery. Early and transient increase of total, direct, and indirect bilirubin without other complications was observed. Although this is a benign process, we believe that this disease should be routinely included in the differential diagnosis of postoperative jaundice after cardiopulmonary bypass.
Tue Apr 09, 2019 00:00
Aanchal Dixit, Gauranga Majumdar, Prabhat TewariAnnals of Cardiac Anaesthesia 2019 22(2):162-168 Introduction: Potassium is the most abundant cation in intracellular compartment. A deficiency or excess of its serum concentration can be deleterious to the one suffering from a cardiac ailment. Post cardiac surgery patients are often on multiple drugs like angiotensin receptor blockers (ARBs), angiotensin converting enzyme inhibitors (ACEI), diuretics including potassium sparing diuretics which...
Tue Apr 09, 2019 00:00
Ajita Suhrid AnnachhatreAnnals of Cardiac Anaesthesia 2019 22(2):213-214
Tue Apr 09, 2019 00:00
Yufan Chen, Zihui Tan, Shitalkumar S Shah, Kenny W T LohAnnals of Cardiac Anaesthesia 2019 22(2):169-176 Background: Anesthesia for pulmonary endarterectomy (PEA) has always been one of the challenges of anesthesia. As one of the leading cardiothoracic institutions in Southeast Asia, our hospital has vast interest in this subject. A local multidisciplinary team was deployed to an expert center in the United Kingdom (UK), and the experience was then integrated to the care of our patients. We present...
Tue Apr 09, 2019 00:00
Sternal osteomyelitis by Gordonia Bronchialis in an immunocompetent patient after open heart surgery
Paurush Ambesh, Aditya Kapoor, Danish H Kazmi, Moustafa Elsheshtawy, Vijay Shetty, Yu S Lin, Stephan KamholzAnnals of Cardiac Anaesthesia 2019 22(2):221-224 Gordonia is a catalase-positive, aerobic, nocardioform, Gram-positive staining actinomycete that also shows weak acid-fast staining. Several Gordonia species are commonly found in the soil. The bacterium has been isolated from the saliva of domesticated/wild dogs as well. In hospitalized patients, most commonly it is found in the setting...
Tue Apr 09, 2019 00:00
Prajakta D Shinde, Amish Jasapara, Kishan Bansode, Rohit Bunage, Anvay Mulay, Vijay L ShettyAnnals of Cardiac Anaesthesia 2019 22(2):177-186 Background: Ultrasound (US)-guided internal jugular vein (IJV) cannulation is a widely accepted standard procedure. The axillary vein (AV) in comparison to the subclavian vein is easily visualized, but its cannulation is not extensively studied in cardiac patients. Aims: This study is an attempt to study the efficacy of real-time US-guided axillary venous...
Tue Apr 09, 2019 00:00
Bishav Mohan, Palavi Garg, Ruhani Bali, Rajesh Arya, Rohit Tandon, Abhishek Goyal, Bhupinder Singh, Shibba Takkar Chhabra, Naved Aslam, Gurpreet S WanderAnnals of Cardiac Anaesthesia 2019 22(2):229-232 Perioperative complications of prolonged surgery and prone positioning are well known. Changing the position from prone to supine in an anesthetized patient can result in aspiration and airway obstruction. The drop-in oxygen saturation and hemodynamic changes are warning signs and can cause acute...
Tue Apr 09, 2019 00:00
Akhil Gurram, Neethu Krishna, Anu Vasudevan, Luis Alberto Baquero, Aveek Jayant, Praveen Kerala VarmaAnnals of Cardiac Anaesthesia 2019 22(2):187-193 Background: The female gender is considered as a risk factor for morbidity and mortality after coronary artery bypass grafting (CABG). Aim: In this analysis, we assessed the impact of female gender on early outcome after CABG. Study Design: This is a retrospective analysis of data from our center situated in South India. Statistical Analysis: Patients...
Tue Apr 09, 2019 00:00
Brenda Saboi Lupindula Nachiyunde, Louisa LamAnnals of Cardiac Anaesthesia 2019 22(2):234-234
Tue Apr 09, 2019 00:00
S Nanditha, Vishwas Malik, Suruchi Hasija, Poonam Malhotra, V Sreenivas, Sandeep ChauhanAnnals of Cardiac Anaesthesia 2019 22(2):194-198 Introduction: Intraoperative trans-esophageal echocardiography (TEE) has been found to underestimate severity of aortic stenosis (AS) compared to trans-thoracic echo (TTE). We conducted a prospective study comparing pre induction TTE and intra operative TEE grading of AS in patients posted for aortic valve replacement surgeries. Methods: Sixty patients with...
Tue Apr 09, 2019 00:00
Talib Khan, Shaista Yaqoob Mir, Shaqul Qamar WaniAnnals of Cardiac Anaesthesia 2019 22(2):236-238
Tue Apr 09, 2019 00:00
Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from the German perspective, the cost-effectiveness of ultrasound guidance is ...
Tue Apr 09, 2019 03:00
Underbody blankets have recently been launched and are used by anesthesiologists for surgical patients. However, the forced-air warming effect of underbody blankets is still controversial. The aim of this stud...
Tue Apr 09, 2019 03:00
Although several anesthesia procedures have been explored for orthopedic surgery, the complications of anesthesia remain not well resolved. This study aimed to explore the influence of different anesthesia met...
Tue Apr 09, 2019 03:00
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