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Evaluating the accuracy of ChatGPT-4 in predicting ASA scores: A prospective multicentric study ChatGPT-4 in ASA score prediction J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-23 Engin İhsan Turan, Abdurrahman Engin Baydemir, Funda Gümüş Özcan, Ayça Sultan Şahin
This study investigates the potential of ChatGPT-4, developed by OpenAI, in enhancing medical decision-making processes, particularly in preoperative assessments using the American Society of Anesthesiologists (ASA) scoring system. The ASA score, a critical tool in evaluating patients' health status and anesthesia risks before surgery, categorizes patients from I to VI based on their overall health
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PII: S0952-8180(24)00100-4 J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-18 Thomas E. Schulte MD, Chinyere A. Archie MBBS, D. Matthew Sherrer MD MBA FAACD, Andrew D. Franklin MD MBA FAACD FASA, Mitchell H. Tsai MD MMM FASA FAACD
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Use of herbal medication in the perioperative period: Potential adverse drug interactions J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-12 Ofelia Loani Elvir Lazo MD, Paul F. White PhD MD, Carol Lee DAOM L.Ac, Hillenn Cruz Eng MD, Jenna M. Matin MD, Cory Lin MD, Franklin Del Cid MD, Roya Yumul MD PhD CHSE
Use of herbal medications and supplements has experienced immense growth over the last two decades, with retail sales in the USA exceeding $13 billion in 2021. Since the Dietary Supplement Health and Education Act (DSHEA) of 1994 reduced FDA oversight, these products have become less regulated. Data from 2012 shows 18% of U.S. adults used non-vitamin, non-mineral natural products. Prevalence varies
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Peripheral perfusion index stratifies risk in patients with intraoperative anemia: A multicentre cohort study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-12 Frederik F. Lau, Marianne Agerskov, Anna N.W. Thusholdt, Jakob Højlund, Christian S. Meyhoff, Øivind Jans, Nicolai B. Foss
Evidence for red blood cell (RBC) transfusion thresholds in the intraoperative setting is limited, and current perioperative recommendations may not correspond with individual intraoperative physiological demands. Hemodynamics relevant for the decision to transfuse may include peripheral perfusion index (PPI). The objective of this prospective study was to assess the associations of PPI and hemoglobin
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The efficacy and safety of ciprofol and propofol in patients undergoing colonoscopy: A double-blind, randomized, controlled trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-11 Shi-Hui Gao, Qian-Qian Tang, Chang-Ming Wang, Zhan-Ying Guan, Ling-Ling Wang, Jing Zhang, Zeng-Long Yan
Propofol is a commonly utilized anesthetic for painless colonoscopy, but its usage is occasionally limited due to its potential side effects, including cardiopulmonary suppression and injection pain. To address this limitation, the novel compound ciprofol has been proposed as a possible alternative for propofol. This study sought to determine whether there are any differences in the safety and efficacy
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Comparative evaluation of nebulized versus intravenous dexmedetomidine on intubating conditions during awake fiberoptic nasotracheal intubation J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-11 Anju Romina Bhalotra, Mona Arya, Rahil Singh, Shweta Dhiman
There is a search for an ideal agent to facilitate awake fiberoptic intubation (AFOI). Dexmedetomidine is a selective α2 agonist which can be administered through intravenous, intramuscular, buccal, intranasal & inhalational routes. It provides good intubation conditions without oxygen desaturation but may cause hypotension and bradycardia when administered intravenously. Hence, alternative routes
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Blood bupivacaine concentrations after pecto-serratus and serratus anterior plane injections of plain and liposomal bupivacaine in robotically-assisted mitral valve surgery: Sub-study of a randomized trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-10 Andrej Alfirevic MD FASE, Federico Almonacid-Cardenas MD, Esra Kutlu Yalcin MD, Karan Shah MS, Marta Kelava MD MS, Daniel I. Sessler MD, Alparslan Turan MD
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Evaluation of neuraxial analgesia on outcomes for patients undergoing robot assisted abdominal surgery J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-09 P. Greig, A. Sotiriou, P. Kailainathan, C.Y.M. Carvalho, D.N. Onwochei, N. Thurley, N. Desai
Following robot assisted abdominal surgery, the pain can be moderate in severity. Neuraxial analgesia may decrease the activity of the detrusor muscle, reduce the incidence of bladder spasm and provide effective somatic and visceral analgesia. In this systematic review, we assessed the role of neuraxial analgesia in robot assisted abdominal surgery. Systematic review. Robot assisted abdominal surgery
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Processed electroencephalography-guided general anesthesia and norepinephrine requirements: A randomized trial in patients having vascular surgery J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-09 Kristen K. Thomsen M.D., Daniel I. Sessler M.D., Linda Krause PhD, Phillip Hoppe M.D., Benjamin Opitz M.D., Till Kessler M.D., Viorel Chindris M.D., Alina Bergholz M.D., Moritz Flick M.D., Karim Kouz M.D., Christian Zöllner M.D., Leonie Schulte-Uentrop M.D., Bernd Saugel M.D.
Processed electroencephalography (pEEG) may help clinicians optimize depth of general anesthesia. Avoiding excessive depth of anesthesia may reduce intraoperative hypotension and the need for vasopressors. We tested the hypothesis that pEEG-guided – compared to non-pEEG-guided – general anesthesia reduces the amount of norepinephrine needed to keep intraoperative mean arterial pressure above 65 mmHg
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Association of preoperative coronavirus disease 2019 with mortality, respiratory morbidity and extrapulmonary complications after elective, noncardiac surgery: An observational cohort study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-08 Yi-Heng Liu (M.D.), Chenghong Hu (Undergraduate), Xia-Min Yang (M.D.), Yu Zhang (M.D.), Yan-Ling Cao (M.D.), Fan Xiao (M.D.), Jun-Jie Zhang (M.D.), Li-Qing Ma (M.D.), Zi-Wen Zhou (M.D.), Si-Yu Hou (M.D.), E Wang (M.D. Ph.D.), Andreas W. Loepke (M.D. Ph.D.), Meng Deng (M.D. Ph.D.)
To assess the impact of preoperative infection with the contemporary strain of severe acute respiratory coronavirus 2 (SARS-CoV-2) on postoperative mortality, respiratory morbidity and extrapulmonary complications after elective, noncardiac surgery. An ambidirectional observational cohort study. A tertiary and teaching hospital in Shanghai, China. All adult patients (≥ 18 years of age) who underwent
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Nasal cannula and face mask gas flow rates when connecting to the Y-piece of the anesthesia circuit J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-08 Alejandra Silva-De Las Salas M.D., Richard H. Epstein M.D. FASA
To determine the relationship between the delivered gas flows via nasal cannulas and face masks and the set gas flow and the breathing circuit pressure when connecting to the Y-adapter of the anesthesia breathing circuit and using the oxygen blender on the anesthesia machine, relevant to surgery when there is concern for causing a fire. The flow rates that are delivered at various flow rates and circuit
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One-lung ventilation with fixed and variable tidal volumes on oxygenation and pulmonary outcomes: A randomized trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-06 Katalin Szamos MD, Boglárka Balla MD, Balázs Pálóczi MD, Attila Enyedi MD PhD, Daniel I. Sessler MD, Béla Fülesdi MD PhD DSc, Tamás Végh MD PhD
Test the hypothesis that one-lung ventilation with variable tidal volume improves intraoperative oxygenation and reduces postoperative pulmonary complications after lung resection. Constant tidal volume and respiratory rate ventilation can lead to atelectasis. Animal and human ARDS studies indicate that oxygenation improves with variable tidal volumes. Since one-lung ventilation shares characteristics
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Comparative effects of variable versus conventional volume-controlled one-lung ventilation on gas exchange and respiratory system mechanics in thoracic surgery patients: A randomized controlled clinical trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-06 Jakob Wittenstein, Robert Huhle, Anne-Kathrin Mutschke, Sarah Piorko, Tim Kramer, Laurin Dorfinger, Franz Tempel, Maxim Jäger, Michael Schweigert, René Mauer, Thea Koch, Torsten Richter, Martin Scharffenberg, Marcelo Gama de Abreu
Mechanical ventilation with variable tidal volumes (V-VCV) has the potential to improve lung function during general anesthesia. We tested the hypothesis that V-VCV compared to conventional volume-controlled ventilation (C-VCV) would improve intraoperative arterial oxygenation and respiratory system mechanics in patients undergoing thoracic surgery under one-lung ventilation (OLV). Patients were randomized
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Biomarkers of acute kidney injury: From discovery to the future of clinical practice J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-05 Christian Strauß, Hendrik Booke, Lui Forni, Alexander Zarbock
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Effect of postoperative intermittent boluses of subcostal quadratus lumborum block on pulmonary function recovery and analgesia after gastrectomy: a randomized controlled clinical trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-05 Wei Li, Xiaolu Sun, Zhen Hua, Tao Yu, Xianglong Cao, Peng Liu, Jing Chen, Jie Bao, Hongye Zhang, Zongyang Qu
Following the gastrectomy, the reduction in pulmonary function is partly attributed to postoperative pain. Subcostal quadratus lumborum block (QLB) has recently emerged as a promising component in multimodal analgesia. We aimed to assess the impact of intermittent boluses of subcostal QLB on pulmonary function recovery and analgesic efficacy after gastrectomy. Sixty patients scheduled for gastrectomy
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The effectiveness of ambulatory continuous popliteal sciatic nerve blockade on patient-reported overall benefit of analgesia in patients undergoing foot or ankle surgery (CAREFREE trial); a randomized, open label, non-inferiority trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-03 Manouk Admiraal, Pascal S.H. Smulders, Martin V.H. Rutten, Eelko K. de Groot, Yvonne Heine, Holger M. Baumann, Vincent H.C. van der Vegt, Jens A. Halm, Henning Hermanns, Tim Schepers, Markus W. Hollmann, Jeroen Hermanides, Werner ten Hoope
Management of pain after foot and ankle surgery remains a concern for patients and healthcare professionals. This study determined the effectiveness of ambulatory continuous popliteal sciatic nerve blockade, compared to standard of care, on overall benefit of analgesia score (OBAS) in patients undergoing foot or ankle surgery. We hypothesized that usage of ambulatory continuous popliteal sciatic nerve
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In response to “Counting episodes of poor-quality faculty anesthesiologists’ supervision and anesthesia residents' work habits among reported vignettes of insufficient professionalism” J. Clin. Anesth. (IF 6.7) Pub Date : 2024-04-03 Fei Chen PhD, Susan M. Martinelli MD
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Rethinking postoperative nausea and vomiting prevention beyond perioperative medications J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-29 María C. Niño MD, Sofía Calle MD, Diego Ruiz MD, María A. Barón MD, Darwin Cohen MD, Jesús E. Martínez MD, Daniel S. Benítez MD, Juan A. Mejía MD, José D. Guerra MD, Laura Kattah MD
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General anesthesia is not associated with dementia in older adults with osteoarthritis for hip/knee replacements, a national population-based nested case-control study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-27 Yuting Lin, Chun-Chia Chen, Chen Dong, Yu-Ze Luan, Jing-Yang Huang, James Cheng-Chung Wei, Jeng-Yuan Chiou
Dementia is a prevalent neurological condition, yet the relationship between dementia and general anesthesia remains uncertain. The study aimed to explore the association between general anesthesia and dementia using a nationwide population-based database. The study extracted data from Taiwan's national health insurance, which encompassed the records of one million insured residents. A total of 59
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Efficacy of bilateral catheter superficial parasternal intercostal plane blocks using programmed intermittent bolus for opioid-sparing postoperative analgesia in cardiac surgery with sternotomy: A randomized, double-blind, placebo-controlled trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-26 Qi Li, Yi Liao, Xiaoe Wang, Mingying Zhan, Li Xiao, Yu Chen
This study investigated whether catheter superficial parasternal intercostal plane (SPIP) blocks, using a programmed intermittent bolus (PIB) with ropivacaine, could reduce opioid consumption while delivering enhanced analgesia for a period exceeding 48 h following cardiac surgery involving sternotomy. A double-blind, prospective, randomized, placebo-controlled trial. University-affiliated tertiary
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Counting episodes of poor-quality faculty anesthesiologists' supervision and anesthesia residents' work habits among reported vignettes of insufficient professionalism J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-25 Franklin Dexter MD PhD FASA, Bradley J. Hindman MD
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Quadratus lumborum block vs. transversus abdominis plane block for postoperative pain control in patients with nephrectomy: A systematic review and network meta-analysis J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-25 Tianyu Gao, Yigang Wang, Yuxin Zheng, Yonghao Yu, Qing Li, Linlin Zhang
This systematic review and network meta-analysis aimed to compare the analgesic efficacy of transversus abdominis plane block (TAPB) and quadratus lumborum block (QLB) on nephrectomy. Systematic review and network meta-analysis. Patients undergoing nephrectomy. TAPB and QLB for postoperative analgesia. The primary outcome was 24 h morphine-equivalent consumptions after surgery. Secondary outcomes included
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Effects of esketamine on postoperative negative emotions and early cognitive disorders in patients undergoing non-cardiac thoracic surgery: A randomized controlled trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-23 Tianyuan Luo, Zhimin Deng, Qiyang Ren, Fangfang Mu, You Zhang, Haiying Wang
To investigate whether a single dosage of esketamine injection in the anesthesia period could improve postoperative negative emotions and early cognitive function in patients undergoing non-cardiac thoracic surgery. A prospective single center double blinded randomized placebo-controlled trial. Perioperative period; operating room, post anesthesia care unit and hospital ward. 129 adult patients that
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Corrigendum to “Post-operative urinary retention is impacted by neuromuscular block reversal agent choice: A retrospective cohort study in US hospital setting” [Journal of Clinical Anesthesia Volume 93 (2024) 111344] J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-19 Lori D. Bash, Vladimir Turzhitsky, Robert J. Mark, Ira S. Hofer, Toby N. Weingarten
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Patients with Suicidal Ideation for Outpatient Surgery at Freestanding Ambulatory Surgery Centers: How Do We Decide to Proceed or to Postpone? J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-19 Ryan Nierstedt, Kseniya Yershova, Joanna Serafin, Kara M. Barnett
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Fospropofol disodium versus propofol for long-term sedation during invasive mechanical ventilation: A pilot randomized clinical trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-16 Xuehui Gao, Xiaobo Yang, Yun Tang, Xiangzhi Fang, Yin Yuan, Hong Qi, Ruiting Li, Huaqing Shu, Xiaojing Zou, You Shang
Fospropofol disodium is a propofol prodrug that is water-soluble and has a reduced risk of bacterial contamination and hypertriglyceridemia compared with propofol. Prior to implementing a large randomized trial, we investigated the feasibility, initial efficacy, and safety of fospropofol disodium compared with propofol in long-term mild-to-moderate sedation in intensive care units (ICUs). Single-centered
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Letter to the editor regarding “Incidence, severity and detection of blood pressure and heart rate perturbations in postoperative ward patients after noncardiac surgery” J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-15 Cameron I. Wells, William Xu, Chris Varghese, Catherine Sayer, Doug Campbell, Martin Misur, Ian P. Bissett, Greg O'Grady
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Reply for Comment on: Vitamin C and catheter-related bladder discomfort after transurethral resection of bladder tumor J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-15 Jun-Young Park MD PhD, Jihion Yu MD PhD, Chan-Sik Kim MD, Young-Kug Kim MD PhD
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Comparisons in analgesic effects between ultrasound-guided erector spinae plane block and surgical intercostal nerve block after video-assisted thoracoscopic surgery: A randomized controlled trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-14 Chun-Sung Sung, Tzu-Jung Wei, Jung-Jyh Hung, Fu-Wei Su, Shih-I Ho, Mong-Wei Lin, Kuang-Cheng Chan, Chun-Yu Wu
This study aimed to compare the analgesic effects of anesthesiologist-administrated erector spinae plane block (ESPB) and surgeon-administrated intercostal nerve block (ICNB) following video-assisted thoracoscopic surgery (VATS). Randomized, controlled, double-blinded study. Operating room, postoperative recovery room and ward in two centers. One hundred patients, ASA I-III and scheduled for elective
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Perioperative pain management with regional analgesia techniques for visceral cancer surgery: A systematic review and meta-analysis J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-14 Alexander Schnabel (MD), Vivian A. Carstensen (Research Fellow), Katharina Lohmöller (Research Fellow), Tim O. Vilz (MD), Maria A. Willis (MD), Stephanie Weibel (Research Fellow), Stephan M. Freys (MD), Esther M. Pogatzki-Zahn (MD)
Regional analgesia following visceral cancer surgery might provide an advantage but evidence for best treatment options related to risk-benefit is unclear. Systematic review of randomized controlled trials (RCT) with meta-analysis and GRADE assessment. Postoperative pain treatment. Adult patients undergoing visceral cancer surgery. Any kind of peripheral (PRA) or epidural analgesia (EA) with/without
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A nurse-driven penicillin allergy risk score in the preoperative setting was associated with increased cefazolin use perioperatively J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-13 Michael W. Tsoulis (MD), Karen S. Hsu Blatman (MD), Vinca W. Chow (MD), Kathleen O. Stewart (MPH), Rebecca Wang (MD), Erin L. Reigh (MD)
To characterize and assess the effects of a preoperative, nurse-driven penicillin allergy risk stratification tool on rates of perioperative cefazolin and second-line antibiotic use. Quasi-experimental quality improvement study of penicillin-allergic surgical patients undergoing procedures for which cefazolin is indicated. Outpatient Perioperative Care Clinic (PCC) for preoperative surgical patients
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Postoperative haemoglobin and anaemia-associated ischaemic events after major noncardiac surgery: A sex-stratified cohort study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-11 Bing-Cheng Zhao, Yi-Shan Xie, Wen-Chi Luo, Shao-Hui Lei, Jia-Ming Liu, Xiao Yang, Ye-Hong Dong, Wei-Feng Liu, Ke-Xuan Liu
To determine the sex-specific associations between postoperative haemoglobin and mortality or complications reflecting ischaemia or inadequate oxygen supply after major noncardiac surgery. A retrospective cohort study with prospective validation. A large university hospital health system in China. Men and women undergoing elective major noncardiac surgery. The primary exposure was nadir haemoglobin
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Can we give cefazolin to patients with penicillin allergy label? J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-10 Daniel J. Yo MD, Richard D. Urman MD, Marc Philip T. Pimentel MD
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Comparison of volume-controlled ventilation, pressure-controlled ventilation and pressure-controlled ventilation-volume guaranteed in infants and young children in the prone position: A prospective randomized study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-08 Chunying Bao, Hongmin Cao, Zhipeng Shen, Yaoqin Hu, Jinjin Huang, Qiang Shu, Qixing Chen
To explore if the pressure-controlled ventilation (PCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) modes are superior to volume-controlled ventilation (VCV) in optimizing intraoperative respiratory mechanics in infants and young children in the prone position. A single-center prospective randomized study. Children's Hospital, Zhejiang University School of Medicine. Pediatric patients
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Unprofessionalism in anesthesiology: A qualitative study on classifying unprofessional behavior in anesthesiology residency education J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-08 Fei Chen, Samuel T. Belgique, Courtney Canter, Christy K. Boscardin, Chelsea Willie, John D. Mitchell, Kristina Sullivan, Susan M. Martinelli
This study aims to identify the domains that constitute behaviors perceived to be unprofessional in anesthesiology residency training programs. Qualitative study. Anesthesiology residency training programs. Not applicable. The participants involved residents, fellows, and faculty members purposefully sampled in four US-based anesthesiology residency programs. Participants were asked to submit examples
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Acidosis and aspiration: Popular diabetes medications and the risks they pose in the perioperative period J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-08 Marissa M. Weber MD, Ryan K. Price MD, Patricia F. Mack MD
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Effect of a non-reactive absorbent with or without environmentally oriented electronic feedback on anesthesia provider's fresh gas flow rates: A greening initiative J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-07 Carlos E. Guerra-Londono, Franklin Dexter, John D. Mitchell, Patrick B. Forrest, Donald H. Penning
To examine the effects of a non-reactive carbon dioxide absorbent (AMSORB® Plus) versus a traditional carbon dioxide absorbent (Medisorb™) on the FGF used by anesthesia providers and an electronic educational feedback intervention using Carestation™ Insights (GE HealthCare) on provider-specific change in FGF. Prospective, single-center cohort study set in a greening initiative. Operating room. 157
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Flurbiprofen in the subglottic space to prevent postoperative sore throat after cardiac surgery: A randomized double-blind study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-03-01 Maria Calabrese, Gabriella Arlotta, Maria Enrica Antoniucci, Luca Montini, Diana Giannarelli, Temistocle Taccheri, Filippo Corsi, Stefano De Paulis, Andrea Scapigliati, Francesca Bevilacqua, Joel Vargas, Michele Corrado, Natalia Pavone, Piergiorgio Bruno, Massimo Massetti, Franco Cavaliere
Postoperative sore throat (POST) and hoarseness are common complications of tracheal intubation. This study aims to evaluate the efficacy of flurbiprofen administered through the subglottic port of tracheal tubes to prevent POST after cardiac surgery. Single-center, prospective, randomized, double-blind, placebo-controlled trial. Tertiary Care Referral University Hospital (Fondazione Policlinico Universitario
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Enhancing perioperative care through decontextualized simulation: A game-changer for non-technical skills training J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-28 Paul Abraham, Nadège Dubois, Thomas Rimmelé, Marc Lilot, Baptiste Balança
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Perioperative management of penicillin allergy – the essential partnership between physicians and patients in advancing antibiotic stewardship J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-28 Misha Huang MD, Obianuju Okocha MD, Angela Selzer MD
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Efficacy and safety of Ciprofol compared with Propofol during general anesthesia induction: A systematic review and meta-analysis of randomized controlled trials (RCT) J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-26 Syed Muhammad Muneeb Akhtar, Areeba Fareed, Mirha Ali, Muhammad Sohaib Khan, Abraish Ali, Munazza Mumtaz, Robert Kirchoff, Muhammad Sohaib Asghar
Ciprofol, a newer entrant with similarities to propofol, has shown promise with a potentially improved safety profile, making it an attractive alternative for induction of general anesthesia. This meta-analysis aimed to assess the safety and efficacy of ciprofol compared with propofol during general anesthesia induction. A comprehensive literature search was conducted using PubMed, Clinical , and Cochrane
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Letter to the editor regarding “Effects of S-ketamine added to patient-controlled analgesia on early postoperative pain and recovery in patients undergoing thoracoscopic lung surgery: A randomized double-blinded controlled trial” J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-24 Fu-Shan Xue MD, Yi Cheng MD, Yu-Jing Yuan MD
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Efficacy and safety of ketamine as an adjuvant to regional anesthesia: A systematic review and meta-analysis of randomized controlled trials J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-23 Jiajia Xiang, Chunyan Cao, Jiayu Chen, Fanyi Kong, Sunqi Nian, Zhigui Li, Na Li
To identify whether adding ketamine to the local anesthetics (LA) in the regional anesthesia could prolong the duration of analgesia. A Systematic review and meta-analysis of randomized controlled trials. The major dates were obtained in the operating room and the postoperative recovery ward. A total of 1011 patients at ASA physical status I and II were included in the analysis. Procedure performed
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Relationship between perioperative anaphylaxis and history of allergies or allergic diseases: A systematic review and meta-analysis with meta-regression J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-22 Panpan Zhang M.D., Yantong Wan M.D. Ph.D, Hao Li M.D. Ph.D, Xuemei Lin M.D.Ph.D
We conducted this meta-analysis to summarize the available evidence and evaluate the relationship between a history of allergies/allergic diseases and perioperative anaphylaxis to offer preventive decision support. Systematic review and meta-analysis of observational studies. We searched the MEDLINE (OVID), EMBASE, and the Cochrane Central Register of Controlled Trials databases for observational studies
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Key factors in the preoperative management of patients undergoing awake craniotomy for language mapping J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-22 Ladina Schlosser PhD, Markus M. Luedi MD MBA, Lukas Andereggen MD
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Sarcopenia is not a Sonographic/Morphological diagnosis only: ISarcoPRM algorithm revisited J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-22 Ahmad J. Abdulsalam MD, Murat Kara MD, Levent Özçakar MD
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Kidney disease in trials of perioperative tranexamic acid. J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-21 Cheng-Wei Liu MD, Joshua Anih, Victoria Lebedeva MSc, Ata Gungor, Carol Wang MD, Lily Park MD, Pavel S. Roshanov MD MSc
To assess how kidney disease is handled in randomized trials evaluating the safety and efficacy of perioperative tranexamic acid, and to evaluate its effects across levels of kidney function. Systematic review and meta-analysis of randomized controlled trials. We screened studies from a previous comprehensive systematic review, and updated its search of PubMed, Embase, and Cochrane CENTRAL to July
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Ultrasound evaluation of gastric residual volume in fasting end-stage renal failure patients J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-19 Sushma Kothapalli [MD], Tejesh C. Anandaswamy [MD], Sahana Patil [MD], Namita Anne [MD], Chaitra M. Muthalgiri [MD], Akshita Niranjan [MD]
To evaluate the gastric contents and gastric residual volume in patient with end-stage renal failure by gastric ultrasound. Prospective observational study. Tertiary care teaching hospital. Adults of either gender with BMI < 40 kg/m with end-stage renal failure scheduled to undergo arteriovenous graft or fistula. The cross-sectional area of the gastric antrum was measured by gastric ultrasound with
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Thoracic impedance pneumography in propofol-sedated patients undergoing percutaneous endoscopic gastrostomy (PEG) placement in gastrointestinal endoscopy: A prospective, randomized trial J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-17 F.A. Michael, D. Hessz, C. Graf, C. Zimmer, S. Nour, M. Jung, J. Kloka, M. Knabe, C. Welsch, I. Blumenstein, G. Dultz, F. Finkelmeier, D. Walter, U. Mihm, N. Lingwal, S. Zeuzem, J. Bojunga, M. Friedrich-Rust
To assess the efficacy of an ECG-based method called thoracic impedance pneumography to reduce hypoxic events in endoscopy. This was a single center, 1:1 randomized controlled trial. The trial was conducted during the placement of percutaneous endoscopic gastrostomy (PEG). 173 patients who underwent PEG placement were enrolled in the present trial. Indication was oncological in most patients (89%)
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Racial and ethnic disparities in regional anesthesia in the United States: A narrative review J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-16 William P. Qiao, Stephen C. Haskins, Jiabin Liu
Racial and ethnic disparities exist in the delivery of regional anesthesia in the United States. Anesthesiologists have ethical and economic obligations to address existing disparities in regional anesthesia care. Current evidence of racial and ethnic disparities in regional anesthesia utilization in adult patients in the United States is presented. Potential contributors and solutions to racial disparities
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The impact of a medically directed student registered nurse anesthesia staffing model on Postprocedural patient outcomes J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-15 Gen Li M.Stat. M.Chem, Robert E. Freundlich M.D. M.S. M.S.C.I., Mark J. Rice M.D., Brent A. Dunworth D.N.P. M.B.A. CRNA NEA-BC FAANA, Warren S. Sandberg M.D. Ph.D., Michael S. Higgins M.D. M.P.H, Jonathan P. Wanderer M.D. M.Phil. FASA FAMIA
In 2018, the American Society of Anesthesiologists stated that student registered nurse anesthetists (SRNAs) “are not yet fully qualified anesthesia personnel.” It remains unclear, however, whether postprocedural outcomes are affected by SRNAs providing anesthesia care under the medical direction of anesthesiologists, as compared with medically directed anesthesiology fellows or residents, or certified
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Editorial: Safety monitoring for peripheral nerve blocks – Is there a state-of-the-art standard to avoid nerve injuries? J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-15 Axel R. Sauter, Thorsten Steinfeldt
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Perioperative blood transfusion-how do I interpret the evidence concerning transfusion triggers? J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-10 Ozan Akca
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A prospective, observational validation of HRAD±, a novel pediatric affect and cooperation scale J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-09 Romy Yun, Daniel Qian, Ellen Wang, Michelle Zuniga, Ty Forbes, Brian Li, Samuel T. Rodriguez, Christian Jackson, Thomas J. Caruso
HRAD± was developed to quickly assess pediatric perioperative affect and cooperation. HRAD± represents: Happy, Relaxed, Anxious, Distressed, with a yes/no answer to cooperativity. The primary aim of this study was to investigate the clinical utility of HRAD± as an affect and cooperation assessment tool for inhalational mask induction. Secondary aims examined inter-rater reliability (IRR) of HRAD± and
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One size does not fit all: Perioperative management of patients with heart failure with preserved ejection fraction J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-09 Wei Dong Gao
Heart failure with preserved ejection fraction (HFpEF) is recognized as an important risk factor for perioperative complications. However, anesthesia management of HFpEF patients remains a considerable challenge without clear guidance. HFpEF is heterogeneous in its pathophysiological processes, diverse clinical presentations, adverse remodeling of cardiovascular and other organs, and clinical outcomes
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A phase 3 active-controlled trial of liposomal bupivacaine via sciatic nerve block in the popliteal fossa after bunionectomy J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-09 Gary Schwartz MD, Jeffrey C. Gadsden MD, Jeffrey Gonzales MD, Jacob Hutchins MD, Jia Song MS, O'Dane Brady DC, Mary DiGiorgi PhD, Roy Winston MD
To investigate the efficacy, safety, pharmacodynamics, and pharmacokinetics of liposomal bupivacaine (LB) administered via ultrasound-guided sciatic nerve block in the popliteal fossa in participants undergoing bunionectomy. Two-part, randomized, double-blind, active-controlled trial (). Operating room, postanesthesia care unit, and health care facility (6 sites). Adults with American Society of Anesthesiologists
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Effect of continuing angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers on the day of surgery on myocardial injury after non-cardiac surgery: A retrospective cohort study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-08 Jeayoun Kim MD, Seungwon Lee MD, Jisun Choi MD, Dae Kyun Ryu MD, Seunghyeon Woo MD, MiHye Park MD PhD
To evaluate the effect of continuing of angiotensin-converting enzyme inhibitor (ACEI) or angiotensin II receptor blocker (ARB) prescriptions 24 h before surgery on postoperative myocardial injury and blood pressure in patients undergoing non-cardiac surgery. A single-center, retrospective study. Operating room and perioperative care area. 42,432 patients who had been taking chronic ACEI/ARB underwent
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Convalescent plasma: An unexpected new therapeutic option for critically ill COVID-19 patients coming from the past J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-08 Massimo Franchini, Arturo Casadevall, Mario Cruciani, Michael J. Joyner, Liise-anne Pirofski, Jonathon W. Senefeld, Shmuel Shoham, David J. Sullivan, Daniele Focosi
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Oxygenation during general anesthesia in pediatric patients: A retrospective observational study J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-06 Jan J. van Wijk MD, Albina Musaj MD, Sanne E. Hoeks PhD, Irwin K.M. Reiss MD PhD, Robert Jan Stolker MD PhD, Lonneke M. Staals MD PhD
Protocols are used in intensive care and emergency settings to limit the use of oxygen. However, in pediatric anesthesiology, such protocols do not exist. This study aimed to investigate the administration of oxygen during pediatric general anesthesia and related these values to PaO, SpO and SaO. Retrospective observational study. Tertiary pediatric academic hospital, from June 2017 to August 2020
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Global neonatal perioperative mortality: A systematic review and meta-analysis J. Clin. Anesth. (IF 6.7) Pub Date : 2024-02-06 Leandro G. Braz (M.D. Ph.D.), Jose Reinaldo C. Braz (M.D. Ph.D.), Teofilo Augusto A. Tiradentes (M.D. M.Sc.), Joao Vitor A. Soares (M.D.), Jose E. Corrente (Ph.D.), Norma Sueli P. Modolo (M.D. Ph.D.), Paulo do Nascimento Junior (M.D. Ph.D.), Mariana G. Braz (Ph.D.)
There are large differences in health care among countries. A higher perioperative mortality rate (POMR) in neonates than in older children and adults has been recognized worldwide. The aim of this study was to provide a systematic review of published 24-h and 30-day POMRs in neonates from 2011 to 2022 in countries with different Human Development Index (HDI) levels. A systematic review with a meta-analysis