Abstract：
PURPOSE:To evaluate the value of blood lactate value in predicting postoperative mortality (primary outcome), duration of ventilation, and length of stay in an intensive care unit (ICU) and hospital (secondary outcomes). METHODS:We performed a prospective observation study on 1,820 consecutive patients undergoing open heart surgery in a tertiary university medical center. Blood lactate levels were obtained from patients on admission to the cardiac surgical ICU and measured serially. RESULTS:All patients were divided into three groups according to their maximum blood lactate levels: group I (normolactatemia, lactate ≤2.2 mmol/l), 332 patients; group II (mild hyperlactatemia, lactate 2.2-4.1 mmol/l), 1,054 patients; and group III (severe hyperlactatemia, lactate ≥4.4 mmol/l), 434 patients. Maximum blood lactate levels ≥4.4 mmol/l during the first 10 h post admission were associated with prolonged ventilation time, longer ICU stay, and increased mortality (P < 0.001). CONCLUSIONS:Hyperlactatemia is common after cardiac surgery. Maximal lactate threshold ≥4.4 mmol/l in the first 10 h after operation accurately predicts postoperative mortality.
journal_name
J Anesthjournal_title
Journal of anesthesiaauthors
Kogan A,Preisman S,Bar A,Sternik L,Lavee J,Malachy A,Spiegelstein D,Berkenstadt H,Raanani Edoi
10.1007/s00540-011-1287-0subject
Has Abstractpub_date
2012-04-01 00:00:00pages
174-8issue
2eissn
0913-8668issn
1438-8359journal_volume
26pub_type
杂志文章abstract：:Neuraxial anesthesia is a common practice in obstetrics. Evidence suggests that preprocedural ultrasound versus the conventional landmark location method accurately identifies a given intervertebral space and predicts the needle insertion depth required to reach the spinal canal. However, whether the preprocedural ult...
journal_title：Journal of anesthesia
pub_type： 杂志文章,meta分析
doi：10.1007/s00540-020-02750-6
更新日期：2020-06-01 00:00:00
abstract：:We present a life-threatening case of hemothorax resulting from right brachiocephalic vein perforation during right internal jugular vein catheterization. We considered that the guidewire had punctured the right brachiocephalic vein extraluminally and the catheter inserted over the guidewire had enlarged the size of t...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-008-0696-1
更新日期：2009-01-01 00:00:00
abstract：:Perioperative positive airway pressure (PAP) is recommended by the American Society of Anesthesiologists for patients with obstructive sleep apnea, but a readily available and personalized intraoperative delivery system does not exist. We present the successful use of a patient's own nasal PAP machine in the operating...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-016-2188-z
更新日期：2016-08-01 00:00:00
abstract：PURPOSE:To investigate the differences in recovery of postural stability, after obtaining similar intravenous sedation levels with midazolam, in elderly and younger patients undergoing dental surgery. METHODS:We studied 15 elderly patients (>65 years) and 15 younger patients (<55 years) after intravenous sedation. Mid...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s005400200024
更新日期：2002-01-01 00:00:00
abstract：PURPOSE:We assessed the accuracy of a point-of-care blood gas analyzer in providing data from saline samples obtained by gastrointestinal tonometry (Tonometrics Catheter; Tonometrics Division, Instrumentarium, Helsinki, Finland) for the calculation of intramucosal pH (pHi) and the P(CO)(2) gap (intramucosal P(CO)(2) - ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-003-0209-1
更新日期：2004-01-01 00:00:00
abstract：:Brachial plexus block is commonly used for upper limb surgery. Although the procedure is safe, it may be associated with some life-threatening complications. We performed right-sided supraclavicular brachial plexus block for below-elbow amputation in a 45-year-old female. At completion of the block the patient develop...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-010-1076-1
更新日期：2011-04-01 00:00:00
abstract：PURPOSE:Intravenous cannulation is a painful and stressful procedure. The objective of this study was to compare the analgesic efficacy of the eutectic mixture of local anesthetics (EMLA(®)) with that of the Valsalva maneuver in adult patients during i.v. cannulation. METHODS:One hundred ninety-five patients were rand...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-012-1540-1
更新日期：2013-06-01 00:00:00
abstract：:A 75-year-old female patient underwent right vitrectomy under total intravenous anesthesia with propofol, ketamine and fentanyl. During the surgery sudden severe bradycardia (heart rate, 33 beats per min), without hypotension, occurred, which was relatively atropine-insensitive. This event was accompanied by a marked ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-008-0632-4
更新日期：2008-01-01 00:00:00
abstract：:Muscle relaxation induced by neuromuscular blocking agents (NMBAs) is necessary for tracheal intubation and immobilization during surgery. Although acetylcholinesterase inhibitors have been successfully used as antagonists for NMBAs, they have their limitations; their effects are transient and ineffective against prof...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02836-1
更新日期：2020-10-01 00:00:00
abstract：PURPOSE:"Juci", one of the traditional acupuncture techniques, means contralateral acupuncture; i.e., implanting a needle into an acupoint to treat a given disease or disorder, but on the side of the body opposite to the diseased side. The aim of this study was: (1) to assess acupuncture effects on formalin-induced noc...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-006-0443-4
更新日期：2007-01-01 00:00:00
abstract：:Tarsal tunnel syndrome (TTS) is a compression neuropathy that results from entrapment of the posterior tibial nerve or its branches. TTS may be treated either by conservative measures, including physical therapy, medications, and steroid injections, or by surgical decompression. Despite a variety of treatments, a few ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-014-1831-9
更新日期：2014-12-01 00:00:00
abstract：BACKGROUND:The relationship between preoperative hyperglycemia and postoperative acute kidney injury (AKI) occurrence in non-cardiac surgery including laparoscopic surgery remains unclear. This study aimed to assess the relationship between preoperative chronic hyperglycemia and postoperative AKI occurrence after a maj...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-018-2551-3
更新日期：2018-10-01 00:00:00
abstract：:The pharmacokinetics and pharmacodynamics of vecuronium bromide were studied in patients under general anesthesia of enflurane and nitrous oxide in oxygen. Eighteen patients were randomly divided into two groups which received either 0.05 mg.kg(-1) (low dose group) or 0.20 mg.kg(-1) (high dose group) of vecuronium int...
journal_title：Journal of anesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s0054020060028
更新日期：1992-01-01 00:00:00
abstract：PURPOSE:Compared with open thoracotomy, minimally invasive esophagectomy (MIE) methods, such as transhiatal or thoracoscopic esophagectomy, likely have lower morbidity. However, the relationship between intraoperative fluid management and postoperative complications after MIE remains unclear. Thus, we investigated the ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02766-y
更新日期：2020-06-01 00:00:00
abstract：:The incidence of an abnormal increase in the serum levels of glutamic oxaloacetic transaminase (GOT) and glutamic pyruvic transaminase (GPT) following anesthesia with halothane and 65% nitrous oxide in oxygen (halothane group) or with sevoflurane and 65% nitrous oxide in oxygen (sevoflurane group) was compared in wome...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02479843
更新日期：1995-06-01 00:00:00
abstract：:A modified thermodilution catheter (KATS catheter) capable of monitoring continuous cardiac output by thermodeprivation and preserving its conventional function was devised. The KATS catheter has a thermistor incorporated closer to the tip of the catheter in addition to the usual thermistor used for conventional therm...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054010050205
更新日期：1991-07-01 00:00:00
abstract：:Admission on the day of surgery for elective cardiac and non-cardiac surgery has been established as a prevalent, critical practice. This approach realizes medical, logistical, psychological and fiscal benefits, and its success is predicated on an effective outpatient pre-operative evaluation. The establishment of a h...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-016-2139-8
更新日期：2016-06-01 00:00:00
abstract：PURPOSE:In a previous study using the tail-flick test, we found that intracerebroventricular administration of D-serine, an endogenous co-agonist at the glycine sites of N-methyl-D-aspartate (NMDA) receptors, elicited an antinociceptive effect on thermal nociception. The purpose of the present study was to evaluate the...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1708-3
更新日期：2014-04-01 00:00:00
abstract：:Since perioperative anaphylaxis occurs suddenly, and it can be life-threatening, anesthesiologists need to have sufficient knowledge of the epidemiology of perioperative anaphylaxis and appropriate coping strategies to deal with it. Recent studies conducted in Western countries reported the characteristics of perioper...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-020-02886-5
更新日期：2021-02-01 00:00:00
abstract：:Optimal visualization of the glottis can be crucial to successful laryngoscopy. Limited information has been published on the light intensity delivered from laryngoscopes powered by rechargeable batteries. In this study the laryngoscope light intensity delivered from 10 nickel metal hydride (NiMH), 7 nickel cadmium (N...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-013-1618-4
更新日期：2013-10-01 00:00:00
abstract：:The relationship between tumor size and the complexity of anesthetic management was studied using several values: plasma catecholamine concentrations, requirement of vasoactive agents, surgical time, blood loss, plasma glucose concentrations, and hemodynamic variables. Ten patients with clinical and laboratory diagnos...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02514621
更新日期：1994-12-01 00:00:00
abstract：PURPOSE:The incidence of postoperative pharyngolaryngeal complications after laryngeal mask airway (LMA) insertion can be as high as 50%. Over-inflation of the LMA cuff may be a causal factor. We conducted a single-centre parallel group randomised trial to determine whether maintaining LMA-ProSeal intra-cuff pressures ...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-014-1811-0
更新日期：2014-10-01 00:00:00
abstract：:We describe a case of near-fatal asthma requiring extracorporeal membrane oxygenation (ECMO). The patient presented with severe respiratory distress, which was not responsive to conventional pharmacological therapy. The patient also failed to respond to mechanical ventilation and thus was placed on venovenous ECMO for...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-011-1288-z
更新日期：2012-04-01 00:00:00
abstract：:We report here a 59-year-old man with a saber-sheath tracheal narrowing who was scheduled to undergo pharyngeal tumor resection under general anesthesia. The tracheal narrowing was not clearly detected by chest radiography during the preoperative examination, but it was visible on axial computed tomography (CT) images...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-009-0841-5
更新日期：2010-02-01 00:00:00
abstract：PURPOSE:Vascular risk factors, including metabolic syndrome, are known to contribute to the development of cognitive dysfunction. We tested the hypothesis that patients with metabolic syndrome are more likely to develop cognitive dysfunction after noncardiac surgery. METHODS:Age- and education-balanced patients (n = 6...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-011-1137-0
更新日期：2011-06-01 00:00:00
abstract：PURPOSE:This study aimed to examine the incidence, case fatality rate, and characteristics of perioperative symptomatic pulmonary thromboembolism (PS-PTE) throughout Japan. METHODS:From 2002 to 2011, confidential questionnaires were mailed annually to all Japanese Society of Anesthesiologists-certified training hospit...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-014-1939-y
更新日期：2015-06-01 00:00:00
abstract：:Somato-sympathetic reflex discharges (SSRDs) which were induced from the lumbar sympathetic truck elicited by train pulse stimulation of femoral nerves in anesthetized cats were examined during and after intravenous infusion of 1 mg.kg(-1).min(-1) of procaine. The infusion demonstrated that amplitudes were suppressed ...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s0054020060461
更新日期：1992-10-01 00:00:00
abstract：PURPOSE:This prospective, randomized trial was designed to assess whether the i-gel supraglottic airway device is suitable for volume-controlled ventilation while applying positive end-expiratory pressure (PEEP) of 5 cmH(2)O under general anesthesia. It was believed that this device might improve arterial oxygenation. ...
journal_title：Journal of anesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00540-013-1628-2
更新日期：2013-12-01 00:00:00
abstract：:A large amount of pharmacological and clinical evidence supports the abuse potential of propofol. Although previous case reports have indicated that recreational use of propofol is primarily by medical professionals, its spread among the general public has recently been highlighted. This is the first case report to sh...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/s00540-011-1275-4
更新日期：2012-04-01 00:00:00
abstract：:The direct effects of nitrous oxide on left ventricular contractility and myocardial oxygen consumption (MVO2) in the ischemic isolated rat heart were studied. The rat heart was isolated and perfused by a Langendorf technique. The aortic stump was cannulated and the heart was perfused with Kumpeis solution bubbled wit...
journal_title：Journal of anesthesia
pub_type： 杂志文章
doi：10.1007/BF02514658
更新日期：1994-09-01 00:00:00
