当前位置： SCI文献检索 > Journal of Anesthesia期刊下所有文献 > Effects of heparin bridging anticoagulation on perioperative bleeding and thromboembolic risks in patients undergoing abdominal malignancy surgery.

Effects of heparin bridging anticoagulation on perioperative bleeding and thromboembolic risks in patients undergoing abdominal malignancy surgery.

Abstract：

:Recent publications provided controversial results indicating that perioperative heparin bridging anticoagulation (HBA) increased the bleeding risk without decreasing the thromboembolic risk in patients undergoing minor surgery. To investigate if this is also the case in high-risk patients undergoing major abdominal malignancy surgery, we retrospectively collected data of 3268 patients over a 10-year period. After the interruption of preoperative antithrombotic agents, HBA was initiated with a prophylactic-dose of unfractionated heparin in 133 patients (HBA group), and 62 patients did not receive HBA (non-HBA group). The incidence of exogenous blood transfusion (EBT) and thromboembolic events (TEEs) within 30 days after surgery were compared between the HBA and non-HBA groups. The results showed that the incidence of EBT and TEEs was similar between the two groups (23.3 vs 19.4 %; P = 0.535) and (4.1 vs 3.2 %; P = 0.821), respectively. The amount of intraoperative bleeding and the length of postoperative hospital stay were also similar [median (quantile 1-3); 192 (71-498) vs 228 ml (100-685); P = 0.422] and [12 (9-19) vs 14.5 days (10-21); P = 0.052], respectively. These findings may suggest it is unlikely that prophylactic-dose HBA affects bleeding and thromboembolic risks in patients undergoing major abdominal malignancy surgery.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Ono K,Hidaka H,Koyama Y,Ishii K,Taguchi S,Kosaka M,Okazaki N,Tanimoto W,Katayama A

doi

10.1007/s00540-016-2187-0

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

723-6

issue

4

eissn

0913-8668

issn

1438-8359

pii

10.1007/s00540-016-2187-0

journal_volume

30

pub_type

杂志文章

相关文献

Journal of Anesthesia文献大全
  • Electroencephalographic response following midazolam-induced general anesthesia: relationship to plasma and effect-site midazolam concentrations.

    abstract：PURPOSE:To examine the relationships between effect-site concentrations and electroencephalographic parameters after the induction of general anesthesia with midazolam. METHODS:Twenty-four patients with American Society of Anesthesiologists status I or II were randomly allocated to receive either an intravenous (i.v.)...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00540-010-0907-4

    authors： Miyake W,Oda Y,Ikeda Y,Hagihira S,Iwaki H,Asada A

    更新日期：2010-06-01 00:00:00

  • The use of a needle guide kit improves the stability of ultrasound-guided techniques.

    abstract：:A needle guide kit will be able to improve visibility on ultrasonic images. We examined the degree of stability using a SIVA guide. The SIVA guide is a needle guide kit in which the angle is not restricted, allowing the puncture to be made at any angle. We punctured the Blue Phantom™ with a high-frequency linear probe...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-015-2021-0

    authors： Ueshima H,Kitamura A

    更新日期：2015-10-01 00:00:00

  • Analgesic effects of nonsteroidal antiinflammatory drugs, acetaminophen, and morphine in a mouse model of bone cancer pain.

    abstract：PURPOSE:Bone metastasis is one of the major causes of cancer-related pain, and not all bone cancer pain can be effectively treated. Recently, a mouse model of bone cancer pain was introduced. To test the analgesic effects of nonsteroidal antiinflammatory drugs on bone cancer pain, the authors examined the effects of or...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-005-0323-3

    authors： Saito O,Aoe T,Yamamoto T

    更新日期：2005-01-01 00:00:00

  • A large individual variation in both the infusion rate and the blood concentration of rocuronium necessary for obtain adequate surgical muscle relaxation during total intravenous anesthesia with propofol and remifentanil.

    abstract：BACKGROUND:Rocuronium (Rb) is ideal for continuous infusion but has a widely variable duration of action. We investigated the distribution of Rb infusion in a steady state of optimal muscle relaxation and the relationship between the measured and predicted blood Rb concentrations in laparoscopic surgery. METHODS:Seven...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-014-1879-6

    authors： Kajiura A,Nagata O,Takizawa Y,Nakatomi T,Kodera S,Murayama T

    更新日期：2015-02-01 00:00:00

  • Clinical characteristics of perioperative coronary spasm: reviews of 115 case reports in Japan.

    abstract：PURPOSE:Factors affecting perioperative development of coronary spasm have not been elucidated. A number of case reports describing perioperative coronary spasm have appeared in Japanese anesthesia journals, mostly published in Japanese. The purpose of this study was to investigate the contributing factors affecting pe...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s005400170034

    authors： Koshiba K,Hoka S

    更新日期：2001-01-01 00:00:00

  • Correction to: Awake fiberoptic intubation with an epidural catheter in a morbidly obese patient.

    abstract：:In the original publication of the article, the acknowledgment section was not included and provided in this correction. ...

    journal_title：Journal of anesthesia

    pub_type： 已发布勘误

    doi：10.1007/s00540-020-02774-y

    authors： Suzuki Y,Takenami T,Fujino S,Nakazawa A,Okamoto H

    更新日期：2020-08-01 00:00:00

  • Catecholamine-resistant shock and hypoglycemic coma after cardiotomy in a patient with unexpected isolated ACTH deficiency.

    abstract：:Isolated adrenocorticotropic hormone (ACTH) deficiency is an extremely rare disease in which ACTH-producing cells of the pituitary gland are selectively damaged. The resulting decline in ACTH production and secretion results in chronic secondary adrenocortical insufficiency. The patient in this case did not present wi...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-011-1118-3

    authors： Matsumoto S,Hagiwara S,Kusaka J,Hasegawa R,Nonaka H,Shingu C,Noguchi T

    更新日期：2011-06-01 00:00:00

  • Severe stridor and marked respiratory difficulty after right-sided supraclavicular brachial plexus block.

    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

    authors： Solanki SL,Jain A,Makkar JK,Nikhar SA

    更新日期：2011-04-01 00:00:00

  • Drug-induced anaphylaxis during general anesthesia in 14 tertiary hospitals in Japan: a retrospective, multicenter, observational study.

    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

    authors： Horiuchi T,Takazawa T,Orihara M,Sakamoto S,Nagumo K,Saito S

    更新日期：2021-02-01 00:00:00

  • Non-lactate strong ion difference: a clearer picture.

    abstract：PURPOSE:The recommended method for elucidating the effects of strong ions other than lactate on acid-base balance is to calculate the non-lactate strong ion difference (SIDnl). A relationship between HCO3 (-) and SIDnl in hyperchloremic patients has already been demonstrated; in the present study, the relationships bet...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s00540-016-2158-5

    authors： Gucyetmez B,Atalan HK

    更新日期：2016-06-01 00:00:00

  • Tracheomalacia after reoperation for an adenomatous goiter located in a unique position.

    abstract：:Tracheomalacia after thyroidectomy is a life-threatening situation. However, it is difficult to predict postoperative tracheal obstruction with certainty. A case of a 74-year-old woman with a long-standing adenomatous goiter (98 g) is reported. She had undergone partial right lobe thyroidectomy 54 years earlier. After...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-011-1181-9

    authors： Nakadate Y,Fukuda T,Hara H,Tanaka M

    更新日期：2011-10-01 00:00:00

  • Intraoperative fluid therapy and postoperative complications during minimally invasive esophagectomy for esophageal cancer: a single-center retrospective study.

    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

    authors： Hikasa Y,Suzuki S,Mihara Y,Tanabe S,Shirakawa Y,Fujiwara T,Morimatsu H

    更新日期：2020-06-01 00:00:00

  • Evaluation of dilators for central venous catheterization using an experimental model.

    abstract：PURPOSE:Skin incision before percutaneous central venous catheterization may cause serious hemorrhage and/or skin cicatrization. To minimize these adverse effects, we improved the shape of a dilator and coated it with lubricant to reduce insertion load. METHODS:We selected three types of dilators from different manufa...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-004-0292-y

    authors： Takahashi T,Morita M,Shimada Y

    更新日期：2005-01-01 00:00:00

  • Cardiac effects of propofol and its interaction with autonomic nervous system in isolated, cross-circulated canine atria.

    abstract：PURPOSE:The effects of propofol on sinoatrial pacemaker activity and myocardial contractility and its interaction with the autonomic nervous system were investigated in isolated, cross-circulated right atrial canine preparations. METHODS:An isolated right atrial preparation was perfused with heparinized arterial blood...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s005400050019

    authors： Nagashima Y,Furukawa Y,Hirose M,Chiba S

    更新日期：1999-01-01 00:00:00

  • Left-molar approach for direct laryngoscopy: is it easy?

    abstract：PURPOSE:For direct laryngoscopy, we compared midline and left-molar approaches with respect to ease of intubation, using a Macintosh blade. We investigated the relationship between failure of the left-molar approach and preoperative risk factors for difficult intubation. METHODS:With local ethics committee approval, 2...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-008-0694-3

    authors： Cuvas O,Basar H,Gursoy N,Culhaoglu S,Demir A

    更新日期：2009-01-01 00:00:00

  • Anesthetic management without perioperative platelet transfusion for cervical laminectomy and laminoplasty in a case of May-Hegglin anomaly.

    abstract：:May-Hegglin anomaly (MHA) is an inherited autosomal dominant disorder characterized by giant platelets and inclusion bodies in granulocytes, and thrombocytopenia. There is no consensus on the perioperative management of this disorder. We report a case involving a patient with MHA who was perioperatively managed withou...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-018-2522-8

    authors： Kumemura M,Omae T,Kou K,Sakuraba S,Niimi N,Kunishima S

    更新日期：2018-08-01 00:00:00

  • Impact of non-invasive continuous blood pressure monitoring on maternal hypotension during cesarean delivery: a randomized-controlled study.

    abstract：PURPOSE:This study aimed to investigate the efficacy of the ClearSight™ system (Edwards Lifesciences, Irvine, CA) for reducing the incidence of hypotension compared with the traditional oscillometric blood pressure monitoring in cesarean delivery under spinal anesthesia. METHODS:Forty patients undergoing cesarean deli...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00540-018-2560-2

    authors： Juri T,Suehiro K,Kimura A,Mukai A,Tanaka K,Yamada T,Mori T,Nishikawa K

    更新日期：2018-12-01 00:00:00

  • Dexmedetomidine: a review of applications for cardiac surgery during perioperative period.

    abstract：:Cardiac surgery is associated with a high incidence of cardiovascular and other complications during the perioperative period that translate into increased mortality and prolonged hospital stays. Safe comprehensive perioperative management is required to eliminate these adverse events. Dexmedetomidine is a selective α...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,评审

    doi：10.1007/s00540-014-1857-z

    authors： Zhang X,Zhao X,Wang Y

    更新日期：2015-02-01 00:00:00

  • Correlation of cardiac output measured by non-invasive continuous cardiac output monitoring (NICOM) and thermodilution in patients undergoing off-pump coronary artery bypass surgery.

    abstract：PURPOSE:This observational study was designed to evaluate the clinical value of cardiac output (CO) obtained via bioreactance (NICOM™) as compared with values of CO obtained via thermodilution (using pulmonary artery catheter, Vigilance™) and the thoracic bioimpedance (BioZ.com™), in patients undergoing off-pump corona...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-014-1938-z

    authors： Cheung H,Dong Q,Dong R,Yu B

    更新日期：2015-06-01 00:00:00

  • Comparison of tracheal intubation by the Macintosh laryngoscope and Pentax-AWS (Airway Scope) during chest compression: a manikin study.

    abstract：:To compare tracheal intubation with the Pentax Airway Scope (AWS) and the Macintosh laryngoscope (McL) during chest compression, 25 anesthesiologists (including 12 specialists having >5 years of experience and 13 trainees having <2 years of experience) performed tracheal intubation using either the McL or the AWS, wit...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-010-0874-9

    authors： Komasawa N,Ueki R,Nomura H,Itani M,Kaminoh Y

    更新日期：2010-04-01 00:00:00

  • A randomized study of the effects of perioperative i.v. lidocaine on hemodynamic and hormonal responses for cesarean section.

    abstract：PURPOSE:Intravenous infusion of lidocaine attenuates the stress response to surgery. We aimed to evaluate the effects of perioperative lidocaine on the hemodynamic and hormonal responses for cesarean delivery. METHODS:After the gaining of ethical approval, 90 patients scheduled for elective cesarean delivery were rand...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00540-009-0738-3

    authors： El-Tahan MR,Warda OM,Diab DG,Ramzy EA,Matter MK

    更新日期：2009-01-01 00:00:00

  • Postischemic infusion of sivelestat sodium hydrate, a selective neutrophil elastase inhibitor, protects against myocardial stunning in swine.

    abstract：PURPOSE:It seems controversial whether or not neutrophil elastase inhibitors are effective in attenuating myocardial ischemia/reperfusion injury. We thus investigated possible protective effects of sivelestat, a neutrophil elastase inhibitor, against myocardial stunning i.e., prolonged myocardial dysfunction following ...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-010-0948-8

    authors： Akiyama D,Hara T,Yoshitomi O,Maekawa T,Cho S,Sumikawa K

    更新日期：2010-08-01 00:00:00

  • A short period of fasting before surgery conserves basal metabolism and suppresses catabolism according to indirect calorimetry performed under general anesthesia.

    abstract：:It is recommended that the period of fasting before elective surgery should be shortened to facilitate a rapid recovery by preventing catabolism. We examined the effects of a short period of fasting on metabolism by performing indirect calorimetry (IC) under general anesthesia. A prospective observational study involv...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-014-1950-3

    authors： Yoshimura S,Fujita Y,Hirate H,Kusama N,Azami T,Sobue K

    更新日期：2015-06-01 00:00:00

  • Successful treatment of severe asthma-associated plastic bronchitis with extracorporeal membrane oxygenation.

    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

    authors： Tonan M,Hashimoto S,Kimura A,Matsuyama H,Kinose H,Sawada M,Shime N,Tokuhira N,Kato Y,Sasaki M,Tsuchiya K,Higaki S,Oomae T,Hashimoto S

    更新日期：2012-04-01 00:00:00

  • Propofol reduces liver dysfunction caused by tumor necrosis factor-α production in Kupffer cells.

    abstract：PURPOSE:The present study, conducted in rats, investigated whether propofol attenuates lipopolysaccharide (LPS)-triggered liver dysfunction via regulation of tumor necrosis factor (TNF)-α production in activated Kupffer cells. METHODS:Rats received LPS (500 μg/kg) under Urethane™ sedation (1 g/kg) in combination with ...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-016-2145-x

    authors： Li J,Kandatsu N,Feng GG,Jiang JZ,Huang L,Kinoshita H,Okada S,Fujiwara Y

    更新日期：2016-06-01 00:00:00

  • Dexmedetomidine during local anesthesia.

    abstract：:The objective of our study was to assess the efficacy and safety of dexmedetomidine given in a small dose for a 1-h infusion as an adjuvant to local analgesia in ophthalmic operations. The study was double-blind prospective, randomized, and placebo controlled. We studied the effects of a small dose of dexmedetomidine ...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00540-005-0351-z

    authors： Abdalla MI,Al Mansouri F,Bener A

    更新日期：2006-01-01 00:00:00

  • Oral 30% glucose provides sufficient sedation in newborns during MRI.

    abstract：PURPOSE:Newborns are often sedated during MRI but sedation itself creates adverse events and management is more challenging in this environment. Oral glucose/sucrose administration has been studied in newborns during painful procedures; however, its effectiveness in keeping newborns sleepy and motionlessness during pai...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s00540-016-2296-9

    authors： Eker HE,Cok OY,Çetinkaya B,Aribogan A

    更新日期：2017-04-01 00:00:00

  • A prospective, randomized, double-blind, multicenter trial to evaluate the therapeutic efficacy and safety of palonosetron in the treatment of postoperative nausea and vomiting over a 72-h period.

    abstract：PURPOSE:We performed a multicenter, randomized, double-blind trial to assess the efficacy and safety of a single, fixed, intravenous dose of palonosetron (0.075 mg) in the treatment of established postoperative nausea and vomiting (PONV). METHODS:Three hundred and eighty-four patients who had at least one risk factors...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00540-014-1884-9

    authors： Hahm TS,Hwang JW,Kim WH,Oh EJ,Kim DK,Choi WJ,Kim YH,Ryu JH,Yoo BH,Yon JH

    更新日期：2015-02-01 00:00:00

  • Breathing movements of the chest and upper abdomen in mechanically ventilated paralyzed patients.

    abstract：AIM:Assessment of breathing on clinical examination requires visualization of "chest" wall movement. However, in mechanically ventilated paralyzed patients, chest expansion is smaller than that of the abdomen. The aim of this study was to determine chest and upper abdominal movements in mechanically ventilated patients...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-013-1703-8

    authors： Toriyama S,Ikeshita K,Tsujikawa S,Yamashita T,Tani Y

    更新日期：2014-04-01 00:00:00

  • Survey of patients whose lungs could not be ventilated and whose trachea could not be intubated in university hospitals in Japan.

    abstract：PURPOSE:We conducted a survey to clarify the actual circumstances in which the lungs could not be ventilated and the trachea could not be intubated (CVCI). METHODS:A questionnaire was mailed to all the university hospitals in Japan, asking about CVCI they had experienced during induction of anesthesia in 1998, and bef...

    journal_title：Journal of anesthesia

    pub_type： 杂志文章

    doi：10.1007/s00540-003-0187-3

    authors： Nagaro T,Yorozuya T,Sotani M,Adachi N,Tabo E,Arai T,Dote K

    更新日期：2003-01-01 00:00:00