Potentially modifiable risk factors for atrial fibrillation following lung resection surgery: a retrospective cohort study.


:Atrial fibrillation is the most frequent arrhythmia after thoracic surgery and is associated with increased hospital costs, morbidity and mortality. In this study, we aimed to identify potentially modifiable risk factors for postoperative atrial fibrillation following lung resection surgery and to suggest possible measures to reduce risk. We retrospectively reviewed the medical records of 4731 patients who underwent lobectomy or more major lung resection over a 6-year period. Patients who developed atrial fibrillation postoperatively and required treatment were included in the postoperative atrial fibrillation group, while the remaining patients were assigned to the non-postoperative atrial fibrillation group. Risk factors for postoperative atrial fibrillation were analysed by multivariate analysis and propensity score matching. Overall, 12% of patients developed postoperative atrial fibrillation. Potentially modifiable risk factors for postoperative atrial fibrillation were excessive alcohol consumption (odds ratio (OR) = 1.48, 95% CI 1.08-2.02, p = 0.0140), red cell transfusion (2.70(2.13-3.43), p < 0.0001), use of inotropes (1.81(1.42-2.31), p < 0.0001) and open (vs. thoracoscopic) surgery (1.59(1.23-2.05), p < 0.0001). Compared with inotrope use, vasopressor administration was not related to postoperative atrial fibrillation. Use of steroids or thoracic epidural anaesthesia did not reduce the incidence of postoperative atrial fibrillation. We conclude that high alcohol consumption, red cell transfusion, use of inotropes and open surgery are potentially modifiable risk factors for postoperative atrial fibrillation. Pre-operative alcohol consumption needs to be addressed. Avoiding red cell transfusion and performing lung resection via video-assisted thoracoscopic surgery may reduce the incidence of postoperative atrial fibrillation and the administration of vasopressors rather than inotropes is preferred.






Lee SH,Ahn HJ,Yeon SM,Yang M,Kim JA,Jung DM,Park JH




Has Abstract


2016-12-01 00:00:00












  • Amniotic fluid embolism.

    abstract::The statement that amniotic fluid embolism is the most dangerous and untreatable condition in obstetrics appears to be true. It must be suspected in any patient who collapses or bleeds excessively during labour or the immediate post-partum period. Attempts should be made to secure a definitive diagnosis in life by exa...


    pub_type: 杂志文章,评审


    authors: Morgan M

    更新日期:1979-01-01 00:00:00

  • A comparison of antagonism of rocuronium-induced neuromuscular blockade during sevoflurane and isoflurane anaesthesia.

    abstract::Volatile anaesthetic agents potentiate neuromuscular blocking agents and retard their rate of reversal. We hypothesised that there was a difference in the rate of reversal of rocuronium-induced neuromuscular blockade based on the selection of inhalation agent. Thirty-eight patients undergoing elective surgical procedu...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Sutcliffe DG,Murphy CM,Maslow A,Uppington J,Shorten GD

    更新日期:2000-10-01 00:00:00

  • Obstetric pain relief using epidural morphine.

    abstract::Epidural injections of morphine (2.5 or 4 mg) were given to 25 patients in labour. Forty-eight per cent had good relief of pain lasting from 3 1/4 to 11 hours (average 5 1/4 hours). Sixteen per cent of patients had transient or partial relief, and in 36% there was no discernible effect at all. No serious side effects ...


    pub_type: 杂志文章


    authors: Booker PD,Wilkes RG,Bryson TH,Beddard J

    更新日期:1980-04-01 00:00:00

  • Perineuronal morphine: a comparison with epidural morphine.

    abstract::In a double-blind, randomised controlled cross-over study the effects of perineuronal (perifemoral) injections of morphine were compared with epidural injections with the same amount of morphine in patients after knee surgery. Better pain scores were achieved during treatment with epidural morphine. We have not been a...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Dahl JB,Daugaard JJ,Kristoffersen E,Johannsen HV,Dahl JA

    更新日期:1988-06-01 00:00:00

  • The effect of low-dose ketamine on fentanyl-induced respiratory depression.

    abstract::This study evaluated if adding low-dose ketamine to fentanyl could offer a haemodynamically stable drug combination with little respiratory side-effects. Eight healthy, consenting male volunteers received in a random, cross-over and double-blind fashion both fentanyl 2 micrograms.kg-1 + ketamine 0.25 mg.kg-1 and fenta...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Mildh L,Taittonen M,Leino K,Kirvelä O

    更新日期:1998-10-01 00:00:00

  • Ketamine-diazepam anaesthesia in a patient with carcinoid syndrome.

    abstract::The use of ketamine in patients with carcinoid syndrome is controversial because of the catecholamine response to this agent. Prior administration of diazepam modifies the catecholamine response to ketamine and may make its use in such patients safe. The successful use of a diazepam-ketamine technique for anaesthesia ...


    pub_type: 杂志文章


    authors: Eisenkraft JB,Dimich I,Miller R

    更新日期:1981-09-01 00:00:00

  • Patient-controlled oral analgesia versus nurse-controlled parenteral analgesia after caesarean section: a randomised controlled trial.

    abstract::We assessed the effectiveness of early patient-controlled oral analgesia compared with parenteral analgesia in a randomised controlled non-inferiority trial of women undergoing elective caesarean section under regional anaesthesia. Seventy-seven women received multimodal paracetamol, ketoprofen and morphine analgesia....


    pub_type: 杂志文章,随机对照试验


    authors: Bonnal A,Dehon A,Nagot N,Macioce V,Nogue E,Morau E

    更新日期:2016-05-01 00:00:00

  • Accidental cross-connexion of oxygen and nitrous oxide in an anaesthetic machine.

    abstract::Oxygen and nitrous oxide pipes were cross-connected during the servicing of an anaesthetic machine. This resulted in the delivery of 100% nitrous oxide instead of 100% oxygen at the end of the operation. The patient fully recovered and was discharged on the 13th day. ...


    pub_type: 杂志文章


    authors: Bonsu AK,Stead AL

    更新日期:1983-08-01 00:00:00

  • Comparison of the C-MAC videolaryngoscope with the Macintosh, Glidescope, and Airtraq laryngoscopes in easy and difficult laryngoscopy scenarios in manikins.

    abstract::The C-MAC comprises a Macintosh blade connected to a video unit. The familiarity of the Macintosh blade, and the ability to use the C-MAC as a direct or indirect laryngoscope, may be advantageous. We wished to compare the C-MAC with Macintosh, Glidescope and Airtraq laryngoscopes in easy and simulated difficult laryng...


    pub_type: 杂志文章,随机对照试验


    authors: McElwain J,Malik MA,Harte BH,Flynn NM,Laffey JG

    更新日期:2010-05-01 00:00:00

  • The design and evaluation of a novel low-cost portable ventilator.

    abstract::Modern mechanical ventilator technologies broadly consist of digitally-controlled electronic devices and analogue systems driven by compressed gas sources. Drawbacks such as high cost, complex maintenance and the need for cumbersome sources of compressed driving gas hinder adoption in pre-hospital and low-resource env...


    pub_type: 杂志文章


    authors: Darwood A,McCanny J,Kwasnicki R,Martin B,Jones P

    更新日期:2019-11-01 00:00:00

  • The role of serratus anterior plane and pectoral nerves blocks in cardiac surgery, thoracic surgery and trauma: a qualitative systematic review.

    abstract::Serratus anterior plane and pectoral nerves blocks are recently described alternatives to established regional anaesthesia techniques in cardiac surgery, thoracic surgery and trauma. We performed a systematic review to establish the current state of evidence for the analgesic role of these fascial plane blocks in thes...


    pub_type: 杂志文章,meta分析


    authors: Jack JM,McLellan E,Versyck B,Englesakis MF,Chin KJ

    更新日期:2020-10-01 00:00:00

  • The absence of teratogenic effects of some analgesics used in anaesthesia. Additional evidence from a mouse model.

    abstract::The possibility exists that agents used in anaesthesia may have adverse teratogenic effects on staff, patients, and developing fetuses. It has been shown that a range of neurotropic drugs, when injected into pregnant mice on the 9th day of gestation, produce a characteristic group of central nervous system malformatio...


    pub_type: 杂志文章


    authors: Martin LV,Jurand A

    更新日期:1992-06-01 00:00:00

  • Air inlets for infusion bottles.

    abstract::We assessed the resistance to air flow in four commonly used air inlets. The Avon A81 and Codan air inlets provide the least resistance to flow, followed by the Baxter CO413 and lastly the Braun air inlet. The presence of a valve confers an advantage when rapid infusion of fluid is attempted. The valve in the Codan ai...


    pub_type: 杂志文章


    authors: Thorpe CM,Scott DH

    更新日期:1994-07-01 00:00:00

  • Rectal premedication in children. Comparison of diazepam with a mixture of morphine, scopolamine and diazepam.

    abstract::Two hundred and eight healthy children who were to undergo minor elective surgery during halothane, nitrous oxide, oxygen anaesthesia were studied in a double blind investigation to evaluate the sedative and anticholinergic effects of two rectal premedications. Group I received diazepam 0.75 mg/kg rectally; Group II r...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Haagensen RE

    更新日期:1985-10-01 00:00:00

  • Evaluation of the Datex 'Normac' anaesthetic agent monitor.

    abstract::The Datex 'Normac' infrared anaesthetic agent monitor has been evaluated for accuracy of calibration, stability and speed of response. Accuracy was assessed by comparing with a gas chromatograph calibrated using volumetric standards and was found to be very good for isoflurane and enflurane but was slightly less accur...


    pub_type: 杂志文章


    authors: Luff NP,White DC

    更新日期:1985-06-01 00:00:00

  • Tracheal dilatation complicating prolonged tracheal intubation.

    abstract::A patient with severe acute respiratory distress syndrome requiring prolonged tracheal intubation and mechanical ventilation is described. Tracheal dilation was noted to have occurred following an elective surgical tracheostomy. Eventually, the patient was successfully weaned from mechanical ventilation and the trache...


    pub_type: 杂志文章


    authors: Rhodes A,Lamb FJ,Grounds RM,Bennett ED

    更新日期:1997-01-01 00:00:00

  • Plasma volume estimation using indocyanine green with biexponential regression analysis of the decay curves.

    abstract::We studied seven analytical methods of estimating the plasma volume from the decay curves of indocyanine green. Fifteen volunteers received 1.0 mg.kg-1 of the dye by intravenous injection and the plasma concentration was measured continuously using spectrophotometry. Plasma volumes were calculated using three single-r...


    pub_type: 杂志文章


    authors: Sekimoto M,Fukui M,Fujita K

    更新日期:1997-12-01 00:00:00

  • Neostigmine after spontaneous recovery from neuromuscular blockade. Effect on depth of blockade monitored with train-of-four and tetanic stimuli.

    abstract::The effect of neostigmine on neuromuscular function was examined after spontaneous recovery from an atracurium-induced neuromuscular blockade, which reached a train-of-four ratio of either 0.5 or 0.9. Two doses of neostigmine 2.5 mg were given 5 minutes apart. Neuromuscular recovery was assessed with train-of-four and...


    pub_type: 杂志文章


    authors: Goldhill DR,Wainwright AP,Stuart CS,Flynn PJ

    更新日期:1989-04-01 00:00:00

  • Safety and efficacy of rescue flexible bronchoscopic intubation using the Bentson floppy-tip guidewire via a supraglottic airway in critically ill children.

    abstract::Difficulty in tracheal intubation in paediatric intensive care patients is associated with increased morbidity and mortality. Delays to intubation and interruption to oxygenation and ventilation are poorly tolerated. We developed a safe and atraumatic tracheal intubation technique. A floppy-tipped guidewire and airway...


    pub_type: 杂志文章


    authors: Cross D,Nyman A,James P,Durward A

    更新日期:2017-11-01 00:00:00

  • Consensus guidelines for managing the airway in patients with COVID-19: Guidelines from the Difficult Airway Society, the Association of Anaesthetists the Intensive Care Society, the Faculty of Intensive Care Medicine and the Royal College of Anaesthetist

    abstract::Severe acute respiratory syndrome-corona virus-2, which causes coronavirus disease 2019 (COVID-19), is highly contagious. Airway management of patients with COVID-19 is high risk to staff and patients. We aimed to develop principles for airway management of patients with COVID-19 to encourage safe, accurate and swift ...


    pub_type: 杂志文章,实务指引


    authors: Cook TM,El-Boghdadly K,McGuire B,McNarry AF,Patel A,Higgs A

    更新日期:2020-06-01 00:00:00

  • Nerve tissue protein S-100 and neurone-specific enolase concentrations in cerebrospinal fluid and blood during carotid endarterectomy.

    abstract::Nerve tissue protein S-100 and neurone-specific enolase levels in serum were studied in 10 patients before, during and for 2 days after elective carotid endarterectomy performed under general anaesthesia and using a Javid Shunt. In six patients, simultaneous cerebrospinal fluid samples were also obtained. Serum nerve ...


    pub_type: 杂志文章


    authors: Gao F,Harris DN,Sapsed-Byrne S,Standfield NJ

    更新日期:2000-08-01 00:00:00

  • The effects of intra-operative dexmedetomidine on postoperative pain, side-effects and recovery in colorectal surgery.

    abstract::In this double-blind, randomised study, 100 patients undergoing open or conventional laparoscopic colorectal surgery received an intra-operative loading dose of dexmedetomidine 1 μg.kg(-1) followed by an infusion of 0.5 μg.kg(-1) .h(-1) , or a bolus and infusion of saline 0.9% of equivalent volume. Forty-six patients ...


    pub_type: 杂志文章,随机对照试验


    authors: Cheung CW,Qiu Q,Ying AC,Choi SW,Law WL,Irwin MG

    更新日期:2014-11-01 00:00:00

  • Temazepam in fast dispensing dosage form as a premedication for children.

    abstract::Forty-seven children aged between four and 11 years received temazepam 0.5 mg/kg in a novel fast dispensing dosage form. The preparation was well accepted and associated with few side-effects. Satisfactory sedation and anxiolysis was obtained in over 93% of patients. The relative merits of a variety of routes of admin...


    pub_type: 杂志文章


    authors: Smith GB,Hughes DG,Kumar V

    更新日期:1985-04-01 00:00:00

  • A retrospective analysis of 509 consecutive interscalene catheter insertions for ambulatory surgery.

    abstract::Effective pain therapy after shoulder surgery is the main prerequisite for safe management in an ambulatory setting. We evaluated adverse events and hospital re-admission using a database of 509 interscalene catheters inserted during ambulatory shoulder surgery. Adverse events were recorded for 34 (6.7%) patients (9 (...


    pub_type: 杂志文章


    authors: Marhofer P,Anderl W,Heuberer P,Fritz M,Kimberger O,Marhofer D,Klug W,Blasl J

    更新日期:2015-01-01 00:00:00

  • A comparison of the effectiveness of dexmedetomidine versus propofol target-controlled infusion for sedation during fibreoptic nasotracheal intubation.

    abstract::Fibreoptic intubation is a valuable modality for airway management. This study aimed to compare the effectiveness of dexmedetomidine vs target controlled propofol infusion in providing sedation during fibreoptic intubation. Forty patients with anticipated difficult airways and due to undergo tracheal intubation for el...


    pub_type: 杂志文章,随机对照试验


    authors: Tsai CJ,Chu KS,Chen TI,Lu DV,Wang HM,Lu IC

    更新日期:2010-03-01 00:00:00

  • Electro-acupuncture and postoperative emesis.

    abstract::One hundred unpremedicated female patients of ASA grade 1 or 2 who underwent laparoscopy as outpatients were allocated randomly to one of four groups. All patients received general anaesthesia with fentanyl, thiopentone, halothane, nitrous oxide and oxygen; suxamethonium was given to facilitate tracheal intubation. In...


    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Ho RT,Jawan B,Fung ST,Cheung HK,Lee JH

    更新日期:1990-04-01 00:00:00

  • The effect of micropore filters on the aspiration test in epidural analgesia.

    abstract::Continuous epidural analgesia may be complicated by intravascular or subarachnoid injection of local analgesic, with disastrous consequences. One of the techniques described to prevent these complications is the aspiration test. It is the current standard of practice to employ a micropore bacterial filter for epidural...


    pub_type: 杂志文章


    authors: Charlton GA,Lawes EG

    更新日期:1991-07-01 00:00:00

  • Anaesthesia for separation of conjoined twins.

    abstract::Anaesthetic procedures for successful separation of pygopagus twins are described. A bony union in the sacral region and communication of the subarachnoid space in this region were the main abnormalities. Various anaesthetic problems during the operation and in the immediate postoperative period are discussed. ...


    pub_type: 杂志文章


    authors: Roy M

    更新日期:1984-12-01 00:00:00

  • Cardiovascular and catecholamine response to surgery in brain-dead organ donors.

    abstract::Eleven brain-dead organ donors were studied during surgery. Plasma levels of adrenaline and noradrenaline were measured before and after skin incision, upon sternotomy and 15, 30 and 45 min thereafter. Haemodynamic changes were measured continuously throughout the observation period. Blood pressure and heart rate incr...


    pub_type: 杂志文章


    authors: Fitzgerald RD,Dechtyar I,Templ E,Fridrich P,Lackner FX

    更新日期:1995-05-01 00:00:00

  • Pleural surgery in patients with cystic fibrosis. A review of anaesthetic management.

    abstract::Eighteen patients with advanced cystic fibrosis complicated by pneumothorax required either pleurectomy or abrasion pleurodesis. Anaesthesia with nitrous oxide and oxygen was combined with controlled ventilation to both lungs, usually through a double lumen endobronchial tube. Spontaneous ventilation was restored at t...


    pub_type: 杂志文章


    authors: Robinson DA,Branthwaite MA

    更新日期:1984-07-01 00:00:00