abstract：BACKGROUND:Modifications in physician billing patterns have been shown to occur in response to payer incentives, but the phenomenon remains largely unexplored in billing for anesthesia services. Within the field of anesthesiology, Medicare's policy not to provide additional reimbursement for higher ASA physical status ...

journal_title：Anesthesia and analgesia

authors： Schonberger RB,Dutton RP,Dai F

更新日期：2016-01-01 00:00:00

abstract：BACKGROUND:Postsurgical quality of recovery is worse in female than that in male patients. Duloxetine has been used successfully for the treatment of chronic pain conditions, but its use for preventing acute postoperative pain has been limited to a single previous study. More importantly, the effect of preoperative dul...

journal_title：Anesthesia and analgesia

authors： Castro-Alves LJ,Oliveira de Medeiros AC,Neves SP,Carneiro de Albuquerque CL,Modolo NS,De Azevedo VL,De Oliveira GS Jr

更新日期：2016-01-01 00:00:00

abstract：:Education is the fundamental process used to develop and maintain the professional skills of physicians. Medical students, residents, and fellows are expected to learn considerable amounts of information as they progress toward board certification. Established practitioners must continue to learn in an effort to remai...

journal_title：Anesthesia and analgesia

authors： Weidman J,Baker K

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Many clinical pain states that are difficult to treat share a common feature of sensitization of nociceptive pathways. Drugs that could normalize hyperexcitable neural activity (e.g., antiepileptic drugs) may be useful in relieving these pain states. Eslicarbazepine acetate (ESL) is a novel antiepileptic dru...

journal_title：Anesthesia and analgesia

authors： Tomić MA,Pecikoza UB,Micov AM,Stepanović-Petrović RM

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Studies in a variety of disciplines have shown that the readability of Web-based patient education materials is above that of the sixth grade reading level recommended by the U.S. Department of Health and Human Services. The aim of this study was to evaluate the readability, content, and quality of English- ...

journal_title：Anesthesia and analgesia

authors： Patel SK,Gordon EJ,Wong CA,Grobman WA,Goucher H,Toledo P

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:The forced oscillation technique is a new approach for assessing perioperative respiratory function. METHODS:This study enrolled 40 patients undergoing general anesthesia: 20 for ≥2 hours and 20 for <2 hours. Respiratory parameters were measured the day before and after surgery using forced oscillation duri...

journal_title：Anesthesia and analgesia

authors： Kuzukawa Y,Nakahira J,Sawai T,Minami T

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Mitochondrial injury is a major cause of sepsis-induced organ failure. Polydatin (PD), a natural polyphenol, demonstrates protective mitochondrial effects in neurons and arteriolar smooth muscle cells during severe shock. In this study, we investigated the effects of PD on renal tubular epithelial cell (RTEC...

journal_title：Anesthesia and analgesia

authors： Gao Y,Zeng Z,Li T,Xu S,Wang X,Chen Z,Lin C

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and the patient could be reduced af...

journal_title：Anesthesia and analgesia

authors： Birnbach DJ,Rosen LF,Fitzpatrick M,Carling P,Arheart KL,Munoz-Price LS

更新日期：2015-11-01 00:00:00

abstract：:In this review article, we address issues related to using data from anesthesia information management systems (AIMS) to deliver near real-time alerts via AIMS workstation popups and/or alphanumeric pagers and post hoc reports via e-mail. We focus on reports and alerts for influencing the behavior of anesthesia provid...

journal_title：Anesthesia and analgesia

authors： Epstein RH,Dexter F,Patel N

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:We tested the hypothesis that hypothyroidism, as defined by thyroid-stimulating hormone (TSH) concentration, is associated with a severity-weighted composite of mortality and major cardiovascular and infectious complications after noncardiac surgery. METHODS:In this retrospective cohort study, we evaluated ...

journal_title：Anesthesia and analgesia

authors： Komatsu R,You J,Mascha EJ,Sessler DI,Kasuya Y,Turan A

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:The rate of neuraxial analgesia during labor in France is one of the highest among high-income countries: 77% of vaginal deliveries in 2010. In this context, the question of how women's preferences for delivering without neuraxial analgesia relate to actual use is of interest. Our objective was to study the ...

journal_title：Anesthesia and analgesia

authors： Kpéa L,Bonnet MP,Le Ray C,Prunet C,Ducloy-Bouthors AS,Blondel B

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:In this pilot study, we hypothesized that velocity parameters obtained from changes in clot amplitude (A) and clot elasticity (E) measured with thromboelastometry (ROTEM, Tem International GmbH, Munich, Germany) could improve detection of fibrinolysis in whole blood obtained from children undergoing surgery ...

journal_title：Anesthesia and analgesia

authors： Faraoni D,Van der Linden P,Ducloy-Bouthors AS,Goobie SM,DiNardo JA,Nielsen VG

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:The aim of this study was to identify patient and procedural characteristics associated with postoperative respiratory depression or sedation requiring naloxone intervention. METHODS:We identified patients who received naloxone to reverse opioid-induced respiratory depression or sedation within 48 hours aft...

journal_title：Anesthesia and analgesia

authors： Weingarten TN,Herasevich V,McGlinch MC,Beatty NC,Christensen ED,Hannifan SK,Koenig AE,Klanke J,Zhu X,Gali B,Schroeder DR,Sprung J

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:The purpose of this study was to identify optimal target propofol and remifentanil concentrations to avoid a gag reflex in response to insertion of an upper gastrointestinal endoscope. METHODS:Patients presenting for endoscopy received target-controlled infusions (TCI) of both propofol and remifentanil for ...

journal_title：Anesthesia and analgesia

authors： Borrat X,Valencia JF,Magrans R,Gimenez-Mila M,Mellado R,Sendino O,Perez M,Nunez M,Jospin M,Jensen EW,Troconiz I,Gambus PL

更新日期：2015-07-01 00:00:00

abstract：:The evolution of modern anesthesia and surgical practices has been accompanied by enhanced supportive procedures in blood banking and transfusion medicine. There is increased focus on the preparation and the use of blood components including, but not limited to, preventing unnecessary type and screen/crossmatch orders...

journal_title：Anesthesia and analgesia

authors： White MJ,Hazard SW 3rd,Frank SM,Boyd JS,Wick EC,Ness PM,Tobian AA

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Human immunodeficiency virus (HIV)-related painful sensory neuropathies primarily consist of the HIV infection-related distal sensory polyneuropathy and antiretroviral toxic neuropathies. Pharmacotherapy provides only partial relief of pain in patients with HIV/acquired immune deficiency syndrome because lit...

journal_title：Anesthesia and analgesia

authors： Kanao M,Kanda H,Huang W,Liu S,Yi H,Candiotti KA,Lubarsky DA,Levitt RC,Hao S

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:In this study, we sought to determine whether a simplified ultrasound measurement of the largest transverse diameter, using a standard ultrasound machine, could be used to diagnose postoperative urinary retention (POUR). This method may replace expensive bladder volume measuring devices or a more complex ult...

journal_title：Anesthesia and analgesia

authors： Daurat A,Choquet O,Bringuier S,Charbit J,Egan M,Capdevila X

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:Obstructive sleep apnea (OSA) is a commonly encountered comorbid condition in patients undergoing surgery and is associated with a greater risk of postoperative adverse events. Our objective in this review was to investigate the effectiveness of continuous positive airway pressure (CPAP) in reducing the risk...

journal_title：Anesthesia and analgesia

authors： Nagappa M,Mokhlesi B,Wong J,Wong DT,Kaw R,Chung F

更新日期：2015-05-01 00:00:00

abstract：:Health care-associated infections are a hospital-wide concern associated with a significant increase in patient morbidity, mortality, and health care costs. Bacterial transmission in the anesthesia work area of the operating room environment is a root cause of 30-day postoperative infections affecting as many as 16% o...

journal_title：Anesthesia and analgesia

authors： Loftus RW,Koff MD,Birnbach DJ

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Even though current perception threshold (CPT) has been used for evaluating the effectiveness of sensory block in patients before surgery, its reliability under controlled conditions has not been investigated. Two independent investigations were performed. The primary objective of the first study was to dete...

journal_title：Anesthesia and analgesia

authors： Gaudreault F,Drolet P,Fallaha M,Varin F

更新日期：2015-03-01 00:00:00

abstract：:To learn the latest developments in the various forms of postoperative cognitive dysfunction, a group of scientists and physicians met in Stockholm for a full day of presentations and interactive discussions. This article summarizes the discussion; highlighting progress, challenges, and new directions in the area of p...

journal_title：Anesthesia and analgesia

authors： Terrando N,Eriksson LI,Eckenhoff RG

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Although local anesthetics (LAs) are generally accepted as being safe, incidental neuronal damage has been reported for all LAs in humans. Therefore, in this study, we compared the dose corresponding to 50% cell lethality (LD50) of articaine, lidocaine, mepivacaine, bupivacaine, prilocaine, and ropivacaine i...

journal_title：Anesthesia and analgesia

authors： Malet A,Faure MO,Deletage N,Pereira B,Haas J,Lambert G

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Neonates undergoing cardiac surgery are especially prone to the hemostatic alterations of cardiopulmonary bypass (CPB) and are at high risk for post-CPB bleeding. An immature coagulation system, significant hemodilution from the CPB prime, long CPB times at low temperatures, and extensive suture lines increa...

journal_title：Anesthesia and analgesia

authors： Guzzetta NA,Allen NN,Wilson EC,Foster GS,Ehrlich AC,Miller BE

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:In children, the laryngeal mask airway (LMA) is frequently displaced within the hypopharynx, resulting in repositioning of the device. When the tip of the LMA is placed in the esophageal inlet, the arytenoids are moved ventrally. When the LMA is rotated or deviated, the ventral movement of the arytenoids may...

journal_title：Anesthesia and analgesia

authors： Kim J,Kim JY,Kim WO,Kil HK

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND:Both propofol infusions with oxygen delivered through nasal cannula and isoflurane/N2O (nitrous oxide) delivered via a laryngeal mask airway (LMA) are used to provide anesthesia for children undergoing magnetic resonance imaging scans. We compared the incidence of adverse events and perioperative physiologic...

journal_title：Anesthesia and analgesia

authors： Heard C,Harutunians M,Houck J,Joshi P,Johnson K,Lerman J

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:The blood/gas partition coefficient of a certain volatile anesthetic is of clinical importance because it determines its velocity of uptake into and elimination from the body of a patient and thus its pharmacokinetic behavior. To date, the blood/gas partition coefficients of isoflurane, sevoflurane, and desf...

journal_title：Anesthesia and analgesia

authors： Esper T,Wehner M,Meinecke CD,Rueffert H

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Hypoxemia, as measured by pulse oximetry (SpO2), is common in postanesthesia care unit (PACU) patients. The temporal distribution of desaturation has managerial implications because treatment may necessitate the presence of an anesthesiologist. METHODS:We retrieved SpO2 values recorded electronically every ...

journal_title：Anesthesia and analgesia

authors： Epstein RH,Dexter F,Lopez MG,Ehrenfeld JM

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Modulation of γ-aminobutyric acid type A receptors (GABAARs) by general anesthetics may contribute to their ability to produce amnesia. Receptors containing α5 subunits, which mediate tonic and slow synaptic inhibition, are co-localized with β3 and γ2 subunits in dendritic layers of the hippocampus and are s...

journal_title：Anesthesia and analgesia

authors： Burkat PM,Lor C,Perouansky M,Pearce RA

更新日期：2014-12-01 00:00:00

abstract：:The respiratory variations in the plethysmographic (PLET) waveform of the pulse oximeter during mechanical ventilation can be automatically quantified as the PLET variation index (PVI(®)). Like other dynamic variables, the PVI may provide useful information about fluid responsiveness but only when the patient is recei...

journal_title：Anesthesia and analgesia

authors： Perel A

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Pain in sickle cell disease (SCD) is characterized by episodes of acute pain, primarily responsible for acute health care utilization, and persistent chronic pain. Pain severity and frequency vary significantly among patients with SCD. In this study, we investigated the possible contribution of monoamine gen...

journal_title：Anesthesia and analgesia

authors： Jhun E,He Y,Yao Y,Molokie RE,Wilkie DJ,Wang ZJ

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Dosing subcutaneous (SC) unfractionated heparin (UFH) 3 times a day (TID) for deep venous thrombosis prophylaxis is used for patients in the United States undergoing nonorthopedic surgery. There is a lack of data on the risks of neuraxial techniques in patients receiving TID SC UFH; however, concerns have be...

journal_title：Anesthesia and analgesia

authors： Pace M,Koury K,Gulur P

更新日期：2014-11-01 00:00:00

abstract：:The Society of Cardiovascular Anesthesiologists (SCA) introduced the FOCUS initiative (Flawless Operative Cardiovascular Unified Systems) in 2005 in response to the need for a rigorous scientific approach to improve quality and safety in the cardiovascular operating room (CVOR). The goal of the project, which is suppo...

journal_title：Anesthesia and analgesia

authors： Barbeito A,Lau WT,Weitzel N,Abernathy JH 3rd,Wahr J,Mark JB

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Drug-induced sleep endoscopy (DISE) uses sedative-hypnotics to induce moderate obstruction in sleep apnea patients, thereby facilitating anatomic assessment of obstructive physiology. Implementation of DISE with propofol requires a dosing strategy that reliably and efficiently produces obstruction while mini...

journal_title：Anesthesia and analgesia

authors： Atkins JH,Mandel JE,Rosanova G

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Cerebral cholinergic transmission plays a key role in cognitive function, and anticholinergic drugs administered during the perioperative phase are a hypothetical cause of postoperative cognitive dysfunction (POCD). We hypothesized that a perioperative increase in serum anticholinergic activity (SAA) is asso...

journal_title：Anesthesia and analgesia

authors： Rossi A,Burkhart C,Dell-Kuster S,Pollock BG,Strebel SP,Monsch AU,Kern C,Steiner LA

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Patients with bone marrow failure and severe thrombocytopenia are frequently given prophylactic platelet transfusion before interventions. The clinical effects of such transfusions, however, are poorly defined. We performed a prospective observational study on patients with bone marrow failure scheduled for ...

journal_title：Anesthesia and analgesia

authors： Kander T,Tanaka KA,Norström E,Persson J,Schött U

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:Statins have been shown to possess antiinflammatory and immunomodulatory effects. In this study, we sought to determine if preoperative statin therapy is associated with a reduced frequency of postoperative acute respiratory distress syndrome (ARDS) in surgical populations at increased risk of developing ARD...

journal_title：Anesthesia and analgesia

authors： Yadav H,Lingineni RK,Slivinski EJ,Stockler KA,Subramanian A,Oderich GS,Wigle DA,Carter RE,Kor DJ

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:In this study, our objective was to determine whether a perioperative hemodynamic protocol based on noninvasive cardiac output monitoring decreases the incidence of postoperative complications and hospital length of stay in major abdominal surgery patients requiring intensive care unit admission. Secondary o...

journal_title：Anesthesia and analgesia

authors： Pestaña D,Espinosa E,Eden A,Nájera D,Collar L,Aldecoa C,Higuera E,Escribano S,Bystritski D,Pascual J,Fernández-Garijo P,de Prada B,Muriel A,Pizov R

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Central venous cannulation is technically challenging in obese patients. We hypothesized that positive end-expiratory pressure (PEEP) increases the size of the internal jugular vein (IJV) in obese adults. METHODS:The circumference and cross-sectional area of the IJV were measured in obese patients under gen...

journal_title：Anesthesia and analgesia

authors： Downey LA,Blaine KP,Sliwa J,Macario A,Brock-Utne J

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Among the various factors influencing the success rate, onset time, and duration of peripheral nerve blocks, the role of local anesthetics concentration remains uncertain. In this prospective, randomized, single-blinded study, we evaluated whether varying the dilution of a fixed dose of mepivacaine solution ...

journal_title：Anesthesia and analgesia

authors： Cappelleri G,Ambrosoli AL,Turconi S,Gemma M,Ricci EB,Cornaggia G

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Postpartum depression is a common psychiatric disorder in parturients after delivery. The etiology remains unclear, and multiple factors may be involved. In this study, we investigated whether epidural labor analgesia was associated with a decreased risk of postpartum depression development. METHODS:Two hun...

journal_title：Anesthesia and analgesia

authors： Ding T,Wang DX,Qu Y,Chen Q,Zhu SN

更新日期：2014-08-01 00:00:00