abstract：:This is a case of systemic ropivacaine toxicity from a sciatic nerve catheter. A 20-year-old patient after heart transplant with poor systemic perfusion on hemodialysis and multiple medications experienced local anesthetic systemic toxicity 72 hours after placement of a peripheral nerve catheter. The case demonstrates...

journal_title：Journal of clinical anesthesia

authors： Grigg E,Anderson C,Pankovich M,Martin L,Flack S

更新日期：2015-06-01 00:00:00

abstract：OBJECTIVES:To determine the psychometric outcomes of patients participating in an extensive patient-centered verification process before receiving sedation for regional anesthesia. DESIGN:Survey. SETTING:Perioperative areas of university-affiliated hospital. PATIENTS:Two hundred eligible patients scheduled for elect...

journal_title：Journal of clinical anesthesia

authors： Lai YH,Anderson MR,Weinberg AD,Rosenblatt MA

更新日期：2015-05-01 00:00:00

abstract：:During surgical removal of tumors of the skull base or cerebellopontine angle with brainstem compression, the vagus nerve is at a high risk for injury that can result in permanent or transient swallowing and speech dysfunction. Intramuscular recording of cricothyroid muscle can be used for vagal nerve mapping during i...

journal_title：Journal of clinical anesthesia

authors： Yang TF,Wang JC,Hsu SP,Lee CC,Lin CF,Chiu JW,Lai CJ,Chan RC,Lee SS

更新日期：2015-05-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the efficacy and safety profile of paracetamol in comparison with tramadol for pain relief during active labor. DESIGN:Prospective, randomized, double-blind study. SETTING:Maternity Wing of the Postgraduate Institute of Medical Education and Research, Chandigarh. PATIENT:Sixty laboring, p...

journal_title：Journal of clinical anesthesia

authors： Kaur Makkar J,Jain K,Bhatia N,Jain V,Mal Mithrawal S

更新日期：2015-03-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effects of epinephrine (1:200,000) in the epidural space on the incidence of blood vessel injury by epidural catheter insertion for cesarean section. DESIGN:Prospective observational study. SETTING:University-affiliated teaching hospital. PATIENTS:Four hundred laboring women with sing...

journal_title：Journal of clinical anesthesia

authors： Han C,Zhou Q,Ding Z,Qian Y

更新日期：2015-02-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate airway changes in patients undergoing surgery in the prone position. DESIGN:Single-arm observational study. PATIENTS:Patients between 18 to 65 years old, scheduled for prone spinal surgery; 74 patients were enrolled and 54 patients were analyzed. INTERVENTION:The initial airway examinatio...

journal_title：Journal of clinical anesthesia

authors： Teo EY,Kelley BS,Black IH

更新日期：2014-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether the previously published relationship between anesthetic technique and rate of surgical site infections (SSIs) was influenced by institution specific effects. DESIGN:Retrospective Review of Quality Assurance and Hospital Epidemiology databases. SETTING:Metropolitan medical center....

journal_title：Journal of clinical anesthesia

authors： Curry CS,Smith KA,Allyn JW

更新日期：2014-12-01 00:00:00

abstract：STUDY OBJECTIVE:To confirm the relationship between bevel orientation, catheter direction, and radiopaque contrast spread in the lumbar region. DESIGN:Pilot cadaver study. SETTING:Anatomy laboratory of a university hospital. MEASUREMENTS:Cadavers were randomized to two groups of 4 cadavers each. In Group 1, needle b...

journal_title：Journal of clinical anesthesia

authors： Shaparin N,Bernstein J,White RS,Kaufman A

更新日期：2014-12-01 00:00:00

abstract：STUDY OBJECTIVE:Lambert-Eaton myasthenic syndrome (LEMS) is an autoimmune disorder of the neuromuscular junction that manifests with muscle weakness, autonomic and bulbar dysfunction, and increased sensitivity to neuromuscular blocking drugs. The objective of this study is to review perioperative outcomes on a series o...

journal_title：Journal of clinical anesthesia

authors： Weingarten TN,Araka CN,Mogensen ME,Sorenson JP,Marienau ME,Watson JC,Sprung J

更新日期：2014-12-01 00:00:00

abstract：STUDY OBJECTIVE:To ascertain current knowledge, attitudes, and practices of anesthesiology residents regarding tobacco control, and to determine the characteristics of current residency training offered in tobacco control. DESIGN:Electronically distributed survey instrument of anesthesiology residency program director...

journal_title：Journal of clinical anesthesia

authors： Schultz CR,Benson JJ,Cook DA,Warner DO

更新日期：2014-11-01 00:00:00

abstract：STUDY OBJECTIVE:To perform a prospective audit of the modified guideline for the management postdural puncture headache (PDPH) and present the results at 6 months. DESIGN:Prospective single-center audit. SETTING:University hospital. PATIENTS:24 adult, ASA physical status 1, 2, and 3 patients presenting with PDPH in ...

journal_title：Journal of clinical anesthesia

authors： Niraj G,Kelkar A,Girotra V

更新日期：2014-11-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether the type of anesthetic agent administered affects the antitussive effect of remifentanil. DESIGN:Prospective randomized study. SETTING:Operating room of a university hospital. PATIENTS:78 ASA physical status 1 and 2 women, aged 20 to 65 years, who were scheduled to undergo a th...

journal_title：Journal of clinical anesthesia

authors： Lee JH,Choi SH,Choi YS,Lee B,Yang SJ,Lee JR

更新日期：2014-09-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether a novel ultrasound device may be used with a simplified augmented reality technique, and to compare this device with conventional techniques during vascular access using a vascular phantom. DESIGN:Prospective, randomized study. SETTING:Anesthesiology and Pain Medicine department...

journal_title：Journal of clinical anesthesia

authors： Jeon Y,Choi S,Kim H

更新日期：2014-09-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether betamethasone decreases the incidence of postoperative nausea/vomiting (PONV) and reduces postoperative pain following partial mastectomy. DESIGN:Prospective randomized, double-blinded study. SETTING:Operating room and Postanesthesia Care Unit of a university hospital. PATIENTS...

journal_title：Journal of clinical anesthesia

authors： Olanders KJ,Lundgren GA,Johansson AM

更新日期：2014-09-01 00:00:00

abstract：STUDY OBJECTIVE:To compare turnover times for a series of elective cases with surgeons following themselves with turnover times for a series of previously scheduled elective procedures for which the succeeding surgeon differed from the preceding surgeon. DESIGN:Retrospective cohort study. SETTING:University-affiliate...

journal_title：Journal of clinical anesthesia

authors： Austin TM,Lam HV,Shin NS,Daily BJ,Dunn PF,Sandberg WS

更新日期：2014-08-01 00:00:00

abstract：:Quadriparesis is a potentially catastrophic complication during operative procedures. It may result from a number of different types of central nervous system insults. A case of quadriparesis following an otherwise unremarkable percutaneous nephrolithotomy surgery is reported. The quadriparesis resulted from multiple ...

journal_title：Journal of clinical anesthesia

authors： Hegland DL,Canales BK,Katz RI

更新日期：2014-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effects of dexmedetomidine premedication on the minimum alveolar concentration of sevoflurane for tracheal intubation (MACTI) in children. DESIGN:Prospective, randomized, clinical comparison study. SETTING:Operating room of an academic hospital. PATIENTS:90 pediatric, ASA physical st...

journal_title：Journal of clinical anesthesia

authors： Yao Y,Qian B,Chen Y,Zhou L,Liu J

更新日期：2014-06-01 00:00:00

abstract：:Valvular heart disease in a parturient presenting for Cesarean section is challenging. A 25 year old primigravida parturient with severe mitral stenosis, mild mitral regurgitation, mild aortic regurgitation, and mild pulmonary arterial hypertension required Cesarean delivery after developing pulmonary edema. Low-dose ...

journal_title：Journal of clinical anesthesia

authors： Samanta S,Samanta S,Ghatak T,Grover VK

更新日期：2014-05-01 00:00:00

abstract：:With the advent of safety needles to prevent inadvertent needle sticks in the operating room (OR), a potentially new issue has arisen. These needles may result in coring, or the shaving off of fragments of the rubber stopper, when the needle is pierced through the rubber stopper of the medication vial. These fragments...

journal_title：Journal of clinical anesthesia

authors： Wani T,Wadhwa A,Tobias JD

更新日期：2014-03-01 00:00:00

abstract：:Tracheobronchopathia osteochondroplastica is a rare disorder characterized by cartilaginous or ossified submucosal nodules that project into the tracheobronchial lumen. It is typically discovered in the evaluation of chronic upper respiratory symptoms. A case of a completely asymptomatic man diagnosed with extensive d...

journal_title：Journal of clinical anesthesia

authors： Warner MA,Chestnut DH,Thompson G,Bottcher M,Tobert D,Nofftz M

更新日期：2013-12-01 00:00:00

abstract：:Pregnant patients with burn injuries present a unique challenge for general medical care and require special anesthetic considerations. A 21 year old woman at 28 weeks' gestation, who suffered 45% total burn surface area partial and full-thickness burns during a fire in her home, is presented. Anesthetic management in...

journal_title：Journal of clinical anesthesia

authors： Radosevich MA,Finegold H,Goldfarb W,Troianos C

更新日期：2013-11-01 00:00:00

abstract：:Brugada syndrome is an electrical cardiac disease predisposing to ventricular arrhythmias in which typical electrocardiographic (ECG) features consist of nonischemic repolarization abnormalities in the right precordial leads V1-V3. The appearance of a Brugada-ECG pattern is increasingly observed in critically ill pati...

journal_title：Journal of clinical anesthesia

authors： Meggiolaro M,Zorzi A,El Maghawry M,Peruzza F,Migliore F,Pittoni GM

更新日期：2013-09-01 00:00:00

abstract：STUDY OBJECTIVE:To compare analgesia and opioid-related side effects of intrathecal morphine and intrathecal hydromorphone after elective Cesarean delivery. DESIGN:Retrospective, comparative study. SETTING:Labor and delivery unit of an academic hospital. PATIENTS:114 parturients age ≥ 18 years, presenting for electi...

journal_title：Journal of clinical anesthesia

authors： Beatty NC,Arendt KW,Niesen AD,Wittwer ED,Jacob AK

更新日期：2013-08-01 00:00:00

abstract：:A case of persistent thoracic cerebrospinal fluid cutaneous fistula in a toddler following radiographically confirmed epidural catheter placement is reported. Treatment of the fistula with a thoracic epidural blood patch was successful. ...

journal_title：Journal of clinical anesthesia

authors： Franklin AD,Hays SR

更新日期：2013-06-01 00:00:00

abstract：STUDY OBJECTIVE:To measure the parameter of job satisfaction among anesthesiologists. DESIGN:Survey instrument. SETTING:Academic anesthesiology departments in the United States. SUBJECTS:320 anesthesiologists who attended the annual meeting of the ASA in 2009 (95% response rate). MEASUREMENTS AND MAIN RESULTS:The a...

journal_title：Journal of clinical anesthesia

authors： Afonso AM,Diaz JH,Scher CS,Beyl RA,Nair SR,Kaye AD

更新日期：2013-06-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the risk factors of perioperative complications and the impact of intrathecal morphine (ITM) in major vascular surgery. DESIGN:Retrospective analysis of a prospective cohort. SETTINGS:Operating room, intensive care unit, and Postanesthesia Care Unit of a university hospital. MEASUREMENTS...

journal_title：Journal of clinical anesthesia

authors： Licker M,Christoph E,Cartier V,Mugnai D,Murith N,Kalangos A,Aldenkortt M,Cassina T,Diaper J

更新日期：2013-06-01 00:00:00

abstract：:The perioperative management of a patient receiving a bilateral hand transplant is presented. The anesthetic management required careful fluid administration, homeothermic temperature maintenance, and postoperative analgesia. The role of different anesthesia subspecialties is highlighted. ...

journal_title：Journal of clinical anesthesia

authors： Elkassabany NM,Fosnot CD,Shaked A,Kanchwala SK,Kovach SJ 3rd,Chang B,Lin IC,Ochroch EA,Baranov DY,Levin LS

更新日期：2013-05-01 00:00:00

abstract：STUDY OBJECTIVE:To characterize respiratory dynamics during emergence from propofol-remifentanil anesthesia using noninvasive respiratory inductance plethysmography (RIP). DESIGN:Observational pilot study. SETTING:Operating room in a university-affiliated teaching hospital. PATIENTS:50 ASA physical status 1, 2, and ...

journal_title：Journal of clinical anesthesia

authors： Atkins JH,Mandel JE

更新日期：2013-03-01 00:00:00

abstract：STUDY OBJECTIVE:To report the occurrence of pseudo-hypotension during posterior osteotomy for correction of kyphosis in patients with ankylosing spondylitis. DESIGN:Retrospective case series. SETTING:University-affiliated hospital. MEASUREMENTS:The records of 36 patients with ankylosing spondylitis, who had severe t...

journal_title：Journal of clinical anesthesia

authors： Jiang Z,Liu Y,Zhang W,Ma Z

更新日期：2013-02-01 00:00:00

abstract：:A case of a 49 year old man with a giant basilar artery aneurysm requiring rapid ventricular pacing is presented. Rapid ventricular pacing decreased aneurysm size and increased operative exposure, which aided surgical decision making. It also provided decreased wall tension in the aneurysm. ...

journal_title：Journal of clinical anesthesia

authors： Whiteley JR,Payne R,Rodriguez-Diaz C,Ellegala DB,Reeves ST

更新日期：2012-12-01 00:00:00

abstract：STUDY OBJECTIVE:To study the impact of adding simulation-based education to the pre-intervention mandatory hospital efforts aimed at decreasing central venous catheter-related blood stream infections (CRBSI) in intensive care units (ICU). DESIGN:Pre- and post-intervention retrospective observational investigation. SE...

journal_title：Journal of clinical anesthesia

authors： Burden AR,Torjman MC,Dy GE,Jaffe JD,Littman JJ,Nawar F,Rajaram SS,Schorr C,Staman GW,Reboli AC

更新日期：2012-11-01 00:00:00

abstract：:Since the first robotic prostatectomy in 2000, the number of prostatectomies performed using robot-assisted laparoscopy has been increasing. As of 2009, 90,000 robotic radical prostatectomies were performed worldwide, and 80% of all radical prostatectomies performed in the United States were performed robotically. Rob...

journal_title：Journal of clinical anesthesia

authors： Awad H,Walker CM,Shaikh M,Dimitrova GT,Abaza R,O'Hara J

更新日期：2012-09-01 00:00:00

abstract：:A case of fulminant hepatic failure two days following an uneventful operation during isoflurane anesthesia is presented. Investigations included elevated bilirubin and serum transaminases in the absence of any other cause of hepatic dysfunction. The patient died on the fourth postoperative day. Subsequent postmortem ...

journal_title：Journal of clinical anesthesia

authors： Peiris LJ,Agrawal A,Morris JE,Basnyat PS

更新日期：2012-09-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if practicing anesthesiologists recommend preoperative evaluations consistent with the 2007 ACC/AHA guidelines on perioperative care. DESIGN:Survey instrument. SETTING:Academic medical center. SUBJECTS:ASA membership. MEASUREMENTS:In this Web-based survey, participants were presented wi...

journal_title：Journal of clinical anesthesia

authors： Vigoda MM,Behrens V,Miljkovic N,Arheart KL,Lubarsky DA,Dutton RP

更新日期：2012-09-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the reliability of assessments of nasal flow rate for improved nostril selection for nasotracheal intubation. DESIGN:Prospective, randomized, double-blinded study. SETTING:Operating room of a university-affiliated hospital. PATIENTS:118 ASA physical status 1 and 2 patients, aged 18-65 yea...

journal_title：Journal of clinical anesthesia

authors： Lim HS,Kim D,Lee J,Son JS,Lee JR,Ko S

更新日期：2012-06-01 00:00:00

abstract：:A case of new-onset atrial fibrillation subsequent to activation of neuraxial anesthesia is presented. The development of atrial fibrillation was temporally related to placement and dosing of an epidural catheter, and may have been triggered by a vagal response to dosing of the anesthetic or the resulting treatment wi...

journal_title：Journal of clinical anesthesia

authors： Rogers WK,Schroeder KM

更新日期：2012-06-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether the phase of menstrual cycle influences the incidence of postoperative nausea and vomiting (PONV) in women undergoing general anesthesia for elective laparoscopic gynecological surgery. DESIGN:Prospective, observational, blinded study. SETTING:General hospital, Postanesthesia Ca...

journal_title：Journal of clinical anesthesia

authors： Šimurina T,Mraovic B,Skitarelić N,Andabaka T,Sonicki Z

更新日期：2012-05-01 00:00:00

abstract：:A 14 month old, 19 kg female infant with aminotic band syndrome and severe craniofacial malformations presented for placement of an open gastrostomy tube. Spontaneous ventilation was maintained while an "awake look" was performed with the video laryngoscope using intravenous propofol (30 mg total) for sedation. A Grad...

journal_title：Journal of clinical anesthesia

authors： Verchere S,Khalil B,Maddukuri V,Hagberg CA

更新日期：2012-03-01 00:00:00

abstract：:The development of acute respiratory failure (ARF) secondary to respiratory tract infection is a common event in patients affected with osteogenesis imperfecta type III. Noninvasive positive pressure ventilation (NPPV) is increasingly administered to treat severe ARF of various origin. The use of NPPV in two patients ...

journal_title：Journal of clinical anesthesia

authors： Arcaro G,Braccioni F,Gallan F,Marchi MR,Vianello A

更新日期：2012-02-01 00:00:00

abstract：STUDY OBJECTIVES:To determine whether the first-attempt tracheal intubation incidence using the GlideScope videolaryngoscope is higher in patients with predicted increased risk of difficult laryngoscopy, and to assess the ability of other a priori defined standard risk factors to predict first-attempt intubation succes...

journal_title：Journal of clinical anesthesia

authors： Díaz-Gómez JL,Satyapriya A,Satyapriya SV,Mascha EJ,Yang D,Krakovitz P,Mossad EB,Eikermann M,Doyle DJ

更新日期：2011-12-01 00:00:00