abstract：:A parturient presented at 35 weeks' gestation with worsening neurological symptoms caused by syringomyelia. She underwent urgent cesarean delivery. The etiology and anesthetic considerations for an obstetrical patient with syringomyelia are discussed. ...

journal_title：Journal of clinical anesthesia

authors： Nielsen JL,Bejjani GK,Vallejo MC

更新日期：2011-12-01 00:00:00

abstract：:Fibrodysplasia ossificans progressiva (FOP) is a rare disorder of the connective tissue leading to progressive tissue ossification and immobilization. Soft-tissue trauma may exacerbate this condition, causing further ossification. Multisystem involvement includes restrictive lung disease, cervical ankylosis with limit...

journal_title：Journal of clinical anesthesia

authors： Gorji R,Li F,Nastasi R,Stuart S

更新日期：2011-11-01 00:00:00

abstract：:A potentially life-threatening arrhythmia appeared on the preinduction electrocardiogram of an asymptomatic young woman prior to spine surgery. The patient was evaluated by electrophysiology and had a rare accessory pathway, a Mahaim Fiber. ...

journal_title：Journal of clinical anesthesia

authors： Zweifler IA,Rosenberg AD,Chinitz L

更新日期：2011-09-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate associations of heart rate variability (HRV) measurements with postoperative atrial fibrillation (AF) in patients undergoing off-pump coronary surgery. DESIGN:Prospective, observational, exploratory study. SETTING:Large university-affiliated community medical center. PATIENTS:50 patien...

journal_title：Journal of clinical anesthesia

authors： Chamchad D,Horrow JC,Samuels LE,Nakhamchik L

更新日期：2011-09-01 00:00:00

abstract：:Lung transplantation has become an accepted option for many patients with end-stage pulmonary diseases. Anesthesia and surgery following lung transplantation may be required for various diseases that may affect both systemic organs and the transplanted graft. When a patient with a lung transplant undergoes surgery, th...

journal_title：Journal of clinical anesthesia

authors： Feltracco P,Falasco G,Barbieri S,Milevoj M,Serra E,Ori C

更新日期：2011-09-01 00:00:00

abstract：STUDY OBJECTIVE:To test the feasibility and efficacy of a new approach to paravertebral catheter placement in patients undergoing major surgery of the breast. DESIGN:Single-group, single-center observational study. SETTING:Operating room, postoperative recovery area, and normal ward of a university hospital. PATIENT...

journal_title：Journal of clinical anesthesia

authors： Jüttner T,Werdehausen R,Hermanns H,Monaca E,Danzeisen O,Pannen BH,Janni W,Winterhalter M

更新日期：2011-09-01 00:00:00

abstract：:von Willebrand disease (VWD) is the most common hereditary bleeding disorder in humans, with an estimated prevalence of 0.5% to 1%. Patients with VWD are at increased risk of perioperative bleeding complications. This review provides an evidence-based overview of VWD and its management during the perioperative period....

journal_title：Journal of clinical anesthesia

authors： Mazzeffi MA,Stone ME

更新日期：2011-08-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the effect of clonidine when added to local anesthetics on duration of postoperative analgesia during retrobulbar block. DESIGN:Prospective, randomized controlled trial. SETTING:Operating room and Postanesthesia Care Unit of a university-affiliated hospital. SUBJECTS:80 ASA physical statu...

journal_title：Journal of clinical anesthesia

authors： Yazbeck-Karam VG,Siddik-Sayyid SM,Abi Nader EL,Barakat DE,Karam HS,Cherfane GM,Hussein JN,Aouad MT

更新日期：2011-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the methods used to teach surgical airway management to residents. DESIGN:Electronic mail survey instrument. SETTING:Academic medical center. PARTICIPANTS:82 (of a possible 132) United States residency program directors. MEASUREMENTS:Data including whether instruction in surgical airway...

journal_title：Journal of clinical anesthesia

authors： Holak EJ,Kaslow O,Pagel PS

更新日期：2011-06-01 00:00:00

abstract：:We report the case of a 13 year old patient who received 3.0 mg of remifentanil during a 50-minute surgical procedure as a result of a dosage miscalculation. The patient failed to awaken at the conclusion of the procedure and showed signs of opioid overdose. She recovered spontaneously two hours later. ...

journal_title：Journal of clinical anesthesia

authors： Barak M,Greenberg Z,Danino J

更新日期：2011-06-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate intracuff pressure changes in the ProSeal Laryngeal Mask Airway (PLMA) during 50% nitrous oxide (N₂O) anesthesia. DESIGN:Prospective, randomized study. SETTING:Operating room of a university-affiliated hospital. PATIENTS:40 ASA 1 and 2 children, aged 2 to 6 years, weighing 10-20 kg, un...

journal_title：Journal of clinical anesthesia

authors： Chen BZ,Luo LH,Jiang L,Wang RR,Li J,Tan L

更新日期：2011-05-01 00:00:00

abstract：:Placement of a central venous catheter into an internal thoracic vein occurs in approximately 2% of all catheterizations. A case in which a pulmonary artery catheter was trapped within the internal thoracic vein during orthotopic heart transplantation is presented. ...

journal_title：Journal of clinical anesthesia

authors： Raikhelkar J,Anyanwu A,Krishnan SH,Kahn RA

更新日期：2011-05-01 00:00:00

abstract：STUDY OBJECTIVE:To determine if the use of ultrasound guidance (vs non-ultrasound techniques) improves the success rate of nerve blocks. DESIGN:Meta-analysis of randomized controlled trials (RCTs) in the published literature. SETTING:University medical center. MEASUREMENTS:16 RCTs of patients undergoing elective sur...

journal_title：Journal of clinical anesthesia

authors： Gelfand HJ,Ouanes JP,Lesley MR,Ko PS,Murphy JD,Sumida SM,Isaac GR,Kumar K,Wu CL

更新日期：2011-03-01 00:00:00

abstract：:A 21 year old healthy parturient was diagnosed as having a fetus with micrognathia. She was scheduled for an ex-utero intrapartum treatment (EXIT) procedure. General anesthesia consisted of remifentanil, nitrous oxide, and midazolam. Intravenous nitroglycerin was used for uterine relaxation. This technique offered hem...

journal_title：Journal of clinical anesthesia

authors： Ioscovich A,Shen O,Sichel JY,Lajos Y,Orkin D,Bromiker R,Briskin A

更新日期：2011-03-01 00:00:00

abstract：:During transplant surgery, clot formation resulting in life-threatening thromboembolic phenomena or graft loss may be a consequence unless close monitoring of coagulation and anticoagulation treatment is instituted in a timely manner. Three cases with a hypercoagulable state, as determined by thrombelastography at the...

journal_title：Journal of clinical anesthesia

authors： Fukazawa K,Pretto EA Jr

更新日期：2011-02-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate whether children with Down Syndrome are at increased risk of bradycardia and hypotension during and following sevoflurane induction. DESIGN:Retrospective study. SETTING:University-affiliated children's hospital. MEASUREMENTS:The records of children with Down syndrome and a sample matched ...

journal_title：Journal of clinical anesthesia

authors： Bai W,Voepel-Lewis T,Malviya S

更新日期：2010-12-01 00:00:00

abstract：:Subcutaneous targeted neuromodulation has been used successfully in chronic neuropathic pain. A 26 year-old patient with severe postthoracotomy pain and ipsilateral "wing scapula" due to intraoperative injury of the long thoracic nerve, is reported. Application of targeted neuromodulation resulted in immediate pain re...

journal_title：Journal of clinical anesthesia

authors： Theodosiadis P,Grosomanidis V,Samoladas E,Chalidis BE

更新日期：2010-12-01 00:00:00

abstract：STUDY OBJECTIVE:To determine the effect-site target concentration (C(et)) of remifentanil that provides optimal conditions for patients and operators during cataract surgery during monitored anesthesia care using a target controlled infusion (TCI) of propofol and remifentanil. DESIGN:Prospective, randomized, double-bl...

journal_title：Journal of clinical anesthesia

authors： Ryu JH,So YM,Hwang JW,Do SH

更新日期：2010-11-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the efficacy of thoracic epidural analgesia (TEA) in scoliosis surgery. DESIGN:Descriptive clinical study. SETTING:University hospital. PATIENTS:15 ASA physical status I, II, and III patients undergoing thoracolumbar scoliosis correction. INTERVENTIONS:TEA was performed at three to 5 cm ...

journal_title：Journal of clinical anesthesia

authors： Sundarathiti P,Pasutharnchat K,Jommaroeng P

更新日期：2010-09-01 00:00:00

abstract：:Severe uncompensated lactic acidosis manifesting during the pre-anhepatic stage of orthotopic liver transplant surgery is an uncommon event, but it poses serious concern because of the additional lactate production and impaired elimination by the liver that develops during the anhepatic and allograft reperfusion stage...

journal_title：Journal of clinical anesthesia

authors： Vitin A,Muczynski K,Bakthavatsalam R,Martay K,Dembo G,Metzner J

更新日期：2010-09-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate the influence of duration of deep hypothermic circulatory arrest (DHCA) on recovery of the bispectral index (BIS). DESIGN:Prospective cohort study. SETTING:Operating room of university teaching hospital. PATIENTS:30 adult, ASA physical status III and IV patients scheduled for cardiac s...

journal_title：Journal of clinical anesthesia

authors： Ziegeler S,Buchinger H,Wilhelm W,Larsen R,Kreuer S

更新日期：2010-08-01 00:00:00

abstract：:The case of a patient with hereditary angioedema (HAE), a rare, life-threatening disorder caused by reduced activity of the C1 esterase inhibitor, and requiring off-pump coronary artery bypass graft (OP-CABG) surgery, is presented. Perioperative management of patients with HAE who undergo complex cardiac surgical proc...

journal_title：Journal of clinical anesthesia

authors： Shick V,Sanchala V,McGoldrick KE,Tartaglia JJ,Nelson J,Fleisher AJ

更新日期：2010-06-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the influence of nasal oxygen (O(2)) administration on the duration of arterial oxygen saturation (SpO(2)) >or=95% during simulated difficult laryngoscopy in obese patients. DESIGN:Prospective, randomized, controlled trial. SETTING:University hospital. PATIENTS:30 obese men undergoing gen...

journal_title：Journal of clinical anesthesia

authors： Ramachandran SK,Cosnowski A,Shanks A,Turner CR

更新日期：2010-05-01 00:00:00

abstract：:Vagus nerve stimulation (VNS) for medically refractory seizures has been an approved therapy by the Food and Drug Administration since 1997, with additional approval as an adjunct therapy for major depression granted in 2005. Potential applications for VNS therapy in obesity, neuropsychiatric disorders, and chronic pa...

journal_title：Journal of clinical anesthesia

authors： Fahy BG

更新日期：2010-05-01 00:00:00

abstract：STUDY OBJECTIVE:To evaluate the accuracy of cardiac index (CI) as measured by echo-transesophageal Doppler monitoring (echo-TDM) with CI measured by the transpulmonary thermodilution technique. DESIGN:Prospective, observational study. SETTING:University hospital. PATIENTS:16 patients scheduled for elective lung canc...

journal_title：Journal of clinical anesthesia

authors： Diaper J,Ellenberger C,Villiger Y,Robert J,Inan C,Tschopp JM,Licker M

更新日期：2010-03-01 00:00:00

abstract：:Substance abuse is the most serious occupational safety issue associated with the practice of anesthesiology, with an incidence as high as 1% per year of training. The Cleveland Clinic's Anesthesiology Institute approached the process from the perspective of active prevention, including specific mandatory education pr...

journal_title：Journal of clinical anesthesia

authors： Tetzlaff J,Collins GB,Brown DL,Leak BC,Pollock G,Popa D

更新日期：2010-03-01 00:00:00

abstract：STUDY OBJECTIVE:To examine perioperative management and complications in patients undergoing pneumonectomy. DESIGN:Observational cohort study. SETTING:University-affiliated city hospital. MEASUREMENTS:65 patients who underwent unilateral pneumonectomy for resection of lung cancer between March 1997 and October 2007 ...

journal_title：Journal of clinical anesthesia

authors： Suehiro K,Okutani R,Ogawa S

更新日期：2010-02-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate the quality of cell salvaged (CS) blood in patients undergoing hemihepatectomy (study group) and compare it with CS-blood from aortic surgery (control group). DESIGN:Observational study. SETTING:Operating room in a university hospital. MEASUREMENTS:6 patients undergoing hemihepatectomy...

journal_title：Journal of clinical anesthesia

authors： Schmidt A,Sues HC,Siegel E,Peetz D,Bengtsson A,Gervais HW

更新日期：2009-12-01 00:00:00

abstract：:Insertion of drug-eluting stents is one of the strategies for treating patients with coronary artery disease. These patients can be a perioperative challenge in management as they need to be maintained on antiplatelet therapy to prevent stent thrombosis, which puts them at an increased risk for surgical bleeding. Rece...

journal_title：Journal of clinical anesthesia

authors： Sharma A,Berkeley A

更新日期：2009-11-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the postoperative analgesia of three different concentrations of levobupivacaine for ilioinguinal/iliohypogastric (II/IH) block in children undergoing inguinal hernia repair. DESIGN:Double-blind, prospective, randomized, controlled trial. SETTING:Operating room and postoperative recovery ar...

journal_title：Journal of clinical anesthesia

authors： Disma N,Tuo P,Pellegrino S,Astuto M

更新日期：2009-09-01 00:00:00

abstract：:Certain laryngeal procedures require a sedated patient who is responsive to allow for the assessment of vocalization. Dexmedetomidine as a single agent for sedation and anxiolysis for awake laryngoplasty in a patient with unilateral vocal fold paralysis is presented. ...

journal_title：Journal of clinical anesthesia

authors： Abdelmalak B,Gutenberg L,Lorenz RR,Smith M,Farag E,Doyle DJ

更新日期：2009-09-01 00:00:00

abstract：:The American Society of Anesthesiologists, the Anesthesia Patient Safety Foundation, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO), and the Patient Safety and Quality Improvement Act of 2005 encourage anesthesiology departments to institute systematic improvements in patient safety, inc...

journal_title：Journal of clinical anesthesia

authors： Gerstein NS,Martin HB,Toma G,Sibbitt RR,Sibbitt WL Jr

更新日期：2009-08-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether our institutional insulin management (modified Atlanta) protocol is efficient and safe in controlling blood glucose levels in the perioperative period in surgical patients undergoing tumor hepatectomy. DESIGN:Retrospective study. SETTING:Large community hospital. PATIENTS:20 cons...

journal_title：Journal of clinical anesthesia

authors： Cammu G,Vermeiren K,Lecomte P,De Gendt S,Deloof T,Foubert L

更新日期：2009-08-01 00:00:00

abstract：:Obstructive sleep apnea (OSA) is associated with postoperative airway obstruction, hypoxemia, cardiac arrhythmias, cardiorespiratory arrest, hypoxic encephalopathy, and death. Three cases highlighting important issues in patients with OSA are presented that occurred prior to and after implementation of an OSA protocol...

journal_title：Journal of clinical anesthesia

authors： Bolden N,Smith CE,Auckley D

更新日期：2009-06-01 00:00:00

abstract：STUDY OBJECTIVE:To investigate whether gender difference has an effect on an anesthesia resident's ability to perform successful mask ventilation. DESIGN:Cohort study. SETTING:Surgical operation theater of a university-affiliated hospital. PATIENTS:839 ASA physical status I, II, and III patients undergoing general a...

journal_title：Journal of clinical anesthesia

authors： Koga T,Kawamoto M

更新日期：2009-05-01 00:00:00

abstract：STUDY OBJECTIVE:To characterize the approach of academic chairs of anesthesiology in leading and managing their departments, and to gain insights into what they considered the most difficult challenges as chairs. DESIGN:Internet-based survey instrument conducted during July and August of 2006. SETTING:Academic medica...

journal_title：Journal of clinical anesthesia

authors： Mets B,Galford JA

更新日期：2009-03-01 00:00:00

abstract：STUDY OBJECTIVE:To determine whether adding ephedrine to propofol is as effective as adding lidocaine at reducing injection pain, and its effects on hemodynamics. DESIGN:Randomized, double-blinded, controlled trial. SETTING:District general hospital in the United Kingdom. PATIENTS:156 adult, ASA physical status I, I...

journal_title：Journal of clinical anesthesia

authors： Austin JD,Parke TJ

更新日期：2009-02-01 00:00:00

abstract：STUDY OBJECTIVE:To study the development and implementation of a hospital-wide protocol regarding preoperative beta-blocker therapy. DESIGN:Prospective, observational clinical study. SETTING:Preoperative test center at a university hospital. PATIENTS:1,000 consecutive patients presenting for a preoperative visit and...

journal_title：Journal of clinical anesthesia

authors： Hepner DL,Correll DJ,Beckman JA,Klickovich RJ,Park KH,Govindarajulu U,Bader AM

更新日期：2008-12-01 00:00:00

abstract：STUDY OBJECTIVE:To compare the hemodynamic effects of two different concentrations of pentastarch hydroxyethyl starch (HES; 200/0.5) solutions with a 4% human albumin solution for fluid resuscitation. DESIGN:Open-label, randomized, controlled study. SETTING:Medical-surgical intensive care unit. PATIENTS:34 consecuti...

journal_title：Journal of clinical anesthesia

authors： Friedman G,Jankowski S,Shahla M,Gomez J,Vincent JL

更新日期：2008-11-01 00:00:00

abstract：STUDY OBJECTIVE:To compare spinal anesthesia and combined sciatic-femoral nerve block for outpatient knee arthroscopy. DESIGN:Prospective, randomized, controlled study. SETTING:Postoperative recovery area at a university-affiliated medical center. PATIENTS:50 ASA physical status I and II adult outpatients undergoing...

journal_title：Journal of clinical anesthesia

authors： Montes FR,Zarate E,Grueso R,Giraldo JC,Venegas MP,Gomez A,Rincón JD,Hernadez M,Cabrera M

更新日期：2008-09-01 00:00:00