AUTHORS: Seet, Edwin MMed et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 196-204 BACKGROUND: Obstructive sleep apnea (OSA) has been found to be associated with difficult airway, although there is a paucity of prospective studies investigating thresholds of OSA severity with difficult airway outcomes. The aim of this study […]
Emergency Front-of-Neck Airway Rescue Via the Cricothyroid Membrane
AUTHORS: Fennessy, Paul MB, BCh, BAO et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 187-195 BACKGROUND: Emergency front-of-neck airway rescue is recommended in a can’t intubate, can’t oxygenate clinical scenario. Cannula cricothyroidotomy has been reported as having a high failure rate. Our primary aim was to estimate the angle […]
Association Between Cerebral Desaturation and Postoperative Delirium in Thoracotomy With One-Lung Ventilation
AUTHORS: Cui, Fan MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 176-186 BACKGROUND: The association between cerebral desaturation and postoperative delirium in thoracotomy with one-lung ventilation (OLV) has not been specifically studied. METHODS: A prospective observational study performed in thoracic surgical patients. Cerebral tissue oxygen saturation (Scto2) was […]
Comparison of Monotherapy Versus Combination of Intravenous Ibuprofen and Propacetamol (Acetaminophen) for Reduction of Postoperative Opioid Administration in Children Undergoing Laparoscopic Hernia Repair
AUTHORS: Lee, Hye-Mi MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 168-175 BACKGROUND: Extensive efforts have been made toward reducing postoperative opioid use in children. In this study, we assessed whether propacetamol, or a nonsteroidal anti-inflammatory drug (NSAID), or their combination could effectively reduce opioid use in children […]
Association Between Behavioral and Learning Outcomes and Single Exposures to Procedures Requiring General Anesthesia Before Age 3
AUTHORS: Warner, David O. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 160-167 BACKGROUND: Two prior population-based (children born in Olmsted County, MN), retrospective cohort studies both found that multiple exposures to anesthesia before age 3 were associated with a significant increase in the frequency of attention-deficit hyperactivity […]
Difficulty in Advancing Flexible Epidural Catheters When Establishing Labor Analgesia
AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 151-159 BACKGROUND: While flexible epidural catheters reduce the risk of paresthesia and intravascular cannulation, they may be more challenging to advance beyond the tip of a Tuohy needle. This may increase placement time, number of attempts, and […]
The Effect of High-Flow Nasal Oxygen on Carbon Dioxide Accumulation in Apneic or Spontaneously Breathing Adults During Airway Surgery
AUTHORS: Booth, Anton W. G. FANZCA et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 133-141 BACKGROUND: High-flow nasal oxygen (HFNO) is an emerging technology that has generated interest in tubeless anesthesia for airway surgery. HFNO has been shown to maintain oxygenation and CO2 clearance in spontaneously breathing patients and is […]
Association Between Preoperative Statin Use and Respiratory Complications After Noncardiac Surgery
AUTHORS: Komatsu, Ryu MD, MS et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 123-132 BACKGROUND: Statins possess pleiotropic effects, which potentially benefit noncardiovascular conditions. Previous work suggests that statins reduce inflammation and prevent acute respiratory distress syndrome and infections. However, there is a paucity of data regarding potential benefits […]
Competence in Decision Making: Setting Performance Standards for Critical Care
AUTHORS: Murray, David J. MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 142-150 BACKGROUND: Health care professionals must be able to make frequent and timely decisions that can alter the illness trajectory of intensive care patients. A competence standard for this ability is difficult to establish yet assuring […]
Postoperative Morbidity and Mortality in Diabetic Patients After Fast-Track Hip and Knee Arthroplasty
AUTHORS: Ortved, Milla MD et al Anesthesia & Analgesia: July 2021 – Volume 133 – Issue 1 – p 115-122 BACKGROUND: Diabetes increases the risk of adverse outcomes in surgical procedures, including total hip and knee arthroplasty (THA/TKA), and the prevalence of diabetic patients undergoing these procedures is high, ranging from approximately 8% to 20%. However, […]