Authors: Andrew Schober, M.D., Ph.D. et al Anesthesiology 1 2018, Vol.128, 97-108 Background: Cerebral oximetry (cerebral oxygen saturation; ScO2) is used to noninvasively monitor cerebral oxygenation. ScO2 readings are based on the fraction of reduced and oxidized hemoglobin as an indirect estimate of brain tissue oxygenation and assume a static ratio of arterial to venous intracranial blood. Conditions […]
Read MoreAuthors: Vanessa A. Olbrecht, M.D., M.B.A. et al Anesthesiology 1 2018, Vol.128, 85-96. Background: General anesthesia during infancy is associated with neurocognitive abnormalities. Potential mechanisms include anesthetic neurotoxicity, surgical disease, and cerebral hypoxia–ischemia. This study aimed to determine the incidence of low cerebral oxygenation and associated factors during general anesthesia in infants. Methods: This multicenter study enrolled 453 […]
Read MoreAuthors: Kazuhiro Shirozu, M.D., Ph.D. et al Anesthesiology 1 2018, Vol.128, 79-84. Background: Forced air warming systems are used to maintain body temperature during surgery. Benefits of forced air warming have been established, but the possibility that it may disturb the operating room environment and contribute to surgical site contamination is debated. The direction and speed of […]
Read MoreAuthors: Jason M. Slagle, Ph.D. et al Anesthesiology 1 2018, Vol.128, 44-54. Background: When workload is low, anesthesia providers may perform non–patient care activities of a clinical, educational, or personal nature. Data are limited on the incidence or impact of distractions on actual care. We examined the prevalence of self-initiated nonclinical distractions and their effects on anesthesia […]
Read MoreAuthors: Glenn S. Murphy, M.D. et al Anesthesiology 1 2018, Vol.128, 27-37. Background: When a muscle relaxant is administered to facilitate intubation, the benefits of anticholinesterase reversal must be balanced with potential risks. The aim of this double-blinded, randomized noninferiority trial was to evaluate the effect of neostigmine administration on neuromuscular function when given to patients after […]
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