INTERNATIONAL ANESTHESIOLOGY CLINICS最新文献

{"title":"Perioperative pain management for spine surgeries","authors":"Rutuja Sikachi, Lori-Ann Oliver, Jodi-Ann Oliver, Poonam Pai B.H.","doi":"10.1097/AIA.0000000000000427","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000427","url":null,"abstract":"Elective spine surgeries are performed when conservative measures fail to adequately address back pain due to osteoarthritis or congenital deformities affecting quality of life adversely. With a growing aging population, the volume of thoracolumbar spine surgeries, such as anterior fusions, are expected to increase from 46,903 to 55,528, and posterior fusion surgeries are expected to increase from 248,416 to 297,994 from 2020 to 2040, indicating an eminent substantial burden on the health care systems. 1 Unfortunately, up to 57% of patients undergoing elective major spine surgeries experience poor pain control after surgery. 2 Perioperative pain management can be challenging not just due to the nature of the surgery but also due to some unique features in patients presenting for these surgeries, like preexisting chronic pain, adolescence, or advanced age. Poorly controlled pain is associated with increased opioid consumption, delayed rehabilitation, increased hospital length of stay (LOS), and increased rates of complications. 3 Inadequate analgesia is also associated with the development of chronic pain and a signi fi cant systemic in fl ammatory response, leading to a reduction in overall quality of life. 4 The fi eld of spine surgery has made enormous strides over the past 100 years, which has led to improved surgical outcomes and reduced patient morbidity. With safer and more ef fi cient techniques, some spinal surgeries are now possible as ambulatory procedures. 5 This has led to growing interest in the role of regional anesthesia as an alternative as well as a supplement to traditional general anesthesia (GA) for spine surgeries. In","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"83 22","pages":"28 - 34"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuraxial analgesia, nerve blocks, and special considerations for the parturient","authors":"A. Bapodra, Kimberly Moy, Daniel Nekola, Gary S. Schwartz","doi":"10.1097/AIA.0000000000000428","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000428","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"23 20","pages":"62 - 68"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138589511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional anesthesia and anticoagulation: a narrative review of current considerations","authors":"Enrico M. Scarpelli, Chang H. Park, Christina L. Jeng","doi":"10.1097/AIA.0000000000000420","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000420","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"46 11","pages":"1 - 9"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional anesthesia for head and neck neurosurgical procedures: a narrative review in adult and pediatric patients","authors":"Maxim Pochebyt, Steven M. Herron, Stephanie J. Pan, Mark Burbridge, A. Bombardieri","doi":"10.1097/AIA.0000000000000424","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000424","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"46 44","pages":"10 - 20"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138588458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unique considerations in regional anesthesia for emergency department and non-or procedures","authors":"Elizabeth A. Scholzen, John B. Silva, Kristopher M. Schroeder","doi":"10.1097/AIA.0000000000000426","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000426","url":null,"abstract":"The only interface that many patients have with medical systems often occurs in the emergency department (ED) setting. It is in these front-line arenas that patients present with uncontrolled pain from a variety of sources, including trauma or pre-existing medical conditions. Intervening on behalf of patients in this setting has the potential to decrease hospital admissions, decrease the overall opioid load in the community, and unburden over-whelmed ED systems. There are a variety of conditions for which the application of regional anesthesia in this environment may be bene fi cial. Further, patients in the ED setting may bene fi t from the creation of collaborative analgesic efforts with anesthesiologist colleagues to ensure that regional anesthesia is consistently performed in a safe and ef fi cacious manner that is consistent with contemporary ASA and ASRA Pain Medicine guidelines. 1,2 In addition, emergency medicine residency training has grown to include regional ultrasound training. Ultrasound-guided regional anesthesia is now viewed as a valuable skill among emergency medicine residency programs, but few have established formal credentialling pathways. 3 There are a variety of potential concerns associated with regional anesthesia in the ED that may be related to either training, patient follow-up, or complication management. However, these likely represent obstacles that can be thoughtfully overcome in most settings to not preclude regional anesthesia offerings to patients in need. Similarly, while efforts to extend the bene fi ts of regional anesthesia to patients in the perioperative setting have been greatly successful, there remain signi fi cant patient cohorts who experience pain in the setting of nonoperating room anesthesia (NORA) encounters that might also bene fi t from a reappraisal of analgesic strategies. NORA represents an increasing share of anesthetizing locations and is projected to represent greater than 50% of all cases in the next decade. 4,5 These cases can be incredibly diverse in scope and can involve collaborations with specialists within psychiatry, gastroenterology, cardiology, interventional","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"82 16","pages":"43 - 53"},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric regional anesthesiology: a narrative review and update on outcome-based advances","authors":"Kathryn Handlogten","doi":"10.1097/aia.0000000000000421","DOIUrl":"https://doi.org/10.1097/aia.0000000000000421","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"34 11","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138587587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeing the heart of the problem: transesophageal echocardiography in cardiac arrest: a practical review.","authors":"Trenton C Wray, Neal Gerstein, Emily Ball, Wendy Hanna, Isaac Tawil","doi":"10.1097/AIA.0000000000000411","DOIUrl":"10.1097/AIA.0000000000000411","url":null,"abstract":"In-hospital and out-of-hospital cardiac arrest (CA) is common and associated with poor outcomes despite standardized protocols for advanced cardiac life support (ACLS). Echocardiography is an attractive adjunct to standard ACLS as it has the potential to rapidly diagnose the cause of CA, affect management, facilitate interventions, and guide prognoses. However, difficulty in obtaining adequate acoustic windows for transthoracic echocardiography (TTE) in a timely manner and the associated prolongation of compression pauses have led to an equivocal recommendation on the use of TTE from varying oversight committees and expert reviews. For patients with hemodynamic instability, the American College of Cardiology and other societal guideline committees recommend echocardiography as a first line of assessment, particularly if a cardiac origin is suspected. Critically ill patients often have limited transthoracic windows; and using transesophageal echocardiography (TEE) in this setting has a higher diagnostic yield. As such, TEE is recommended by the American Society of Echocardiography (ASE) in critically ill patients with limited transthoracic views. Not surprisingly, the use in critically ill patients is increasing in the intensive care unit, operating room, emergency department, and even prehospital settings. “Rescue TEE” (TEE performed to rapidly assess for the cause of hemodynamic instability, sometimes also known as “resuscitative TEE”) is particularly useful in the setting of CA. In the intra-arrest and periarrest setting, TEE has the ability to rapidly inform and guide management decisions while avoiding the limitations and interruptions in care that may occur with TTE. The following is a review of the practical application of TEE in CA, including: the benefits, potential harms, a guideline for evaluation, credentialing, and implementation barriers. The utility and benefits of TEE in CA can be divided into intra-arrest and postarrest categories (Table 1). Benefit of TEE during CA resuscitation","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 4","pages":"15-21"},"PeriodicalIF":0.6,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Index.","authors":"","doi":"10.1097/01.aia.0000978632.66804.5a","DOIUrl":"https://doi.org/10.1097/01.aia.0000978632.66804.5a","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 4","pages":"79-81"},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cerebrospinal fluid diversion devices and shunting procedures: a narrative review for the anesthesiologist.","authors":"Abhijit Vijay Lele, Marie Angele Theard, Monica S Vavilala","doi":"10.1097/AIA.0000000000000399","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000399","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 3","pages":"29-36"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10429525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute ischemic stroke: practical considerations for anesthesiologists.","authors":"Melinda Davis","doi":"10.1097/AIA.0000000000000402","DOIUrl":"https://doi.org/10.1097/AIA.0000000000000402","url":null,"abstract":"","PeriodicalId":46852,"journal":{"name":"INTERNATIONAL ANESTHESIOLOGY CLINICS","volume":"61 3","pages":"37-43"},"PeriodicalIF":0.6,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10429529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}