Canadian Journal of Anesthesia-Journal Canadien D Anesthesie最新文献

{"title":"From Trachlight™ to Trachway®: the evolution of airway visualization.","authors":"Ming-Hui Hung","doi":"10.1007/s12630-025-03014-1","DOIUrl":"https://doi.org/10.1007/s12630-025-03014-1","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In reply: From Trachlight™ to Trachway®: the evolution of airway visualization.","authors":"Orlando Hung","doi":"10.1007/s12630-025-03015-0","DOIUrl":"https://doi.org/10.1007/s12630-025-03015-0","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postdural puncture headache in obstetrics.","authors":"Wesley Edwards, Lorraine Chow, Valerie Zaphiratos","doi":"10.1007/s12630-025-03013-2","DOIUrl":"https://doi.org/10.1007/s12630-025-03013-2","url":null,"abstract":"<p><strong>Purpose: </strong>In this Continuing Professional Development module, we review the literature on postdural puncture headache (PDPH) in obstetrics. The pathophysiology, risk factors, diagnosis, and outcomes are discussed. We explore the evidence for prevention and treatment options of PDPH in obstetric patients and the importance of the anesthesiologist's role in caring for these patients.</p><p><strong>Principal findings: </strong>A PDPH is any headache that develops after a dural puncture and is not better accounted for by another diagnosis. Risk factors for PDPH include young age and female sex, which, along with the high rate of neuraxial anesthesia use in the obstetric population, predispose these patients to this complication. A spinal anesthesia technique using a small-gauge pencil-point needle with an experienced operator decreases the risk of PDPH. Individuals with PDPH have an increased risk of major neurologic complications, such as subdural hematoma, cerebral venous sinus thrombosis, and bacterial meningitis. No pharmacological modalities have shown a benefit in preventing or treating PDPH. Epidural blood patch remains the most effective treatment for PDPH and should not be delayed in obstetric patients with severe symptoms.</p><p><strong>Conclusions: </strong>Postpartum individuals cope with recovering from birth in addition to the demands of caring for a newborn. Often, the addition of a PDPH is incapacitating. Epidural blood patch should not be delayed in patients with early and severe symptoms. All individuals who experience PDPH should be assessed, receive appropriate treatment, and be reviewed by a member of the anesthesia team until symptoms have resolved, with appropriate follow-up instructions before discharge.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between postpartum depression and chronic postsurgical pain after Cesarean delivery: a secondary analysis of a randomized trial.","authors":"Asish Subedi, Sharon Orbach-Zinger, Alexandra M J V Schyns-van den Berg","doi":"10.1007/s12630-025-03006-1","DOIUrl":"https://doi.org/10.1007/s12630-025-03006-1","url":null,"abstract":"<p><strong>Purpose: </strong>Psychological factors, such as anxiety, depression, and catastrophizing, may increase the risk of chronic postsurgical pain (CPSP) following Cesarean delivery (CD). We sought to evaluate whether postpartum depression (PPD) after CD is associated with CPSP and assess the potential mediating effect of PPD on the relationship between acute severe postoperative pain and CPSP.</p><p><strong>Methods: </strong>We conducted a secondary analysis of a previous randomized trial. In the original trial, 290 patients undergoing CD in Nepal were randomized to receive either 100 µg of intrathecal morphine or normal saline in addition to their spinal anesthesia with the goal to investigate the relationship between intrathecal morphine use and CPSP development. Eight weeks after CD, we used the Edinburgh Postnatal Depression Scale to identify patients with a provisional diagnosis of PPD (scores ≥ 12). The study outcomes were the occurrence of CPSP at three and six months.</p><p><strong>Results: </strong>Out of 276 patients analyzed, 20 (7%) experienced PPD. The incidences of CPSP at three and six months were 18% (52/276) and 15% (42/276), respectively. A multivariable model revealed that the odds of experiencing CPSP at three months postpartum were significantly higher in patients with depression (odds ratio [OR], 4.24; 95% confidence interval [CI], 1.53 to 11.7; P = 0.005) than in those without depression. Similarly, PPD was independently associated with an increased incidence of CPSP at six months post CD (OR, 4.05; 95% CI, 1.42 to 11.5; P = 0.009). Causal mediation analysis showed no mediating effect of PPD between acute severe postoperative pain and CPSP.</p><p><strong>Conclusions: </strong>In this secondary analysis of a previous randomized trial, we found a significant association between PPD and CPSP following CD.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Richard Chisholm, MD, FRCPC.","authors":"John Chisholm, Michael J Wong","doi":"10.1007/s12630-025-03023-0","DOIUrl":"https://doi.org/10.1007/s12630-025-03023-0","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public perception and attitudes towards health care, anesthesia, and climate change: a survey study.","authors":"Vivian H Y Ip, Jenice Ma, Ava Zardynezhad, Rakesh V Sondekoppam","doi":"10.1007/s12630-025-03019-w","DOIUrl":"https://doi.org/10.1007/s12630-025-03019-w","url":null,"abstract":"<p><strong>Purpose: </strong>Hospitals and especially operating rooms are known to have a significant carbon footprint. With health care moving towards patient-centered care, we sought to investigate the perception and attitudes of patients and/or their family members towards health care, anesthesia, and climate change, and its influence on their care choices. We hypothesized that < 30% of our study population were aware of health care's significant contributions to climate change.</p><p><strong>Method: </strong>Following research ethics board approval and participants' consent, we conducted interviews using a questionnaire that queried participating patients' perceptions on climate change and their knowledge of health care's environmental impact. To determine if such perceptions influenced their care choices, we proposed two different anesthesia care choices with different environmental impacts for a hypothetical surgical scenario. Lastly, we sought to determine participants' interest in further information on the topic. We analyzed the survey responses for associations between participants' perceptions of climate change and on health care's carbon footprint with variables pertaining to participant characteristics, their anesthesia care choices, and interest in further knowledge.</p><p><strong>Results: </strong>Overall, 320 participants completed the survey, of whom 32% acknowledged health care \"greatly contributes to climate change.\" Nevertheless, perceptions did not translate to care choices as many participants still opted for the choice deemed to have a greater environmental impact (45%). A strong association existed between perception of health care's environmental impact and level of education (P = 0.02).</p><p><strong>Conclusion: </strong>Public perception of health care's contribution to climate change was poor albeit higher than anticipated. Participants' perceptions of climate change or health care's impact on the environment did not completely translate into choosing a less carbon-intensive anesthesia care modality for their own care. Efforts to inform patients regarding the environmental impact of anesthetic choices may have minimal impact on individual care choices.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesiology and critical care medicine as \"text\": the power of qualitative research in a world of physiology, pharmacology, and fibrillation.","authors":"Saleem Razack, Gianni R Lorello","doi":"10.1007/s12630-025-03010-5","DOIUrl":"https://doi.org/10.1007/s12630-025-03010-5","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Canadians' perceptions about heart donation after death by circulatory criteria: a mixed methods study.","authors":"Kimia Honarmand, Ian Ball, Maureen O Meade, Aimee J Sarti, Sydni Paleczny, Danielle LeBlanc, John Basmaji, Emilie P Belley-Côté, Michaël Chassé, Fred D'Aragon, Gordon Guyatt, Bram Rochwerg, Sam D Shemie, Robert Sibbald, Marat Slessarev, Mathew J Weiss, Jeanna Parsons Leigh","doi":"10.1007/s12630-025-02998-0","DOIUrl":"https://doi.org/10.1007/s12630-025-02998-0","url":null,"abstract":"<p><strong>Purpose: </strong>Cardiac donation after death determination by circulatory criteria (DCC) can be performed using either direct procurement and perfusion (DPP) or normothermic regional perfusion (NRP). If broadly implemented in Canada, these procedures have the potential to reduce the cardiac transplant wait list. We aimed to evaluate the perspectives of Canadians on cardiac DCC.</p><p><strong>Methods: </strong>We performed a convergent design mixed methods study involving 21 focus groups and surveys of 109 adults in Canada on the topic of cardiac DCC.</p><p><strong>Results: </strong>We found that participants were broadly supportive of both cardiac DCC protocols. Principle concerns about DPP included relatively impaired heart quality, while concerns about NRP included the perception that the procedure may be invasive and may not be acceptable to other Canadians, including donor families. Participants who self-identified as second-generation immigrants were concerned about potential lack of support for cardiac DCC, especially NRP, by other Canadians. Participants suggested strategies to increase support for organ donation and cardiac DCC specifically, including mass media campaigns, educational initiatives, encouraging the public to discuss end-of-life wishes with family members, and enlisting primary care providers and community leaders to advance public knowledge and support.</p><p><strong>Conclusions: </strong>In this mixed methods study of people living in Canada, we found broad support for cardiac DCC. Concerns were primarily related to heart quality in DPP and perceived invasiveness of NRP. Participants identified mass media campaigns, educational material, and engagement of primary care providers and community leaders as strategies to garner support for cardiac DCC.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organ and tissue donation and sexual and gender minoritized persons: time for positive change.","authors":"Jeffrey M Singh","doi":"10.1007/s12630-025-03009-y","DOIUrl":"https://doi.org/10.1007/s12630-025-03009-y","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual and gender minoritized persons in organ and tissue donation: a qualitative analysis.","authors":"Murdoch Leeies, Carmen Hrymak, David Collister, Emily Christie, Karen Doucette, Ogai Sherzoi, Tricia Carta, Ken Sutha, Cameron T Whitley, Tzu-Hao Lee, Matthew J Weiss, Sonny Dhanani, Julie Ho","doi":"10.1007/s12630-025-03011-4","DOIUrl":"https://doi.org/10.1007/s12630-025-03011-4","url":null,"abstract":"<p><strong>Purpose: </strong>Sexual and gender minoritized persons (SGMs) experience inequities, harms, and gaps in care in organ and tissue donation and transplantation (OTDT) systems. The experiences of SGMs navigating OTDT have not been published from their own perspectives.</p><p><strong>Methods: </strong>We conducted semistructured interviews, transcribed verbatim, and performed a formal qualitative best-fit framework synthesis and inductive thematic analysis with an SGM OTDT patient and caregiver advisory team (N = 12/13) to characterize their self-described experiences.</p><p><strong>Results: </strong>Emergent themes included: 1) stigma, discriminatory criteria, and inertia to change; 2) OTDT patient and community relations; 3) benefits, strength, and resilience of the SGM community; and 4) SGM priorities and opportunities for improvement. Each theme and its respective subthemes are presented with representative quotes.</p><p><strong>Conclusions: </strong>Our novel findings detail the ways that SGMs experience OTDT health care, highlighting the harms of discriminatory donor risk assessment criteria and the need for equitable policy revision. Opportunities to enhance inclusive care include institutional acknowledgement of inequities and transparent communication, target training for health care providers, and intersectional SGM and OTDT caregiver support networks.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}