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

{"title":"Anesthesiologists in the pre-clerkship curriculum-a golden opportunity.","authors":"Yuanxin Xue, Anita Sarmah","doi":"10.1007/s12630-026-03092-9","DOIUrl":"10.1007/s12630-026-03092-9","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"144-146"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596149","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":"Prothrombin complex concentrate use in liver transplantation: an international survey of current practices.","authors":"Isabella Kojundzic, Neeki Alavi, Keyvan Karkouti, Jeannie Callum, Matthanja Bieze, Carla Luzzi, Chaya Shwaartz, Wilton van Klei, Stuart A McCluskey, Justyna Bartoszko","doi":"10.1007/s12630-026-03088-5","DOIUrl":"10.1007/s12630-026-03088-5","url":null,"abstract":"<p><strong>Purpose: </strong>Prothrombin complex concentrate (PCC) is increasingly used for acquired coagulopathy in surgical patients, yet attitudes and usage patterns in liver transplantation are unclear. We sought to examine current practices of coagulopathy management during liver transplant surgery.</p><p><strong>Methods: </strong>We conducted a cross-sectional, international multi-centre survey of anesthesiologists, intensivists, and surgeons caring for patients undergoing liver transplantation. The survey included closed and open-ended questions and assessed PCC usage patterns. For analysis, we used descriptive statistics using counts and proportions. We analyzed qualitative data to identify themes describing PCC use and priorities for future clinical trials.</p><p><strong>Results: </strong>Originating from 10 countries, 107 respondents participated, primarily anesthesiologists (88%). Prothrombin complex concentrate was used by 42%, avoided by 28%, and reserved for rescue treatment by 30%. While frozen plasma (82%) was preferred over PCC (16%) as first-line treatment for general coagulation factor deficiency, 14% preferred to avoid plasma altogether. Intraoperatively, viscoelastic testing (85%) was preferred to guide transfusion management; nevertheless, 43% of respondents reported no use of standardized transfusion algorithms at their institution. While clinicians indicated hesitancy to administer PCC to patients with a perceived higher risk of thromboembolism, they also strongly expressed hesitancy to administer plasma to patients with volume overload.</p><p><strong>Conclusions: </strong>There is high variability in PCC use among clinicians administering transfusion in patients undergoing liver transplantation perioperatively. Clinicians perceived that PCC was likely beneficial for avoidance of volume overload, but a lack of comparative safety data to plasma was cited as a barrier to use. An adequately powered, high-quality randomized trial is required to guide evidence-based practice.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"159-172"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596392","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":"Comment on: Use of Ringer's lactate for arterial line maintenance.","authors":"Shu-Yueh Cheng, Ming-Hui Hung","doi":"10.1007/s12630-026-03098-3","DOIUrl":"10.1007/s12630-026-03098-3","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"219-220"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693905","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":"Electroencephalogram spectral power changes signalling the loss of volitional control induced by propofol: a secondary analysis of an observational study in spinal surgery patients.","authors":"Sean Tanabe, Alexander Rokos, Flavie Duc, Francis Arseneau, Shiva Shahiri, Gilles Plourde","doi":"10.1007/s12630-026-03099-2","DOIUrl":"10.1007/s12630-026-03099-2","url":null,"abstract":"<p><strong>Purpose: </strong>There are uncertainties about the timing of electroencephalogram (EEG) changes relative to loss of consciousness during induction of anesthesia. We sought to evaluate EEG spectral power changes with segmented linear regression to objectively identify those that most reliably signal loss of volitional control (LVC), a reliable marker of unconsciousness.</p><p><strong>Methods: </strong>In this secondary analysis of a previous observational study, we analysed EEG data from 12 spinal surgery patients and 11 controls. The EEG was recorded during induction with propofol (1.0 mg·kg^-1·min^-1 iv) while the study participants were holding a 0.5-kg cylinder in their hand. The drop of the cylinder marked LVC. To objectively identify meaningful EEG changes for each patient, we used structural breakpoint analysis. We then used linear regression to assess the relationship between the breakpoints and LVC. We characterized dynamics of the frequency band changes with the use of coherence analysis (Rayleigh test).</p><p><strong>Results: </strong>After an initial increase in beta (18-25 Hz) power 145 sec before LVC, the increase in delta (1-4 Hz) power and the decrease in beta power were linked, with all patients showing an inverse relationship between these power bands (P < 0.001). There was also a reliable correlation between the time of LVC and the breakpoints for the delta power plateau (R² = 0.85; P < 0.001) plus beta (R² = 0.66; P < 0.05) and gamma (R² = 0.79; P < 0.01) power nadirs.</p><p><strong>Conclusions: </strong>The present observations with high temporal resolution show that an inverse relationship between beta and delta EEG power bands signals LVC induced by propofol and that a robust association exists between LVC and the delta power maximum. These findings likely reflect changes in thalamocortical network dynamics that could account for anesthetic-induced loss of consciousness.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"184-194"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730748","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":"Data sharing statements in five high-impact anesthesiology journals (2020-2023): a cross-sectional study.","authors":"Tag Harris, Bryce Sanchez, Alex Hagood, Annes Elfar, Jacob Duncan, Taylor Gardner, Eli Paul, Chase Ladd, Alicia Ito Ford, Matt Vassar","doi":"10.1007/s12630-026-03093-8","DOIUrl":"10.1007/s12630-026-03093-8","url":null,"abstract":"<p><strong>Purpose: </strong>In this study, we sought to evaluate the presence, quality, and accessibility of data sharing statements (DSS) in research articles published in five high-impact anesthesiology journals from 2020 to 2023. Data sharing is foundational to research transparency and reproducibility. As anesthesiology evolves, understanding how DSS are implemented in selected high-impact journals can inform open science efforts within anesthesiology research.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of five top-ranked anesthesiology journals selected using 2023 Clarivate Journal Impact Factor (JIF) rankings. Eligible studies (2020-2023) were screened in duplicate using Rayyan, and data were extracted using a structured Google Form. We used a large language model (ChatGPT, GPT-4) to aid in the exploratory thematic development of DSS, with manual validation by investigators.</p><p><strong>Results: </strong>Among 1,123 included articles, DSS prevalence varied by journal and year. In Anaesthesia, Critical Care & Pain Medicine, articles with DSS increased from 15% (4/26) in 2020 to 30% (9/30) in 2023, whereas the prevalence of DSS remained below 8% in Anesthesia & Analgesia. Government-funded studies were more likely to include DSS (β = 0.734, P = 0.047), while higher JIF was negatively associated with DSS inclusion (β = -0.298, P = 0.008). Thematic analysis showed \"Conditional Data Availability\" was the most frequent DSS type (74%). Of authors contacted, 28% responded, and 14% ultimately agreed to share data for replication.</p><p><strong>Conclusions: </strong>We found that DSS were underused in leading anesthesiology journals. Strengthening journal policies, funder mandates, and education on data sharing practices may promote greater transparency in anesthesia research. Because our analysis focused on a limited sample of journals, findings may not be generalizable to the entire field of anesthesiology.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"205-216"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655501","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":"Correction: Operative team critical incident debriefing in a community hospital: a mixed methods study.","authors":"Maira Quintanilha, Breanne Aylward, Patrick Feng, Ariane Fielding","doi":"10.1007/s12630-025-03054-7","DOIUrl":"10.1007/s12630-025-03054-7","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"228"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812341","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":"Use of a Resonance OverShoot Eliminator for correction of an underdamped arterial waveform.","authors":"Patrick J Monette, Robert H Thiele, Amanda M Kleiman, John S McNeil","doi":"10.1007/s12630-026-03102-w","DOIUrl":"10.1007/s12630-026-03102-w","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"217-218"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Point-of-care ultrasound in Canadian anesthesiology residency programs: a follow-up survey.","authors":"Stephanie Alexis, Michael Little, Kevin Rondi, Alexander Wong","doi":"10.1007/s12630-026-03107-5","DOIUrl":"10.1007/s12630-026-03107-5","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"223-225"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693842","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":"Management of potentially inappropriate life-sustaining therapies: a survey of Quebec intensivists.","authors":"Vincent Béland, Mathieu Moreau, Philippe Rico, Yiorgos Alexandros Cavayas","doi":"10.1007/s12630-026-03096-5","DOIUrl":"https://doi.org/10.1007/s12630-026-03096-5","url":null,"abstract":"<p><strong>Purpose: </strong>Potentially inappropriate treatments (PITs) are a common issue in the intensive care unit (ICU) with substantial economic and human impacts. Previous studies about PITs in Canada lacked representation of physicians practicing in the province of Quebec and were conducted before the 2023 updated reference document on consent to care from the Collège des Médecins du Québec and the Barreau du Québec. We sought to evaluate the approaches and perspectives of adult ICU physicians in Quebec regarding demands for potentially inappropriate life-sustaining therapies (LSTs) and cardiopulmonary resuscitation.</p><p><strong>Methods: </strong>We conducted an electronic survey of academic and regional ICU physicians in Quebec. It assessed decision-making in fictional scenarios and opinions through Likert-like scales and free-text statements. Our main analysis was the level of agreement for each question. We also evaluated subjective appropriateness of care, conducted subgroup analyses according to demographic factors, and performed a qualitative thematic analysis.</p><p><strong>Results: </strong>We received 124/319 responses (response rate, 39%). There was no consensus among respondents in the four scenarios about withholding LSTs. The only consensus was to avoid withdrawing an active LST. In the scenarios, 78% (314/405) of the provided LSTs were deemed inappropriate by the provider. Most respondents identified PITs as a frequent problem (71%; 84/118) and thought that guidelines (69%; 82/118) and institutional support (59%; 70/118) were inadequate. Medico-legal risk was highlighted as the most significant issue.</p><p><strong>Conclusions: </strong>Demands for PITs present a significant challenge for ICU physicians in Quebec, contributing to heterogeneous approaches and high levels of self-assessed inappropriate treatments.</p>","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":"73 2","pages":"195-204"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790390","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":"Correction: Local anesthetic dosing for fascial plane blocks to avoid systemic toxicity: a narrative review.","authors":"Jonathan G Bailey, Garrett Barry, Thomas Volk","doi":"10.1007/s12630-026-03076-9","DOIUrl":"10.1007/s12630-026-03076-9","url":null,"abstract":"","PeriodicalId":56145,"journal":{"name":"Canadian Journal of Anesthesia-Journal Canadien D Anesthesie","volume":" ","pages":"229-230"},"PeriodicalIF":3.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476187","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}