{"title":"Physiology of Cardiac Arrest with del Nido Cardioplegia.","authors":"McKenna Longacre, Juan C Ibla, Koichi Yuki","doi":"10.31480/2330-4871/199","DOIUrl":"10.31480/2330-4871/199","url":null,"abstract":"<p><p>Del Nido cardioplegia is widely used in current pediatric cardiac surgery practice in North America and its application is also being extended to adult cardiac surgical procedures. Here we will review the physiology of del Nido cardioplegia based on our personal discussion with Dr. del Nido and the published literature.</p>","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"12 1","pages":"697-700"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel Alejandro Fierro, Cristina Chandler, Amy Chen, Hong Liu, Artin Yeranossian
{"title":"The Efficiency of Multimodal Opioid-Free Anesthetic Management in a Patient Undergoing Major Abdominal Surgery - Case Report.","authors":"Manuel Alejandro Fierro, Cristina Chandler, Amy Chen, Hong Liu, Artin Yeranossian","doi":"10.31480/2330-4871/206","DOIUrl":"https://doi.org/10.31480/2330-4871/206","url":null,"abstract":"<p><p>Opioid-free anesthesia has become a purposeful alternative to addressing nociception in the perioperative settings. Increased opioid availability has been accompanied by an opioid crisis. Around 1.6 million Americans had an opioid dependence problem in 2019 with 70,000 people dying from overdose every year. The concept of multimodal anesthesia aims to avoid the negative effect of opioid use intraoperatively on the patient's postoperative outcomes. Though adverse sequelae such as ileus, respiratory depression, somnolence, immunosuppression and hyperalgesia are well documented in the literature, the use of diverted prescription opioids can result in addiction or fatal overdose. In recent years concerned researchers and physicians tried to identify practical strategies to a more cautious opioid use and even an opioid free approach. A multidisciplinary perioperative care plan that includes a preoperative evaluation, an intraoperative and postoperative care strategy needs to be formulated. In this case report, we describe pertinent considerations in tailoring a successful opioid sparing analgesia technique that provided superior pain relief using multiple interventions of local anesthetics (MILANA) for a patient undergoing a complex abdominal surgery.</p>","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"12 1","pages":"768-772"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12539647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Perioperative Use of Codeine and Tramadol in Pediatric Population.","authors":"Wiriya Maisat, Koichi Yuki","doi":"10.31480/2330-4871/198","DOIUrl":"10.31480/2330-4871/198","url":null,"abstract":"<p><p>Codeine and tramadol are two commonly used opioids for pediatric pain. However, death and severe respiratory distress cases following codeine administration illustrated there would be a significant heterogenous response to these opioids depending on CYP2D6 phenotypes, leading to FDA warning against pediatric use. Here we will comment on the current status of pediatric pain management in the context of codeine and tramadol.</p>","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"12 1","pages":"694-696"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12007907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renyu Liu, Magid Abou-Gharbia, Hanzhong Cao, Xiangdong Chen, Lee A Fleisher, Aysha Hasan, Yuguang Huang, Jinlei Li, Hong Liu, Haobo Ma, Changhong Miao, Yanfu Shao, Shouzhang She, Le Shen, Yuanxiang Tao, Dongxin Wang, Yun Xia, Koichi Yuki, Zhiyi Zou
{"title":"2024 US-China Round Table Consensus Discussion on Perioperative Opioid Management.","authors":"Renyu Liu, Magid Abou-Gharbia, Hanzhong Cao, Xiangdong Chen, Lee A Fleisher, Aysha Hasan, Yuguang Huang, Jinlei Li, Hong Liu, Haobo Ma, Changhong Miao, Yanfu Shao, Shouzhang She, Le Shen, Yuanxiang Tao, Dongxin Wang, Yun Xia, Koichi Yuki, Zhiyi Zou","doi":"10.31480/2330-4871/195","DOIUrl":"10.31480/2330-4871/195","url":null,"abstract":"<p><p>An expert panel including policy experts, society leaders, anesthesiologists, pain specialist, pharmacologist, a medicinal chemist, basic and clinical scientists, physician entrepreneurs, educators, and leaders from pharmaceutical companies from the United States and China had a round table discussion on the current issues and potential solutions related to perioperative opioid management. The inappropriate usage of opioids in the perioperative period remains an important safety concern for patients, care providers, and the general public across the world. There is a huge difference in usage practice of opioids between China and USA, therefore, to bring experts from both sides could generate new viewpoints or consensus in driving better pain control with safer usage of opioids for patients in different medical systems, which might be applicable to many countries and regions. The following topics were discussed: 1) The policy and its impact on opioid usage and crisis; 2) Education on opioid usage and management; 3) Opioid monitoring and waste management; 4) Novel opioid development; 5) Perioperative opioid usage and outcome. All the panelists agreed that standardized terminology for opioid usage and opioid pharmacology should be developed, and we should work out reasonable and practical recommendations for a safe and effective usage and management for opioids in the perioperative period.</p>","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"11 3","pages":"683-686"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11800510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interleukin-33: A Double-Edged Sword in Sepsis.","authors":"Shuai Liu, Yinyan Yue, Qiuge Wu, Li-Ming Zhang","doi":"10.31480/2330-4871/188","DOIUrl":"10.31480/2330-4871/188","url":null,"abstract":"<p><p>Despite some advances that have been made in the clinical management of sepsis, its morbidity and mortality rates remain high. The pathogenesis of systemic inflammation and organ damage leading to septic mortality is not fully understood. Interleukin-33 (IL-33), a new member of the IL-1 superfamily, can be a traditional cytokine and a nuclear factor regulating gene transcription. Due to its biological characteristics, IL-33 can act as a double-edged sword in sepsis: It not only contributes to clear bacteria and improves survival but also causes inflammation, immunosuppression, and organ damage via modulating immune response. In this review, we will summarize updated information on the dual functions of IL-33 in the host immune response to sepsis.</p>","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"11 2","pages":"612-619"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Call for the Standardization of Opioid Related Terminologies.","authors":"Renyu Liu, John Grothusen, Gordon Barr","doi":"10.31480/2330-4871/196","DOIUrl":"10.31480/2330-4871/196","url":null,"abstract":"","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"11 3","pages":"687-688"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Perioperative Opioid Usage Monitoring and Waste.","authors":"Renyu Liu, John Grothusen, Scott Falk","doi":"10.31480/2330-4871/185","DOIUrl":"10.31480/2330-4871/185","url":null,"abstract":"<p><p>This editorial discusses the status and issues related to perioperative opioid usage monitoring and waste. Opioid detection of wasted material is briefly discussed also. Flowlytics<sup>®</sup> from Invistics is a digital system to monitor opioid usage and waste in medical facilities. Opioid waste in medical facilities has a two-person witness procedure. Easy to use detection of wasted materials needs to be developed in the future. It is unclear whether the strategies used in medical facilities should be recommended for opioid disposal in the public to reduce opioid diversion. Relevant studies are needed.</p>","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"11 1","pages":"597-600"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11155387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful Anesthetic Management of Pediatric Living Donor Liver Transplantation with Hepatopulmonary Syndrome and Pulmonary Arteriovenous Fistula due to Biliary Atresia: A Case Report","authors":"Yazar Çağla, Çekmen Nedim, T. Adnan","doi":"10.31480/2330-4871/176","DOIUrl":"https://doi.org/10.31480/2330-4871/176","url":null,"abstract":"","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45229217","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":"A Call for an Evidence-Based Guideline for the Perioperative Management of Hyperkalemia","authors":"L. Henry, Tong Yiru","doi":"10.31480/2330-4871/168","DOIUrl":"https://doi.org/10.31480/2330-4871/168","url":null,"abstract":"","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49553538","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":"Use of Lipid Emulsion to Reverse the Effects of Regional Anesthesia: A Novel Indication","authors":"","doi":"10.31480/2330-4871/171","DOIUrl":"https://doi.org/10.31480/2330-4871/171","url":null,"abstract":"","PeriodicalId":75245,"journal":{"name":"Translational perioperative and pain medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48487992","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}