Anesthesia & Analgesia最新文献_第7页

Minimum Estimated Time to Wakeup: In Search of an Approvable Alternative to Target-Controlled Infusion for US Clinical Practice. 最小估计唤醒时间：为美国临床实践寻找目标控制输液的可行替代方案。

Anesthesia & Analgesia Pub Date : 2024-10-15 DOI: 10.1213/ane.0000000000007241

Christopher W Connor

引用次数: 0

Preemptive Methocarbamol to Prevent Muscle Spasm After Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis. 预防青少年特发性脊柱侧弯症后路脊柱融合术后肌肉痉挛的先期甲氧卡巴酚。

Anesthesia & Analgesia Pub Date : 2024-10-15 DOI: 10.1213/ane.0000000000007242

Lloyd Halpern,De-An Zhang,K T Perrins,Clark J Kogan,Kirk A Ryan

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Proposed Quality Metrics for Congenital Cardiac Anesthesia: A Scoping Review. 先天性心脏病麻醉的拟议质量指标：范围审查。

Anesthesia & Analgesia Pub Date : 2024-10-15 DOI: 10.1213/ane.0000000000007208

Morgan L Brown,Anna Dorste,Phillip S Adams,Lisa A Caplan,Stephen J Gleich,Jennifer L Hernandez,Lori Q Riegger,

{"title":"Proposed Quality Metrics for Congenital Cardiac Anesthesia: A Scoping Review.","authors":"Morgan L Brown,Anna Dorste,Phillip S Adams,Lisa A Caplan,Stephen J Gleich,Jennifer L Hernandez,Lori Q Riegger,","doi":"10.1213/ane.0000000000007208","DOIUrl":"https://doi.org/10.1213/ane.0000000000007208","url":null,"abstract":"Congenital cardiac anesthesiologists practice in a unique environment with high risk for morbidity and mortality. Quality metrics can be used to focus clinical initiatives on evidence-based care and provide a target for local quality improvement measures. However, there has been no comprehensive review on appropriate quality metrics for congenital cardiac anesthesia to date. Members of the Quality and Safety Committee for the Congenital Cardiac Anesthesia Society proposed 31 possible candidate topics for metrics. Using a scoping review strategy, 3649 abstracts were reviewed with 30 articles meeting final criteria. Of these, 5 candidate metrics were unanimously proposed for local collection and national benchmarking efforts: use of a structured handover in the intensive care unit, use of an infection prevention bundle, use of blood conservation strategies, early extubation of cardiopulmonary bypass cases, and cardiac arrest under the care of a cardiac anesthesiologist. Many metrics were excluded due to a lack of primary data and perceived complexity beyond the scope of cardiac anesthesia practice. There is a need to develop more primary data including linking process measures with outcomes, developing risk-stratification for our patients, and collecting national data for benchmarking purposes.","PeriodicalId":7799,"journal":{"name":"Anesthesia & Analgesia","volume":"193 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142443692","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}

引用次数: 0

An Ether Observation by Joseph Priestley Pertaining to the Second Gas Effect. 约瑟夫-普利斯特里关于第二气体效应的乙醚观察。

Anesthesia & Analgesia Pub Date : 2024-09-24 DOI: 10.1213/ane.0000000000007020

Theodore A Alston

引用次数: 0

An Analysis of Patients Undergoing Cricothyrotomy Within US Central Command: A Transportation Command Regulating and Command & Control Evacuation System Study. 美军中央司令部环甲膜切开术患者分析：运输司令部调控与指挥疏散系统研究。

Anesthesia & Analgesia Pub Date : 2024-09-24 DOI: 10.1213/ane.0000000000006920

Daniel K O'Conor,Shubhro Bose,Brit J Long,Joseph K Maddry,Michael D April,Steven G Schauer

引用次数: 0

Agents That Came in From the Cold: Enflurane, Isoflurane, Desflurane, and Sevoflurane. 从寒冷中送来的制剂：恩氟醚、异氟醚、去氟醚和七氟醚。

Anesthesia & Analgesia Pub Date : 2024-09-24 DOI: 10.1213/ane.0000000000007017

Raymond C Roy

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Obstetric Anesthesia Quality Metrics: Performance, Pitfalls, and Potential. 产科麻醉质量指标：绩效、陷阱和潜力。

Anesthesia & Analgesia Pub Date : 2024-09-24 DOI: 10.1213/ane.0000000000007054

Kelly A Fedoruk,Pervez Sultan

引用次数: 0

Improving Obstetric Anesthesia Care Through Teaming and Improvement Science. 通过团队和改进科学改善产科麻醉护理。

Anesthesia & Analgesia Pub Date : 2024-09-24 DOI: 10.1213/ane.0000000000007002

Beth Ann Clayton,Andrea Girnius

引用次数: 0

"Safety Monitoring" Behavior and Technology: Reflections From the Anesthesia Patient Safety Foundation 2023 E. C. Pierce, MD, Memorial Lecture. "安全监控 "行为与技术：麻醉患者安全基金会的思考 2023 E. C. Pierce，医学博士，纪念讲座。

Anesthesia & Analgesia Pub Date : 2024-09-24 DOI: 10.1213/ane.0000000000007023

John H Eichhorn

引用次数: 0

Point-of-Care Lung Ultrasound to Evaluate Lung Isolation During One-Lung Ventilation in Children: A Blinded Observational Feasibility Study. 护理点肺部超声评估儿童单肺通气期间的肺隔离情况：盲法观察可行性研究。

Anesthesia & Analgesia Pub Date : 2024-09-13 DOI: 10.1213/ane.0000000000007155

Alok Moharir,Yoshikazu Yamaguchi,Jennifer H Aldrink,Andrea Martinez,Mauricio Arce-Villalobos,Sibelle Aurelie Yemele Kitio,Julie Rice-Weimer,Joseph D Tobias

{"title":"Point-of-Care Lung Ultrasound to Evaluate Lung Isolation During One-Lung Ventilation in Children: A Blinded Observational Feasibility Study.","authors":"Alok Moharir,Yoshikazu Yamaguchi,Jennifer H Aldrink,Andrea Martinez,Mauricio Arce-Villalobos,Sibelle Aurelie Yemele Kitio,Julie Rice-Weimer,Joseph D Tobias","doi":"10.1213/ane.0000000000007155","DOIUrl":"https://doi.org/10.1213/ane.0000000000007155","url":null,"abstract":"BACKGROUNDMinimally invasive thoracic surgical techniques require effective lung isolation using one-lung ventilation (OLV). Verification of lung isolation may be confirmed by auscultation, visual confirmation using fiberoptic bronchoscopy (FOB), or more recently, point-of-care ultrasound (POCUS). The aim of this study was to prospectively compare lung ultrasound with clinical auscultation to confirm OLV before thoracic surgery in pediatric patients.METHODSThis prospectively blinded feasibility study included 40 patients ranging in age from 0 to 20 years. After confirmation of lung separation by the primary anesthesia team using FOB, the sonographer and the auscultator, both blinded to the laterality of surgery and lung separation, entered the operating room. The sonographer evaluated for pleural lung sliding and the auscultator listened for breath sounds. Successful lung separation was definitively confirmed by direct visualization of lung collapse during the operation.RESULTSIn confirming effective single-lung ventilation, lung ultrasound had a diagnostic accuracy of 95% (95% confidence interval [CI], 82.7%-98.5%). In contrast, auscultation could only reliably confirm lung isolation with 68% accuracy (95% CI, 51.5%-80.4%). The McNemar test showed a statistically significant difference between the use of lung ultrasound and auscultation (P < .001). The median time to perform ultrasonography was 67 seconds (interquartile range [IQR], 46-142) and the median time to perform auscultation was 21 seconds (IQR, 10-32).CONCLUSIONSBased on the initial results of our feasibility trial, lung ultrasound proved to be a fast and reliable method to verify single-lung ventilation in pediatric patients presenting for thoracic surgery with a high degree of diagnostic accuracy.","PeriodicalId":7799,"journal":{"name":"Anesthesia & Analgesia","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142233281","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}

引用次数: 0