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181. The anaesthetist, opioid analgesic drugs, and serotonin toxicity: a mechanistic and clinical review. Full Text available with Trip Pro

administered in rapid succession, sometimes to patients with other serotonergic drugs in their system. This makes the perioperative period a relatively risky time for serotonin toxicity to occur. The intraoperative recognition of serotonin toxicity is challenging as it can mimic other serious syndromes, such as malignant hyperthermia, sepsis, thyroid storm, and neuroleptic malignant syndrome. Anaesthetists must maintain a heightened awareness of its possible occurrence and a readiness to engage in early

2020 British Journal of Anaesthesia

182. Patients' perspectives of pain in dialysis: systematic review and thematic synthesis of qualitative studies. (Abstract)

to the inevitable, ignored or dismissed, hiding symptoms to protect others); provoking fear of treatment (resistance to cannulation, avoiding dialysis, anxious from witnessing other patients in pain); preventing life participation (preventing fulfilment of valued roles, depleting the will to live); coping aided by connection with others (shared understanding among patients, comforted and supported by others); and developing awareness, assertiveness and self-reliance (procedural vigilance, finding strategies

2020 Pain

183. Intergroup anxiety in pain care: impact on treatment recommendations made by white providers for black patients. (Abstract)

disparities in chronic pain care. These findings suggest that intergroup anxiety and the resulting situational discomfort encroach on the clinical decision-making process by influencing white providers' decisions about which pain treatments to recommend to black patients. Should these findings be replicated in future studies, they would support interventions to help providers become more aware of their trait-level intergroup anxiety and manage their state-level reactions to patients who are racially

2020 Pain

184. Postoperative pulmonary edema following vitrectomy in patients with ischemic heart disease and diastolic dysfunction in the post-anesthetic care unit: Two case reports. Full Text available with Trip Pro

Postoperative pulmonary edema following vitrectomy in patients with ischemic heart disease and diastolic dysfunction in the post-anesthetic care unit: Two case reports. The increasing incidence of cardiac comorbidities in the elderly population has led to an increasing demand for vigilance of cardiac dysfunction induced by surgery. Favorable outcomes can be ensured in such cases by an increased awareness of cardiogenic complications, early identification of the problem, and appropriate

2020 Medicine

185. Prospective characterization of postoperative nasal deformities in patients undergoing endoscopic endonasal skull-base surgery. (Abstract)

Prospective characterization of postoperative nasal deformities in patients undergoing endoscopic endonasal skull-base surgery. Surgeons have become increasingly aware of the impact of endoscopic endonasal surgery (EES) of the skull base on sinonasal-related quality of life. Prior retrospective investigation described a correlation between nasoseptal flap (NSF) reconstruction in EES with postoperative nasal deformities, such as nasal dorsum collapse. The primary objective of this study

2020 International forum of allergy & rhinology

186. Anesthesia for pulmonary veno-occlusive disease: the dilemma and what we should know as anesthesiologists: A case report. Full Text available with Trip Pro

anesthesiologists are aware of the entity of PVOD and its management.We report a case of PVOD in a 73-year-old female who was on concurrent aspirin and anagrelide, requiring emergent open femoral hernia repair.PVOD and incarcerated femoral hernia INTERVENTION:: Combined spinal-epidural (CSE) was performed to enable the surgery.Surgery was completed successfully under central neuraxial anesthesia and the patient remained stable and comfortable throughout, avoiding the need for general anesthesia. Due

2020 Medicine

187. Benefits and boundaries of processed electroencephalography (pEEG) monitors when they do not concur with standard anesthetic clinical monitoring: lights and shadows. (Abstract)

to reflect other unrelated EEG events of patient-dependent pathophysiologic perturbations. In many instances we are often confronted with disparate BFM values that do not concur with "standard anesthetic clinical monitoring". Changes in BFM indices during acute cerebral pathology would be highly beneficial to trained informed clinicians as it alerts to something they would not otherwise be aware was happening. This fact-based, citation-supported, narrative review article provides better understanding

2020 Minerva anestesiologica

188. Implications of Perioperative Polypharmacy in Adolescents Undergoing Bariatric Surgery: a Single-Center Experience. (Abstract)

Implications of Perioperative Polypharmacy in Adolescents Undergoing Bariatric Surgery: a Single-Center Experience. Adolescents seeking bariatric surgery may present with pre-existing psychiatric diagnoses for which they use chronic medications. To heighten awareness concerning perioperative polypharmacy in adolescents with extreme obesity, we conducted a retrospective review of patients undergoing laparoscopic sleeve gastrectomy between February 2010 and May 2017 at Children's National Health

2020 Obesity Surgery

189. Preoperative Risk Factors for Postoperative Urinary Tract Infection After Primary Total Hip and Knee Arthroplasties. (Abstract)

mass index 30+ kg/m2 were independent risk factors for postoperative UTI after TKA. Male sex was associated with a decreased risk of UTI in both THA and TKA.This study provides novel evidence on risk factors associated with the development of UTI after THA or TKA. Clinicians should be aware of risk factors in the manifestation of postoperative UTI after primary THA or TKA procedures.Copyright © 2020 Elsevier Inc. All rights reserved.

2020 Journal of Arthroplasty

190. Direct postoperative protein S100B and NIRS monitoring in infants after pediatric cardiac surgery enrich early mortality assessment at the PICU. (Abstract)

lactate levels.Although significant differences of S100B and crO2 values between survivors and non-survivors were found, no critical thresholds could be established from the data. Nevertheless, changes from the norm in these parameters should raise awareness for critical clinical development.Copyright © 2020 Elsevier Inc. All rights reserved.

2020 Heart & Lung

191. The Effectiveness of Workshop and Multimedia Training Methods on the Nurses' Decision-Making Skills Regarding Weaning From Mechanical Ventilation. (Abstract)

working in ICUs participated in 1 of 2 educational groups in 2016. The interventions were workshop and multimedia training for decision-making skill regarding weaning from MV. The data were gathered from a questionnaire based on the Burns Weaning Assessment Program tool before and 1 month after the intervention. Data were analyzed by independent t test, the χ test, and the Fisher exact test using the software SPSS v. 17.The decision-making skill with regard to awareness of weaning factors

2020 Dimensions of critical care nursing

192. Long-term Noninvasive Ventilation in Obesity Hypoventilation Syndrome Without Severe OSA: The Pickwick Randomized Controlled Trial. Full Text available with Trip Pro

investigators and patients were aware of the treatment allocation; however, treating physicians from the routine care team were not aware of patients' enrollment in the clinical trial. The study was stopped early in its eighth year because of difficulty identifying patients with OHS without severe OSA. The analysis was performed according to intention-to-treat and per-protocol principles and by adherence subgroups.Forty-nine patients in the NIV group and 49 in the control group were randomized, and 48

2020 Chest

193. How useful is intraoperative cone beam computed tomography in maxillofacial surgery? An overview of the current literature. (Abstract)

in maxillofacial centres, probably because of its cost, and perhaps because not everyone is aware of its advantages and versatility, which are reported in this review.Copyright © 2020 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

2020 International Journal of Oral and Maxillofacial Surgery

194. Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students? (Abstract)

Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students? Nontechnical skills (NTS) encompass interpersonal, cognitive, and personal resource skills that can mitigate surgical errors and improve patient outcomes. However, inconsistencies in medical student awareness around NTS suggest limited exposure to these skills. This study aimed to determine the prevalence and content of NTS in medical school surgery (...) develop future curricula. Descriptive statistics were used to determine the number of NTS objectives from each school and within each NOTSS and ANTS Categories and Elements.Learning objectives were obtained from 12 out of 14 Canadian medical schools. A total of 2116 surgery objectives and 571 anesthesiology objectives were reviewed. Of these, 16 (0.76%) and 26 (4.55%) were identified as NTS objectives in surgery and anesthesiology, respectively. Of the NOTSS and ANTS Categories, "Situation Awareness

2020 Journal of Surgical Education

195. Impact of Compensated Cirrhosis Etiology on Postoperative Outcomes Following Total Knee Arthroplasty. (Abstract)

< .001) compared to controls, while cirrhosis secondary to other causes was associated with few adverse outcomes compared to controls.Liver cirrhosis is an independent risk factor for increased perioperative morbidity and financial burden following TKA. Cirrhosis due to etiologies other than viral infections and alcoholism are associated with few adverse outcomes. Surgeons should be aware of these complications to properly optimize postoperative management.Copyright © 2020 Elsevier Inc. All rights

2020 Journal of Arthroplasty

197. Reasons for article retraction in anesthesiology: a comprehensive analysis. Full Text available with Trip Pro

Reasons for article retraction in anesthesiology: a comprehensive analysis. Increasing awareness of scientific misconduct has prompted various fields of medicine, including orthopedic surgery, neurosurgery, and dentistry to characterize the reasons for article retraction. The purpose of this review was to evaluate the reasons for and the rate of article retraction in the field of anesthesia within the last 30 years.Based on a reproducible search strategy, two independent reviewers searched

2020 Canadian Journal Of Anaesthesia

198. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Full Text available with Trip Pro

and requiring well developed situational awareness. This review looks at implications for the practitioner and patient safety, outlining considerations and steps involved in translation of systems and processes well established in the operating room to more unfamiliar environments.Despite limited nonoperating room anaesthesia outcome data, analysis of malpractice claims, anaesthesia-related medical disputes and clinical outcome registries have suggested higher morbidity and mortality. Complications were

2020 Current Opinion in Anaesthesiology

199. Effect of a brief scenario-tailored educational program on parents' risk knowledge, perceptions and decisions to administer prescribed opioids: a randomized controlled trial. (Abstract)

(n=604) who were prescribed an opioid for short-term use were randomized to routine instruction (Control) or routine plus STOMP administered preoperatively. Baseline and follow-up surveys assessed parents' awareness and perceived seriousness of adverse opioid effects, and their analgesic efficacy. Parents' decisions to give an opioid in hypothetical scenarios and total opioid doses they gave to children at home were assessed at follow-up. STOMP parents gained enhanced perceptions of opioid

2020 Pain

200. Awareness during anaesthesia. Full Text available with Trip Pro

Awareness during anaesthesia. 5813091 1969 05 01 2018 11 13 0007-1447 1 5647 1969 Mar 29 British medical journal Br Med J Awareness during anaesthesia. 846 McIntyre J W JW eng Journal Article England Br Med J 0372673 0007-1447 AIM IM Anesthesia, General Cognition Consciousness Humans Memory 1969 3 29 1969 3 29 0 1 1969 3 29 0 0 ppublish 5813091 PMC1982450 Can Anaesth Soc J. 1966 Sep;13(5):495-9 5971186

1969 British medical journal

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