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Persistent Pain After Thoracic Surgery-What Works, What Doesn't.
Nathan, Naveen MD
doi : 10.1213/ANE.0000000000006550
Volume 137(1) pgs. 1-253,e1-e7 July 2023
Practice Advisory for Preoperative and Intraoperative Pain Management of Thoracic Surgical Patients: Part 1.
Makkad, Benu MBBS/MD *; Heinke, Timothy Lee MD +; Sheriffdeen, Raiyah MD ++; Khatib, Diana MD [S]; Brodt, Jessica Louise MD ||; Meng, Marie-Louise MD [P]; Grant, Michael Conrad MD #; Kachulis, Bessie MD **; Popescu, Wanda Maria MD ++; Wu, Christopher L. MD ++++; Bollen, Bruce Allen MD [S][S]
doi : 10.1213/ANE.0000000000006441
AB Pain after thoracic surgery is of moderate-to-severe intensity and can cause increased postoperative distress and affect functional recovery. Opioids have been central agents in treating pain after thoracic surgery for decades.
Practice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2.
Makkad, Benu MBBS/MD *; Heinke, Timothy Lee MD +; Sheriffdeen, Raiyah MD ++; Khatib, Diana MD [S]; Brodt, Jessica Louise MD ||; Meng, Marie-Louise MD [P]; Grant, Michael Conrad MD #; Kachulis, Bessie MD **; Popescu, Wanda Maria MD ++,++++; Wu, Christopher L. MD [S][S]; Bollen, Bruce Allen MD ||||,[P][P]
doi : 10.1213/ANE.0000000000006506
AB Pain after cardiac surgery is of moderate to severe intensity, which increases postoperative distress and health care costs, and affects functional recovery.
Prevalence and Characteristics of Persistent Postoperative Pain After Thoracic Surgery: A Systematic Review and Meta-Analysis.
Wang, Lu MD, PhD *; Yang, Meng MSc +; Meng, Wangtao PhD *
doi : 10.1213/ANE.0000000000006452
: A systematic review and meta-analysis was conducted to investigate the prevalence and characteristics of persistent (>=3 months) postoperative pain (PPP) after thoracic surgery.
Analgesic Effect of Buprenorphine for Chronic Noncancer Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Wong, Stanley Sau Ching MD *,+; Chan, Tak Hon NA *; Wang, Fengfeng PhD *,+; Chan, Timmy Chi Wing MBBS *; Ho, Hung Chak PhD *,+; Cheung, Chi Wai MD *,+
doi : 10.1213/ANE.0000000000006467
Buprenorphine is a partial agonist at the [micro]-opioid receptor and an antagonist at the delta and kappa opioid receptors. It has high affinity and low intrinsic activity at the [micro]-opioid receptor.
Perioperative Methadone: Perilous or Pain Panacea?.
Pan, Stephanie MD; Anderson, T. Anthony PhD, MD
Pro-Con Debate: Role of Methadone in Enhanced Recovery After Surgery Protocols-Superior Analgesic or Harmful Drug?.
D'Souza, Ryan S. MD *; Esfahani, Kamilla MD +; Dunn, Lauren K. MD, PhD +,++
doi : 10.1213/ANE.0000000000006331
AB Enhanced recovery after surgery (ERAS) protocols are standardized and designed to provide superior analgesia, reduce opioid consumption, improve patient recovery, and reduce hospital length of stay
Emerging Circuits in Anesthesia: Following the Mesolimbic Pathway.
Vincent, Kathleen F. PhD
Selective Activation of NAc D1R-VP/LH Circuits Promotes Reanimation From Sevoflurane Anesthesia in Mice.
Bao, Weiwei PhD *,+,++; Ding, Jiahui MD *; Jiang, Shan MD +; Yao, Zhen PhD +; Qu, Weimin PhD +; Li, Wenxian PhD *; Huang, Zhili PhD +; Han, Yuan PhD *
doi : 10.1213/ANE.0000000000006436
Emerging evidence has uncovered a vital role of nucleus accumbens (NAc) neurons that express the dopamine D1 receptor (D1R) and its upstream neural circuit in general anesthesia (GA) regulation.
Project SPRUCE: Saving Our Planet by Reducing Carbon Emissions, a Pediatric Anesthesia Sustainability Quality Improvement Initiative.
Hansen, Elizabeth E. MD, PhD *,+; Chiem, Jennifer L. MD *,+; Righter-Foss, Kimberly DNP, CRNA *,+; Zha, Yuanting MD, MPH *,+; Cockrell, Hannah C. MD ++,[S]; Greenberg, Sarah L. M. MD, MPH ++,[S]; Low, Daniel K. BM, BS *,+; Martin, Lynn D. MD, MBA *,+
doi : 10.1213/ANE.0000000000006421
Children are particularly vulnerable to adverse health outcomes related to climate change. Inhalational anesthetics are potent greenhouse gasses (GHGs) and contribute significantly to health care-generated emissions.
A Narrative Review Illustrating the Clinical Utility of Electroencephalogram-Guided Anesthesia Care in Children.
Bong, Choon Looi FRCA *; Balanza, Gustavo A. MD +; Khoo, Charis Ern-Hui FANZCA *; Tan, Josephine Swee-Kim MMed (Anaes) *; Desel, Tenzin BA +; Purdon, Patrick Lee PhD +
doi : 10.1213/ANE.0000000000006267
AB The major therapeutic end points of general anesthesia include hypnosis, amnesia, and immobility. There is a complex relationship between general anesthesia, responsiveness, hemodynamic stability, and reaction to noxious stimuli.
Role of Point-of-Care Ultrasound in Emergency Airway Management Outside the Operating Room.
Khorsand, Sarah MD, FASA *; Chin, Jeanette MD *; Rice, Jake MD *; Bughrara, Nibras MD, FCCM, FASA +; Myatra, Sheila N. MD, FCCM, FICCM ++; Karamchandani, Kunal MD, FCCP, FCCM *
doi : 10.1213/ANE.0000000000006371
AB Tracheal intubation is one of the most frequently performed procedures in critically ill patients, and is associated with significant morbidity and mortality. Hemodynamic instability and cardiovascular collapse are common complications associated with the procedure, and are likely in patients with a physiologically difficult airway.
Molecular Mechanisms and Pathophysiological Pathways of High-Fat Diets and Caloric Restriction Dietary Patterns on Pain.
Liu, Jingjing PhD *,+; Wong, Stanley Sau Ching MD *,+
doi : 10.1213/ANE.0000000000006289
AB Pain perception provides evolutionary advantages by enhancing the probability of survival, but chronic pain continues to be a significant global health concern in modern society.
Perioperative Red Blood Cell Transfusion Is Associated With Adverse Cardiovascular Outcomes in Heart Valve Surgery.
Kim, Hee Jung MD, PhD *; Kim, Ji Eon MD *; Lee, Ji Yoon MS +; Lee, Seung Hyung MD *; Jung, Jae Seung MD, PhD *; Son, Ho Sung MD, PhD *
doi : 10.1213/ANE.0000000000006245
We examined the relationship between blood transfusion and long-term adverse events to evaluate the clinical impact of red blood cell (RBC) transfusion on patients undergoing cardiac valve surgery.
Understanding the Intricacies of Delivering Compassionate Care in the Intensive Care Unit and What Hinders It: A Qualitative Study of Members of 2 Critical Care Societies.
Siddiqui, Shahla MD, MSc, FCCM *; Mohamed, Enas MD +; Johansson, Anna PhD *; Rock, Laura MD ++; Hartog, Christiane MD, PhD [S]; Subramaniam, Balachundhar MD [//]
doi : 10.1213/ANE.0000000000006295
Patient-centered care is increasing in importance especially in the post-coronavirus disease 2019 (COVID-19) pandemic era. We sought to understand factors affecting compassionate care faced by intensivists in the intensive care unit (ICU).
Energy Expenditure Under General Anesthesia: An Observational Study Using Indirect Calorimetry in Patients Having Noncardiac Surgery.
Briesenick, Luisa MD *; Schaade, Annika *; Bergholz, Alina MD *; Hoppe, Phillip MD *; Kouz, Karim MD *; Krause, Linda PhD +; Flick, Moritz MD *; Saugel, Bernd MD *,++
doi : 10.1213/ANE.0000000000006343
Perioperative hemodynamic management aims to optimize organ perfusion pressure and blood flow-assuming this ensures that oxygen delivery meets cellular metabolic needs.
Ultrasound Assessment of Gastric Volume in Parturients After High-Flow Nasal Oxygen Therapy.
Zhou, Shuangqiong MD; Cao, Xiuhong MD; Zhou, Yao MD; Xu, Zhendong MD, PhD; Liu, Zhiqiang MD, PhD
doi : 10.1213/ANE.0000000000006340
High-flow nasal oxygen (HFNO) therapy is widely used in critical care obstetrics to improve oxygenation. Much of the benefit of HFNO is linked to the creation of modest levels of positive airway pressure.
Evaluation of Anemia and Iron Deficiency in French Surgical Departments: The National Multicenter Observational PERIOPES Study.
Lasocki, Sigismond MD, PhD *; Belbachir, Anissa MD +; Mertes, Paul-Michel MD, PhD ++; Pelley, Eric Le MD [S]; Capdevila, Xavier MD, PhD [//]; Dumartinet, Benjamin; Ponthieu, Axel; Poirier, Marion; Bourgoin, Aurelie; Rivory, Adrien; Pastene, Bruno; Chabert, Lenaick; Lazkani, Ali; Pelletier, Christophe; Puppo, Nathalie; Laurent, Jean-Baptiste; Bataillard, Amelie; Berthier, Francis; Rietsch-Koenig, Anne; Samain, Emmanuel; Noll, Eric; Faitot, Valentina; Raucoules, Marc; Demange, Isabelle; Bertolotto, Carlo; Vercruysse, Marc; Bosch, Laetitia; Hoff, Thibaut
doi : 10.1213/ANE.0000000000006362
Assessment of anemia and iron deficiency before surgery is pivotal for patient blood management (PBM), but few data on current practices are available in the French context.
A Cross-Sectional Survey of Anesthetic Airway Equipment and Airway Management Practices in Uganda.
Bulamba, Fred MMed *; Connelly, Stephanie BM (Hons) +; Richards, Sara MD ++; Lipnick, Michael S. MD [S]; Gelb, Adrian W. MBChB [S]; Igaga, Elizabeth N. MMed [//]; Nabukenya, Mary T. MMed [//]; Wabule, Agnes MMed [//]; Hewitt-Smith, Adam MBBS *
doi : 10.1213/ANE.0000000000006278
Anesthesia-related causes contribute to a significant proportion of perioperative deaths, especially in low and middle-income countries (LMICs).
Achieving Competency in Fiber-Optic Intubation Among Resident Physicians After Higher- Versus Lower-Fidelity Task Training: A Randomized Controlled Study.
Melvin, Martina T. FCAI *; Siddiqui, Naveed T. MD *; Wild, Evan FRCA, FRCPC *; Parotto, Matteo MD, PhD +; Perelman, Vsevolod S. MD ++; You-Ten, Kong Eric MD, PhD, FRCPC *
doi : 10.1213/ANE.0000000000006283
The high-fidelity ORSIM (Airway Simulation Ltd) and the low-fidelity wooden-block fiber-optic task trainers allow users to familiarize themselves with the psychomotor skills required to manipulate the fiber-optic scope.
Sleep Fragmentation, Electroencephalographic Slowing, and Circadian Disarray in a Mouse Model for Intensive Care Unit Delirium.
Dulko, Elzbieta MS *; Jedrusiak, Michal *; Osuru, Hari P. PhD *; Atluri, Navya PhD *; Illendula, Meghana MPH *; Davis, Eric M. MD +; Beenhakker, Mark P. PhD ++; Lunardi, Nadia MD, PhD *
doi : 10.1213/ANE.0000000000006524
We aimed to further validate our previously published animal model for delirium by testing the hypothesis that in aged mice, Anesthesia, Surgery and simulated ICU conditions (ASI) induce sleep fragmentation, electroencephalographic (EEG) slowing, and circadian disarray consistent with intensive care unit (ICU) patients with delirium.
Etomidate-Induced Myoclonus in Sprague-Dawley Rats Involves Neocortical Glutamate Accumulation and N-Methyl-D-Aspartate Receptor Activity.
Feng, Yan MD *,+; Chang, Pan MD *,+; Kang, Yi BS *,+; Liao, Ping MS *,+; Li, Chen-yang MM *,+; Liu, Jin MD, PhD *,+; Zhang, Wen-sheng MD *,+
doi : 10.1213/ANE.0000000000006292
Etomidate-induced myoclonus, a seizure-like movement, is of interest to anesthetists. However, its origin in the brain and its underlying mechanism remain unclear.
Perioperative Care of Transgender and Gender-Diverse Patients: A Biopsychosocial Approach.
Sanchez, Kyle J. MD *; Sanchez, Raoul A. MD +; Ben Khallouq, Bertha MA ++,[S]; Ellis, Dan B. MD *
doi : 10.1213/ANE.0000000000006480
AB Transgender and gender-diverse (TGD) people endure numerous physical and mental health disparities secondary to lifelong stigma and marginalization, which are often perpetuated in medical spaces.
Meeting Report: First Scottish Right Heart Symposium.
Shelley, Ben G. MD *; McCall, Philip J. MD +
Comparison of Peak Bulk Flow Rate of Programmable Intermittent Epidural Bolus and Manual Epidural Bolus Using a Closed-End Multiorifice Catheter.
Du, Weijia MD; Liu, Zhiqiang MD, PhD
In Response.
Younger, Joshua D. MD; Faryami, Ahmad BS; Harris, Carolyn A. PhD
Physiological Remarks on Spinal Anesthesia, Drug Baricity, and Clinical Results.
Lopez-Lopez, David MD; Neira-Somoza, Patricia BSN; Carballo-Fernandez, Jesus MD; Mato-Bua, Rocio MD; Casas-Reza, Pablo MD
Sevoflurane Versus Propofol for LMA(R) Removal in Awake Children: More Respiratory Adverse Effects or Faster Recovery of Airway Reflexes in More Awake Children?.
Reinoso-Barbero, Francisco MD, PhD; Sanabria-Carretero, Pascual MD, PhD; Alonso-Prieto, Mercedes MD, PhD
In Response.
Aouad, Marie T. MD; Khalili, Amro MD; Zeeni, Carine MD; Karam, Cynthia MD; Kaddoum, Roland MD
