Aporte a la rutina de la trinchera asistencial donde los conocimientos se funden con las demandas de los pacientes, sus necesidades y las esperanzas de permanecer en la gracia de la SALUD.
No study has been conducted to demonstrate the feasibility of an opioid-free anesthesia (OFA) protocol in cardiac surgery to improve patient care. The aim of the present study was to evaluate the effect of OFA...
Authors:Pierre-Grégoire Guinot, Alexandra Spitz, Vivien Berthoud, Omar Ellouze, Anis Missaoui, Tiberiu Constandache, Sandrine Grosjean, Mohamed Radhouani, Jean-Baptiste Anciaux, Jean-Philippe Parthiot, Jean-Pierre Merle, Nicolas Nowobilski, Maxime Nguyen and Belaid Bouhemad
Right hepatectomy is a complex procedure that carries inherent risks of perioperative morbidity. To evaluate outcome differences between a low central venous pressure fluid intervention strategy and a goal dir...
Authors:Laurence Weinberg, Lois Mackley, Alexander Ho, Steven Mcguigan, Damian Ianno, Matthew Yii, Jonathan Banting, Vijayragavan Muralidharan, Chong Oon Tan, Mehrdad Nikfarjam and Chris Christophi
Sevoflurane, an inhalational general anesthetic, has become one of the most widely used inhalational anesthetics in surgery. However, previous studies have found that sevoflurane anesthesia can trigger an infl...
During lumbar spine surgery, patients are placed in the prone position for surgical access. The prone position has various effects on cardiac and pulmonary function, including a decreased cardiac index (CI), d...
Authors:Jung Min Lee, Soo Kyung Lee, Kyung Mi Kim, You Jung Kim and Eun Young Park
Postoperative pulmonary complications (PPCs) increase morbidity and mortality of surgical patients, duration of hospital stay and costs. Postoperative atelectasis of dorsal lung regions as a common PPC has bee...
Authors:Maria Bauer, Anne Opitz, Jörg Filser, Hendrik Jansen, Rainer H. Meffert, Christoph T. Germer, Norbert Roewer, Ralf M. Muellenbach and Markus Kredel
Dexmedetomidine (DEX) has been used as an anesthetic for decades. The present investigation aimed to elucidate the analgesic impact of DEX on 2,4,6-Trinitrobenzenesulfonic acid (TNBS)-induced chronic inflammat...
Authors:Meng Liang, Aijie Shao, Xinsheng Tang, Meiling Feng, Jing Wang and Yingna Qiu
Risk of over-immunosuppression or immunization may mitigate the overall and long-term renal outcomes of kidney transplant recipients (KTR) admitted to the ICU in the modern era but remain poorly described. Thu...
Authors:Damien Guinault, Arnaud Del Bello, Laurence Lavayssiere, Marie-Béatrice Nogier, Olivier Cointault, Nicolas Congy, Laure Esposito, Anne-Laure Hebral, Olivier Roques, Nassim Kamar and Stanislas Faguer
The efficacy of tranexamic acid (TXA) to reduce perioperative blood loss and allogeneic blood transfusion in cardiac surgeries has been proved in previous studies, but its adverse effects especially seizure ha...
Authors:Jingfei Guo, Xurong Gao, Yan Ma, Huran Lv, Wenjun Hu, Shijie Zhang, Hongwen Ji, Guyan Wang and Jia Shi
Tricuspid regurgitation (TR) and pulmonary hypertension (PHT) are highly dynamic cardiovascular lesions that may progress rapidly, particularly in the orthotopic liver transplantation (OLT) waitlist population...
Authors:B. Pearce, R. Hu, F. Desmond, D. Banyasz, R. Jones and C. O. Tan
The levels of tight junction proteins (TJs), especially occludin, correlate with blood-brain barrier (BBB) disruption caused by inflammation in central nervous system (CNS). It has been reported that propofol,...
Authors:Yue Zhang, Xiaowei Ding, Changhong Miao and Jiawei Chen
We previously reported that each 100 mg dL− 1 reduction in blood glucose over the range from ≈90 to > 300 mg dL− 1 decreases the shivering threshold (triggering core temperature) in rabbits by 1 °C. However, the ...
Authors:Keiichi Wada, Taishi Masamune, Hirofumi Ino, Kenta Ueda, Tadahiko Ishiyama, Daniel I. Sessler and Takashi Matsukawa
Renal dysfunction following intraoperative arterial hypotension is mainly caused by an insufficient renal blood flow. It is associated with higher mortality and morbidity rates. We hypothesised that the intrao...
Authors:Patrick Schäfer, Astrid Fahlenkamp, Rolf Rossaint, Mark Coburn and Ana Kowark
Surgical cricothyroidotomy is a last resort in patients with an anticipated difficult airway, but without any guarantee of success. Identification of the cricothyroid membrane may be the key to successful cric...
The obstetric airway is a significant cause of maternal morbidity and mortality. Endotracheal intubation is considered the standard of care but the laryngeal mask airway (LMA) has gained acceptance as a rescue...
Authors:Wei Yu Yao, Shi Yang Li, Yong Jin Yuan, Hon Sen Tan, Nian-Lin R. Han, Rehena Sultana, Pryseley N. Assam, Alex Tiong-Heng Sia and Ban Leong Sng
Obstetric dfficult airway is a leading cause of maternal morbidity and mortality. The laryngeal mask airway (LMA) is often used as a rescue airway device after failed intubation, however, little is known about...
Authors:Hon Sen Tan, Shi Yang Li, Wei Yu Yao, Yong Jing Yuan, Rehena Sultana, Nian-Lin R. Han, Alex Tiong Heng Sia and Ban Leong Sng
Pharyngeal packing (PP) is commonly performed to reduce the incidence of perioperative blood ingestion (PBI) in nasal surgery (NS), and thus the incidence and severity of postoperative nausea and vomiting (PON...
Authors:M. Emrah Temel, Tolga Totoz, Kerem Erkalp, Gulen Safiye Temel and Aysin Selcan
There is no defined gold standard for pain management after video-assisted thoracic surgery (VATS) for pneumothorax. In addition to systemic analgesia, various loco-regional analgesic techniques have been prop...
Authors:Pierre-Antoine Allain, Michele Carella, Apostolos C. Agrafiotis, Julien Burey, Jalal Assouad, El-Mahdi Hafiani, Yacine Ynineb, Francis Bonnet, Marc Garnier and Christophe Quesnel
Quick and complete recovery of cognitive function after general anesthesia is desirable, particularly for working-age patients. Desflurane is less likely to have long-term effects than older-generation inhalat...
Authors:Ayako Tojo, Kazuhiro Uchimoto, Gaku Inagawa and Takahisa Goto
In the present study, we compare the LMA-Protector™ and the i-gel™ in terms of adequacy of the airway seal, insertion time, ease and accuracy of insertion, and the incidence of postoperative sore throat.
Authors:Jee-Eun Chang, Hyerim Kim, Jung-Man Lee, Seong-Won Min, Dongwook Won, Kwanghoon Jun and Jin-Young Hwang
Patients undergoing complex spine surgery present with multilevel spinal involvement, advanced age, and multiple comorbidities. Surgery is associated with significant blood loss and remarkable hemodynamic chan...
Authors:Feng-Cheng Chang, Jr-Rung Lin and Fu-Chao Liu
Maternal cardiac arrest during cesarean section (CS) is an extremely rare but devastating complication. Preventing emergency events from developing into maternal cardiac arrest is one of the most challenging c...
Patient satisfaction is a well-established indicator to evaluate the quality of medical care and there is an increasing support for the use of patient-reported experience measures (PREMs) to evaluate satisfact...
Authors:Wouter Droog, Sanne E. Hoeks, G. Peter van Aggelen, D-Yin Lin, J. Henk Coert, Robert Jan Stolker and Eilish M. Galvin
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