surrounding major vascular structures. In general, cardiac surgery has a higher risk than noncardiac surgery of major adverse postoperative outcomes, with specific procedural and patient characteristics that ... , Department of Anesthesiology, Duke University Medical Center , Durham, NC , USA 2 N. B. Hensley, MD Johns Hopkins , Baltimore, MD , USA - Cardiac surgery encompasses multiple procedures on the heart and
Postoperative atrial fibrillation (POAF) is a common complication following cardiac surgery. Although the evidence suggests that beta blockers prevent POAF, they often cause hypotension. Landiolol ... University , Hamilton, ON , Canada 1 Health Research Methods , Evidence, and Impact (HEI) , Faculty of Health Sciences, McMaster University , Hamilton, ON , Canada 2 J. Daza, MD Division of General Surgery
Postoperative atrial fibrillation (POAF) has an incidence of 20–60% in cardiac surgery. The Society of Cardiovascular Anesthesiologists and the European Association of Cardiothoracic Anaesthesiology ... undergoing cardiac surgery. Methods Our QI project was conducted at Vancouver General Hospital (VGH), Vancouver, Canada, a tertiary referral centre performing approximately 700–800 cardiac surgical cases
Physical Therapy and Surgery, University of Alberta , 6-110B Clinical Sciences Building, 8440-112 St., Edmonton, AB , Canada 4 Collaborative Orthopaedic REsearch (CORe), University of Alberta , Edmonton, AB
We sought to evaluate the synergistic risk of postoperative thrombosis in patients with a history of COVID-19 who undergo major surgery. Major surgery and SARS-CoV-2 infection are independently ... surgery conferred by a COVID-19 history on the development of perioperative thrombotic events has not been clearly elucidated in the literature. Methods We conducted a retrospective cohort study among
the gold standard to facilitate Cesarean deliveries (CDs).1 Experts suggest that, with the known morbidity of general anesthesia (GA) coupled with the acknowledged challenges of the obstetric airway ... from 2005 to 2020. General anesthesia was used for 4.4% of all CDs, with a temporal trend indicating a decrease in GA use from 12% to 3.6%. Large medical facilities (i.e., [ 499 beds) and academic
Minimally invasive direct coronary artery bypass (MIDCAB) surgery is associated with significant postoperative pain. We aimed to investigate the efficacy of ultrasound-guided erector spinae plane ... , -2.1; 99% confidence interval [CI], -2.7 to -1.5; P\0.001), 12 hr (-1.9; 99% CI, -2.6 to -1.2; P\0.001), and 18 hr (-1.2; 99% CI, -1.8 to -0.6; P\0.001) after surgery. The ESPB group also showed lower
, Saskatoon, SK , Canada To the Editor, Over 800 Saskatchewan patients require heart surgery annually. As wait times increase, patients are exposed to risks of worsening symptoms, hospitalization, and serious ... complications.1 The COVID-19 pandemic in early 2020 led to delays and cancellations of major cardiac surgeries. A provincial multidisciplinary team of cardiac surgery stakeholders was formed in January 2021 to
postoperative mortality. We conducted a retrospective cohort study of adult patients with an ASA Physical Status I–IV who underwent noncardiac and nonobstetric surgery under general anesthesia between 2015 and ... noncardiac and nonobstetric surgery with duration of C 60 min under general anesthesia in Nagoya City University Hospital between January 2015 and December 2021. Additional inclusion criteria were patients
Postoperative nausea and vomiting (PONV) is common in pediatric patients undergoing general anesthesia, and clinicians seek prophylactic interventions to prevent its ill effects on patients as well ... 1- to 24-month-old pediatric patients after surgery under general anesthesia . Anesth Analg 2005 ; 101 : 356 - 61 . https://doi.org/10.1213/01.ane. 0000155261 .27335.29 3. Apfel CC , La¨a¨ra¨ E
As many as 30% of patients with frailty die, are discharged to a nursing home, or have a new disability after surgery. The 2010 United Kingdom National Confidential Enquiry into Patient Outcome and ... H , Lalu MM , McIsaac DI . Measuring the predictive accuracy of preoperative clinical frailty instruments applied to electronic health data in older patients having emergency general surgery: a
, Huber E , Wildling E . Single-injection paravertebral block compared to general anaesthesia in breast surgery . Acta Anaesthesiol Scand 1999 ; 43 : 770 - 4 . https://doi.org/10.1034/j.1399- 6576 . 1999 ... To the Editor, Paravertebral blockade (PVB), when used as the sole anesthetic technique, provides effective anesthesia for breast surgery.1 During the COVID-19 pandemic, we shifted anesthetic
costs while maintaining quality allows the greatest number of patients to receive care. We used propensity score matching to compare parallel processing with spinal anesthesia in a block room vs general ... -hour shift. There is capacity for four patients at a time servicing multiple ORs including orthopedic, plastic, vascular, and general surgery lists. Individual ORs notify the block room when the
have reported similar observations. Those observations have led several cardiac centres to abandon radial artery pressure monitoring in cardiac surgery or to combine radial monitoring with more central ... -Deschene et al.10 Nevertheless, in these latter two studies, the RFAPG was measured from the beginning to the end of cardiac surgery. Since these abnormal RFAPG occur in one third of patients, can we predict
first consensus statement on networks for highquality surgery and obstetric care in rural Canada was released in 2001, the demographic schism between the size of the rural population and the physician ... effects on First Nations, Inuit, and Me´tis peoples.3-6 To address the attrition of medical services in rural Canada, a joint consensus statement on networks for highquality rural anesthesia, surgery, and
Medicine, University of Toronto , Toronto, ON , Canada 3 Li Ka Shing Knowledge Institute of St. Michael's Hospital , Toronto, ON , Canada About 190 million adults undergo major surgery in highincome ... perioperative care and surgical technique have meant that short-term postoperative survival has continued to improve, especially in the setting of elective (or scheduled) surgery. For example, the risk of 30-day
troponin testing. We use this opportunity to discuss the history of perioperative myocardial infarction and evolution to myocardial injury after noncardiac surgery (MINS); the prognosis, etiology, and ... to coronary artery thrombosis.2 Initial reports of myocardial infarction and associated mortality in the setting of noncardiac surgery started to occur in the late 1920s and early 1930s. In a 1938
Sinai Hospital , Toronto, ON , Canada COVID-19 critical illness in pregnant patients is associated with an increased likelihood of Cesarean delivery (CD) (72-84%).1, 2 We describe the general anesthetic ... Mount Sinai Hospital (Toronto, ON, Canada), the patient received lung protective ventilation in the intensive care unit (ICU) using a Cesarean delivery; COVID-19 general anesthesia; To the Editor
