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Anesthesiology Oct 2021
Topics: Anesthesiologists; Humans
PubMed: 34499094
DOI: 10.1097/ALN.0000000000003900 -
Anesthesia and Analgesia Sep 2017
Topics: Anesthesiologists; Anesthesiology; Humans
PubMed: 28817526
DOI: 10.1213/ANE.0000000000002153 -
Journal of the American Society of... Jan 2021
Topics: Allied Health Personnel; Anesthesiologists; Anesthesiology; Cardiologists; Humans; Surgeons
PubMed: 33413790
DOI: 10.1016/j.echo.2020.11.007 -
Journal of Cardiothoracic and Vascular... Feb 2017
Review
Topics: Anesthesiologists; Cardiovascular Surgical Procedures; Humans; Takotsubo Cardiomyopathy; Ventricular Outflow Obstruction
PubMed: 27546831
DOI: 10.1053/j.jvca.2016.06.004 -
International Anesthesiology Clinics Jul 2023
Review
Topics: Humans; Anesthesiologists; Cerebrospinal Fluid Shunts
PubMed: 37249174
DOI: 10.1097/AIA.0000000000000399 -
Journal of Cardiothoracic and Vascular... Feb 2017
Review
Topics: Anesthesiologists; Anesthesiology; Cardiac Surgical Procedures; Humans; Physician's Role; Retrospective Studies; Treatment Outcome
PubMed: 27810410
DOI: 10.1053/j.jvca.2016.06.026 -
Minerva Anestesiologica Dec 2021Traumatic spinal cord injury (SCI) is one of the most devastating events a person can experience. It may be life-threatening or result in long-term disability. This... (Review)
Review
BACKGROUND
Traumatic spinal cord injury (SCI) is one of the most devastating events a person can experience. It may be life-threatening or result in long-term disability. This narrative review aims to delineate a systematic step-wise airways, breathing, circulation and disability (ABCD) approach to perioperative patient management during spinal cord surgery in order to fill some of the gaps in our current knowledge.
METHODS
We performed a comprehensive review of the literature regarding the perioperative management of traumatic spinal injuries from May 15, 2020, to December 13, 2020. We consulted the PubMed and Embase database libraries.
RESULTS
Videolaryngoscopy supplements the armamentarium available for airway management. Optical fiberscope use should be evaluated when intubating awake patients. Respiratory complications are frequent in the acute phase of traumatic spinal injury, with an estimated incidence of 36-83%. Early tracheostomy can be considered for expected difficult weaning from mechanical ventilation. Careful intraoperative management of administered fluids should be pursued to avoid complications from volume overload. Neuromonitoring requires investments in staff training and cooperation, but better outcomes have been obtained in centers where it is routinely applied. The prone position can cause rare but devastating complications, such as ischemic optic neuropathy; thus, the anesthetist should take the utmost care in positioning the patient.
CONCLUSIONS
A one-size fit all approach to spinal surgery patients is not applicable due to patient heterogeneity and the complexity of the procedures involved. The neurologic outcome of spinal surgery can be improved, and the incidence of complications reduced with better knowledge of patient-specific aspects and individualized perioperative management.
Topics: Anesthesiologists; Humans; Neurosurgical Procedures; Respiration, Artificial; Spinal Cord Injuries; Tracheostomy
PubMed: 34874136
DOI: 10.23736/S0375-9393.21.15753-0 -
Anesthesia and Analgesia Jan 2020
Topics: Anesthesiologists; Anesthesiology; Biomedical Research; Diffusion of Innovation; Editorial Policies; Humans; Periodicals as Topic
PubMed: 31842169
DOI: 10.1213/ANE.0000000000004574 -
Brazilian Journal of Anesthesiology... 2023
Topics: Humans; Anesthesiologists; Anesthesiology; Internship and Residency; Brazil; Surveys and Questionnaires
PubMed: 35917845
DOI: 10.1016/j.bjane.2022.06.011 -
Current Opinion in Anaesthesiology Jun 2018Perineal tears or lacerations are common occurrences after vaginal delivery. Understanding the degree of severity of these tears and the immediate and long-term... (Review)
Review
PURPOSE OF REVIEW
Perineal tears or lacerations are common occurrences after vaginal delivery. Understanding the degree of severity of these tears and the immediate and long-term complications of severe perineal lacerations can assist anesthesiologists with the management of these patients in the immediate postpartum period.
RECENT FINDINGS
Severe perineal lacerations have a high degree of association with postpartum depression. The presence of neuraxial labor analgesia decreases the odds of severe perineal lacerations.
SUMMARY
Neuraxial labor analgesia does not directly predispose parturients to the development of perineal lacerations, and may even be protective against these injuries.
Topics: Adult; Anesthesia, Obstetrical; Anesthesiologists; Delivery, Obstetric; Female; Humans; Lacerations; Pain; Pain Management; Perineum; Postpartum Period; Pregnancy; Prevalence
PubMed: 29652745
DOI: 10.1097/ACO.0000000000000599