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Current Opinion in Anaesthesiology Jun 2022Despite a very low individual prevalence, rare or orphan diseases are estimated to collectively affect as much as 6-8% of the general population. These diseases provide... (Review)
Review
PURPOSE OF REVIEW
Despite a very low individual prevalence, rare or orphan diseases are estimated to collectively affect as much as 6-8% of the general population. These diseases provide a challenge to anesthetic delivery because of the lack of evidence to guide optimal management.
RECENT FINDINGS
The expansion of information technology has made facts about individual orphan diseases easier to find. Several reputable websites, hosted variously by anesthetic societies, rare disease organizations, and government agencies, provide information about rare diseases and anesthetic management.
SUMMARY
Improved access to resources of knowledge may allow for more informed anesthetic management of orphan diseases. The combination of a thorough review of existing knowledge about individual diseases and a structured anesthetic assessment may assist in the delivery of well tolerated anesthetic care of rare conditions.
Topics: Anesthesiologists; Humans; Perioperative Care; Rare Diseases
PubMed: 35671032
DOI: 10.1097/ACO.0000000000001136 -
Clinics in Sports Medicine Apr 2022
Topics: Anesthesiologists; Humans; Orthopedic Surgeons; Surgical Drapes; Surgical Wound Infection
PubMed: 35300847
DOI: 10.1016/j.csm.2022.01.002 -
Journal of Cardiothoracic and Vascular... Mar 2023
Topics: Humans; Anesthesiologists; Physicians; Physician Executives; Delivery of Health Care; Leadership
PubMed: 36517337
DOI: 10.1053/j.jvca.2022.11.031 -
Journal of Neurosurgical Anesthesiology Oct 2023
Topics: Humans; Anesthesiologists; Thrombectomy; Stroke
PubMed: 37490773
DOI: 10.1097/ANA.0000000000000930 -
Current Opinion in Anaesthesiology Jun 2018
Topics: Anesthesiologists; Anesthesiology; Burnout, Professional; Humans; Internship and Residency; Patient Care Team; Professional Misconduct; Time Factors
PubMed: 29543616
DOI: 10.1097/ACO.0000000000000597 -
Anesthesia and Analgesia Jul 2021
Topics: Anesthesiologists; Humans; Music; Music Therapy; Narration
PubMed: 34127593
DOI: 10.1213/ANE.0000000000005598 -
Journal of Cardiothoracic and Vascular... Jan 2022Transesophageal echocardiography (TEE) has become an integral part in helping to diagnose, manage, and assess interventions in the cardiac operating room. Multiple... (Review)
Review
A Narrative Review of the 2020 Guidelines for Use of Transesophageal Echocardiography to Assist with Surgical Decision- Making by the Cardiac Anesthesiologist in the Operating Room.
Transesophageal echocardiography (TEE) has become an integral part in helping to diagnose, manage, and assess interventions in the cardiac operating room. Multiple guidelines have been created by the American Society of Echocardiography for performing a TEE examination for different cardiac pathologies. The operating room can provide unique challenges when performing a TEE examination, which include hemodynamic instability, time constraints, and use of general anesthesia. The Guideline for the use of TEE to assist in surgical decision- making in the operating room recently was published to provide a starting protocol for conducting a TEE examination for different cardiac surgeries and for using the information obtained to interpret and to communicate findings to the surgical team. This present narrative review focuses and expands upon the relevant portions for the cardiac anesthesiologist.
Topics: Anesthesiologists; Echocardiography, Transesophageal; Heart; Humans; Monitoring, Intraoperative; Operating Rooms
PubMed: 33744115
DOI: 10.1053/j.jvca.2021.02.011 -
Regional Anesthesia and Pain Medicine 2017Chronic pain following median sternotomy is common after cardiac surgery. If left untreated, chronic sternal pain can reduce quality of life, affecting sleep, mood,... (Review)
Review
Chronic pain following median sternotomy is common after cardiac surgery. If left untreated, chronic sternal pain can reduce quality of life, affecting sleep, mood, activity level, and overall satisfaction. This has a significant societal effect given the large number of cardiac surgeries annually. Although a number of pathophysiologic processes and risk factors are assumed to contribute, the exact cause and major risk factors remain unknown. Moreover, the treatment of chronic poststernotomy pain is often inadequate, relying on opioids and other medications that provide minimal benefit to the patient and have significant adverse effects. Indeed, little is known regarding the prevention of chronic pain development following sternotomy. This review aims to present the current, limited data regarding the incidence, risk factors, treatment, and prevention of chronic poststernotomy pain and to identify areas of future research to improve management of this common complaint following cardiac surgery.
Topics: Anesthesiologists; Chronic Pain; Humans; Incidence; Pain, Postoperative; Physician's Role; Risk Factors; Treatment Outcome
PubMed: 28937533
DOI: 10.1097/AAP.0000000000000663 -
Current Opinion in Anaesthesiology Aug 2017This article focuses on the issue of sedation provided either by proceduralists or anesthesiologists for advanced bronchoscopy procedures. The relative merits of both... (Review)
Review
PURPOSE OF REVIEW
This article focuses on the issue of sedation provided either by proceduralists or anesthesiologists for advanced bronchoscopy procedures. The relative merits of both approaches are presented. Current evidence from the literature and guideline recommendations relevant to this topic are reviewed.
RECENT FINDINGS
In general, patient and proceduralist satisfaction as well as patient safety are increased when intravenous sedation is provided for advanced bronchoscopic procedures. However, guidelines by various societies remain vague on defining the appropriate level of care required when providing sedation for these procedures. In addition, targeted depth of sedation varies considerably among practitioners. While in some settings, nonanesthesiologist-administered propofol sedation has been proven safe; nevertheless, its use is controversial, especially in the bronchoscopy suite.
SUMMARY
The role of the anesthesiologist in sedation for advanced bronchoscopy remains undefined. When deep sedation for prolonged interventional procedures is needed or when dealing with patients who have multiple comorbidities, an anesthesiologist should be involved.
Topics: Anesthesia; Anesthesiologists; Bronchoscopy; Conscious Sedation; Deep Sedation; Humans; Patient Safety
PubMed: 28509771
DOI: 10.1097/ACO.0000000000000483 -
Anesthesia Progress Dec 2021
Review
Topics: Anesthesia; Anesthesiologists; Anesthesiology; Humans
PubMed: 34911059
DOI: 10.2344/0003-3006-68.4.245