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Ideal body weight calculations: fit for purpose in modern anaesthesia?
Appelbaum, Nicholas; Clarke, Jonathan
doi : 10.1097/EJA.0000000000001515
December 2021 - Volume 38 - Issue 12 - p 1211-1214
Intra-operative nociceptive responses and postoperative major complications after gastrointestinal surgery under general anaesthesia
Ogata, Hiroki; Matsuki, Yuka; Okamoto, Takuma; Ueki, Ryusuke; Kariya, Nobutaka; Tatara, Tsuneo; Shigemi, Kenji; Hirose, Munetaka
doi : 10.1097/EJA.0000000000001505
December 2021 - Volume 38 - Issue 12 - p 1215-1222
Surgical procedures stimulate nociception and induce physiological responses according to the balance between nociception and antinociception. The severity of surgical stimuli is associated with major postoperative complications. Although an intra-operative quantitative index representing surgical invasiveness would be useful for anaesthetic management to predict and prevent major complications, no such index is available.
Ultrasound assessment of gastric volumes of thick fluids
Tacken, Marijn C.T.; van Leest, Tristan A.J.; van de Putte, Peter; Keijzer, Christiaan; Perlas, Anahi
doi : 10.1097/EJA.0000000000001465
December 2021 - Volume 38 - Issue 12 - p 1223-1229
Enteral nutrition is essential in the treatment of critically ill patients. Current methods to monitor enteral nutrition such as aspiration of residual volume may be inaccurate. Gastric ultrasonography estimates total gastric fluid volume using the Perlas model, but this model is validated for clear fluids only, and its accuracy for measuring thick fluids is unknown.
Evaluation of antihyperalgesic and analgesic effects of 35% nitrous oxide when combined with remifentanil
Wehrfritz, Andreas; Bauer, Marcus; Noel, Nathalie; Ramirez-Gil, Juan Fernando; Ihmsen, Harald; Prottengeier, Johannes; Schüttler, Jürgen; Bessiere, Baptiste
doi : 10.1097/EJA.0000000000001468
December 2021 - Volume 38 - Issue 12 - p 1230-1241
Remifentanil is an effective drug in peri-operative pain therapy, but it can also induce and aggravate hyperalgesia. Supplemental administration of N2O may help to reduce remifentanil-induced hyperalgesia.
Comparison between capnodynamic and thermodilution method for cardiac output monitoring during major abdominal surgery
Sigmundsson, Thorir S.; Öhman, Tomas; Hallbäck, Magnus; Suarez-Sipmann, Fernando; Wallin, Mats; Oldner, Anders; Hällsjö-Sander, Caroline; Björne, Håkan
doi : 10.1097/EJA.0000000000001566
December 2021 - Volume 38 - Issue 12 - p 1242-1252
Cardiac output (CO) monitoring is the basis of goal-directed treatment for major abdominal surgery. A capnodynamic method estimating cardiac output (COEPBF) by continuously calculating nonshunted pulmonary blood flow has previously shown good agreement and trending ability when evaluated in mechanically ventilated pigs.
Assessment of the left ventricular outflow tract during cardiac anaesthesia with biplane transoesophageal echocardiography
Cowie, Brian; Bitcon, Charles; Kluger, Roman
doi : 10.1097/EJA.0000000000001499
December 2021 - Volume 38 - Issue 12 - p 1253-1261
Assessment of left ventricular outflow tract (LVOT) area is a key component of quantification of aortic stenosis and stroke volume. Current international guidelines recommend measurement of the LVOT diameter with two-dimensional (2D) echocardiography and assume a circle. This may lead to erroneous measures of aortic valve area and adversely affect peri-operative decision making. Multiplane orthogonal (biplane) and three-dimensional (3D) echocardiography imaging may allow more accurate calculation of LVOT, aortic valve area and stroke volume.
Neuroprotective effects of intraoperative dexmedetomidine versus saline infusion combined with goal-directed haemodynamic therapy for patients undergoing cranial surgery
Chen, Pin-Hsin; Tsuang, Fon-Yih; Lee, Chen-Tse; Yeh, Yu-Chang; Cheng, Hsiao-Liang; Lee, Tzong-Shiun; Chang, Ya-Wen; Cheng, Ya-Jung; Wu, Chun-Yu
doi : 10.1097/EJA.0000000000001532
December 2021 - Volume 38 - Issue 12 - p 1262-1271
By inhibiting neuroinflammation dexmedetomidine may be neuroprotective in patients undergoing cranial surgery, but it reduces cardiac output and cerebral blood flow.
Occupational exposure and risk of transmission of SARS-CoV2 among European anaesthetists
Chew, Michelle S.; Longrois, Dan; Bruder, Nicolas
doi : 10.1097/EJA.0000000000001607
December 2021 - Volume 38 - Issue 12 - p 1272-1273
Association of early positive end-expiratory pressure settings with ventilator-free days in patients with coronavirus disease 2019 acute respiratory distress syndrome
Valk, Christel M.A.; Tsonas, Anissa M.; Botta, Michela; Bos, Lieuwe D.J.; Pillay, Janesh; Serpa Neto, Ary; Schultz, Marcus J.; Paulus, Frederique
doi : 10.1097/EJA.0000000000001565
December 2021 - Volume 38 - Issue 12 - p 1274-1283
There is uncertainty about how much positive end-expiratory pressure (PEEP) should be used in patients with acute respiratory distress syndrome (ARDS) due to coronavirus disease 2019 (COVID-19).
Teleconsultation for preoperative evaluation during the coronavirus disease 2019 pandemic
Wienhold, Jan; Mösch, Lucas; Rossaint, Rolf; Kemper, Ilka; Derwall, Matthias; Czaplik, Michael; Follmann, Andreas
doi : 10.1097/EJA.0000000000001616
December 2021 - Volume 38 - Issue 12 - p 1284-1292
During the surge in coronavirus disease 2019 (COVID-19) infections in early 2020, many medical organisations began developing strategies for implementing teleconsultation to maintain medical services during lockdown and to limit physical contact. Therefore, we developed a teleconsultation preoperative evaluation platform to replace on-site preoperative meetings.
Estimate of exposure to SARS-CoV-2 and performance of high-risk interventions by European anaesthesiologists
Schmid, Benedikt; Meybohm, Patrick; Hartmann, Katrin; Scholz, Stefan M.; Sitter, Magdalena; Popp, Maria; De Hert, Stefan; Samama, Charles Marc; Zacharowski, Kai; Kranke, Peter
doi : 10.1097/EJA.0000000000001541
December 2021 - Volume 38 - Issue 12 - p 1293-1295
Morbidity and mortality related to surgery in patients with bronchopulmonary dysplasia
Vogels, Yannick Leonardus Wilhelmus Martinus; van der Lee, Robin; de Boode, Willem-Pieter; Malagon, Ignacio
doi : 10.1097/EJA.0000000000001446
December 2021 - Volume 38 - Issue 12 - p 1295-1297
Comparison of four different methods of nasogastric tube insertion with double-lumen tracheal tube in situ
Misra, Satyajeet; Behera, Bikram Kishore; Das, Prasanta Kumar
doi : 10.1097/EJA.0000000000001471
December 2021 - Volume 38 - Issue 12 - p 1297-1299
Tympanic membrane-infrared thermometry against zero heat flux thermometry for detection of postoperative hypothermia in children
Lee, Shu Ying; Bong, Choon Looi; Siow, Yew Nam; Allen, John C.
doi : 10.1097/EJA.0000000000001492
December 2021 - Volume 38 - Issue 12 - p 1299-1302
Erroneous neuraxial administration of neuromuscular blocking drugs
Elsayed, Eslam; Al-Kamil, Abdulla; England, Emma Louise; Shelton, Clifford L.
doi : 10.1097/EJA.0000000000001460
December 2021 - Volume 38 - Issue 12 - p 1303-1304
Brain fragility among middle-aged and elderly patients from electroencephalogram during induction of anaesthesia
Cartailler, Jerome?; Touchard, Cyril?; Parutto, Pierre; Gayat, Etienne; Paquet, Claire?; Vallée, Fabrice?
doi : 10.1097/EJA.0000000000001524
December 2021 - Volume 38 - Issue 12 - p 1304-1306
Essentials of disaster anesthesia
doi : 10.1097/EJA.0000000000001603
December 2021 - Volume 38 - Issue 12 - p 1307
