Journal of anesthesia
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Journal of anesthesia · Apr 2018
Vasoactive-inotropic score as a predictor of morbidity and mortality in adults after cardiac surgery with cardiopulmonary bypass.
The vasoactive-inotropic score (VIS) is a scale showing the amount of vasoactive and inotropic support. Recently, it was suggested that the VIS after cardiac surgery predicts morbidity and mortality in infants. The purpose of this study was to evaluate the VIS at the end of surgery as a predictor of morbidity and mortality in adult cardiac surgery. ⋯ The amount of cardiovascular support at the end of cardiac surgery may predict morbidity and mortality in adults.
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Journal of anesthesia · Apr 2018
Randomized Controlled TrialUltrasound-guided bilateral rectus sheath block reduces early postoperative pain after laparoscopic gynecologic surgery: a randomized study.
Rectus sheath block (RSB) is an anterior abdominal wall block that reduces postoperative pain associated with midline incisions. This study aims to investigate the effect of ultrasound-guided bilateral RSB (US-BRSB) on postoperative pain and analgesic consumption in patients undergoing laparoscopic gynecologic surgery. ⋯ NCT02476799, https://clinicaltrials.gov/ct2/show/NCT02476799 .
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Journal of anesthesia · Apr 2018
Biography Historical ArticleLuigi Porta's contribution to anesthesia in Europe in the 1800s.
Luigi Porta (1800-1875), an Italian physician who was well known in the field of surgery, played an important role in spreading ethereal anesthesia in Europe. Moreover, he proposed an original method to administer ethereal anesthesia, the Italian method "of the bladder of pig". This paper reminds us of the important role that this physician played in Anesthesiology.
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Journal of anesthesia · Apr 2018
Observational StudyPredictors of severe postoperative hyperglycemia after cardiac surgery in infants: a single-center, retrospective, observational study.
Hyperglycemia is a common issue in infants after cardiac surgery for congenital heart disease. Poor glycemic control is suspected to be associated with adverse postoperative outcomes. This study was performed to investigate clinical factors contributing to hyperglycemia in the perioperative period in infats. ⋯ Adding to hyperglycemia during the operation, longer CPB time younger age and chromosomal abnormality were identified as predictors of high blood glucose levels at ICU admission.