CARDIOVASCULAR ANESTHESIA:

Kevin K. Tremper

Anesthesia Information Systems: Developing the Physiologic Phenotype Database (Editorial)
Anesth Analg 2005 101: 620-621. [Full Text] [PDF] [Request Permissions]  

David L. Reich, Sabera Hossain, Marina Krol, Bernard Baez, Puja Patel, Ariel Bernstein, and Carol A. Bodian

Predictors of Hypotension After Induction of General Anesthesia
Anesth Analg 2005 101: 622-628. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: ASA status III-V, age >=50 yr, hypotension before induction, and propofol use were all statistically significant independent predictors of hypotension after induction of general anesthesia. Hypotension after induction was associated with adverse outcomes.

Philippe J. Van der Linden, Stefan G. De Hert, Dirk Deraedt, Stefanie Cromheecke, Koen De Decker, Rudi De Paep, Inez Rodrigus, Anne Daper, and Anne Trenchant

Hydroxyethyl Starch 130/0.4 Versus Modified Fluid Gelatin for Volume Expansion in Cardiac Surgery Patients: The Effects on Perioperative Bleeding and Transfusion Needs
Anesth Analg 2005 101: 629-634. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A novel hydroxyethyl starch preparation (HES 130/0.4) has been developed to reduce hemostatic interactions. At a dose of 50 mL/kg, this preparation was associated with similar blood loss compared to gelatin in patients undergoing cardiac surgery with cardiopulmonary bypass.

Shane E. Brogan and Michael K. Cahalan

Gatifloxacin as a Possible Cause of Serious Postoperative Hypoglycemia (Case Report)
Anesth Analg 2005 101: 635-636. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Clinicians ought to be aware of the potential side effects of fluoroquinolone drugs. These include hypoglycemia. In the perioperative setting, multiple factors may predispose patients to drug-induced hypoglycemia.

Abigail H. Melnick, Marek Brzezinski, and Jonathan B. Mark

Incidental Cor Triatriatum Sinister During Coronary Artery Bypass Surgery (Echo Rounds)
Anesth Analg 2005 101: 637-638. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

Marek Brzezinski, William B. Corkey, Katherine P. Grichnik, and Madhav Swaminathan

Transesophageal Echocardiography of Pulmonary Thrombus Causing Complete Left Pulmonary Artery Occlusion (Echo Rounds)
Anesth Analg 2005 101: 639-640. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

PEDIATRIC ANESTHESIA:

Franca Benini, Manuela Trapanotto, Stefano Sartori, Anna Capretta, Daniela Gobber, Clementina Boniver, and Franco Zacchello

Analysis of the Bispectral Index During Natural Sleep in Children
Anesth Analg 2005 101: 641-644. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Some studies in adults found that the Bispectral Index (BIS) decreased as sleep became deeper, providing a nonspecific measure of the subject's level of consciousness. This study investigated the changes of BIS during natural sleep in healthy children.

Molly Sarkar, Peter C. Laussen, David Zurakowski, Avinash Shukla, Barry Kussman, and Kirsten C. Odegard

Hemodynamic Responses to Etomidate on Induction of Anesthesia in Pediatric Patients
Anesth Analg 2005 101: 645-650. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Etomidate is a frequently used induction anesthetic in patients with limited hemodynamic reserve. Using invasive hemodynamic monitoring, the acute effects of etomidate during induction of anesthesia in children were studied. The lack of clinically significant hemodynamic changes after etomidate administration supports the notion that etomidate is safe in pediatric practice.

Lisa Wise-Faberowski, Haito Zhang, Richard Ing, Robert D. Pearlstein, and David S. Warner

Isoflurane-Induced Neuronal Degeneration: An Evaluation in Organotypic Hippocampal Slice Cultures
Anesth Analg 2005 101: 651-657. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Isoflurane-induced neurodegeneration was observed in slices cultured from the perinatal rat brain, confirming observations previously reported in vivo. The presence of this phenomenon in vitro will provide an opportunity to define the mechanism of experimental isoflurane-induced neurodegeneration.

Stephan Eschertzhuber, Christian Keller, Gottfried Mitterschiffthaler, Stefan Jochberger, and Gabriele Kühbacher

Verifying Correct Endotracheal Intubation by Measurement of End-Tidal Carbon Dioxide During an Ex Utero Intrapartum Treatment Procedure (Case Report)
Anesth Analg 2005 101: 658-660. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a fetus with prenatally diagnosed airway obstruction it essential to secure an artificial airway while utero-placental circulation supplies the fetus with oxygen. We describe end-tidal CO2 measurement to prove endotracheal intubation during an ex utero intrapartum treatment procedure.

AMBULATORY ANESTHESIA:

Jacques T. YaDeau, Gregory A. Liguori, and Victor M. Zayas

The Incidence of Transient Neurologic Symptoms After Spinal Anesthesia with Mepivacaine
Anesth Analg 2005 101: 661-665. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Mepivacaine spinal anesthesia was administered to 1210 patients. Transient neurologic symptoms occurred in 6.4% of patients. Intrathecal mepivacaine can be advocated as a spinal anesthetic in the ambulatory setting.

Shu-Ming Wang, Dorothy Gaal, Inna Maranets, Alison Caldwell-Andrews, and Zeev N. Kain

Acupressure and Preoperative Parental Anxiety: A Pilot Study
Anesth Analg 2005 101: 666-669. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Acupressure at the Yintang point decreases preoperative parental anxiety. Future studies are needed to quantify the duration of the anxiolytic effect.

ANESTHETIC PHARMACOLOGY:

Jui-An Lin, Chun-Chang Yeh, Meei-Shyuan Lee, Ching-Tang Wu, Shinn-Long Lin, and Chih-Shung Wong

Prolonged Injection Time and Light Smoking Decrease the Incidence of Fentanyl-Induced Cough
Anesth Analg 2005 101: 670-674. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Slow injection, particularly at 30 s, minimizes the incidence of fentanyl-induced cough, and light smoking provides a protective effect against cough.

Nicholas C. H. Sun, Andrew Y. C. Wong, and Michael G. Irwin

A Comparison of Pain on Intravenous Injection Between Two Preparations of Propofol
Anesth Analg 2005 101: 675-678. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Using a crossover comparison, it was shown that Propofol-Lipuro® significantly diminishes pain on injection compared with Diprivan®.

Colin F. Royse and Alistair G. Royse

The Myocardial and Vascular Effects of Bupivacaine, Levobupivacaine, and Ropivacaine Using Pressure Volume Loops
Anesth Analg 2005 101: 679-687. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The effects of ropivacaine, bupivacaine, and levobupivacaine on the heart and blood vessels were compared, in anesthetized rabbits, with doses encountered in routine clinical practice. Ropivacaine may have a greater margin of safety compared with bupivacaine and levobupivacaine because it has the least depressant effect on the heart.

Edmond I. Eger, II and Steven L. Shafer

Tutorial: Context-Sensitive Decrement Times for Inhaled Anesthetics
Anesth Analg 2005 101: 688-696. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Increasing duration of anesthesia (the "context") delays recovery from an inhaled anesthetic. Duration, anesthetic solubility, and cardiac output each can materially influence recovery by affecting the time to achieve a particular decrement in concentration (the context-sensitive decrement time). The relationship of these factors is nonlinear.

Damon A. Lowes, Helen F. Galley, Peter R. Lowe, Brad A. Rikke, Thomas E. Johnson, and Nigel R. Webster

A Microarray Analysis of Potential Genes Underlying the Neurosensitivity of Mice to Propofol
Anesth Analg 2005 101: 697-704. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We used microarray analysis and identified two genes that were differentially expressed within the narrowly defined Lorp1 quantitative trait locus region affecting propofol sensitivity. Neuronal genes of interest outside the Lorp1 region were also identified that could have an additional role in mediating differential neurosensitivity in these strains.

Aygun Guler, Tulin Satilmis, Seda B. Akinci, Bilge Celebioglu, and Meral Kanbak

Magnesium Sulfate Pretreatment Reduces Myoclonus After Etomidate
Anesth Analg 2005 101: 705-709. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Pain on injection and myoclonus are common side effects of etomidate. Magnesium sulfate 2.48 mmol administered 90 s before the induction of anesthesia is effective in reducing the severity of etomidate-induced myoclonic muscle movements.

Mark Ulrich Gerbershagen, Marko Fiege, Ralf Weisshorn, Kerstin Kolodzie, Jochen Schulte am Esch, and Frank Wappler

Cumulative and Bolus In Vitro Contracture Testing with 4-Chloro-3-Ethylphenol in Malignant Hyperthermia Positive and Negative Human Skeletal Muscles
Anesth Analg 2005 101: 710-714. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The aim of this study was to evaluate the in vitro effects of 4-chloro-3-ethylphenol using cumulative and bolus administrations on muscle specimens from malignant hyperthermia (MH) susceptible and MH nonsusceptible patients, respectively. The cumulative test appears to be feasible for MH diagnosis.

Matthias Paul, Robert Callahan, John Au, Christoph H. Kindler, and C. Spencer Yost

Antiemetics of the 5-Hydroxytryptamine 3A Antagonist Class Inhibit Muscle Nicotinic Acetylcholine Receptors
Anesth Analg 2005 101: 715-721. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Antiemetics of the 5-hydroxytryptamine 3A receptor antagonist class inhibit nicotinic acetylcholine receptors and may produce unrecognized side effects.

Elina Salmi, Jaakko W. Långsjö, Sargo Aalto, Kjell Någren, Liisa Metsähonkala, Kaike K. Kaisti, Esa R. Korpi, Jarmo Hietala, and Harry Scheinin

Subanesthetic Ketamine Does Not Affect ¹¹C-Flumazenil Binding in Humans (Brief Report)
Anesth Analg 2005 101: 722-725. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Subanesthetic racemic ketamine does not enhance gamma-aminobutyric acid type A receptor binding in the living human brain as assessed with 11C-labeled flumazenil and positron emission tomography.

Calvert C. Alpert, D. Patrick Tobin, and Stephen F. Dierdorf

Physostigmine for the Acute Treatment of Restless Legs Syndrome (Case Report)
Anesth Analg 2005 101: 726-727. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We present a patient with restless leg syndrome who had marked leg movement that prevented performance of cervical spine diagnostic studies. The periodic leg movements were eliminated by the administration of physostigmine.

Zhiyi Zuo

The Role of Opioid Receptor Internalization and ß-Arrestins in the Development of Opioid Tolerance (Medical Intelligence)
Anesth Analg 2005 101: 728-734. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Opioid receptor desensitization and internalization have been considered as mechanisms for the development of opioid tolerance. Recent studies suggest that receptor internalization may be a way to resensitize opioid receptors and to reduce the development of opioid tolerance. A group of proteins called {beta}-arrestins are involved in opioid receptor internalization.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Christopher J. O’Connor, Hansen Mansy, Robert A. Balk, Kenneth J. Tuman, and Richard H. Sandler

Identification of Endotracheal Tube Malpositions Using Computerized Analysis of Breath Sounds via Electronic Stethoscopes
Anesth Analg 2005 101: 735-739. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We demonstrate that computerized analysis of breath sounds allows the detection of proper endotracheal tube (ETT) position. Our data suggest that this new technique, when incorporated into a 3-component, electronic stethoscope-type device, may be an accurate and portable mechanism to reliably detect ETT malposition in situations where end-tidal CO2 or other methods of determining proper ETT location may be unavailable or unreliable.

Andrea Casati, Guido Fanelli, Paolo Pietropaoli, Rodolfo Proietti, Rosalba Tufano, Giorgio Danelli, Giuseppe Fierro, Germano De Cosmo, Giovanni Servillo on behalf of the Collaborative Italian Study Group on Anesthesia in Elderly Patients

Continuous Monitoring of Cerebral Oxygen Saturation in Elderly Patients Undergoing Major Abdominal Surgery Minimizes Brain Exposure to Potential Hypoxia
Anesth Analg 2005 101: 740-747. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Monitoring cerebral oxygen saturation in elderly patients undergoing major abdominal surgery, we observed that cerebral desaturation can occur in up to one of every five patients and actively optimizing intraoperative cerebral oxygen saturation minimizes brain exposure to hypoxia. This could have the potential for shortening discharge times from the postanesthesia care unit and hospital and minimizing negative effects on cognitive function 1 wk after surgery.

Christofer D. Barth, Marshall B. Dunning, III, Lynn Bretscher, and Harvey J. Woehlck

Barium Hydroxide Lime Turns Yellow After Desiccation
Anesth Analg 2005 101: 748-752. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Barium hydroxide lime, but not soda lime, turns yellow after complete desiccation. The yellow color indicates the potential for anesthetic breakdown. The yellow color may be obscured by tinted canisters, rendering it difficult to use clinically. Partially desiccated barium hydroxide lime may degrade anesthetics but it does not turn yellow.

Michael J. Laster and Edmond I. Eger, II

Temperatures in Soda Lime During Degradation of Desflurane, Isoflurane, and Sevoflurane by Desiccated Soda Lime
Anesth Analg 2005 101: 753-757. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Desiccated soda lime degrades desflurane, isoflurane, and sevoflurane to produce heat. Although sevoflurane degradation produces much more heat than degradation of desflurane or isoflurane, the amount of heat produced appears to be less than would produce temperatures that would cause fires.

Douglas J. Eleveld, Johannes H. Proost, and J. Mark K. H. Wierda

Evaluation of a Closed-Loop Muscle Relaxation Control System
Anesth Analg 2005 101: 758-764. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We designed a muscle relaxation controller that avoids the usability restrictions of previously described systems. We tested under clinical conditions and found the controller sufficiently accurate, flexible, and robust.

Ashraf A. Dahaba

Different Conditions That Could Result in the Bispectral Index Indicating an Incorrect Hypnotic State (Review Article)
Anesth Analg 2005 101: 765-773. [Abstract] [Full Text] [PDF] [Request Permissions]  

Stefan A. Ianchulev and Mark E. Comunale

To Do or Not to Do a Preinduction Check-Up of the Anesthesia Machine (Case Report)
Anesth Analg 2005 101: 774-776. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Every day the anesthesiologist's routine can be complicated by equipment misuse, i.e., the anesthesia machine may be serviced or tampered with between cases. A quick preinduction pressure leak test of the breathing circuit can prevent dangerous sequelae.

PAIN MEDICINE:

Manzo Suzuki, Takao Kinoshita, Takehiko Kikutani, Kenji Yokoyama, Toshiichiro Inagi, Kikuzo Sugimoto, Shuji Haraguchi, Takao Hisayoshi, and Yoichi Shimada

Determining the Plasma Concentration of Ketamine That Enhances Epidural Bupivacaine-and-Morphine-Induced Analgesia
Anesth Analg 2005 101: 777-784. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The plasma concentration of ketamine that enhances epidural morphine analgesia may be approximately 20 ng/mL.

Shyun-Yeu Liu, Ja-Ping Shieh, Jann-Inn Tzeng, Hou Chia-Hui, Yen-Ling Cheng, Kuo-Lun Huang, and Jhi-Joung Wang

Novel Depots of Ketorolac Esters Have Long-Acting Antinociceptive and Antiinflammatory Effects
Anesth Analg 2005 101: 785-792. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The aim of the study was to evaluate the antinociceptive and antiinflammatory effects and duration of action of several novel depots of ketorolac esters. We found that these depots produced long-acting effects that were 6.5- to 9.5-fold longer than that of the traditional dosage form.

Takahiro Suzuki, Yong Hua Li, and Takashi Mashimo

The Antiallodynic and Antihyperalgesic Effects of Neurotropin® in Mice with Spinal Nerve Ligation
Anesth Analg 2005 101: 793-799. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We investigated the analgesic effect of Neurotropin® in mice with fifth lumber nerve ligation. Neurotropin® dose-dependently showed antiallodynic and antihyperalgesic effects via action at the supraspinal site and activation of spinal noradrenergic systems.

Yeon Jang, Eun S. Kim, Soo S. Park, Jaemin Lee, and Dong E. Moon

The Suppressive Effects of Oxcarbazepine on Mechanical and Cold Allodynia in a Rat Model of Neuropathic Pain
Anesth Analg 2005 101: 800-806. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Oxcarbazepine had a dose-dependent antiallodynic effect in a rat model of neuropathic pain. These results suggest that oxcarbazepine may provide effective therapy for neuropathic pain associated with allodynia and hyperalgesia.

Luiz-Cleber P. Frade, Gabriela R. Lauretti, Izabel C.P.R. Lima, and Newton L. Pereira

The Antinociceptive Effect of Local or Systemic Parecoxib Combined with Lidocaine/Clonidine Intravenous Regional Analgesia for Complex Regional Pain Syndrome Type I in the Arm
Anesth Analg 2005 101: 807-811. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Parecoxib 5 mg IV was an effective antiinflammatory drug combined with clonidine/lidocaine loco-regional block in complex regional pain syndrome type 1.

Gyongyi Horvath, Gabriella Kekesi, Ildiko Dobos, Walter Klimscha, and Gyorgy Benedek

Long-Term Changes in the Antinociceptive Potency of Morphine or Dexmedetomidine After a Single Treatment
Anesth Analg 2005 101: 812-818. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A delayed type of acute tolerance developed to morphine, but not to dexmedetomidine, on acute pain test. The antihyperalgesic effects of morphine were not changed on repeated administration one week later, whereas the potency of dexmedetomidine was increased. There was no sign of cross-tolerance between the two drugs.

ECONOMICS, EDUCATION, AND HEALTH SYSTEMS RESEARCH:

Sanjay M. Bhananker, James T. O’Donnell, John R. Salemi, and Michael J. Bishop

The Risk of Anaphylactic Reactions to Rocuronium in the United States Is Comparable to That of Vecuronium: An Analysis of Food and Drug Administration Reporting of Adverse Events
Anesth Analg 2005 101: 819-822. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Reports of adverse reactions, specifically anaphylaxis or anaphylactoid reactions to rocuronium and vecuronium, submitted to the Food and Drug Administration were analyzed to assess the differences between the two drugs and differences in reporting patterns between the United States and other countries. The incidence of the reports containing anaphylaxis terms did not differ between vecuronium and rocuronium in the United States but were significantly different for the non-U.S. countries.

Yan Xiao, Peter Hu, Hao Hu, Danny Ho, Franklin Dexter, Colin F. Mackenzie, F. Jacob Seagull, and Richard P. Dutton

An Algorithm for Processing Vital Sign Monitoring Data to Remotely Identify Operating Room Occupancy in Real-Time
Anesth Analg 2005 101: 823-829. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Software that analyzes vital signs from operating rooms can remotely identify the time that a patient enters and leaves a given operating room automatically in real-time. A test in a six operating room suite demonstrated the accuracy of such a system, which has remained in operational use.

CRITICAL CARE AND TRAUMA:

Karl H. Stadlbauer, Volker Wenzel, Anette C. Krismer, Wolfgang G. Voelckel, and Karl H. Lindner

Vasopressin During Uncontrolled Hemorrhagic Shock: Less Bleeding Below the Diaphragm, More Perfusion Above (Editorial)
Anesth Analg 2005 101: 830-832. [Full Text] [PDF] [Request Permissions]  

Ram M. Sharma and Rangraj Setlur

Vasopressin in Hemorrhagic Shock (Case Report)
Anesth Analg 2005 101: 833-834. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Standard therapy of hemorrhagic shock is intravascular volume replacement concurrent with control of hemorrhage. Prolonged shock of any type results in vasodilatory shock, for which small-dose vasopressin may be useful.

Christer H. Svensén, Bryan Clifton, Kirk I. Brauer, Joel Olsson, Tatsuo Uchida, Lillian D. Traber, Daniel L. Traber, and Donald S. Prough

Sepsis Produced by Pseudomonas Bacteremia Does Not Alter Plasma Volume Expansion After 0.9% Saline Infusion in Sheep
Anesth Analg 2005 101: 835-842. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Saline 0.9% given by IV infusion to conscious septic and nonseptic sheep was rapidly eliminated from the plasma volume by urinary excretion. Plasma volume expansion was similar in both septic and control animals.

Maria Tzoufi, Spyros D. Mentzelopoulos, Charis Roussos, and Apostolos Armaganidis

The Effects of Nebulized Salbutamol, External Positive End-Expiratory Pressure, and Their Combination on Respiratory Mechanics, Hemodynamics, and Gas Exchange in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients
Anesth Analg 2005 101: 843-850. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This study demonstrates that bronchodilation and external positive end-expiratory pressure (PEEP) may exert additive beneficial effects in bronchodilator-responsive, mechanically ventilated chronic obstructive pulmonary disease patients with moderate intrinsic PEEP. Benefits include attenuation of dynamic hyperinflation, reduction of respiratory system resistance and static elastance, and improved hemodynamics and gas exchange.

NEUROSURGICAL ANESTHESIA:

Shailendra Joshi, Mei Wang, Joshua J. Etu, and John Pile-Spellman

Reducing Cerebral Blood Flow Increases the Duration of Electroencephalographic Silence by Intracarotid Thiopental
Anesth Analg 2005 101: 851-858. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Intracarotid injection of thiopental during cerebral hypoperfusion significantly increased the duration of electroencephalographic silence. Our results suggest that intracarotid injection of certain drugs during cerebral hypoperfusion could enhance their efficacy.

OBSTETRIC ANESTHESIA:

Alan C. Santos and David J. Birnbach

Spinal Anesthesia for Cesarean Delivery in Severely Preeclamptic Women: Don’t Throw Out the Baby with the Bathwater! (Editorial)
Anesth Analg 2005 101: 859-861. [Full Text] [PDF] [Request Permissions]  

Shusee Visalyaputra, Oraluxna Rodanant, Wanna Somboonviboon, Kamthorn Tantivitayatan, Somboon Thienthong, and Wanawimol Saengchote

Spinal Versus Epidural Anesthesia for Cesarean Delivery in Severe Preeclampsia: A Prospective Randomized, Multicenter Study
Anesth Analg 2005 101: 862-868. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a prospective randomized multicenter study of severely preeclamptic women undergoing cesarean delivery, spinal anesthesia was associated with a larger decrease in arterial blood pressure and required more treatment with ephedrine than did epidural anesthesia. Hypotension was easily treated with ephedrine, and neonatal outcomes were similar for both groups.

Antoine G. M. Aya, Nathalie Vialles, Issam Tanoubi, Roseline Mangin, Jean-Michel Ferrer, Colette Robert, Jacques Ripart, and Jean-Emmanuel de La Coussaye

Spinal Anesthesia-Induced Hypotension: A Risk Comparison Between Patients with Severe Preeclampsia and Healthy Women Undergoing Preterm Cesarean Delivery
Anesth Analg 2005 101: 869-875. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Healthy preterm and severely preeclamptic women undergoing cesarean delivery under spinal anesthesia were compared. Although hypotension occurred in both groups, the incidence of hypotension leading to ephedrine treatment was less frequent in the group with severe preeclampsia and appeared to be attributable to preeclampsia-associated factors.

R-Jay L. Marcus, Cynthia A. Wong, Amy Lehor, Robert J. McCarthy, Edward Yaghmour, and Meltem Yilmaz

Postoperative Epidural Morphine for Postpartum Tubal Ligation Analgesia
Anesth Analg 2005 101: 876-881. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Epidural morphine, as part of a multi-modal approach, delayed the first request and resulted in fewer doses of supplemental analgesia after postpartum tubal ligation surgery. These results suggest that epidural morphine 2 mg may be a useful analgesic adjunct for patients who undergo postpartum tubal ligation under epidural anesthesia.

Anton A. van den Berg, Monzer Sadek, Steven Swanson, and Satyajeet Ghatge

Epidural Injection of Lidocaine Reduces the Response to Dural Puncture Accompanying Spinal Needle Insertion When Performing Combined Spinal-Epidural Anesthesia
Anesth Analg 2005 101: 882-885. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Injection of lidocaine through the epidural needle into the epidural space before "needle through needle" dural puncture with a pencil-point spinal needle enhances patient comfort by reducing spontaneous movement, spontaneous vocalization, and patient acknowledgment of any physical sensation accompanying insertion of the spinal needle during performance of combined spinal-epidural anesthesia.

REGIONAL ANESTHESIA:

Geneviève Arcand, Stephan R. Williams, Philippe Chouinard, Daniel Boudreault, Patrick Harris, Monique Ruel, and François Girard

Ultrasound-Guided Infraclavicular Versus Supraclavicular Block
Anesth Analg 2005 101: 886-890. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Ultrasound-guided infraclavicular block can be performed as rapidly as supraclavicular block and provides a similar quality of surgical anesthesia.

Jacques T. YaDeau, Janet B. Cahill, Mark W. Zawadsky, Nigel E. Sharrock, Friedrich Bottner, Christine M. Morelli, Richard L. Kahn, and Thomas P. Sculco

The Effects of Femoral Nerve Blockade in Conjunction with Epidural Analgesia After Total Knee Arthroplasty
Anesth Analg 2005 101: 891-895. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The addition of femoral nerve blockade to epidural analgesia significantly improved analgesia for the first 2 days after total knee arthroplasty. Femoral nerve blockade improved flexion on postoperative day 2 but did not affect achievement of other physical therapy milestones.

Stefan Suttner, Katrin Lang, Swen N. Piper, Harald Schultz, Kerstin D. Röhm, and Joachim Boldt

Continuous Intra- and Postoperative Thoracic Epidural Analgesia Attenuates Brain Natriuretic Peptide Release After Major Abdominal Surgery
Anesth Analg 2005 101: 896-903. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Continuous intra- and postoperative thoracic epidural analgesia using bupivacaine and sufentanil decreased the release of brain natriuretic peptide in patients undergoing major abdominal surgery who were at risk for, or had, coronary artery disease.

Fatma Saricaoglu, Didem Dal, Akgün Ebru Salman, Mahmut Nedim Doral, Kamer Kilinç, and Ülkü Aypar

Ketamine Sedation During Spinal Anesthesia for Arthroscopic Knee Surgery Reduced the Ischemia-Reperfusion Injury Markers
Anesth Analg 2005 101: 904-909. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We investigated the effect of ketamine sedation on oxidative stress by determining malonyldialdehyde (MDA) and hypoxanthine (HPX) levels during arthroscopic knee surgery with tourniquet under spinal anesthesia. IV 0.5 mg {middle dot} kg-1 {middle dot} h-1 ketamine attenuates lipid peroxidation and ischemia-reperfusion injury in arthroscopic knee surgery requiring tourniquet application.

GENERAL ARTICLES:

Timothy P. Turkstra, Rosemary A. Craen, David M. Pelz, and Adrian W. Gelb

Cervical Spine Motion: A Fluoroscopic Comparison During Intubation with Lighted Stylet, GlideScope, and Macintosh Laryngoscope
Anesth Analg 2005 101: 910-915. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The question of which is the optimum technique to intubate the trachea of a patient who may have a cervical(C)-spine injury remains unresolved. Using fluoroscopic video, C-spine motion during intubation was compared for Macintosh 3 blade, GlideScope, and Lightwand use. The Lightwand is associated with reduced C-spine movement during intubation compared to Macintosh laryngoscope.

Ryan J. Bortolon, Margaret R. Weglinski, and Juraj Sprung

Transient Global Amnesia After General Anesthesia (Case Report)
Anesth Analg 2005 101: 916-919. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Transient global amnesia (TGA) is an amnestic syndrome with an abrupt onset. The hallmark of TGA is a sudden inability to form new memories despite normal neurological function. We report two cases of TGA after general anesthesia.

LETTER TO THE EDITOR:

Bee Beng Lee and Nan Jiang

Loose—But Not Lost—-Tooth
Anesth Analg 2005 101: 920. [Full Text] [PDF] [Request Permissions]  

Jae-Hyon Bahk, Ho-Geol Ryu, and Young-Tae Jeon

Direction of the J-tip of a Guidewire During Subclavian Approach
Anesth Analg 2005 101: 920-921. [Full Text] [PDF] [Request Permissions]  

Mukesh Tripathi, Prakash K. Dubey, and Sushil P. Ambesh

Direction of the J-tip of a Guidewire During Subclavian Approach
Anesth Analg 2005 101: 921. [Full Text] [PDF] [Request Permissions]  

Shinichi Inomata, Yoshihiro Kakiuchi, Masayuki Miyabe, Yuki Ohara, Iwao Sukegawa, Yoshiko Osaka, Yukinao Kohda, and Hidenori Toyooka

Combined Therapy with Clonidine and Amantadine May Act in Two Stages of Glutamate-Mediated Neuropathic Pain Caused by a Needle Puncture in an Upper Extremity
Anesth Analg 2005 101: 921-922. [Full Text] [PDF] [Request Permissions]  

J. Robert Sneyd

Intraoperative Clonidine Administration to Neurosurgical Patients
Anesth Analg 2005 101: 922-923. [Full Text] [PDF] [Request Permissions]  

Pekka O. Talke, Errol P. Lobo, Claudia Stapelfeldt, and Ronald Brown

Intraoperative Clonidine Administration to Neurosurgical Patients
Anesth Analg 2005 101: 923. [Full Text] [PDF] [Request Permissions]  

Sukdeb Datta, Umeshraya Pai, Phillip O. Bridenbaugh, and Anuradha Walia

Seizures After a Bier Block with Clonidine and Lidocaine: Is Clonidine Really the Culprit?
Anesth Analg 2005 101: 923-924. [Full Text] [PDF] [Request Permissions]  

Shihab U. Ahmed, Ricardo Vallejo, and E. Daniela Hord

Seizures After a Bier Block with Clonidine and Lidocaine: Is Clonidine Really the Culprit?
Anesth Analg 2005 101: 924. [Full Text] [PDF] [Request Permissions]  

Corinna Velik-Salchner, Consolato Sergi, Dietmar Fries, Patrizia Moser, Werner Streif, and Christian Kolbitsch

Use of Recombinant Factor VIIa(Novoseven®) in Combination with Other Coagulation Products Led to a Thrombotic Occlusion of the Truncus Brachiocephalicus in a Neonate Supported by Extracorporal Membrane Oxygenation
Anesth Analg 2005 101: 924. [Full Text] [PDF] [Request Permissions]  

Edouard Saade

Error in BMI Calculations
Anesth Analg 2005 101: 924. [Full Text] [PDF] [Request Permissions]  

James Riopelle

Error in BMI Calculations
Anesth Analg 2005 101: 924-925. [Full Text] [PDF] [Request Permissions]  

François Donati and Louis-Philippe Fortier

Plasma Bupivacaine Concentrations Are Too Low to Explain Reduced Vecuronium Requirement with an Epidural
Anesth Analg 2005 101: 925. [Full Text] [PDF] [Request Permissions]  

Prabhat K. Singh, Anil Agarwal, and Sanjay Dhiraaj

Plasma Bupivacaine Concentrations Are Too Low to Explain Reduced Vecuronium Requirement with an Epidural
Anesth Analg 2005 101: 925-926. [Full Text] [PDF] [Request Permissions]  

Jeffrey Huang

Efficacy of the NSAIDs Depends on Multiple Factors
Anesth Analg 2005 101: 926. [Full Text] [PDF] [Request Permissions]  

Theodore A. Alston

Pralidoxime Rescues Both Muscarinic and Nicotinic Systems
Anesth Analg 2005 101: 926. [Full Text] [PDF] [Request Permissions]  

Georg A. Petroianu

Pralidoxime Rescues Both Muscarinic and Nicotinic Systems
Anesth Analg 2005 101: 926-927. [Full Text] [PDF] [Request Permissions]  

Yoshihiro Fujiwara, Koichi Oguri, and Yasuhiro Shimada

Masseter Spasticity Successfully Treated with Neuroablations of the Bilateral Mandibular Nerves for a Patient with Progressive Bulbar Palsy
Anesth Analg 2005 101: 927. [Full Text] [PDF] [Request Permissions]  

Warren P. Bagley

Timing of Acupuncture Stimulation
Anesth Analg 2005 101: 927. [Full Text] [PDF] [Request Permissions]  

Grigory V. Chernyak and Daniel I. Sessler

Timing of Acupuncture Stimulation
Anesth Analg 2005 101: 927-928. [Full Text] [PDF] [Request Permissions]  

Michael Seltz Kristensen

Identifying and Evaluating Predictors of a Difficult Airway: The Importance of Not Excluding the Really Interesting Patients
Anesth Analg 2005 101: 928. [Full Text] [PDF] [Request Permissions]  

David Cattano

Identifying and Evaluating Predictors of a Difficult Airway: The Importance of Not Excluding the Really Interesting Patients
Anesth Analg 2005 101: 928. [Full Text] [PDF] [Request Permissions]  

Rajesh Mahajan and Rahul Gupta

Another Method to Avoid Trauma During Nasotracheal Intubation
Anesth Analg 2005 101: 928-929. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

Andranik Ovassapian

The Airway Cam Guide to Intubation and Practical Emergency Airway Management.
Anesth Analg 2005 101: 930. [Full Text] [PDF] [Request Permissions]  

Michael Marsh

Australia’s First Anaesthetic Department: 75 Years at the RRPA.
Anesth Analg 2005 101: 930-931. [Full Text] [PDF] [Request Permissions]  

Books and Multimedia Received
Anesth Analg 2005 101: 931. [Full Text] [PDF] [Request Permissions]  

ERRATA:

Erratum
Anesth Analg 2005 101: 644. [Full Text] [PDF] [Request Permissions]  

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