CARDIOVASCULAR ANESTHESIA:

Detlef Obal, Saskia Dettwiler, Christian Favoccia, Horst Scharbatke, Benedikt Preckel, and Wolfgang Schlack

The Influence of Mitochondrial K_ATP-Channels in the Cardioprotection of Preconditioning and Postconditioning by Sevoflurane in the Rat In Vivo
Anesth Analg 2005 101: 1252-1260. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Sevoflurane protects against myocardial ischemia-reperfusion injury when given before (preconditioning) or after (postconditioning) myocardial ischemia. Both effects provide additive cardioprotection and are mediated at least in part by mitochondrial KATP-channels.

Guochang Hu, M. Ramez Salem, and George J. Crystal

Isoflurane Prevents Platelets from Enhancing Neutrophil-Induced Coronary Endothelial Dysfunction
Anesth Analg 2005 101: 1261-1268. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Isoflurane prevented the ability of platelets to enhance the coronary endothelial dysfunction caused by neutrophils. This effect was associated with reductions in superoxide production and vascular adherence. The current findings provide further evidence that the cardioprotective effects of isoflurane involve inhibitory actions on inflammatory cells and their interactions.

Michael F. Haney, Göran Johansson, Sören Häggmark, Björn Biber, Michael F. Haney, Göran Johansson, Sören Häggmark, and Björn Biber

Myocardial Systolic Function Increases During Positive Pressure Lung Inflation
Anesth Analg 2005 101: 1269-1274. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We demonstrated that positive pressure inflation of the lungs brings about a very rapid increase in myocardial contractile function, in a large animal model. Therefore, positive airway pressure and lung inflation status must be standardized for serial measurements of myocardial contractile function.

Leo G. Kevin, Enis Novalija, and David F. Stowe

Reactive Oxygen Species as Mediators of Cardiac Injury and Protection: The Relevance to Anesthesia Practice (Review Article)
Anesth Analg 2005 101: 1275-1287. [Abstract] [Full Text] [PDF] [Request Permissions]  

Rebecca A. Schroeder and Jonathan B. Mark

Is the Valve OK or Not? Immediate Evaluation of a Replaced Aortic Valve (Case Report)
Anesth Analg 2005 101: 1288-1291. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Although transesophageal echocardiography is a crucial tool in evaluation newly implanted prosthetic valves, it is important to be familiar with factors that confound echocardiographic data. Failure in this regard may lead to unwarranted surgical intervention.

Paul C. Whiting and Nicholas J. Morgan-Hughes

Transesophageal Echocardiographic Findings in Papillary Muscle Rupture (Echo Rounds)
Anesth Analg 2005 101: 1292-1293. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

PEDIATRIC ANESTHESIA:

Barry D. Kussman, David Wypij, James A. DiNardo, Jane Newburger, Richard A. Jonas, Jodi Bartlett, Ellen McGrath, and Peter C. Laussen

An Evaluation of Bilateral Monitoring of Cerebral Oxygen Saturation During Pediatric Cardiac Surgery
Anesth Analg 2005 101: 1294-1300. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Bi-hemispheric measurements of regional cerebral oxygen saturation using near-infrared spectroscopy were similar in neonates and infants undergoing biventricular repair without aortic arch reconstruction. Further longitudinal neurological outcome studies are required to determine whether uni- or bi-hemispheric monitoring is required in this patient population.

Jin-Hee Kim, Chong-Sung Kim, Jae-Hyun Bahk, Kyung Joon Cha, Young-Sun Park, Young-Tae Jeon, and Sung-Hee Han

The Optimal Depth of Central Venous Catheter for Infants Less Than 5 kg
Anesth Analg 2005 101: 1301-1303. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: To create a guideline to avoid intracardiac placement of central venous catheters in infants, we examined the distance from skin to superior vena cava and right atrial junction by using transesophageal echocardiography. The recommended depth of the central venous catheter inserted through right subclavian vein is between 40-55 mm for infants less than 5 kg.

Kha M. Tran, Theodore J. Ganley, Lawrence Wells, Arjunan Ganesh, Kimberly I. Minger, and Giovanni Cucchiaro

Intraarticular Bupivacaine-Clonidine-Morphine Versus Femoral-Sciatic Nerve Block in Pediatric Patients Undergoing Anterior Cruciate Ligament Reconstruction
Anesth Analg 2005 101: 1304-1310. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Methods to control pain after knee surgery include blocking the femoral nerve and injecting medications into the joint. Neither technique is clearly superior. We tested the hypothesis that blocking the sciatic and femoral nerves provides better analgesia than joint injection. Postoperatively, blocked patients had less pain and required less medication.

Stephan Schubert, Gisela Stoltenburg-Didinger, Anke Wehsack, Dirk Troitzsch, Wolfgang Boettcher, Michael Huebler, Matthias Redlin, Majid Kanaan, Michael Meissler, Peter E. Lange, and Hashim Abdul-Khaliq

Large-Dose Pretreatment with Methylprednisolone Fails to Attenuate Neuronal Injury After Deep Hypothermic Circulatory Arrest in a Neonatal Piglet Model
Anesth Analg 2005 101: 1311-1318. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A different effect of steroid treatment could be suspected in the neonatal age, especially in the context of ischemia or hypoxia, and the use of steroids has to be reconsidered in critically ill neonates and infants.

AMBULATORY ANESTHESIA:

Brian M. Ilfeld, Thomas W. Wright, F. Kayser Enneking, Jennie A. Mace, Jonathan J. Shuster, Eugene H. Spadoni, Terese L. Chmielewski, and Krista Vandenborne

Total Shoulder Arthroplasty as an Outpatient Procedure Using Ambulatory Perineural Local Anesthetic Infusion: A Pilot Feasibility Study
Anesth Analg 2005 101: 1319-1322. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The results of this pilot study suggest that it is possible to convert total shoulder arthroplasty into an outpatient procedure using ambulatory interscalene perineural local anesthetic infusion. Additional data are required to define the appropriate subset of patients and assess the incidence of complications associated with this practice before its mainstream use.

Tong J. Gan, Andrew Coop, Beverly K. Philip, and the Kytril Study Group

A Randomized, Double-Blind Study of Granisetron Plus Dexamethasone Versus Ondansetron Plus Dexamethasone to Prevent Postoperative Nausea and Vomiting in Patients Undergoing Abdominal Hysterectomy
Anesth Analg 2005 101: 1323-1329. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This randomized, double-blind study evaluated whether small-dose granisetron (0.1 mg) plus dexamethasone 8 mg was as effective as ondansetron 4 mg plus dexamethasone 8 mg for preventing vomiting during the 0 to 2 h after tracheal extubation in patients undergoing abdominal hysterectomy requiring general anesthesia.

Arash Pirat, Senay F. Tuncay, Adnan Torgay, Selim Candan, and Gulnaz Arslan

Ondansetron, Orally Disintegrating Tablets Versus Intravenous Injection for Prevention of Intrathecal Morphine-Induced Nausea, Vomiting, and Pruritus in Young Males
Anesth Analg 2005 101: 1330-1336. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The results of this study indicate that neither ODT ondansetron 8 mg nor IV ondansetron 4 mg is more effective than placebo as prophylaxis for IT morphine-induced postoperative nausea and vomiting in young males. Although both regimens of ondansetron were associated with less frequent IT morphine-induced pruritus than placebo, only the ODT form significantly reduced the severity of pruritus and significantly decreased the need for rescue antipruritic administration.

Ronald P. Olson, Alan Stone, and David Lubarsky

The Prevalence and Significance of Low Preoperative Hemoglobin in ASA 1 or 2 Outpatient Surgery Candidates (Brief Report)
Anesth Analg 2005 101: 1337-1340. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a large population of low risk surgical patients, asymptomatic anemia rarely occurred, and the discovery of this anemia did not change perioperative management. Routine hemoglobin screening for anemia is therefore not indicated in these patients.

ANESTHETIC PHARMACOLOGY:

Martin Redmond and Peter Glass

Opiate-Induced Nausea and Vomiting: What Is the Challenge? (Editorial)
Anesth Analg 2005 101: 1341-1342. [Full Text] [PDF] [Request Permissions]  

Gregory W. Roberts, Tenna B. Bekker, Helle H. Carlsen, Christine H. Moffatt, Peter J. Slattery, and Anna F. McClure

Postoperative Nausea and Vomiting Are Strongly Influenced by Postoperative Opioid Use in a Dose-Related Manner
Anesth Analg 2005 101: 1343-1348. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: There is a strong relationship between the amount of postoperative opioid used and postoperative vomiting. The accuracy of various risk scoring approaches may have been undermined by not allowing for this relationship. Patients likely to have larger postoperative opioid requirements should be priority targets for opioid reduction or vomiting prevention strategies.

Ching-Rong Cheng, Daniel I. Sessler, and Christian C. Apfel

Does Neostigmine Administration Produce a Clinically Important Increase in Postoperative Nausea and Vomiting?
Anesth Analg 2005 101: 1349-1355. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Neostigmine does not increase postoperative vomiting. However, data on the effect on postoperative nausea remain conflicting and there is insufficient evidence from which to draw strong conclusions.

Mathias Sluga, Wolfgang Ummenhofer, Wolfgang Studer, Martin Siegemund, and Stephan C. Marsch

Rocuronium Versus Succinylcholine for Rapid Sequence Induction of Anesthesia and Endotracheal Intubation: A Prospective, Randomized Trial in Emergent Cases
Anesth Analg 2005 101: 1356-1361. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: During rapid sequence induction of anesthesia in emergent cases, succinylcholine allowed for a more rapid endotracheal intubation sequence and created superior intubation conditions compared with rocuronium. However, there was no difference in the incidence of poor intubation conditions, failed intubation attempts, and desaturations between succinylcholine and rocuronium.

Heidrun Fink, Ralph Bogdanski, Peter Luppa, J. A. Jeevendra Martyn, and Manfred Blobner

Nitric Oxide Is Not a Mediator of Inflammation-Induced Resistance to Atracurium
Anesth Analg 2005 101: 1362-1367. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Increased {alpha}1-acid glycoprotein levels during systemic inflammatory response leads to resistance towards the neuromuscular blocking effects of atracurium. Nitric oxide may modulate {alpha}1-acid glycoprotein synthesis. Suppression of increased nitric oxide levels, however, did not successfully reverse the resistance to atracurium, implying a nitric oxide-independent regulation of {alpha}1-acid glycoprotein.

Ryu Komatsu, Papiya Sengupta, Grigory Cherynak, Anupama Wadhwa, Daniel I. Sessler, Jin Liu, Harrell E. Hurst, and Rainer Lenhardt

Doxapram Only Slightly Reduces the Shivering Threshold in Healthy Volunteers
Anesth Analg 2005 101: 1368-1373. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The observed reduction of only 0.5{degrees}C in the shivering threshold explains doxapram's efficacy for treatment of postoperative shivering. However, such a reduction is unlikely to markedly facilitate induction of therapeutic hypothermia as a sole drug.

Michael T. Pawlik, Ernil Hansen, Daniela Waldhauser, Christoph Selig, and Thomas S. Kuehnel

Clonidine Premedication in Patients with Sleep Apnea Syndrome: A Randomized, Double-Blind, Placebo-Controlled Study
Anesth Analg 2005 101: 1374-1380. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Patients with sleep apnea syndrome undergoing general anesthesia usually receive no premedication drugs before surgery because of the potential respiratory-depressing effects. Clonidine, an antihypertensive used as premedication, stabilizes hemodynamics during anesthesia and improves postoperative analgesia without disturbing the ventilation pattern in patients with sleep apnea syndrome.

Koji Hara, Tomohiro Yamakura, Takeyoshi Sata, and R. Adron Harris

The Effects of Anesthetics and Ethanol on ₂ Adrenoceptor Subtypes Expressed with G Protein-Coupled Inwardly Rectifying Potassium Channels in Xenopus Oocytes
Anesth Analg 2005 101: 1381-1388. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The {alpha}2-adrenoceptor (AR) subtypes and GIRK1/GIRK2 channels were co-expressed in Xenopus oocytes. IV anesthetics, ethanol, and halothane had no direct effect on any of the {alpha}2-AR subtypes at clinically relevant concentrations. However, the physiological actions of the {alpha}2-ARs mediated by GIRK1/GIRK2 channels may be affected by ethanol and halothane.

Catherine Crosby, Deborah J. Culley, Mark G. Baxter, Rustam Yukhananov, and Gregory Crosby

Spatial Memory Performance 2 Weeks After General Anesthesia in Adult Rats
Anesth Analg 2005 101: 1389-1392. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Two hours of isoflurane anesthesia, with or without nitrous oxide, does not impair and may improve the ability of rats to acquire a novel spatial memory task 2 wk later.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Mats K. E. B. Wallin, Therese Marve, and Peter K. Hakansson

Modern Wireless Telecommunication Technologies and Their Electromagnetic Compatibility with Life-Supporting Equipment
Anesth Analg 2005 101: 1393-1400. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Universal Mobile Telecommunication Systems (UMTS) (WCDMA FDD), Wireless Local Area Network (WLAN) (802.11b), and General Packet Radio Services are three new wireless technologies that could potentially replace hospital pager systems. Electromagnetic provocation tests, between signals and life-supporting equipment, were performed in a clinical setting. The study showed that signals, from UMTS and WLAN, are electromagnetically compatible with the tested equipment.

Huei-Ming Yeh, Mei-Chuan Tsai, Yi-Ning Su, Rong-Ching Shen, Jeuy-Jen Hwang, Wei-Zen Sun, and Ling-Ping Lai

Denaturing High Performance Liquid Chromatography Screening of Ryanodine Receptor Type 1 Gene in Patients with Malignant Hyperthermia in Taiwan and Identification of a Novel Mutation (Y522C)
Anesth Analg 2005 101: 1401-1406. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We screened for skeletal muscle ryanodine receptor mutations in five Taiwanese patients with malignant hyperthermia (MH) using denaturing high-performance liquid chromatography. We identified the responsible mutations in all patients. This approach has the potential for the development of better genetic tests for MH in the future.

Samsun Lampotang, Nikolaus Gravenstein, David A. Paulus, and Dietrich Gravenstein

Reducing the Incidence of Surgical Fires: Supplying Nasal Cannulae with sub-100% O₂ Gas Mixtures from Anesthesia Machines (Medical Intelligence)
Anesth Analg 2005 101: 1407-1412. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a June, 2003 Sentinel Event Alert concerning prevention of surgical fires, the Joint Commission on Accreditation of Healthcare Organizations recommended, as a general policy and consistent with patient needs, supplying open delivery systems such as nasal cannulae with air or <=30% O2. This report analyzes equipment, practice alternatives, and patient safety considerations that address this recommendation.

Ramachandra R. Avula, Richard Kramer, and Charles E. Smith

Air Detection Performance of the Level 1 H-1200 Fluid and Blood Warmer (Brief Report)
Anesth Analg 2005 101: 1413-1416. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The air detector/clamp of the Level 1 H-1200 fluid and blood warmer functioned effectively during simulated minor and massive air embolism and would be expected to prevent lethal air embolism. The use of ultrasonic air detection coupled with automatic shutoff is a significant safety improvement of the Level 1 H-1200 fluid and blood warmer.

PAIN MEDICINE:

Myung Ha Yoon, Hong Beom Bae, and Jeong Il Choi

Antinociception of Intrathecal Adenosine Receptor Subtype Agonists in Rat Formalin Test
Anesth Analg 2005 101: 1417-1421. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Intrathecal adenosine A1 and A2A receptor agonists reduced acute pain and inflammatory hyperalgesia in the formalin test. Further, the adenosine A1 receptor agonist was more powerful than adenosine A2A and A3 receptor agonists for attenuating acute pain. In contrast, intrathecal adenosine A3 receptor agonist decreased inflammatory hyperalgesia without affecting acute pain.

Sang-Sik Choi, Yong-Chul Kim, Young Jin Lim, Chul-Joong Lee, Pyung-Bok Lee, Sang-Chul Lee, Woo-Seok Sim, and Yoon-La Choi

The Neurological Safety of Epidural Gabapentin in Rats: A Light Microscopic Examination
Anesth Analg 2005 101: 1422-1426. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Direct epidural injection of gabapentin in rats did not show any neurotoxic evidence in terms of sensory-motor functions and behavior, or by a microscopic histopathological evaluation. This study represents a first promising step toward the trial of epidural gabapentin in a clinical setting.

Argyro Fassoulaki, Argyro Triga, Aikaterini Melemeni, and Constantine Sarantopoulos

Multimodal Analgesia with Gabapentin and Local Anesthetics Prevents Acute and Chronic Pain After Breast Surgery for Cancer
Anesth Analg 2005 101: 1427-1432. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Patients subjected to surgery for breast cancer were randomly assigned to receive perioperatively gabapentin, ropivacaine in the operating field, and EMLA around the wound or three placebos. The multimodal analgesia reduced the analgesic requirements significantly and attenuated the acute and chronic pain after surgery when compared with the control group.

Eugene Y. Kissin, Cristina F. Freitas, and Igor Kissin

The Effects of Intraarticular Resiniferatoxin in Experimental Knee-Joint Arthritis
Anesth Analg 2005 101: 1433-1439. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The intraarticular administration of a vanilloid agonist resiniferatoxin inhibits pain behavior in knee joint arthritis. This effect is dose-dependent.

Steven P. Cohen

Sacroiliac Joint Pain: A Comprehensive Review of Anatomy, Diagnosis, and Treatment (Review Article)
Anesth Analg 2005 101: 1440-1453. [Abstract] [Full Text] [PDF] [Request Permissions]  

ECONOMICS, EDUCATION, AND HEALTH SYSTEMS RESEARCH:

Zeev N. Kain

The Legend of the P Value (Editorial)
Anesth Analg 2005 101: 1454-1456. [Full Text] [PDF] [Request Permissions]  

Gregory B. Collins, Mark S. McAllister, Mark Jensen, and Timothy A. Gooden

Chemical Dependency Treatment Outcomes of Residents in Anesthesiology: Results of a Survey
Anesth Analg 2005 101: 1457-1462. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Impairment among anesthesiology residents is common. Less than half of the rehabilitated residents returning to anesthesia successfully completed training and a significant proportion died as judged by this nationwide survey. Improvement in overall outcome can be achieved through redirection of these individuals into lower risk specialties.

CRITICAL CARE AND TRAUMA:

Nino Stocchetti

Brain and Sepsis: Functional Impairment, Structural Damage, and Markers (Editorial)
Anesth Analg 2005 101: 1463-1464. [Full Text] [PDF] [Request Permissions]  

Anders Larsson, Miklós Lipcsey, Jan Sjölin, Lars-Olof Hansson, and Mats B. Eriksson

Slight Increase of Serum S-100B During Porcine Endotoxemic Shock May Indicate Blood-Brain Barrier Damage
Anesth Analg 2005 101: 1465-1469. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: It is important to increase our knowledge regarding the causes of neurologic function deterioration that frequently accompanies organ failure in sepsis patients. S-100B is a widely used marker for brain damage that potentially can be used to study sepsis effects on the central nervous system.

Younès Aïssaoui, Amine Ali Zeggwagh, Aïcha Zekraoui, Khalid Abidi, and Redouane Abouqal

Validation of a Behavioral Pain Scale in Critically Ill, Sedated, and Mechanically Ventilated Patients
Anesth Analg 2005 101: 1470-1476. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Despite interest in pain assessment in the intensive care unit (ICU), there is no specific pain scale for critical care patients and, particularly, for uncommunicative patients. This study demonstrated that a behavioral scale can be valid and reliable for measuring pain in ICU patients.

Jouni O. Kurola, Matti J. Turunen, Juha-Pekka Laakso, Jouko T. Gorski, Heikki J. Paakkonen, and Tom O. Silfvast

A Comparison of the Laryngeal Tube and Bag-Valve Mask Ventilation by Emergency Medical Technicians: A Feasibility Study in Anesthetized Patients
Anesth Analg 2005 101: 1477-1481. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Airway management is of major importance in emergency care. In this study, we found that emergency medical technician students could use the laryngeal tube with reasonable success, and this device may provide an alternative solution in emergency airway management.

Krishnan Raghavendran, Bruce A. Davidson, Jadwiga D. Helinski, Cristi J. Marschke, Patricia Manderscheid, James A. Woytash, Robert H. Notter, and Paul R. Knight

A Rat Model for Isolated Bilateral Lung Contusion from Blunt Chest Trauma
Anesth Analg 2005 101: 1482-1489. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Lung contusion is a common problem encountered by victims of motor vehicular accidents. We have developed a rat model for lung contusion that does not involve any significant associated injury to the heart. This model will be helpful in ascertaining the complex mechanisms involved in the pathogenesis of lung contusion.

Ahmet Akyol, A. Can Senel, Hülya Ulusoy, Filiz Karip, and Nesrin Erciyes

Delayed Respiratory Depression After Risperidone Overdose (Case Report)
Anesth Analg 2005 101: 1490-1491. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Risperidone is an atypical antipsychotic drug used for the treatment of schizophrenia. Although experience with risperidone overdose is limited and the clinical presentation difficult to predict, the possibility of delayed respiratory depression must be kept in mind.

NEUROSURGICAL ANESTHESIA:

Theresa Hartsell, Donlin Long, and Jeffrey R. Kirsch

The Efficacy of Postoperative Ondansetron (Zofran®) Orally Disintegrating Tablets for Preventing Nausea and Vomiting After Acoustic Neuroma Surgery
Anesth Analg 2005 101: 1492-1496. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Although postoperative nausea and vomiting is common (particularly in women) after open craniotomy for acoustic neuroma tumors, treatment with Zofran(R) (IV and oral) significantly reduces the intensity and frequency of this complication.

Leonard R. Allmond, Greg Stratmann, Sandeep M. Kunwar, and Daniel H. Burkhardt

Epidural Blood Patch for Headache After Lumboperitoneal Shunt Placement (Case Report)
Anesth Analg 2005 101: 1497-1498. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Epidural blood patch may be an alternative initial therapy for some low-pressure headaches after lumboperitoneal shunt placement.

Ludmil Todorov, Charles E. Laurito, and David E. Schwartz

Postural Headache in the Presence of Cerebral Venous Sinus Thrombosis (Case Report)
Anesth Analg 2005 101: 1499-1500. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We describe the case of a patient with peripartum cerebral venous sinus thrombosis. It is important to consider this condition when dealing with positional headache.

REGIONAL ANESTHESIA:

Mehmet Cesur, Haci A. Alici, Ali F. Erdem, Fikret Silbir, and Mustafa S. Yuksek

Administration of Local Anesthetic Through the Epidural Needle Before Catheter Insertion Improves the Quality of Anesthesia and Reduces Catheter-Related Complications
Anesth Analg 2005 101: 1501-1505. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Administration of a single-injection dose of local anesthetic through the epidural needle as a priming solution into the epidural space before inserting the catheter improves the quality of epidural anesthesia and reduces the incidence of catheter-related complications.

Hany A. Mowafi

The Efficacy of Plethysmographic Pulse Wave Amplitude as an Indicator for Intravascular Injection of Epinephrine-Containing Epidural Test Dose in Anesthetized Adults
Anesth Analg 2005 101: 1506-1511. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Plethysmographic pulse wave amplitude is a reliable alternative to changes in heart rate and systolic blood pressure in detecting intravascular injection of an epinephrine-containing simulated epidural test dose during general anesthesia.

Karim Asehnoune, Eric Larousse, Jean Marc Tadié, Vincent Minville, Stephane Droupy, and Dan Benhamou

Small-Dose Bupivacaine-Sufentanil Prevents Cardiac Output Modifications After Spinal Anesthesia
Anesth Analg 2005 101: 1512-1515. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Spinal injection of small-dose bupivacaine (7.5 mg) was compared to large-dose bupivacaine (12.5 mg). The cardiac output (CO) was depressed in the 12.5 mg group and remained stable in the 7.5 mg group. Small-dose bupivacaine provides successful anesthesia and prevents a decrease in CO.

Christos A. Iatrou, Christos K. Dragoumanis, Theodosia D. Vogiatzaki, George I. Vretzakis, Constantinos E. Simopoulos, and Vasilios K. Dimitriou

Prophylactic Intravenous Ondansetron and Dolasetron in Intrathecal Morphine-Induced Pruritus: A Randomized, Double-Blinded, Placebo-Controlled Study
Anesth Analg 2005 101: 1516-1520. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Pruritus is the most common side effect of intrathecal morphine. In this study, we evaluated the efficacy of prophylactic administration of ondansetron and dolasetron for prevention of intrathecal morphine-induced pruritus. Both medications offer effective antipruritic prophylaxis, reducing the severity and incidence of pruritus after intrathecal morphine.

Masataka Yokoyama, Yoshitaro Itano, Hiroshi Katayama, Hiroshi Morimatsu, Yoshimasa Takeda, Toru Takahashi, Osamu Nagano, and Kiyoshi Morita

The Effects of Continuous Epidural Anesthesia and Analgesia on Stress Response and Immune Function in Patients Undergoing Radical Esophagectomy
Anesth Analg 2005 101: 1521-1527. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Extensive epidural block (C3-L2) was not able to suppress leukocytosis, lymphopenia, increases in cytokines and C-reactive protein, and changes in proportions of lymphocyte subsets after radical esophagectomy. This suggests that tissue damage and inflammation overcome the effects of extensive epidural block on stress response and immune function after radical esophagectomy.

Ban C. H. Tsui and Corey K. C. Sze

An In Vitro Comparison of the Electrical Conducting Properties of Multiport Versus Single-Port Epidural Catheters for the Epidural Stimulation Test (Brief Report)
Anesth Analg 2005 101: 1528-1530. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: When performing the epidural stimulation test, sufficient current can be transmitted with metal-coil reinforced catheters (single or multi-port) but not with conventional plastic catheters.

Ashok Kumar and Ashim Banerjee

Continuous Maxillary and Mandibular Nerve Block for Perioperative Pain Relief: The Excision of a Complicated Pleomorphic Adenoma (Case Report)
Anesth Analg 2005 101: 1531-1532. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Continuous maxillary and mandibular nerve blocks were a significant and novel contribution for management of excision of pleomorphic adenoma in an elderly patient with intractable atrial fibrillation associated with regional wall motion abnormalities, significant reduction of ejection fraction, hypertension, poor chest condition, and difficult airway.

GENERAL ARTICLES:

Gernot E. Groemer, Joseph Brimacombe, Thorsten Haas, Cristina de Negueruela, Alexander Soucek, Michael Thomsen, and Christian Keller

The Feasibility of Laryngoscope-Guided Tracheal Intubation in Microgravity During Parabolic Flight: A Comparison of Two Techniques
Anesth Analg 2005 101: 1533-1535. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Laryngoscope-guided tracheal intubation is feasible in microgravity obtained during parabolic flight, but the success rate is infrequent because of severe time restrictions. There were no differences in success rate between the free-floating condition, with the head gripped between the knees, and in the restrained condition, with the torso strapped to the surface.

Jean-Pierre Estebe, Marc Gentili, Pascal Le Corre, Gilles Dollo, François Chevanne, and Claude Ecoffey

Alkalinization of Intracuff Lidocaine: Efficacy and Safety
Anesth Analg 2005 101: 1536-1541. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Adding less bicarbonates (1.4% versus 8.4%) to lidocaine placed in an endotracheal (ETT) can still be effective in preventing ETT-related emergence phenomena, although it results in a slower release of lidocaine through the ETT cuff. These results were clinically relevant despite thyroid surgery and anesthesia without nitrous oxide.

Banjong Krobbuaban, Siriwan Diregpoke, Sujarit Kumkeaw, and Malin Tanomsat

The Predictive Value of the Height Ratio and Thyromental Distance: Four Predictive Tests for Difficult Laryngoscopy
Anesth Analg 2005 101: 1542-1545. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Because difficult laryngoscopy is infrequent, the incidence of false negatives is small; nevertheless, the sensitivity of a test should be sufficiently high to detect possible difficulties with laryngoscopy. Measurement of the ratio of height to thyromental distance resulted in less detection failure of difficult laryngoscopy than mouth opening, thyromental distance, neck movement, and oropharyngeal view (modified Mallampati).

Barbara Kabon, Ozan Akça, Akiko Taguchi, Angelika Nagele, Ratnaraj Jebadurai, Cem F. Arkilic, Neeru Sharma, Arundhathi Ahluwalia, Susan Galandiuk, James Fleshman, Daniel I. Sessler, and Andrea Kurz

Supplemental Intravenous Crystalloid Administration Does Not Reduce the Risk of Surgical Wound Infection
Anesth Analg 2005 101: 1546-1553. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Supplemental perioperative IV fluid administration did not reduce the rate of wound infection. The apparent lack of benefit may have resulted because hydration's effect on intestinal oxygenation is modest or because the statistical power of our study was limited. Nonetheless, our results suggest that supplemental hydration in the range tested does not impact wound infection rate.

Ju-Mei Ng

Hypoxemia During One-Lung Ventilation: Jet Ventilation of the Middle and Lower Lobes During Right Upper Lobe Sleeve Resection (Case Report)
Anesth Analg 2005 101: 1554-1555. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This case report describes a novel way of managing hypoxemia during one-lung ventilation when continuous positive airway pressure to the nondependent lung is not feasible.

MEETING ARTICLE:

John R. Keltner and Pamela Flood

Report of the 13th Annual Meeting of the International Society for Anaesthetic Pharmacology
Anesth Analg 2005 101: 1556-1557. [Full Text] [PDF] [Request Permissions]  

M. Cardwell, G. Siviter, and A. Smith

Nonsteroidal Antiinflammatory Drugs and Perioperative Bleeding in Pediatric Tonsillectomy
Anesth Analg 2005 101: 1558. [Full Text] [PDF] [Request Permissions]  

M. Zacharias, I. CS Gilmore, G. P. Herbison, P. Sivalingam, and R. J. Walker

Interventions for Protecting Renal Function in the Perioperative Period
Anesth Analg 2005 101: 1558. [Full Text] [PDF] [Request Permissions]  

LETTER TO THE EDITOR:

Leo I. Stemp

Anesthetic Depth and Long-Term Mortality
Anesth Analg 2005 101: 1559. [Full Text] [PDF] [Request Permissions]  

Neal H. Cohen

Anesthetic Depth and Long-Term Mortality
Anesth Analg 2005 101: 1559-1560. [Full Text] [PDF] [Request Permissions]  

Bhavani Shankar Kodali

Capnogram Shape in Obstructive Lung Disease
Anesth Analg 2005 101: 1560. [Full Text] [PDF] [Request Permissions]  

Baruch Krauss, Aaron Deykin, Alexander Lam, Joan J. Ryoo, Jyoti Mathad, David R. Hampton, Paul W. Schmitt, and Jay L. Falk

Capnogram Shape in Obstructive Lung Disease
Anesth Analg 2005 101: 1560. [Full Text] [PDF] [Request Permissions]  

Ratan K. Banik

Short-Lasting Effect of Perineural Resiniferatoxin on Mechanical Hyperalgesia
Anesth Analg 2005 101: 1560-1561. [Full Text] [PDF] [Request Permissions]  

Igor Kissin, Natasha Davison, and Edwin L. Bradley, Jr

Short-Lasting Effect of Perineural Resiniferatoxin on Mechanical Hyperalgesia
Anesth Analg 2005 101: 1561. [Full Text] [PDF] [Request Permissions]  

Koh Mizutani and Yoshiro Toyoda

Sterilization Pouches for Perioperative Thermal Insulation
Anesth Analg 2005 101: 1561. [Full Text] [PDF] [Request Permissions]  

Stephen B. Corn

Countries, Rooms, and Plants, but Not Mammalian Cells
Anesth Analg 2005 101: 1561. [Full Text] [PDF] [Request Permissions]  

T. J. Gan, Michael P. W. Grocott, and Michael G. Mythen

Countries, Rooms, and Plants, but Not Mammalian Cells
Anesth Analg 2005 101: 1561. [Full Text] [PDF] [Request Permissions]  

Hetam Al-Takrouri and James F. Mayhew

Hyperkalemic Cardiac Arrest After Cardiopulmonary Bypass in a Child with Duchenne Muscular Dystrophy
Anesth Analg 2005 101: 1561-1562. [Full Text] [PDF] [Request Permissions]  

Aruna Nathan, Arjunan Ganesh, Rodolfo I. Godinez, Susan C. Nicolson, and William J. Greeley

Hyperkalemic Cardiac Arrest After Cardiopulmonary Bypass in a Child with Duchenne Muscular Dystrophy
Anesth Analg 2005 101: 1562. [Full Text] [PDF] [Request Permissions]  

Eric L. Bloomfield

Costs Are Not the Only Thing We Should Be Concerned with in Anesthesia
Anesth Analg 2005 101: 1562. [Full Text] [PDF] [Request Permissions]  

Martin Schuster, Andre Gottschalk, and Thomas Standl

Costs Are Not the Only Thing We Should Be Concerned with in Anesthesia
Anesth Analg 2005 101: 1562. [Full Text] [PDF] [Request Permissions]  

Marie T. Aouad and Roula E. Hajj

Supplementation of Intrathecal Bupivacaine with Clonidine in Ex-Premature Neonates
Anesth Analg 2005 101: 1562-1563. [Full Text] [PDF] [Request Permissions]  

Alain Rochette, Christophe Dadure, and Xavier Capdevila

Supplementation of Intrathecal Bupivacaine with Clonidine in Ex-Premature Neonates
Anesth Analg 2005 101: 1563. [Full Text] [PDF] [Request Permissions]  

Ahed Zeidan, Dania Halabi, and Anis Baraka

Aerosolized Lidocaine for Relief of Extubation Laryngospasm
Anesth Analg 2005 101: 1563. [Full Text] [PDF] [Request Permissions]  

Naveen Eipe and Ashish Choudhrie

Airway Fires: Gas-Bugs Providing the Fuel?
Anesth Analg 2005 101: 1563-1564. [Full Text] [PDF] [Request Permissions]  

Mitchel B. Sosis

Anesthesiologists Must Inform Their Surgical Colleagues When There Is a Risk of an Operating Room Fire
Anesth Analg 2005 101: 1564. [Full Text] [PDF] [Request Permissions]  

Andrew Paterson

The Case for the Role of Advanced Simulators in Trauma Management Training Was Not Made
Anesth Analg 2005 101: 1564. [Full Text] [PDF] [Request Permissions]  

Hain Berkenstadt and Daphna Barsuk

The Case for the Role of Advanced Simulators in Trauma Management Training Was Not Made
Anesth Analg 2005 101: 1564-1565. [Full Text] [PDF] [Request Permissions]  

Shaul Cohen, Alex Shorshtein, and Patrick Blanchfield

Subdural Hematoma Following Accidental Dural Puncture
Anesth Analg 2005 101: 1565. [Full Text] [PDF] [Request Permissions]  

Ju-Mei Ng

Thoracotomy in a Patient with a History of Local Anesthetic Allergy
Anesth Analg 2005 101: 1565-1566. [Full Text] [PDF] [Request Permissions]  

G. D. Puri and D. Nakra

ECG Artifact and BIS in Severe Brain Injury
Anesth Analg 2005 101: 1566-1567. [Full Text] [PDF] [Request Permissions]  

Tomasz Gaszynski

ECG Artifact and BIS in Severe Brain Injury
Anesth Analg 2005 101: 1567. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

Stanley Muravchick

On-Line Electronic Help for Anaesthesiologists.
Anesth Analg 2005 101: 1568. [Full Text] [PDF] [Request Permissions]  

James E. Duckett and Gordon H. Morewood

Fundamental Applications of Transesophageal Echocardiography: A Society of Cardiovascular Anesthesiologists Monograph on DVD.
Anesth Analg 2005 101: 1568-1569. [Full Text] [PDF] [Request Permissions]  

ERRATA:

Erratum
Anesth Analg 2005 101: 1569. [Full Text] [PDF] [Request Permissions]  

To see an article, click its [Full Text] or [PDF] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.