GUEST REVIEWER LIST:

GUEST REVIEWER LIST OCTOBER 1, 2005–MARCH 31, 2006
Anesth Analg 2006 102: E1-E4. [Full Text] [PDF] [Request Permissions]  

CARDIOVASCULAR ANESTHESIA:

Charles W. Hogue, Jr, Tamara Hershey, David Dixon, Robert Fucetola, Abdullah Nassief, Kenneth E. Freedland, Betsy Thomas, and Kenneth Schechtman

Preexisting Cognitive Impairment in Women Before Cardiac Surgery and Its Relationship with C-Reactive Protein Concentrations
Anesth Analg 2006 102: 1602-1608. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Cognitive impairment was found in 45% of women before cardiac surgery. C-reactive protein levels are increased in women with preexisting cognitive impairment, but the relationship between this inflammatory marker and preexisting cognitive impairment is likely secondary to the acute phase reactant serving as a marker for other predisposing conditions.

Idar Kirkeby-Garstad, Ulrik Wisløff, Eirik Skogvoll, Tomas Stølen, Arnt-Erik Tjønna, Roar Stenseth, and Olav FM Sellevold

The Marked Reduction in Mixed Venous Oxygen Saturation During Early Mobilization After Cardiac Surgery: The Effect of Posture or Exercise?
Anesth Analg 2006 102: 1609-1616. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We studied the effects of exercise and posture on cardiovascular function and mixed venous oxygen saturation preoperatively and on the first morning after cardiac surgery. Exercise testing demonstrated that cardiovascular function was reduced postoperatively. The response to passive standing indicated that postural change accounts for a substantial part of the mixed venous oxygen desaturation during postoperative mobilization.

Andreas Nygren, Anders Thorén, Erik Houltz, and Sven-Erik Ricksten

Autoregulation of Human Jejunal Mucosal Perfusion During Cardiopulmonary Bypass
Anesth Analg 2006 102: 1617-1622. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Hypoperfusion of the intestinal mucosa has been suggested to be an important pathogenic mechanism for development of postoperative complications after cardiac surgery. In this study, the autoregulatory response of the intestinal mucosal perfusion to variations in perfusion pressure was found to be well maintained in humans undergoing nonpulsatile cardiopulmonary bypass.

Michael Sander, Christian von Heymann, Vera von Dossow, Corinna Spaethe, Wolfgang F. Konertz, Uday Jain, and Claudia D. Spies

Increased Interleukin-6 After Cardiac Surgery Predicts Infection
Anesth Analg 2006 102: 1623-1629. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Early diagnosis of infection after cardiopulmonary bypass improves outcome. Conventional laboratory tests cannot distinguish patients with early infection from those with systemic inflammatory response syndrome but no infection. The aim of this study was to investigate the predictive ability of cytokines such as tumor necrosis factor-{alpha}, interleukin-6, and interleukin-10 for infection after cardiac surgery.

Crispin Schneider and Thomas Volk

Endothelial Ca²⁺ Signal Transduction Is Altered by Postoperative Serum from Patients Undergoing Coronary Surgery with Cardiopulmonary Bypass
Anesth Analg 2006 102: 1630-1637. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Endothelial signaling properties ex vivo are altered by systemically present mediators after cardiac surgery with cardiopulmonary bypass but not after less invasive total joint arthroplasty. An increased Ca2+-activated Ca2+ entry mechanism may exist in vivo after highly invasive surgical interventions.

Marja S. Hynninen, Tomi T. Niemi, Reino Pöyhiä, Elina I. Raininko, Markku T. Salmenperä, Mauri J. Lepäntalo, Mikael J. Railo, and Minna K. Tallgren

N-Acetylcysteine for the Prevention of Kidney Injury in Abdominal Aortic Surgery: A Randomized, Double-Blind, Placebo-Controlled Trial
Anesth Analg 2006 102: 1638-1645. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The results of the present study indicate that N-acetylcysteine does not prevent kidney injury in patients with normal preoperative renal function undergoing surgical repair of the abdominal aorta.

York A. Zausig, David F. Stowe, Wolfgang Zink, Christoph Grube, Eike Martin, and Bernhard M. Graf

A Comparison of Three Phosphodiesterase Type III Inhibitors on Mechanical and Metabolic Function in Guinea Pig Isolated Hearts
Anesth Analg 2006 102: 1646-1652. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In the isolated Langendorff heart, amrinone, enoximone, and milrinone dose-dependently produced positive chronotropic, inotropic, and lusitropic effects, although only enoximone and milrinone increased oxygen consumption. Coronary flow reserve was preserved by each drug, indicating an intact coronary autoregulation. In addition, these tested phosphodiesterase inhibitors do not directly cause coronary vasodilation.

Stavros G. Memtsoudis, Peter Rosenberger, Michaela Loffler, Holger K. Eltzschig, Annette Mizuguchi, Stanton K. Shernan, and John A. Fox

The Usefulness of Transesophageal Echocardiography During Intraoperative Cardiac Arrest in Noncardiac Surgery
Anesth Analg 2006 102: 1653-1657. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Twenty-two patients experiencing unexpected intraoperative cardiac arrest during noncardiac surgery were evaluated with intraoperative transesophageal echocardiography. Transesophageal echocardiography significantly contributed to determining the etiology of the cardiac arrest in 86% and influenced management in 82% of the patients. Transesophageal echocardiography may be a valuable diagnostic tool when used early during intraoperative cardiac arrest.

Andrea Schmitz and Matthias Hartmann

Acute Intracardiac Thrombus Formation During Thoracoabdominal Aortic Surgery (Echo Rounds)
Anesth Analg 2006 102: 1658-1659. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

Peter Rosenberger, Lawrence H. Cohn, John A. Fox, Andrew Locke, and Stanton K. Shernan

Sinus of Valsalva Aneurysm Obstructing the Right Ventricular Outflow Tract (Echo Rounds)
Anesth Analg 2006 102: 1660-1661. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

PEDIATRIC ANESTHESIA:

Mark W. Crawford, Chantal Hickey, Christian Zaarour, Andrew Howard, and Basem Naser

Development of Acute Opioid Tolerance During Infusion of Remifentanil for Pediatric Scoliosis Surgery
Anesth Analg 2006 102: 1662-1667. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Adolescents who received continuous intraoperative infusion of remifentanil for scoliosis surgery had a significantly larger postoperative analgesic requirement than did those who received intermittent morphine boluses, suggesting that remifentanil infusion is associated with the development of clinically relevant acute opioid tolerance or hyperalgesia.

Ya-Chun Chu, Su-Man Lin, Ying-Chou Hsieh, Kwok-Hon Chan, and Mei-Yung Tsou

Intraoperative Administration of Tramadol for Postoperative Nurse-Controlled Analgesia Resulted in Earlier Awakening and Less Sedation than Morphine in Children After Cardiac Surgery
Anesth Analg 2006 102: 1668-1673. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Intraoperative administration of tramadol, followed by nurse-controlled analgesia and background infusions, resulted in more rapid awakening from general anesthesia, less sedation, and earlier tracheal extubation than with morphine during the immediate postoperative period. After cardiac surgery tramadol provided equivalent analgesic efficacy and a comparable incidence of postoperative emesis as morphine in children <6 yr of age.

Yvon F. Bryan, Thomas W. Templeton, Todd G. Nick, Martin Szafran, and Avery Tung

Brain Magnetic Resonance Imaging Increases Core Body Temperature in Sedated Children
Anesth Analg 2006 102: 1674-1679. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Hypothermia is a frequent concern when children are sedated for magnetic resonance imaging (MRI). In children sedated with chloral hydrate, we found that brain MRI scans can increase body temperature. Our results suggest that, in sedated children, absorption of radiofrequency radiation during MRI may offset heat loss resulting from the MRI environment.

H. Willschke, A. Bösenberg, P. Marhofer, S. Johnston, S. Kettner, U. Eichenberger, O. Wanzel, and S. Kapral

Ultrasonographic-Guided Ilioinguinal/Iliohypogastric Nerve Block in Pediatric Anesthesia: What is the Optimal Volume?
Anesth Analg 2006 102: 1680-1684. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Ultrasonographic guidance facilitated accurate placement of the needle for ilioinguinal/iliohypogastric nerve block in children and allowed titrating the smallest effective volume required for the block.

David M. Polaner, Dheeraj Ahuja, Jeannie Zuk, and Zhaoxing Pan

Video Assessment of Supraglottic Airway Orientation Through the Perilaryngeal Airway in Pediatric Patients
Anesth Analg 2006 102: 1685-1688. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We obtained video images of the vocal cords of children through the perilaryngeal airway, a new supraglottic airway device, to assess its orientation in the upper airway. The epiglottis was folded over the vocal cords by the perilaryngeal airway in a large percentage of infants.

ANESTHETIC PHARMACOLOGY:

Jonas S. Johansson

Central Nervous System Electrical Synapses as Likely Targets for Intravenous General Anesthetics (Editorial)
Anesth Analg 2006 102: 1689-1691. [Full Text] [PDF] [Request Permissions]  

Kirsten Wentlandt, Marina Samoilova, Peter L. Carlen, and Hossam El Beheiry

General Anesthetics Inhibit Gap Junction Communication in Cultured Organotypic Hippocampal Slices
Anesth Analg 2006 102: 1692-1698. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Anesthetic concentrations of propofol and thiopental, but not halothane, suppressed direct intercellular gap junction communication in cultured brain slices. Such suppression of gap junction function could compound the mechanisms of some anesthetics during their administration and withdrawal.

Michael C. Lewis, Ricardo I. Gerenstein, and Gilbert Chidiac

Onset Time for Sevoflurane/Nitrous Oxide Induction in Adults Is Prolonged with Increasing Age
Anesth Analg 2006 102: 1699-1702. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This study demonstrates that aging significantly increases the time required to induce anesthesia using an inhaledtechnique. Because inhaled induction is gaining popularity in adults, the clinician should be aware of this effect.

Shogo Matsuura, Gotaro Shirakami, Hiroko Iida, Keiji Tanimoto, and Kazuhiko Fukuda

The Effect of Sevoflurane on Ciliary Motility in Rat Cultured Tracheal Epithelial Cells: A Comparison with Isoflurane and Halothane
Anesth Analg 2006 102: 1703-1708. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Halothane and isoflurane depress ciliary beat frequency directly and potently in isolated and cultured rat tracheal epithelial cells. Compared with halothane and isoflurane, sevoflurane has a much weaker ciliary beat frequency-depressant effect.

Mashawn Orth, Emigdio Bravo, Linda Barter, Earl Carstens, and Joseph F. Antognini

The Differential Effects of Halothane and Isoflurane on Electroencephalographic Responses to Electrical Microstimulation of the Reticular Formation
Anesth Analg 2006 102: 1709-1714. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: At halothane and isoflurane concentrations required to produce immobility, the cortex remains responsive to electrical microstimulation of the reticular formation, although the electroencephalographic response is depressed in the transition from 0.8 to 1.2 minimum alveolar concentration.

Yuri Yamamoto, Masahiko Kawaguchi, Meiko Kakimoto, Masahiro Takahashi, Satoki Inoue, Takahisa Goto, and Hitoshi Furuya

The Effects of Xenon on Myogenic Motor Evoked Potentials in Rabbits: A Comparison with Propofol and Isoflurane
Anesth Analg 2006 102: 1715-1721. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Although recent evidence has suggested the neuroprotective efficacy of xenon, the effects of xenon on motor evoked potentials remained undetermined. The results in the present study suggest that motor evoked potential recording may be feasible under xenon anesthesia if multipulse stimulation is used, although xenon has suppressive effects on myogenic motor evoked potentials.

Shunsuke Tsuruta, Mishiya Matsumoto, Shiro Fukuda, Atsuo Yamashita, Ying Jun Cui, Hiroya Wakamatsu, and Takefumi Sakabe

The Effects of Cyclosporin A and Insulin on Ischemic Spinal Cord Injury in Rabbits
Anesth Analg 2006 102: 1722-1727. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We demonstrated that insulin protected against ischemic injury produced by 13 min of spinal cord ischemia in rabbits, whereas cyclosporin A alone failed to improve neurological and histopathological outcome.

Philipp Lirk, Ingrid Haller, Barbara Hausott, Shota Ingorokva, Martina Deibl, Peter Gerner, and Lars Klimaschewski

The Neurotoxic Effects of Amitriptyline Are Mediated by Apoptosis and are Effectively Blocked by Inhibition of Caspase Activity
Anesth Analg 2006 102: 1728-1733. [Abstract] [Full Text] [PDF] [Request Permissions]  

Takeshi Yano, Shoichiro Ibusuki, and Mayumi Takasaki

A Comparison of Intracellular Lidocaine and Bupivacaine Concentrations Producing Nerve Conduction Block in the Giant Axon of Crayfish In Vitro
Anesth Analg 2006 102: 1734-1738. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Bupivacaine has higher anesthetic potency; however, the intra- to extracellular ratio of lidocaine was larger than that with bupivacaine when the nerve was blocked. These findings suggest that lidocaine required a larger intracellular concentration than bupivacaine to block nerve conduction in the giant axon of a crayfish in vitro.

Ya-Hsien Huang, Pei-Shan Tsai, Yun-Fang Kai, Chen-Hsien Yang, and Chun-Jen Huang

Lidocaine Inhibition of Inducible Nitric Oxide Synthase and Cationic Amino Acid Transporter-2 Transcription in Activated Murine Macrophages May Involve Voltage-Sensitive Na⁺ Channel
Anesth Analg 2006 102: 1739-1744. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Lidocaine significantly inhibits iNOS and CAT-2 and, in turn, enhances GTPCH expression in LPS-stimulated murine macrophages.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Gerhard Litscher

Electroencephalogram-Entropy and Acupuncture
Anesth Analg 2006 102: 1745-1751. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Response and state entropy are new parameters, calculated from spontaneous bioelectrical brain activity, which are mainly intended for measuring the hypnotic component of anesthesia. Electroencephalogram entropy was investigated for the first time in acupuncture research. Stimulation of specific acupuncture schemes produces specific reproducible and quantifiable responses in entropy.

Bahattin Tuncali, Ayse Karci, Binnur Erdalkiran Tuncali, Omur Mavioglu, Mustafa Ozkan, Abdul Kadir Bacakoglu, Hakan Baydur, Ahmet Ekin, and Zahide Elar

A New Method for Estimating Arterial Occlusion Pressure in Optimizing Pneumatic Tourniquet Inflation Pressure
Anesth Analg 2006 102: 1752-1757. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Arterial occlusion pressure is a measure of the cuff pressure required to maintain a bloodless surgical field. We measured upper and lower extremity tissue pressures under the tourniquet cuff in 30 anesthetized living adult patients and developed an arterial occlusion pressure estimation method.

Birgit Pfeiffer, Rebecca S. Syring, Klaus Markstaller, Cynthia M. Otto, and James E. Baumgardner

The Implications of Arterial Po₂ Oscillations for Conventional Arterial Blood Gas Analysis
Anesth Analg 2006 102: 1758-1764. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: When alveoli collapse and reopen with each breath (tidal recruitment), Pao2 results obtained from arterial blood gases can vary markedly depending on when the sample was obtained during the respiratory cycle. Interpretation of Pao2 results without accounting for respiratory Pao2 oscillations could lead to erroneous conclusions about the impact of ventilator adjustments on shunt fraction and atelectasis.

Hao-Po Su, Jen-Yan Tso, Yi-Shen Chen, Tsung-Ying Chen, Jieh-Min Shiau, and Chia-Chih Tseng

Paravertebral Transcutaneous Electrical Nerve Stimulation Reduces Movement During General Anesthesia with Isoflurane (Brief Report)
Anesth Analg 2006 102: 1765-1767. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Paravertebral transcutaneous electrical nerve stimulation was evaluated as a means of enhancing anesthesia during hysterectomy. The significant decrease in limb movements found with this surface electrical stimulation method suggests that this noninvasive procedure deserves further exploration for its clinical usefulness and mechanism of action.

PAIN MEDICINE:

Kim Lemberg, Vesa K. Kontinen, Kaarin Viljakka, Irene Kylänlahti, Jari Yli-Kauhaluoma, and Eija Kalso

Morphine, Oxycodone, Methadone and Its Enantiomers in Different Models of Nociception in the Rat
Anesth Analg 2006 102: 1768-1774. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Oxycodone, methadone, and especially l-methadone were more effective than morphine in all studied pain models in the rat, including a model of nerve injury pain. Morphine may not be the most effective opioid, whereas l-methadone could be an interesting option when treating neuropathic pain.

Vladimir Nekhendzy, M. Frances Davies, Hendrikus J. M. Lemmens, and Mervyn Maze

The Role of the Craniospinal Nerves in Mediating the Antinociceptive Effect of Transcranial Electrostimulation in the Rat
Anesth Analg 2006 102: 1775-1780. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Stimulation of the craniospinal nerves mediates the antinociceptive effect of transcranial electrostimulation in a rat through activation of a variety of endogenous antinociceptive systems.

Jean-Pierre Ch. Estebe, François Legay, Marc Gentili, Eric Wodey, Christine Leduc, Claude Ecoffey, and Jacques-Philippe Moulinoux

An Evaluation of a Polyamine-Deficient Diet for the Treatment of Inflammatory Pain
Anesth Analg 2006 102: 1781-1788. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a rat model, a synthetic polyamine-deficient diet alone can induce a significant analgesic effect on an inflammatory pain induced by carrageenan injection in a paw. The analgesic mechanism remains unclear, but it was totally reversed by a subcutaneous injection of naloxone and partly reversed by a subcutaneous injection of ketamine. A simple synthetic polyamine-deficient diet could reduce hypersensitivity to pain in the postoperative period.

Eveline L. A. van Dorp, Raymonda Romberg, Elise Sarton, James G. Bovill, and Albert Dahan

Morphine-6-Glucuronide: Morphine's Successor for Postoperative Pain Relief? (Review Article)
Anesth Analg 2006 102: 1789-1797. [Abstract] [Full Text] [PDF] [Request Permissions]  

ECONOMICS, EDUCATION, AND POLICY:

Michael M. Vigoda and David A. Lubarsky

Failure to Recognize Loss of Incoming Data in an Anesthesia Record-Keeping System May Have Increased Medical Liability (Case Report)
Anesth Analg 2006 102: 1798-1802. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We report an unrecognized data transmission loss while using an automated anesthesia record keeping system. A documentation window concealed the home screen window, which displayed graphical vital sign data. Absence of vital signs on the printed anesthesia record, and a bad surgical outcome, increased our medical liability exposure.

CRITICAL CARE AND TRAUMA:

Lionel Bouvet, Frédéric Duflo, Nathalie Bleyzac, François Mion, Emmanuel Boselli, Bernard Allaouchiche, and Dominique Chassard

Erythromycin Promotes Gastric Emptying During Acute Pain in Volunteers
Anesth Analg 2006 102: 1803-1808. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In volunteers with full stomachs subjected to acute pain, erythromycin is effective as a prokinetic drug on the gastric emptying rate for solids. Its administration could be useful before emergency anesthesia in nonfasting patients with pain to prevent the risk of pulmonary aspiration of gastric contents.

Yaniv Almog, Victor Novack, Rinat Megralishvili, Sergio Kobal, Leonid Barski, Daniel King, and Doron Zahger

Plasma Level of N Terminal Pro-Brain Natriuretic Peptide as a Prognostic Marker in Critically Ill Patients
Anesth Analg 2006 102: 1809-1815. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This prospective observational study demonstrates that in critically ill patients, a hospital-admission NT-pro-BNP level more than 1900 pg/mL predicts mortality independent of a APACHE II score, with the higher NT-pro-BNP levels predicting more frequent mortality.

NEUROSURGICAL ANESTHESIA:

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

Bolus Configuration Affects Dose Requirements of Intracarotid Propofol for Electroencephalographic Silence
Anesth Analg 2006 102: 1816-1822. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The intracarotid bolus dose propofol required to maintain electroencephalographic silence was one third of the continuous infusion dose and was directly related to the amount (mg/bolus) in each bolus. However, maximum regional effects will require titration of bolus characteristics.

Mads Rasmussen, Richard N. Upton, Cliff Grant, Allison M. Martinez, Georg E. Cold, and Guy Ludbrook

The Effects of Indomethacin on Intracranial Pressure and Cerebral Hemodynamics During Isoflurane or Propofol Anesthesia in Sheep with Intracranial Hypertension
Anesth Analg 2006 102: 1823-1829. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Indomethacin rapidly reduces intracranial pressure (ICP) during both isoflurane and propofol anesthesia, with the effect on ICP being most pronounced during isoflurane. This observation may have relevance for the treatment of high ICP during brain tumor surgery in patients anesthetized with isoflurane or propofol.

Argyro Fassoulaki, Helen Kaliontzi, George Petropoulos, and Athanassia Tsaroucha

The Effect of Desflurane and Sevoflurane on Cerebral Oximetry Under Steady-State Conditions
Anesth Analg 2006 102: 1830-1835. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We investigated the effect of desflurane and sevoflurane on cerebral oxygenation (rSO2) for bispectral index (BIS) values of 40-50 and 20-30. For the same BIS values the rSO2 was similar for both anesthetics but for the same anesthetic a lower BIS was associated with higher rSO2 values.

Hayden White, David Cook, and Bala Venkatesh

The Use of Hypertonic Saline for Treating Intracranial Hypertension After Traumatic Brain Injury (Review Article)
Anesth Analg 2006 102: 1836-1846. [Abstract] [Full Text] [PDF] [Request Permissions]  

REGIONAL ANESTHESIA:

Yuhong Li, Shengmei Zhu, Fangping Bao, Jianhong Xu, Xiang Yan, and Xudong Jin

The Effects of Age on the Median Effective Concentration of Ropivacaine for Motor Blockade After Epidural Anesthesia with Ropivacaine
Anesth Analg 2006 102: 1847-1850. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We demonstrated that the motor blockade EC50 of epidural ropivacaine was 0.383% (95% confidence interval, 0.358%-0.409%) in elderly patients and 0.536% (95% confidence interval, 0.512%-0.556%) in young patients. This indicates that age is a determinant of motor blockade EC50 of ropivacaine with epidural administration.

Akifumi Kanai and Sumio Hoka

A Comparison of Epidural Blockade Produced by Plain 1% Lidocaine and 1% Lidocaine Prepared by Dilution of 2% Lidocaine with the Same Volume of Saline
Anesth Analg 2006 102: 1851-1855. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: One percent lidocaine prepared by dilution of 2% lidocaine with an equal volume of saline was less potent with regard to sensory blockade when compared with plain 1% lidocaine.

Régis Fuzier, Olivier Fourcade, Antoine Pianezza, Marie-Luce Gilbert, Vincent Bounes, and Michel Olivier

A Comparison Between Double-Injection Axillary Brachial Plexus Block and Midhumeral Block for Emergency Upper Limb Surgery (Brief Report)
Anesth Analg 2006 102: 1856-1858. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A conventional midhumeral block was compared with a 2-injection axillary brachial plexus block performed in an emergency context. The success rate was similar between approaches. However, onset time was faster and patient acceptance was greater with the axillary approach. The axillary technique is superior for emergency hand surgery.

Steven L. Orebaugh

The Femoral Nerve and Its Relationship to the Lateral Circumflex Femoral Artery (Brief Report)
Anesth Analg 2006 102: 1859-1862. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In 40 cadaver femoral triangle dissections, the lateral circumflex femoral artery, a branch of the femoral artery, was exposed and its position measured. In 50% of the specimens, this artery lay within 1 cm, proximal or distal, of the inguinal crease. Awareness of this anatomy may reduce the risk of intravascular injection during femoral nerve blockade.

Traore Moussa, Diallo Abdoulaye, Coulibaly Youssouf, Guinto Cheick Oumar, Timbo Samba Karim, and Thomas Jeannette Traore

Cauda Equina Syndrome and Profound Hearing Loss After Spinal Anesthesia with Isobaric Bupivacaine (Case Report)
Anesth Analg 2006 102: 1863-1864. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We report the case of a patient with motor and sensitive disorder of both legs accompanied with sphincter deficiency and loss of hearing. This association has been never reported.

Motomi Arai, Satoko Matsushima, and Hiroshi Terada

Divergence Paresis Without Positional Headache: An Unusual Presentation of Cerebrospinal Fluid Hypovolemia After Spinal Anesthesia (Case Report)
Anesth Analg 2006 102: 1865-1866. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We report a case of diplopia at distance, divergence paresis, which developed after uneventful spinal anesthesia. Although cranial magnetic resonance imaging findings were consistent with cerebrospinal fluid hypovolemia, the patient had no positional headache. Our case suggests that gadolinium-enhanced magnetic resonance imaging may be useful when a patient develops neurologic symptoms after dural puncture.

GENERAL ARTICLES:

Anna Lee, Lawrence T. Y. Fan, Tony Gin, Manoj K. Karmakar, and Warwick D. Ngan Kee

A Systematic Review (Meta-Analysis) of the Accuracy of the Mallampati Tests to Predict the Difficult Airway
Anesth Analg 2006 102: 1867-1878. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The accuracy of the original and modified versions of the Mallampati test ranges from poor to good for predicting difficult laryngoscopy and difficult intubation. The Mallampati tests have limited accuracy for predicting the difficult airway and thus are not useful screening tests when used alone.

Charles W. Buffington, Stanley D. MacMurdo, and Christopher M. Ryan

Body Position Affects Manual Dexterity
Anesth Analg 2006 102: 1879-1883. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Manual dexterity is improved when subjects are seated in a comfortable position compared to kneeling or standing bent forward at the waist.

Tong J. Gan

Risk Factors for Postoperative Nausea and Vomiting (Review Article)
Anesth Analg 2006 102: 1884-1898. [Abstract] [Full Text] [PDF] [Request Permissions]  

LETTER TO THE EDITOR:

Sadhana S. Kulkarni, Shobha J. Baride, and Prabha P. Nayak

Retrieval of Aspirated Endotracheal Tube
Anesth Analg 2006 102: 1899. [Full Text] [PDF] [Request Permissions]  

Munish Sharma, Kartikeya Bhargava, Yatin Mehta, and Naresh Trehan

Pulmonary Artery Catheter Burn After Multiple Transthoracic Defibrillatory Shocks
Anesth Analg 2006 102: 1899-1900. [Full Text] [PDF] [Request Permissions]  

Wasee Tulvatana, Kittisak Kulvichit, and Uraiwan Tinnungwattana

Circumferential Subconjunctival Anesthesia Versus Retrobulbar Anesthesia for Extracapsular Cataract Extraction
Anesth Analg 2006 102: 1900. [Full Text] [PDF] [Request Permissions]  

Pelin Karaaslan, Selim Candan, and Ceyla Basaran

Paraplegia After Spinal Anesthesia as a Result of Previously Undiagnosed Vertebral Tuberculosis
Anesth Analg 2006 102: 1900-1901. [Full Text] [PDF] [Request Permissions]  

Stefan Budac and Santhanam Suresh

Emergent Facial Lacerations Repair in Children: Nerve Blocks to the Rescue!
Anesth Analg 2006 102: 1901-1902. [Full Text] [PDF] [Request Permissions]  

Laura Morante, Emilia V. Guasch, Francisco Palacio, and Fernando Gilsanz

Activated Recombinant Factor VII to Reverse Oral Anticoagulants for Emergent Cesarean Delivery
Anesth Analg 2006 102: 1902-1903. [Full Text] [PDF] [Request Permissions]  

André P. Boezaart

Patient-Controlled Interscalene Analgesia After Shoulder Surgery: Catheter Insertion by the Posterior Approach
Anesth Analg 2006 102: 1902. [Full Text] [PDF] [Request Permissions]  

Ignace Sandefo

Patient-Controlled Interscalene Analgesia After Shoulder Surgery: Catheter Insertion by the Posterior Approach
Anesth Analg 2006 102: 1902. [Full Text] [PDF] [Request Permissions]  

Babita Ghai, Jeetinder Kaur Makkar, and Anshul Bhatia

Hypercarbia and Arrhythmias Resulting From Faulty Bain Circuit: A Report of Two Cases
Anesth Analg 2006 102: 1903-1904. [Full Text] [PDF] [Request Permissions]  

Keiko Hama, Katsutoshi Nakahata, Hiroshi Iranami, and Yoshio Hatano

Immediate Allergic Reaction to Betamethasone During Anesthesia
Anesth Analg 2006 102: 1904-1905. [Full Text] [PDF] [Request Permissions]  

Hironori Ishihara

Initial Distribution Volume of Glucose Early After Cardiac Surgery
Anesth Analg 2006 102: 1904. [Full Text] [PDF] [Request Permissions]  

Marie-Eve Nepveu, François Donati, and Louis-Philippe Fortier

Can Conventional Peripheral Nerve Stimulators Induce Direct Muscle Depolarization?
Anesth Analg 2006 102: 1905-1906. [Full Text] [PDF] [Request Permissions]  

Aaron F. Kopman

Can Conventional Peripheral Nerve Stimulators Induce Direct Muscle Depolarization?
Anesth Analg 2006 102: 1905. [Full Text] [PDF] [Request Permissions]  

Zulkifli Mohamed Haris, Wee Tze Loo, and Joseph Brimacombe

Frenular Injury During Insertion of the ProSeal Laryngeal Mask Airway Using the Introducer Tool Technique
Anesth Analg 2006 102: 1906-1907. [Full Text] [PDF] [Request Permissions]  

G. W. Stevenson, Trevor Gibbs, and Samthanam Sursh

An Unusual Capnogram in a Pediatric Patient
Anesth Analg 2006 102: 1907-1908. [Full Text] [PDF] [Request Permissions]  

Jonathan V. Roth

Bolus Vasopressin During Hemorrhagic Shock?
Anesth Analg 2006 102: 1908. [Full Text] [PDF] [Request Permissions]  

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

Bolus Vasopressin During Hemorrhagic Shock?
Anesth Analg 2006 102: 1908. [Full Text] [PDF] [Request Permissions]  

Amr E. Abouleish, Donald S. Prough, and David A. Lubarsky

Unintended Consequences? Unanswered Questions?
Anesth Analg 2006 102: 1908-1909. [Full Text] [PDF] [Request Permissions]  

Ronald D. Miller

Unintended Consequences? Unanswered Questions?
Anesth Analg 2006 102: 1909-1910. [Full Text] [PDF] [Request Permissions]  

Sher Yi Chan, Juan Carlos De La Cuadra Fontaine, Julian Doan, and De QH Tran

Stimulating Cervical Epidural Catheter
Anesth Analg 2006 102: 1910. [Full Text] [PDF] [Request Permissions]  

Arzu Gerçek and M. Memet özek

From the Anesthesiologist's Perspective: Placement of Vagal Nerve Stimulator
Anesth Analg 2006 102: 1910. [Full Text] [PDF] [Request Permissions]  

Stéphane Deruddre, Martine Marie, and Dan Benhamou

Subarachnoid Anesthesia for Cesarean Delivery in a Parturient with Strümpell-Lorrain Disease
Anesth Analg 2006 102: 1910-1911. [Full Text] [PDF] [Request Permissions]  

Naveen Eipe, Ashish Choudhrie, A. Dildeep Pillai, and Rajiv Choudhrie

Neck Contracture Release and Reinforced Tracheal Tube Obstruction
Anesth Analg 2006 102: 1911-1912. [Full Text] [PDF] [Request Permissions]  

Aaron F. Kopman

Rocuronium Versus Succinylcholine for Rapid Tracheal Intubation
Anesth Analg 2006 102: 1912. [Full Text] [PDF] [Request Permissions]  

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

Rocuronium Versus Succinylcholine for Rapid Tracheal Intubation
Anesth Analg 2006 102: 1912-1913. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

James P. Rathmell and Bradley Hill

Wall and Melzack’s Textbook of Pain, 5th E-dition.
Anesth Analg 2006 102: 1914. [Full Text] [PDF] [Request Permissions]  

David M. Rothenberg

Clinical Anesthesia. 5th ed.
Anesth Analg 2006 102: 1915. [Full Text] [PDF] [Request Permissions]  

ERRATA:

Erratum
Anesth Analg 2006 102: 1645. [Full Text] [PDF] [Request Permissions]  

Erratum
Anesth Analg 2006 102: 1688. [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.