CARDIOVASCULAR ANESTHESIA:

Peter Slinger

Pro: Low Tidal Volume Is Indicated During One-Lung Ventilation (Editorial)
Anesth Analg 2006 103: 268-270. [Full Text] [PDF] [Request Permissions]  

Thomas J. Gal

Con: Low Tidal Volumes Are Indicated During One-Lung Ventilation (Editorial)
Anesth Analg 2006 103: 271-273. [Full Text] [PDF] [Request Permissions]  

Chen Wang, Pascal C. Chiari, Dorothee Weihrauch, John G. Krolikowski, David C. Warltier, Judy R. Kersten, Phillip F. Pratt, Jr, and Paul S. Pagel

Gender-Specificity of Delayed Preconditioning by Isoflurane in Rabbits: Potential Role of Endothelial Nitric Oxide Synthase
Anesth Analg 2006 103: 274-280. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Female rabbits demonstrated smaller myocardial infarct size concomitant with upregulation of endothelial nitric oxide synthase as compared to their male counterparts. However, remote isoflurane exposure before ischemia and reperfusion did not produce additional cardioprotection in female in contrast to male rabbits. These data suggest that isoflurane-induced delayed preconditioning is gender-specific.

Chen Wang, Dorothee Weihrauch, David A. Schwabe, Martin Bienengraeber, David C. Warltier, Judy R. Kersten, Phillip F. Pratt, Jr, and Paul S. Pagel

Extracellular Signal-Regulated Kinases Trigger Isoflurane Preconditioning Concomitant with Upregulation of Hypoxia-Inducible Factor-1 and Vascular Endothelial Growth Factor Expression in Rats
Anesth Analg 2006 103: 281-288. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Extracellular signal-related kinases (Erk1/2) trigger isoflurane preconditioning in rats. Isoflurane also produces time-dependent upregulation of phospho-Erk, hypoxia-inducible factor-1{alpha} and vascular endothelial growth factor protein expression, suggesting that the cardioprotective effects of the volatile anesthetic occur, in part, as a result of favorable alterations in gene expression.

Stefanie Cromheecke, Veronik Pepermans, Ellen Hendrickx, Sur Lorsomradee, Pieter W. ten Broecke, Bernard A. Stockman, Inez E. Rodrigus, and Stefan G. De Hert

Cardioprotective Properties of Sevoflurane in Patients Undergoing Aortic Valve Replacement with Cardiopulmonary Bypass
Anesth Analg 2006 103: 289-296. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The use of a volatile anesthetic in aortic valve surgery was associated with a better early postoperative recovery of myocardial function and a reduced release of troponin I.

Christine E. Schneemilch, Holger Bachmann, Anke Ulrich, Regine Elwert, Zuhir Halloul, and Thomas Hachenberg

Clonidine Decreases Stress Response in Patients Undergoing Carotid Endarterectomy Under Regional Anesthesia: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Study
Anesth Analg 2006 103: 297-302. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In 80 patients undergoing carotid endarterectomy under regional anesthesia, supplemental clonidine infusion (1 {micro}g {middle dot}kg-1 {middle dot}h-1) suppressed the hyperadrenergic stress responses without affecting neurological monitoring of the patient and decreased development of perioperative neurological deficits.

David A. Pybus

Aortic Atheromatous Plaque Instability Associated with Rotational Aortic Flow During Cardiopulmonary Bypass (Echo Rounds)
Anesth Analg 2006 103: 303-304. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

Frank J. van der Heusen, Greg Stratmann, and Isobel A. Russell

Right Ventricular Myxoma with Partial Right Ventricular Outflow Tract Obstruction (Echo Rounds)
Anesth Analg 2006 103: 305-306. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

Roman M. Sniecinski, Gregory C. Sund, and James G. Ramsay

An Unusual Case of Endocarditis (Echo Rounds)
Anesth Analg 2006 103: 307-308. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

Valter Casati, Armando D’Angelo, Luciano Barbato, Edoardo Rossi, Maria Antonietta Grasso, Salvatore Spagnolo, and Ezio Panzeri

Perioperative Management of a Heterozygous Carrier of Glanzmann’s Thrombasthenia Submitted to Coronary Artery Bypass Grafting With Cardiopulmonary Bypass (Case Report)
Anesth Analg 2006 103: 309-311. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We describe the perioperative management of a patient who was a heterozygous carrier of Glanzmann's thrombasthenia and who submitted to cardiac surgery with cardiopulmonary bypass. The case was complicated by early, excessive postoperative bleeding.

Yandong Jiang, John C. Wain, August W. Chang, Warren M. Zapol, and Zhongcong Xie

Differential Changes of Alveolar Gas Concentrations During Anesthetic Induction of a Patient with an Absent Right Pulmonary Artery (Case Report)
Anesth Analg 2006 103: 312-315. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In this case we report that congenital absence of the right pulmonary artery can alter sevoflurane uptake rate and ETco2 levels in different lungs, and we discuss the anesthesia care for such patients.

PEDIATRIC ANESTHESIA:

Jeremy A. Lieberman, Russ Lyon, John Feiner, Mohammad Diab, and George A. Gregory

The Effect of Age on Motor Evoked Potentials in Children Under Propofol/Isoflurane Anesthesia
Anesth Analg 2006 103: 316-321. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a study of 56 children under general anesthesia, younger children required higher stimulating threshold voltage to obtain myogenic motor evoked potential (MEP) responses. This compromises the ability to use MEP monitoring in young children and may mandate the use of less depressing anesthetics or better MEP stimulating techniques.

Giovanni Cucchiaro, Scott N. Adzick, John B. Rose, Lynne Maxwell, and Mehernoor Watcha

A Comparison of Epidural Bupivacaine-Fentanyl and Bupivacaine-Clonidine in Children Undergoing the Nuss Procedure
Anesth Analg 2006 103: 322-327. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This randomized study evaluates the efficacy and incidence of side effects of epidural clonidine compared with epidural fentanyl. Clonidine induces significantly fewer side effects, compared with fentanyl, and has a similar analgesic profile.

Geert Jan van Geffen and Mathieu Gielen

Ultrasound-Guided Subgluteal Sciatic Nerve Blocks with Stimulating Catheters in Children: A Descriptive Study
Anesth Analg 2006 103: 328-333. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The clinical experience of combining ultrasound guidance and nerve stimulation for the insertion of subgluteal sciatic stimulating catheters in 10 children is described. Excellent perioperative and postoperative pain relief was obtained in all children.

ANESTHETIC PHARMACOLOGY:

Jeffrey S. Kroin, Asokumar Buvanendran, Daniel E. Watts, Chiranjeev Saha, and Kenneth J. Tuman

Upregulation of Cerebrospinal Fluid and Peripheral Prostaglandin E₂ in a Rat Postoperative Pain Model
Anesth Analg 2006 103: 334-343. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Pain-related behavior and the cerebrospinal fluid (CSF) and tissue prostaglandin E2 (PGE2) increase after surgery in rats can all be attenuated by cyclooxygenase inhibitors. Choice of surgical anesthesia greatly influences CSF PGE2, as postoperative CSF PGE2 concentration increased most (threefold) with spinal anesthesia and not at all with propofol.

Daniel P. Wermeling, Kenneth A. Record, Thomas H. Kelly, Sanford M. Archer, Thomas Clinch, and Anita C. Rudy

Pharmacokinetics and Pharmacodynamics of a New Intranasal Midazolam Formulation in Healthy Volunteers
Anesth Analg 2006 103: 344-349. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A new intranasal midazolam formulation provides rapid, reliable, and clinically relevant blood levels and sedative effects. Intranasal midazolam is a therapeutic alternative to injectable and oral dosage forms for preprocedural sedation and anxiolysis for children and adults.

Robert G. Hahn, Lance Brauer, Peter Rodhe, Christer H. Svensén, and Donald S. Prough

Isoflurane Inhibits Compensatory Intravascular Volume Expansion After Hemorrhage in Sheep
Anesth Analg 2006 103: 350-358. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Isoflurane markedly retarded compensatory intravascular volume expansion in sheep after withdrawal of 15% and 45% of the blood volume. Isoflurane affected both the first phase, which is governed by hydrostatic forces, and the second, which is driven by oncotic forces. This might be relevant to fluid administration during inhaled anesthesia.

Petros Ypsilantis, Dimitrios Mikroulis, Maria Politou, Heleni Tsoukali, Michail Pitiakoudis, Vasilios Didilis, Georgios Theodoridis, Georgios Bougioukas, and Constantinos Simopoulos

Tolerance to Propofol’s Sedative Effect in Mechanically Ventilated Rabbits
Anesth Analg 2006 103: 359-365. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We have developed an animal model in mechanically ventilated rabbits that may be used in studies of propofol tolerance, a phenomenon that may develop in critically ill patients and subsequently lead to the usually fatal propofol infusion syndrome.

Il-Woo Shin, Ju-Tae Sohn, Kyeong-Eon Park, Ki Churl Chang, Ju-Young Choi, Heon-Keun Lee, and Young-Kyun Chung

A Supraclinical Dose of Tramadol Stereoselectively Attenuates Endothelium-Dependent Relaxation in Isolated Rat Aorta
Anesth Analg 2006 103: 366-371. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Tramadol, at supraclinical concentrations, stereoselectively attenuates endothelium-dependent relaxation via an inhibitory effect at levels proximal to nitric oxide synthase activation on a pathway involving nonspecific endothelial receptor activation in rat aorta. This attenuation does not occur through opioid receptor activation.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Kirk H. Shelley, Denis H. Jablonka, Aymen A. Awad, Robert G. Stout, Hoda Rezkanna, and David G. Silverman

What Is the Best Site for Measuring the Effect of Ventilation on the Pulse Oximeter Waveform?
Anesth Analg 2006 103: 372-377. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The photoplethysmograph can be used to measure the effects of ventilation on the pulse. As measured by spectral analysis the effect of ventilation was 10 times stronger in the ear and forehead compared with the finger and may be preferable for monitoring respiratory rate and changes in intravascular volume status.

Ashraf A. Dahaba, Ulrike Lischnig, Robert Kronthaler, Helmar Bornemann, Vassil Georgiev, Peter H. Rehak, and Helfried Metzler

Bispectral-Index-Guided Versus Clinically Guided Remifentanil/Propofol Analgesia/Sedation for Interventional Radiological Procedures: An Observer-Blinded Randomized Study
Anesth Analg 2006 103: 378-384. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The use of a bispectral-index-guided regimen for the provision of sedation in interventional radiological procedures resulted in significantly longer optimal sedation as well as fewer remifentanil and propofol doses than a clinically guided regimen. The targeted BIS range of 80-85 provided a sufficient functional level of sedation.

Kyung Soo Park, Eun Jin Hur, Kyung Woo Han, Ho Yeong Kil, and Tae Hyung Han

Bispectral Index Does Not Correlate with Observer Assessment of Alertness and Sedation Scores During 0.5% Bupivacaine Epidural Anesthesia with Nitrous Oxide Sedation
Anesth Analg 2006 103: 385-389. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Bispectral index may be thus of little value for assessing the depth of sedation during nitrous oxide sedation. Monitoring with clinical instruments such as OAA/S is, and should remain, the standard of care and cannot be replaced by using a bispectral index monitor.

ECONOMICS, EDUCATION, AND POLICY:

Michael M. Vigoda, Frank Gencorelli, and David A. Lubarsky

Changing Medical Group Behaviors: Increasing the Rate of Documentation of Quality Assurance Events Using an Anesthesia Information System
Anesth Analg 2006 103: 390-395. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Completion rates of quality assurance documentation can be easily monitored by using an anesthesia information system. Education, improved workflow integration, and providing individual feedback increased the completion rate from 48% to 94%. Anesthesia information systems can facilitate behavioral changes in two ways. Specific tasks can be integrated into the users' workflow by modifying the user interface, and continuous monitoring is possible with minimal resources.

CRITICAL CARE AND TRAUMA:

Reuven Gurfinkel, David Czeiger, Amos Douvdevani, Yoram Shapira, Alan A. Artru, Yuval Sufaro, Julia Mazar, and Gad Shaked

Ketamine Improves Survival in Burn Injury Followed by Sepsis in Rats
Anesth Analg 2006 103: 396-402. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a model of burn injury followed at 24 h by sepsis (Escherichia coli), ketamine given immediately after E. coli inoculation significantly increased survival and decreased interleukin-6 production. Because ketamine is effective when given at the onset of sepsis, it may have clinical applicability.

Manuela Weigl, Andrea Moritz, Barbara Steinlechner, Isabella Schmatzer, Bruno Mora, Richard Fakin, Daniel Zimpfer, Hendrik J. Ankersmit, Cesar Khazen, and Martin Dworschak

Neuronal Injury After Repeated Brief Cardiac Arrests During Internal Cardioverter Defibrillator Implantation Is Associated With Deterioration of Cognitive Function
Anesth Analg 2006 103: 403-409. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Even brief periods of cardiac arrest in which blood flow to the brain is interrupted result in the death of nerve cells, which is accompanied by impaired short-term memory, attention, and learning.

Mukesh Tripathi, Rajesh Pandey, Sushil P. Ambesh, and Mamta Pandey

A Mixture of Organophosphate and Pyrethroid Intoxication Requiring Intensive Care Unit Admission: A Diagnostic Dilemma and Therapeutic Approach (Case Report)
Anesth Analg 2006 103: 410-412. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The clinical presentation of acute poisoning resulting from the ingestion of an insecticide containing an unauthorized mixture of organophosphate and pyrethroid is similar to that of organophosphate alone. The ingestion of such a mixture may cause significant diagnostic difficulty and jeopardize the safety profile (complete elimination from mammals with little tissue accumulation) of the pyrethroid group of insecticides.

NEUROSURGICAL ANESTHESIA:

Ikuko Nasu, Noriko Yokoo, Seiji Takaoka, Kosuke Takata, Tamie Hoshikawa, Masayuki Okada, and Yoshihide Miura

The Dose-Dependent Effects of Isoflurane on Outcome from Severe Forebrain Ischemia in the Rat
Anesth Analg 2006 103: 413-418. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The dose-dependent effects of isoflurane were examined in a rat model of severe forebrain ischemia. Outcome across a range of variables was better in rats receiving <1.5 MAC isoflurane.

Philip E. Bickler and Christian S. Fahlman

The Inhaled Anesthetic, Isoflurane, Enhances Ca²⁺-Dependent Survival Signaling in Cortical Neurons and Modulates MAP Kinases, Apoptosis Proteins and Transcription Factors During Hypoxia
Anesth Analg 2006 103: 419-429. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The mechanisms by which isoflurane protects hypoxic neurons remains incompletely defined. In cortical neurons cultured from mice, we show that isoflurane activates a series of neuroprotective intracellular signaling events that include moderate increases in intracellular calcium concentration, phosphorylation of several MAP kinase families, and phosphorylation of transcription factors.

Kamila Vagnerova, Patricia D. Hurn, Anish Bhardwaj, and Jeffrey R. Kirsch

Sigma 1 Receptor Agonists Act as Neuroprotective Drugs Through Inhibition of Inducible Nitric Oxide Synthase
Anesth Analg 2006 103: 430-434. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Postischemic administration of a sigma-1 receptor agonist decreases stroke size. Efficacy of sigma-1 receptor agonists for preventing ischemia-induced brain injury may be linked to their ability to prevent activation of inducible nitric oxide activity during reperfusion.

Randall H. E. Kerr and Richard L. Applegate, II

Accurate Placement of the Right Atrial Air Aspiration Catheter: A Descriptive Study and Prospective Trial of Intravascular Electrocardiography (Brief Report)
Anesth Analg 2006 103: 435-438. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We investigated electrocardiograph-guided placement of the right atrial air aspiration catheter in 20 patients. When compared with transesophageal echocardiography, we found positioning to be inaccurate in some patients. For procedures with high risk of air embolism, echocardiography may provide superior catheter placement as well as detect significant intracardiac pathology.

OBSTETRIC ANESTHESIA:

Ramiah Ramasubramanian, Raymond F. Johnson, John W. Downing, Beth H. Minzter, and Ray L. Paschall

Hypoxemic Fetoplacental Vasoconstriction: A Graduated Response to Reduced Oxygen Conditions in the Human Placenta
Anesth Analg 2006 103: 439-442. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Reduced oxygen conditions (hypoxemia) increased fetoplacental arterial blood pressures (FAP) in a well established laboratory model of the human placenta. The smaller the oxygen concentration the larger the increase in FAP. Our results suggest that the physiological reaction to a decrease in oxygen availability at the mother/baby placental boundary, known as hypoxemic fetoplacental vasoconstriction (HFPV), is a graduated response. These findings contribute to a better understanding of HFPV and may help us determine its role in health and disease.

Kyung Y. Yoo, Jun C. Lee, Myung H. Yoon, Min-HO Shin, Seok J. Kim, Yoon H. Kim, Tae B. Song, and JongUn Lee

The Effects of Volatile Anesthetics on Spontaneous Contractility of Isolated Human Pregnant Uterine Muscle: A Comparison Among Sevoflurane, Desflurane, Isoflurane, and Halothane
Anesth Analg 2006 103: 443-447. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Volatile anesthetics, including sevoflurane, desflurane, isoflurane, and halothane, inhibit spontaneous contractility of gravid human uterine muscle in a dose-dependent manner. These effects are unlikely to be related to modulation of BKCa or KATP channels, except for the action of isoflurane, which is in part mediated through activation of KATP channels.

GENERAL ARTICLES:

Michal Barak, Oded Jurim, Ronit Tal, and Yeshayahu Katz

Prolonged International Normalized Ratio Correlates with a Large Intravascular Fluid Balance After Major Abdominal Surgery
Anesth Analg 2006 103: 448-452. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This is a prospective randomized study of 32 patients who had undergone pancreaticoduodenectomy. We studied their coagulation tests after the surgery and found a significant correlation between positive intravascular fluid balance and deterioration of International Normalized Ratio.

Davide Cattano, Steven Abramson, Stefano Buzzigoli, Candido Zoppi, Ettore Melai, Francesco Giunta, and Carin Hagberg

The Use of the Laryngeal Mask Airway During Guidewire Dilating Forceps Tracheostomy
Anesth Analg 2006 103: 453-457. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The percutaneous tracheostomy technique is becoming a common alternative to traditional open tracheostomy. The purpose of this study was to confirm the safety and effectiveness of the Laryngeal Mask Airway compared with an endotracheal tube for airway management during the guidewire dilating forceps tracheostomy technique.

Matthias Hohlrieder, Joseph Brimacombe, Achim von Goedecke, and Christian Keller

Guided Insertion of the ProSeal Laryngeal Mask Airway Is Superior to Conventional Tracheal Intubation by First-Month Anesthesia Residents After Brief Manikin-Only Training
Anesth Analg 2006 103: 458-462. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Laryngoscope-guided, gum elastic bougie-guided insertion of the ProSeal laryngeal mask airway is superior to conventional laryngoscope-guided tracheal intubation for airway management by first-month anesthesia residents after brief manikin-only training. It has potential as a tool for resuscitation and field studies are warranted.

Beth A. Elliott, Timothy B. Curry, Thomas D. Atwell, Michael J. Brown, and Steven H. Rose

Lung Isolation, One-Lung Ventilation, and Continuous Positive Airway Pressure with Air for Radiofrequency Ablation of Neoplastic Pulmonary Lesions (Case Report)
Anesth Analg 2006 103: 463-464. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Radiofrequency ablation uses needle electrodes to destroy tumors through localized heating, but damage to nearby important structures can occur. We discuss the steps that can be taken in the anesthetic management of patients undergoing radiofrequency ablation of lung lesions to minimize the risk of such damage.

PAIN MEDICINE:

Joel B. Epstein, Joshua D. Epstein, Matthew S. Epstein, Hal Oien, and Edmond L. Truelove

Oral Doxepin Rinse: The Analgesic Effect and Duration of Pain Reduction in Patients with Oral Mucositis Due to Cancer Therapy
Anesth Analg 2006 103: 465-470. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Pain in cancer patients due to oral mucositis significantly affects quality of life. We found that topical doxepin rinse provided significant pain reduction with longer pain relief for patients with higher baseline pain, more severe baseline erythema, or those with a large relative reduction in pain after rinsing.

Ahmet Dogrul, Ilke Coskun, and Tayfun Uzbay

The Contribution of Alpha-1 and Alpha-2 Adrenoceptors in Peripheral Imidazoline and Adrenoceptor Agonist-Induced Nociception
Anesth Analg 2006 103: 471-477. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Localized peripheral administration of analgesics is one alternative for pain control. We investigated the role of adrenergic receptor subtypes on peripheral transmission of pain. The activation of {alpha}-1 adrenoceptors by intradermal noradrenaline and phenylephrine produce local thermal hyperalgesia. In contrast, the activation of {alpha}-2 adrenoceptors by intradermal clonidine and agmatine, an imidazoline receptor agonist, produced a local antinociceptive action.

Austin W. Merrill, Linda S. Barter, Uwe Rudolph, Edmond I. Eger, II, Joseph F. Antognini, Mirela Iodi Carstens, and E. Carstens

Propofol’s Effects on Nociceptive Behavior and Spinal C-Fos Expression After Intraplantar Formalin Injection in Mice with a Mutation in the Gamma-Aminobutyric Acid-Type_A Receptor ß3 Subunit
Anesth Analg 2006 103: 478-483. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Propofol sufficient to produce immobility did not prevent increased activation (c-fos expression) of spinal neurons by intraplantar formalin injection, a finding consistent with propofol lacking analgesic properties. Mice with a mutation of the gamma-aminobutyric acid type A receptor were resistant to propofol anesthesia, supporting the importance of this receptor for propofol's action.

REGIONAL ANESTHESIA:

Huub L.A. van den Oever, Misa Dzoljic, Can Ince, Markus W. Hollmann, and Fleur C. Mokken

Orthogonal Polarization Spectral Imaging of the Microcirculation During Acute Hypervolemic Hemodilution and Epidural Lidocaine Injection (Brief Report)
Anesth Analg 2006 103: 484-487. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In this pilot study, Orthogonal Polarization Spectral imaging was used to examine the microcirculatory effects of acute hypervolemic hemodilution and thoracic epidural injection of lidocaine. The two study interventions produced consistent effects on heart rate and arterial blood pressure but not on the microcirculation of vaginal mucosa.

LETTER TO THE EDITOR:

George Mychaskiw, II, Ahmed E. Badr, and Arthur M. Calimaran

Ethics, Marketing, and the Medical Literature
Anesth Analg 2006 103: 488. [Full Text] [PDF] [Request Permissions]  

Steven L. Shafer

Ethics, Marketing, and the Medical Literature
Anesth Analg 2006 103: 488. [Full Text] [PDF] [Request Permissions]  

Paul F. White

Ethics, Marketing, and the Medical Literature
Anesth Analg 2006 103: 488-489. [Full Text] [PDF] [Request Permissions]  

Charles R. Roberson and Tricia A. Meyer

Ethics, Marketing, and the Medical Literature
Anesth Analg 2006 103: 489. [Full Text] [PDF] [Request Permissions]  

Yulia Ivashkova and Christopher M. Zylak

Anterograde Endotracheal Intubation with Fluoroscopic Guidance
Anesth Analg 2006 103: 489-490. [Full Text] [PDF] [Request Permissions]  

Norihito Kitagawa, Mayuko Oda, and Tadahide Totoki

Meperidine-Induced Muscular Rigidity During Spinal Anesthesia?
Anesth Analg 2006 103: 490-491. [Full Text] [PDF] [Request Permissions]  

Taidi Zhong, Chunyan Yan, and David A. Story

Emergency Cardiopulmonary Bypass for Prolonged Cardiac Arrest During Hepatic Resection
Anesth Analg 2006 103: 491. [Full Text] [PDF] [Request Permissions]  

Paul G. Loubser

Needleless Adaptation to Blood Collection Bags Used for Acute Normovolemic Hemodilution
Anesth Analg 2006 103: 491-492. [Full Text] [PDF] [Request Permissions]  

Sanae Matsumoto, Takashi Asai, and Koh Shingu

Truview Video Laryngoscope in Patients with Difficult Airways
Anesth Analg 2006 103: 492-493. [Full Text] [PDF] [Request Permissions]  

Yushi U. Adachi, Matsuyuki Doi, and Shigehito Sato

Cardiac Arrest by Venous Air Embolism During Hepatic Resection Using the Cavitron Ultrasonic Surgical Aspirator®
Anesth Analg 2006 103: 493-494. [Full Text] [PDF] [Request Permissions]  

Bon-N Koo, Ji Y. Kim, Hae K. Kil, and Yong W. Hong

Cardiac Arrest by Venous Air Embolism During Hepatic Resection Using the Cavitron Ultrasonic Surgical Aspirator®
Anesth Analg 2006 103: 494. [Full Text] [PDF] [Request Permissions]  

Henrik Kehlet

Perioperative Analgesia to Prevent Chronic Postmastectomy Pain
Anesth Analg 2006 103: 494. [Full Text] [PDF] [Request Permissions]  

A. Fassoulaki

Perioperative Analgesia to Prevent Chronic Postmastectomy Pain
Anesth Analg 2006 103: 494-495. [Full Text] [PDF] [Request Permissions]  

Arne J. Brock-Utne

The Universal Bite-Block: A Word of Caution
Anesth Analg 2006 103: 495-496. [Full Text] [PDF] [Request Permissions]  

Aki Ohmori, Hiroshi Iranami, and Yoshio Hatano

Subcutaneous Emphysema Caused by Pulsatile Irrigation During Orthopedic Surgery
Anesth Analg 2006 103: 496-497. [Full Text] [PDF] [Request Permissions]  

Zahid Hussain Khan and Shahriar Arbabi

The Reliability and Validity of the Upper Lip Bite Test Compared with the Mallampati Classification to Predict Difficult Laryngoscopy
Anesth Analg 2006 103: 497. [Full Text] [PDF] [Request Permissions]  

Rodney L. Trytko

Preventing Hypoxemia During Pulmonary Sleeve Resections
Anesth Analg 2006 103: 497. [Full Text] [PDF] [Request Permissions]  

Ju-Mei Ng

Preventing Hypoxemia During Pulmonary Sleeve Resections
Anesth Analg 2006 103: 497. [Full Text] [PDF] [Request Permissions]  

Gavin D. Perkins and Fang Gao

Over-the-Head CPR
Anesth Analg 2006 103: 498. [Full Text] [PDF] [Request Permissions]  

Peter Nagele and Michael Hüpfl

Over-the-Head CPR
Anesth Analg 2006 103: 498-499. [Full Text] [PDF] [Request Permissions]  

Geordie P. Grant, Roger E. Turbin, Henry L. Bennett, Bernard C. Szirth, and Robert F. Heary

Use of the Proneview ^TM Helmet System with a Modified Table Platform for Open Access to the Eyes During Prone Spine Surgery
Anesth Analg 2006 103: 499-500. [Full Text] [PDF] [Request Permissions]  

Banu Çevik, S. Çolakoglu, C. Ilham, and A. Örskiran

Anesthetic Management of Cesarean Delivery in Pregnant Women with a Temporary Pacemaker
Anesth Analg 2006 103: 500-501. [Full Text] [PDF] [Request Permissions]  

Tetsuo Takiguchi, Shigeki Yamaguchi, Yosuke Usui, Toshimitsu Kitajima, and Kenjiro Matsuno

Morphological Findings of the Cauda Equina in the Lateral Decubitus Position in Cadavers
Anesth Analg 2006 103: 501-502. [Full Text] [PDF] [Request Permissions]  

Ahmad Bagherpour, Parviz Amri Maleh, and Roshanak Saghebi

Accidental Intrathecal Administration of Digoxin
Anesth Analg 2006 103: 502-503. [Full Text] [PDF] [Request Permissions]  

Shigeaki Tanahashi, Hiroki lida, and Shuji Dohi

An Anaphylactoid Reaction After Administration of Fluorescein Sodium During Neurosurgery
Anesth Analg 2006 103: 503. [Full Text] [PDF] [Request Permissions]  

Zahid Hussain Khan and Hooshang Saberi

Unresponsiveness and Pinpoint Pupils After Cerebellopontine Angle Tumor Resection: Opioid Overdose Versus Postoperative Hemorrhage
Anesth Analg 2006 103: 503-504. [Full Text] [PDF] [Request Permissions]  

Mark Greenberg

Mislabeling of Miller 1.5 Laryngoscope Blade Complicating Tracheal Intubation
Anesth Analg 2006 103: 504-505. [Full Text] [PDF] [Request Permissions]  

Mitchel B. Sosis

Is Capnometry the Optimum Method for Assessing the Adequacy of Endotracheal Tube Cuff Seal?
Anesth Analg 2006 103: 505. [Full Text] [PDF] [Request Permissions]  

Shai Efrati

Is Capnometry the Optimum Method for Assessing the Adequacy of Endotracheal Tube Cuff Seal?
Anesth Analg 2006 103: 505-506. [Full Text] [PDF] [Request Permissions]  

Jana Hudcova and Roman Schumann

Fatal Right Ventricular Failure with Intracardiac Thrombus Formation During Liver Transplantation Not Apparent on Postmortem Examination
Anesth Analg 2006 103: 506. [Full Text] [PDF] [Request Permissions]  

Erdal Aslim and Elif A. Akpek

Regional Anesthesia for Carotid Endarterectomy
Anesth Analg 2006 103: 506-507. [Full Text] [PDF] [Request Permissions]  

Edward C. Nemergut, Jay B. Sleesman, and Keith E. Littlewood

The Use of Transcutaneous Pco₂ to Titrate Hypocapnia and Reduce Pulmonary Vascular Resistance During Mitral Valve Replacement in a Patient with Severe Pulmonary Hypertension
Anesth Analg 2006 103: 507. [Full Text] [PDF] [Request Permissions]  

Klaus-Henning Krause and Johanna Krause

Is Akathisia a Frequent Side Effect of Neuroleptics in Patients with Attention Deficit/Hyperactivity Disorder?
Anesth Analg 2006 103: 507-508. [Full Text] [PDF] [Request Permissions]  

Allan J. Goldman, Regina Wender, William Rosenblatt, and David Theil

The Fiberoptic Intubating LMA-CTrach ^TM: An Initial Device Evaluation
Anesth Analg 2006 103: 508. [Full Text] [PDF] [Request Permissions]  

Takeshi Yokoyama, Koichi Yamashita, and Masanobu Manabe

Airway Obstruction Caused by Nasal Airway
Anesth Analg 2006 103: 508-509. [Full Text] [PDF] [Request Permissions]  

Christine W. Hunter and Shaul Cohen

A New Use for the GlideScope
Anesth Analg 2006 103: 509. [Full Text] [PDF] [Request Permissions]  

Demet S. Sulemanji, Selim Candan, Adnan Torgay, and Asli Dönmez

Horner Syndrome After Subclavian Venous Catheterization
Anesth Analg 2006 103: 509-510. [Full Text] [PDF] [Request Permissions]  

Matilde Zaballos, Ruben Villazala, Salome Agusti, Elvira García de Lucas, Emilia Bastida, and Juan Navia, MD

Can Anesthesiologists Trust Anesthesia Depth Monitors?
Anesth Analg 2006 103: 510. [Full Text] [PDF] [Request Permissions]  

Steven M. Neustein

Clinical Experience with Small-Dose Granisetron and Dexamethasone for Prevention of Postoperative Nausea and Vomiting
Anesth Analg 2006 103: 510-511. [Full Text] [PDF] [Request Permissions]  

Tong J. Gan, Andrew Coop, and Beverly K. Philip

Clinical Experience with Small-Dose Granisetron and Dexamethasone for Prevention of Postoperative Nausea and Vomiting
Anesth Analg 2006 103: 511. [Full Text] [PDF] [Request Permissions]  

Richard W. Hong, Mary Lou V. H. Greenfield, and Linda S. Polley

Nitroglycerin for Uterine Inversion in the Absence of Placental Fragments
Anesth Analg 2006 103: 511-512. [Full Text] [PDF] [Request Permissions]  

Asim Esen, Pelin Karaaslan, Rahmi Can Akgün, and Gülnaz Arslan

Successful Spinal Anesthesia in a Patient with Huntington’s Chorea
Anesth Analg 2006 103: 512-513. [Full Text] [PDF] [Request Permissions]  

Yoshitaka Takii, Koki Sunouchi, Masao Tadokoro, Yujiro Murata, Yoshiko Unno, Chie Hayano, and Wataru Yoshikawa

Paraplegia from Spinal Cord Injury After Thoracic Epidural Catheterization Performed Under General Anesthesia
Anesth Analg 2006 103: 513. [Full Text] [PDF] [Request Permissions]  

Jerry S. Matsumura and Arnold J. Berry

Addicted Anesthesiology Residents: Recommendations After Treatment
Anesth Analg 2006 103: 513-515. [Full Text] [PDF] [Request Permissions]  

Gregory B. Collins and Mark S. McAllister

Addicted Anesthesiology Residents: Recommendations After Treatment
Anesth Analg 2006 103: 515. [Full Text] [PDF] [Request Permissions]  

Michael Winterhalter, Stefan Fischer, Rene Tessmann, Adelheid Goerler, Siegfried Piepenbrock, Axel Haverich, and Martin Strueber

Using Inhaled Iloprost to Wean from Cardiopulmonary Bypass After Implanting a Left Ventricular Assist Device
Anesth Analg 2006 103: 515-516. [Full Text] [PDF] [Request Permissions]  

Brian P. Pezzutti

Iraq Experience
Anesth Analg 2006 103: 516-517. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

John E. Tetzlaff

Pain Medicine: The Requisites in Anesthesiology
Anesth Analg 2006 103: 518. [Full Text] [PDF] [Request Permissions]  

Claudia Venable

Smith’s Anesthesia for Infants and Children, 7th ed.
Anesth Analg 2006 103: 518-519. [Full Text] [PDF] [Request Permissions]  

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