CARDIOVASCULAR ANESTHESIA:

Andra Ibrahim Duncan, Jia Lin, Colleen G. Koch, A. Marc Gillinov, Meng Xu, and Norman J. Starr

The Impact of Gender on In-Hospital Mortality and Morbidity After Isolated Aortic Valve Replacement
Anesth Analg 2006 103: 800-808. [Abstract] [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

IMPLICATIONS: The impact of gender on outcomes after aortic valve replacement is controversial. The results of this retrospective investigation find that female gender does not impart a greater than 2.5-fold increase in risk of postoperative mortality after aortic valve replacement. Female gender may impart increased risk for postoperative cardiac morbidity.

Vera von Dossow, Nadine Baehr, Maryam Moshirzadeh, Christian von Heymann, Jan P. Braun, Ortrud V. Hein, Michael Sander, Klaus-D Wernecke, Wolfgang Konertz, and Claudia D. Spies

Clonidine Attenuated Early Proinflammatory Response in T-Cell Subsets After Cardiac Surgery
Anesth Analg 2006 103: 809-814. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Surgery and cardiopulmonary bypass lead to a potent stress response which might be associated with an imbalance of the immune system and increased risk for postoperative infections. Clonidine might attenuate this stress response by reducing the sympathetic tone and consecutively reducing immune cell activation maintaining immune balance after surgery.

Marcos A. Lessa and Eduardo Tibiriçá

Pharmacologic Evidence for the Involvement of Central and Peripheral Opioid Receptors in the Cardioprotective Effects of Fentanyl
Anesth Analg 2006 103: 815-821. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Fentanyl induces cardioprotection against ischemia/reperfusion (I/R) injury associated with sympathetic overactivity in rabbits. This cardioprotective effect of fentanyl is essentially characterized by central antiarrhythmic and peripheral antiischemic actions and confirms the importance of opioid drug use for managing patients with ischemic heart disease submitted to anesthesia and surgery.

Maike A. Grosse Hartlage, Marc M. Theisen, Nelson P. Monteiro de Oliveira, Hugo Van Aken, Manfred Fobker, and Thomas P. Weber

-Opioid Receptor Antagonism Improves Recovery from Myocardial Stunning in Chronically Instrumented Dogs
Anesth Analg 2006 103: 822-832. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The selective {kappa}-opioid receptor antagonist nor-binaltorphimine increases regional and global myocardial contractility and improves recovery from myocardial stunning after regional myocardial ischemia in chronically instrumented dogs. This suggests that selective {kappa}-opioid receptor antagonism may have the potential to protect patients at high risk of myocardial ischemia-reperfusion injury.

William C. Oliver, Jr, Gregory A. Nuttall, Kenneth J. Cherry, Paul A. Decker, Thomas Bower, and Mark H. Ereth

A Comparison of Fenoldopam with Dopamine and Sodium Nitroprusside in Patients Undergoing Cross-Clamping of the Abdominal Aorta
Anesth Analg 2006 103: 833-840. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Even with infrarenal cross-clamping of the aorta, renal preservation and hemodynamic stability are vital. We compared fenoldopam with a combination of dopamine and nitroprusside and found no superiority regarding hemodynamic maintenance or renal protection. With current economic pressures, selection of equivalent therapies may result in cost savings.

Paul Audu, Vance G. Nielsen, Valerie Armstead, Garry Powell, Jerry Kim, Larry Kim, and Munira Mehta

The Impact of Tissue Factor Pathway Inhibitor on Coagulation Kinetics Determined by Thrombelastography
Anesth Analg 2006 103: 841-845. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Tissue factor pathway inhibitor (TFPI), the endogenous inhibitor of tissue factor-initiated coagulation, could potentially affect thrombelastographic variables. The concentrations of TFPI required to affect thrombelastographic variables exceeded by >=80-fold normal concentrations. Thus, clinically encountered TFPI concentrations would be expected to have minimal effects on thrombelastographic assessments of hemostasis.

David P. Strum and Michael R. Pinsky

Modeling Ischemia-Induced Dyssynchronous Myocardial Contraction
Anesth Analg 2006 103: 846-853. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We validated a method of quantifying the impact of regional myocardial ischemia on global cardiac performance using regional phase angle analysis easily applied at the bedside.

Adam B. Lerner, Balachundhar Subramaniam, Feroze Mahmood, and Kamal R. Khabbaz

An Unusual Echodensity in the Ascending Aorta: Transesophageal Echocardiographic Visualization of a Protruding Coronary Stent (Echo Rounds)
Anesth Analg 2006 103: 854-855. [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

Craig D. McClain, Francis X. McGowan, and Pete G. Kovatsis

Laparoscopic Surgery in a Patient with Fontan Physiology (Case Report)
Anesth Analg 2006 103: 856-858. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Patients who have had complex cardiac surgery as children are now presenting as adults requiring anesthesia. We explored the implications of neonatal cardiac surgery and Fontan physiology in a young adult undergoing laparoscopic surgery.

PEDIATRIC ANESTHESIA:

Randall C. Wetzel

Don’t Confuse the Anesthetic with the Anesthesiologist! (Editorial)
Anesth Analg 2006 103: 859-862. [Full Text] [PDF] [Request Permissions]  

Priti G. Dalal, David Murray, Thomas Cox, John McAllister, and Rebecca Snider

Sedation and Anesthesia Protocols Used for Magnetic Resonance Imaging Studies in Infants: Provider and Pharmacologic Considerations
Anesth Analg 2006 103: 863-868. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A sedation and anesthesia program for infants that includes oral chloral hydrate, IV pentobarbital, and propofol infusion can meet the sedation and anesthesia requirements to obtain magnetic resonance imaging (MRI) studies. Infants who received pentobarbital and propofol were less likely to be inadequately sedated for MRI, but they more frequently experienced a cardiorespiratory event when compared to infants who received chloral hydrate.

Patrick Miller, Christopher D. Mack, Marla Sammer, Irene Rozet, Lorri A. Lee, Saipin Muangman, Marjorie Wang, Will Hollingworth, Arthur M. Lam, and Monica S. Vavilala

The Incidence and Risk Factors for Hypotension During Emergent Decompressive Craniotomy in Children with Traumatic Brain Injury
Anesth Analg 2006 103: 869-875. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We conducted a retrospective study to examine risk factors for intraoperative hypotension (IH) during emergent decompressive craniotomy. Of the risk factors examined, midline shift on head computed tomography and blood loss predicted IH but midline shift >=4 mm predicted IH, independent of IH.

ANESTHETIC PHARMACOLOGY:

Tomoko Muguruma, Shinichi Sakura, and Yoji Saito

Epidural Lidocaine Induces Dose-Dependent Neurologic Injury in Rats
Anesth Analg 2006 103: 876-881. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: These experiments showed that epidural lidocaine caused dose-dependent functional impairment and histologic damage after continuous infusion in rats. The findings suggest that patients may not be immune to neurologic injury when epidural lidocaine is administered in large doses.

Timothy E. Morey, Jerome H. Modell, Dushyant Shekhawat, Dinesh O. Shah, Brian Klatt, George P. Thomas, Frank A. Kero, Matthew M. Booth, and Donn M. Dennis

Anesthetic Properties of a Propofol Microemulsion in Dogs
Anesth Analg 2006 103: 882-887. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A clear, colorless microemulsion or an opaque macroemulsion of propofol was used to induce anesthesia in dogs and did not significantly vary with respect to dose, time to induction and recovery, vital signs, hemogram, coagulation time, or plasma propofol concentrations from one preparation to the other.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Rachana K. Visaria and Dwayne R. Westenskow

Model-Based Detection of Endobronchial Intubation
Anesth Analg 2006 103: 888-893. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We describe a novel, automated, noninvasive, model-based approach to detect inadvertent endobronchial intubation within seconds of onset using airway pressure and flow signals.

Christian Jeleazcov, Gerhard Schneider, Michael Daunderer, Bertram Scheller, Jürgen Schüttler, and Helmut Schwilden

The Discriminant Power of Simultaneous Monitoring of Spontaneous Electroencephalogram and Evoked Potentials as a Predictor of Different Clinical States of General Anesthesia
Anesth Analg 2006 103: 894-901. [Abstract] [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

IMPLICATIONS: We performed a discriminant function analysis on single and combined information extracted from simultaneous measurements of electroencephalogram, auditory evoked potentials, and somatosensory evoked potentials as predictors of four different states during clinical anesthesia. Combined information from these electrophysiological measurements showed more discriminant power than information from each measurement alone.

Stefan Schraag, Joachim Flaschar, Manuela Schleyer, Michael Georgieff, and Gavin N.C. Kenny

The Contribution of Remifentanil to Middle Latency Auditory Evoked Potentials During Induction of Propofol Anesthesia
Anesth Analg 2006 103: 902-907. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Although there is evidence of a quantitative interaction of propofol with remifentanil for unconsciousness, increasing concentrations of remifentanil are not adequately reflected in the assessment of anesthesia based on middle latency auditory evoked potentials during propofol anesthesia. Therefore, remifentanil does seem to have only a limited contribution to the suppression of the auditory evoked response.

Michael O’Reilly, AkkeNeel Talsma, Sharon VanRiper, Sachin Kheterpal, and Richard Burney

An Anesthesia Information System Designed to Provide Physician-Specific Feedback Improves Timely Administration of Prophylactic Antibiotics
Anesth Analg 2006 103: 908-912. [Abstract] [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

IMPLICATIONS: Assuring reliable, timely administration of prophylactic antibiotics before elective surgery is difficult. Using an electronic documentation system and practice guidelines to provide feedback to individual anesthesia providers significantly increased the proportion of patients receiving antibiotics within 60 min of incision for all types of surgery. This methodology lends itself to application with additional performance measures, such as blood glucose and normothermia management.

Tin-tai Chow, Anne Kwan, Zhang Lin, and Wei Bai

A Computer Evaluation of Ventilation Performance in a Negative-Pressure Operating Theater
Anesth Analg 2006 103: 913-918. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A negative-pressure operating theater may help limit the spread of air-borne infections from patients with respiratory disease. This article describes the ventilation design of a specific case and evaluates its airflow performance using computer simulation.

ECONOMICS, EDUCATION, AND POLICY:

Franklin Dexter and Ruth E. Wachtel

Economic, Educational, and Policy Perspectives on the Preincision Operating Room Period (Editorial)
Anesth Analg 2006 103: 919-921. [Full Text] [PDF] [Request Permissions]  

Alejandro Escobar, Elizabeth A. Davis, Jan Ehrenwerth, Gail A. Watrous, Gene S. Fisch, Zeev N. Kain, and Paul G. Barash

Task Analysis of the Preincision Surgical Period: An Independent Observer-Based Study of 1558 Cases
Anesth Analg 2006 103: 922-927. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: There is significant variation in anesthesia release time and surgical preparation time. For operating room scheduling purposes, assigning a constant fixed duration for anesthetic induction is inappropriate and will result in creating erroneous administrative expectations.

Haleh Saadat, Alejandro Escobar, Elizabeth A. Davis, Jan Ehrenwerth, Gail Watrous, Gene S. Fisch, Zeev N. Kain, and Paul G. Barash

Task Analysis of the Preincision Period in a Pediatric Operating Suite: An Independent Observer-Based Study of 656 Cases
Anesth Analg 2006 103: 928-931. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Anesthesia release time in young children undergoing surgery is highly variable and is dependent on factors such as the surgical service involved, ASA physical status, age, and placement of invasive hemodynamic monitors. These factors should be considered when scheduling a surgical case.

Elizabeth A. Davis, Alejandro Escobar, Jan Ehrenwerth, Gail A. Watrous, Gene S. Fisch, Zeev N. Kain, and Paul G. Barash

Resident Teaching Versus the Operating Room Schedule: An Independent Observer-Based Study of 1558 Cases
Anesth Analg 2006 103: 932-937. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Although anesthesiology resident teaching during the preincision period increases time to surgical incision, the increase is minor and insignificant compared with the time required to complete the surgical procedure.

Jan Ehrenwerth, Alejandro Escobar, Elizabeth A. Davis, Gail A. Watrous, Gene S. Fisch, Zeev N. Kain, and Paul G. Barash

Can the Attending Anesthesiologist Accurately Predict the Duration of Anesthesia Induction? (Brief Report)
Anesth Analg 2006 103: 938-940. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: For a large group of patients, attending anesthesiologists perform well in predicting the time required before releasing a patient to the surgical team after induction of anesthesia. However, for a given patient the accuracy is only 53%.

CRITICAL CARE AND TRAUMA:

Tetsuro Sakai, Raymond M. Planinsic, Joseph J. Quinlan, Linda J. Handley, Tae-Yop Kim, and Ibetsam A. Hilmi

The Incidence and Outcome of Perioperative Pulmonary Aspiration in a University Hospital: A 4-Year Retrospective Analysis
Anesth Analg 2006 103: 941-947. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Perioperative pulmonary aspiration (PPA) occurred in 14 of 99,441 anesthetics at our teaching hospital over 4 yr, with 70% of PPA attributed to improper anesthesia technique. Identifying patients at risk for PPA and the surgical procedures that put them at risk will provide a better choice of anesthetic technique to prevent this serious complication.

Patrick Meybohm, Erol Cavus, Berthold Bein, Markus Steinfath, Philipp-Alexander Brand, Jens Scholz, and Volker Dörges

Cerebral Metabolism Assessed with Microdialysis in Uncontrolled Hemorrhagic Shock After Penetrating Liver Trauma
Anesth Analg 2006 103: 948-954. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: As hemorrhagic shock can result in global cerebral ischemia, markers of cerebral metabolism and cell damage may be useful in evaluating therapy strategies. Intracerebral microdialysis is a sensitive, established technique which can be used to analyze tissue biochemistry.

NEUROSURGICAL ANESTHESIA:

Alex Bekker, Mark Gold, Raza Ahmed, Jung Kim, Caron Rockman, Glenn Jacobovitz, Thomas Riles, and Gene Fisch

Dexmedetomidine Does Not Increase the Incidence of Intracarotid Shunting in Patients Undergoing Awake Carotid Endarterectomy
Anesth Analg 2006 103: 955-958. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATION: The use of dexmedetomidine as a primary sedative does not increase intraarterial shunting in patients undergoing awake carotid endarterectomy as compared to historical control.

Johanna K. Bray, Roshan Fernando, Nisa P. Patel, and Malachy O. Columb

Suprasternal Doppler Estimation of Cardiac Output: Standard Versus Sequential Combined Spinal Epidural Anesthesia for Cesarean Delivery
Anesth Analg 2006 103: 959-964. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A suprasternal Doppler technique was used to measure cardiac output after either standard or sequential combined spinal-epidural anesthesia for elective cesarean delivery. No difference in cardiovascular stability was found as a result of anesthetic technique in healthy parturients.

GENERAL ARTICLES:

R. Amathieu, N. Smail, J. Catineau, M. P. Poloujadoff, K. Samii, and F. Adnet

Difficult Intubation in Thyroid Surgery: Myth or Reality?
Anesth Analg 2006 103: 965-968. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We studied the incidence of intubation difficulty in 324 consecutive patients scheduled for thyroid surgery. The presence of a palpable goiter, airway deviation, or airway compression did not predict difficult intubation.

Christian von Heymann, Axel Pruss, Michael Sander, Anne Finkeldey, Sabine Ziemer, Ulrich Kalus, Holger Kiesewetter, Abdulgabar Salama, and Claudia Spies

Thawing Procedures and the Time Course of Clotting Factor Activity in Fresh-Frozen Plasma: A Controlled Laboratory Investigation
Anesth Analg 2006 103: 969-974. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The aim of this laboratory investigation was to study the influence of different thawing procedures on the activity of clotting factors and inhibitors of the hemostatic system. The results may influence clinical practice, as the results between the commercially available devices and the control method were not different.

George A. Mashour

Integrating the Science of Consciousness and Anesthesia (Review Article)
Anesth Analg 2006 103: 975-982. [Abstract] [Full Text] [PDF] [Request Permissions]  

Zhong-huang Xu, Ai-lun Luo, Xiang-yang Guo, Hong-zhi Ren, Ying-lin Wang, Xue Zhang, Yu-guang Huang, and Tie-hu Ye

Malignant Hyperthermia in China (Case Report)
Anesth Analg 2006 103: 983-985. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We report a case of malignant hyperthermia (MH) in China and suggest that dantrolene be routinely stocked throughout China for treatment of MH.

Avery Tung, Steven Roth, Michael F. O’Connor, Wenhua Liu, and John E. Ellis

Fulminant Liver Failure After Radical Prostatectomy in the Hyperlordotic Position (Case Report)
Anesth Analg 2006 103: 986-988. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In the hyperlordotic position, the patient's hips are above the feet and head. This position facilitates abdominal surgery but can also cause organ damage. We report a case of liver failure after a prostatectomy performed in the hyperlordotic position. This position should only be used with careful monitoring of organ function.

ANALGESIA:

Jean-Denis Roy, Luc Massicotte, Marie-Pascale Sassine, Robert F. Seal, and André Roy

A Comparison of Intrathecal Morphine/Fentanyl and Patient-Controlled Analgesia with Patient-Controlled Analgesia Alone for Analgesia After Liver Resection
Anesth Analg 2006 103: 990-994. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This prospective, randomized, double-blind study demonstrated that intrathecal morphine (0.5 mg) and fentanyl (15 {micro}g) given before liver surgery significantly decreased postoperative morphine consumption, without any increase in side effects, compared to placebo.

Gabriella Iohom, Hamza Abdalla, James O'Brien, Szilvia Szarvas, Vivienne Larney, Elisabeth Buckley, Mark Butler, and George Declan Shorten

The Associations Between Severity of Early Postoperative Pain, Chronic Postsurgical Pain and Plasma Concentration of Stable Nitric Oxide Products After Breast Surgery
Anesth Analg 2006 103: 995-1000. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The incidence of chronic postsurgical pain (CPSP) was 80% versus 0% in the standard and aggressive pain management groups, respectively. Adequacy of postoperative analgesia is an important determinant of CPSP after breast surgery. No association between perioperative plasma concentrations of stable nitric oxide products and subsequent development of CPSP was found.

Anil Agarwal, S. S. Nath, Debolina Goswami, Devendra Gupta, Sanjay Dhiraaj, and Prabhat K. Singh

An Evaluation of the Efficacy of Aspirin and Benzydamine Hydrochloride Gargle for Attenuating Postoperative Sore Throat: A Prospective, Randomized, Single-Blind Study
Anesth Analg 2006 103: 1001-1003. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Although a minor complication, postoperative sore throat contributes to postoperative morbidity and patient dissatisfaction. Preoperative gargling with dispersible aspirin (completely dissolved in water before taking) and preoperative gargling with benzydamine hydrochloride reduce both the incidence and the severity of postoperative sore throat.

Masakazu Hayashida, Atsuo Fukunaga, Ken-ichi Fukuda, Satoru Sakurai, Hideki Mamiya, Tatsuya Ichinohe, Yuzuru Kaneko, and Kazuo Hanaoka

The Characteristics of Intravenous Adenosine-Induced Antinociception in a Rabbit Model of Acute Nociceptive Pain: A Comparative Study with Remifentanil
Anesth Analg 2006 103: 1004-1010. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In a rabbit nociceptive pain model, the antinociceptive effect of IV remifentanil was rapid in onset and brief in duration. In the same model, the antinociceptive effect of adenosine was slow in onset, but lasted many hours after termination of the infusion, despite the ultrashort plasma half-life of adenosine.

Piotr K. Janicki, Gregg Schuler, David Francis, Angela Bohr, Vitaly Gordin, Tomasz Jarzembowski, Victor Ruiz-Velasco, and Berend Mets

A Genetic Association Study of the Functional A118G Polymorphism of the Human µ-Opioid Receptor Gene in Patients with Acute and Chronic Pain
Anesth Analg 2006 103: 1011-1017. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We explored whether the presence of the A118G single nucleotide polymorphism (SNP) of the human mu opioid receptor (MOR) gene could explain inter-individual differences in opioid analgesic requirements between surgical acute postoperative pain and chronic pain patients. Although the presence of the minor allele (G118 MOR) does not appear to affect morphine requirements in the acute postoperative pain patients, the minor allele is less common in chronic pain patients, especially in those requiring high-dose opioids.

William J. Mauermann, Ashley M. Shilling, and Zhiyi Zuo

A Comparison of Neuraxial Block Versus General Anesthesia for Elective Total Hip Replacement: A Meta-Analysis
Anesth Analg 2006 103: 1018-1025. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Elective total hip replacement under neuraxial block has a lower incidence of blood transfusion, deep venous thrombosis, and thromboembolic events than that under general anesthesia. Neuraxial block also reduces the operative time by 7.1 min/case and intraoperative blood loss by 275 mL/case.

Cyrus Motamed, Fayezi Farhat, Francis Rémérand, Jean Stéphanazzi, Agnès Laplanche, and Christian Jayr

An Analysis of Postoperative Epidural Analgesia Failure by Computed Tomography Epidurography
Anesth Analg 2006 103: 1026-1032. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In this study we prospectively performed a computed tomography (CT) epidurography whenever the etiology of an epidural analgesia failure was not obvious and compared it to CT data of an equivalent number of patients having successful analgesia. The major cause of failure was secondary dislodgement.

Michael G. Byas-Smith and Amitabh Gulati

Ultrasound-Guided Intercostal Nerve Cryoablation (Case Report)
Anesth Analg 2006 103: 1033-1035. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Using ultrasonography may improve the success and reduce the rate of complications when performing cryoanalgesia of intercostal nerves for postthoracotomy pain.

Philip Bickler, James Brandes, Mimi Lee, Kevin Bozic, Brian Chesbro, and Jonathan Claassen

Bleeding Complications from Femoral and Sciatic Nerve Catheters in Patients Receiving Low Molecular Weight Heparin (Case Report)
Anesth Analg 2006 103: 1036-1037. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We report three cases of bleeding associated with femoral and sciatic nerve catheters and enoxaparin thromboprophylaxis. More data are required to determine optimal management guidelines of peripheral, relative to neuraxial, catheters.

LETTER TO THE EDITOR:

Lawrence J. Caruso and Bhiken Naik

Improved Design of Level 1 Air Detection System
Anesth Analg 2006 103: 1038. [Full Text] [PDF] [Request Permissions]  

Denis Jochum, Gabriella Iohom, Louis-Jean Dupré, and Hervé Bouaziz

In Defense of the Peripheral Nerve Stimulation Technique
Anesth Analg 2006 103: 1038-1039. [Full Text] [PDF] [Request Permissions]  

Wolfgang G. Voelckel, Günther Klima, Anette C. Krismer, Christopher Haslinger, Karl-Heinz Stadlbauer, Volker Wenzel, and Achim von Goedecke

In Defense of the Peripheral Nerve Stimulation Technique
Anesth Analg 2006 103: 1039. [Full Text] [PDF] [Request Permissions]  

Takeshi Yokoyama, Koichi Yamashita, Masanobu Manabe, and Kathleen A. Sluka

Tracheobronchomalacia-Like Lung Collapse During Three Separate Trials of General Anesthesia
Anesth Analg 2006 103: 1039-1040. [Full Text] [PDF] [Request Permissions]  

Javad Shamsai

A New Technique for Removal of Endotracheal Tube
Anesth Analg 2006 103: 1040. [Full Text] [PDF] [Request Permissions]  

Gonzalo Tornero-Campello

Supplemental Intravenous Crystalloid Administration and Risk of Surgical Wound Infection
Anesth Analg 2006 103: 1040. [Full Text] [PDF] [Request Permissions]  

Barbara Kabon and Daniel I. Sessler

Supplemental Intravenous Crystalloid Administration and Risk of Surgical Wound Infection
Anesth Analg 2006 103: 1040-1041. [Full Text] [PDF] [Request Permissions]  

Motohiko Hanazaki, Naoyuki Taga, Hideki Nakatsuka, Masataka Yokoyama, Kiyoshi Morita, Yasuhiro Shirakawa, Tomoki Yamatsuji, Yoshio Naomoto, and Takao Hiraki

Anesthetic Management of Radiofrequency Ablation of Mediastinal Metastatic Lymph Nodes Adjacent to the Trachea
Anesth Analg 2006 103: 1041-1042. [Full Text] [PDF] [Request Permissions]  

Seung-Zhoo Yoon, Yong-Hun Lee, and Jae-Hyon Bahk

A Simple Method to Apply Continuous Positive Airway Pressure During the Use of a Univent® Tube
Anesth Analg 2006 103: 1042-1043. [Full Text] [PDF] [Request Permissions]  

Roy G. Soto and Keith J. Ruskin

November 2005 Food and Drug Administration Alert: Risk of Electromagnetic Interference with Medical Telemetry Systems Operating in the 460–470 MHz Frequency Bands
Anesth Analg 2006 103: 1043. [Full Text] [PDF] [Request Permissions]  

David Peral, Elena Porcar, Jorge Bellver, José Higueras, Xavier Onrubia, and Manuel Barberá

Glidescope Video Laryngoscope is Useful in Exchanging Endotracheal Tubes
Anesth Analg 2006 103: 1043-1044. [Full Text] [PDF] [Request Permissions]  

Massimo Micaglio, Matteo Parotto, Daniele Trevisanuto, and Vincenzo Zanardo

Size 1 ProSeal^TM Laryngeal Mask Airway in Neonates
Anesth Analg 2006 103: 1044-1045. [Full Text] [PDF] [Request Permissions]  

Berend Mets and Eric A. Walker

Local Anesthetic Effect on Liver Function
Anesth Analg 2006 103: 1045-1046. [Full Text] [PDF] [Request Permissions]  

Nigel T. M. Jack and Mathieu Gielen

Safety of the Posterior Approach to the Brachial Plexus
Anesth Analg 2006 103: 1046. [Full Text] [PDF] [Request Permissions]  

Nicol C. Voermans, Ben J. Crul, and Baziel G. van Engelen

Safety of the Posterior Approach to the Brachial Plexus
Anesth Analg 2006 103: 1046. [Full Text] [PDF] [Request Permissions]  

Kerstin D. Röhm and Joachim Boldt

Persisting Neurological Symptoms After Uncomplicated Intrathecal Bupivacaine
Anesth Analg 2006 103: 1047. [Full Text] [PDF] [Request Permissions]  

Thouraya Chabbouh and Claude Lentschener

Persisting Neurological Symptoms After Uncomplicated Intrathecal Bupivacaine
Anesth Analg 2006 103: 1047. [Full Text] [PDF] [Request Permissions]  

Robert G. Loeb

Supplying Sub-100% Oxygen Gas Mixtures During Monitored Anesthesia Care: Respiratory Monitoring and Use of a Venturi Device
Anesth Analg 2006 103: 1048. [Full Text] [PDF] [Request Permissions]  

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

Supplying Sub-100% Oxygen Gas Mixtures During Monitored Anesthesia Care: Respiratory Monitoring and Use of a Venturi Device
Anesth Analg 2006 103: 1048. [Full Text] [PDF] [Request Permissions]  

De Q. H. Tran, Roshanak Charghi, and Roderick J. Finlayson

The "Double Bubble" Sign for Successful Infraclavicular Brachial Plexus Blockade
Anesth Analg 2006 103: 1048-1049. [Full Text] [PDF] [Request Permissions]  

Maurizio Renna and Charles Gillbe

BIS and the Electromyogram
Anesth Analg 2006 103: 1049. [Full Text] [PDF] [Request Permissions]  

Ngai Liu, Thierry Chazot, and Marc Fischler

BIS and the Electromyogram
Anesth Analg 2006 103: 1049-1050. [Full Text] [PDF] [Request Permissions]  

Tobias M. Merz, Bruno Regli, Hans-Ulrich Rothen, and Peter Felleiter

Propofol Infusion Syndrome—A Fatal Case at a Low Infusion Rate
Anesth Analg 2006 103: 1050. [Full Text] [PDF] [Request Permissions]  

Senthil K. Kanniah

Laryngeal Mask Airway and Tonsillectomy
Anesth Analg 2006 103: 1051. [Full Text] [PDF] [Request Permissions]  

Gokcen Basaranoglu, Mevlut Comlekci, Ali Ferit Pekel, Taylan Kosker, Bekir Inan, and Leyla Saitoglu

Transient Urinary Incontinence After Subarachnoid Anesthesia with 0.5% Heavy Bupivacaine
Anesth Analg 2006 103: 1051. [Full Text] [PDF] [Request Permissions]  

Jehad Albataineh, Yasser Salem, and Muhammad Jaffar

Preventing Operating Room Fire: An Alternate Approach
Anesth Analg 2006 103: 1051-1052. [Full Text] [PDF] [Request Permissions]  

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

Preventing Operating Room Fire: An Alternate Approach
Anesth Analg 2006 103: 1052. [Full Text] [PDF] [Request Permissions]  

Xavier de Lacroix de Lavalette

Blink Reflex for Trigeminal Nerve Block or Blind Local Anesthetic Infiltration
Anesth Analg 2006 103: 1052. [Full Text] [PDF] [Request Permissions]  

Jean-Marc Bernard and Yann Péréon

Blink Reflex for Trigeminal Nerve Block or Blind Local Anesthetic Infiltration
Anesth Analg 2006 103: 1052-1053. [Full Text] [PDF] [Request Permissions]  

H. Thomas Lee and Charles W. Emala

Renal Protection with Isoflurane
Anesth Analg 2006 103: 1053-1054. [Full Text] [PDF] [Request Permissions]  

Hideo Hashiguchi, Hiroaki Morooka, and Koji Sumikawa

Renal Protection with Isoflurane
Anesth Analg 2006 103: 1054. [Full Text] [PDF] [Request Permissions]  

Argyris S. Michalopoulos, Kostantinos Gregoriades, and Matthew E. Falagas

The Effect of Different Arrangements of T-Piece Parts on Oxygenation of Patients with Tracheostomy
Anesth Analg 2006 103: 1054-1055. [Full Text] [PDF] [Request Permissions]  

Binay Kumar Biswas, Sumati Joshi, Prithwis Bhattacharyya, Parmod Kumar Gupta, and Sanjeev Baniwal

Percutaneous Dilational Tracheostomy Kit: An Aid to Submental Intubation
Anesth Analg 2006 103: 1055. [Full Text] [PDF] [Request Permissions]  

Kiran NC, Sushil Kumar, Indu Sen, and Jyotsna Wig

Disposable Breathing Circuit Tubing as a Safety Sleeve
Anesth Analg 2006 103: 1055-1056. [Full Text] [PDF] [Request Permissions]  

Ioanna Dimopoulou, Maria Zervou, Evangelia Douka, Callirhoe Augustatou, Apostolos Armaganidis, and Stylianos Tsagarakis

Reproducibility of the Corticotropin Stimulation Test in Septic Shock
Anesth Analg 2006 103: 1056-1057. [Full Text] [PDF] [Request Permissions]  

Pekka Loisa, Ari Uusaro, and Esko Ruokonen

Reproducibility of the Corticotropin Stimulation Test in Septic Shock
Anesth Analg 2006 103: 1057. [Full Text] [PDF] [Request Permissions]  

Thomas Koshy, Prabhat Kumar Sinha, and Arun Vijayakumar

Another Defect in Right-Angle Double Connector Resulting in High Peak Inspiratory Pressure During One Lung Anesthesia: A Simple and Practical Approach for Rapid Detection
Anesth Analg 2006 103: 1057-1058. [Full Text] [PDF] [Request Permissions]  

Keith J. Chamberlin

General Versus Regional: Why Either/Or?
Anesth Analg 2006 103: 1058-1059. [Full Text] [PDF] [Request Permissions]  

Spencer S. Liu and Jeffrey M. Richman

General Versus Regional: Why Either/Or?
Anesth Analg 2006 103: 1059. [Full Text] [PDF] [Request Permissions]  

Takeshi Yokoyama, Koichi Yamashita, and Masanobu Manabe

Dental Mirror is a Relief for Difficult Endotracheal Intubation
Anesth Analg 2006 103: 1059. [Full Text] [PDF] [Request Permissions]  

Jonathan V. Roth

What is the Correct Temperature Management of the Febrile Patient?
Anesth Analg 2006 103: 1059-1060. [Full Text] [PDF] [Request Permissions]  

Carla St. Laurent

The Caterpillar Technique for Removal of a Tight Ring
Anesth Analg 2006 103: 1060-1061. [Full Text] [PDF] [Request Permissions]  

Binay Kumar Biswas, Satyendra Nath Singh, Bikash Agarwal, Birendra Prasad Sah, Arvind Chaturvedi, and Basudeb Banerjee

Respiratory Failure After Lumbar Epidural Anesthesia in a Patient with Uncontrolled Hyperthyroidism
Anesth Analg 2006 103: 1061-1062. [Full Text] [PDF] [Request Permissions]  

Abdullah M. Kaki and Walid A. Alyafi

A Simple Technique to Avoid Traumatic Nasal Intubation
Anesth Analg 2006 103: 1062. [Full Text] [PDF] [Request Permissions]  

Carl Helge Nielsen

Postoperative Renal Failure After Aprotinin Infusion and Spine Operations
Anesth Analg 2006 103: 1062-1063. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

Vincent W. S. Chan

The Brachial Plexus
Anesth Analg 2006 103: 1064. [Full Text] [PDF] [Request Permissions]  

Gregory A. Ross and Joseph R. Tobin

Pediatric Critical Care, 3rd ed.
Anesth Analg 2006 103: 1064-1065. [Full Text] [PDF] [Request Permissions]  

Samuel Ajizian

Pediatric Critical Care Review
Anesth Analg 2006 103: 1065. [Full Text] [PDF] [Request Permissions]  

ERRATA:

ERRATUM
Anesth Analg 2006 103: 821. [Full Text] [PDF] [Request Permissions]  

ERRATUM
Anesth Analg 2006 103: 862. [Full Text] [PDF] [Request Permissions]  

ERRATUM
Anesth Analg 2006 103: 875. [Full Text] [PDF] [Request Permissions]  

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