EDITORIALS:

J. Kevin Shoemaker

Hemodilution Impairs Cerebral Autoregulation, Demonstrating the Complexity of Integrative Physiology
Anesth Analg 2007 105: 1179-1181. [Full Text] [PDF] [Request Permissions]  

Peter Biro and Hans-Joachim Priebe

Staged Extubation Strategy: Is an Airway Exchange Catheter the Answer?
Anesth Analg 2007 105: 1182-1185. [Full Text] [PDF] [Request Permissions]  

James G. Bovill

Anesthetic Pharmacology: Reflections of a Section Editor
Anesth Analg 2007 105: 1186-1190. [Full Text] [PDF] [Request Permissions]  

CARDIOVASCULAR ANESTHESIOLOGY:

Toby N. Weingarten, Martin D. Abel, Heidi M. Connolly, Darrell R. Schroeder, and Hartzell V. Schaff

Intraoperative Management of Patients with Carcinoid Heart Disease Having Valvular Surgery: A Review of One Hundred Consecutive Cases
Anesth Analg 2007 105: 1192-1199. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: During cardiac surgery for carcinoid heart disease, octreotide administration blunted the carcinoid-trigger effects of vasoactive medications. Octreotide also masked any theoretical advantages of aprotinin in controlling carcinoid symptoms.

Jan-H Baumert, Marc Hein, Christina Gerets, Thomas Baltus, Klaus E. Hecker, and Rolf Rossaint

The Effect of Xenon Anesthesia on the Size of Experimental Myocardial Infarction
Anesth Analg 2007 105: 1200-1206. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Xenon reduced the size of myocardial infarction when administered during acute ischemia and reperfusion. The myocardial protective effects of xenon, though, are less than those observed with ischemic preconditioning.

Jianzhong An, Zeljko J. Bosnjak, and Ming Tao Jiang

Myocardial Protection by Isoflurane Preconditioning Preserves Ca²⁺ Cycling Proteins Independent of Sarcolemmal and Mitochondrial K_ATP Channels
Anesth Analg 2007 105: 1207-1213. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In isolated perfused rat hearts, isoflurane preconditioning was found to preserve Ca2+ cycling proteins in sarcoplasmic reticulum during ischemia/reperfusion. This protection, however, does not depend on its activation of the KATP channels. Our results imply that isoflurane preconditioning may activate mechanisms that inhibit protease activity during ischemia/reperfusion.

Gisela Scharbert, Madeleine L. Kalb, Monika Duris, Corinna Marschalek, and Sibylle A. Kozek-Langenecker

Garlic at Dietary Doses Does Not Impair Platelet Function
Anesth Analg 2007 105: 1214-1218. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Platelet function is not impaired by single and repeated oral consumption of a dietary dose of garlic in healthy volunteers. Dishes containing doses of raw garlic are unlikely to increase the risk of perioperative bleeding.

William C. Culp, Jr, Timothy R. Ball, and Christopher J. Burnett

Validation and Feasibility of Intraoperative Three-Dimensional Transesophageal Echocardiographic Cardiac Output (Brief Report)
Anesth Analg 2007 105: 1219-1223. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This pilot study attempted to validate three-dimensional transesophageal echocardiography cardiac output and assess its feasibility intraoperatively.

Amrik Singh and Neal Fleming

Right Heart Embolism and Acute Right Atrial Dilation During Total Knee Arthroplasty (Echo Rounds)
Anesth Analg 2007 105: 1224-1227. [Full Text] [PDF] [Echo Loop]  [Request Permissions]  

Mark D. Neuman, John A. Fox, and Jochen D. Muehlschlegel

Incidental Discovery of a Large Patent Ductus Arteriosus in an Adult During Aortic Reconstruction: Echocardiographic Findings and Diagnostic Dilemmas (Echo Rounds)
Anesth Analg 2007 105: 1227-1228. [Full Text] [PDF] [Echo Loop]  [Request Permissions]  

Brenda M. MacKnight, Joshua D. Stearns, Luca A. Vricella, and Jon R. Resar

Migration of an Embolized Patent Foramen Ovale Closure Device to the Left Ventricular Outflow Tract (Echo Rounds)
Anesth Analg 2007 105: 1229-1230. [Full Text] [PDF] [Echo Loop]  [Request Permissions]  

Stephen O. Bader, Omar M. Lattouf, and Roman M. Sniecinski

Transesophageal Echocardiography of the Edge-to-Edge Technique of Mitral Valve Repair (Echo Rounds)
Anesth Analg 2007 105: 1231-1232. [Full Text] [PDF] [Echo Loops]  [Request Permissions]  

PEDIATRIC ANESTHESIOLOGY:

Arjunan Ganesh, John B. Rose, Lawrence Wells, Theodore Ganley, Harshad Gurnaney, Lynne G. Maxwell, Theresa DiMaggio, Karen Milovcich, Maureen Scollon, Jeffrey M. Feldman, and Giovanni Cucchiaro

Continuous Peripheral Nerve Blockade for Inpatient and Outpatient Postoperative Analgesia in Children
Anesth Analg 2007 105: 1234-1242. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A well-implemented and monitored continuous peripheral nerve block program can be used to provide inpatient and outpatient postoperative analgesia after orthopedic procedures in children.

Jochen Renner, Patrick Meybohm, Mathias Gruenewald, Markus Steinfath, Jens Scholz, Andreas Boening, and Berthold Bein

Global End-Diastolic Volume During Different Loading Conditions in a Pediatric Animal Model
Anesth Analg 2007 105: 1243-1249. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In this pediatric animal model, global end-diastolic volume (GEDV) derived from transpulmonary thermodilution was a reliable indicator of cardiac preload. Moreover, GEDV, but not pulse pressure variation or static filling pressures, accurately reflected fluid responsiveness.

Margie Crandall, Cathy Lammers, Craig Senders, Marilyn Savedra, and Jerome V. Braun

Initial Validation of a Numeric Zero to Ten Scale to Measure Children's State Anxiety
Anesth Analg 2007 105: 1250-1253. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The initial validation of a children's numeric 0 10 state anxiety measure provides clinicians with a quick assessment of anxiety in children as young as 7 yr to individualize symptom management.

AMBULATORY ANESTHESIOLOGY:

Vincent Collard, Giovanni Mistraletti, Ali Taqi, Juan Francisco Asenjo, Liane S. Feldman, Gerald M. Fried, and Franco Carli

Intraoperative Esmolol Infusion in the Absence of Opioids Spares Postoperative Fentanyl in Patients Undergoing Ambulatory Laparoscopic Cholecystectomy
Anesth Analg 2007 105: 1255-1262. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The intraoperative infusion of esmolol compared with that of intermittent fentanyl or an infusion of remifentanil, for laparoscopic cholecystectomy, contributed to a significant decrease in the postoperative administration of fentanyl and ondansetron, and accelerated hospital discharge.

ANESTHETIC PHARMACOLOGY:

Wolnei Caumo, Fernanda Torres, Nívio L. Moreira, Jr, Jorge A. S. Auzani, Cristiano A. Monteiro, Gustavo Londero, Diego F. M. Ribeiro, and Maria Paz L. Hidalgo

The Clinical Impact of Preoperative Melatonin on Postoperative Outcomes in Patients Undergoing Abdominal Hysterectomy
Anesth Analg 2007 105: 1263-1271. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We determined the influence of melatonin premedication on anxiolysis, analgesia, and the rest/activity circadian rhythm in patients undergoing abdominal hysterectomy. Melatonin produced clinically relevant anxiolytic and analgesic effects, especially in the first 24 postoperative hours. It also had a positive effect on recovery of the rest/activity circadian rhythm.

Yutaka Oda, Sumiko Toriyama, Katsuaki Tanaka, Tadashi Matsuura, Naoya Hamaoka, Michiharu Morino, and Akira Asada

The Effect of Dexmedetomidine on Electrocorticography in Patients with Temporal Lobe Epilepsy Under Sevoflurane Anesthesia
Anesth Analg 2007 105: 1272-1277. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Dexmedetomidine did not affect the spike activity recorded by electrocorticography in patients with temporal lobe epilepsy anesthetized with sevoflurane, suggesting that it can be used in these patients.

Xueqin Ding and Paul A. Murray

The Differential Effects of Intravenous Anesthetics on Myofilament Ca²⁺ Sensitivity in Pulmonary Venous Smooth Muscle
Anesth Analg 2007 105: 1278-1286. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Pulmonary venous resistance is an important component of total pulmonary vascular resistance. Our results suggest that ketamine, etomidate, and midazolam may relax pulmonary venous smooth muscle and decrease pulmonary vascular resistance via different mechanisms.

Elizabeth W. Kelly, Ken Solt, and Douglas E. Raines

Volatile Aromatic Anesthetics Variably Impact Human -Aminobutyric Acid Type A Receptor Function
Anesth Analg 2007 105: 1287-1292. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Inhaled anesthetics enhanced the actions of {gamma}-aminobutyric acid (GABA) on GABAA receptors. However, at equivalent minimal alveolar anesthetic concentration multiples, the magnitudes of these actions vary dramatically among anesthetics. In general, inhaled anesthetics (aromatic and clinical) that inhibit N-methyl-d-aspartate receptor currents most, enhance GABAA receptor currents least (and vice versa).

Ismael F. M. S. Guarda, Wilson A. Saad, and Luiz Antonio de Arruda Camargo

Nitric Oxide and Angiotensin II Receptors Mediate the Pressor Effect of Angiotensin II: A Study in Conscious and Zoletil-Anesthetized Rats
Anesth Analg 2007 105: 1293-1297. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Zoletil general anesthesia did not interfere with the central effect of angiotensin II or with the effects of AT1, AT2, and nitric oxide synthetase inhibitor drugs on arterial blood pressure.

Lars Hüter, Torsten Schreiber, Michael Gugel, and Konrad Schwarzkopf

Low-Dose Intravenous Midazolam Reduces Etomidate-Induced Myoclonus: A Prospective, Randomized Study in Patients Undergoing Elective Cardioversion
Anesth Analg 2007 105: 1298-1302. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Myoclonic movements are a common problem in unpremedicated patients during induction of anesthesia with etomidate. We have shown that IV midazolam 0.015 mg/kg administered 90 s before induction of anesthesia with etomidate is effective in reducing myoclonic movements and does not prolong recovery in unpremedicated patients after short procedures.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Robert W. Albert, James A. Agutter, Noah D. Syroid, Ken B. Johnson, Robert G. Loeb, and Dwayne R. Westenskow

A Simulation-Based Evaluation of a Graphic Cardiovascular Display
Anesth Analg 2007 105: 1303-1311. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Anesthesiologists evaluated a graphical cardiovascular display while managing six simulated adverse cardiopulmonary events. They identified and treated some hemodynamic events more effectively when using the graphic display when compared with conventional monitors.

John Dingley and Rod S. Mason

A Cryogenic Machine for Selective Recovery of Xenon from Breathing System Waste Gases
Anesth Analg 2007 105: 1312-1318. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The supply of Xenon is relatively fixed, and recovery methods will help make xenon anesthesia cost effective. A cryogenic device has been designed, tested, and shown to be effective for recovering xenon from waste anesthetic gases.

Cécile Lefoll-Masson, Christophe Fermanian, Isabelle Aimé, Nicolas Verroust, Guillaume Taylor, Pierre-Antoine Laloë, Ngai Liu, Philippe Aegerter, and Marc Fischler

The Comparability of Bispectral Index and State Entropy Index During Maintenance of Sufentanil-Sevoflurane-Nitrous Oxide Anesthesia
Anesth Analg 2007 105: 1319-1325. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A comparison of Bispectral Index and Spectral Entropy monitors during general anesthesia indicated that clinical decisions to increase, decrease, or maintain the depth of anesthesia based upon the monitored data would not be identical. There is no evidence to indicate which monitor would provide more reliable information.

Enrico Monaca, Norbert Fock, Manfred Doehn, and Frank Wappler

The Effectiveness of Preformed Tooth Protectors During Endotracheal Intubation: An Upper Jaw Model
Anesth Analg 2007 105: 1326-1332. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Different mouth guards were tested in a jaw model to assess the relative ability of each guard to reduce the axial and horizontal forces applied to teeth 7 10 when a standard force (150 N) was applied directly to the left maxillary central incisor with a laryngoscope blade. All mouth guards reduced the forces applied to the teeth but some were better than others. The potential to reduce dental injury in patients warrants further study.

Paul E. Bigeleisen

In Vitro Evaluation of a Micro-Doppler Catheter for Detection and Aspiration of Venous Air Emboli (Technical Communication)
Anesth Analg 2007 105: 1333-1337. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A novel Doppler-equipped vascular catheter can be used to detect the presence of air bubbles in fluid flowing past the catheter.

ECONOMICS, EDUCATION, AND POLICY:

Berend Mets, Jennifer A. Galford, and Heather R. Purichia

Leadership of United States Academic Anesthesiology Programs 2006: Chairperson Characteristics and Accomplishments
Anesth Analg 2007 105: 1338-1345. [Abstract] [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

IMPLICATIONS: An Internet-based survey was conducted of all current academic anesthesiology chairpersons to benchmark their characteristics and accomplishments, as well as to gain insights that might be useful to aspirant department chairs. The chairs value peer-reviewed research, scholarship, and academic achievement, but do not believe that significant research experience is of great benefit to functioning as a chair.

Srinivas Mantha, Joseph Foss, John E. Ellis, and Michael F. Roizen

Intense Cardiac Troponin Surveillance for Long-Term Benefits Is Cost-Effective in Patients Undergoing Open Abdominal Aortic Surgery: A Decision Analysis Model
Anesth Analg 2007 105: 1346-1356. [Abstract] [Full Text] [PDF] [Data Supplement]  [Request Permissions]  

IMPLICATIONS: Early recognition and treatment of myocardial ischemia may be a key to improving postoperative survival rates in patients presenting for elective open abdominal aortic surgery. Intensive surveillance with cardiac troponin I and early institution of aggressive {beta}-blockade is highly cost-effective, but the degree of benefit is sensitive to the efficacy of intervention.

CRITICAL CARE AND TRAUMA:

Thomas C. Mort

Continuous Airway Access for the Difficult Extubation: The Efficacy of the Airway Exchange Catheter
Anesth Analg 2007 105: 1357-1362. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Airway exchange catheters facilitate extubation of patients at risk of reintubation and difficult airway management.

E. Gina Votta-Velis, Richard D. Minshall, David J. Visintine, Maricela Castellon, and Irina V. Balyasnikova

Propofol Attenuates Endotoxin-Induced Endothelial Cell Injury, Angiotensin-Converting Enzyme Shedding, and Lung Edema
Anesth Analg 2007 105: 1363-1370. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Propofol protects against capillary endothelial damage in experimental endotoxin-induced acute lung injury.

Necat Kaplan, Hatice Yagmurdur, Kamer Kilinc, Bulent Baltaci, and Savas Tezel

The Protective Effects of Intravenous Anesthetics and Verapamil in Gut Ischemia/Reperfusion-Induced Liver Injury
Anesth Analg 2007 105: 1371-1378. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Propofol as an anesthetic may offer advantages by inhibiting lipid peroxidation and inflammatory cytokine production in an animal model of gut ischemia/reperfusion-induced liver injury.

Yoshitaka Fujii and Aki Uemura

The Effects of Different Dobutamine Infusion Rates on Hypercapnic Depression of Diaphragmatic Contractility in Pentobarbital-Anesthetized Dogs
Anesth Analg 2007 105: 1379-1384. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Dobutamine may improve diaphragmatic contractility in hypercapnia.

David B. Wax and Andrew B. Leibowitz

Radiologic Assessment of Potential Sites for Needle Decompression of a Tension Pneumothorax
Anesth Analg 2007 105: 1385-1388. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Emergency decompression of tension pneumothorax can be attempted at the level of the sternal angle at the midhemithoracic line with relative safety compared with other sites.

NEUROSURGICAL ANESTHESIOLOGY:

Yojiro Ogawa, Ken-ichi Iwasaki, Ken Aoki, Shigeki Shibata, Jitsu Kato, and Setsuro Ogawa

Central Hypervolemia with Hemodilution Impairs Dynamic Cerebral Autoregulation
Anesth Analg 2007 105: 1389-1396. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Central hypervolemia and hypovolemia both alter cerebral blood flow velocity, but only hypervolemic hemodilution impairs dynamic cerebral autoregulation in healthy humans.

Daisuke Nagamizo, Shunsuke Tsuruta, Mishiya Matsumoto, Hiroaki Matayoshi, Atsuo Yamashita, and Takefumi Sakabe

Tight Glycemic Control by Insulin, Started in the Preischemic, but Not Postischemic, Period, Protects Against Ischemic Spinal Cord Injury in Rabbits
Anesth Analg 2007 105: 1397-1403. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Preischemic, but not postischemic, glycemic control with insulin improves neurologic and histopathologic outcome after transient spinal cord ischemia in rabbits. This likely reflects the glucose-decreasing effect rather than other insulin-induced effects.

Vladimir Nekhendzy, Hendrikus J. M. Lemmens, Winston C. Vaughan, Edward J. Hepworth, Alexander G. Chiu, Christopher A. Church, and John G. Brock-Utne

The Effect of Deliberate Hypercapnia and Hypocapnia on Intraoperative Blood Loss and Quality of Surgical Field During Functional Endoscopic Sinus Surgery
Anesth Analg 2007 105: 1404-1409. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This prospective, randomized, patient- and observer-blinded study demonstrates that mild intraoperative hypercapnia and hypocapnia do not affect blood loss or quality of surgical field during functional endoscopic sinus surgery. Maintenance of intraoperative normocapnia may be used for these patients.

Michelle Lotto and Nicholas M. Boulis

Intrathecal Opioids for Control of Chronic Low Back Pain During Deep Brain Stimulation Procedures (Case Report)
Anesth Analg 2007 105: 1410-1412. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Spinal opioids were used to alleviate the back pain intraoperatively in two patients with chronic back pain who were undergoing awake deep brain stimulator implantation.

OBSTETRIC ANESTHESIOLOGY:

Alexander J. Butwick, Steven S. Lipman, and Brendan Carvalho

Intraoperative Forced Air-Warming During Cesarean Delivery Under Spinal Anesthesia Does Not Prevent Maternal Hypothermia
Anesth Analg 2007 105: 1413-1419. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Intraoperative, lower extremity forced air-warming does not prevent intraoperative hypothermia or shivering in women undergoing elective cesarean delivery under spinal anesthesia.

GENERAL ARTICLES:

Kwang Suk Seo, Jae-Hun Kim, Sol Mon Yang, Hyun Jeong Kim, Jae-Hyon Bahk, and Kwang Won Yum

A New Technique to Reduce Epistaxis and Enhance Navigability During Nasotracheal Intubation
Anesth Analg 2007 105: 1420-1424. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Esophageal stethoscope-obturated endotracheal tubes were comparable to thermosoftened endotracheal tubes in preventing the nasal trauma associated with nasotracheal intubation.

Kuan-Yu Chen, Shao Lun Tsao, Shih Kai Lin, and Hung Shan Wu

Double-Lumen Endobronchial Tube Intubation in Patients with Difficult Airways Using Trachlight® and a Modified Technique (Case Report)
Anesth Analg 2007 105: 1425-1426. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A Trachlight(R) can be used to guide a double-lumen endotracheal tube during intubation by cutting a small slit in the bronchial lumen just proximal to the pilot balloon tube.

ANALGESIA:

Eugene R. Viscusi, Matthew Siccardi, C. V. Damaraju, David J. Hewitt, and Paul Kershaw

The Safety and Efficacy of Fentanyl Iontophoretic Transdermal System Compared with Morphine Intravenous Patient-Controlled Analgesia for Postoperative Pain Management: An Analysis of Pooled Data from Three Randomized, Active-Controlled Clinical Studies
Anesth Analg 2007 105: 1428-1436. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This analysis of pooled data from three multicenter, randomized, active-controlled trials (n = 1941) of similar design is one of the largest studies comparing the safety and efficacy of fentanyl and morphine in an acute postoperative pain management setting. Findings from the analysis demonstrate that fentanyl delivered using the fentanyl HCl iontophoretic transdermal system and morphine administered via IV patient-controlled analgesia provide comparably safe and effective postoperative pain control for patients, regardless of age or body mass index.

Sunil J. Panchal, C. V. Damaraju, Winnie W. Nelson, David J. Hewitt, and Jeff R. Schein

System-Related Events and Analgesic Gaps During Postoperative Pain Management with the Fentanyl Iontophoretic Transdermal System and Morphine Intravenous Patient-Controlled Analgesia
Anesth Analg 2007 105: 1437-1441. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Fentanyl iontophoretic transdermal system provides effective postoperative analgesia and may provide patients with fewer interruptions and more continuous analgesic delivery than IV patient-controlled analgesia.

Oguzhan Dagtekin, Hans J. Gerbershagen, Werner Wagner, Frank Petzke, Lukas Radbruch, and Rainer Sabatowski

Assessing Cognitive and Psychomotor Performance Under Long-Term Treatment with Transdermal Buprenorphine in Chronic Noncancer Pain Patients
Anesth Analg 2007 105: 1442-1448. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We assessed cognitive and psychomotor performance and could demonstrate noninferiority of the patients with chronic noncancer pain receiving transdermal buprenorphine compared with that of the control group of healthy volunteers.

PAIN MEDICINE:

Michael J. Paech, Raymond Goy, Sebastian Chua, Karen Scott, Tracey Christmas, and Dorota A. Doherty

A Randomized, Placebo-Controlled Trial of Preoperative Oral Pregabalin for Postoperative Pain Relief After Minor Gynecological Surgery
Anesth Analg 2007 105: 1449-1453. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: An oral dose of pregabalin 100 mg given before minor gynecologic ambulatory surgery involving only the uterus did not reduce postoperative pain.

Anil Agarwal, Sanjay Dhiraaj, Sandeep Pawar, Rakesh Kapoor, Devendra Gupta, and Prabhat K. Singh

An Evaluation of the Efficacy of Gabapentin for Prevention of Catheter-Related Bladder Discomfort: A Prospective, Randomized, Placebo-Controlled, Double-Blind Study
Anesth Analg 2007 105: 1454-1457. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Catheter-related bladder discomfort secondary to an indwelling urinary catheter is distressing. Gabapentin (600 mg) administered orally 1 h before surgery reduced the incidence and severity of catheter-related bladder discomfort, postoperative pain, the number of patients requiring fentanyl and the total postoperative fentanyl requirement.

María Luisa García-Pérez, Rafael Badenes, Guillermo García-March, Vicente Bordes, and Francisco Javier Belda

Epidural Anesthesia for Laminectomy Lead Placement in Spinal Cord Stimulation
Anesth Analg 2007 105: 1458-1461. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Epidural anesthesia appears to be an effective option for laminectomy for spinal cord stimulator lead placement.

Jocelyn C. Que, Philip J. Siddall, and Michael J. Cousins

Pain Management in a Patient With Intractable Spinal Cord Injury Pain: A Case Report and Literature Review (Special Article)
Anesth Analg 2007 105: 1462-1473. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Pain in the cord-injured patient is often recalcitrant to treatment, with few effective pharmacological and nonpharmacological treatment options. We present a patient with intractable spinal cord injury pain who was successfully treated with a comprehensive pain management plan that addressed the various aspects of spinal cord injury pain. The evidence for treatment options is reviewed.

PAIN MECHANISMS:

Maja A. Tomic, Sonja M. Vuckovic, Radica M. Stepanovic-Petrovic, Nenad D. Ugresic, Sonja Lj Paranos, Milica S Prostran, and Bogdan Boskovic

The Involvement of Peripheral ₂-Adrenoceptors in the Antihyperalgesic Effect of Oxcarbazepine in a Rat Model of Inflammatory Pain
Anesth Analg 2007 105: 1474-1481. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The antihyperalgesic effects of oxcarbazepine are mediated, at least in part, by peripheral {alpha}2A and {alpha}2C adrenoceptors in a rat model of inflammatory hyperalgesia.

Rui-Xin Zhang, Aihui Li, Bing Liu, Linbo Wang, Ke Ren, Jian-Tian Qiao, Brian M. Berman, and Lixing Lao

Electroacupuncture Attenuates Bone Cancer Pain and Inhibits Spinal Interleukin-1ß Expression in a Rat Model
Anesth Analg 2007 105: 1482-1488. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Electroacupuncture attenuates the hyperalgesia associated with cancer pain in rats, in part through inhibiting the expression of interleukin IL-1{beta} in the spinal cord.

Yuki Sato, Tatsushi Onaka, Eiji Kobayashi, and Norimasa Seo

The Differential Effect of Cyclosporine on Hypnotic Response and Pain Reaction in Mice
Anesth Analg 2007 105: 1489-1493. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Cyclosporine has complex effects on the central and peripheral nervous systems. In rats, cyclosporine in the central nervous system enhances the hypnotic response to IV anesthetics, whereas the peripheral action of cyclosporine is the induction of hyperalgesia.

REGIONAL ANESTHESIA:

Shmuel Evron, Victoria Gurstieva, Tiberiu Ezri, Vladimir Gladkov, Sergey Shopin, Amir Herman, Ami Sidi, and Shimon Weitzman

Transient Neurological Symptoms After Isobaric Subarachnoid Anesthesia with 2% Lidocaine: The Impact of Needle Type
Anesth Analg 2007 105: 1494-1499. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The incidence of transient neurological symptoms was higher with the use of single-orifice spinal needle when compared with double-orifice spinal needle.

Michele Carron, Ulderico Freo, Federico Innocente, Stefano Veronese, Pierluigi Pilati, Vesna Jevtovic-Todorovic, and Carlo Ori

Recovery Profiles of General Anesthesia and Spinal Anesthesia for Chemotherapeutic Perfusion with Circulatory Block (Stop-Flow Perfusion)
Anesth Analg 2007 105: 1500-1503. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Spinal anesthesia is a suitable anesthetic technique for hypoxic chemotherapeutic stop-flow perfusion, usually performed under general anesthesia. Spinal anesthesia proved superior to general anesthesia when considering anesthesia time, admission to the postanesthesia care unit, postoperative pain or nausea and vomiting.

Kim Russon and Rafael Blanco

Accidental Intraneural Injection into the Musculocutaneous Nerve Visualized with Ultrasound (Case Report)
Anesth Analg 2007 105: 1504-1505. [Abstract] [Full Text] [PDF] [Video Clip] [Data Supplement]  [Request Permissions]  

IMPLICATIONS: We report a case of intraneural (musculocutaneous nerve) injection during axillary block that was detected only after a review of the stored images later that day. The patient remained neurologically intact. This case demonstrates that intraneural injection may occur during ultrasound-guided block and that not all intraneural injections result in neural dysfunction.

LETTERS TO THE EDITOR:

Thomas M. Hemmerling and Goetz Geldner

Sugammadex: Good Drugs Do Not Replace Good Clinical Practice
Anesth Analg 2007 105: 1506. [Full Text] [PDF] [Request Permissions]  

Mohamed Naguib

Sugammadex May Replace Best Clinical Practice: A Misconception
Anesth Analg 2007 105: 1506-1507. [Full Text] [PDF] [Request Permissions]  

Ronald D. Miller

Sugammadex May Replace Best Clinical Practice: A Misconception
Anesth Analg 2007 105: 1507. [Full Text] [PDF] [Request Permissions]  

Donald Miller

Laryngeal Mask Airway Classic and Streamlined Pharynx Airway Liner Airway Comparison
Anesth Analg 2007 105: 1508. [Full Text] [PDF] [Request Permissions]  

Shelley Vamadevan and A. Diba

The Conventional LMA®: Benchmark for Assessing Supralaryngeal Airway Efficacy?
Anesth Analg 2007 105: 1508-1509. [Full Text] [PDF] [Request Permissions]  

Markus Lange, Norbert Roewer, and Franz Kehl

The Conventional LMA®: Benchmark for Assessing Supralaryngeal Airway Efficacy?
Anesth Analg 2007 105: 1509. [Full Text] [PDF] [Request Permissions]  

Sascha Meyer, Ulrich Grundmann, Ghiath Shamdeen, Sven Gottschling, and Ludwig Gortner

Effect of Propofol on Interictal Epileptiform Activity
Anesth Analg 2007 105: 1509-1510. [Full Text] [PDF] [Request Permissions]  

Guruswamy Balakrishnan, Kavita M. Grover, Karen Mason, Brien Smith, Gregory L. Barkley, Susan M. Bowyer, and Norman Tepley

Effect of Propofol on Interictal Epileptiform Activity
Anesth Analg 2007 105: 1510. [Full Text] [PDF] [Request Permissions]  

L. Saager, E. Wiesner, A. Rothhammer, and G. Pestel

Atrial Electrocardiogram for Verification of Correct Central Venous Catheter Placement
Anesth Analg 2007 105: 1511. [Full Text] [PDF] [Request Permissions]  

Ralf E. Gebhard

Atrial Electrocardiogram for Verification of Correct Central Venous Catheter Placement
Anesth Analg 2007 105: 1511. [Full Text] [PDF] [Request Permissions]  

Raja Jayaram and Aji Mathew

Clinical Protocols and Conditioned Human Behavior in the Background of Inadequate Information as a Risk Factor for Development of Critical Incidents
Anesth Analg 2007 105: 1511-1512. [Full Text] [PDF] [Request Permissions]  

Henry R. Kroll and Thomas R. Maher

Clinical Protocols and Conditioned Human Behavior in the Background of Inadequate Information as a Risk Factor for Development of Critical Incidents
Anesth Analg 2007 105: 1512. [Full Text] [PDF] [Request Permissions]  

Mary H. Lane, Fidelma Flynn, Lucy H. Hepburn, and Sian Jaggar

Factors Influencing Postanesthesia Recovery After Pediatric Ambulatory Tonsillectomy and Adenoidectomy
Anesth Analg 2007 105: 1512-1513. [Full Text] [PDF] [Request Permissions]  

Alice Edler and Brenda Golianu

Factors Influencing Postanesthesia Recovery After Pediatric Ambulatory Tonsillectomy and Adenoidectomy
Anesth Analg 2007 105: 1513. [Full Text] [PDF] [Request Permissions]  

Nicole P. Juffermans

Hypothermia in Acute Lung Injury: Reduction of Barotrauma or Biotrauma?
Anesth Analg 2007 105: 1513-1514. [Full Text] [PDF] [Request Permissions]  

Chae-Man Lim

Hypothermia in Acute Lung Injury: Reduction of Barotrauma or Biotrauma?
Anesth Analg 2007 105: 1514. [Full Text] [PDF] [Request Permissions]  

Juan J. Jimenez and Jose L. Iribarren

Coagulopathy After Cardiac Surgery
Anesth Analg 2007 105: 1514. [Full Text] [PDF] [Request Permissions]  

Edel Duggan and Thomas Ryan

Coagulopathy After Cardiac Surgery
Anesth Analg 2007 105: 1514-1515. [Full Text] [PDF] [Request Permissions]  

Michele Carron, Ulderico Freo, Stefano Veronese, Federico Innocente, and Carlo Ori

Spinal Block with 1.5 mg Hyperbaric Bupivacaine: Not Successful for Everyone
Anesth Analg 2007 105: 1515-1516. [Full Text] [PDF] [Request Permissions]  

Gösta Lotz, Richard Schalk, and Christian Byhahn

Laryngeal Tube S-II to Facilitate Fiberoptic Endotracheal Intubation in an Infant with Boring-Opitz Syndrome
Anesth Analg 2007 105: 1516-1517. [Full Text] [PDF] [Request Permissions]  

Medhat R. Wassef

Spinal Block with 1.5 mg Hyperbaric Bupivacaine: Not Successful for Everyone
Anesth Analg 2007 105: 1516. [Full Text] [PDF] [Request Permissions]  

Christopher F. Viozzi

Further Thoughts on Airway Management After Maxillomandibular Advancement for Obstructive Sleep Apnea
Anesth Analg 2007 105: 1517. [Full Text] [PDF] [Request Permissions]  

Emilio Di Genova and Gabriele D'Andrea

Permanent Urinary Incontinence After Subarachnoid Anesthesia with 0.5% Hyperbaric Bupivacaine
Anesth Analg 2007 105: 1517-1518. [Full Text] [PDF] [Request Permissions]  

Grace Korula, M. Ramamani, R. Raviraj, and Sujatha Bhaskar

Intubating Laryngeal Mask Airway-Fastrach: An Alternative to the Stabilizing Rod
Anesth Analg 2007 105: 1518. [Full Text] [PDF] [Request Permissions]  

Babak Khabiri, Fernando Arbona, and John Norton

"Gapped Supine" Position for Ultrasound Guided Lateral Popliteal Fossa Block of the Sciatic Nerve
Anesth Analg 2007 105: 1519. [Full Text] [PDF] [Request Permissions]  

Samuel I. Muraskin, Raymond C. Roy, and Patricia H. Petrozza

Overdrainage of Cerebrospinal Fluid During Central Venous Catheter Exchange in a Patient with an External Ventricular Drain
Anesth Analg 2007 105: 1519-1520. [Full Text] [PDF] [Request Permissions]  

James F. Mayhew

Small-Dose Epidural Morphine
Anesth Analg 2007 105: 1520. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

Christopher A. Troianos

Atlas of Transesophageal Echocardiography, 2nd ed.
Anesth Analg 2007 105: 1521. [Full Text] [PDF] [Request Permissions]  

David A. Nakata and Indira Danturti

Trauma. Vol. 25, No. 1 of Anesthesia Clinics.
Anesth Analg 2007 105: 1521-1522. [Full Text] [PDF] [Request Permissions]  

LIST OF BOOKS RECEIVED FOR ANESTHESIA AND ANALGESIA
Anesth Analg 2007 105: 1522. [Full Text] [PDF] [Request Permissions]  

ERRATA:

ERRATUM
Anesth Analg 2007 105: 1522. [Full Text] [PDF] [Request Permissions]  

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