EDITORIALS:

John C. Rowlingson

Lipid Rescue: A Step Forward in Patient Safety? Likely So!
Anesth Analg 2008 106: 1333-1336. [Full Text] [PDF] [Request Permissions]  

Sorin J. Brull

Lipid Emulsion for the Treatment of Local Anesthetic Toxicity: Patient Safety Implications
Anesth Analg 2008 106: 1337-1339. [Full Text] [PDF] [Request Permissions]  

Guy L. Weinberg

Lipid Infusion Therapy: Translation to Clinical Practice
Anesth Analg 2008 106: 1340-1342. [Full Text] [PDF] [Request Permissions]  

Ashraf S. Habib and Tong J. Gan

Haloperidol for Postoperative Nausea and Vomiting: Are We Reinventing the Wheel?
Anesth Analg 2008 106: 1343-1345. [Full Text] [PDF] [Request Permissions]  

Eliana Lucchinetti, Marcus C. Schaub, and Michael Zaugg

Emulsified Intravenous Versus Evaporated Inhaled Isoflurane for Heart Protection: Old Wine in a New Bottle or True Innovation?
Anesth Analg 2008 106: 1346-1349. [Full Text] [PDF] [Request Permissions]  

CARDIOVASCULAR ANESTHESIOLOGY:

Yan Rao, Yan-lin Wang, Wen-sheng Zhang, and Jin Liu

Emulsified Isoflurane Produces Cardiac Protection After Ischemia-Reperfusion Injury in Rabbits
Anesth Analg 2008 106: 1353-1359. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: IV 8% emulsified isoflurane appears to provide anesthetic myocardial preconditioning in rabbits subjected to coronary artery occlusion and reperfusion.

Thorsten Haas, Dietmar Fries, Corinna Velik-Salchner, Christian Reif, Anton Klingler, and Petra Innerhofer

The In Vitro Effects of Fibrinogen Concentrate, Factor XIII and Fresh Frozen Plasma on Impaired Clot Formation After 60% Dilution
Anesth Analg 2008 106: 1360-1365. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Profound dilution-dependent impaired clot formation might be better improved with fibrinogen concentrate than with fresh frozen plasma, and supplementation with Factor XIII might be considered in some cases.

Michael T. Ganter and Christoph K. Hofer

Coagulation Monitoring: Current Techniques and Clinical Use of Viscoelastic Point-of-Care Coagulation Devices (Review Article)
Anesth Analg 2008 106: 1366-1375. [Abstract] [Full Text] [PDF] [Request Permissions]  

Kathryn E. Glas, Madhav Swaminathan, Scott T. Reeves, Jack S. Shanewise, David Rubenson, Peter K. Smith, Joseph P. Mathew, Stanton K. Shernan, and Council for Intraoperative Echocardiography of the American Society of Echocardiography, Atlanta, GA; Durham, NC; Charleston, SC; NY, NY; LA Jolla, CA; and Boston, MA.

Guidelines for the Performance of a Comprehensive Intraoperative Epiaortic Ultrasonographic Examination: Recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists; Endorsed by the Society of Thoracic Surgeons (Special Article)
Anesth Analg 2008 106: 1376-1384. [Full Text] [PDF] [Request Permissions]  

Alison D. Parnell, Glen A. L. Wilkinson, and Nicholas J. Morgan-Hughes

Ventriculoseptal Defect Detected After Surgical Repair of Double-Chamber Right Ventricle (Echo Rounds)
Anesth Analg 2008 106: 1385-1386. [Full Text] [PDF] [Echo Rounds]  [Request Permissions]  

Luigi Vetrugno, Flavio Bassi, Francesco Giordano, and Ugolino Livi

Imaging a Large Unsuspected Sinus of Valsalva Aneurysm Dissecting into the Interventricular Septum (Echo Rounds)
Anesth Analg 2008 106: 1387-1389. [Full Text] [PDF] [Echo Rounds]  [Request Permissions]  

PEDIATRIC ANESTHESIOLOGY:

Patricia R. Bachiller, Joseph M. McDonough, and Jeffrey M. Feldman

Do New Anesthesia Ventilators Deliver Small Tidal Volumes Accurately During Volume-Controlled Ventilation?
Anesth Analg 2008 106: 1392-1400. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Accurate delivery of the set tidal volume, especially under conditions of small tidal volume and low lung compliance, is possible with an anesthesia ventilator capable of compliance compensation. When using such a ventilator, volume-controlled ventilation is a reasonable alternative to pressure-controlled ventilation and offers the advantage of a guaranteed tidal volume.

AMBULATORY ANESTHESIOLOGY:

Chin-Chen Chu, Ja-Ping Shieh, Jann-Inn Tzeng, Jen-Yin Chen, Yi Lee, Shung-Tai Ho, and Jhi-Joung Wang

The Prophylactic Effect of Haloperidol Plus Dexamethasone on Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopically Assisted Vaginal Hysterectomy
Anesth Analg 2008 106: 1402-1406. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Prophylactic haloperidol plus dexamethasone produced a greater reduction in the incidence of postoperative nausea and vomiting than did either drug used alone, droperidol or placebo, without increasing perioperative adverse outcomes. This combination can be considered for prophylactic treatment of postoperative nausea and vomiting.

Carl E. Rosow, Kenneth L. Haspel, Sarah E. Smith, Loreta Grecu, and Edward A. Bittner

Haloperidol Versus Ondansetron for Prophylaxis of Postoperative Nausea and Vomiting (Brief Report)
Anesth Analg 2008 106: 1407-1409. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a mixed surgical population, the efficacy of postoperative nausea and vomiting prophylaxis with haloperidol 1 mg was not significantly different from ondansetron 4 mg. There was no clinically important toxicity from haloperidol at this dose.

Loreta Grecu, Edward A. Bittner, Jay Kher, Sarah E. Smith, and Carl E. Rosow

Haloperidol Plus Ondansetron Versus Ondansetron Alone for Prophylaxis of Postoperative Nausea and Vomiting (Brief Report)
Anesth Analg 2008 106: 1410-1413. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a mixed surgical population, ondansetron 4 mg plus haloperidol 1 mg had greater efficacy and longer duration than ondansetron alone for postoperative nausea and vomiting prophylaxis.

Ashraf S. Habib and Tong J. Gan

PRO: The Food and Drug Administration Black Box Warning on Droperidol Is Not Justified (Editorial)
Anesth Analg 2008 106: 1414-1417. [Full Text] [PDF] [Request Permissions]  

Danielle B. Ludwin and Steven L. Shafer

CON: The Black Box Warning on Droperidol Should Not Be Removed (But Should Be Clarified!) (Editorial)
Anesth Analg 2008 106: 1418-1420. [Full Text] [PDF] [Request Permissions]  

Rebecca S. Twersky, Svetlana Sapozhnikova, and Ben Toure

Risk Factors Associated with Fast-Track Ineligibility After Monitored Anesthesia Care in Ambulatory Surgery Patients
Anesth Analg 2008 106: 1421-1426. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The study identified several risk factors associated with fast-track ineligibility after monitored anesthesia care. These factors may help identify patients who are not suitable for fast-tracking. Improved fast-track protocols could increase efficient utilization of staff and physical resources, resulting in better patient care.

ANESTHETIC PHARMACOLOGY:

Susan E. Copeland, Leigh A. Ladd, Xiao-Qing Gu, and Laurence E. Mather

The Effects of General Anesthesia on the Central Nervous and Cardiovascular System Toxicity of Local Anesthetics
Anesth Analg 2008 106: 1429-1439. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: General anesthesia with halothane markedly changed important signs of local anesthetic toxicity in sheep. Cardiovascular depression predominated in anesthetized sheep while central nervous system and cardiovascular system stimulation with serious, and sometimes fatal, arrhythmias occurred in conscious sheep. This study shows that a dangerous toxic effect of local anesthetics, arrhythmias, and deaths did not occur in anesthetized sheep in this preparation, and also that outcomes of experiments using general anesthesia are likely to be different from studies of conscious animals.

Susan E. Copeland, Leigh A. Ladd, Xiao-Qing Gu, and Laurence E. Mather

The Effects of General Anesthesia on Whole Body and Regional Pharmacokinetics of Local Anesthetics at Toxic Doses
Anesth Analg 2008 106: 1440-1449. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In local anesthetic toxicity models, the influence of general anesthesia has long demanded systematic study as an experimental variable. In our whole body ovine model, anesthesia affected survival, central nervous system, and cardiovascular system responses and, as described in this paper, pharmacokinetics. This demonstration of profound influences of anesthesia as an experimental variable has fundamental implications for the interpretation of local anesthetic toxicity, and for pharmacologic study design in general.

Taketo Nakamura, Yutaka Oda, Ryota Takahashi, Katsuaki Tanaka, Ichiro Hase, and Akira Asada

Propranolol Increases the Threshold for Lidocaine-Induced Convulsions in Awake Rats: A Direct Effect on the Brain
Anesth Analg 2008 106: 1450-1455. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Intracerebroventricular propranolol increased the convulsive dose and threshold plasma concentration of lidocaine for convulsions. Although IV propranolol also increased the convulsive dose, the plasma concentration of propranolol required for exerting anticonvulsant activity was approximately 60-fold higher than that by intracerebroventricular injection, suggesting that systemically administered propranolol exerts its anticonvulsant effect through direct actions on the brain.

Philipp Lirk, Ingrid Haller, Hans Peter Colvin, Leopold Lang, Bettina Tomaselli, Lars Klimaschewski, and Peter Gerner

In Vitro, Inhibition of Mitogen-Activated Protein Kinase Pathways Protects Against Bupivacaine- and Ropivacaine-Induced Neurotoxicity
Anesth Analg 2008 106: 1456-1464. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Neurotoxicity of local anesthetics remains a concern in regional anesthesia. Given equipotent doses, the neurotoxic potential of lidocaine, bupivacaine, and ropivacaine in vitro is comparable and is brought about through activation of specific mitogen-activated protein kinases. Specific pharmacologic inhibition of these kinases attenuates neurotoxicity in vitro.

Shin Onizuka, Toshiharu Kasaba, Ryuji Tamura, and Mayumi Takasaki

Lidocaine Increases Intracellular Sodium Concentration Through a Na⁺-H⁺ Exchanger in an Identified Lymnaea Neuron
Anesth Analg 2008 106: 1465-1472. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Lidocaine decreases intracellular pH by proton-trapping and increases intracellular sodium through a Na+-H+ exchanger.

Yuan Li, Xiaonan Zhang, Biao Zhu, and Zhanggang Xue

Desflurane Preconditioning Inhibits Endothelial Nuclear Factor--B Activation by Targeting the Proximal End of Tumor Necrosis Factor- Signaling
Anesth Analg 2008 106: 1473-1479. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Desflurane preconditioning can limit nuclear factor-{kappa}B activation induced by tumor necrosis factor (TNF)-{alpha} in vitro. Detailed analysis suggests that the early events of TNF-{alpha} cascade are targeted by desflurane.

TECHNOLOGY, COMPUTING, AND SIMULATION:

Biais Matthieu, Nouette-Gaulain Karine, Cottenceau Vincent, Vallet Alain, Cochard Jean François, Revel Philippe, and Sztark François

Cardiac Output Measurement in Patients Undergoing Liver Transplantation: Pulmonary Artery Catheter Versus Uncalibrated Arterial Pressure Waveform Analysis
Anesth Analg 2008 106: 1480-1486. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Cardiac output values obtained with uncalibrated arterial pressure waveform analysis (Vigileo(R)/FloTracTM, Software 1.07) in patients undergoing liver transplantation do not correlate with pulmonary artery catheter data (percentage error of 43%), particularly in Child-Pugh grade B and C patients with low systemic vascular resistance.

R. Ross Kennedy and Richard A. French

Changing Patterns in Anesthetic Fresh Gas Flow Rates Over 5 Years in a Teaching Hospital
Anesth Analg 2008 106: 1487-1490. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: The ability to audit fresh gas flow rates has enabled documentation of a reduction in flow rates being used. Potential factors contributing to the reduced flow rates are discussed.

Hermann Heinze, Beate Sedemund-Adib, Matthias Heringlake, Ulrich W. Gosch, Hartmut Gehring, and Wolfgang Eichler

The Impact of Different Step Changes of Inspiratory Fraction of Oxygen on Functional Residual Capacity Measurements Using the Oxygen Washout Technique in Ventilated Patients (Technical Communication)
Anesth Analg 2008 106: 1491-1494. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Clinically acceptable repeatability of functional residual capacity (FRC) measurements using a small step change in inspiratory fraction of oxygen (Fio2) of 0.1 has been demonstrated in 20 postoperative cardiac patients with relatively normal pulmonary function. Acceptable measurements with a small step change in Fio2 make it feasible to perform FRC measurements at the bedside for patients with acute lung injury, although more study is needed to verify the technique in these patients.

PATIENT SAFETY:

Marie-Hélène Tremblay, Stephan Williams, Arnaud Robitaille, and Pierre Drolet

Poor Visualization During Direct Laryngoscopy and High Upper Lip Bite Test Score Are Predictors of Difficult Intubation with the GlideScope® Videolaryngoscope
Anesth Analg 2008 106: 1495-1500. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Intubation using the GlideScope(R) videolaryngoscope may take longer and require more attempts in patients with high Cormack and Lehane grade at direct laryngoscopy, high upper lip bite test score, or short sternothyroid distance.

Pavel Michalek, Philip Hodgkinson, and William Donaldson

Fiberoptic Intubation Through an I-Gel Supraglottic Airway in Two Patients with Predicted Difficult Airway and Intellectual Disability (Case Report)
Anesth Analg 2008 106: 1501-1504. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Planned fiberoptic-guided intubation through the I-gel supraglottic airway is described in two patients with genetic syndromes, profound intellectual disability and predicted difficult airway. I-gel airway allowed both good oxygenation and ventilation before definitive insertion of endotracheal tube.

Viktoria D. Mayr, Lukas Mitterschiffthaler, Andreas Neurauter, Christian Gritsch, Volker Wenzel, Tilko Müller, Günter Luckner, Karl H. Lindner, and Hans-Ulrich Strohmenger

A Comparison of the Combination of Epinephrine and Vasopressin with Lipid Emulsion in a Porcine Model of Asphyxial Cardiac Arrest After Intravenous Injection of Bupivacaine
Anesth Analg 2008 106: 1566-1571. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: In a porcine model, we compared the effect of vasopressin/epinephrine with that of a lipid emulsion on survival after bupivacaine-induced cardiac arrest. All five pigs given vasopressin/epinephrine, but none given lipid emulsion, survived. Higher coronary perfusion pressure during cardiopulmonary resuscitation by vasopressin/epinephrine may have contributed to survival rates.

CRITICAL CARE AND TRAUMA:

Thomas Mitterlechner, Nicolas Nerbl, Holger Herff, Peter Paal, Martin Moritz, Frank Kloss, Karl H. Lindner, and Volker Wenzel

Effects of a Suction Laryngoscope in a Model with Simulated Severe Airway Hemorrhage (Technical Communication)
Anesth Analg 2008 106: 1505-1508. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We compared a newly developed Macintosh laryngoscope (size 3) with an incorporated suction feature versus a Macintosh laryngoscope (size 3) in a model with severe simulated upper airway hemorrhage. Although using our suction laryngoscope did not result in more rapid intubation, it significantly decreased the likelihood of esophageal intubations and could therefore be a helpful device in bleeding airway scenarios.

OBSTETRIC ANESTHESIOLOGY:

Jessamyn Conell-Price, Jennifer B. Evans, Daewha Hong, Steven Shafer, and Pamela Flood

The Development and Validation of a Dynamic Model to Account for the Progress of Labor in the Assessment of Pain
Anesth Analg 2008 106: 1509-1515. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We have developed a preliminary model for labor pain as a dynamic function of cervical dilation; this model may useful as a research tool to assess the effects of covariants on first stage labor pain and the rate of change of labor pain.

NEUROSURGICAL ANESTHESIOLOGY:

Ulderico Freo, Mauro Dam, and Carlo Ori

The Time-Dependent Effects of Midazolam on Regional Cerebral Glucose Metabolism in Rats
Anesth Analg 2008 106: 1516-1523. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Hypnotic and sedative effects of midazolam are associated with different patterns of regional cerebral metabolic rates for glucose decrease.

GENERAL ARTICLES:

Milan P. Jankovic, Mark Kaufmann, and Christoph H. Kindler

Active Research Fields in Anesthesia: A Document Co-Citation Analysis of the Anesthetic Literature
Anesth Analg 2008 106: 1524-1533. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Co-citation analysis identified 46 active fields of research in the overall area of anesthesiology and perioperative medicine. The seminal papers were most commonly published in Anesthesiology, whereas Anesthesia & Analgesia was the most common journal for the "front papers" that provided the latest data about each research topic.

ANALGESIA:

Frédéric Aubrun, Nathalie Valade, Pierre Coriat, and Bruno Riou

Predictive Factors of Severe Postoperative Pain in the Postanesthesia Care Unit
Anesth Analg 2008 106: 1535-1541. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: A higher intraoperative dose of sufentanil (>=0.6 {micro}g/kg), general anesthesia, and preoperative treatment with analgesics were significantly associated with a severe postoperative pain.

Soo Hwan Kim, Kang Hun Lee, Kyung Bong Yoon, Woo Young Park, and Duck-Mi Yoon

Sonographic Estimation of Needle Depth for Cervical Epidural Blocks
Anesth Analg 2008 106: 1542-1547. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This study was designed to evaluate the availability of ultrasound using transverse and longitudinal median views to facilitate cervical epidural blocks. Ultrasound provided very accurate information on the agreement between ultrasound and actual epidural needle depth. In addition, longitudinal median view revealed the optimal puncture angle of the epidural needle at the insertion point. Our findings suggest that cervical epidural blocks can be of great assistance with simple ultrasound scans before puncture.

Noha M. Elsharnouby, Hala E. Eid, Nahla F. Abou Elezz, and Ashraf N. Moharram

Intraarticular Injection of Magnesium Sulphate and/or Bupivacaine for Postoperative Analgesia After Arthroscopic Knee Surgery
Anesth Analg 2008 106: 1548-1552. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: For arthroscopic knee surgery analgesia, intraarticular administration of combined magnesium and bupivacaine improves postoperative analgesia compared with either drug alone or to saline placebo. The time to first analgesic request was increased, the need for postoperative analgesic requirement was decreased, and pain scores were reduced.

REGIONAL ANESTHESIA:

Eric Dufour, Patrick Quennesson, Anne Laure Van Robais, Françoise Ledon, Pierre-Antoine Laloë, Ngai Liu, and Marc Fischler

Combined Ultrasound and Neurostimulation Guidance for Popliteal Sciatic Nerve Block: A Prospective, Randomized Comparison with Neurostimulation Alone
Anesth Analg 2008 106: 1553-1558. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Combined ultrasound and neurostimulation guidance does not decrease block time but increases the success rate of popliteal sciatic nerve block observed at 30 min compared with neurostimulation alone.

BRIEF REPORTS:

Florian Heid, Nicole Müller, Tim Piepho, Maren Bäres, Markus Giesa, Philipp Drees, Andreas Rümelin, and Christian Werner

Postoperative Analgesic Efficacy of Peripheral Levobupivacaine and Ropivacaine: A Prospective, Randomized Double-Blind Trial in Patients After Total Knee Arthroplasty (Brief Report)
Anesth Analg 2008 106: 1559-1561. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: This study compared the postoperative analgesic efficacy of levobupivacaine and ropivacaine via patient controlled femoral nerve analgesia after total knee arthroplasty. Similar analgesia required 67% more ropivacaine, confirming the lower potency of ropivacaine previously reported.

Yuhong Li, Shengmei Zhu, and Meijuan Yan

Combined General/Epidural Anesthesia (Ropivacaine 0.375%) Versus General Anesthesia for Upper Abdominal Surgery (Brief Report)
Anesth Analg 2008 106: 1562-1565. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Epidural ropivacaine 0.375% suppressed the stress hormone responses and sufentanil requirements perioperatively during maintenance of anesthesia but did not reduce the maintenance anesthetic requirements of propofol for patients undergoing nephrectomy.

CASE REPORTS:

Hugues Ludot, Jean-Yves Tharin, Mohamed Belouadah, Jean-Xavier Mazoit, and Jean-Marc Malinovsky

Successful Resuscitation After Ropivacaine and Lidocaine-Induced Ventricular Arrhythmia Following Posterior Lumbar Plexus Block in a Child (Case Report)
Anesth Analg 2008 106: 1572-1574. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Lumbar plexus block with ropivacaine and lidocaine resulted in ventricular tachycardia in a child, which immediately reverted to sinus rhythm after administration of 20% lipid emulsion.

Rainer J. Litz, Thomas Roessel, Axel R. Heller, and Sebastian N. Stehr

Reversal of Central Nervous System and Cardiac Toxicity After Local Anesthetic Intoxication by Lipid Emulsion Injection (Case Report)
Anesth Analg 2008 106: 1575-1577. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: For the first time, lipid infusion was successfully used for the treatment of central nervous system and cardiac toxicity after axillary brachial plexus block with mepivacaine and prilocaine.

Julio A. Warren, R. Brian Thoma, Alexandru Georgescu, and Saurin J. Shah

Intravenous Lipid Infusion in the Successful Resuscitation of Local Anesthetic-Induced Cardiovascular Collapse After Supraclavicular Brachial Plexus Block (Case Report)
Anesth Analg 2008 106: 1578-1580. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: We report a case of successful resuscitation with intralipid infusion after cardiovascular collapse after supraclavicular block with ropivacaine and mepivacaine. This case demonstrates the utility of lipid rescue for presumed local anesthetic toxicity during prolonged resuscitative efforts.

Hugh M. Smith, Adam K. Jacob, Leal G. Segura, John A. Dilger, and Laurence C. Torsher

Simulation Education in Anesthesia Training: A Case Report of Successful Resuscitation of Bupivacaine-Induced Cardiac Arrest Linked to Recent Simulation Training (Case Report)
Anesth Analg 2008 106: 1581-1584. [Abstract] [Full Text] [PDF] [Request Permissions]  

IMPLICATIONS: Providers who had recently completed simulation education in the management of local anesthetic cardiac toxicity participated in the successful resuscitation of a patient who suffered cardiac arrest after injection of bupivacaine during a sciatic nerve block. This experience is evidence that simulation training may improve the management of rare emergencies.

CORRECTION OF COPYRIGHT:

Correction of Copyright
Anesth Analg 2008 106: 1584. [Full Text] [PDF] [Request Permissions]  

LETTERS TO THE EDITOR:

Bob A. Rappaport

FDA Response to Droperidol Black Box Warning Editorials
Anesth Analg 2008 106: 1585. [Full Text] [PDF] [Request Permissions]  

Arvi Yli-Hankala

Awareness Despite Low Spectral Entropy Values
Anesth Analg 2008 106: 1585. [Full Text] [PDF] [Request Permissions]  

Laura Strandberg and Jaana Korhonen

Electroencephalogram-Based Indexes Indicate the Drug Effect of the Brain, Not the (Un)Consciousness Itself
Anesth Analg 2008 106: 1585-1586. [Full Text] [PDF] [Request Permissions]  

Michael Vassiliadis

Electroencephalogram-Based Indexes Indicate the Drug Effect of the Brain, Not the (Un)Consciousness Itself
Anesth Analg 2008 106: 1586. [Full Text] [PDF] [Request Permissions]  

Steven M. Neustein

The Use of Lidocaine for Spinal Anesthesia
Anesth Analg 2008 106: 1586-1587. [Full Text] [PDF] [Request Permissions]  

Shmuel Evron and Tiberiu Ezri

The Use of Lidocaine for Spinal Anesthesia
Anesth Analg 2008 106: 1587. [Full Text] [PDF] [Request Permissions]  

Randall M. Schell, Edwin A. Bowe, and Regina Y. Fragneto

Education in Anesthesiology Should Be Evidenced-Based
Anesth Analg 2008 106: 1587-1588. [Full Text] [PDF] [Request Permissions]  

D. David Glass and Alan D. Sessler

Education in Anesthesiology Should Be Evidenced-Based
Anesth Analg 2008 106: 1588. [Full Text] [PDF] [Request Permissions]  

Sibylle Kozek-Langenecker and Gila Scharbert

Which Hemostatic Changes Determine Clinical Outcome?
Anesth Analg 2008 106: 1588. [Full Text] [PDF] [Request Permissions]  

Markus Mittermayr, Corinna Velik-Salchner, and Petra Innerhofer

Which Hemostatic Changes Determine Clinical Outcome?
Anesth Analg 2008 106: 1588-1589. [Full Text] [PDF] [Request Permissions]  

Lu-Long Bo, Jin-Bao Li, and Xiao-Ming Deng

The Assessment of Publication Quality
Anesth Analg 2008 106: 1589-1590. [Full Text] [PDF] [Request Permissions]  

Madhav Swaminathan, Barbara G. Phillips-Bute, and Katherine P. Grichnik

The Assessment of Publication Quality
Anesth Analg 2008 106: 1590. [Full Text] [PDF] [Request Permissions]  

Jens Lohser

Tension Pneumothorax During One-Lung Ventilation
Anesth Analg 2008 106: 1590. [Full Text] [PDF] [Request Permissions]  

Gordon N. Finlayson and Jay B. Brodsky

Tension Pneumothorax During One-Lung Ventilation
Anesth Analg 2008 106: 1590-1591. [Full Text] [PDF] [Request Permissions]  

Helle Herrman, Anne Brækhus, Olaf Aaserud, Pål Aukrust, Audun Stubhaug, and Bjørnar Hassel

Early Treatment of Tetanus-Induced Trismus With Botulinum Toxin A
Anesth Analg 2008 106: 1591. [Full Text] [PDF] [Request Permissions]  

Niels Chapman

Gastric Rupture and Pneumoperitoneum Caused by Oxygen Insufflation via a Fiberoptic Bronchoscope
Anesth Analg 2008 106: 1592. [Full Text] [PDF] [Request Permissions]  

Heinz R. Bruppacher, Stefan Brugger, Thomas Kube, and Albert Urwyler

Use of Droperidol for Ambulatory Eye Surgery in a Patient with Huntington's Chorea
Anesth Analg 2008 106: 1592-1593. [Full Text] [PDF] [Request Permissions]  

Editor's Note
Anesth Analg 2008 106: 1593. [Full Text] [PDF] [Request Permissions]  

Gebhard Wagener and H. Thomas Lee

Aprotinin and Urinary Neutrophil Gelatinase-Associated Lipocalin After Cardiac Surgery
Anesth Analg 2008 106: 1593. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:

Katie Figg and Keith Littlewood

Yao and Artusio's Anesthesiology: Problem-Oriented Patient Management, 6th ed.
Anesth Analg 2008 106: 1594. [Full Text] [PDF] [Request Permissions]  

Robert E. Johnstone

Anesthesiology
Anesth Analg 2008 106: 1594-1595. [Full Text] [PDF] [Request Permissions]  

Elizabeth A. M. Frost

Neurosurgical Anesthesia and Critical Care, Vol. 25, No. 3 in Anesthesiology Clinics
Anesth Analg 2008 106: 1595-1596. [Full Text] [PDF] [Request Permissions]  

Pamela Flood

Easy Labor: Every Woman's Guide to Choosing Less Pain and More Joy During Childbirth
Anesth Analg 2008 106: 1596-1597. [Full Text] [PDF] [Request Permissions]  

John E. Tetzlaff

Atlas of Common Pain Syndromes, 2nd ed.
Anesth Analg 2008 106: 1597-1598. [Full Text] [PDF] [Request Permissions]  

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