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Contents: Volume 88, Issue 2 (February 1999)   [Index by Author]       Other Issues: Previous Next
      Down EDITORIALS
      Down PEDIATRIC ANESTHESIA
      Down CARDIOVASCULAR ANESTHESIA
      Down NEUROSURGICAL ANESTHESIA
      Down OBSTETRIC ANESTHESIA
      Down REGIONAL ANESTHESIA AND PAIN MANAGEMENT
      Down GENERAL ARTICLES
      Down CASE REPORTS
      Down LETTERS TO THE EDITOR
      Down BOOK AND MULTIMEDIA REVIEWS

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To see an article, click its [Full Text] or [PDF] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.

EDITORIALS:Back

Zeev N. Kain
Perioperative Information and Parental Anxiety: The Next Generation
Anesth Analg 1999 88: 237. [Full Text] [PDF] [Request Permissions]  

John Rowlingson
Epidural Steroids in Treating Failed Back Surgery Syndrome
Anesth Analg 1999 88: 240. [Full Text] [PDF] [Request Permissions]  

Daniel I. Sessler
Temperature Monitoring and Management During Neuraxial Anesthesia
Anesth Analg 1999 88: 243. [Full Text] [PDF] [Request Permissions]  

PEDIATRIC ANESTHESIA:Back

Joseph F. Cassady, Jr., Timothy T. Wysocki, Kathryn M. Miller, Dawn D. Cancel, and Neil Izenberg

Anesth Analg 1999 88: 246. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we demonstrated the benefits of viewing an educational videotape about pediatric anesthesia on measures of parental knowledge of anesthesia and preoperative anxiety using a randomized, controlled design. We found that videotape viewing facilitated preoperative preparation and lessened preoperative anxiety.

Kathryn M. Miller, Tim Wysocki, Joseph F. Cassady, Jr., Dawn Cancel, and Neil Izenberg

Anesth Analg 1999 88: 251. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: This study verified the reliability and validity of two questionnaires for measuring parents' knowledge and anxiety about pediatric anesthesia. These questionnaires can be used in further research on factors affecting parental anxiety and knowledge before their children's surgery.

Fumito Ichinose, Shoichi Uezono, Rika Muto, Haruo Uchida, Fumimaro Hatori, Katsuo Terui, Yoshinari Niimi, Takahisa Goto, Yoshinori Nakata, and Shigeho Morita

Anesth Analg 1999 88: 258. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Platelets of young infants are less reactive than those of children during cardiopulmonary bypass, as determined by the cardiopulmonary bypass-induced alterations in platelet membrane adhesive receptors.

Gerard R. Manecke, Jr., Michael A. Nemirov, Alvin A. Bicker, Rishimani N. Adsumelli, and Paul J. Poppers

Anesth Analg 1999 88: 263. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Heart sound characteristics can be used to monitor cardiac function during halothane anesthesia in children. The changes occur rapidly and precede noticeable changes in heart rate and blood pressure.

Carlos Campos, Sameh S. Naguib, Alice Z. Chuang, Noreen A. Lemak, and Samia N. Khalil

Anesth Analg 1999 88: 268. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Monitoring peak inflation pressure while inserting an endotracheal tube and during anesthesia can help to diagnose endobronchial intubation.

CARDIOVASCULAR ANESTHESIA:Back

Jasper E. Kal, Isabelle Vergroesen, and Harry B. van Wezel

Anesth Analg 1999 88: 271. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Our findings suggest that nitroglycerin, a donor of exogenous nitric oxide, reduces pacing-induced increases in myocardial oxygen consumption and enhances metabolic coronary vasodilation in patients with coronary artery disease, in whom endogenous nitric oxide activity may be reduced.

Felix Valsson, Stefan Lundin, Klaus Kirnö, Thomas Hedner, Erik Houltz, Yoshihiko Saito, and Sven-Erik Ricksten

Anesth Analg 1999 88: 279. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We evaluated the effects of IV atrial natriuretic peptide (50 ng · kg-1 · min-1) on pacing-induced myocardial ischemia during general anesthesia in patients with coronary artery disease. In contrast to placebo, atrial natriuretic peptide attenuated ST-segment depression and myocardial lactate production and improved left ventricular function during pacing-induced ischemia.

William M. Weightman, Neville M. Gibbs, Matthew R. Sheminant, Eric G. Whitford, Barry D. Mahon, and Mark A. J. Newman

Anesth Analg 1999 88: 286. [Abstract] [Full Text] [PDF] [En Espanol]  [Request Permissions]  

Implications: We examined the association between common drug treatments for ischemic heart disease and short-term survival after cardiac surgery using a statistical method to adjust for patients' preoperative medical condition. Death after surgery was more likely after nitrate therapy and less likely after ß-blocker therapy.

W. Scott Jellish, Bradford Blakeman, Patricia Warf, and Stephen Slogoff

Anesth Analg 1999 88: 292. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We used somatosensory evoked potentials to assess the effect of several different asymmetric sternal retractors on brachial plexus dysfunction and to determine which produced the least evidence of nerve damage during surgical exposure of the internal mammary artery.

Giorgio Medici, Chris Mallios, Wil T. Custers, Jan P. van Meerbeek, Gert T. Verhoeven, and Wim C. J. Hop

Anesth Analg 1999 88: 298. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We describe a technique in which an insufflation catheter with side holes placed into the contralateral mainstem bronchus largely prevented inhalation of laser smoke and aspiration of blood and debris.

Mark Y. H. Chow, B. L. Liam, C. H. Thng, and B. K. Chong

Anesth Analg 1999 88: 302. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We used computer tomographic scans to measure the diameter of the left mainstem bronchus, then selected the size of the left-sided double-lumen endobronchial tube (DLT) accordingly. We found that we could predict the sizes of the DLT fairly accurately, especially the smaller DLTs.

Clemens-A. Greim, Jörg Brederlau, Iris Kraus, Christian Apfel, Holger Thiel, and Norbert Roewer

Anesth Analg 1999 88: 306. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Transnasal insertion of a miniaturized monoplane transesophageal echocardiography (TEE) probe was studied in endotracheally intubated patients. Nasal passage was well tolerated even by patients with only mild sedation. Imaging quality was similar to conventional transoral monoplane TEE with larger transducers, but technical restraints cause a deficit in complete cardiac diagnosing obtained with multiplane TEE.

Linda Shore-Lesserson, Heather E. Manspeizer, Marietta DePerio, Sanjeev Francis, Frances Vela-Cantos, and M. Arisan Ergin

Anesth Analg 1999 88: 312. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Transfusion of allogeneic blood products is common during complex cardiac surgical procedures. In a prospective, randomized trial, we compared a transfusion algorithm using point-of-care coagulation testing with routine laboratory testing, and found the algorithm to be effective in reducing transfusion requirements.

Steven B. Backman, Reuben D. Stein, and Canio Polosa

Anesth Analg 1999 88: 320. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Forelimb vasculature is controlled by sympathetic preganglionic neurons located in middle to caudal thoracic spinal segments and by postganglionic axons carried in the T1 ramus and vertebral nerve. This helps to provide the anatomical substrate of interruption of sympathetic outflow to the upper extremity produced by major conduction anesthesia of the stellate ganglion or spinal cord.

Susumu Fujioka, Yukari Ono, Kenji Kangawa, and Kazuo Okada
Plasma Concentration of Adrenomedullin Is Increased in Hemorrhagic Shock in Dogs (Brief Report)
Anesth Analg 1999 88: 326. [Full Text] [PDF] [Request Permissions]  

Walter Plöchl, David J. Cook, Thomas A. Orszulak, and Richard C. Daly
Intracranial Pressure and Venous Cannulation for Cardiopulmonary Bypass (Brief Report)
Anesth Analg 1999 88: 329. [Full Text] [PDF] [Request Permissions]  

Charles W. Hogue, Jr, Thomas Stamos, Kenneth J. Winters, Michael Moulton, Peter E. Krucylak, and Joel D. Cooper
Acute Myocardial Infarction During Lung Volume Reduction Surgery (Case Report)
Anesth Analg 1999 88: 332. [Full Text] [PDF] [Request Permissions]  

NEUROSURGICAL ANESTHESIA:Back

Peter J. Dunbar, Elizabeth Visco, and Arthur M. Lam

Anesth Analg 1999 88: 335. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: This study compares the pain report and analgesic use in patients after intracranial versus extracranial surgery. The results confirm the commonly held but recently challenged belief that neurosurgery patients suffer less pain postoperatively than other patients. In this study, we found that most patients report minimal pain after intracranial surgery but that a small subset of patients, many of whom have undergone frontal craniotomies, require aggressive treatment of postoperative pain.

Andrew C. Summors, Arun K. Gupta, and Basil F. Matta

Anesth Analg 1999 88: 341. [Abstract] [Full Text] [PDF] [En Espanol]  [Request Permissions]  

Implications: We investigated the effect of sevoflurane and isoflurane on dynamic cerebral pressure autoregulation using transcranial Doppler ultrasonography. At 1.5 minimum alveolar anesthetic concentration, dynamic autoregulation was better preserved during sevoflurane than isoflurane anesthesia.

OBSTETRIC ANESTHESIA:Back

J. C. Gerancher, Herbert Floyd, and James Eisenach

Anesth Analg 1999 88: 346. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: When used along with oral analgesics, very small doses of spinal morphine provide adequate pain relief after cesarean delivery. Spinal anesthetics, oral analgesics, and other medications commonly prescribed to treat side effects after cesarean delivery contribute significantly to this analgesia. When small doses of spinal morphine are used in this setting, they provide adequate analgesia and patient satisfaction that is time- and cost-effective.

Michael G. Richardson and Richard N. Wissler

Anesth Analg 1999 88: 352. [Abstract] [Full Text] [PDF] [En Espanol]  [Request Permissions]  

Implications: Two methods of epidural catheter insertion were compared in laboring parturients. Catheter insertion with the needle orifice oriented cephalad was associated with the greatest initial success and the fewest complications.

Jaya Ramanathan, John J. Angel, Andrew J. Bush, Phyllis Lawson, and Baha Sibai

Anesth Analg 1999 88: 357. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In women with severe preeclampsia, rapid-sequence induction of general anesthesia and tracheal intubation can cause severe hypertension. Our results indicate that the increase in blood pressure is associated with a significant increase in maternal cerebral blood flow velocity and that there is a significant correlation between these two variables.

Alex T. H. Sia, Jin L. Chong, and Jen W. Chiu

Anesth Analg 1999 88: 362. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We showed that adequate labor pain relief could be provided by halving the recommended dose of 10 µg of intrathecal sufentanil plus 2.5 mg of bupivacaine. The larger dose, however, produced faster pain relief, which lasted longer than the reduced dose. The mother and baby were not adversely affected with either dose.

REGIONAL ANESTHESIA AND PAIN MANAGEMENT:Back

Brian Fredman, Meir Ben Nun, Edna Zohar, Ghusan Iraqi, Myra Shapiro, Reuven Gepstein, and Robert Jedeikin

Anesth Analg 1999 88: 367. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The clinical sign of loss of resistance is a reliable indicator of epidural space penetration in most cases of "failed back surgery syndrome." However, surface anatomy is unreliable and may result in inaccurate steroid placement. Finally, despite accurate placement, the depot-steroid solution will spread to reach the level of pathology in only 26% of cases.

Steven M. Frank, Judy M. Nguyen, Christine M. Garcia, and Rachel A. Barnes

Anesth Analg 1999 88: 373. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The results of this survey of practicing anesthesiologists indicate that body temperature is often not monitored in patients receiving regional anesthesia. It is therefore likely that significant hypothermia goes undetected and untreated in these patients.

Richard L. Kahn and Mary J. Hargett

Anesth Analg 1999 88: 378. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this retrospective study of 150 patients who underwent shoulder surgery in the sitting position under interscalene block, we found a 13% incidence of vasovagal episodes. Unlike a previous study, this was not affected by the use of ß-blockers. A randomized, prospective study is necessary to clarify this issue.

Terese T. Horlocker, Ronald P. Kufner, Allen T. Bishop, Pamela M. Maxson, and Darrell R. Schroeder

Anesth Analg 1999 88: 382. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The risk of neurologic complications was not increased in patients who underwent multiple axillary blocks, even within a 1-wk interval. No risk factors for anesthetic-related complications were identified. However, block success rate was increased with the paresthesia technique and the injection of mepivacaine versus bupivacaine.

Robert E. Grady, Terese T. Horlocker, Robert D. Brown, Pamela M. Maxson, and Darrell R. Schroeder

Anesth Analg 1999 88: 388. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The performance of regional anesthesia in an anesthetized patient is controversial due to the possibility of unrecognized nerve injury. We report no cases of nerve injury caused by the placement of cerebrospinal fluid drainage needles and catheters in 530 anesthetized patients undergoing neurosurgery.

Dietmar Holst, Michael Möllmann, Beate Schymroszcyk, Claudia Ebel, and Michael Wendt

Anesth Analg 1999 88: 393. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Atomic absorption spectrography shows no contamination of the intrathecal compartment by abraded metal particles from the Tuohy needle by combined spinal-epidural anesthesia with the needle-through-needle technique. In vitro, neither passage of dyed epidural local anesthetic nor penetration of the epidural catheter into the cerebrospinal fluid compartment could be demonstrated by endoscopy.

Argyro Fassoulaki, Constantine Sarantopoulos, Marianna Zotou, and George Karabinis

Anesth Analg 1999 88: 398. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: A novel pressure palpator that maintains the integrity of the epidermis was used to assess the level of sensory block after subarachnoid anesthesia and was compared with the standard method of the pinprick sensation. This method assessed the block consistently higher than the pinprick method, but it may have advantages as a noninvasive sensory test.

Stephan Kapral, Gabriele Gollmann, Dietmar Bachmann, Barbara Prohaska, Rudolf Likar, Oliver Jandrasits, Christian Weinstabl, and Franz Lehofer

Anesth Analg 1999 88: 402. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The present study shows that thoracic epidural anesthesia prevents a decrease of intramucosal pH during major abdominal surgery, which suggests that thoracic epidural anesthesia may be a valuable tool for the treatment of surgical stress.

Drake Morgan, Charles D. Cook, Mark A. Smith, and Mitchell J. Picker

Anesth Analg 1999 88: 407. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Compared with high-efficacy opioids, lower efficacy opioids produce lower levels of pain relief, especially in situations of moderate to severe pain. When opioids are given in combination, the effects can only be predicted on the basis of the antinociception obtained when the drugs are administered alone.

Ian Gilron, Rémi Quirion, and Terence J. Coderre

Anesth Analg 1999 88: 414. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we examined whether IV general anesthetics (propofol, alphaxalone, and pentobarbital) prevent injury-induced spinal cord changes. We measured spinal Fos protein after rats received anesthetics before versus after a formalin injection. Fos inhibition patterns were inconsistent with behavioral studies of these anesthetics, suggesting that Fos inhibition does not always correlate with behavioral analgesia.

GENERAL ARTICLES:Back

Anthony C. Webster, Patricia K. Morley-Forster, Victor Janzen, James Watson, Steven L. Dain, Donald Taves, and Dale Dantzer

Anesth Analg 1999 88: 421. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We compared airway management for intranasal surgery anesthesia using a new device, the flexible reinforced laryngeal mask airway, with the current standard of tracheal intubation. The study demonstrates that the flexible reinforced laryngeal mask airway can provide a safe, protected airway with a smoother emergence from anesthesia than tracheal intubation.

Keith J. Girling, Nigel M. Bedforth, Jennifer L. Spendlove, and Ravi P. Mahajan

Anesth Analg 1999 88: 426. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In this study, we show that a muscle relaxant-induced decrease in resting tension at the larynx may confound the assessment of neuromuscular block by cuff pressure measurement. The preliminary data suggest that video imaging may provide a suitable alternative to cuff pressure measurement to assess neuromuscular block at the larynx.

I. Varlik Dogan, Ercüment Ovali, Zeynep Eti, Abdurrahman Yayci, and F. Yilmaz Gögüs

Anesth Analg 1999 88: 432. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: In our study, using vacuum-operated tubes, we demonstrated that sevoflurane and propofol had a significant inhibitory effect on intraoperative and early postoperative platelet aggregation, whereas isoflurane had no effect. Therefore, isoflurane may be preferred as a general anesthetic in patients with a clinically relevant bleeding tendency.

Michael E. Goldberg, Joaquin Cantillo, Irwin Gratz, Edward Deal, Denis Vekeman, Robert McDougall, Mehri Afshar, Andreas Zafeiridis, and Ghassem Larijani

Anesth Analg 1999 88: 437. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: We examined the dose-response relationship of sevoflurane/Compound A and urinary excretion of albumin, glucose, and {alpha}-GST. Sevoflurane exposure for 8 h at a 2-L/min inflow rate produces transient albuminuria and enzymuria in healthy volunteers when the dose of Compound A exceeds 240 ppm-h (30 ppm for 8 h).

Masahiko Kawaguchi, Satoki Inoue, Takanori Sakamoto, Yoshitaka Kawaraguchi, Hitoshi Furuya, and Toshisuke Sakaki

Anesth Analg 1999 88: 446. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Deliberate mild hypothermia has been proposed as a means of providing cerebral protection during neurosurgical procedures. Vasodilating drugs may be used during deliberate mild hypothermia to maintain peripheral circulation and to enhance the cooling and rewarming rate. In the present study, however, we found no benefit from IV prostaglandin E1 administration during deliberate mild hypothermia in neurosurgical patients.

Kahoru Nishina, Hirohiko Akamatsu, Katsuya Mikawa, Makoto Shiga, Nobuhiro Maekawa, Hidefumi Obara, and Yukie Niwa

Anesth Analg 1999 88: 452. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: Neutrophils are involved in the antibacterial host defense system and autotissue injury. We found that clinically relevant concentrations of clonidine and dexmedetomidine do not affect chemotaxis, phagocytosis, or superoxide production by human neutrophils. These findings indicate that it may not be necessary to take special care in using {alpha}2-agonists in patients with infection, sepsis, or systemic inflammation.

Tomoe Kanda, Yoshihiro Ohta, Atsunori Kida, and Osamu Kemmotsu

Anesth Analg 1999 88: 459. [Abstract] [Full Text] [PDF] [Request Permissions]  

Implications: The nucleus raphe magnus is implicated in descending control of the nociceptive processes. We found that clonidine and yohimbine increased and decreased, respectively, the firing activity of a substantial number of nucleus raphe magnus neurons. Clonidine and may facilitate and yohimbine may reduce the outflow of the descending inhibitory pathway.

CASE REPORTS:Back

Khay W. Toh, Sarah J. Deacock, and William J. Fawcett
Severe Anaphylactic Reaction to Cisatracurium
Anesth Analg 1999 88: 462. [Full Text] [PDF] [Request Permissions]  

LETTERS TO THE EDITOR:Back

Justin Phillips, Jennifer T. Fortney, Tong Joo Gan, and Peter S. A. Glass
Ondansetron Versus Droperidol for Postoperative Nausea and Vomiting Response
Anesth Analg 1999 88: 465. [Full Text] [PDF] [Request Permissions]  

Arjang Khorasani, Kenneth D. Candido, Simin Saatee, Arjang Khorasani, Mark A. Chaney, and Mihail P. Nikolov
The Relationship Between Dynamic Compliance and Inspiratory Flow Response
Anesth Analg 1999 88: 465. [Full Text] [PDF] [Request Permissions]  

Jay B. Brodsky, Brett G. Fitzmaurice, Alex Macario, Mark Y. H. Chow, B. L. Liam, Thomas W. K. Lew, R. Y. Chelliah, and B. C. Ong
Selecting Double-Lumen Tubes for Small Patients Response
Anesth Analg 1999 88: 466. [Full Text] [PDF] [Request Permissions]  

Daniel C. Moore
Label and Labeling Are Not Interchangeable
Anesth Analg 1999 88: 467. [Full Text] [PDF] [Request Permissions]  

Jacinta McGinley and John McAdoo
Airway Adjunct to an Unanticipated Difficult Airway
Anesth Analg 1999 88: 467. [Full Text] [PDF] [Request Permissions]  

Eric E. C. de Waal, Pierre-Yves Gueugniaud, and Jean-Charles Pannetier
The Hemodynamic Effects of Pneumoperitoneum During Laparoscopic Surgery in Healthy Infants: Assessment by Continuous Esophageal Aortic Blood Flow Echo Doppler Response
Anesth Analg 1999 88: 468. [Full Text] [PDF] [Request Permissions]  

Takashi Asai and Koh Shingu
Use of the Laryngeal Mask During Emergence from Anesthesia in a Patient with an Unstable Neck
Anesth Analg 1999 88: 469. [Full Text] [PDF] [Request Permissions]  

Phillip Found and A. Paul Forrest
Vaporizer Level Obstruction Detected by Anesthetic Vapor Analysis
Anesth Analg 1999 88: 469. [Full Text] [PDF] [Request Permissions]  

Kuniyuki Niijima, Atsushi Seto, Kazuyoshi Aoyama, Ichiro Takenaka, and Tatsuo Kadoya
An Illuminating Stylet as an Aid for Tracheal Intubation Via the Intubating Laryngeal Mask Airway
Anesth Analg 1999 88: 470. [Full Text] [PDF] [Request Permissions]  

BOOK AND MULTIMEDIA REVIEWS:Back

Alexander Brack, Curtis L. Baysinger, Michael P. Smith, Michael F. Roizen, and Philip L. Liu
Atlas of Anesthesia. Vol II. Scientific Principles of Anesthesia The High Risk Obstetrical Patient. Vol 16, No 2 of Anesthesiology Clinics of North America. Drugs, Diseases, and Anesthesia Clinical Anesthesia Procedures of the Massachusetts General Hospital. 5th ed Simulators in Anesthesiology Education Books and Multimedia Received
Anesth Analg 1999 88: 471. [Full Text] [PDF] [Request Permissions]  

To see an article, click its [Full Text] or [PDF] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.


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