Anesthesiology

Yang, Tao; Hou, Jiong; Li, Jinbao; Zhang, Xu; Zhu, Xiaoyan; Ni, Wen; Mao, Yanfei; Deng, Xiaoming

Anesthesiology. 118(5):1059-1064, May 2013.

doi: 10.1097/ALN.0b013e31828877c0

Retrograde light-guided laryngoscopy for tracheal intubation uses transtracheal light transmission from a source attached to the skin to illuminate the glottis. Nine residents, six medical students and five nurses who had never intubated a patient each attempted to intubate 10 patients, using direct laryngoscopy in five of them and retrograde light-guided laryngoscopy in five in a randomly assigned order. The overall success rate using direct laryngoscopy was 47% while that with retrograde light-guided laryngoscopy was 72%. The median cumulative times to glottis exposure and to tracheal intubation were decreased and glottic exposure was improved when retrograde light-guided laryngoscopy was used.

Abstract:

Memtsoudis, Stavros G.; Sun, Xuming; Chiu, Ya-Lin; Stundner, Ottokar; Liu, Spencer S.; Banerjee, Samprit; Mazumdar, Madhu; Sharrock, Nigel E.

Anesthesiology. 118(5):1046-1058, May 2013.

doi: 10.1097/ALN.0b013e318286061d

The impact of anesthetic technique on perioperative outcomes remains controversial. Analyzing a large national sample, the authors demonstrate superior postoperative outcomes associated with the utilization of neuraxial versus general anesthesia for primary joint arthroplasty.

Abstract:

Go to Full Text of this Article

Ladoire, Sylvain; Pauchard, Laure-Anne; Barbar, Saber-Davide; Tissieres, Pierre; Croisier-Bertin, Delphine; Charles, Pierre-Emmanuel

Anesthesiology. 118(5):1150-1159, May 2013.

doi: 10.1097/ALN.0b013e31828a7016

Mechanical ventilation promotes tissue damages and inflammation if applied to preinjured lungs, worsening in turn bacterial pneumonia. Prone position improved bacterial clearance, decreased injury and inflammatory mediators release as well in ventilated rabbits.

Abstract:

Go to Full Text of this Article

Marhofer, Daniela; Marhofer, Peter; Kettner, Stephan C.; Fleischmann, Edith; Prayer, Daniela; Schernthaner, Melanie; Lackner, Edith; Willschke, Harald; Schwetz, Pascal; Zeitlinger, Markus

Anesthesiology. 118(5):1106-1112, May 2013.

doi: 10.1097/ALN.0b013e318289465f

The authors investigated the spread of local anesthetic after thoracic paravertebral blockade via magnetic resonance imaging. Whereas the spread was constant with approximately four vertebral levels, the sensory distribution was within a wide range.

Abstract:

Go to Full Text of this Article

Ferschl, Marla; Ball, Robert; Lee, Hanmin; Rollins, Mark D.

Anesthesiology. 118(5):1211-1223, May 2013.

doi: 10.1097/ALN.0b013e31828ea597

Fetal myelomeningocele repair may be preferable to postnatal repair. The pathophysiology of myelomeningocele and anesthetic management of open fetal myelomeningocele surgery are discussed. The success of this unique procedure relies on a well-coordinated multidisciplinary approach.

Abstract:

Go to Full Text of this Article

Aguirre, José A.; Gresch, Daniela; Popovici, Annemarie; Bernhard, Jost; Borgeat, Alain

Anesthesiology. 118(5):1198-1205, May 2013.

doi: 10.1097/ALN.0b013e31828afa96