Anesthesiology

Taenzer, Andreas H.; Pyke, Joshua B.; McGrath, Susan P.; Blike, George T.

Anesthesiology. 112(2):282-287, February 2010.

doi: 10.1097/ALN.0b013e3181ca7a9b

The authors implemented a patient surveillance system based on pulse oximetry with nursing notification of violation of alarm limits via wireless pager. Data were collected for 11 months before and 10 months after implementation of the system. The primary outcomes were rescue events and transfers to the intensive care unit (ICU) comparing before and after the monitoring change. Rescue events decreased from 3.4 to 1.2 per 1,000 patient discharges and ICU transfers from 5.6 to 2.9 per 1,000 patient days. Continuous patient surveillance can improve outcomes in a postoperative orthopedic ward. This may be useful in other postoperative units also.

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Curley, Gerard; Contreras, Maya; Nichol, Alistair D.; Higgins, Brendan D.; Laffey, John G.

Anesthesiology. 112(2):462-472, February 2010.

doi: 10.1097/ALN.0b013e3181ca361f

Hypercapnia is an integral component of protective lung ventilation strategies for acute respiratory distress syndrome. Hypercapnia may retard the host response to bacteria, a beneficial effect in early sepsis, but potentially deleterious in prolonged sepsis.

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Amour, Julien; Manach, Yannick Le; Borel, Marie; Lenfant, François; Nicolas-Robin, Armelle; Carillion, Aude; Ripart, Jacques; Riou, Bruno; Langeron, Olivier

Anesthesiology. 112(2):325-332, February 2010.

doi: 10.1097/ALN.0b013e3181c92111

Compared with reusable metal blades, the use of single-use metal laryngoscope blades decreased the risk of failed intubation during rapid sequence induction of anesthesia.

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Jaber, Samir; Chanques, Gerald; Jung, Boris

Anesthesiology. 112(2):453-461, February 2010.

doi: 10.1097/ALN.0b013e3181c5e5f2

Shi, Yu; Yu, Chunhua; Luo, Ailun; Huang, Yuguang; Warner, David O.

Anesthesiology. 112(2):338-346, February 2010.

doi: 10.1097/ALN.0b013e3181c91ee7

This is the first survey of Chinese anesthesiologists regarding their practices and attitudes with regard to tobacco control and provides information that will inform future efforts in tobacco control among surgical patients in China.

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Tsui, Ban C. H.; Suresh, Santhanam

Anesthesiology. 112(2):473-492, February 2010.

doi: 10.1097/ALN.0b013e3181c5dfd7

This review presents a summary of relevant anatomy, techniques used, and outcomes (based on controlled or comparative studies) as described in the current published literature on ultrasound guidance of extremity and trunk blocks in pediatrics.

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