Journal of clinical anesthesia
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To determine whether apneic oxygenation through nasal or nasopharyngeal catheters can counteract hypoxemia and desaturation during induction of anesthesia and endotracheal intubation. ⋯ Apneic oxygenation through nasal or nasopharyngeal catheters can prolong time to desaturation and decrease degree of desaturation during induction of anesthesia and endotracheal intubation in adult ASA I-II patients undergoing anesthesia for elective surgery.
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Clinical practice guidelines (CPGs) are cornerstones for the management of critically ill patients. Numerous CPGs have been generated in critical care medicine, but their qualities have never been systematically appraised. The aim of the present study was to systematically assess the quality of critical care CPGs. ⋯ The study showed that the reporting quality of critical care CPGs were suboptimal. The reporting quality varied across the six domains, with the highest quality in domain 1 and lowest quality in domain 2. Strenuous efforts need to be made to improve the reporting of critical care CPGs.
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Partial hepatic resection reduces tumor burden in patients with metastatic neuroendocrine tumors, thereby improving quality and length of life. These procedures can be challenging as well as life-threatening. Our aim was to evaluate our patients' perioperative outcomes and propose a definition for an intraoperative carcinoid crisis relevant to this surgery, given its unique surgical considerations. ⋯ There were no documented cases of carcinoid crisis (0.0%, 95% C.I. 0.0% to 2.2%). Adverse events were infrequent.
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Determine if changes in expired carbon dioxide tension correlate with the severity of venous air embolism (VAE) associated hemodynamic changes in humans. ⋯ Greater magnitude of decreases in EECO2 is associated with hemodynamically-significant VAE in mechanically-ventilated patients. However, the magnitude of changes may have limited utility to diagnose VAE or exclude the diagnosis of VAE in patients with unexplained intraoperative hypotension.
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Letter Case Reports
Hepatotoxicity after desflurane anesthesia in a morbidly obese patient.