Journal of anesthesia
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Journal of anesthesia · Dec 2016
Review Meta AnalysisSystematic review of motor evoked potentials monitoring during thoracic and thoracoabdominal aortic aneurysm open repair surgery: a diagnostic meta-analysis.
Motor evoked potential (MEP) monitoring has been used to prevent neurological complications such as paraplegia in patients who underwent thoracic or thoracoabdominal aortic aneurysm (TAA/TAAA) surgery. The object of this study was making a systematic review to survey the performance of MEP monitoring during TAA/TAAA open repair surgery. We searched electronic databases for relevant studies. ⋯ The results of the QUADAS-2 were not good. The performance of MEP monitoring was good for detecting postoperative paraplegia in TAA/TAAA open repair surgery. The cut-off point of all-or-none may be the best, according to our review.
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Journal of anesthesia · Dec 2016
Randomized Controlled TrialRetrolaminar block: analgesic efficacy and safety evaluation.
Retrolaminar block (RLB) is a thoracic truncal block that can produce analgesia for the thoracic and abdominal wall. However, the characteristics of RLB are not well known. The aim of this study was to determine analgesic efficacy by measuring postoperative consume of patient-controlled analgesia (PCA), additional nonsteroidal antiinflammatory drug (NSAID) rescue, and opioid rescue. Our secondary analysis included assessment of the chronological change in arterial levobupivacaine concentrations after the block. ⋯ Continuous RLB was not inferior to PVB except for the first 24 h, and was satisfactory after mastectomy. RLB showed safe, low peak arterial levobupivacaine concentrations.
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Journal of anesthesia · Dec 2016
Randomized Controlled TrialEffect of lung-protective ventilation-induced respiratory acidosis on the duration of neuromuscular blockade by rocuronium.
The purpose of this study was to elucidate whether lung-protective ventilation-induced respiratory acidosis increased the duration of neuromuscular blockade by rocuronium. ⋯ Lung-protective ventilation-induced respiratory acidosis increased the duration of neuromuscular blockade by rocuronium.
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Journal of anesthesia · Dec 2016
Randomized Controlled TrialThe effects of intravenous anesthetics on QT interval during anesthetic induction with sevoflurane.
Sevoflurane is known to prolong the QT interval. This study aimed to determine the effect of the interaction between intravenous anesthetics and sevoflurane on the QT interval. ⋯ We concluded that an injection of propofol could counteract QTc interval prolongation associated with sevoflurane anesthesia induction.