Journal of anesthesia
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Journal of anesthesia · Feb 2017
Independent risk factors for surgical site infection after cesarean delivery in a rural tertiary care medical center.
We aimed to determine the incidence of surgical site infection (SSI) after cesarean delivery (CD) and identify the risk factors in a rural population. ⋯ Risk factors for SSI after CD included higher BMI, less years of education, higher prior births, tobacco use, prior diagnosis of hypertension, gestational diabetes, and emergency/STAT CD. The presence of ruptured membranes was protective against SSI.
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Journal of anesthesia · Feb 2017
Effects of cardiac output on the initial distribution volume of glucose in the absence of fluid gain or loss in pigs.
The initial distribution volume of glucose (IDVG) has been reported to be a surrogate marker of cardiac preload. However, the relationship between cardiac output and IDVG is not fully understood. We investigated the effects of cardiac output on IDVG in the absence of fluid gain or loss in pigs.
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Journal of anesthesia · Feb 2017
Analysis of actual pressure point using the power flexible capacitive sensor during chest compression.
In chest compression for cardiopulmonary resuscitation (CPR), the lower half of the sternum is pressed according to the American Heart Association (AHA) guidelines 2010. These have been no studies which identify the exact location of the applied by individual chest compressions. We developed a rubber power-flexible capacitive sensor that could measure the actual pressure point of chest compression in real time. ⋯ Average compression rate, average recoil, average depth, and average duty cycle were 108.6 counts per minute, 0.089, 4.5 cm, and 48.27 %, respectively. Many of the ambulance crews did not press on the sternal lower half definitely. This new device has the potential to improve the quality of CPR during training or in clinical practice.
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Journal of anesthesia · Feb 2017
Preventive effects of dexmedetomidine on the development of cognitive dysfunction following systemic inflammation in aged rats.
In the present study, we examined whether and by what mechanisms dexmedetomidine (DMED) prevents the development of systemic inflammation (SI)-induced cognitive dysfunction in aged rats. ⋯ Our findings highlight that treatment with DMED during, but not after, peripheral SI can prevent subsequent hippocampal neuroinflammation, overexpression of TLR-4 in microglia, and cognitive dysfunction, as mediated by the α2A-AR signaling pathway.
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Journal of anesthesia · Feb 2017
Outcomes of physician patients after non-cardiac surgery: a registry analysis.
When physicians become patients, they may expect special privileges, extra attention from caregivers, and non-routine treatments. Consequently, physician patients may not be treated per routine-which possibly worsens care rather than improving it. We thus tested the primary hypothesis that in-hospital mortality and major complications after non-cardiac surgery are more common in physician patients than in non-physician patients. ⋯ A variety of important outcomes were similar in physician patients and matched non-physician patients after non-cardiac surgery.