Journal of anesthesia
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Journal of anesthesia · Dec 2022
Association of the placenta accreta spectrum score and estimated blood loss in placenta accreta spectrum patients with placenta previa: a retrospective cohort study.
The placenta accreta spectrum (PAS) score calculated by the scoring system may predict patients with PAS. We aim to find the relationship between estimated blood loss and the PAS score. Further, find the inflection point, identify PAS patients with placenta previa who were at risk for major bleeding. ⋯ There was a non-linear relationship between estimated intraoperative blood loss and PAS score. When the PAS score was greater than 9, hemorrhage, the risk of major bleeding, the need for transfusions, and the placement of an abdominal aortic balloon all increase significantly.
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Journal of anesthesia · Dec 2022
Observational StudyThe relationship between years of anesthesia experience and first-time intubation success rate with direct laryngoscope and video laryngoscope in infants: a retrospective observational study.
Studies in adults have reported that video laryngoscope is more useful than direct laryngoscope when training less experienced anesthesiologists. However, whether this is true for infants remains unclear. Therefore, this study aimed to evaluate whether the use of video laryngoscope would result in smaller differences in success rate according to anesthesiologists' expertise than those in direct laryngoscope. ⋯ The differences in success rate according to the anesthesiologists' years of experience were non-significant when using video laryngoscope in infants, compared to those in direct laryngoscope.
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Journal of anesthesia · Dec 2022
Randomized Controlled TrialUsefulness and accuracy of a handheld ultrasound device for epidurssal landmark and depth assessment by anesthesiology residents.
The aim of this study was to assess the usefulness and accuracy of a handheld ultrasound device (Accuro, Rivanna Medical, Charlottesville, VA, USA) for epidural landmark and depth assessment when epidural anesthesia is performed by residents. ⋯ Although there was no significant difference in time from Tuohy needle puncture to loss of resistance, Accuro reduced the number of Tuohy needle redirects and accurately indicated the depth to the epidural space. Accuro may be useful for identifying the needle insertion point and estimating depth to the epidural space when residents perform epidural anesthesia.
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After the signing the Peace Treaty in 1951 and Japan's political independence, the Fulbright Scholarship Program has started sending Japanese to American universities and academic institutions for clinical training and research. During the 1950s, more than two hundred physicians received the scholarship. ⋯ However, among them, five physicians chose anesthesiology as their specialty and completed American anesthesiology residency. The Fulbright Scholarship recipients' contributions to Japanese anesthesiology during their professional career had been notable and is the subject of this article.
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Journal of anesthesia · Dec 2022
Recall of extubation after remimazolam anesthesia with flumazenil antagonism during emergence: a retrospective clinical study.
This study was performed to examine and compare the incidence of extubation recall in surgical patients who underwent remimazolam anesthesia with flumazenil antagonism during emergence and in those who underwent propofol anesthesia. ⋯ The incidence of extubation recall after remimazolam anesthesia with flumazenil antagonism during emergence did not significantly differ from that after propofol anesthesia.