Journal of anesthesia
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Journal of anesthesia · Aug 2023
Randomized Controlled TrialHead cooling wrap could suppress the elevation of core temperature after cardiac surgery during forced-air warming in a pediatric intensive care unit: a randomized clinical trial.
The main aim of the current trial was to explore our hypothesis that cooling head wraps lower the core temperature more effectively than ice packs on the head during forced-air warming after pediatric cardiac surgeries. ⋯ Compared to ice packs on the head, head cooling wraps more effectively suppress core temperature elevation during forced-air warming after pediatric cardiac surgery.
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Journal of anesthesia · Aug 2023
Correlation between pain catastrophizing in acute herpes zoster and postherpetic neuralgia: a retrospective analysis.
The objective of this study was to examine the association between pain catastrophizing in acute phase herpes zoster and the development of postherpetic neuralgia. ⋯ Pain catastrophizing in the acute phase of herpes zoster may not be related to the development of postherpetic neuralgia.
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Journal of anesthesia · Aug 2023
Effectiveness of intraoperative nicorandil in patients with a history of ischemic heart disease undergoing high-risk noncardiac surgery: a retrospective cohort study.
Nicorandil is occasionally administered to prevent myocardial ischemia during the perioperative period in patients with ischemic heart disease (IHD); however, its effectiveness has not been clarified. In this study, we examined the effectiveness of intraoperative nicorandil administration in noncardiac surgery. ⋯ The findings of this study suggest that intraoperative nicorandil administration is not associated with the 30-day in-hospital mortality in high-risk noncardiac surgery.
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Journal of anesthesia · Aug 2023
Meta AnalysisEffect of active warming on perioperative cardiovascular outcomes: a systematic review and meta-analysis of randomized controlled trials.
The objective of this study was to provide an updated review on the active warming effects on major adverse cardiac events, 30-day all-cause mortality, and myocardial injury after noncardiac surgery. ⋯ Compared to routine perioperative care, we found that active warming methods are not necessary for cardiovascular prevention in patients undergoing noncardiac surgery.
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Journal of anesthesia · Aug 2023
Randomized Controlled TrialPrevention of pain on injection of propofol using ice gel pack versus pre-treatment with lignocaine: a randomized controlled trial.
Regardless of the positive attributes of propofol, it is frequently associated with pain on injection. We compared the efficacy of topical cold thermotherapy using an ice gel pack with intravenous lignocaine pre-treatment for reducing pain on propofol injection. ⋯ Topical thermotherapy using an ice gel pack was not found superior to lignocaine pre-treatment in alleviating pain on injection of propofol injection. However, topical cold therapy using an ice pack remains a non-pharmacological technique that is easily available, reproducible, and cost-effective. Further studies are required to prove its equivalence to lignocaine pre-treatment.