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Perioperative medicine and outcome

Section edited by Laura Pasin

This section considers manuscripts concerning anesthesia in the pre-, intra- and post-operative settings. Studies concerning the outcome of patients when this is related to operative anesthesia will also be considered.

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  1. Content type: Research article

    Sevoflurane is one of the most frequently used inhaled anesthetics for general anesthesia. Previously it has been reported that at clinically used doses of sevoflurane, cerebral vasoreactivity is maintained. H...

    Authors: Marianna Juhász, Levente Molnár, Béla Fülesdi, Tamás Végh, Dénes Páll and Csilla Molnár

    Citation: BMC Anesthesiology 2019 19:109

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  2. Content type: Research article

    Terlipressin, in general, is a vasopressor which acts via V1 receptors. Its infusion elevates mean blood pressure and can reduce bleeding which has a splanchnic origin. The primary outcome was to assess the im...

    Authors: Magdy Mohammed Mahdy, Mostafa Samy Abbas, Emad Zarief Kamel, Mohamed Fathy Mostafa, Ragaa Herdan, Shimaa Abbas Hassan, Ramy Hassan, Ahmed M. Taha, Tameem M. Ibraheem, Bashir A. Fadel, Mohammed Geddawy, Jehan Ahmed Sayed and Osama Ali Ibraheim

    Citation: BMC Anesthesiology 2019 19:106

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  3. Content type: Research article

    The safety and efficiency of intravenous administration of tranexamic acid (TXA) in coronary artery bypass grafting (CABG) remains unconfirmed. Therefore, we conducted a meta-analysis on this topic.

    Authors: Yanting Zhang, Yun Bai, Minmin Chen, Youfa Zhou, Xin Yu, Haiyan Zhou and Gang Chen

    Citation: BMC Anesthesiology 2019 19:104

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  4. Content type: Research article

    Ultrasound guidance might decrease the incidence of local anesthetics systemic toxicity (LAST) for many peripheral nerve blocks compared with nerve stimulator guidance. However, it remains uncertain whether ul...

    Authors: Xu-hao Zhang, Yu-jie Li, Wen-quan He, Chun-yong Yang, Jian-teng Gu, Kai-zhi Lu and Bin Yi

    Citation: BMC Anesthesiology 2019 19:103

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  5. Content type: Research article

    Whether thoracic paravertebral block (PVB) is useful in patients undergoing off-pump coronary artery bypass grafting (OPCABG) remains unknown. This study aimed to investigate the feasibility of bilateral PVB c...

    Authors: Lixin Sun, Qiujie Li, Qiang Wang, Fuguo Ma, Wei Han and Mingshan Wang

    Citation: BMC Anesthesiology 2019 19:101

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  6. Content type: Research article

    Acute kidney injury after cardiac surgery significantly associates with morbidity and mortality. Despite not requiring cardiopulmonary bypass, transcatheter aortic valve replacement patients have an incidence ...

    Authors: Akeel M. Merchant, Javier A. Neyra, Abu Minhajuddin, Lauren E. Wehrmann, Richard A. Mills, Sarah K. Gualano, Dharam J. Kumbhani, Lynn C. Huffman, Michael E. Jessen and Amanda A. Fox

    Citation: BMC Anesthesiology 2019 19:99

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  7. Content type: Research article

    Most centres use fresh frozen plasma (FFP) based protocols to prevent or treat haemostatic disturbances during liver transplantation. In the present study, we used a rotational thrombelastometry (ROTEM™, TEM, ...

    Authors: Matthias Hartmann, Caroline Walde, Daniel Dirkmann and Fuat H. Saner

    Citation: BMC Anesthesiology 2019 19:97

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  8. Content type: Research article

    Insertion of a flexible laryngeal mask airway (LMA Flexible) is known to be more difficult than that of a conventional laryngeal mask airway. The 90° rotation technique can improve the success rate with a conv...

    Authors: Bon-Wook Koo, Ah-Young Oh, Jung-Won Hwang, Hyo-Seok Na and Seong-Won Min

    Citation: BMC Anesthesiology 2019 19:95

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  9. Content type: Research article

    Increased lung water and the resultant atelectasis are significant pulmonary complications after cardiopulmonary bypass (CPB) in children undergoing cardiac surgery; these complications are observed after CPB ...

    Authors: Mohamed Elayashy, Mai A. Madkour, Ahmed Abdelaal Ahmed Mahmoud, Hisham Hosny, Amr Hussein, Ahmed Nabih, Ahmed Lofty, Hamza Mohamed Hamza, Passaint Hassan, Mohamed Wagih and Ahmed Kareem Mohamed

    Citation: BMC Anesthesiology 2019 19:93

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  10. Content type: Research article

    Hemostasis is the dynamic equilibrium between coagulation and fibrinolysis. During pregnancy, the balance shifts toward a hypercoagulative state; however placental abruption and abnormal placentations may lead...

    Authors: Alessandra Spasiano, Carola Matellon, Daniele Orso, Alessandro Brussa, Maria Cafagna, Anna Marangone, Teresa Dogareschi, Tiziana Bove, Roberta Giacomello, Desrè Fontana, Luigi Vetrugno and Giorgio Della Rocca

    Citation: BMC Anesthesiology 2019 19:90

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  11. Content type: Research article

    Although serum creatinine concentration has been traditionally used as an index of renal function in clinical practice, it is considered relatively inaccurate, especially in patients with mild renal dysfunctio...

    Authors: Myung-Soo Jang, Jae-Sik Nam, Jun-Young Jo, Chang-Hwa Kang, Seung Ah. Ryu, Eun-Ho Lee and In-Cheol Choi

    Citation: BMC Anesthesiology 2019 19:88

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  12. Content type: Research article

    Patient monitoring is critical for perioperative patient safety as anesthesiologists routinely make crucial therapeutic decisions from the information displayed on patient monitors. Previous research has shown...

    Authors: David W. Tscholl, Lucas Handschin, Julian Rössler, Mona Weiss, Donat R. Spahn and Christoph B. Nöthiger

    Citation: BMC Anesthesiology 2019 19:87

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  13. Content type: Research article

    Hemoglobin measurement is important for transfusion decision-making. Pulse CO-Oximetry provides real-time continuous hemoglobin (SpHb) monitoring. The triage role of SpHb trends based on hemoglobin measurement...

    Authors: Bo Tang, Xuerong Yu, Li Xu, Afang Zhu, Yuelun Zhang and Yuguang Huang

    Citation: BMC Anesthesiology 2019 19:80

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  14. Content type: Research article

    This study investigated the effect of different degrees of passive leg raising (PLR) on the internal jugular vein (IJV) cross-sectional area (CSA) and on the success rate of IJV cannulation in patients waiting...

    Authors: Shouyu Xie, Qimeng Yu, Tingting Li, Meiying Xu, Jingxiang Wu and Yanting Li

    Citation: BMC Anesthesiology 2019 19:78

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  15. Content type: Research article

    Preoperative oral carbohydrates has been suggested to attenuate insulin resistance and decrease postoperative complications. In this study, a vitamin-rich carbohydrate beverage was administered before surgery ...

    Authors: Youbo Zuo, Lei Zhao, Mei Zeng, Qiuyan Yang, Xueli Chen and Tiande Yang

    Citation: BMC Anesthesiology 2019 19:77

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  16. Content type: Research article

    Perioperative cognitive impairment (CI) following surgeries is prevalent in geriatric surgical population aged 60 and older. This meta-analysis was designed to investigate whether the Mini-Mental State Examina...

    Authors: Shuang-jiao Cao, Dongxu- Chen, Lei Yang and Tao Zhu

    Citation: BMC Anesthesiology 2019 19:74

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  17. Content type: Case report

    This report describes one case of anesthetic management about surgical resection of a malignant phaeochromocytoma with tumor extension into vena cava and right atrium in a patient. Report for anesthetic manage...

    Authors: Jingli Chen, Caihua Liu, Chang Liu, Quanyuan Fu, Dingwei Pei, Linyun Ren and Hong Yan

    Citation: BMC Anesthesiology 2019 19:71

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  18. Content type: Research article

    The impact of anesthesia strategy on the outcomes of acute ischemic stroke (AIS) patients undergoing endovascular treatment is currently controversy. Thus, we performed this meta-analysis to compare the differ...

    Authors: Teng-Fei Wan, Rui Xu, Zi-Ai Zhao, Yan Lv, Hui-Sheng Chen and Liang Liu

    Citation: BMC Anesthesiology 2019 19:69

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  19. Content type: Research article

    Goal-directed volume expansion is increasingly used for fluid management in mechanically ventilated patients. The Pleth Variability Index (PVI) has been shown to reliably predict preload responsiveness; howeve...

    Authors: Tianyu Liu, Chao Xu, Min Wang, Zheng Niu and Dunyi Qi

    Citation: BMC Anesthesiology 2019 19:67

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  20. Content type: Research article

    Intravenous lidocaine and dexmedetomidine treatments have been proposed as methods for inhibiting cough. We compared the efficacy of intravenous lidocaine and dexmedetomidine treatments on inhibiting cough dur...

    Authors: Shenghong Hu, Yuanhai Li, Shengbin Wang, Siqi Xu, Xia Ju and Li Ma

    Citation: BMC Anesthesiology 2019 19:66

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  21. Content type: Research article

    Anemia in cardiac surgery patients has been associated with poor outcomes. Transfusion of red blood cells during surgery is common practice for perioperative anemia, but may come with risks. Little is known ab...

    Authors: Eline A. Vlot, Lisa Verwijmeren, Ewoudt M. W. van de Garde, Geoffrey T. L. Kloppenburg, Eric P. A. van Dongen and Peter G. Noordzij

    Citation: BMC Anesthesiology 2019 19:65

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  22. Content type: Research article

    Urosepsis is a catastrophic complication, which can easily develop into septic shock and lead to death if not diagnosed early and effectively treated in time. However, there is a lack of evidence on the risk f...

    Authors: Xia Liang, Jiangju Huang, Manyu Xing, Liqiong He, Xiaoyan Zhu, Yingqi Weng, Qulian Guo and Wangyuan Zou

    Citation: BMC Anesthesiology 2019 19:61

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  23. Content type: Research article

    Neuraxial procedures are commonly performed for therapeutic and diagnostic indications. Currently, they are typically performed via palpation-guided surface landmark. We devised a novel intelligent image proce...

    Authors: Ting Ting Oh, Mohammad Ikhsan, Kok Kiong Tan, Sultana Rehena, Nian-Lin Reena Han, Alex Tiong Heng Sia and Ban Leong Sng

    Citation: BMC Anesthesiology 2019 19:57

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  24. Content type: Research article

    Perioperative hypothermia is still very common and associated with numerous adverse effects. The effects of benzodiazepines, administered as premedication, on thermoregulation have been studied with conflictin...

    Authors: Anselm Bräuer, Michaela Maria Müller, Anna Julienne Wetz, Michael Quintel and Ivo Florian Brandes

    Citation: BMC Anesthesiology 2019 19:55

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  25. Content type: Case report

    Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical ...

    Authors: Alessandro Svelato, Alberto Rutili, Caterina Bertelloni, Domenico Foti, Angela Capizzi and Antonio Ragusa

    Citation: BMC Anesthesiology 2019 19:54

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  26. Content type: Research article

    Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from the German perspective, the cost-effectiveness of ultrasound guidance is ...

    Authors: Yana Seleznova, Patrick Brass, Martin Hellmich, Stephanie Stock and Dirk Müller

    Citation: BMC Anesthesiology 2019 19:51

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  27. Content type: Research article

    Underbody blankets have recently been launched and are used by anesthesiologists for surgical patients. However, the forced-air warming effect of underbody blankets is still controversial. The aim of this stud...

    Authors: Hiroshi Sumida, Shigekazu Sugino, Norifumi Kuratani, Daisuke Konno, Jun-ichi Hasegawa and Masanori Yamauchi

    Citation: BMC Anesthesiology 2019 19:50

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  28. Content type: Research article

    Although several anesthesia procedures have been explored for orthopedic surgery, the complications of anesthesia remain not well resolved. This study aimed to explore the influence of different anesthesia met...

    Authors: Yuqing Zeng, Junming Wan, Haiyong Ren, Jianwei Lu, Fuhua Zhong and Shu Deng

    Citation: BMC Anesthesiology 2019 19:49

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  29. Content type: Research article

    The cardioprotective effect of remote ischemic preconditioning (RIPC) in cardiovascular surgery is controversial. This study investigated whether RIPC combined with remote ischemic postconditioning (RIPostC) r...

    Authors: Guyan Wang, Ying Zhang, Lijing Yang, Yimeng Chen, Zhongrong Fang, Hui Zhou, Congya Zhang, Guiyu Lei, Sheng Shi and Jun Li

    Citation: BMC Anesthesiology 2019 19:48

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  30. Content type: Research article

    Patient satisfaction is a subjective and challenging perception, linking physical, expressive, psychological, societal, and cultural factors. Dissatisfaction arises if the patient feels an inconsistency betwee...

    Authors: Kore Menjie Benwu and Hagos Gebregziabher Gebremedhin

    Citation: BMC Anesthesiology 2019 19:46

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  31. Content type: Research article

    TEG6S® and TEG5000® (Haemonetics Corp, USA) are haemostasis analysers that measure viscoelasticity properties of whole blood. Both use different mechanisms to assess similar components of the coagulation process....

    Authors: P. Lloyd-Donald, L. Churilov, F. Zia, R. Bellomo, G. Hart, P. McCall, J. Mårtensson, N. Glassford and L. Weinberg

    Citation: BMC Anesthesiology 2019 19:45

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  32. Content type: Research article

    Nitrous oxide has a proven clinical efficacy in conscious sedation. At certain environmental concentrations it may pose a health risk to chronically exposed healthcare workers. The present pilot study aims at ...

    Authors: S. Zaffina, M. Lembo, F. Gilardi, A. Bussu, F. Pattavina, M. G. Tucci, U. Moscato, M. Raponi, P. Derrico, A. Galeotti and V. Camisa

    Citation: BMC Anesthesiology 2019 19:42

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  33. Content type: Research article

    The beneficial effects of epidural analgesia (EDA) in terms of pain control and postoperative convalescence are widely known and led to a frequent use for patients who underwent living donor kidney nephrectomy...

    Authors: Wolfgang Baar, Ulrich Goebel, Hartmut Buerkle, Bernd Jaenigen, Kai Kaufmann and Sebastian Heinrich

    Citation: BMC Anesthesiology 2019 19:38

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  34. Content type: Research article

    Catheter-related bladder discomfort (CRBD) frequently occurs during recovery in patients who undergo intra-operative urinary catheterization. We conducted this study to compare the effect of intravenous lidoca...

    Authors: S. Y. Li, H. Li, J. Ni and Y. S. Ma

    Citation: BMC Anesthesiology 2019 19:37

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  35. Content type: Research article

    The oculocardiac reflex (OCR), bradycardia that occurs during strabismus surgery is a type of trigemino-cardiac reflex (TCR) is blocked by anticholinergics and enhanced by opioids and dexmedetomidine. Two rece...

    Authors: Robert W. Arnold, Aleah N. Bond, Melissa McCall and Leif Lunoe

    Citation: BMC Anesthesiology 2019 19:36

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  36. Content type: Research article

    Our objective was to evaluate if changes in on-pump cerebral blood flow, relative to the pre-bypass baseline, are associated with the risk for postoperative delirium (POD) following cardiac surgery.

    Authors: Marcus Thudium, Richard K. Ellerkmann, Ingo Heinze and Tobias Hilbert

    Citation: BMC Anesthesiology 2019 19:35

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  37. Content type: Research article

    Goal-directed fluid therapy (GDFT) based on dynamic indicators of fluid responsiveness has been shown to decrease postoperative complications and hospital length of stay (LOS) in patients undergoing major abdo...

    Authors: Sean Coeckelenbergh, Amélie Delaporte, Djamal Ghoundiwal, Javad Bidgoli, Jean-François Fils, Denis Schmartz and Philippe Van der Linden

    Citation: BMC Anesthesiology 2019 19:34

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  38. Content type: Review

    Postoperative remote lung injury is a complication following various surgeries and is associated with short and long-term mortality and morbidity. The release of proinflammatory cytokines, damage-associated mo...

    Authors: Lin Chen, Hailin Zhao, Azeem Alam, Emma Mi, Shiori Eguchi, Shanglong Yao and Daqing Ma

    Citation: BMC Anesthesiology 2019 19:30

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  39. Content type: Case report

    There are several recent reports that left upper lobe lung resection is a risk factor for the development of postoperative thromboembolism. Although administering epidural analgesia is common in thoracic surge...

    Authors: Asuka Kitajima, Yuji Otsuka, Alan Kawarai Lefor and Masamitsu Sanui

    Citation: BMC Anesthesiology 2019 19:27

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  40. Content type: Research article

    Post-operative delirium (POD) is a common post-operative complication in elderly individuals and imposes a significant health and financial burden. Identifying predictive biomarkers may help understand the pat...

    Authors: Farrah Ayob, Enoch Lam, George Ho, Frances Chung, Hossam El-Beheiry and Jean Wong

    Citation: BMC Anesthesiology 2019 19:25

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  41. Content type: Research article

    Adult cardiac surgery is often complicated by elevated blood losses that account for elevated transfusion requirements. Perioperative bleeding and transfusion of blood products are major risk factors for morbi...

    Authors: F. Lehmann, J. Rau, B. Malcolm, M. Sander, C. von Heymann, T. Moormann, T. Geyer, F. Balzer, K. D. Wernecke and L. Kaufner

    Citation: BMC Anesthesiology 2019 19:24

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  42. Content type: Research article

    Barbiturates are commonly used in ambulatory sedation of pediatric patients. However, use of barbiturates involve risks of respiratory complications. Dexmedetomidine, a highly selective α2-adrenoceptor agonist, i...

    Authors: Panu Uusalo, Mirjam Lehtinen, Eliisa Löyttyniemi, Tuula Manner, Mika Scheinin and Teijo I. Saari

    Citation: BMC Anesthesiology 2019 19:22

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  43. Content type: Research article

    Crystalloids are first line in fluid resuscitation therapy, however there is a lack of evidence-based recommendations on the volume to be administered. Therefore, we aimed at comparing the systemic hemodynamic...

    Authors: Gergely H. Fodor, Walid Habre, Adam L. Balogh, Roberta Südy, Barna Babik and Ferenc Peták

    Citation: BMC Anesthesiology 2019 19:21

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  44. Content type: Research article

    Bupivacaine and levobupivacaine have similar pharmacokinetic and pharmacodynamic characteristics, and are used regularly in spinal anesthesia. Whether potential differences in their hemodynamic and anesthetic ...

    Authors: Roser Vives, Diana Fernandez-Galinski, Francisca Gordo, Alberto Izquierdo, Joan C. Oliva, Carmen Colilles and Caridad Pontes

    Citation: BMC Anesthesiology 2019 19:17

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  45. Content type: Research article

    Anticoagulant therapy during pregnancy is widely used due to the increasing awareness of maternal hypercoagulability. Few studies have reported the use of minimally invasive spinal anesthesia in these parturie...

    Authors: Dan Huang, Linjie Zhu, Jie Chen and Jie Zhou

    Citation: BMC Anesthesiology 2019 19:11

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