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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

    Postoperative cognitive dysfunction (POCD) is a common complication after cardiac surgery that influences the clinical outcomes and quality of life of patients. This study aimed to evaluate the effects of Shen...

    Authors: Lei Chen, Liangrong Wang, Qian Zhuo, Qiong Zhang, Feifei Chen, Liling Li and Lina Lin

    Citation: BMC Anesthesiology 2018 18:142

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  2. Content type: Research article

    The obstructive sleep apnea syndrome (OSAS) is characterized by temporary cerebral hypoxia which can cause cognitive dysfunction. On the other hand, hypoxia induced neurocognitive deficits are detectable after...

    Authors: Soeren Wagner, Joerg Quente, Sven Staedtler, Katharina Koch, Tanja Richter-Schmidinger, Johannes Kornhuber, Harald Ihmsen and Juergen Schuettler

    Citation: BMC Anesthesiology 2018 18:139

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  3. Content type: Research article

    The goal of this study was to evaluate the accuracy and interchangeability between continuous cardiac output (CO) measured by electrical velocimetry (COEv) and continuous cardiac output obtained using the pulmona...

    Authors: De-Jie Wang, I-Shan Lee, An-Hsun Chou, Chun-Yu Chen, Pei-Chi Ting, Yun-Hui Teng, Jr-Rung Lin and Hsin-I Tsai

    Citation: BMC Anesthesiology 2018 18:138

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  4. Content type: Research article

    Clostridium difficile (CD) is the most common pathogen causing nosocomial diarrhea. The clinical presentation ranges from mild diarrhea to severe complications, including pseudomembranous colitis, toxic megaco...

    Authors: Maximilian Vondran, Senta Schack, Jens Garbade, Christian Binner, Meinhard Mende, Ardawan Julian Rastan, Michael Andrew Borger and Thomas Schroeter

    Citation: BMC Anesthesiology 2018 18:133

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  5. Content type: Research article

    The analgesic effects of dexamethasone have been reported previously, and the present study determined the effects of preoperative dexamethasone on postoperative pain in patients who received thoracotomy.

    Authors: Kyoung-Woon Joung, Hyeong Ryul Kim, Wook-Jong Kim, Ye Ji Lim, Jae Won Kim, Eun-Ho Lee and In-Cheol Choi

    Citation: BMC Anesthesiology 2018 18:135

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  6. Content type: Research article

    To examine the response to an α2receptor agonist used as a sedative for patients using long-term selective α1 blockers.

    Authors: Do-Won Lee, Jiseok Baik, Giyoung Yun, Soeun Jeon, Hyae-Jin Kim, Eun-Soo Kim, Hyeon Jeong Lee and Jae-Young Kwon

    Citation: BMC Anesthesiology 2018 18:136

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  7. Content type: Research article

    Vascular endothelial growth factor (VEGF) and transforming growth factor-β (TGF-β) have been involved in tumor growth and metastasis. Sevoflurane may promote angiogenesis, whereas propofol can present an anti-...

    Authors: Tao Yan, Guo-Hua Zhang, Bao-Na Wang, Li Sun and Hui Zheng

    Citation: BMC Anesthesiology 2018 18:131

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  8. Content type: Research article

    Screening and optimizing patients for OSA in the perioperative period may reduce postoperative complications. However, sleep studies can be difficult to obtain before surgery. Previous surveys reported that th...

    Authors: George Ho, Crispiana Cozowicz, Jean Wong, Mandeep Singh, Enoch Lam, Eva E. Mörwald, Najia Hasan, Stavros G. Memtsoudis and Frances Chung

    Citation: BMC Anesthesiology 2018 18:128

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  9. Content type: Research article

    Inadvertent intraoperative hypothermia (core temperature < 36 °C) is a common but preventable adverse event. This study aimed to determine whether active intraoperative warming reduced bleeding in patients und...

    Authors: Jie Yi, Hao Liang, Ruiyue Song, Hailu Xia and Yuguang Huang

    Citation: BMC Anesthesiology 2018 18:126

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  10. Content type: Research article

    Early sepsis diagnosis is crucial for the correct management of burn patients, and it clearly influences outcomes. The systemic inflammatory response triggered by burns mimics sepsis presentation and complicat...

    Authors: Luís Cabral, Vera Afreixo, Rita Meireles, Miguel Vaz, Margarida Marques, Isabel Tourais, Catarina Chaves, Luís Almeida and José Artur Paiva

    Citation: BMC Anesthesiology 2018 18:122

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  11. Content type: Research article

    Spine fusion is a surgical procedure characterized by a significant perioperative bleeding, which often requires red blood cell (RBC) transfusion.

    Authors: Giuseppe Ristagno, Simonetta Beluffi, Guido Menasce, Dario Tanzi, Juan C. Pastore, Giuseppe D’Aviri, Federica Belloli and Giorgio Savoia

    Citation: BMC Anesthesiology 2018 18:121

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  12. Content type: Research article

    Steep Trendelenburg during surgery has been associated with many position-related injuries. The American Society of Anesthesiology practice advisory recommends documentation, frequent position checks, avoiding...

    Authors: Fouad G. Souki, Yiliam F. Rodriguez-Blanco, Sravankumar Reddy Polu, Scott Eber and Keith A. Candiotti

    Citation: BMC Anesthesiology 2018 18:117

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  13. Content type: Research article

    Decreased perfusion in the lower extremities is one of the several adverse effects of placing patients in a lithotomy or Trendelenburg position during surgery. This study aimed to evaluate the effects of patie...

    Authors: Kenichi Takechi, Sakiko Kitamura, Ichiro Shimizu and Toshihiro Yorozuya

    Citation: BMC Anesthesiology 2018 18:114

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  14. Content type: Research article

    The impact of Goal Directed Fluid Therapy (GDFT) based on the non-invasive Pleth Variability Index (PVI) on clinical outcome after abdominal surgery has only sparingly been explored. The purpose of this study ...

    Authors: Hans Bahlmann, Robert G. Hahn and Lena Nilsson

    Citation: BMC Anesthesiology 2018 18:115

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  15. Content type: Research article

    Past studies have demonstrated that goal-directed fluid therapy (GDFT) may be more marginal than previously believed. However, beneficial effects of alpha-1 adrenergic agonists combined with appropriate fluid ...

    Authors: Shuai Feng, Shuyi Yang, Wei Xiao, Xue Wang, Kun Yang and Tianlong Wang

    Citation: BMC Anesthesiology 2018 18:113

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  16. Content type: Research article

    The optimal position for surgery is one in which the patient is provided the best possible surgical intervention and put at minimum risk. Different surgical positions may cause changes in tissue perfusion. Thi...

    Authors: Hakan Tapar, Serkan Karaman, Serkan Dogru, Tugba Karaman, Aynur Sahin, Gulsen Genc Tapar, Fatih Altiparmak and Mustafa Suren

    Citation: BMC Anesthesiology 2018 18:111

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  17. Content type: Research article

    This study aimed to determine whether the use of desflurane (DES) anesthesia combined with bispectral index (BIS) monitoring and warming is effective in reducing anesthesia-controlled operating room time (ACT)...

    Authors: Hong Yu, Lu Zhang, Ye Ma and Hai Yu

    Citation: BMC Anesthesiology 2018 18:110

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  18. Content type: Research article

    Dental injury is a common perioperative complication, but there are no country specific data available, especially with the use of supraglottic airway devices (SAD). The aims of our study are to report the inc...

    Authors: Yanni Tan, Nivan Loganathan, Kyu Kyu Thinn, Eugene Hern Choon Liu and Ne-Hooi Will Loh

    Citation: BMC Anesthesiology 2018 18:108

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  19. Content type: Research article

    The weight-based dosing of ondansetron to reduce hypotension has never been investigated. The aim of this study is to determine the optimal dose of ondansetron required based on the patient’s weight to reduce ...

    Authors: Maliwan Oofuvong, Thitikan Kunapaisal, Orarat Karnjanawanichkul, Nussara Dilokrattanaphijit and Jaranya Leeratiwong

    Citation: BMC Anesthesiology 2018 18:105

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  20. Content type: Research article

    Dexmedetomidine infusion improves oxygenation and lung mechanics in patients with chronic obstructive lung disease; however, its effect in patients with restrictive lung disease has not been thoroughly investi...

    Authors: Ahmed Hasanin, Kareem Taha, Bassant Abdelhamid, Ayman Abougabal, Mohamed Elsayad, Amira Refaie, Sarah Amin, Shaimaa Wahba, Heba Omar, Mohamed Maher Kamel, Yaser Abdelwahab and Shereen M. Amin

    Citation: BMC Anesthesiology 2018 18:104

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  21. Content type: Research article

    Dexmedetomidine (DEX), a highly sensitive α2-adrenoceptor agonist that possesses anxiolytic, sedative, and analgesic effects, has been documented as a preventative and treatment for emergence agitation (EA). The ...

    Authors: Fang Chen, Chengyu Wang, Yi Lu, Mengmeng Huang and Zhijian Fu

    Citation: BMC Anesthesiology 2018 18:103

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  22. Content type: Research article

    We compared cost-effectiveness of anesthesia maintained with sevoflurane or propofol with and without additional monitoring, in the clinical setting of ear-nose-throat surgery.

    Authors: Timea Bocskai, Csaba Loibl, Zoltan Vamos, Gabor Woth, Tihamer Molnar, Lajos Bogar and Laszlo Lujber

    Citation: BMC Anesthesiology 2018 18:100

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  23. Content type: Research article

    Perioperative temperature management is fundamental to ensure normothermia in patients. Fluid warmers, which have become smaller in size over the past few years, can help to maintain a stable body temperature....

    Authors: Norbert Zoremba, Christian Bruells, Rolf Rossaint and Thomas Breuer

    Citation: BMC Anesthesiology 2018 18:98

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  24. Content type: Research article

    Neuromuscular blocking drugs (NMBD) are administered intra-operatively to facilitate intubation and to achieve muscle relaxation for surgical procedures. Incomplete reversal of NMBD can lead to adverse events ...

    Authors: Khawaja Rashid Hafeez, Arvind Tuteja, Mandeep Singh, David T. Wong, Mahesh Nagappa, Frances Chung and Jean Wong

    Citation: BMC Anesthesiology 2018 18:91

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  25. Content type: Research article

    Perioperative hyperglycemia and its associated increase in morbidity and mortality have been well studied in the critical care and cardiac surgery literature. However, there is little data regarding the impact...

    Authors: Amy M. Shanks, Derek T. Woodrum, Sathish S. Kumar, Darrell A. Campbell Jr and Sachin Kheterpal

    Citation: BMC Anesthesiology 2018 18:90

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  26. Content type: Research article

    Fentanyl and remifentanil are widely used opioids in surgery, but it has not been evaluated whether the choice of opioids during surgery affects the patients’ postoperative quality of recovery. Accordingly, we...

    Authors: Ayako Asakura, Takahiro Mihara and Takahisa Goto

    Citation: BMC Anesthesiology 2018 18:81

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  27. Content type: Research article

    Management of a patient’s body temperature is an important aspect of care that should be addressed by targeted temperature management (TTM). Often, non-invasive methods like forced-air blankets are used. Espec...

    Authors: Jörg Peter, Kathrin Klingert, Wilfried Klingert, Karolin Thiel, Alfred Königsrainer, Christian Grasshoff, Wolfgang Rosenstiel and Martin Schenk

    Citation: BMC Anesthesiology 2018 18:80

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  28. Content type: Research article

    Maternal early warning systems reduce maternal morbidity. We developed an electronic maternal surveillance system capable of visually summarizing the labor and delivery census and identifying changes in clinic...

    Authors: Thomas T. Klumpner, Joanna A. Kountanis, Elizabeth S. Langen, Roger D. Smith and Kevin K. Tremper

    Citation: BMC Anesthesiology 2018 18:78

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  29. Content type: Research article

    Perioperative myocardial injury (PMI) is common in elective inpatient abdominal surgery and correlates with mortality risk. Simple measures for reducing PMI in this cohort are needed. This study evaluated whet...

    Authors: Stefan Samad Antonowicz, Davina Cavallaro, Nicola Jacques, Abby Brown, Tom Wiggins, James B. Haddow, Atul Kapila, Dominic Coull and Andrew Walden

    Citation: BMC Anesthesiology 2018 18:76

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  30. Content type: Research article

    Short acting inhalational anesthetic (Desflurane) produces emergence agitation (EA) in pediatrics with an incidence up to 80%. The aim of the present study was to examine the role of Gabapentin oral solution i...

    Authors: Ahmed A. Badawy, Samaa A. Kasem, Doaa Rashwan, Tarek Al Menesy, Ghada Adel, Ali M. Mokhtar and Yasmin A. Badawy

    Citation: BMC Anesthesiology 2018 18:73

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  31. Content type: Research article

    Robot-assisted laparoscopic prostatectomy (RALP) requires pneumoperitoneum and the Trendelenburg position to optimize surgical exposure, which can increase intracranial pressure (ICP). Anesthetic agents also i...

    Authors: Jihion Yu, Jun Hyuk Hong, Jun-Young Park, Jai-Hyun Hwang, Seong-Sik Cho and Young-Kug Kim

    Citation: BMC Anesthesiology 2018 18:72

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  32. Content type: Research article

    ABO-incompatible living-donor kidney transplantation (LDKT) requires immunotherapy and plasma exchange therapy (PEX). PEX with albumin replacement fluid reportedly decreases fibrinogen levels. However, no repo...

    Authors: Kazuhiro Shirozu, Naoyuki Fujimura, Yuji Karashima, Mizuko Ikeda, Hidehisa Kitada, Yasuhiro Okabe, Kei Kurihara, Tomoko Henzan and Sumio Hoka

    Citation: BMC Anesthesiology 2018 18:68

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  33. Content type: Research article

    To investigate the effect of paravertebral dexmedetomidine as an adjuvant to ropivacaine on independent lung injury during one-lung ventilation.

    Authors: Wei Zhang, Shanfeng Zhang, Bing Li, Mingyang Sun and Jiaqiang Zhang

    Citation: BMC Anesthesiology 2018 18:67

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  34. Content type: Research article

    It is unknown to what extent hypotension frequently observed following administration of propofol for induction of general anesthesia is caused by overdosing propofol. Unlike clinical signs, electroencephalon-...

    Authors: Dirk Rüsch, Christian Arndt, Leopold Eberhart, Scarlett Tappert, Dennis Nageldick and Hinnerk Wulf

    Citation: BMC Anesthesiology 2018 18:66

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  35. Content type: Research article

    Enhanced recovery after surgery programs may improve recovery and reduce duration of hospital stay after joint replacement surgery. However, uptake is incomplete, and the relative importance of program compone...

    Authors: Nicole Lay Tin Tan, Justin Lindley Hunt and Stella May Gwini

    Citation: BMC Anesthesiology 2018 18:64

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  36. Content type: Research article

    The bone cement implantation syndrome (BCIS) is a frequent and potentially disastrous intraoperative complication in patients undergoing cemented hip arthroplasty. Several risk factors have been identified, ho...

    Authors: Kai B. Kaufmann, Wolfgang Baar, Judith Rexer, Thomas Loeffler, Sebastian Heinrich, Lukas Konstantinidis, Hartmut Buerkle and Ulrich Goebel

    Citation: BMC Anesthesiology 2018 18:63

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  37. Content type: Research article

    Arytenoid dislocation (AD) is a rare but severe complication after general anesthesia with endotracheal intubation. We conducted a case-control study at Peking Union Medical College Hospital to identify risk f...

    Authors: Lingeer Wu, Le Shen, Yuelun Zhang, Xiuhua Zhang and Yuguang Huang

    Citation: BMC Anesthesiology 2018 18:59

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  38. Content type: Research article

    Previous studies have shown that sugammadex resulted in the prolongation of prothrombin time and activated partial thromboplastin time. In this study, we aimed to investigate the in vitro effects of exogenous ...

    Authors: Il Ok Lee, Young Sung Kim, Hae Wone Chang, Heezoo Kim, Byung Gun Lim and Mido Lee

    Citation: BMC Anesthesiology 2018 18:56

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  39. Content type: Case report

    Poland syndrome is a rare congenital disease, characterized by agenesis/hypoplasia of the pectoralis major muscle, usually associated with variable thoracic anomalies that needed chest wall reconstruction unde...

    Authors: Lingli Gui, Shiqian Shen and Wei Mei

    Citation: BMC Anesthesiology 2018 18:57

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  40. Content type: Research article

    Patients undergoing abdominal surgery for solid tumours frequently develop major postoperative complications, which negatively affect quality of life, costs of care and survival. Few studies have identified th...

    Authors: Claudia M. Simões, Maria J. C. Carmona, Ludhmila A. Hajjar, Jean-Louis Vincent, Giovanni Landoni, Alessandro Belletti, Joaquim E. Vieira, Juliano P. de Almeida, Elisangela P. de Almeida, Ulysses Ribeiro Jr, Ana L. Kauling, Celso Tutyia, Lie Tamaoki, Julia T. Fukushima and José O. C. Auler Jr

    Citation: BMC Anesthesiology 2018 18:49

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  41. Content type: Research article

    Epidural analgesia is a popular choice for labour pain relief. Patient satisfaction is an important patient-centric outcome because it can significantly influence both mother and child. However, there is limit...

    Authors: Daryl Jian An Tan, Rehena Sultana, Nian Lin Reena Han, Alex Tiong Heng Sia and Ban Leong Sng

    Citation: BMC Anesthesiology 2018 18:50

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  42. Content type: Research article

    Bacterial translocation (BT) has been proposed as a trigger for stimulation of the immune system with consequent hemodynamic alteration in patients with liver cirrhosis. However, no information is available re...

    Authors: Heba A. Moharem, Fawzia Aboul Fetouh, Hamed M. Darwish, Doaa Ghaith, Mohamed Elayashy, Amr Hussein, Riham Elsayed, Mohammad M. Khalil, Amr Abdelaal, Mahmoud ElMeteini and Ahmed Mukhtar

    Citation: BMC Anesthesiology 2018 18:46

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  43. Content type: Case report

    Hypoglycemia is one of the most fatal complications during the perioperative period. General anesthesia or sedation can mask a hypoglycemia-altered mental status. Acute hypoglycemia might result in permanent b...

    Authors: Chunhua Xi, Chuxiong Pan and Tianzuo Li

    Citation: BMC Anesthesiology 2018 18:45

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  44. Content type: Research article

    Dexmedetomidine (DEX) has sedative, sympatholytic and analgesic effects and might be beneficial if used as an adjuvant to: improve analgesia; modulate haemodynamic responses to intubation and pneumoperitoneum ...

    Authors: Kateryna Bielka, Iurii Kuchyn, Volodymyr Babych, Kseniia Martycshenko and Oleksii Inozemtsev

    Citation: BMC Anesthesiology 2018 18:44

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