Critical Care & Anaesthesia- December 2011

 

 

Critical Care & Anaesthesia – Evidence Update  

December- 2011

 

 

 


Welcome to the December bulletin highlighting new evidence published on selected topics relating to Critical Care, Anaesthesia, Pain and Resuscitation. Journals such as – Lancet, BMJ, JAMA, NEJM and American Journal of Critical Care Medicine have been scanned to identify relevant articles. Articles from other journals as retrieved via searches on MEDLINE and EMBASE are also listed. This bulletin features evidence published in the previous 4 weeks. Full text articles can be accessed via your HEFT Athens ID.

Anaesthesia

The following sub-topics are covered:

  • Cell salvage in surgery (including obstetric surgery)
  • Anaesthesia and surgical outcomes (including epidurals, regional anaesthesia)
  • Anaesthesia and Immunomodulation
  • Anaesthesia and post operative confusion

 

Title: Patient blood management: a 68-year-old woman contemplating autologous blood donation before elective surgery.

Citation: JAMA, November 2011, vol./is. 306/17(1902-10), 0098-7484;1538-3598 (2011 Nov 2) Author(s): Uhl L

Abstract: Because of concerns about limited blood availability as well as risks of transfusion-related adverse events, blood products should be used judiciously. Using the case of Ms C, a 68-year-old woman considering autologous blood donation prior to knee replacement surgery, the concept of patient blood management is discussed. Full Text: Available in fulltext at Highwire Press


 

Title: A sisyphean task: Identifying physiologic risk and improving outcomes in complex congenital heart surgery

Citation: Anesthesiology, November 2011, vol./is. 115/5(926-928), 0003-3022;1528-1175 (November 2011) Author(s): Stuth E.A.E., Hoffman G.M.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: A randomized, controlled, double-blind trial of fluoroscopic caudal epidural injections in the treatment of lumbar disc herniation and radiculitis

Citation: Spine, November 2011, vol./is. 36/23(1897-1905), 0362-2436;1528-1159 (01 Nov 2011) Author(s): Manchikanti L., Singh V., Cash K.A., Pampati V., Damron K.S., Boswell M.V.

Abstract: The objective of this study is to assess the effectiveness of fluoroscopically directed caudal epidural injections in managing chronic low back and lower extremity pain in patients with disc herniation and radiculitis with local anesthetic with or without steroids.


Title: Effect of regional anesthesia on the success rate of external cephalic version: A systematic review and meta-analysis

Citation: Obstetrics and Gynecology, November 2011, vol./is. 118/5(1137-1144), 0029-7844 (November 2011) Author(s): Goetzinger K.R., Harper L.M., Tuuli M.G., MacOnes G.A., Colditz G.A.

Abstract: The objective is to estimate whether the use of regional anesthesia is associated with increased success of external cephalic version.

Full Text: Available in fulltext at Ovid


 

Title: A dose-ranging study of the effect of transversus abdominis block on postoperative quality of recovery and analgesia after outpatient laparoscopy

Citation: Anesthesia and Analgesia, November 2011, vol./is. 113/5(1218-1225), 0003-2999 (November 2011) Author(s): De Oliveira G.S., Fitzgerald P.C., Marcus R.-J., Ahmad S., McCarthy R.J.

Abstract: In this study, the authors evaluated the dose-dependent effects of a preoperative transversus abdominis plane (TAP) block on patient recovery using the Quality of Recovery 40 (QoR-40) questionnaire after ambulatory gynecological laparoscopic surgery. Full Text: Available in fulltext at Ovid


 

Title: Efficacy of intraperitoneal local anaesthetic techniques during laparoscopic cholecystectomy

Citation: Surgical Endoscopy and Other Interventional Techniques, November 2011, vol./is. 25/11(3698-3705), 0930-2794;1432-2218 (November 2011) Author(s): Roberts K.J., Gilmour J., Pande R., Nightingale P., Tan L.C., Khan S.

Abstract: This study assesses the efficacy of LA injected to the peritoneum of the right hemidiaphragm or topical wash with a control group.


 

Title: Extending epidural analgesia for emergency Caesarean section: A meta-analysis

Citation: British Journal of Anaesthesia, November 2011, vol./is. 107/5(668-678), 0007-0912;1471-6771 (November 2011) Author(s): Hillyard S.G., Bate T.E., Corcoran T.B., Paech M.J., O'Sullivan G.

Abstract: The aim of this meta-analysis was to identify the best epidural solutions for emergency Caesarean section anaesthesia, with respect to rapid onset and low supplementation of intraoperative block.

Full Text: Available in fulltext at EBSCOhost EJS Available in print at Solihull Staff Library


 

Title: Combined spinal and epidural anaesthesia and maternal intrapartum temperature during vaginal delivery: A randomized clinical trial

Citation: British Journal of Anaesthesia, November 2011, vol./is. 107/5(762-768), 0007-0912;1471-6771 (November 2011) Author(s): De Orange F.A., Passini Jr. R., Amorim M.M.R., Almeida T., Barros A.

Abstract: The study determined the association between combined spinalepidural (CSE) anaesthesia and an increase in maternal intrapartum temperature and intrapartum fever.  Full Text: Available in fulltext at EBSCOhost EJS Available in print at Solihull Staff Library


Title: General or local anesthesia for carotid endarterectomy-The "real-World" experience

Citation: Angiology, November 2011, vol./is. 62/8(609-613), 0003-3197;1940-1574 (November 2011) Author(s): Sideso E., Walton J., Handa A.

Abstract: The aim of this study was to assess the complication rates in patients undergoing CEA under general anesthesia (GA) or regional anesthesia (local anesthesia [LA]).


 

Cardiac arrests/cardiopulmonary resuscitation (CPR)

The following sub-topics are covered:

  • Quality of CPR
  • Use of feedback devices
  • Leadership and team factors

 

Title: Improving cardiac arrest survival by providing high quality, co-ordinated care: 2010 International Liaison Committee on Resuscitation guidelines

Citation: Therapy, November 2011, vol./is. 8/6(721-730), 1475-0708;1744-831X (November 2011) Author(s): Sasson C., Meier P., Campbell J.A., Haukoos J.S., Magid D.J., Larabee T.

Abstract: This article will highlight the rationale, evidence base and major research gaps for each of the following recommendations: creation of resuscitation centers to provide regionalized, co-ordinated care; implementation of post arrest management protocols; induction of therapeutic hypothermia for patients with return of spontaneous circulation; and implementation of early angiography for cardiac arrest survivors.

Full Text: Available in fulltext at ProQuest (Legacy Platform)


 

Critical Care

The following sub-topics are covered:

  • Sepsis – the use of statins, biomarker MMP9
  • Acute lung injury (ALI)/adult respiratory distress syndrome (ARDS)
  • Use of non invasive ventilation (NIV) in weaning
  • Ventilator associate pneumonia (including E.Coli)

 

Title: Dynamic changes of matrix metalloproteinases and their tissue inhibitors in severe sepsis

Citation: Journal of Critical Care, December 2011, vol./is. 26/6(550-555), 0883-9441;1557-8615 (December 2011) Author(s): Muhl D., Nagy B., Woth G., Falusi B., Bogar L., Weber G., Lantos J.

Abstract: The aim of this research was to investigate the time course of MMPs and their inhibitors in patients experiencing severe sepsis.


 

Title: Elevated plasma matrix metalloproteinases and their tissue inhibitors in patients with severe sepsis

Citation: Journal of Critical Care, December 2011, vol./is. 26/6(556-565), 0883-9441;1557-8615 (December 2011) Author(s): Yazdan-Ashoori P., Liaw P., Toltl L., Webb B., Kilmer G., Carter D.E., Fraser D.D.

Abstract: The objectives of this research was to determine (1) the concentrations of MMPs and their tissue inhibitors (TIMPs) in plasma obtained from patients with severe sepsis, (2) to correlate changes in MMP and TIMP levels with disease severity, and (3) to investigate recombinant activated protein C (rAPC) actions on plasma MMP2, 9 activities from severe sepsis patients.


 

Title: Ventilator-associated pneumonia and the gastropulmonary route of infection: a pendulum.

Citation: American Journal of Respiratory & Critical Care Medicine, November 2011, vol./is. 184/9(991-3), 1073-449X;1535-4970 (2011 Nov 1) Author(s): Bonten MJ

Full Text: Available in fulltext at ProQuest (Legacy Platform) Available in fulltext at ProQuest (Legacy Platform)


 

Title: The role of non-invasive home mechanical ventilation in patients with chronic obstructive pulmonary disease requiring prolonged weaning

Citation: Respirology, November 2011, vol./is. 16/8(1273-1280), 1323-7799;1440-1843 (November 2011) Author(s): Heinemann F., Budweiser S., Jorres R.A., Arzt M., Rosch F., Kollert F., Pfeifer M.

Abstract: The aim of this study was to find out whether non-invasive home mechanical ventilation (HMV) has a beneficial effect after prolonged weaning.


 

Title: Attributable Mortality of Ventilator-Associated Pneumonia: A Reappraisal Using Causal Analysis
Citation: American Journal of Respiratory and Critical Care Medicine. New York: Nov 15, 2011. Vol. 184, Iss. 10; p. 1133 (7 pages) Author: Maarten Bekaert, Jean-Francois Timsit, Stijn Vansteelandt, Pieter Depuydt, et al.

Full text:  Citation

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Title: Noninvasive ventilation for patients with acute lung injury or acute respiratory distress syndrome

Citation: Respiratory Care, October 2011, vol./is. 56/10(1583-1588), 0020-1324;1943-3654 (October 2011) Author(s): Nava S., Schreiber A., Domenighetti G.

Abstract: The study reports that the high rate of NIV failure suggests a cautious approach to NIV use in patients with ALI/ARDS, including early initiation, intensive monitoring, and prompt intubation if signs of NIV failure emerge


 

Title: Pneumonia in the ICU: A lethal or VAPid complication?

Citation: American Journal of Respiratory and Critical Care Medicine, November 2011, vol./is. 184/10(1097-1098), 1073-449X;1535-4970 (15 Nov 2011) Author(s): Scales D.C.

Full Text: Available in fulltext at ProQuest (Legacy Platform) Available in fulltext at ProQuest (Legacy Platform)


 

Title: Prevention of ventilator-associated pneumonia with oral antiseptics: A systematic review and meta-analysis

Citation: The Lancet Infectious Diseases, November 2011, vol./is. 11/11(845-854), 1473-3099;1474-4457 (November 2011) Author(s): Labeau S.O., van de Vyver K., Brusselaers N., Vogelaers D., Blot S.I.

Abstract: The authors performed a systematic review and random effects meta-analysis of randomised trials to assess the effect of oral care with chlorhexidine or povidone-iodine on the prevalence of ventilator-associated pneumonia versus oral care without these antiseptics in adults.

Full Text:  Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: Ventilator-associated pneumonia: Are we winning the war?

Citation: The Lancet Infectious Diseases, November 2011, vol./is. 11/11(806-807), 1473-3099;1474-4457 (November 2011) Author(s): Rumbak M.J., Solomon D.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: Clinical outcomes of linezolid vs vancomycin in methicillin-resistant staphylococcus aureus ventilator-associated pneumonia: Retrospective analysis

Citation: Journal of Intensive Care Medicine, November 2011, vol./is. 26/6(385-391), 0885-0666;1525-1489 (November-December 2011) Author(s): Chan J.D., Pham T.N., Wong J., Hessel M., Cuschieri J., Neff M., Dellit T.H.

Abstract: The study reports outcomes of a cohort with MRSA ventilator-associated pneumonia (VAP) treated with vancomycin vs linezolid.


 

Title: Early ICU energy deficit is a risk factor for Staphylococcus aureus ventilator-associated pneumonia

Citation: Chest, November 2011, vol./is. 140/5(1254-1260), 0012-3692;1931-3543 (November 2011) Author(s): Faisy C., Llerena M.C., Savalle M., Mainardi J.-L., Fagon J.-Y.

Abstract: This study was undertaken to determine the impact of patients' early in-ICU energy balance on the pathogens responsible for ventilator-associated pneumonia (VAP).

Full Text:  Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: Statins in preventing ventilator-associated pneumonia and death: Still only a hope*

Citation: Critical Care Medicine, November 2011, vol./is. 39/11(2564-2566), 0090-3493;1530-0293 (November 2011) Author(s): Timsit J.-F., Adrie C.

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.


 

Title: To count for-Mortality on intensive care unit and the allocation of ventilator-associated pneumonia.

Citation: Critical Care Medicine, December 2011, vol./is. 39/12(2779-80), 0090-3493;1530-0293 (2011 Dec) Author(s): Nachtigall I, Spies C

Full Text: Available in fulltext at MD Consult; Note: You will need to register (free of charge) with MD Consult the first time you use it.

 

 

 

 

 

 

 

Wishing you all a Merry Christmas and a very Happy New Year 2012

 

                                                                                                           

 

 

Further information:

 Multiple sources – websites, journals and healthcare databases – have been searched for evidence published in the previous four weeks are identified and highlighted here. For a detailed list of sources that have been scanned, please contact [email protected]

To access the full text links in this bulletin, login with your HEFT Athens ID at

http://www.evidence.nhs.uk/nhs-evidence-content/journals-and-databases ‘before’ clicking on them in order to make them seamless

 

For more information on how to register for Athens, access the Athens Registration leaflet via HEFT Library website www.heftlibrary.nhs.uk

NHS Evidence portal has now changed to www.evidence.nhs.uk  Visit this portal to access your journals and healthcare databases.