Critical Care & Anaesthesia- March 2012

 

 

Critical Care & Anaesthesia –Update  

March - 2012

 

 

 

 


Welcome to the first bulletin of 2012 highlighting new evidence published on selected topics relating to Critical Care, Anaesthesia, Pain and Resuscitation. This bulletin will continue in its current format following a positive evaluation by staff. In this update evidence published in the previous 8 weeks is highlighted. Subsequently monthly updates will be released. 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: Multicentre cohort study of red blood cell use for revision hip arthroplasty and factors associated with greater risk of allogeneic blood transfusion.

Citation: British Journal of Anaesthesia, January 2012, vol./is. 108/1(63-71), 0007-0912;1471-6771 (2012 Jan) Author(s): Walsh TS, Palmer J, Watson D, Biggin K, Seretny M, Davidson H, Harkness M, Hay A

Abstract: Revision hip arthroplasty (RHA) is associated with high rates of allogeneic blood transfusion (ABT). The authors aimed to determine factors associated with ABT in patients undergoing RHA in Scottish hospitals, with particular focus on perioperative cell salvage (PCS).

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


 

Title: Efficacy of preoperative autologous blood donation for elective posterior lumbar spinal surgery

Citation: Spine, December 2011, vol./is. 36/26(E1736-E1743), 0362-2436;1528-1159 (15 Dec 2011) Author(s): Kennedy C., Leonard M., Devitt A., Girardi F.P., Cammisa F.P.

Abstract: The study evaluates the transfusion patterns associated with preoperative autologous blood donation (PABD) during posterior lumbar spinal surgery.


 

Title: Integrated strategies for allogeneic blood saving in major elective surgery

Citation: Transfusion and Apheresis Science, December 2011, vol./is. 45/3(281-285), 1473-0502;1878-1683 (December 2011) Author(s): Rondinelli M.B., Pallotta F., Rossetti S., Musumeci F., Menichetti A., Bianco F., Gaffi M., Pierelli L.

Abstract: The authors introduced an integrated strategy including patients' evaluation and supplementation associated with autologous blood collection and saving to support major elective surgery.

Title: Re: Intraoperative cell salvage in obstetrics by Hannah Grainger and Sue Catling.

Citation: Journal of Perioperative Practice, December 2011, vol./is. 21/12(400), 1750-4589;1750-4589 (2011 Dec) Author(s): Davies T, Catling S, Grainger H

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest

Available in fulltext at ProQuest


 

Title: Association between the apolipoprotein E4 and postoperative cognitive dysfunction in elderly patients undergoing intravenous anesthesia and inhalation anesthesia.

Citation: Anesthesiology, January 2012, vol./is. 116/1(84-93), 0003-3022;1528-1175 (2012 Jan) Author(s): Cai Y, Hu H, Liu P, Feng G, Dong W, Yu B, Zhu Y, Song J, Zhao M

Abstract: In this study, the authors compared recovery of cognitive function in patients after different anesthesia techniques, and investigated which technique is safer. The authors also explored association between apolipoprotein E4 and postoperative cognitive dysfunction in patients undergoing general anesthesia.

Full Text: Available in fulltext at Ovid


 

Title: The effect of multimodal balanced anaesthesia and long term gabapentin on neuropathic pain, nitric oxide and interleukin-1beta following breast surgery

Citation: Egyptian Journal of Anaesthesia, January 2012, vol./is. 28/1(67-78), 1110-1849;1687-1804 (January 2012) Author(s): Elkaradawy S., Nasr M., Elkerm Y., Deeb M.E., Yassine O.

Abstract: The study aimed to evaluate the effect of multimodal balanced anaesthesia and gabapentin (6 months) on neuropathic pain qualities, nitric oxide (NO) and interleukin 1-beta (IL-1beta).


 

Title: Comparison between local anaesthesia with remifentanil and total intravenous anaesthesia for operative hysteroscopic procedures in day surgery

Citation: British Journal of Anaesthesia, February 2012, vol./is. 108/2(245-253), 0007-0912;1471-6771 (February 2012) Author(s): Majholm B., Bartholdy J., Clausen H.V., Virkus R.A., Engbaek J., Moller A.M.

Abstract: This study aimed at comparing total i.v. anaesthesia (TIVA) with monitored anaesthesia care (MAC) during day-surgery operative hysteroscopy regarding: operation time, time to mobilization and discharge, and patient satisfaction.

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


 

Title: The role of regional anaesthesia techniques in the management of acute pain

Citation: Anaesthesia and Intensive Care, January 2012, vol./is. 40/1(33-45), 0310-057X;1448-0271 (January 2012) Author(s): Cowlishaw P.J., Scott D.M., Barrington M.J.

Abstract: A narrative review of recent literature was undertaken to establish the current utility and efficacy of regional anaesthesia and analgesia for the management of acute pain following surgery.


Title: Comparison between single-injection inferomedial and inferotemporal peribulbar blockades before cataract surgery

Citation: Ophthalmologica, January 2012, vol./is. 227/2(111-114), 0030-3755;1423-0267 (January 2012) Author(s): Mahdy R.A., Ghanem M.T.

Abstract: The study aimed to compare the efficacy and safety of single-injection inferomedial (IM) and conventional inferotemporal (IT) peribulbar blockades.


 

Title: The effect of height and weight adjusted dose of intrathecal hyperbaric bupivacaine for elective caesarean section

Citation: Journal of the Nepal Medical Association, January 2012, vol./is. 51/1(1-6), 0028-2715 (January - March 2012) Author(s): Subedi A., Tripathi M., Bhattarai B.K., Gupta P.K., Pokharel K., Regmi M.C.

Abstract: The study compared spinal anesthesia using intrathecal hyperbaric bupivacaine between height and weight adjusted dose and fixed dose during caesarean section.

Full Text: Available in fulltext at EBSCOhost


 

Title: Selective spinal anesthesia for outpatient transurethral prostatectomy (TURP): Randomized controlled comparison of chloroprocaine with lidocaine

Citation: Acta Anaesthesiologica Scandinavica, January 0001, vol./is. 56/2(217-223), 0001-5172;1399-6576 (Febuary 2012) Author(s): Vaghadia H., Neilson G., Lennox P.H.

Abstract: This is a study comparing two short-acting local anesthetics lidocaine and 2-chloroprocaine in combination with fentanyl, to provide selective spinal anesthesia for outpatient transurethral resection of the prostate (TURP).

Full Text: Available in fulltext at EBSCOhost


 

Title: Study of equivalence: Spinal bupivacaine 15 mg versus bupivacaine 12 mg with fentanyl 15 mug for cesarean delivery

Citation: International Journal of Obstetric Anesthesia, January 2012, vol./is. 21/1(17-23), 0959-289X;1532-3374 (January 2012) Author(s): Meyer R.A., Macarthur A.J., Downey K.

Abstract: This study tested the hypothesis that an intrathecal dose of hyperbaric bupivacaine 15 mg would produce equivalent spinal anesthesia for cesarean delivery as the combination of hyperbaric bupivacaine 12 mg and fentanyl 15 mug.

Full Text: Available in fulltext at EBSCOhost EJS Available in fulltext at Elsevier; Note: You will need to register (free of charge) with Science Direct the first time you use it.


 

Title: Does supplemental epidural anesthesia improve outcomes of acetabular fracture surgery?

Citation: Journal of Orthopaedic Trauma, February 2012, vol./is. 26/2(67-72), 0890-5339;1531-2291 (February 2012) Author(s): Strauss J.E., O'Toole R.V., Pollak A.N.

Abstract: The hypothesis of this study was that epidural anesthesia would result in improvement in short-term outcomes and therefore justify any associated increases in anesthesia induction time, treatment costs, or risks.


 

 

 

 

 

Title: Regional anesthesia procedures for shoulder and upper arm surgery upper extremity update-2005 to present

Citation: International Anesthesiology Clinics, 2012, vol./is. 50/1(26-46), 0020-5907;1537-1913 (2012) Author(s): Sripada R., Bowens C.

Abstract: This review of the literature since 2005 assesses developments of RA techniques commonly used for shoulder surgery, and their effectiveness for postoperative analgesia.


 

Title: Recent advances in epidural analgesia

Citation: Anesthesiology Research and Practice, 2012, vol./is. 2012/, 1687-6962;1687-6970 (2012) Author(s): Bauer M., George III J.E., Seif J., Farag E.

Abstract: This paper will provide an overview of the pertinent anatomical, pharmacological, immunological, and technical aspects of epidural anesthesia in both adult and pediatric populations and will discuss the recent advances, the related rare but potentially devastating complications, and the current recommendations for the use of anticoagulants in the setting of neuraxial block placement.

Full Text: Available in fulltext at National Library of Medicine


 

Title: Bilateral superficial cervical plexus block in combination with general anesthesia has a low efficacy in thyroid surgery: A meta-analysis of randomized controlled trials

Citation: Thyroid, January 2012, vol./is. 22/1(44-52), 1050-7256;1557-9077 (01 Jan 2012) Author(s): Warschkow R., Tarantino I., Jensen K., Beutner U., Clerici T., Schmied B.M., Steffen T.Abstract: This study is a meta-analysis of randomized controlled trials (RCT) to evaluate the efficacy and safety of BSCPB as an adjunct to general anesthesia in patients receiving thyroid surgery was performed.


 

Cardiac arrests/cardiopulmonary resuscitation (CPR)

The following sub-topics are covered:

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

 

Title: Teamwork and team training in the ICU: Where do the similarities with aviation end?

Citation: Critical Care, November 2011, vol./is. 15/6, 1364-8535;1466-609X (30 Nov 2011) Author(s): Reader T.W., Cuthbertson B.H.

Abstract: While intensive care medicine may wish to use the advances made by the aviation industry for conceptualizing team skills and implementing team training programs, the study highlights that interventions must be tailored to the highly specific demands of the ICU.

Full Text: Available in selected fulltext at BioMedCentral


 

 

 

 

Title: Go team go: recognizing the importance of team training in critical care.

Citation: Critical Care Medicine, December 2011, vol./is. 39/12(2755-6), 0090-3493;1530-0293 (2011 Dec) Author(s): Corriveau CO

Full Text: Available in fulltext at Ovid


 

Title: Cardiopulmonary resuscitation update.

Citation: Emergency Medicine Clinics of North America, February 2012, vol./is. 30/1(35-49), 0733-8627;1558-0539 (2012 Feb) Author(s): Reynolds JC, Bond MC, Shaikh S

Abstract: This study provides an update on Cardiopulmonary resuscitation (CPR) and emphasises that CPR is vital therapy in cardiac arrest care by lay and trained rescuers. Chest compressions are the key component of CPR. Ventilation and airway management should be secondary to high-quality and continuous chest compressions in patients receiving CPR.

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: Training teams and leaders to reduce resuscitation errors and improve patient outcome

Citation: Resuscitation, January 2012, vol./is. 83/1(13-15), 0300-9572;1873-1570 (January 2012) Author(s): Edwards S., Siassakos D.

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


 

Title: Resuscitation feedback and targeted education improves quality of pre-hospital resuscitation in Scotland

Citation: Resuscitation, January 2012, vol./is. 83/1(70-75), 0300-9572;1873-1570 (January 2012) Author(s): Lyon R.M., Clarke S., Milligan D., Clegg G.R.

Abstract: This study aims to analyse the impact of targeted resuscitation feedback and training on quality of pre-hospital resuscitation.

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


 

Title: "Putting it all together" to improve resuscitation quality

Citation: Emergency Medicine Clinics of North America, February 2012, vol./is. 30/1(105-122), 0733-8627 (February 2012) Author(s): Sutton R.M., Nadkarni V., Abella B.S.

Abstract: In this article, new approaches to improving cardiac arrest resuscitation performance are reviewed. The focus is on a continuous quality improvement paradigm highlighting improving training methods before actual cardiac arrest events, monitoring quality during resuscitation attempts, and using quantitative debriefing programs after events to educate frontline care providers.

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.


 

 

 

 

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: Year in review in Intensive Care Medicine 2011: III. ARDS and ECMO, weaning, mechanical ventilation, noninvasive ventilation, pediatrics and miscellanea.

Citation: Intensive Care Med. 2012 Feb 14. [Epub ahead of print]

Author(s):Antonelli M, Bonten M, Chastre J, Citerio G, Conti G, Randall Curtis J, De BackerD, Hedenstierna G, Joannidis M, Macrae D, Mancebo J, Maggiore SM, Mebazaa A,Preiser JC, Rocco P, Timsit JF, Wernerman J, Zhang H.


 

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

Citation: Critical Care Medicine, November 2011, vol./is. 39/11(2564-6), 0090-3493;1530-0293 (2011 Nov) Author(s): Timsit JF, Adrie C

Full Text: Available in fulltext at Ovid


 

Title: A novel role for matrix metalloproteinase-8 in sepsis

Citation: Critical Care Medicine, February 2012, vol./is. 40/2(379-387), 0090-3493;1530-0293 (February 2012) Author(s): Solan P.D., Dunsmore K.E., Denenberg A.G., Odoms K., Zingarelli B., Wong H.R.

Abstract: In this article the authors investigate the relationship between matrix metalloproteinase-8 and disease severity in children with septic shock.

Full Text: Available in fulltext at Ovid


 

Title: Serum MMP-8, -9 and TIMP-1 in sepsis: High serum levels of MMP-8 and TIMP-1 are associated with fatal outcome in a multicentre, prospective cohort study. Hypothetical impact of tetracyclines

Citation: Pharmacological Research, December 2011, vol./is. 64/6(590-594), 1043-6618;1096-1186 (December 2011) Author(s): Lauhio A., Hastbacka J., Pettila V., Tervahartiala T., Karlsson S., Varpula T., Varpula M., Ruokonen E., Sorsa T., Kolho E.

Abstract: Recent evidence suggests that matrix metalloproteinases (MMPs) and their endogenous inhibitors are involved in the pathogenesis of sepsis. The authors studied serum levels of MMP-8, MMP-9 and TIMP-1 (tissue inhibitor of matrix metalloproteinase-1) in a multicentre, prospective cohort study of patients with sepsis treated in Intensive Care Units (ICUs).


 

Title: Acute lung injury: surprisingly common in the neurologic intensive care unit.

Citation: Critical Care Medicine, February 2012, vol./is. 40/2(694-5), 0090-3493;1530-0293 (2012 Feb)Author(s): Ware LB, Girard TD

Full Text: Available in fulltext at Ovid


 

Title: Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998-2008.

Citation: American Journal of Respiratory & Critical Care Medicine, January 2012, vol./is. 185/2(152-9), 1073-449X;1535-4970 (2012 Jan 15) Author(s): Chandra D, Stamm JA, Taylor B, Ramos RM, Satterwhite L, Krishnan JA, Mannino D, Sciurba FC, Holguin F

Abstract: To determine the prevalence and trends of noninvasive ventilation for acute COPD..

Full Text: Available in fulltext at ProQuest Available in fulltext at ProQuest


 

Title: Economic impact of ventilator-associated pneumonia in a large matched cohort

Citation: Infection Control and Hospital Epidemiology, March 2012, vol./is. 33/3(250-256), 0899-823X (March 2012)  Author(s): Kollef M.H., Hamilton C.W., Ernst F.R.

Abstract: The aim of the study is to evaluate the economic impact of ventilator-associated pneumonia (VAP) on length of stay and hospital costs design.


 

Title: Ventilator-associated pneumonia due to meticillin-resistant Staphylococcus aureus: Risk factors and outcome in a large general hospital

Citation: Journal of Hospital Infection, February 2012, vol./is. 80/2(150-155), 0195-6701;1532-2939 (February 2012) Author(s): Bouza E., Giannella M., Bunsow E., Torres M.V., Perez Granda M.J., Martin-Rabadan P., Munoz P.

Abstract: The aim is to assess predisposing factors and outcome of VAP due to MRSA in a large teaching institution.

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


 

Title: Measures to prevent nosocomial infections during mechanical ventilation

Citation: Current Opinion in Critical Care, February 2012, vol./is. 18/1(86-92), 1070-5295;1531-7072 (February 2012) Author(s): Ramirez P., Bassi G.L., Torres A.

Abstract: This communication reviews the current knowledge on VAP pathogenesis and the latest preventive measures.


 

Title: Improving surveillance definitions for ventilator-associated pneumonia in an era of public reporting and performance measurement

Citation: Clinical Infectious Diseases, February 2012, vol./is. 54/3(378-380), 1058-4838;1537-6591 (01 Feb 2012) Author(s): Magill S.S., Fridkin S.K.


 

Title: Continuous infusion of piperacillin/tazobactam in ventilator-associated pneumonia: A pilot study on efficacy and costs

Citation: International Journal of Antimicrobial Agents, February 2012, vol./is. 39/2(153-158), 0924-8579;1872-7913 (February 2012) Author(s): Duszynska W., Taccone F.S., Switala M., Hurkacz M., Kowalska-Krochmal B., Kubler A.

Abstract: The efficacy and costs of continuous infusion (CI) of TZP, using therapeutic drug monitoring for real-time dose adjustment, was assessed in a prospective pilot study of 16 patients with VAP.


 

Title: Current practices for ventilator-associated pneumonia prevention in Japan: A survey study

Citation: Chest, January 2012, vol./is. 141/1(281-283), 0012-3692;1931-3543 (January 2012) Author(s): Shime N., Morrow L.E.

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--in the eyes of the beholder.

Citation: Critical Care Medicine, January 2012, vol./is. 40/1(352-3), 0090-3493;1530-0293 (2012 Jan) Author(s): Dodek PM

Full Text: Available in fulltext at Ovid


 

Title: Is the evidence for benefits from ventilator-associated pneumonia bundles reliable enough for implementation in a general hospital?.

Citation: Critical Care Medicine, January 2012, vol./is. 40/1(348-50), 0090-3493;1530-0293 (2012 Jan) Author(s): Kalil AC, Wiener-Kronish JP

Full Text: Available in fulltext at Ovid


 

Title: A world without ventilator-associated pneumonia: time to abandon surveillance and deconstruct the bundle.

Citation: Critical Care Medicine, January 2012, vol./is. 40/1(267-70), 0090-3493;1530-0293 (2012 Jan) Author(s): Halpern NA, Hale KE, Sepkowitz KA, Pastores SM

Full Text: Available in fulltext at Ovid


 

Title: Prevention of ventilator-associated pneumonia or ventilator-associated complications: a worthy, yet challenging, goal.

Citation: Critical Care Medicine, January 2012, vol./is. 40/1(271-7), 0090-3493;1530-0293 (2012 Jan) Author(s): Kollef MH

Abstract: The article emphasises the use of evidence-based bundles targeting ventilator-associated pneumonia seems to be a reasonable first step in addressing this important clinical problem.

Full Text: Available in fulltext at Ovid


 

Title: A comparison of ventilator-associated pneumonia rates as identified according to the National Healthcare Safety Network and American College of Chest Physicians criteria.

Citation: Critical Care Medicine, January 2012, vol./is. 40/1(281-4), 0090-3493;1530-0293 (2012 Jan) Author(s): Skrupky LP, McConnell K, Dallas J, Kollef MH

Abstract: The objective of this study was to compare the observed rates of ventilator-associated pneumonia when using the National Healthcare Safety Network vs. the American College of Chest Physicians criteria.

Full Text: Available in fulltext at Ovid


 

 

 

Title: Estimating the attributable mortality of ventilator-associated pneumonia from randomized prevention studies.

Citation: Critical Care Medicine, December 2011, vol./is. 39/12(2736-42), 0090-3493;1530-0293 (2011 Dec) Author(s): Melsen WG, Rovers MM, Koeman M, Bonten MJ

Abstract: The objective of the study is to assess the attributable mortality of ventilator-associated pneumonia using results from randomized controlled trials on ventilator-associated pneumonia prevention.

Full Text: Available in fulltext at Ovid


 

 

 

 

 

 

 

 

 

 

 

 

Further Information:

The following sources have been scanned for evidence published in the previous 8 weeks: Lancet, BMJ, JAMA, NEJM and American Journal of Critical Care Medicine; and articles from other journals as retrieved via searches on MEDLINE and EMBASE are also listed.

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

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