Critical Care & Anaesthesia- September 2011

 

 

Critical Care & Anaesthesia – Evidence Update  

September- 2011

 

 

 


Welcome to the monthly 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 four 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: Hypoxic respiratory failure due to phrenic nerve palsy from an interscalene brachial plexus block and previously asymptomatic pulmonary embolism

Citation: Critical Ultrasound Journal, August 2011, vol./is. 3/2(105-107), 2036-3176;2036-7902 (August 2011) Author(s): Minett D.M., Nace J.E., Nomura J.T.

Abstract: Interscalene brachial plexus block is a common regional anesthesia method for upper extremity surgery. A rare complication of this procedure is dyspnea secondary to phrenic nerve palsy and hemidiaphragm paralysis. In our case, this rare complication diagnosed using ultrasound led to the diagnosis of a previously asymptomatic pulmonary embolism.


 

Title: Epidural analgesia for treatment of a sickle cell crisis during pregnancy

Citation: Obstetrics and Gynecology, August 2011, vol./is. 118/2 PART 2(495-497), 0029-7844 (August 2011) Author(s): Winder A.D., Johnson S., Murphy J., Ehsanipoor R.M.

Abstract:  This article presents a case of a 20-year-old African American with sickle cell disease presented at 29 4/7 weeks of gestation with severe, debilitating leg and back pain. Large doses of intravenous narcotics did not result in significant pain relief, so a lumbar epidural was placed. This resulted in complete pain relief within several minutes. Full Text: Available in fulltext at Ovid


 

Title: Comparison of intermediate vs subcutaneous cervical plexus block for carotid endarterectomy

Citation: British Journal of Anaesthesia, August 2011, vol./is. 107/2(157-163), 0007-0912;1471-6771 (August 2011) Author(s): Ramachandran S.K., Picton P., Shanks A., Dorje P., Pandit J.J. Abstract: This study adds to the body of evidence supporting the safe use of superficial blocks for Carotid endarterectomy surgery. Full Text: Available in fulltext at EBSCO Host EJS Available in print at Solihull Staff Library


 

Title: Epidural analgesia is associated with improved health outcomes of surgical patients with chronic obstructive pulmonary disease

Citation: Anesthesiology, August 2011, vol./is. 115/2(315-321), 0003-3022;1528-1175 (August 2011) Author(s): Van Lier F., Van Der Geest P.J., Hoeks S.E., Van Gestel Y.R.B.M., Hol J.W., Sin D.D., Stolker R.J., Poldermans D.

Abstract: The objective of this study was to determine whether patients with COPD undergoing major abdominal surgery benefit from EDA in addition to general anesthesia. 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: Estimating Anesthesia time using the medicare claim: A validation study

Citation: Anesthesiology, August 2011, vol./is. 115/2(322-333), 0003-3022;1528-1175 (August 2011) Author(s): Silber J.H., Rosenbaum P.R., Even-Shoshan O., Mi L., Kyle F.A., Teng Y., Bratzler D.W., Fleisher L.A.

Abstract: Introduction: Procedure length is a fundamental variable associated with quality of care, though seldom studied on a large scale. The authors sought to estimate procedure length through information obtained in the anesthesia claim submitted to Medicare to validate this method for future studies. 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: Deep brain stimulation and general anesthesia

Citation: Basal Ganglia, July 2011, vol./is. 1/2(79-82), 2210-5336;2210-5336 (July 2011) Author(s): Braun M., Winkler D., Wehner M., Busch T., Schwarz J.

Abstract: To study the effect of general anesthesia during electrode placement on the clinical outcome of Deep brain stimulation of the subthalamic nucleus (DBS-STN).


 

Cardiac arrests/cardiopulmonary resuscitation (CPR)

The following sub-topics are covered:

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

 

 

Title: Longer pauses between CPR compressions and defibrillation may decrease survival.

Citation: JAMA, August 2011, vol./is. 306/8(813-4), 0098-7484;1538-3598 (2011 Aug 24) Author(s): Mitka M

Full Text: Available in fulltext at Highwire Press


 

 

 

 

Title: 2010 Guidelines for neonatal resuscitation: Does the algorithm require a clarification?

Citation: Pediatrics, August 2011, vol./is. 128/2(e471), 0031-4005;1098-4275 (August 2011) Author(s): Trevisanuto D., Martano C., Giannini L., Ciralli F., Fabio S.D., Gizzi C., Quartulli L., Torielli F., Villani P.E.

Full Text: Available in fulltext at Highwire Press Available in fulltext at EBSCO Host EJS Available in print at Heartlands Staff Library


 

Title: Quality of care for sudden cardiac arrest: Proposed steps to improve the translation of evidence into practice

Citation: American Heart Journal, August 2011, vol./is. 162/2(222-231), 0002-8703;1097-6744 (August 2011) Author(s): Eapen Z.J., Peterson E.D., Fonarow G.C., Sanders G.D., Yancy C.W., Sears Jr. S.F., Carlson M.D., Curtis A.B., Hall L.L., Hayes D.L., Hernandez A.F., Mirro M., Prystowsky E., Russo A.M., Thomas K.L., Al-Khatib S.M.

Abstract: Experts from clinical cardiology, cardiac electrophysiology, health policy and economics, the US Food and Drug Administration, the Centre’s for Medicare and Medicaid Services, the Agency for Health Care Research and Quality, and device and pharmaceutical manufacturers discussed the development of SCA educational tools for patients and providers, mechanisms of implementing successful tools to help providers identify patients in their practice at risk for SCA, disparities in SCA prevention, and performance measures related to SCA care. This article summarizes the discussions held at this meeting. 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: What's new in the Australasian Paediatric Resuscitation Guidelines 2010

Citation: EMA - Emergency Medicine Australasia, August 2011, vol./is. 23/4(389-390), 1742-6731;1742-6723 (August 2011) Author(s): Aickin R.


 

Title: New guidelines for newborn resuscitation - A critical evaluation

Citation: Acta Paediatrica, International Journal of Paediatrics, August 2011, vol./is. 100/8(1058-1062), 0803-5253;1651-2227 (August 2011) Author(s): Saugstad O.D.

Abstract: In spite of improved guidelines for newborn resuscitation, there is still a number of unanswered questions and a need for more delivery room studies.


 

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: What is the real role of statins in community-acquired pneumonia and sepsis?

Citation: Critical Care Medicine, August 2011, vol./is. 39/8(1998-2000), 0090-3493;1530-0293 (August 2011) Author(s): Barbas C.S.V., Kawano-Dourado L.B.

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: Effect of statin therapy on plasma adiponectin concentrations in patients with the sepsis syndrome: A preliminary investigation

Citation: Intensive Care Medicine, August 2011, vol./is. 37/8(1388-1389), 0342-4642;1432-1238 (August 2011) Author(s): Robinson K., Kruger P., Phillips L.K., Prins J., Venkatesh B.


 

Title: Understanding the potential role of statins in pneumonia and sepsis

Citation: Critical Care Medicine, August 2011, vol./is. 39/8(1871-1878), 0090-3493;1530-0293 (August 2011) Author(s): Yende S., Milbrandt E.B., Kellum J.A., Kong L., Delude R.L., Weissfeld L.A., Angus D.C.

Abstract: The objective of this study was to examine the association of statin use with clinical outcomes and circulating biomarkers in community-acquired pneumonia and sepsis. 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, vitamin D, and severe sepsis

Citation: European Journal of Internal Medicine, August 2011, vol./is. 22/4(e25-e26), 0953-6205;1879-0828 (August 2011) Author(s): Mascitelli L., Grant W.B., Goldstein M.R.


 

Title: Multimarker Panels in Sepsis

Citation: Critical Care Clinics, April 2011, vol./is. 27/2(391-405), 0749-0704 (April 2011) Author(s): Casserly B., Read R., Levy M.M.

Abstract: This article reviews several studies using multimarker panels, and highlights the potential of more sophisticated diagnostic and prognostic techniques in future multimarker panels. More complex algorithms should accelerate the adoption of multimarker panels into the routine management of patients with sepsis, provided that clinicians understand the multimarker approach. Full Text: Available in fulltext at MD Consult


 

Title: Serum procalcitonin as a diagnostic marker for neonatal sepsis: A systematic review and meta-analysis

Citation: Intensive Care Medicine, May 2011, vol./is. 37/5(747-762), 0342-4642;1432-1238 (May 2011) Author(s): Vouloumanou E.K., Plessa E., Karageorgopoulos D.E., Mantadakis E., Falagas M.E.

Abstract: To assess the value of serum procalcitonin (PCT) for the differentiation between patients with and without neonatal sepsis.


 

Title: Ventilator-associated pneumonia as a model for approaching cost-effectiveness and infection prevention in the ICU

Citation: Current Opinion in Infectious Diseases, August 2011, vol./is. 24/4(385-389), 0951-7375;1473-6527 (August 2011) Author(s): Zilberberg M.D., Shorr A.F.

Abstract: Nosocomial infection is a major cause of morbidity and mortality. In the ICU, ventilator-associated pneumonia (VAP) represents the most prevalent and visible hospital-acquired infection (HAI). Although some evidence-based strategies reduce the incidence of VAP, despite a recent policy drive toward zero VAP rates, no evidence supports feasibility of VAP eradication. Furthermore, in the era of resource constraints, cost-effectiveness of various strategies is critical to consider.


 

Title: Ventilator-associated pneumonia and cuff shape

Citation: American Journal of Respiratory and Critical Care Medicine, August 2011, vol./is. 184/4(485-486), 1073-449X;1535-4970 (15 Aug 2011) Author(s): Lorente L., Blot S., Rello J. Full Text: Available in fulltext at ProQuest (Legacy Platform)


 

Title: Ventilator-associated pneumonia and cuff Shape

Citation: American Journal of Respiratory and Critical Care Medicine, August 2011, vol./is. 184/4(485), 1073-449X;1535-4970 (15 Aug 2011) Author(s): Poelaert J.

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


 

Title: Herpes simplex virus: A marker of severity in bacterial ventilator-associated pneumonia

Citation: Journal of Critical Care, August 2011, vol./is. 26/4(432.e1-432.e6), 0883-9441;1557-8615 (August 2011) Author(s): Bouza E., Giannella M., Torres M.V., Catalan P., Sanchez-Carrillo C., Hernandez R.I., Munoz P.

Abstract: The aim of this study was to determine the incidence of herpes simplex virus (HSV) in the lower respiratory tract (LRT) secretions in patients with bacterial VAP and to assess its potential clinical relevance.


 

Title: An evaluation of the role of gene expression in the prediction and diagnosis of ventilator-associated pneumonia

Citation: Anesthesiology, August 2011, vol./is. 115/2(344-352), 0003-3022;1528-1175 (August 2011) Author(s): Textoris J., Loriod B., Benayoun L., Gourraud P.-A., Puthier D., Albanese J., Mantz J., Martin C., Nguyen C., Leone M.

Abstract: The current study examined the changes in blood transcriptome during 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: Hospital-acquired pneumonia/ventilator-associated pneumonia prevention: Truth or dare!

Citation: Critical Care Medicine, August 2011, vol./is. 39/8(2015-2016), 0090-3493;1530-0293 (August 2011) Author(s): Kollef M.H.

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: Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: A systematic review and meta-analysis

Citation: Critical Care Medicine, August 2011, vol./is. 39/8(1985-1991), 0090-3493;1530-0293 (August 2011) Author(s): Muscedere J., Rewa O., McKechnie K., Jiang X., Laporta D., Heyland D.K.

Abstract: New evidence on subglottic secretion drainage as a preventive measure for ventilator-associated pneumonia has been recently published and to consider the evidence in totality, the authors conducted an updated systematic review and meta-analysis. Full Text: Available in fulltext at MD Consult.


 

Title: Diagnostic accuracy of clinical pulmonary infection score for ventilator-associated pneumonia: A meta-analysis

Citation: Respiratory Care, August 2011, vol./is. 56/8(1087-1094), 0020-1324;1943-3654 (August 2011) Author(s): Shan J., Chen H.-L., Zhu J.-H.

Abstract: To assess the diagnostic accuracy of the clinical pulmonary infection score in the diagnosis of ventilator-associated pneumonia in mechanically ventilated patients.


 

Title: Predicting mortality in patients with acute lung injury

Citation: American Journal of Respiratory and Critical Care Medicine, August 2011, vol./is. 184/4(394-395), 1073-449X;1535-4970 (15 Aug 2011) Author(s): Scott Budinger G.R., Walley K.R. Full Text: Available in fulltext at ProQuest (Legacy Platform)


 

Title: Shedding of low-density lipoprotein receptor-related protein-1 in acute respiratory distress syndrome

Citation: American Journal of Respiratory and Critical Care Medicine, August 2011, vol./is. 184/4(438-448), 1073-449X;1535-4970 (15 Aug 2011) Author(s): Wygrecka M., Wilhelm J., Jablonska E., Zakrzewicz D., Preissner K.T., Seeger W., Guenther A., Markart P.

Abstract: The objective of this study was to assess if increased LRP-1 shedding occurs in the lungs of patients with acute respiratory distress syndrome (ARDS) and may lead to the accumulation ofMMPs and subsequent tissue injury. Full Text:

Available in fulltext at ProQuest (Legacy Platform)


 

 

 

 

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.