Article
Medicine, General & Internal
Hiroshi Yonekura, Yusuke Mazda, Shohei Noguchi, Hironaka Tsunobuchi, Motomu Shimaoka
Summary: The study aimed to investigate the practice of general anesthesia for cesarean delivery in Japan using a nationwide claims database. The results showed a gradual decrease in the use of general anesthesia over a 15-year period, regardless of the definition used. The authors recommend using a combination of claim code L008 and muscle relaxant use as the clinical definition of general anesthesia.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Malia S. Q. Murphy, Robin Ducharme, Steven Hawken, Daniel J. Corsi, William Petrcich, Darine El-Chaar, Lise Bisnaire, Daniel I. McIsaac, Deshayne B. Fell, Shi Wu Wen, Mark C. Walker
Summary: This study found that intrapartum epidural analgesia was associated with a small increase in the risk of ASD in offspring. However, the biological plausibility of this association remains unclear, and caution should be exercised when interpreting the findings.
Article
Pharmacology & Pharmacy
Wenping Xu, Dan Michael Drzymalski, Ling Ai, Hanqing Yao, Lin Liu, Fei Xiao
Summary: The initial infusion dose of 0.1 µg/kg/min of norepinephrine was effective in preventing spinal anesthesia-induced hypotension.
FRONTIERS IN PHARMACOLOGY
(2021)
Article
Pharmacology & Pharmacy
Fei Xiao, Wen-Ping Xu, Han-Qing Yao, Jia-Ming Fan, Xin-Zhong Chen
Summary: The study aimed to determine the median effective dose (ED50) and 90% effective dose (ED90) of weight-based fixed-rate metaraminol infusions for preventing spinal-anesthesia-induced hypotension in Cesarean delivery. The results showed that as the infusion rate of metaraminol increased, the incidence of hypotension decreased, but the risk of reactive hypertension increased.
FRONTIERS IN PHARMACOLOGY
(2021)
Article
Anesthesiology
Natasha Caissie, Jennifer Heroux, Maxime Lefebvre, Daphnee Lamarche, Marie-Chantal Dubois, Genevieve Rivard, Frederick D'Aragon
Summary: This study aimed to describe the practice of Cesarean delivery performed under general anesthesia and identify predictive factors for opioid use at anesthesia induction and the need for neonatal resuscitation.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2022)
Article
Anesthesiology
Yang Bao, Ting Zhang, Ling Li, Changqing Zhou, Minxian Liang, Jie Zhou, Chunling Wang
Summary: The study found that the use of general anesthesia for cesarean delivery is increasing, along with an increase in repeat cesarean delivery and MAP incidence. For newborns, adverse outcomes were more prominent in the general anesthesia group.
BMC ANESTHESIOLOGY
(2022)
Article
Chemistry, Medicinal
Li-Juan Hu, Zhong Mei, Yan-Ping Shen, Hao-Tian Sun, Zhi-Min Sheng, Xin-Zhong Chen, Xiao-Wei Qian
Summary: Severe preeclamptic parturients require about a 34% reduction in phenylephrine dose compared to normotensive parturients.
DRUG DESIGN DEVELOPMENT AND THERAPY
(2022)
Article
Medicine, General & Internal
Wiruntri Punchuklang, Patchareya Nivatpumin, Thatchanan Jintadawong
Summary: This study investigated factors related to failed spinal anesthesia and its impact on maternal and neonatal outcomes. The results showed that a BMI of <= 29.5 kg/m(2) and a third-year resident performing the spinal block were independent factors associated with total spinal anesthesia failure. Failed spinal anesthesia had negative consequences for both mothers and neonates.
Article
Obstetrics & Gynecology
Thomas F. Burke, Sreekar Mantena, Kennedy Opondo, Solomon Orero, Khama Rogo
Summary: Trained non-anesthetist providers can safely use the ESM-Ketamine package to support emergency cesarean sections when no anesthetist is available, increasing the possibility of emergency cesarean deliveries in resource-limited settings.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2022)
Review
Medicine, General & Internal
Dingfeng Zhang, Stephanie-May Ruchat, Cristina Silva-Jose, Javier Gil-Ares, Ruben Barakat, Miguel Sanchez-Polan
Summary: This article aimed to investigate the effect of physical activity during pregnancy on the type of delivery, the duration of labor, and the use of epidurals. The study found that physical activity during pregnancy can reduce the risk of cesarean section and instrumental delivery, as well as shorten the duration of the first stage of labor.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Kuo-Hsun Hung, Shao-Lun Tsao, Shun-Fa Yang, Bo-Yuan Wang, Jing-Yang Huang, Wen-Tyng Li, Liang-Tsai Yeh, Cheng-Hung Lin, Yin-Yang Chen, Chao-Bin Yeh
Summary: This study investigated the association between anesthesia methods (general anesthesia and neuraxial anesthesia) during cesarean section and the risk of postpartum depression. The results showed that women who underwent general anesthesia had a higher risk of depressive disorders and a higher need for antidepressants to address sleep problems.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Medicine, General & Internal
Pawel Krawczyk, Remigiusz Jaskiewicz, Hubert Huras, Magdalena Kolak
Summary: There are many benefits of neuraxial anesthesia in the obstetric population. The study found a decrease in the use of general anesthesia during the COVID-19 pandemic in obstetric patients, suggesting the possibility of further reducing its use.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Medicine, General & Internal
Yuchao Shang, Huafeng Li, Junmei Ma, Ling Tan, Shuying Li, Ping Li, Bo Sheng, Rurong Wang
Summary: Based on a meta-analysis, it was found that colloid preloading is significantly better than crystalloid preloading in reducing hypotension induced by spinal anesthesia and vasopressor requirement, as well as decreasing the incidence of nausea/vomiting during elective cesarean delivery for healthy parturients.
Article
Anesthesiology
Zhi-min Sheng, Yan-ping Shen, Zheng-bin Pan, Miao Zhu, Hao-tian Sun, Jin-ping Liu, Xiao-wei Qian
Summary: This study compares the efficacy of variable-rate infusion and fixed-rate infusion of norepinephrine for preventing maternal hypotension during spinal anesthesia for cesarean delivery. The results show that the incidence of maternal hypotension was significantly lower in the variable-rate infusion group compared to the fixed-rate infusion group. However, the variable-rate infusion group required more physician interventions.
JOURNAL OF CLINICAL ANESTHESIA
(2022)
Review
Pharmacology & Pharmacy
Ching-Chung Ko, Kuo-Chuan Hung, Amina M. Illias, Chong-Chi Chiu, Chia-Hung Yu, Chien-Ming Lin, I-Wen Chen, Cheuk-Kwan Sun
Summary: The study aimed to compare the risk of hypotension, induction and recovery characteristics between remimazolam and propofol in patients undergoing surgery under general anesthesia. Meta-analysis of eight studies showed that remimazolam was associated with a lower risk of post-induction hypotension and lighter anesthetic depth, as well as longer time to loss of consciousness compared to propofol. However, remimazolam had a lower risk of injection pain while maintaining comparable induction efficacy. There were no significant differences between the two groups in time to eye opening, extubation time, and risk of postoperative nausea/vomiting.
FRONTIERS IN PHARMACOLOGY
(2023)
Article
Health Care Sciences & Services
Katherine Finn Davis, Samuel Rosenblatt, Hayley Buffman, Lee Polikoff, Natalie Napolitano, John S. Giuliano, Ronald C. Sanders, Lauren R. Edwards, Ashwin S. Krishna, Simon J. Parsons, Awni Al-Subu, Conrad Krawiec, Ilana Harwayne-Gidansky, Paula Vanderford, Nina Salfity, Meghan Lane-Fall, Vinay Nadkarni, Akira Nishisaki
Summary: This study examined two evidence-based interventions, video laryngoscopy (VL)-assisted coaching and apneic oxygenation (AO), to understand the facilitators and barriers to implementation of quality improvement efforts. The findings identified device accessibility, QI culture, and strong leadership as common facilitators, while poor device accessibility and perception of delay in care were common barriers. Successful sites demonstrated strong QI leadership, while unsuccessful sites identified insufficient education as a consistent theme.
AMERICAN JOURNAL OF MEDICAL QUALITY
(2022)
Editorial Material
Critical Care Medicine
Christopher F. Chesley, Meghan B. Lane-Fall
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Editorial Material
Anesthesiology
Meghan B. Lane-Fall
Editorial Material
Critical Care Medicine
Christopher F. Chesley, Meghan B. Lane-Fall
CRITICAL CARE MEDICINE
(2022)
Article
Engineering, Industrial
Elizabeth H. Lazzara, Richard J. Simonson, Logan M. Gisick, Andrew C. Griggs, Emily A. Rickel, Joyce Wahr, Meghan B. Lane-Fall, Joseph R. Keebler
Summary: Meta-analyses on post-operative anaesthesia handoff protocols showed that standardisation significantly improved outcomes for providers, patients, organizations, and handoffs.
Editorial Material
Health Care Sciences & Services
Krisda H. Chaiyachati, Rinad S. Beidas, Meghan B. Lane-Fall, Katharine A. Rendle, Rachel C. Shelton, Elinore J. Kaufman
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Blake D. Mergler, Matthew A. Goldshore, Judy A. Shea, Meghan B. Lane-Fall, Rachel A. Hadler
Summary: This study validates the Patient Dignity Inventory as an effective tool for assessing patient distress in inpatient critical care settings. The inventory shows internal consistency in critically ill patients and reveals four prevalent themes: Illness-related Concerns, Interactions with Others, Peace of Mind, and Dependency.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2022)
Editorial Material
Pediatrics
Alexandra M. Psihogios, Meghan B. Lane-Fall, Andrea K. Graham
Summary: This Viewpoint discusses a design approach for implementing digital health interventions specifically for adolescents.
Article
Emergency Medicine
Gary A. Bass, Lewis J. Kaplan, Eanna J. Ryan, Yang Cao, Meghan Lane-Fall, Caoimhe C. Duffy, Emily A. Vail, Shahin Mohseni
Summary: This article discusses the use of multi-institutional time-bound observational cohort assessment approach (snapshot audit) for exploring the real-world effectiveness of surgical patient care. It compares the snapshot audit method with retrospective review of administrative datasets and prospective randomized control trials. The article presents the key features of developing, deploying, and assessing snapshot audit outcomes data.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Review
Health Care Sciences & Services
Lee Ann Riesenberg, Robyn Davis, Allyson Heng, Clementino Vong do Rosario, Emma C. O'Hagan, Meghan Lane-Fall
Summary: This study reviewed the literature on educational interventions in anesthesia handoffs and found significant heterogeneity in the use of educational theoretical concepts and established curriculum development best practices. Future studies should focus on reporting important aspects of educational interventions, allowing for comparison across studies and improving patient safety.
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2023)
Editorial Material
Public, Environmental & Occupational Health
Meghan B. Lane-Fall
Summary: Epidemiology has traditionally used quantitative approaches but these methods have limitations in understanding population health. This commentary explores how qualitative and quantitative methods can be used together to enhance epidemiologic inquiry.
AMERICAN JOURNAL OF EPIDEMIOLOGY
(2023)
Article
Health Care Sciences & Services
Julian Conn Busch, Jasmine Wu, Evanie Anglade, Hannah G. Peifer, Meghan B. Lane-Fall
Summary: This study aimed to evaluate the changes in the accuracy of transmitted patient information during handoffs from the operating room to the ICU. The results showed that before standardization, an average of 3.5 information elements per handoff were incomplete, and 0.11 were incorrect. After standardization, the number of incomplete information elements decreased to 2.4, while the number of incorrect items remained similar. The familiarity of the OR provider with the patient's case was identified as an important factor influencing information exchange.
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2023)
Editorial Material
Health Care Sciences & Services
Jamie L. Sparling, Dan France, Joanna Abraham, Caoimhe C. Duffy, Meghan Michael, Lee Ann Riesenberg, Elizabeth H. Lazzara, Bommy Hong Mershon, Meghan B. Lane-Fall, Joseph R. Keebler, Matthew B. Weinger, Philip E. Greilich
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2023)
Article
Health Care Sciences & Services
Meghan B. Lane-Fall, Christopher B. Koilor, Kathleen Givan, Tamar Klaiman, Frances K. Barg
Summary: This study used fuzzy-set qualitative comparative analysis (fsQCA) to explore the factors associated with fidelity to standardized handoff protocols. Multiple combinations of contextual factors were found to be associated with high fidelity. Therefore, implementing strategies that support these combinations of conditions should be considered for handoff standardization efforts.
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2023)
Article
Critical Care Medicine
Jason Saucier, Mary Dietrich, Cathy Maxwell, Meghan Brooks Lane-Fall, Ann Minnick
Summary: This study surveyed the processes and resources used by trauma centers to transition patients from critical care to nonintensive care units. The findings revealed significant variations in transition practices across trauma centers, highlighting the need for further development and improvement.
JOURNAL OF TRAUMA NURSING
(2023)
