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  1. Article ; Online: Response to Mukhdomi and colleagues.

    Porter, Steven B / Schwenk, Eric S

    Regional anesthesia and pain medicine

    2023  

    Language English
    Publishing date 2023-10-04
    Publishing country England
    Document type Letter
    ZDB-ID 1425299-5
    ISSN 1532-8651 ; 1098-7339 ; 0146-521X
    ISSN (online) 1532-8651
    ISSN 1098-7339 ; 0146-521X
    DOI 10.1136/rapm-2023-104865
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Perioperative ketamine for acute analgesia and beyond.

    Porter, Steven B

    Romanian journal of anaesthesia and intensive care

    2019  Volume 26, Issue 1, Page(s) 67–73

    Abstract: There has been substantial interest in the use of ketamine for perioperative analgesia. Recently published articles on 'low dose' ketamine mark the resurgence in interest in the use of the drug for acute pain. Continued interest in ketamine as an anti- ... ...

    Abstract There has been substantial interest in the use of ketamine for perioperative analgesia. Recently published articles on 'low dose' ketamine mark the resurgence in interest in the use of the drug for acute pain. Continued interest in ketamine as an anti-depressant also has opened the door to applications beyond the operating room. In this article, we will review: the history of ketamine's clinical use; basic ketamine pharmacology; evidence for the use of perioperative ketamine for analgesia; comments on patient selection for ketamine research; a discussion of the safety and side effect profile of ketamine infusions beyond the operating room; and, lastly, ketamine as a treatment option for psychiatric diseases.
    Language English
    Publishing date 2019-05-07
    Publishing country Romania
    Document type Journal Article ; Review
    ZDB-ID 2977912-1
    ISSN 2502-0307 ; 2392-7518
    ISSN (online) 2502-0307
    ISSN 2392-7518
    DOI 10.2478/rjaic-2019-0010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transient neurologic symptoms in patients undergoing Holmium enucleation of the prostate under 1.5% mepivacaine spinal anesthesia: a retrospective cohort study.

    Gans, Asaf / Patel, Kishan / Kalagara, Hari / Porter, Steven B / Dora, Chandler

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2024  

    Language English
    Publishing date 2024-03-26
    Publishing country United States
    Document type Letter
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-024-02754-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Florida House Bill 451 was not Associated with a Decrease in Postoperative Opioid Prescribing for Acute Pain at a Single Institution.

    Porter, Steven B / Glasgow, Amy E / Habermann, Elizabeth B

    The American surgeon

    2022  Volume 88, Issue 7, Page(s) 1708–1709

    MeSH term(s) Acute Pain/drug therapy ; Analgesics, Opioid/therapeutic use ; Florida ; Humans ; Pain, Postoperative/drug therapy ; Practice Patterns, Physicians' ; Retrospective Studies
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2022-01-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348221074237
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Barriers to 'teaching' advocacy to residents in training.

    Ladlie, Beth L / Porter, Steven B

    Journal of clinical anesthesia

    2019  Volume 56, Page(s) 111–112

    MeSH term(s) Anesthesiology/education ; Anesthesiology/ethics ; Clinical Competence ; Curriculum ; Faculty, Medical/organization & administration ; Humans ; Internship and Residency/ethics ; Professionalism/education ; Social Responsibility ; Teaching/organization & administration
    Language English
    Publishing date 2019-02-08
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2019.01.049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Consideration of religion as a source of unconscious bias affecting surgical outcomes.

    Porter, Steven B / Lovely, Jenna / Phelan, Sean

    International journal of surgery (London, England)

    2021  Volume 90, Page(s) 105953

    Language English
    Publishing date 2021-04-23
    Publishing country England
    Document type Letter
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2021.105953
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Ketamine and remote hyperalgesia.

    Porter, Steven B / Schwenk, Eric S

    Minerva anestesiologica

    2018  Volume 84, Issue 4, Page(s) 432–433

    MeSH term(s) Double-Blind Method ; Human Body ; Humans ; Hyperalgesia ; Ketamine ; Receptors, N-Methyl-D-Aspartate
    Chemical Substances Receptors, N-Methyl-D-Aspartate ; Ketamine (690G0D6V8H)
    Language English
    Publishing date 2018-01-17
    Publishing country Italy
    Document type Editorial ; Comment
    ZDB-ID 123584-9
    ISSN 1827-1596 ; 0026-4717 ; 0375-9393
    ISSN (online) 1827-1596
    ISSN 0026-4717 ; 0375-9393
    DOI 10.23736/S0375-9393.18.12521-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Aortic Stenosis Associated with an Increase in Mortality in Surgical Hip Fracture Patients.

    Fouda, Eslam A / Chaves-Cardona, Harold E / Renew, J Ross / Spaulding, Aaron C / Porter, Steven B

    Southern medical journal

    2022  Volume 116, Issue 1, Page(s) 33–37

    Abstract: Objectives: The majority of hip fracture patients in the United States are older adult patients with multiple comorbidities. Aortic stenosis (AS) in older adult patients with traumatic hip fracture is not uncommon. This study investigated the ... ...

    Abstract Objectives: The majority of hip fracture patients in the United States are older adult patients with multiple comorbidities. Aortic stenosis (AS) in older adult patients with traumatic hip fracture is not uncommon. This study investigated the association between AS and postoperative mortality and serious complications.
    Methods: In this retrospective cohort study, a chart review was performed of patients with AS who underwent hip fracture surgical repair between January 2011 and December 2019 within one health system. A control group of hip fracture patients without AS was identified and matched based on body mass index, age, sex, date of surgery and Charlson Comorbidity Index. The primary outcome of interest was 90-day mortality; secondary outcomes included 30-day postoperative complications, intensive care unit admission (ICU), and hospital length of stay.
    Results: In total, 146 hip fracture patients with AS and 146 without AS were identified. In the AS group, there was an increased odds of 90-day mortality (odds ratio 2.64, 95% confidence interval 1.32-5.28,
    Conclusions: The presence of AS was independently associated with an increase in 90-day mortality and postoperative ICU stay in patients undergoing surgical repair of a hip fracture.
    MeSH term(s) Humans ; United States/epidemiology ; Aged ; Retrospective Studies ; Hip Fractures/surgery ; Hip Fractures/epidemiology ; Hospitalization ; Comorbidity ; Intensive Care Units ; Postoperative Complications/epidemiology ; Length of Stay ; Risk Factors ; Hospital Mortality
    Language English
    Publishing date 2022-12-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 185329-6
    ISSN 1541-8243 ; 0038-4348
    ISSN (online) 1541-8243
    ISSN 0038-4348
    DOI 10.14423/SMJ.0000000000001491
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Impact of a Hemoglobin Trigger Communication Tool on Perioperative Transfusion in Cardiac Surgery.

    Fouda, Eslam A / Narciso, Patricia / Renew, J Ross / Porter, Steven B / Rodrigues, Eduardo S

    Southern medical journal

    2022  Volume 115, Issue 9, Page(s) 681–686

    Abstract: Objectives: Blood transfusion represents an important and potentially modifiable risk in the daily practice of cardiac surgery. The risk profile and increasing cost of transfusion led us to study the effect of different maneuvers, interventions, or ... ...

    Abstract Objectives: Blood transfusion represents an important and potentially modifiable risk in the daily practice of cardiac surgery. The risk profile and increasing cost of transfusion led us to study the effect of different maneuvers, interventions, or surgical techniques to minimize transfusion while maintaining patient safety. This study compares postoperative outcomes before and after incorporating a verbal hemoglobin (Hb) trigger during the surgical timeout in which the surgeon and anesthesiologist preemptively agree on a threshold for packed red blood cell (PRBC) administration in the perioperative period.
    Methods: The authors performed a chart review of patients who underwent cardiac surgery from July 2013 through June 2014 at our institution. Patients who underwent surgery from July 2013 through December 2013 served as the pre-Hb trigger group, and patients who underwent surgery from January 2014 through June 2014 served as the post-Hb trigger group. Information collected included patient demographics, type of cardiac surgery, preoperative Hb, Hb trigger, and intraoperative and postoperative variables. The primary outcome was the incidence of PRBC transfusions. Secondary outcomes included the incidence of frozen plasma (FP) transfusion, mechanical ventilation beyond postoperative day 1, and 30-day mortality.
    Results: The study included 191 patients, with 84 in the pre-Hb trigger group and 107 in the post-Hb trigger group. Intraoperative PRBC transfusions did not decrease in the posttrigger group compared with the pretrigger group (pretrigger 51.4% vs posttrigger 52.4%,
    Conclusions: Implementation of a verbal Hb trigger during the surgical timeout was associated with a reduction in FP administration and duration of mechanical ventilation, but not a decrease in PRBC transfusion and mortality.
    MeSH term(s) Blood Transfusion ; Cardiac Surgical Procedures ; Communication ; Erythrocyte Transfusion ; Hemoglobins/metabolism ; Humans
    Chemical Substances Hemoglobins
    Language English
    Publishing date 2022-08-31
    Publishing country United States
    Document type Journal Article
    ZDB-ID 185329-6
    ISSN 1541-8243 ; 0038-4348
    ISSN (online) 1541-8243
    ISSN 0038-4348
    DOI 10.14423/SMJ.0000000000001436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: A Quality Improvement Project to Decrease Perioperative and Periprocedural Corneal Abrasions.

    Porter, Steven B / Chamorro-Pareja, Natalia / Boles, Kathryn S / Rodgers, Ingrid L / Rodrigues, Eduardo S

    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses

    2022  Volume 37, Issue 3, Page(s) 317–320

    Abstract: Purpose: We assessed our institution's rate of perioperative and periprocedural corneal abrasions (CAs) and implemented a quality improvement project to improve our detection of CAs and decrease their incidence by at least 25% over 12 months.: Design!# ...

    Abstract Purpose: We assessed our institution's rate of perioperative and periprocedural corneal abrasions (CAs) and implemented a quality improvement project to improve our detection of CAs and decrease their incidence by at least 25% over 12 months.
    Design: Retrospective review before and after initiation of a quality improvement project at a single tertiary care institution METHODS: We retrospectively reviewed surgical and procedural patients requiring any type of anesthesia care over three 1-year time periods (2014-2015, 2016-2017, and 2017-2018). Using an electronic pharmacy-based query to identify patients who received proparacaine eye drops in the recovery room, we were able to estimate our incidence of CA during these time periods. We implemented a best practice plan to standardize CA prevention, diagnosis, and treatment after determining our baseline incidence of CA.
    Findings: Our baseline incidence rate of perioperative and periprocedural CAs was 0.22% (43/19,790 anesthetics) in the 2014-2015 time period. In the 2016-2017 and 2017-2018 time periods, the incidence rate was reduced to 0.09% (21/23,652 anesthetics) and 0.1% (23/23,825 anesthetics), respectively. The use of a standardized CA prevention, diagnosis, and treatment plan reduced the relative risk of CAs by 59% in 2016-2017 (P < .001) and 56% in 2017-2018 (P = .001) compared to baseline, with an absolute reduction of 13% and 12% over those time periods.
    Conclusion: Our data suggests that the adoption of a simple, standardized perioperative and periprocedural CA prevention, diagnosis, and treatment plan can result in sustained reductions in the occurrence of perioperative CAs.
    MeSH term(s) Anesthesia/adverse effects ; Corneal Injuries/etiology ; Humans ; Quality Improvement ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2022-03-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329844-6
    ISSN 1532-8473 ; 0883-9433 ; 1089-9472
    ISSN (online) 1532-8473
    ISSN 0883-9433 ; 1089-9472
    DOI 10.1016/j.jopan.2021.06.101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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