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THE HIGH-PRIORITY ISSUE OF FRAILTY IN CARDIAC SURGERY (Daniel Hernandez-Vaquero Panizo, 24 March 2015)

We read with great interest the article by Scandroglio AM [1] analyzing the outcomes of a cohort of octogenarian patients undergoing cardiac surgery in a single center.... read full comment

Comment on: Scandroglio et al. BMC Anesthesiology, 15:15

Authors’ Post-Publication Addendum Regarding Standardized Clinical Assessment and Management Plans (SCAMPs®) (Thomas Vetter, 26 November 2014)

Standardized Clinical Assessment and Management Plans (SCAMPs®) is a registered trademark (TM) of the Institute for Relevant Clinical Data Analytics (IRCDA), Boston, Massachusetts. Our methodologies applied and reported in this paper are not associated with IRCDA or its trademarks. read full comment

Comment on: Vetter et al. BMC Anesthesiology, 14:73

An obviously highly flawed restrospective study... (Anthony Schapera, 27 June 2014)

.since there is no reference to modality of mechanical ventilation ( eg tidal volume, mean inflation pressures, use of PEEP ) and /or gas mixtures (eg nitrous oxide vs air ) used intraoperatively. These are obvious critical elements in evaluating the occurrence of postoperative hypoxaemia and has been studied by myself and others many years ago. In essence this study is useless and does not merit any consideration whatsoever! read full comment

Comment on: Dunham et al. BMC Anesthesiology, 14:43

ICU Dr_patient vasculitis flare to death border (Ibrahim Kushisha, 08 May 2014)

Dear Sir... read full comment

Comment on: Befort et al. BMC Anesthesiology, 13:27

What about chlorides? (Hans Bahlmann, 12 December 2012)

An interesting study which helps us a little bit further on the road but it is confusing that the authors mention in the methods section that they used HES in saline (Voluven), while in the discussion they claim that they used "a medium molecular weight starch in a balanced electrolyte solution".
I suppose it was "unbalanced" saline-based Voluven which was used in the study. That would mean that the colloid group received about 60 mmol of chlorides more that the CLS group which could explain the increased incidence of nausea? So three questions remain:
1. Which solution was used
2. If it was Voluven, what do the authors feel about the chloride difference
3. If it was Voluven, why didn't the authors use a real balanced colloid solution such as Volulyte read full comment

Comment on: Hayes et al. BMC Anesthesiology, 12:15

Endotracheal tube cuff pressure monitoring and control (Musa Muallem, 19 January 2011)

Dear Editor

I do agree fully with the authers of this article that mandatory monitoring of the ET tube cuff pressure is needed.In my experience in this field of fifty years I likewise found that the ET tube cuff pressure exceeded 30 cm of water in about 50% of cases especially if the operation lated over two hours. Anesthesiologist continue to ignore the above important recommendation in many istitutions because they do not have easy access to devices that monitor and control cuff pressure. Intermittant checking of the cuff pressure during anesthesia is not good enough and has a very poor compliance. The cuff pressure should be monitored and controlled at the required level continouessly and automatically without the anesthesiologist having to worry about it. This situation... read full comment

Comment on: Rokamp et al. BMC Anesthesiology, 10:20

why only dental or renal pain (medha joshi, 12 May 2010)

this is very interesting . if pressure is relieving dental pain then any chronic pain should be relieved. has there been any research in this direction? what made you chose patients only with dental or renal pain? why not migraine. read full comment

Comment on: He et al. BMC Anesthesiology, 8:1

Causes of local resistance. (Adrian Woollard, 18 June 2007)

Dear AuthorsI thought your article was well written. We have recently had a similar case of local anaesthetic resistance. It was a patient presenting as an emergency for a caesarean section. The patient had a history of failure of local anaesthetics for dental procedures and dermatological procedures. The spinal also failed despite good practice. We never found a reason for it to fail. Other reasons we suspect would include subarchnoid cysts which although rare in the lumbar regional could explain the aspiration of CSF and the ability to inject 2 mls without detectable resistance. A review article in the BJA could explain where a mutation in the channel would cause resistance to local anaesthetics. It would be interesting to find the incidence of failure to produce a spinal despite the... read full comment

Comment on: Kavlock et al. BMC Anesthesiology, 4:1