WorldCat Identities

Shanks, Amy

Overview
Works: 6 works in 6 publications in 1 language and 10 library holdings
Roles: Other, Contributor
Publication Timeline
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Most widely held works by Amy Shanks
Intraoperative glycemic control in patients undergoing Orthotopic liver transplant: a single center prospective randomized study by Sathish S Kumar( )

1 edition published in 2020 in English and held by 2 WorldCat member libraries worldwide

An observational study of end-tidal carbon dioxide trends in general anesthesia by Annemarie Akkermans( )

1 edition published in 2018 in English and held by 2 WorldCat member libraries worldwide

The influence of basic ventilation strategies and anesthetic techniques on cerebral oxygenation in the beach chair position: study protocol by Paul Picton( )

1 edition published in 2012 in English and held by 2 WorldCat member libraries worldwide

Influence of non-invasive blood pressure measurement intervals on the occurrence of intra-operative hypotension by Grant H Kruger( )

1 edition published in 2017 in English and held by 2 WorldCat member libraries worldwide

Influence of Ventilation Strategies and Anesthetic Techniques on Regional Cerebral Oximetry in the Beach Chair Position( )

1 edition published in 2015 in English and held by 1 WorldCat member library worldwide

Abstract : Background: Beach chair positioning during general anesthesia is associated with cerebral oxygen desaturation. Changes in cerebral oxygenation resulting from the interaction of inspired oxygen fraction (FIO2), end-tidal carbon dioxide (PETCO2), and anesthetic choice have not been fully evaluated in anesthetized patients in the beach chair position. Methods: This is a prospective interventional within-group study of patients undergoing shoulder surgery in the beach chair position that incorporated a randomized comparison between two anesthetics. Fifty-six patients were randomized to receive desflurane or total intravenous anesthesia with propofol. Following induction of anesthesia and positioning, FIO2 and minute ventilation were sequentially adjusted for all patients. Regional cerebral oxygenation (rSO2) was the primary outcome and was recorded at each of five set points. Results: While maintaining FIO2 at 0.3 and PETCO2 at 30 mmHg, there was a decrease in rSO2 from 68% (SD, 12) to 61% (SD, 12) (P <0.001) following beach chair positioning. The combined interventions of increasing FIO2 to 1.0 and increasing PETCO2 to 45 mmHg resulted in a 14% point improvement in rSO2 to 75% (SD, 12) (P <0.001) for patients anesthetized in the beach chair position. There was no significant interaction effect of the anesthetic at the study intervention points. Conclusions: Increasing FIO2 and PETCO2 resulted in a significant increase in rSO2 that overcomes desaturation in patients anesthetized in the beach chair position and that appears independent of anesthetic choice. Abstract : Cerebral oxygenation desaturation in the beach chair position, as estimated by cerebral oximetry, may be attenuated by the combination of normobaric hyperoxia and moderate hypercarbia. This appears independent of anesthetic agent
Behavioral Modification of Intraoperative Hyperglycemia Management with a Novel Real-time Audiovisual Monitor( )

1 edition published in 2015 in English and held by 1 WorldCat member library worldwide

Abstract : Background: Hyperglycemia, defined as blood glucose (BG) levels above 200 mg/dl (11.1 mM), is associated with increased postoperative morbidity. Yet, the treatment standard for intraoperative glycemic control is poorly defined for noncardiac surgery. Little is known of the interindividual treatment variability or methods to modify intraoperative glycemic management behaviors. AlertWatch (AlertWatch, USA) is a novel audiovisual alert system that serves as a secondary patient monitor for use in operating rooms. The authors evaluated the influence of use of AlertWatch on intraoperative glycemic management behavior. Methods: AlertWatch displays historical patient data (risk factors and laboratory results) from multiple networked information systems, combined with the patient's live physiologic data. The authors extracted intraoperative data for 19 months to evaluate the relationship between AlertWatch usage and initiation of insulin treatment for hyperglycemia. Outcome associations were adjusted for physical status, case duration, procedural complexity, emergent procedure, fasting BG value, home insulin therapy, patient age, and primary anesthetist. Results: Overall, 2, 341 patients had documented intraoperative hyperglycemia. Use of AlertWatch (791 of 2, 341; 33.5%) was associated with 55% increase in insulin treatment (496 of 791 [62.7%] with and 817 of 1, 550 [52.7%] without AlertWatch; adjusted odds ratio [95% CI], 1.55 [1.23 to 1.95]; P <0.001) and 44% increase in BG recheck after insulin administration (407 of 791 [51.5%] with AlertWatch and 655 of 1, 550 [42.3%] in controls; adjusted odds ratio [95% CI], 1.44 [1.14 to 1.81]; P = 0.002). Conclusion: AlertWatch is associated with a significant increase in desirable intraoperative glycemic management behavior and may help achieve tighter intraoperative glycemic control. Abstract : Real-time audiovisual notification is associated with a significant increase in desirable intraoperative glycemic management behavior and may help achieve tighter intraoperative glycemic control
 
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