2016
Does intravenous induction dosing among patients undergoing gastrointestinal surgical procedures follow current recommendations: a study of contemporary practice
Akhtar S, Liu J, Heng J, Dai F, Schonberger RB, Burg MM. Does intravenous induction dosing among patients undergoing gastrointestinal surgical procedures follow current recommendations: a study of contemporary practice. Journal Of Clinical Anesthesia 2016, 33: 208-215. PMID: 27555166, DOI: 10.1016/j.jclinane.2016.02.001.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAgingAlgorithmsAnesthesia, IntravenousAnesthetics, IntravenousBody WeightDigestive System Surgical ProceduresFemaleFentanylGuidelines as TopicHumansHypotensionIntraoperative ComplicationsMaleMidazolamMiddle AgedPropofolRetrospective StudiesSeverity of Illness IndexConceptsASA-PS classAge groupsInduction dosesSurgical proceduresAnesthesiologists physical status classMean arterial pressure changesYounger groupOlder groupAge-adjusted doseRate of hypotensionMean arterial pressureRetrospective chart reviewAnesthetic induction agentGastrointestinal surgical proceduresArterial pressure changesGI surgical proceduresAcademic medical centerCochran-Armitage trend testDifferent age groupsPostinduction hypotensionOlder patientsAdult patientsArterial pressureChart reviewIntravenous induction
2010
Coronary stents: factors contributing to perioperative major adverse cardiovascular events
Barash P, Akhtar S. Coronary stents: factors contributing to perioperative major adverse cardiovascular events. British Journal Of Anaesthesia 2010, 105: i3-i15. PMID: 21148653, DOI: 10.1093/bja/aeq318.Peer-Reviewed Original ResearchConceptsMajor adverse cardiovascular eventsAdverse cardiovascular eventsCardiovascular eventsStent thrombosisRisk factorsPerioperative major adverse cardiovascular eventsContinuation of aspirinDual antiplatelet therapyNon-cardiac surgeryRisk of bleedingPercutaneous coronary interventionCoronary blood flowMajor risk factorDominant risk factorBare metal stentsDrug-eluting stentsNeuraxial anesthetic techniquesHigh mortality rateClopidogrel therapyAntiplatelet therapyCoronary interventionEpidural haematomaElective surgeryAnesthetic techniqueMyocardial ischaemiaScientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control
Akhtar S, Barash PG, Inzucchi SE. Scientific Principles and Clinical Implications of Perioperative Glucose Regulation and Control. Anesthesia & Analgesia 2010, 110: 478-497. PMID: 20081134, DOI: 10.1213/ane.0b013e3181c6be63.Peer-Reviewed Original ResearchMeSH KeywordsBlood GlucoseGlucoseHumansHyperglycemiaHypoglycemiaInsulinInsulin ResistanceInsulin SecretionIntraoperative ComplicationsPerioperative CarePostoperative ComplicationsSignal TransductionConceptsIntensive glycemic controlGlycemic controlPerioperative periodPostsurgical patientsAcute insulin resistanceClose glucose monitoringPerioperative glycemic controlRecent prospective trialsDevelopment of hyperglycemiaRisk of hypoglycemiaIntraoperative glycemic controlNeuroendocrine stress responseGlycemic targetsProspective trialIll patientsIntraoperative managementPoor outcomeInsulin resistanceImproved outcomesTrue efficacyGlucose levelsGlucose regulationHyperglycemiaPatientsClinical implications
2009
Fat Embolism
Akhtar S. Fat Embolism. Anesthesiology Clinics 2009, 27: 533-550. PMID: 19825491, DOI: 10.1016/j.anclin.2009.07.018.Peer-Reviewed Original ResearchMeSH KeywordsAgedAnesthesia, GeneralEmbolism, FatFemaleFemoral FracturesHumansIntraoperative ComplicationsOrthopedic ProceduresPrognosisProsthesis ImplantationSkiingTerminology as TopicConceptsFat embolism syndromeFat embolismProgressive respiratory insufficiencyHours of injuryPetechial rashClinical sequelaeRespiratory insufficiencyClinical presentationSerious manifestationsMental statusOrthopedic injuriesClinical signsLung microcirculationEmbolismPathologic consequencesInjuryFat dropletsRashSequelaePrognosisPathophysiologySyndromeEtiologyInsufficiencyMicrocirculation
2007
Survey of anesthesiologists as to the value of prior ECG in a patient with nonspecific ST-T wave changes.
Tantawy H, Silverman TJ, Silverman DG, Akhtar S. Survey of anesthesiologists as to the value of prior ECG in a patient with nonspecific ST-T wave changes. Connecticut Medicine 2007, 71: 453-6. PMID: 17902381.Peer-Reviewed Original Research
2006
Ischemic Heart Disease
Akhtar S. Ischemic Heart Disease. Anesthesiology Clinics 2006, 24: 461-485. PMID: 17240602, DOI: 10.1016/j.atc.2006.04.002.Peer-Reviewed Original ResearchConceptsLee Cardiac Risk IndexACC/AHA guidelinesPerioperative cardiac riskPreoperative coronary revascularizationStructured management protocolCardiac Risk IndexPostoperative myocardial injuryIntraoperative anesthetic managementIschemic heart diseaseAlpha-2 agonistsLong-term outcomesRole of biomarkersNumber of patientsCoronary revascularizationNoncardiac surgeryPerioperative morbidityPostoperative morbidityAHA guidelinesAnesthetic managementCardiac riskPostoperative managementPostoperative phaseRisk stratificationMyocardial injuryHemodynamic control