NSAIDs Are a Major Cause of Anaphylaxis-Related Emergency Department Visits

This is for our provider that treat chronic pain patients. Published in J Allergy Clin Immunol Pract 2014 Jul/Aug 2:414 Authors: Aun MV et al. Epinephrine is first-line treatment for drug-induced anaphylaxis, but it is underutilized. Anaphylaxis is a life-threatening hypersensitivity reaction that can be allergic or nonallergic. Allergic causes of drug-induced anaphylaxis generally are IgE mediated […]

Macintosh or Miller Laryngoscope Blades for Infants?

Published in Br J Anaesth 2014 Jul 25 Authors: Passi Y et al. Similar laryngeal views were achieved with both devices. The straight Miller laryngoscope blade is traditionally recommended for intubation in infants, due to the large size and flexibility of the infant epiglottis. However, the Miller and Macintosh blades have not been systematically compared in young children. […]

Video vs. Direct Laryngoscopy in Patients with Cervical Spine Immobilization

Published in Anaesthesia 2014 Aug 2 Authors: Ilyas S et al. Better laryngoscopic views with video laryngoscopy do not equal intubation success. Intubating a trauma patient with cervical spine immobilization can be difficult. Prior studies in this population have shown that video laryngoscopy improves laryngoscopic view and reduces intubation difficulty (NEJM JW Emerg Med Mar 14 2008). […]

Wait as Long as Possible for Noncardiac Surgery After Stroke

Published in  JAMA 2014 Jul 16; 312:269 Authors: Jørgensen ME et al. Risk for postoperative adverse cardiovascular events was especially high during the first 9 months after stroke. Stroke is a known risk factor for adverse perioperative outcomes in patients undergoing noncardiac surgery. Whether this relation is time dependent is unclear. Researchers in Denmark examined a […]

Does Carotid Artery Stenosis Predict Perioperative Stroke After Noncardiac Surgery?

Published in Anesthesiology 2014 Nov 121:922 Authors: Sonny A et al. A retrospective study suggests no association. Does carotid artery stenosis predispose patients who undergo noncardiac, noncarotid surgery to perioperative stroke? To find out, Cleveland Clinic researchers performed this retrospective study. During a 5-year period, 2110 patients who underwent noncardiac surgery had carotid duplex ultrasonography […]

Study Suggests Epinephrine for Cardiac Arrest May Be Harmful

Patients who receive epinephrine during resuscitation after cardiac arrest are less likely to survive with a good neurologic outcome, a study in the Journal of the American College of Cardiology suggests. Researchers analyzed data from more than 1500 patients who were successfully resuscitated after an out-of-hospital cardiac arrest and were subsequently treated at a large […]

Tramadol Therapy Associated with Heightened Risk for Hypoglycemia

Initiation of tramadol therapy is associated with increased risk of hospitalization for hypoglycemia compared with codeine treatment, according to a case-control study in JAMA Internal Medicine. Using U.K. prescription and hospital databases, researchers identified over 330,000 adults who began treatment with oral tramadol or codeine for noncancer pain between 1998 and 2012. They then matched […]

Complications During Physician-Performed Prehospital Intubation

Published in Emerg Med J 2014 Nov 12 Authors: Wimalasena YH et al. Hypoxia occurred in 15% of patients and poor glottic view was the only predictor. To determine the incidence of peri-intubation complications in a physician-staffed Scottish aeromedical transport system, researchers retrospectively analyzed emergent rapid-sequence intubations performed between 2008 and 2012. Of 208 intubations, […]