AUTHORS: Pancaro, Carlo MD et al Anesthesia & Analgesia: September 27, 2019 BACKGROUND: Continuous infusions of norepinephrine to treat perioperative hypotension are typically administered through a central venous line rather than a peripheral venous catheter to avoid the risk of localized tissue necrosis in case of drug extravasation. There is limited literature to estimate the […]
Assessment of Coagulation by Thromboelastography During Ongoing Postpartum Hemorrhage
AUTHORS: Rigouzzo, Agnes MD et al Anesthesia & Analgesia: September 24, 2019 BACKGROUND: Rapid assessment of hemostasis during postpartum hemorrhage (PPH) is essential to allow characterization of coagulopathy, to estimate bleeding severity, and to improve outcome. Point of care (POC) coagulation monitors could be of great interest for early diagnosis and treatment of coagulation disorders in […]
Adequacy of Preoperative Resuscitation in Laparoscopic Pyloromyotomy and Anesthetic Emergence
AUTHORS: Gilbertson, Laura E. MD et al Anesthesia & Analgesia: September 24, 2019 BACKGROUND: Pyloromyotomy is one of the most common surgical procedures performed on otherwise healthy infants. Pyloric stenosis results in a hypochloremic, hypokalemic metabolic alkalosis that is considered a medical emergency. This alkalotic state is believed to be associated with an increased incidence of […]
Apnea and Opioids a Dangerous Mix in Acute Heart Failure
Author: Nikki Kean Anesthesiology News Urgent ICU transfers cited Many patients who are admitted to the hospital with acute heart failure (HF) have previously undiagnosed sleep-disordered breathing (SDB), according to a new study. And even when the breathing problems are detected during their hospital stay, the patients often are still given opioids, despite their potential […]
Health care providers are unrecognized victims of mass killings. We’re doing little to support them
Author: ELIZABETH MÉTRAUX STAT JANUARY 3, 2020 The night a gunman opened fire on a crowd of 20,000 at a Las Vegas music concert, Dr. Kevin Menes was in charge of the emergency department at Sunrise Hospital. “I was pulling people five or six at a time out of patrol cars, pickup trucks, ambulances, you name it,” he […]
Post-op Anemia Poses Significant Risks to Cardiac Patients
Author: Christina Frangou Anesthesiology News Men With Cardiac Risk Particularly Vulnerable, Study Reveals Postoperative anemia is strongly associated with serious adverse events—including myocardial infarction, acute renal failure and death—after major general and vascular operations, and the effect is especially pronounced in patients who are at high cardiac risk, according to a new study. Investigators said […]
Sub-hypnotic dose of propofol as antiemetic prophylaxis attenuates intrathecal morphine-induced postoperative nausea and vomiting, and pruritus in parturient undergoing cesarean section
Authors: Sylvanus Kampo et al BMC Anesthesiology volume 19, Article number: 177 (2019) Background Postoperative Nausea and Vomiting (PONV) is a dreadful and uncomfortable experience that significantly detracts patients’ quality of life after surgery. This study aimed to examine the antiemetic effect of a single sub-hypnotic dose of propofol as prophylaxis for PONV. Method In this prospective, double-blind, randomized control […]
“Redheads Need More Anesthesia” – Fact Or Fiction?
RK.md The notion that natural redheads need “more anesthesia” and/or are resistant to certain medications has been spread by the media (ie, Time Magazine and The New York Times), the scientific literature, and even seasoned anesthesiologists who (anecdotally) claim this to be true. The “basic science” behind this stems from the high prevalence of allele mutations in redheads […]
Timing of β-Blocker Reintroduction and the Occurrence of Postoperative Atrial Fibrillation after Cardiac Surgery
Authors: Camille Couffignal, Pharm.D et al Anesthesiology 2 2020, Vol.132, 267-279. Background: For cardiac surgery patients under chronic β-blocker therapy, guidelines recommend their early postoperative reintroduction to decrease the incidence of postoperative atrial fibrillation. The authors hypothesized that the timing of β-blocker reintroduction affects their effectiveness on the incidence of postoperative atrial fibrillation. Methods: This multicenter prospective […]
Keep exercising: New study finds it’s good for your brain’s gray matter
This is important health information for our readers and providers in order to stay healthy. Cardiorespiratory exercise — walking briskly, running, biking and just about any other exercise that gets your heart pumping — is good for your body, but can it also slow cognitive changes in your brain? A study in Mayo Clinic Proceedings from the […]