Authors: Mittal N et al Cureus 15(12): e50653. doi:10.7759/cureus.50653 Abstract Background: Multiple drugs are commonly prescribed to intensive care unit (ICU) patients owing to the disease profile, multiple organ dysfunction, prophylaxis, management of stress ulcers, nosocomial infections, etc. This study aimed to evaluate the drug utilization patterns and factors influencing mortality and duration of stay […]
Anesthesiologist found guilty of poisoning IV bags at ASC
Author: Patsy Newitt Becker’s ASC Review Raynaldo Ortiz Jr., MD, a former anesthesiologist at Baylor Scott & White Surgicare North Dallas, has been found guilty on 10 counts of tampering with IV bags and the adulteration of drugs, NBC affiliate KXAS reported April 12. Dr. Ortiz was accused of injecting drugs into five IV bags and putting […]
Off‐pump coronary surgery (OPCAB), advatages and disadvantages
Cardiac Anesthesiologist “Off-pump” coronary bypass bypass surgery (OPCAB) was developed in response to concerns regarding the potential side effects of CPB. The goal of this procedure is to achieve total revascularization while avoiding CPB. Positioning the heart for transplantation without compromising hemodynamics is achieved with the use of several retraction devices and deep pericardial sutures. […]
Liposomal Bupivacaine for Peripheral Nerve Blockade
Authors: Markus Zadrazil et al Anesthesiology April 2024. d Background Little is known about the pharmacodynamic characteristics of liposomal bupivacaine. Hypothesizing that we would not identify pharmacodynamic differences from plain bupivacaine during the initial period after administration, but would find better long-term pharmacodynamic characteristics, we designed a randomized, controlled, triple-blinded, single-center study in volunteers. Methods […]
The Association between Preoperative Blood Pressures and Postoperative Adverse Events
Authors: Jeremy P. Walco, M.D. et al Anesthesiology April 2024. Background The relationship between postoperative adverse events and blood pressures in the preoperative period remains poorly understood. This study tested the hypothesis that day-of-surgery preoperative blood pressures are associated with postoperative adverse events. Methods We conducted a retrospective, observational study of adult patients having elective […]
Development and Evaluation of An In-House Lumbar Puncture Simulator for First-Year Resident Lumbar Puncture Procedure Learning
Authors: Muñoz-Leija D et al Cureus 16(3): e56567. doi:10.7759/cureus.56567 Abstract Introduction: Lumbar puncture (LP) is a common invasive technique considered an essential learning milestone for anesthesiologists due to its application in spinal anesthesia. We aimed to develop an in-house LP simulator, test its effectiveness in learning the steps to perform an LP and analyze its impact on […]
Role of Acute Normovolemic Hemodilution in Pregnancy for Emergency Cesarean Section in a Patient With Bombay Blood Group
Authors: Chatterjee P et al Cureus 15(4): e37995. doi:10.7759/cureus.37995 Abstract Postpartum hemorrhage (PPH) is among the leading causes of maternal morbidity and mortality, and various blood conservation strategies can be implemented to minimize blood loss. Acute normovolemic hemodilution (ANH) is a simple yet effective blood management tool in the armamentarium of an anesthesiologist, the use […]
Comparison of differences in cohort (forwards) and case control (backwards) methodological approaches for validation of the Hypotension Prediction Index
Authors: Simon J Davies, FRCA, MD et al Anesthesiology April 2024. Background The Hypotension Prediction Index (the index) software is a machine learning algorithm that detects physiological changes that may lead to hypotension. The original validation used a case control (backwards) analysis that has been suggested to be biased. We therefore conducted a cohort (forwards) […]
The Hypotension Prediction Index is equally effective in predicting intraoperative hypotension during non-cardiac surgery compared to a mean arterial pressure threshold
Authors: Marijn P. Mulder, M.Sc. et al Anesthesiology April 2024. Background The Hypotension Prediction Index is designed to timely predict intraoperative hypotension and is based on arterial waveform analysis using machine learning. It has recently been suggested that this algorithm is highly correlated with the mean arterial pressure (MAP) itself. Therefore, the aim of this […]
Preoperative Anemia and Postoperative Outcomes in Cardiac Surgery
AUTHORS: Warner, Matthew A. MD et al Anesthesia & Analgesia 138(4):p 728-737, April BACKGROUND: Preoperative anemia is associated with adverse outcomes in cardiac surgery, yet it remains unclear what proportion of this association is mediated through red blood cell (RBC) transfusions. METHODS: This is a historical observational cohort study of adults undergoing coronary artery bypass grafting […]