Authors: M. Heesen et a International Journal of Obstetric Anesthesia Highlights •Studies suggest better analgesia with the dural puncture epidural (DPE) technique. •We analysed studies comparing DPE and conventional epidural block for labor analgesia. •Five studies were identified, 2 of them coming from the same institution. •There is a lack of clear evidence on either […]
Propofol use in children with allergies to egg, peanut, soybean or other legumes
Authors: D. L. Sommerfield et al Anesthesia Perioperative medicine, critical care and pain May 11, 2019 Summary Propofol is the most commonly administered intravenous agent for anaesthesia in children. However, there are concerns that the emulsified preparation may not be safe in children with an allergy to egg, peanut, soybean or other legumes. We conducted […]
Drug prices as much as 4 times higher in U.S. than other countries, study finds
Author: Jacqueline Renfrow Fierce Healthcare Drug prices were 3.2 to 4.1 times higher in the U.S. on average than in comparison countries, even after rebates were considered, according to a new study. Using reference pricing, or prices based on what other countries pay for drugs, the authors found that the price differential for individual drugs varied from 1.3 to 70.1 […]
The Effect of Suprainguinal Fascia Iliaca Block on the Recovery of Patients after Arthroscopic Hip Surgery
Authors: Walid Alrayashi et al Pediatric Anesthesia Background Adolescent and young adult patients undergoing arthroscopic hip surgery experience significant pain in the immediate postoperative period. There is a small body of evidence that indicates suprainguinal fascia iliaca blocks can improve comfort during recovery from this intervention. Our hypothesis was that patients undergoing hip surgery would […]
Increased muscle power may prolong life
I thought this was interesting so I wanted to share. By Monica Beyer Medical News Today Increasing muscle strength is good, but increasing muscle power may be even better for enjoying a longer life, according to a recent study. Professor Claudio Gil Araújo, who is the director of research and education at Exercise Medicine Clinic […]
Association between the choice of anesthesia and in-hospital outcomes after carotid artery stenting
Presented at the Scientific Session of the Thirty-first Annual Meeting of the Eastern Vascular Society, Savannah, Ga, October 6, 2017. Authors: Hanaa Dakour-Aridi, MD et al Johns Hopkins Bayview Vascular and Endovascular Research Center, Baltimore, Md From the Eastern Vascular Society Objective Several prior studies have shown lower risk of myocardial infarction (MI) in carotid […]
Cardiac Risk of Noncardiac Surgery After Percutaneous Coronary Intervention With Second-Generation Drug-Eluting Stents
Anesth Analg. 2019 Apr;128(4):621-628. Authors: Smith BB et al BACKGROUND: Noncardiac surgery (NCS) following percutaneous coronary intervention (PCI) with stenting is sometimes associated with major adverse cardiac events (MACEs). Second-generation drug-eluting stents (DES) were developed to decrease the incidence of MACE seen with bare metal and first-generation DES. METHODS: The medical records of all adult […]
Malpractice suits are less frequent – but more costly
By Alicia Gallegos MD Edge Lawsuits against physicians declined across virtually all specialties by more than a quarter over a 10-year span, but the cost to manage legal challenges went up, a recent analysis finds. From 2007 to 2016, the rate of claims dropped by 27% per 100 doctors from 5.1 to 3.7, according to […]
Sex differences in postoperative cognitive functioning in older patients
Author: Dr. Katie Schenning Elderly adults are known to be at higher risk of cognitive dysfunction following surgical procedures, and there are known sex differences in cognitive decline rates in Alzheimer’s disease, but no studies have really examined how sex as a biological variable may contribute to post-operative cognitive dysfunction. This blog, written by the […]
Do We Need Procalcitonin for Sepsis in 2019?
Author: Саrdiac Anesthesiologist Procalcitonin (PCT) is the peptide precursor of calcitonin, a hormone that is synthesized by the parafollicular C cells of the thyroid. The reference value of procalcitonin in adults and children older than 72 hours is 0.15 ng/mL or less. Severe bacterial infection, bacterial sepsis is associated with elevated serum procalcitonin levels (>2 ng/mL). Early […]