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Published in Paediatr Anaesth. 2015 Feb;25(2):180-5 Authors: Rhondali O et al OBJECTIVE/AIM: To assess the impact of sevoflurane and anesthesia-induced hypotension on brain perfusion in children younger than 6 months. BACKGROUND: Safe lower limit of blood pressure during anesthesia in infant is unclear, and inadequate anesthesia can lead to hypotension, hypocapnia, and low cerebral perfusion. […]
Read MorePublished in Paediatr Anaesth. 2015 Jan;25(1):83-92 Author: Lundeberg S Abstract Morphine, paracetamol and local anesthetics have for a long time been the foremost used analgesics in the pediatric patient by tradition but not always enough effective and associated with side effects. The purpose with this article is to propose alternative approaches in pain management, not […]
Read MorePublished in J Hand Surg Am. 2015 Jan;40(1):57-61 Authors: Bear DM et al PURPOSE: To determine which mode of anesthesia, hematoma block (HB) or procedural sedation (PS), was preferable for distal radius fracture (DRF) reduction in children. METHODS: Fifty-two children (mean age, 12 y; range, 5-16 y) presenting with DRFs requiring reduction were prospectively enrolled […]
Read MorePublished in Int J Colorectal Dis. 2014 Dec;29(12):1565-9 Authors: Poylin V et al PURPOSE: Surgery for hemorrhoidectomy remains a painful procedure despite advances in pain management. Gabapentin is widely used for control of acute and chronic pain. Our aim was to evaluate the effect of gabapentin on posthemorrhoidectomy pain and opioid use. METHODS: A prospective, […]
Read MorePublished in Paediatr Anaesth. 2014 Dec;24(12):1231-8 Authors: Kim EM et al BACKGROUND: There is a need for an adjuvant agent of caudal block that prolongs its duration and improves the analgesic efficacy to fasten functional recovery. Magnesium is an N-methyl-D-aspartate receptor antagonist that functions as an analgesic. This study was aimed to evaluate whether magnesium […]
Read MorePublished in Anaesth Crit Care and Pain. 2014;14(4):147-152. Authors: Robert WA Nowicki, FRCA Abstract and IntroductionIntroduction The type of surgery performed on the spine encompasses operations for trauma, deformity, and myelopathy. The complexity of procedures is continuing to increase and older patients with significant co-morbidities are being offered ever more major procedures for which they […]
Read MoreWith the latest transfer of an infected Dallas nurse, Emory University physicians and nurses have now cared for four patients infected with the Ebola virus. “The Department of Anesthesiology prepared for our potential participation in their care by identifying services that might be needed, recruiting and training a core group of on-call anesthesiologists, using a […]
Read MoreThe number of malpractice claims related to chronic pain management is increasing, and many involve permanent disabling injury or death, according to a closed-claims analysis presented here at Anesthesiology 2014. “Malpractice claims associated with chronic pain have increased in number and severity over the past three decades, and they have increased out of proportion to […]
Read MoreISSUE: The cuff inflation line of certain KimVent Microcuff Endotracheal tubes may detach from the tube during use (if pulled, tugged, or excess tube/patient movement occurs). If the inflation line detaches, the cuff will gradually deflate. This may lead to an air leak between the cuff and the tracheal wall, which in turn may reduce […]
Read MorePublished in Jpn J Clin Oncol. 2014 Dec;44(12):1189-97 Authors: Chiang JK1 et al OBJECTIVE: Pain control helps improve quality of life for advanced cancer patients, yet it is unknown whether opioid use increases risk of death. Analyzing the association between time-varying pain medication and the risk of death presents a challenge. This prospective observational study […]
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