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Anesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 404–409 Authors: Ladha, Karim S. MD et al BACKGROUND: Anesthesia-related medication shortages have become increasingly common in the United States. We tested whether a local shortage of pharmacy-prepared ephedrine syringes, replaced by provider-prepared ephedrine, was associated with provider-level changes in ephedrine and […]
Read MoreArthroscopy 2013 Jul;29(7):1129-34 Authors: Merivirta R et al PURPOSE: The purpose of our study was to compare the effectiveness of subacromial bupivacaine infusion and a transdermal fentanyl patch in the treatment of postoperative pain after arthroscopic shoulder surgery. METHODS: Sixty patients with rotator cuff disease scheduled for elective arthroscopic shoulder surgery were enrolled in the study. For […]
Read MoreAuthors: T. Greco; M.G. et al Br J Anaesth. 2015;114(5):746-756. Background Inodilators are commonly used in critically ill patients, but their effect on survival has not been properly studied to date. The objective of this work was to conduct a network meta-analysis on the effects of inodilators on survival in adult cardiac surgery patients, and to compare […]
Read MorePrompt resumption of angiotensin receptor blocker (ARB) therapy after surgery slashes 30-day mortality risk, particularly among younger patients, according to a national cohort study published June 4 in Anesthesiology. Although clinicians commonly discontinue ARBs before surgery to prevent intraoperative hypotension, there is little evidence to guide optimal timing for resumption of therapy, write lead author Susan […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 430–436 Authors: Moore, Alex MD et al BACKGROUND: The I-gel™ (IG) supraglottic airway device is a reliable way to establish an airway. Its large ventilation lumen allows for easy passage of an endotracheal tube. With the use of a flexible bronchoscope, the […]
Read MoreKnee Surg Sports Traumatol Arthrosc, 2015 Jun Authors: Zhou Y et al PURPOSE: The purpose of this study was to appraise the efficacy and safety of single-dose intra-articular ropivacaine administered for pain relief after arthroscopic knee surgery. METHODS: PubMed, Embase, and Cochrane Library databases were searched in October 2014 to identify randomized controlled trials of single-dose intra-articular […]
Read MoreInt J Cardiovasc Imaging 2015 Jun Authors: Treskatsch S et al Abstract Monoplane hemodynamic TEE (hTEE) monitoring (ImaCor® ClariTEE®) might be a useful alternative to continuously evaluate cardiovascular function and we aimed to investigate the feasibility and influence of hTEE monitoring on postoperative management in cardiac surgery patients. After IRB approval we reviewed the electronic data of cardiac […]
Read MoreRespiratory depression (RD) often strikes patients within 24 hours of surgery and causes death or brain damage in the most serious of these cases, yet these injuries are often preventable, a new study from the Anesthesia Closed Claims Project and Anesthesia Quality Institute found. More than 88% of the RD events that led to malpractice […]
Read MoreDavid Hardman, MD, MBA Professor of Anesthesiology Vice Chair for Professional Affairs Department of Anesthesiology University of North Carolina at Chapel Hill Chapel Hill, North Carolina The risk for permanent or severe nerve injury after peripheral nerve blocks (PNBs) is extremely low, irrespective of its etiology (ie, related to anesthesia, surgery or the patient). […]
Read MoreAuthors: Paul Picton, MB, Ch B MRCP, FRCA et al Anesthesiology published August 2015 Background:: Beach chair positioning during general anesthesia is associated with cerebral oxygen desaturation. Changes in cerebral oxygenation resulting from the interaction of inspired oxygen fraction (Fio2), end-tidal carbon dioxide (PETco2), and anesthetic choice have not been fully evaluated in anesthetized patients in the beach […]
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