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In patients undergoing laparoscopic sleeve gastrectomy, a continuous infusion of local anesthetic via an anterior abdominal wall catheter does not improve pain control and does not reduce the use of narcotics or antiemetics, or decrease the hospital length of stay (LOS). “Our study does not support the increased cost of using the continuous infusion [analgesic] […]
Read MoreThere is strong agreement among respondents to a nationwide survey that anesthesiologists’ coordination of health care following the perioperative surgical home (PSH) model will help reduce health care costs by improving efficiencies and outcomes. A recent study found that American physicians are enthusiastic about strategies that focus on quality of health care and continuity of […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 632–641 Authors: Schonberger, Robert B. MD, MA et al BACKGROUND: Because of uncertainty regarding the reliability of perioperative blood pressures and traditional notions downplaying the role of anesthesiologists in longitudinal patient care, there is no consensus for anesthesiologists to recommend postoperative primary […]
Read MoreAnesthesia & Analgesia: July 2015 Authors: Birnbach, David J. MD, MPH et al BACKGROUND: Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work […]
Read MoreAuthors: Hagiwara Y et al., Am J Emerg Med 2015 Jun 19; A Japanese registry study suggests the score has fair sensitivity and specificity. The LEMON score is a mnemonic for predicting difficult intubation. It stands for Look, Evaluate the 3-3-2 rule, Mallampati score, Obstruction, and Neck mobility (NEJM JW Emerg Med Mar 2005 and Emerg Med J 2005; 22:99). […]
Read MoreAuthors: Chu C-C et al., Anesthesiology 2015 May 8; 123:136 In an observational study, regional anesthesia was associated with lower in-hospital mortality and fewer complications. When patients undergo hip-fracture repair, they have the option of general anesthesia or regional (spinal or epidural) anesthesia. In comparative studies, neither of these two approaches has emerged as decisively better than […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 652–660 Authors: Karan, Suzanne B. MD et al BACKGROUND: Physostigmine, a centrally acting acetylcholinesterase inhibitor, is most commonly used by anesthesiologists in the postanesthetic setting to reverse confusion caused by central anticholinergic medication effects. It has also been proposed as a treatment […]
Read MorePain Med. 2015 Aug;16(8):1610-21 Authors: Vrooman B et al OBJECTIVES: To test the hypotheses that lidocaine 5% patches decrease the severity of acute pain and incidence of persistent incisional pain after robotic cardiac valve surgery. DESIGN: A randomized, placebo-controlled, double-blind trial. SETTING: Tertiary care academic medical center. SUBJECTS: Patients having robotic cardiac valve surgery. METHODS: Patients […]
Read MoreAnesthesia & Analgesia: August 2015 – Volume 121 – Issue 2 – p 556–569 Authors: Law, Lawrence Siu-Chun MD et al BACKGROUND: Paravertebral block (PVB) is a safe and effective anesthetic technique for thoracotomy and mastectomy. However, no systematic review or meta-analysis has focused on PVB for inguinal herniorrhaphy. Our study compares PVB with general […]
Read MoreShane V. Cherry, MD Resident Physician Jackson Memorial Hospital University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida Christian Diez, MD, MBA Assistant Professor of Clinical Anesthesiology University of Miami Miller School of Medicine Department of Anesthesiology, Perioperative Medicine, and Pain Management Miami, Florida The authors did […]
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