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A Cross-Sectional Study Authors: Matilde Zaballos et al BMC Anesthesiol. 2015;15(60) Background: Smokers undergoing surgery are at a higher risk of complications than non-smokers. Preoperative evaluation by an anesthesiologist could provide an excellent opportunity to promote smoking cessation. Previous surveys of anesthesiologists have found that self-reported smoking cessation counseling rates have room for improvement, but no study […]
Read MoreSource: Cochrane Datavase Syst Rev Author: Mathew P, et al BACKGROUND The laryngeal mask airway (LMA) is a safe and effective modality to maintain the airway for general anaesthesia during surgical procedures. The LMA is removed at the end of surgery and anaesthesia, when the patient maintains an adequate respiratory rate and depth. This removal of […]
Read MoreCarlos R. Degrandi Oliveira, MD, TSA Santa Casa de Misericórdia de Santos Santos, Brazil In the airway management of patients with multiple facial fractures, the tracheal tube in the oral cavity can interfere with the surgical procedure. It is therefore necessary for an alternative path to be used. When the patient does not require a […]
Read MoreThis is copied from Anesthesiology News John Doyle, MD, PhD Chief of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic Abu Dhabi, United Arab Emirates Staff Anesthesiologist at the Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, where he serves as Professor of Anesthesiology at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. Dr. Doyle […]
Read MoreCompetent airway management is essential in the performance of safe anesthesia. All anesthetics should be preceded by a focused history of previous airway management and physical examination of the airway.1 The objective of airway assessment is not to determine the presence or absence of various clinical signs; instead, the information gained should be used to identify […]
Read MoreThis is for our providers who treat pain patients. Authors: Friedman BW et al., Ann Emerg Med 2015 Aug 27; Adding a large dose of diphenhydramine to metoclopramide therapy did not improve outcomes. Acute migraine is best treated with sumatriptan, prochlorperazine, caffeine, ibuprofen, or a combination, and opioids should be avoided assiduously. Metoclopramide is often used instead […]
Read MoreAnaesth Intensive Care 2015 Jul;43(4):449-53. Authors: Fredrickson MJ et al Abstract Following elective total hip replacement, both continuous lumbar plexus blockade and spinal anaesthesia (with adjunctive intrathecal morphine) have shown early outcome benefits over opioid analgesia and single-injection nerve block. However, the two techniques have not been compared in a prospective randomised manner. Our study examined 50 […]
Read MoreAuthors: Mark D Willingham MD, M.C.S.I. et al Anesthesiology Published on 8 2015 Background: An intraoperative concurrence of mean arterial pressure less than 75 mmHg, minimum alveolar concentration less than 0.8, and bispectral index less than 45 has been termed a “triple low” state. An association between triple low and postoperative mortality has been reported but was not […]
Read MorePatients who listen to music around the time of surgery — even while under general anesthesia — reap substantial postoperative benefits, a Lancet systematic review finds. The analysis included over 70 randomized trials in which music before, during, or after surgery was compared with usual care or non-pharmacologic interventions (e.g., white noise, bed rest). Roughly […]
Read MoreRegional Anesthesia & Pain Medicine: July/August 2015-Volume 40-Issue 4-p 321-329 Authors: YaDeau, Jacques T. MD, PhD et al Background and Objectives: Sciatic nerve block provides analgesia after foot and ankle surgery, but block duration may be insufficient. We hypothesized that perineural dexamethasone and buprenorphine would reduce pain scores at 24 hours. Methods: Ninety patients received […]
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