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Anesthesia & Analgesia: Aug 2015 Authors: Kim, Minjae MD, MS et al BACKGROUND: Acute kidney injury (AKI), acute respiratory failure, and sepsis are distinct but related pathophysiologic processes. We hypothesized that these 3 processes may interact to synergistically increase the risk of short-term perioperative mortality in patients undergoing high-risk intraabdominal general surgery procedures. METHODS: We […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Sathyamoorthy, Madhankumar MBBS et al BACKGROUND: We conducted a retrospective chart review to determine the frequency of stridor and contributing factors after the use of Microcuff(R) and uncuffed tracheal tubes (TTs) in neonates. METHODS: All neonates in our neonatal intensive care unit whose airways were intubated between May 2011 […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Tao, Weike MD et al BACKGROUND: The aim of the study was to assess postdural puncture headache, pain relief, motor blockade, and success rate of conversion to cesarean delivery anesthesia of a 23-gauge spinal catheter (Wiley Spinal(R)) for labor analgesia. METHODS: After insertion of the spinal catheter, intrathecal bupivacaine […]
Read MoreAnesthesia & Analgesia: Aug 2015 Authors: Van Alstine, Luke W. MD et al BACKGROUND: Poliomyelitis is a viral infectious disease caused by 1 of the 3 strains of poliovirus. The World Health Organization launched an eradication campaign in 1988. Although the number of cases of poliomyelitis has drastically declined, eradication has not yet been achieved, […]
Read MoreAuthors: 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 of prochlorperazine, though it is probably inferior (NEJM JW Psychiatry […]
Read MoreAnesthesia & Analgesia: Sept 2015 Authors: Ghali, Ashraf M. MD et al BACKGROUND: This study evaluated the motor and sensory block durations and the postoperative analgesic effects of adding dexmedetomidine to levobupivacaine for sub-Tenon’s block anesthesia in patients undergoing vitreoretinal surgery. Motor and sensory block durations were considered as a primary end point. METHODS: Sixty […]
Read MoreAnesthesia & Analgesia: August 2015 Authors: Flood, Pamela MD et al BACKGROUND: Variability in the mean durations of labor analgesia for vaginal delivery among hospitals is unknown. Such differences in means among hospitals would influence appropriate equitable fee-for-service payment to US anesthesia groups. Equitable payment is the foundational principle of relative value unit payment, which, […]
Read MoreA series of papers published in the British Journal of Anaesthesia detail the differences in the way common anaesthetics affect the brains of older patients and children, findings that could lead to ways of improving monitoring technology and the safety of general anaesthesia for such patients. Recent investigations into the neurobiology underlying the effects of […]
Read MoreSurgical patients who listened to music were significantly less anxious and more satisfied postoperatively compared with those who did not, according to a systematic review and meta-analysis of data from 72 trials. They also needed less pain medication and reported significantly less pain, Jenny Hole, MBBS, from Queen Mary University of London, United Kingdom, and […]
Read MoreAnesthesia & Analgesia: October 2015 – Volume 121 – Issue 4 – p 1089–1096 Authors: Kallidaikurichi Srinivasan et al BACKGROUND: Multiple passes and attempts while administering spinal anesthesia are associated with a greater incidence of postdural puncture headache, paraesthesia, and spinal hematoma. We hypothesized that the routine use of a preprocedural ultrasound-guided paramedian technique for […]
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