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Donald M. Voltz, MD Health care depends on the coordination of a great number of activities, communications and data. Anesthesiology sits at a unique intersection within health care, responsible for the coordination of resources from surgeons, primary care physicians and other health care providers. Anesthesiologists are also responsible for the collection of large volumes of […]
Read MoreJ Urol, 2015 Nov;194(5):1209-13. doi: 10.1016/j.juro.2015.05.083. Authors: Xu W et al PURPOSE: Opioids have traditionally been the mainstay of pain management after radical cystectomy for bladder cancer but they have many side effects. The efficacy of opioid sparing analgesics after cystectomy as part of a protocol of enhanced recovery after surgery has yet to be proved. We […]
Read MoreAnaesthesia 2015 Oct;70(10):1186-204. Authors: Doleman B et al Abstract We searched MEDLINE, Embase, CINAHL, AMED and CENTRAL databases until December 2014 and included 133 randomised controlled trials of peri-operative gabapentin vs placebo. Gabapentin reduced mean (95% CI) 24-h morphine-equivalent consumption by 8.44 (7.26-9.62) mg, p < 0.001, whereas more specific reductions in morphine equivalents were predicted (R(2) = 90%, p < 0.001) […]
Read MoreAuthors: Patrick Meybohm et al BMC Anesthesiol. 2015;15(75) Background: Early goal-directed therapy has been endorsed in the guidelines of the Surviving Sepsis Campaign as a key strategy among patients presenting with severe sepsis or septic shock. But more importantly, early goal-directed therapy also became standard care for non-septic critically ill patients and was adopted for high-risk surgical […]
Read MoreAuthors: Igor Zabolotskikh et al BMC Anesthesiol. 2015;15(76) Background: The increased intracranial pressure can significantly complicate the perioperative period in major abdominal surgery, increasing the risk of complications, the length of recovery from the surgery, worsening the outcome. Epidural anesthesia has become a routine component of abdominal surgery, but its use in patients with increased intracranial pressure […]
Read MoreMultiple doses of naloxone may be needed to revive a patient after a fentanyl overdose, given fentanyl’s higher potency compared with other opioids, the CDC advised healthcare providers on Monday. In particular, nonpharmaceutical fentanyl — that is, illegally manufactured fentanyl and its analogs, often mixed with heroin or cocaine — tends to be especially potent. […]
Read MoreThe Centers for Disease Control and Prevention (CDC) has issued an alert about increases in fentanyl drug confiscations and fentanyl-related overdose fatalities. Reports from the National Forensic Laboratory Information System, a program of the Drug Enforcement Administration’s (DEA’s) Office of Diversion Control, indicate a significant increase in the total number of fentanyl drug seizures reported […]
Read MoreCNS Drugs, 2015 Jul;29(7):543-63. doi: 10.1007/s40263-015-0259-6. Authors: Chidambaran V et al Abstract Propofol is an intravenous agent used commonly for the induction and maintenance of anesthesia, procedural, and critical care sedation in children. The mechanisms of action on the central nervous system involve interactions at various neurotransmitter receptors, especially the gamma-aminobutyric acid A receptor. Approved for use […]
Read MoreCan J Anaesth 2015 Oct;62(10):1045-1054. Authors: Tabing AK et al et al PURPOSE: Cost effectiveness is becoming increasingly important in today’s healthcare environment. Remifentanil, dexmedetomidine, and desflurane are costly agents that often have suitable alternatives to their use. We sought to identify changes in cost and outcomes following interventions that limited the availability of these drugs. […]
Read MoreFaculty Reviewers Carlos Artime, MD Assistant Professor Department of Anesthesiology The University of Texas Health Science Center at Houston Houston, Texas Kenneth Candido, MD Chairman Department of Anesthesiology Advocate Illinois Masonic Medical Center Chicago, Illinois Julie Golembiewski, PharmD Clinical Associate Professor Clinical Pharmacist University of Illinois College of Medicine at Chicago Chicago, Illinois Tricia Meyer, […]
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