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Pain Aug 2015 Authors: Nielsen RV et al Glucocorticoids have attracted increasing attention as adjuvants in the treatment of acute postoperative pain. Further, anecdotal reports may support glucocorticoids for preventing sustained postoperative pain. We explored preoperative dexamethasone combined with paracetamol and ibuprofen on acute and sustained pain after lumbar disc surgery. In this blinded study […]
Read MoreA year after having an MI, patients who still smoked were more likely to have angina, and they scored worse on mental- and physical-health aspects of quality of life, compared with other patients, in a new study. However, patients who had quit smoking before their MI had a similar health status as patients who never […]
Read MoreAlthough there is widespread agreement that showering with chlorhexidine gluconate reduces skin bacteria before surgery, there are no definitive data that this practice is effective in reducing postoperative surgical site infections (SSIs). New data, published August 26 in JAMA Surgery, may settle that question. Charles E. Edmiston Jr, PhD, from the Division of Vascular Surgery, Department […]
Read MoreWhether a surgeon works the night before performing surgery does not change the risk for adverse outcomes, a new study shows. “These data suggest that calls for broad-based policy shifts in duty hours and practices of attending surgeons may not be necessary at this time,” write Anand Govindarajan, MD, from the Institute for Clinical Evaluative […]
Read MoreAuthors: Jean Guglielminotti, M.D., Ph.D. et al Anesthesiology 9 2015 Background: Cesarean delivery (CD) is associated with significantly increased risks of anesthesia-related adverse events (ARAEs) and nonanesthetic perioperative morbidity compared with vaginal delivery. Temporal trends in these adverse outcomes remain unknown despite efforts to improve maternal safety. This study examines temporal trends in ARAEs and nonanesthetic perioperative […]
Read MoreAnesthesia & Analgesia: Post Author Corrections: August 25, 2015 AUTHORS: Babazade, Rovnat MD et al BACKGROUND: Sjogren syndrome is a chronic autoimmune disorder of the exocrine glands associated with cardiovascular events. We aimed to evaluate postoperative complications in patients with Sjogren syndrome undergoing noncardiac surgery. Specifically, we tested the primary hypothesis that patients with Sjogren […]
Read MoreAnesthesia & Analgesia: August 21, 2015 AUTHORS: Yang, Shiming PhD et al BACKGROUND: A noninvasive decision support tool for emergency transfusion would benefit triage and resuscitation. We tested whether 15 minutes of continuous pulse oximetry-derived hemoglobin measurements (SpHb) predict emergency blood transfusion better than conventional oximetry, vital signs, and invasive point-of-admission (POA) laboratory testing. We […]
Read MoreAuthros: A Ram Doo et BMC Surg. 2015;15(11) Background Hypertensive crisis (i.e., systolic blood pressure over 300 mmHg) is very rare during operation except pheochromocytoma, but it can be a fatal and embarrassing to surgeons and anesthesiologists. The right adrenal gland can be electrocauterized during a right hemi-hepatectomy. We report a case of hypertensive crisis […]
Read MoreAuthors: Giuseppe Patti et al Europace. 2015;17(6):855-863. Abstract Aims Statin pretreatment in patients undergoing cardiac surgery is understood to prevent postoperative atrial fibrillation (AF). However, this is based on observational and limited randomized trial evidence, resulting in uncertainty about any genuine anti-arrhythmic benefits of these agents in this setting. We therefore aimed to quantify precisely […]
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 […]
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