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Whether 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: 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: Gano D et al., Pediatr Res 2015 Sep 78:323 A significant reduction in composite IQ scores was found at age 3 to 6 years when preterm infants had two or more surgeries before term-equivalent age. There has been growing concern about potential adverse effects of general anesthesia on the developing brain. In a prospective […]
Read MoreAUTHORS: Mathew P, Mathew J; The Cochrane Database of Systematic Reviews 8 CD007082 (Aug 2015) 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 […]
Read MoreEuropean Journal of Anaesthesiology: September 2015 – Volume 32 – Issue 9 – p 609–614 AUTHORS: Nilsson, Philip M. et al BACKGROUND: Flexible fibreoptic intubation (FOI) is a key element in difficult airway management. Training of FOI skills is an important part of the anaesthesiology curriculum. Simulation-based training has been shown to be effective when […]
Read MoreAuthors: Leonardo Kapural, M.D., Ph.D. et al Anesthesiology 10 2015, Vol.123, 851-860 Background: Current treatments for chronic pain have limited effectiveness and commonly known side effects. Given the prevalence and burden of intractable pain, additional therapeutic approaches are desired. Spinal cord stimulation (SCS) delivered at 10 kHz (as in HF10 therapy) may provide pain relief […]
Read MoreSmartTots Releases Updated Consensus Statement Regarding Anesthesia Safety in Young Children Health experts say growing evidence points to need for more research; urge caution but not alarm San Francisco, CA (October 13, 2015) SmartTots today released an updated consensus statement that emphasizes a need for more research into the safety of anesthetics and sedatives administered to infants and […]
Read MoreIn patients with low back pain, early physical therapy does not lead to clinically meaningful improvements in disability or pain, a JAMA study finds. The study included some 200 adults seen in primary care with low back pain of less than 16 days’ duration, with a disability score of 20 or higher (on a 100-point scale), and […]
Read MoreAuthors: Susan Curling, M.D., M.B.A. ASA Monitor 10 2015, Vol.79, 18-19. Susan Curling, M.D., M.B.A., is former Medical Director for Quality, Memorial Hermann Hospital Northeast, Humble, Texas. The core goal of leadership is to develop an inspired culture that changes a job into a calling. Several physician anesthesiologists have been instrumental in accomplishing this goal. In a […]
Read MoreAuthors: Nicholas M. Halzack, M.P.H. et al ASA Monitor 10 2015, Vol.79, 10-12. The relationship between surgical volume and patient outcomes has been studied extensively since the 1980s. The “volume” variable is often measured in two ways: hospital volume (the amount of surgeries the hospital performs) and surgeon volume (the amount of surgeries each surgeon performs). So, […]
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