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Authors: Shona Kalkman, M.D. et al Anesthesiology 9 2015. Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed a systematic […]
Read MoreAuthors: Atif Shafqat, M.B.B.S., D.A., M.Sc., M.R.C.A., Ph.D. et al Anesthesiology 9 2015 Background:: Visuospatial ability correlates positively with novice performance of simple laparoscopic tasks. The aims of this study were to identify whether visuospatial ability could predict technical performance of an ultrasound-guided needle task by novice operators and to describe how emotional state, intelligence, and fear […]
Read MoreSubclavian-vein catheterization was linked with a lower risk of bloodstream infection and symptomatic thrombosis, but a higher risk of pneumothorax, versus jugular vein or femoral vein catheterization, French researchers reported. In a comparison of insertion sites among more than 3,000 randomized ICU patients, the risk of blood infection or thrombosis was lowest for subclavian catheters […]
Read MoreAuthors: Schmidt M et al., Eur Heart J 2015 Sep 1; 36:2246 An internationally derived pre-ECMO risk model appears clinically useful. Extracorporeal membrane oxygenation (ECMO) is an effective treatment option in refractory, yet potentially reversible, cardiogenic shock. Because of its high rates of severe complications and high costs, patient selection on the basis of a predictive survival […]
Read MoreA&A Case Reports: 1 August 2015 – Volume 5 – Issue 3 – p 33–35 Authors: Torres, Arturo G. MD Abstract A healthy, active duty military 25-year-old female with a history of congenital complete heart block presented for a routine septorhinoplasty. During the preoperative interview, she did not disclose her heart condition. A preordered electrocardiogram […]
Read MoreThe Cochrane Database of Systematic Reviews 8 CD007082 Aug 2015 Authors: 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 […]
Read MoreAnesthesia & Analgesia July 2015 Authors: Birnbach D et al BACKGROUND Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and the […]
Read MoreBMC Anesthesiol. 2015; 15(76) Authors: Igor Zabolotskikh et al 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 […]
Read MoreReg Anesth Pain Med. 2015 Sep-Oct;40(5):583-8 Authors: Shin HJ et al BACKGROUND AND OBJECTIVES: The adverse effects of spinal anesthesia (SA) include arterial hypotension and bradycardia. The aim of this study was to compare the effects of 2 type 3 serotonin receptor antagonists in SA-induced adverse effects. Specifically, we assessed whether ramosetron was more effective than ondansetron […]
Read MoreAuthors: Mascha EJ et al., Anesthesiology 2015 Jul 123:79 Intraoperative hypotension was much more important than intraoperative hypertension or BP variability. Adverse effects of severe hypotension during surgery are quite clear. But what about intraoperative hypertension or marked variability of blood pressure (BP) during surgery? Two studies shed light on this question. A study from six U.S. […]
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