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Anesthesiology published on 2 2016 Authors: Elaina E. Lin, M.D. et al Background: Bedside ultrasound has emerged as a rapid, noninvasive tool for assessment and monitoring of fluid status in children. The inferior vena cava (IVC) varies in size with changes in blood volume and intrathoracic pressure, but the magnitude of change to the IVC with inhalational […]
Read MoreAnesthesiology published on 2 2016 Authors: Derryn A. Gargiulo, M.Pharm.Clin., Reg.Pharm.N.Z. et al Background: The aseptic techniques of anesthesiologists in the preparation and administration of injected medications have not been extensively investigated, but emerging data demonstrate that inadvertent lapses in aseptic technique may be an important contributor to surgical site and other postoperative infections. Methods: A prospective, open, […]
Read MoreAnesthesiology 2 2016, Vol.124, 396-403 Authors: Karim S. Ladha, M.D. et al Background: Opioids play a crucial role in providing analgesia throughout the perioperative period; however, patients may become persistent users of these medications months after surgery. Epidurals have been posited to prevent the development of persistent pain, but there are little data on the effect of […]
Read MoreWhile opioids may alleviate pain in some chronic pain patients, their effectiveness when it comes to restoring physical function in patients with neuropathic pain could be considered finite. Published in Pain Medicine, a new study, conducted by researchers from the University of Alberta, revealed that prescription painkillers—such as morphine, codeine and Tylenol 3—do not provide additional improvements in physical […]
Read MoreThe FDA announced a multi-pronged approach to ending the prescription opioid abuse epidemic last week. Experts in pain, addiction, and health policy Today their view of the intended reforms. “As physicians we have treated both the intense suffering caused by acute pain and chronic pain… But we have also witnessed the devastating results of opioid […]
Read MoreAnesthesiology published on 1 2016 Authors: Kyle R. Kirkham, M.D. et al Background: Increasing attention has been focused on low-value healthcare services. Through Choosing Wisely campaigns, routine laboratory testing before low-risk surgery has been discouraged in the absence of clinical indications. The authors investigated rates, determinants, and institutional variation in laboratory testing before low-risk procedures. Methods: Patients who […]
Read MoreAnesthesiology published on 1 2016 Authors: Peter Szmuk, M.D. et al Background: Pulse oximetry provides no indication of downward trends in Pao2 until saturation begins to decrease. The Oxygen Reserve Index (ORI) is a novel pulse oximeter–based nondimensional index that ranges from 1 to 0 as Pao2 decreases from about 200 to 80 mmHg and is measured by optically […]
Read MoreResearch suggesting nurse anesthetist standalone care is equivalent to physician-led care is flawed, according to a new study published in Anesthesia & Analgesia. Here are six insights: According to study results, the frequently used billing code gives a false impression that many nurse anesthetists practice without the supervision of physician anesthesiologists. Nurse anesthetists have two coding options for […]
Read MoreAnesthesiology 2 2016, Vol.124, 339-352. Authors: Miklos D. Kertai, M.D., Ph.D. et al Background: Cardiac surgery requiring cardiopulmonary bypass is associated with platelet activation. Because platelets are increasingly recognized as important effectors of ischemia and end-organ inflammatory injury, the authors explored whether postoperative nadir platelet counts are associated with acute kidney injury (AKI) and mortality after coronary […]
Read MoreConsent requirements would be eased for providers releasing their patients’ substance abuse diagnosis and treatment records under a proposed rule released earlier this week by the Department of Health and Human Services (HHS). The proposed rule seeks to “modernize the [current federal law on substance abuse confidentiality] by facilitating the electronic exchange of substance use disorder information […]
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