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Prescription of long-acting opioids for chronic non-cancer pain was associated with an increased risk of all-cause mortality, including deaths from causes other than overdose, compared with anticonvulsants or cyclic antidepressants, according to a study published in the June 14 issue of JAMA. The increase in prescribing opioid analgesics for chronic non-cancer pain has led to […]
Read MoreBMC Anesthesiol. 2016;16(6) Authors: Bin Han et al Background: Difficult airway may result in significant morbidity and mortality. Proficient airway evaluation, therefore, is one of the key elements in the safe conduct of anesthesia. A three-dimensional (3D) printing model was recently introduced for medical application. 3D printing is a fast, convenient, and relatively affordable technique. We present […]
Read MoreA radiology-based measure of obesity more closely aligns with comorbidity risks than body mass index (BMI), according to a large retrospective study. “BMI is a flawed measurement of obesity” because body shape and fat distribution can modify risk for related adverse health outcomes, said Albert Roh, MD, from the Maricopa Medical Center in Phoenix. “We […]
Read MoreAuthors: SM Brown FRCA; JR Sneyd FRCA BJA Education. 2016;16(3):87-91. Introduction Nitrous oxide (N2O) was first isolated by Joseph Priestly in 1772 and subsequently recognized for its analgesic properties by Humphrey Davy in 1799. Davy has actually invented a new pleasure, for which language has no name. Oh Tom! I am going for more this evening; […]
Read MoreAnesthesiology 7 2016, Vol.125, 46-61 Authors: Frédérique Hovaguimian, M.D. et al Background: Blood transfusions are associated with morbidity and mortality. However, restrictive thresholds could harm patients less able to tolerate anemia. Using a context-specific approach (according to patient characteristics and clinical settings), the authors conducted a systematic review to quantify the effects of transfusion strategies. Methods: The authors searched MEDLINE, […]
Read MoreAnesthesiology published on 6 2016 Authors: Vanessa L. Kronzer, B.A. et al Background: No study has rigorously explored the characteristics of surgical patients with recent preoperative falls. Our objective was to describe the essential features of preoperative falls and determine whether they are associated with preoperative functional dependence and poor quality of life. Methods: This was an observational […]
Read MoreBy Carly C. Barron, MSc; Andre Y. Denault, PhD, ABIM-CCM; and Manoj M. Lalu MD, PhD Central venous catheterization is a common procedure with more than 5 million central venous catheters (CVC) implanted each year in the United States.1,2 Approximately 8% of hospitalized patients require central venous access during the course of their hospital stay.2 Appropriate […]
Read MoreBy Ian Yuan, MD, and Jeffrey M. Feldman, MD, MSE Two patients come into a hospital for elective knee replacements. Their surgeries are uneventful, but both are found to have surgical site infections in follow-up visits. In the first patient, the anesthesia professional forgets to give antibiotics prior to the start of the procedure. The […]
Read Moreby Tao Shen, MBBS, and Edward A. Bittner, MD, PhD, MSEd High tidal volume (TV) (10-15mL/kg) mechanical ventilation has been historically encouraged for anesthetized patients in the OR, especially for abdominal and thoracic procedures. This practice was based on a study published in the New England Journal of Medicine in 1963. It followed a series of 18 […]
Read Moreby Michael G Mythen, MBBS, MD, and Michael PW Grocott, BSc, MBBS, MD Fluid management is a fundamental component of the care we give our patients undergoing surgery. Establishing intravenous access and setting up a bag of fluid to flow into a vein is so much a part of everyday working life that we rarely […]
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