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Anesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 168–172 AUTHORS: Perlman, Jeffrey MBChB et al An important goal of obstetric anesthesia is to provide for the safety and comfort of the mother as well as to optimize physiologic outcomes for the neonate. Markers of neonatal physiologic outcome include cord umbilical […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 165–167 AUTHORS: Bernstein, Jeffrey MD et al The obstetric anesthesiologist must consider the risk of spinal–epidural hematoma in patients with thrombocytopenia when choosing to provide neuraxial anesthesia. There are little data exploring this complication in the parturient. In this single-center retrospective study […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 154–164 AUTHORS: Sultan, Pervez MBChB, FRCA et al BACKGROUND: The intrathecal morphine dose achieving optimal analgesia for cesarean delivery while minimizing side effects has not yet been deduced. In this meta-analysis, our objective was to determine whether low- or high-dose intrathecal morphine […]
Read MoreAnesthesia & Analgesia:July 2016 – Volume 123 – Issue 1 – p 135–140 AUTHORS: Maile, Michael D. MD, MS et al BACKGROUND: Even small elevations in preoperative troponin levels have been shown to be associated with adverse outcomes. However, there are currently limited data on the relationship between troponin increase and timing of surgery. METHODS: […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 129–132 AUTHORS: Sadek, Meriem MD et al We hypothesized that placing the arm in 90° abduction, through 90° flexion and 90° external rotation, could improve ultrasound visualization of the subclavian vein. In 49 healthy volunteers, a single operator performed a view of […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 123–128 AUTHORS: Edrich, Thomas MD et al BACKGROUND: Lung ultrasound (LUS) is a well-established method that can exclude pneumothorax by demonstration of pleural sliding and the associated ultrasound artifacts. The positive diagnosis of pneumothorax is more difficult to obtain and relies on […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 114–122 AUTHORS: Kinsky, Michael MD et al BACKGROUND: Fluid resuscitation of hypovolemia presumes that peripheral venous pressure (PVP) increases more than right atrial pressure (RAP), so the net pressure gradient for venous return (PVP-RAP) rises. However, the heart and peripheral venous system […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 105–113 AUTHORS: Desebbe, Olivier MD et al BACKGROUND: Pulse pressure variation (PPV) can be used to assess fluid status in the operating room. This measurement, however, is time consuming when done manually and unreliable through visual assessment. Moreover, its continuous monitoring requires […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 82–92 AUTHORS: Naguib, Mohamed MB, BCh, MSc, FCARCSI MD et al BACKGROUND: An unanticipated difficult airway during induction of anesthesia can be a vexing problem. In the setting of can’t intubate, can’t ventilate (CICV), rapid recovery of spontaneous ventilation is a reasonable […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 74–81 AUTHORS: Takaenoki, Yumiko MD et al BACKGROUND: Under emergent conditions, endotracheal drug administration may be an effective method of delivering emergency drugs. A common technique is to administer these drugs using a nonatomized spray. Atomized drug delivery may be an attractive […]
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