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Authors: Hernández G et al., JAMA 2016 Oct 18; 316:1565 High-flow oxygen was noninferior to noninvasive positive pressure ventilation for preventing reintubation. During the last 2 years, we have seen a rapid rise in use of high-flow oxygen. Although its use is supported during the immediate postextubation period for patients at low risk for reintubation (NEJM JW […]
Read MoreAuthors: Ross A. Davenport, Ph.D. et al Anesthesiology published on November 17, 2016 Background: Major trauma is a leading cause of morbidity and mortality worldwide with hemorrhage accounting for 40% of deaths. Acute traumatic coagulopathy exacerbates bleeding, but controversy remains over the degree to which inhibition of procoagulant pathways (anticoagulation), fibrinogen loss, and fibrinolysis drive the pathologic process. […]
Read MoreThe U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has posted its Work Plan for FY2017. The 2017 Work Plan includes two issues specific to anesthesia care. These issues have been included in previous editions of the Work Plan. ASA members are reminded to be certain that they provide anesthesia services […]
Read MorePain: August 2016 – Volume 157 – Issue 8 – p 1733–1743 Authors: Rosenbloom, Brittany N et al Abstract: Traumatic musculoskeletal injury results in a high incidence of chronic pain; however, there is little evidence about the nature, quality, and severity of the pain. This study uses a prospective, observational, longitudinal design to (1) examine […]
Read MorePAIN Reports: August 2016 – Volume 1 – Issue 2 – p 570 Authors: Rivat, Cyril et al Introduction: In the past 2 decades, opioids have been used increasingly for the treatment of persistent pain, and doses have tended to creep up. As basic science elucidates mechanisms of pain and analgesia, the cross talk between […]
Read MoreA&A Case Reports: 15 September 2016 – Volume 7 – Issue 6 – p 125–128 Authors: Flaherty, James M. MD et al We report a novel case of a patient undergoing a bilateral shoulder hemiarthroplasty for chronic bilateral shoulder dislocations with proximal humeral fractures. Bilateral selective suprascapular nerve catheters were placed preoperatively with the intent […]
Read MoreAuthors: Ludhmila Abrahao Hajjar, M.D., Ph.D. et al Anesthesiology published on November 17, 2016. Background: Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes. The objective of this study was to evaluate whether vasopressin is superior to norepinephrine in reducing postoperative complications in patients with vasoplegic syndrome. Methods: This prospective, randomized, […]
Read MoreAuthors: Duan J et al., Intensive Care Med 2016 Nov 3; Five clinical criteria strongly predicted need for intubation in patients with respiratory failure. Use of noninvasive ventilation (NIV) can avoid intubation in some patients with respiratory failure by temporarily supporting ventilation during initial treatment, but many patients fail NIV and ultimately need intubation. Patients at risk […]
Read MoreAuthors: Shin Sato, M.D. et al Anesthesiology published on November 10, 2016. Background: Depending on upper airway patency during anesthesia induction, tidal volume achieved by mask ventilation may vary. In 80 adult patients undergoing general anesthesia, the authors tested a hypothesis that tidal volume during mask ventilation is smaller in patients with sleep-disordered breathing priorly defined as […]
Read MorePresident Obama’s Administration has introduced some major expansions to the 2016 fiscal budget to help aid states in preventing opioid deaths. Reviewed by Forest Tennant, MD, DrPH As most physicians are aware, overdoses from prescription opioids have risen at an alarming rate over the last few decades, with more people dying from opioids than from heroin and cocaine […]
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