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General anesthesia combined with modern volatile anesthetics for use in cardiac surgery correlated with fewer deaths and less postoperative pulmonary and other complications, when compared with total IV anesthesia (TIVA). That was the finding from a literature review of 68 randomized controlled trials that included 7,104 patients. In noncardiac surgery, however, volatile anesthetics were not […]
Read MoreOren Bernstein, MD Private Practice Anesthesiologist Pacific Anesthesia, Inc. The Queen’s Medical Center Honolulu, Hawaii The number of patients eligible for transcatheter aortic valve replacement is rapidly expanding, and TAVR centers are under growing production pressure with steadily increasing caseloads. As such, anesthesiologists can play an i mportant role in maximizing procedural efficiency while maintaining […]
Read MoreOver the last few months, there has been an explosion of interest in the legislature to rein in oxycodone and to limit its use for pain management. Health care providers are painted as the major culprits who are causing an explosion of drug abuse, as reported by the media. Many excellent physicians in the field […]
Read MoreA picture might be worth a thousand words, but the right label can save thousands of dollars. By replacing text-heavy instruction labels for blood transport coolers with icon-driven labels, providers at the University of Florida (UF) College of Medicine have shown a dramatic reduction in blood product waste—saving their hospital almost $20,000 in just five […]
Read MoreThere is a growing body of literature demonstrating that obstructive sleep apnea (OSA) is directly linked to an increase in adverse maternal and fetal complications. Although there are a number of OSA screening tools available, they have been found to be less accurate in pregnant women, making OSA diagnosis and treatment even more challenging in […]
Read MoreAnesthesia & Analgesia:November 2016 – Volume 123 – Issue 5 – p 1163–1171 AUTHORS: Silva, João Manoel Jr MD, PhD et al BACKGROUND: Metabolic acidosis frequently i s present in surgical patients; however, different types of metabolic acidosis (hyperlactatemia, hyperchloremia, and others) may have different relationships to perioperative outcomes. We hypothesized that in postoperative surgical […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1158–1162 AUTHORS: Dayan, Amir C. MD et al BACKGROUND: An intact pilot balloon assembly is crucial to the proper function of a cuffed tracheal tube. Disruption of the pilot balloon, transection of the inflation line, or valve incompetence results in cuff deflation, […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1100–1107 AUTHORS: Grant, Michael C. MD et al BACKGROUND: Nonopioid adjuvant medications are increasingly included among perioperative Enhanced Recovery After Surgery protocols. Preoperative pregabalin has been shown to improve postoperative pain and limit reliance on opioid analgesia. Our group investigated the ability […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1143–1148 AUTHORS: Williams, Matthew R. MD et al BACKGROUND: Radiofrequency identification (RFID) detection systems are used to detect retained surgical sponges and may cause electromagnetic interference (EMI), altering intended function of cardiac pacing systems. Three pediatric patients requiring temporary pacing for postoperative […]
Read MoreAnesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 270–276 AUTHORS: Vacas, Susana MD, PhD et al BACKGROUND: Sleep is integral to biologic function, and sleep disruption can result in both physiological and psychologic dysfunction including cognitive decline. Surgery activates the innate immune system, inducing neuroinflammatory changes that interfere with cognition. […]
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