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Anesthesia & Analgesia: October 11, 2016 AUTHORS: van Klei, Wilton A. MD, PhD et al BACKGROUND: For outcomes research where changes in intraoperative blood pressure are a possible causative factor, it is important to determine an appropriate source for a reference value. We studied to what extent preinduction blood pressure values in the operating room […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: Rodriquez, Luis I. MD et al BACKGROUND: In the United States, anesthesia information management systems (AIMS) are well established, especially within academic practices. Many hospitals are replacing their stand-alone AIMS during migration to an enterprise-wide electronic health record. This presents an opportunity to review choices made during the […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: Kim, Eugene MD et al BACKGROUND: Positioning of a lightwand in the midline of the oral cavity can be challenging in patients with cervical immobilization. Direct laryngoscopy may permit the lightwand tip to more easily access the glottic opening. We tested our hypothesis that a laryngoscope-assisted lightwand technique […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: Epsztein Kanczuk, Marcelo MD et al BACKGROUND: Most studies that have compared programmed intermittent epidural bolus (PIEB) with continuous epidural infusion regimens have included patient-controlled epidural analgesia and/or manual bolus as rescue analgesia for breakthrough pain. Consequently, the optimal time interval between PIEB is yet to be determined. […]
Read MoreEhab Farag, MD, FRCA Professor, Cleveland Clinic Lerner College of Medicine Staff Anesthesiologist, Director of Clinical Research Cleveland Clinic Cleveland, Ohio Editorial Advisory Board Member Anesthesiology News An evidence-based review of therapeutic hypothermia as a neuroprotective agent reveals conflicting conclusions and emphasizes that larger, controlled trials are needed. Hypothermia therapy is mentioned 5,000 years ago […]
Read MoreAn elastomeric pump for epidural infusions in an outpatient setting is a novel, effective treatment option for complex regional pain syndrome (CRPS), new research suggests. Elastomeric pumps are commonly used in the outpatient setting for peripheral nerve blocks, palliative care and postoperative pain, but have not been described for use with epidural infusions for CRPS, […]
Read MoreWhat Anesthesiologists Should Know Elizabeth A.M. Frost, MD Clinical Professor of Anesthesia Icahn Medical Center at Mount Sinai New York, New York Editorial Advisory Board Member Anesthesiology News Zika virus was first isolated in Uganda in the 1940s. Until recently, it was thought to be relatively innocuous. But that was then .… According to a recent […]
Read MoreA simple, yet effective interactive app—dubbed “Story-Telling Medicine”—appears to effectively reduce preoperative anxiety in children. “Preoperative anxiety … is associated with many adverse postoperative outcomes,” said Cheryl Chow, MS, a doctoral candidate at McMaster University, in Hamilton, Ontario. “What’s more, children who are anxious have problems with anesthetic induction, postoperative emergence delirium, increased pain and […]
Read MoreWith the physical footprint of American hospitals growing ever larger, the risk for patients developing hypoxia during transport from the operating room (OR) to the PACU is real. Recently, researchers found that nearly 7% of patients will develop hypoxia en route, prompting them to recommend the availability of portable pulse oximetry and supplemental oxygen in […]
Read MoreA Double-blind Phase III Study of Haemostatic Therapy Authors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min […]
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