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Anesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1527–1534 AUTHORS: Ngaka, T.C. FCA (SA et al BACKGROUND: It has been suggested that the dose requirement for spinal anesthesia (SA) is lower in obese patients for cesarean delivery (CD). In this prospective, observational, noninferiority study, we tested the hypothesis that obesity […]
Read MoreA single anesthesia exposure of inhaled anesthetic agents in healthy children before 36 months of age is not associated with impaired neurocognitive development and abnormal behavior in later childhood, a sibling-matched cohort study has found (JAMA 2016;315:2312-2320). The impetus for the study was an earlier paper by Mellon et al (Anesth Analg 2007;104:509-520), “which summarized the neurotoxicity effects […]
Read MoreAuthor: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]
Read MoreAuthors: 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 bleeding mass of 60–250 g after separation from […]
Read MorePatients with a headache disorder have a 21% increased risk of developing hypothyroidism, and the risk is even higher — 41% — in those with possible migraine, a new study has found. “Just like female sex and age are risk factors for hypothyroidism, one should also now consider headache disorder as a risk,” said study […]
Read MoreTo block or not to block during breast cancer surgery: That is the question two experts debated at the 2016 International Symposium of Ultrasound for Regional Anesthesia. “There is enough evidence of short- and long-term benefits with paravertebral block [PVB] to encourage this as standard practice,” said Faraj Abdallah, MD, assistant professor in the Department […]
Read MoreMore costly care for postoperative complications is associated with worse patient outcomes, according to a study published October 5 in JAMA Surgery. Surgical complications are common and expensive adverse events, and have been increasingly targeted by quality initiatives, write Jason C. Pradarelli, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, and colleagues. Such initiatives often […]
Read MoreWhen the Society for Ambulatory Anesthesia released its consensus statement on preoperative selection of patients with obstructive sleep apnea (OSA), it recommended that ambulatory surgery centers instruct patients on continuous positive airway pressure (CPAP) to bring their devices on their day of surgery (Anesth Analg 2012;115:1060-1068). Now, a survey by a Texas research team has shown […]
Read MoreAn analysis of labor and delivery data in the state of New York has revealed that hospital—but not neighborhood—characteristics are associated with severe maternal morbidity (SMM). The study identified several factors that predict SMM. Lead study author Jean Guglielminotti, MD, PhD, an anesthesiologist at Hôpital Bichat-Claude Bernard, in Paris, and a postdoctoral research fellow at […]
Read MoreBy JAMIE JONES, MD My heart tells me I lost them. My brain tells me I never had them to lose. One of my mentors has said that all trauma surgeons have their own personal graveyard, filled with patients we couldn’t save, and families’ hearts left broken. A truer statement has never been said, and […]
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