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Authors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 4 2017, Vol.126, 602-613. Background: Frailty is a risk factor for adverse postoperative outcomes. Hospitals that perform higher volumes of surgery have better outcomes than low-volume providers. We hypothesized that frail patients undergoing elective surgery at hospitals that cared for a higher volume of similarly frail patients […]
Read MoreAuthors: Viviane S. Hambrecht-Wiedbusch, Ph.D. et al Anesthesiology 3 2017, Vol.126, 482-494. Background: Promoting arousal by manipulating certain brain regions and/or neurotransmitters has been a recent research focus, with the goal of trying to improve recovery from general anesthesia. The current study tested the hypothesis that a single subanesthetic dose of ketamine during isoflurane anesthesia would increase […]
Read MoreAuthors: Rutger van der Schrier, M.D. et al Anesthesiology 3 2017, Vol.126, 534-542. Background: Respiratory depression is a potentially fatal complication of opioid use, which may be exacerbated by simultaneous ethanol intake. In this three-way sequential crossover dose-escalating study, the influence of coadministration of oral oxycodone and intravenous ethanol was assessed on resting ventilation, apneic events and […]
Read MoreAuthors: Atlas SJ., Ann Intern Med 2017 Feb 14; The American College of Physicians has evaluated a broad array of treatment options. Sponsoring Organization: American College of Physicians (ACP) Target Audience: All clinicians Target Population: Adults with acute (<4 weeks), subacute (4–12 weeks), or chronic (>12 weeks) back pain in primary care settings Background The ACP has developed a […]
Read MoreOn February 9, the Indiana Commission for Higher Education (ICHE) approved a new Master of Science in Anesthesia (MSA) degree. The graduate level program will be offered through the Indiana University School of Medicine in Indianapolis. Accreditation is in process. Further information about the MSA degree and program can be found at http://anesthesia.iu.edu/Education/AnesthesiologistAssistant/Introduction.aspx. With the ICHE’s […]
Read MoreAlthough typically used to promote hemodynamic stability, beta blockers may have another purpose, according to a team of Montreal researchers: reducing postoperative pain. Their systematic review concluded that continuous beta-blocker infusions during surgery can decrease postoperative opioid consumption, the incidence of nausea and PACU length of stay, all with few side effects. “We know that […]
Read MoreOxygenation and hemodynamic stabilization before intubation could help reduce complications for patients in the ICU, according to a recent study. Procedurally related complications from airway management occurred commonly in the ICU, despite first-attempt success, researchers found. “We’re trying to address the risk factors for these complications prior to intubation,” said Thomas Navarro, MD, of the […]
Read MoreThe audible leak test is a reliable method for verifying appropriate tracheal tube sizes in infants and children, according to a recent study. “Checking for audible leak is a common practice to rule out a tight-fitting tracheal tube in infants and children,” said Madhankumar Sathyamoorthy, MD, study author and assistant professor of pediatric anesthesiology at […]
Read MoreSupraglottic airways (SGAs) may work well for prone spinal procedures of short duration, according to a recent study. But others consider this a dangerous practice. SGA use has been studied in the prone position but with limited patient numbers, varying weights and different levels of airway status. In this case, SGA use could help anesthesiologists […]
Read MoreBy Kenneth Finn, MD There is no debate that the prevalence and acceptance of marijuana use are on the rise in the United States. Many states have approved the use of marijuana as a treatment for a variety of medical conditions, but there is no consistency or agreement across state lines as to what it […]
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