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Contrary to some previous studies, the use of paravertebral block (PVB) is not associated with a reduced rate of cancer recurrence or improved survival after breast cancer surgery, new research suggests. There are two major hypotheses on the possible connection between PVB and breast cancer recurrence, according to Juan P. Cata, MD, study author, and […]
Read MoreRoy Soto, MD Professor Department of Anesthesiology Oakland University William Beaumont School of Medicine Royal Oak, Michigan To many, “nutrition” is a vague word that conjures visions of food pyramids, healthy salads (with dressing on the side), and daily vitamins. Patients and physicians alike inherently accept that poor nutrition in the perioperative period is probably […]
Read MoreAn association between multiple exposures to general anesthesia in the first two years of life and increased risk for neurocognitive impairment was not found in two large Canadian studies. Exposures from 2 to 4 years of age, however, were another matter. “It remains uncertain whether the anesthetic neurotoxicity that’s been clearly demonstrated in animal studies […]
Read MoreThe increased prevalence of morbid obesity presents numerous analgesic challenges, including respiratory- and cardiovascular-related issues. According to a recent Wake Forest study, higher body mass index (BMI) also is associated with the reliability of epidural catheters during labor. The retrospective analysis of labor neuraxial procedures found that catheter failure for both epidural and combined spinal–epidural […]
Read MoreMost health care providers think of sepsis as a problem in the ICU, but a recent report by the CDC has found that 80% of patients diagnosed with sepsis developed the condition outside the hospital. In addition, seven in 10 patients with sepsis used health care services or had chronic diseases that required frequent medical […]
Read MoreWhile their affective response does not differ from healthy patients, people with Alzheimer’s disease (AD) are less sensitive at detecting thermal pain, according to investigators at Vanderbilt University School of Nursing, in Nashville, Tenn. Publishing in BMC Medicine 2016 May 10, the investigators wrote that the findings suggest people with AD may experience more pain and sustain […]
Read MoreHealth systems, pharmaceutical companies and health insurance plans have several innovative options for using electronic health records (EHRs) to improve patient outcomes, according to a roundtable discussion at the World Congress EHR and E-Prescribing Summit. But several significant obstacles, including interoperability and effective data mining, need to be overcome for this strategy to start improving […]
Read MoreAnesthesiologists searching for a simple alternative to the paravertebral block in breast surgery patients might consider a technique adopted by researchers at the University of Ottawa, in Ontario. Their two-step surgical field block proved comparable to the paravertebral block in all measured outcomes in the early postoperative period and in the setting of chronic postsurgical […]
Read MoreAlthough rare, pulmonary aspiration of gastric contents remains one of the most feared complications in obstetric anesthesia. A research team in Canada has addressed this occurrence by creating a predictive model that uses bedside gastric ultrasound, which accurately estimates gastric volume based on patient demographics and the cross-sectional area of the antrum. “Given the popularity […]
Read MoreC-MAC video laryngoscope (KARL STORZ) use does not improve the success rate of first-attempt rapid sequence intubation compared with direct laryngoscopy, but visualization of the vocal cords is improved, new research suggests. Video laryngoscopes were introduced into clinical practice to help visualize the airway and increase the success rate of airway management, according to researchers […]
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