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AUTHORS: Yao, Weidong MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 800–806 BACKGROUND: Limited mandibular condylar mobility plays an important role in difficult laryngoscopy. Indirect assessment methods, such as mouth opening, have been proven to be useful predictors of difficult laryngoscopy. Sonography is a new direct assessment method […]
Read MoreIn Patients Undergoing Serious, More Invasive Surgeries A large French study has shown that monitoring both hemoglobin (SpHb) and plethysmography variability index (PVI) as part of a vascular filling algorithm allows for optimal transfusion among surgical patients, thereby reducing mortality. The researchers noted that inclusion of such noninvasive devices may significantly affect patient outcomes in […]
Read MoreWidely used pain relievers may increase the risk of a myocardial infarction (MI) when used during a cold or flu-like illness, according to a study published in the Journal of Infectious Diseases. The findings suggest that physicians and patients should use caution when prescribing or taking nonsteroidal anti-inflammatory drugs (NSAIDs) to ease symptoms of acute […]
Read MoreTaking 1 oxycodone tablet together with even a modest amount of alcohol increases the risk of respiratory depression, according to a study published online first in the journal Anesthesiology. The study also found that elderly people were especially likely to experience this complication. “Unfortunately, we’re seeing more fatalities and people in emergency rooms after having […]
Read MoreWeaning from continuous opioid infusion can result in withdrawal and associated adverse effects, including respiratory, neurologic, and cardiovascular sequelae. Practices pertaining to the use of methadone to facilitate opioid weaning in pediatric patients are widely heterogeneous, according to a recent systematic review and meta-analysis published in Pediatric Anesthesia.1 Weaning from continuous opioid infusion can result in […]
Read MoreBJA: British Journal of Anaesthesia · February 10, 2017 Background: The 100 mm visual analog scale (VAS) score is widely used to measure pain intensity after surgery. Despite this widespread use, it is unclear what constitutes the minimal clinically important difference (MCID); that is, what minimal change in score would indicate a meaningful change in a patient’s […]
Read MoreAnesthesia & Analgesia · February 8, 2017 Authors: Matthew A et al Background: Critically ill patients frequently receive plasma transfusion under the assumptions that abnormal coagulation test results confer increased risk of bleeding and that plasma transfusion will decrease this risk. However, the effect of prophylactic plasma transfusion remains poorly understood. The objective of this study was to […]
Read MoreSouthwest Journal of Pulmonary & Critical Care · January 28, 2017 Original Article A new term has been coined by the CDC, ventilator-associated events (VAEs) (1). In 2011, the CDC convened a working group composed of members of several stakeholder organizations to address the limitations of the definition of ventilator-associated pneumonia (VAP) definition (2). The organizations represented in […]
Read MoreBJA: British Journal of Anaesthesia · February 10, 2017 Background: Predictive performance of eleven published propofol pharmacokinetic models was evaluated for long-duration propofol infusion in children. Methods: Twenty-one aged three–11 yr ASA I–II patients were included. Anaesthesia was induced with propofol or sevoflurane, and maintained with propofol, remifentanil, and fentanyl. Propofol was continuously infused at rates of 4–14 mg […]
Read MoreWhen it comes to mitigating against postoperative cognitive decline and preserving functional brain connectivity after circulatory arrest for aortic arch surgery, deep hypothermia is superior to high-moderate hypothermia, a pilot study has concluded. A larger prospective trial is underway to confirm these results. “Deep hypothermia—which constitutes cooling the body to a temperature of less than […]
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