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Authors: Kawazoe Y et al., JAMA 2017 Apr 4; 317:1321 Patients with sepsis had similar outcomes when sedated with or without dexmedetomidine. Multiple recent trials have yielded mixed results on whether dexmedetomidine for sedation during mechanical ventilation prevents delirium. Interestingly, however, one such study suggested markedly lower mortality in septic patients who were sedated with dexmedetomidine (Crit Care […]
Read MoreAlthough a restrictive transfusion strategy significantly reduces the risk for 30-day all-cause mortality in critical care patients, its benefits are less clear in perioperative patients, according to a meta-analysis by a Canadian research team. “Although packed red blood cells are arguably the best therapy to use when you have a problem with oxygen-carrying capacity, they […]
Read MoreAlthough epidural anesthesia is considered the gold standard for postthoracotomy pain treatment, it is contraindicated in certain patients.Although epidural anesthesia is considered the gold standard for postthoracotomy pain treatment, it is contraindicated in certain patients. According to a retrospective study by researchers at the Shizuoka Cancer Center in Japan, continuous thoracic paravertebral nerve block (PVB) […]
Read More“Measurement of free hormones in pain medication users could be important in determining their association with sexual function.””Measurement of free hormones in pain medication users could be important in determining their association with sexual function.” Chronic pain patients being treated with certain opioid and non-opioid medications had significantly lower serum concentrations of free testosterone (fTe) […]
Read MoreAUTHORS: Edenharter, Günther M. MD et al Anesthesia & Analgesia: February 10, 2017 BACKGROUND: Increasing costs of material resources challenge hospitals to stay profitable. Particularly in anesthesia departments and intensive care units, bronchoscopes are used for various indications. Inefficient management of single- and multiple-use systems can influence the hospitals’ material costs substantially. Using mathematical modeling, […]
Read MoreSecond-line uterotonic use is high in women experiencing severe postpartum hemorrhage, and B-Lynch brace suture placement is the most common surgical intervention. These were among the findings of a retrospective study conducted at Stanford University School of Medicine, in California, that has shed light on women who experience severe postpartum hemorrhage during intrapartum cesarean delivery. […]
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 […]
Read MoreThe Nociception Level Index Israeli researchers have devised a multivariable index that appears to accurately reflect patients’ experience of pain during surgery. “The primary significance of our findings is that we have proved that it is possible to accurately and objectively assess patients’ nociceptive state—or “pain”—based on an algorithmic combination of multiple physiological parameters, creating […]
Read MoreAuthors: Chamaidi Sarakatsianou et al The American Journal of Surgery April 2017 Background General anesthesia has been used as standard for laparoscopic hernia repair by the transabdominal preperitoneal (TAPP) approach. Regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. This randomized clinical trial compares spinal anesthesia with general anesthesia […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 2 2017, Vol.126, 312-320. Background: Although peripheral nerve blocks decrease pain after total knee arthroplasty, the population-level impact of nerve blocks on arthroplasty resource utilization is unknown. Methods: We conducted a population-based cohort study using linked administrative data from Ontario, Canada. We identified all adults having their first […]
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