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Authors: Kurt Ruetzler, M.D. et al Anesthesiology published on June 8, 2017. Introduction: Supraglottic airway devices commonly are used for securing the airway during general anesthesia. Occasionally, intubation with an endotracheal tube through a supraglottic airway is indicated. Reported success rates for blind intubation range from 15 to 97%. The authors thus investigated as their primary outcome […]
Read MoreAuthors: Jerrold H. Levy, MD, FAHA, FCCM et al The increasing use of the direct oral anticoagulants (DOACs) has provided clinicians and patients with alternatives to warfarin for the treatment of venous thromboembolism (VTE), the prevention of cerebrovascular embolic stroke in patients with atrial fibrillation, and thromboprophylaxis in patients undergoing surgery. Four DOACs are currently […]
Read MoreAuthors: Laurent G. Glance, M.D. et al Anesthesiology 7 2017, Vol.127, 3-5. “The time is right…[to update] existing clinical practice guidelines…[on the] management of patients at high risk for perioperative acute ischemic stroke.” THE incidence of postoperative strokes in patients undergoing noncardiac, nonneurologic surgery is between 0.1 and 0.7%.1,2 Previous studies reported that patients with a history […]
Read MoreAuthors: T. Anthony Anderson, Ph.D., M.D. et al Anesthesiology 6 2017, Vol.126, 1180-1186. The management of acute perioperative pain in patients on chronic buprenorphine as opioid maintenance therapy is a complex process. We describe pain management approaches for patients on buprenorphine who present for elective and urgent/emergent surgery. Background Opioid use disorder, a chronic neurobehavioral disease, […]
Read MoreAuthors: Juan C. Gómez-Izquierdo, M.D. et al Anesthesiology 7 2017, Vol.127, 36-49. Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal […]
Read MoreAuthors: Pierre Albaladejo, M.D., Ph.D. et al Anesthesiology 7 2017, Vol.127, 111-120. Background: The use of prothrombin complex concentrates and the role of plasma concentration of anticoagulants in the management of bleeding in patients treated with direct oral anticoagulants are still debated. Our aim was to describe management strategies and outcomes of severe bleeding events in patients […]
Read MoreAuthors: Gavin M. Hamilton, M.D., M.Sc. et al Anesthesiology 7 2017, Vol.127, 78-88. Background: Delirium is an acute and reversible geriatric syndrome that represents a decompensation of cerebral function. Delirium is associated with adverse postoperative outcomes, but controversy exists regarding whether delirium is an independent predictor of mortality. Thus, we assessed the association between incident postoperative delirium […]
Read MoreAuthors: Jessica L. Booth, M.D. et al Anesthesiology 7 2017, Vol.127, 50-57. Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine would […]
Read MoreAuthors: Juan C. Gómez-Izquierdo, M.D. et al Anesthesiology 7 2017, Vol.127, 36-49. Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal […]
Read MoreTo the Editor: Dr. Geralemou and colleagues make an excellent argument for capnography monitoring in the postoperative period for evidence of hypoventilation in their October 2016 APSF Newsletter article entitled “The Role of Capnography to Prevent Postoperative Respiratory Adverse Events.” However, that doesn’t necessarily mean capnography should be recommended as a standard outside the operating […]
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