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AUTHOR: Hahn, Robert G. MD, PhD Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1824–1833 Excretion of crystalloid fluid is slow during general anesthesia. The distribution and elimination of buffered Ringer’s solution were analyzed to determine whether the rate of elimination correlates with a hemodynamic factor, consciousness, patient posture, or the […]
Read MoreAUTHORS: Manji, Farah MD, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1846–1854 BACKGROUND: Preprocedural assessments are used by anesthesia providers to optimize perioperative care for patients undergoing invasive procedures. When these assessments are performed in advance by providers who are not caring for the patient during the […]
Read MoreAlthough dexamethasone may be a beneficial adjunct to surgery in terms of its antiemetic and anti-inflammatory effects, a team of researchers from Thomas Jefferson University Hospital has found that it may have a darker side, particularly in diabetic patients. A pilot study concluded that dexamethasone administration was associated with significant postoperative hyperglycemia in these patients […]
Read MoreAnesthesiology · April 24, 2017 BACKGROUND Patients undergoing spinal fusion surgery often experience severe pain during the first three postoperative days. The aim of this parallel-group randomized trial was to assess the effect of the long-duration opioid methadone on postoperative analgesic requirements, pain scores, and patient satisfaction after complex spine surgery. METHODS One hundred twenty patients were […]
Read MoreBMJ · April 18, 2017 Objectives To determine whether preoperative dexamethasone reduces postoperative vomiting in patients undergoing elective bowel surgery and whether it is associated with other measurable benefits during recovery from surgery, including quicker return to oral diet and reduced length of stay. Design Pragmatic two arm parallel group randomised trial with blinded postoperative care and outcome assessment. […]
Read MoreAUTHORS: Santamaria, Claudia M. MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1804–1812 BACKGROUND: Chemical permeation enhancers (CPEs) have the potential to improve nerve blockade by site 1 sodium channel blockers such as tetrodotoxin (TTX). Here, we investigated the efficacy and toxicity of CPE-enhanced nerve blockade across a […]
Read MoreAUTHORS: Hubbard, Richard M. MD et al Anesthesia & Analgesia: April 21, 2017 Misappropriation of noncontaminated waste into regulated medical waste (RMW) containers is a source of added expense to health care facilities. The operating room is a significant contributor to RMW waste production. This study sought to determine whether disposing of anesthesia-related waste in standard […]
Read MoreAUTHORS: Covotta, Marco MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1794–1801 BACKGROUND: Prolonged pneumoperitoneum and Trendelenburg positioning for robot-assisted radical cystectomy (RARC) are essential for optimizing visualization of the operative field, although they worsen hemodynamic and respiratory function. Our hypothesis is that the use of a valveless […]
Read MoreAUTHORS: Cohen, Mindy MD, FAAP et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2030–2037 BACKGROUND: Posterior spinal fusion for scoliosis is one of the most painful elective pediatric surgeries. Good postoperative pain control allows early ambulation and return of ability to tolerate oral intake. Options for analgesia in this […]
Read MorePeople who are addicted to opioids and receiving their medical care in a general health care setting were more than 10 times as likely to die during a 4-year period than people without substance abuse problems, according to a study published in the Journal of Addiction Medicine. The findings suggest that healthcare systems should have […]
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