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AUTHORS: Melton, M. Stephen MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 313–319 BACKGROUND: The effect of interscalene block (ISB) on pulmonary function of obese participants has not been investigated. The goal of this study is to assess the association of obesity (body mass index [BMI] >29 kg/m2 vs BMI […]
Read MoreA pocket-sized ultrasound device for spinal anesthesia guidance accurately predicts Tuohy needle depth to epidural space. In addition, using the epidural insertion point identified by the hand-held device was associated with high first-pass success and minimal needle redirections. “This preliminary feasibility study in laboring parturients showed that the hand-held ultrasound [device] accurately predicted Tuohy needle […]
Read MoreLast month, the Japanese Society of Anesthesiologists permanently banned Yuhji Saitoh of the Yachiyo Medical Center and Tokyo Women’s Medical University for fraud and data manipulation. Saitoh was a frequent co-author of papers with Yoshitaka Fujii, an infamous fraudster within the anesthesia community. “An editorial in anesthesiology-related journal ‘Anaesthesia’ outlining the alleged fraud cited numerous publications where […]
Read MoreReport Provides Hospitals with In-depth Rationale and Evidence for Standards Every day, 91 Americans die from an opioid overdose, according to the U.S. Department of Health & Human Services. As part of a national effort to address the opioid crisis, The Joint Commission is implementing new and revised pain assessment and management standards, effective January […]
Read MoreDear Q&A, I am writing to inquire regarding risks to a patient when a transdermal medication patch is left in place in the setting of electrocautery for surgery. It came up recently regarding oxybutynin because the surgeon was aware of metal particles in the patch layers, and was concerned about the risk of a burn […]
Read MoreAUTHORS: Elmi-Sarabi, Mahsa MSc et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 393–402 BACKGROUND: In cardiac surgery, pulmonary hypertension is an important prognostic factor for which several treatments have been suggested over time. In this systematic review and meta-analysis, we compared the efficacy of inhaled aerosolized vasodilators to intravenously administered […]
Read MoreWhat Perioperative Handoffs Do We Participate in and How Are They Different? The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Amanda Lorinc, MD, and Christopher Henson, DO Handoffs Handoffs, in the most concise description, are an exchange of responsibility for one or more patients from one provider to another. Handoffs are […]
Read MoreBy Barbara M. Scavone, MD, and John T. Sullivan, MD Postpartum Hemorrhage Postpartum hemorrhage complicates approximately 3% of U.S. deliveries and is most often due to uterine atony.1 Hemorrhage is the leading cause of severe maternal morbidity and contributes to 11.4% of U.S. maternal deaths.2,3 Globally, it is the leading cause of maternal death.4 Postpartum hemorrhage is often […]
Read MoreAUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: June 08, 2017 Background: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. U.S. national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval from 30 minutes before to 15 minutes […]
Read MoreAUTHORS; Amar, David MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 190–199 BACKGROUND: Protective lung ventilation (PLV) during one-lung ventilation (OLV) for thoracic surgery is frequently recommended to reduce pulmonary complications. However, limited outcome data exist on whether PLV use during OLV is associated with less clinically relevant pulmonary […]
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