Month: October 2017

Xenon as an Adjuvant to Propofol Anesthesia in Patients Undergoing Off-Pump Coronary Artery Bypass Graft Surgery: A Pragmatic Randomized Controlled Clinical Trial

AUTHORS: Al tmimi, Layth MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1118–1128 BACKGROUND: Xenon was shown to cause less hemodynamic instability and reduce vasopressor needs during off-pump coronary artery bypass (OPCAB) surgery when compared with conventionally used anesthetics. As xenon exerts its organ protective properties even in subanesthetic […]

Anesthetic and Obstetric Management of Syringomyelia During Labor and Delivery: A Case Series and Systematic Review

AUTHORS: Garvey, Gráinne Patricia MBChB, FRCA Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 913–924 BACKGROUND: Syringomyelia is a rare, slowly progressive neurological condition characterized by the presence of a syrinx within the spinal cord. Consensus regarding the safest mode of delivery and anesthetic management in patients with syringomyelia remains controversial and […]

Intraoperative “Analgesia Nociception Index”–Guided Fentanyl Administration During Sevoflurane Anesthesia in Lumbar Discectomy and Laminectomy: A Randomized Clinical Trial

AUTHORS: Upton, Henry D. MBBS, BMedSc (Hons) et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting […]

Falls From the O.R. or Procedure Table

AUTHORS: Prielipp, Richard C. MD, MBA, FCCM et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 846–851 Patient safety secured by constant vigilance remains a primary responsibility of every anesthesia professional. Although significant attention has been focused on patient falls occurring before and after surgery, a potentially catastrophic complication is […]

Cardiac Output Measurements Based on the Pulse Wave Transit Time and Thoracic Impedance Exhibit Limited Agreement With Thermodilution Method During Orthotopic Liver Transplantation

AUTHORS: Magliocca, Aurora MD et al Anesthesia & Analgesia: June 08, 2017 BACKGROUND: Orthotopic liver transplantation (OLT) is characterized by significant intraoperative hemodynamic variability. Accurate and real-time cardiac output (CO) monitoring aids clinical decision making during OLT. The purpose of this study is to compare accuracy, precision, and trending ability of CO estimation obtained noninvasively using […]

Readmissions to Different Hospitals After Common Surgical Procedures and Consequences for Implementation of Perioperative Surgical Home Programs

AUTHORS: Dexter, Franklin MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 943–951 BACKGROUND: We consider whether there should be greater priority of information sharing about postacute surgical resources used: (1) at skilled nursing facilities or inpatient rehabilitation hospitals to which patients are transferred upon discharge (when applicable) versus […]

Readmissions to Different Hospitals After Common Surgical Procedures and Consequences for Implementation of Perioperative Surgical Home Programs

Gender Inequality in Anesthesiology Less Than That Seen in Other Specialties

Female anesthesiologists face less gender bias than those in other fields of medicine, according to a recent study. Yet women still earn far less than their male counterparts and face significant career hurdles. Researchers at the Pennsylvania State University reviewed salary and male/female participation data from 15 medical specialties, including anesthesiology. The specialties were sorted […]

Post-Intubation ICU Hypotension Rates Higher Among Critically Ill Immunocompromised Patients

Researchers found higher rates of post-intubation hypotension (PIH) among critically ill patients who were immunocompromised compared with those who were not. The study, presented at the Society of Critical Care Medicine’s 2017 Critical Care Congress (abstract 1031), found that significant predictors of PIH were advanced age, higher illness severity, pre-intubation hemodynamic instability and prior use […]

Vibrating, Cold Device Enables Quick IV Insertion While Reducing Kids’ Pain in Emergency Room

A vibrating device, used with a cold pack, relieves a child’s pain while emergency department caregivers insert an intravenous (IV) catheter, equally as well as the currently used anesthetic, topical lidocaine. The device can be used quickly, unlike lidocaine, which requires 30 minutes to fully take effect. The findings are published early online ahead of […]