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Authors: László Asztalos, M.D. et al Anesthesiology 9 2017, Vol.127, 441-449. Background: Rocuronium-induced neuromuscular block that spontaneously recovered to a train-of-four count of four can be reversed with sugammadex 0.5 or 1.0 mg/kg. We investigated whether these doses of sugammadex can also reverse vecuronium at a similar level of block. Methods: Sixty-five patients were randomly assigned, and 64 were […]
Read MoreBy SEAN FOX MD Respiratory illness, sepsis, and trauma are three important entities afflicting children that may lead to needing to manage a child’s airway. Airway management in the ED is a complex interplay of patient factors, clinical illness status, and provider factors that, through our thorough training we become proficient at navigating. We have discussed many airway concepts previously (ex, ETT Depth, Cuffed ETTs, Apneic […]
Read MoreAuthors: Min-Ching Kuo, Ph.D. et al Anesthesiology 11 2017, Vol.127, 838-851. Background: Previous studies showed that synaptic transmission is affected by general anesthetics, but an anesthetic dose response in freely moving animals has not been done. The hippocampus provides a neural network for the evaluation of isoflurane and pentobarbital on multisynaptic transmission that is relevant to memory […]
Read MoreThe Heart of the Matter: Finding Meaning in Medicine and Discovering How Compassionate Doctors Can Save Physicians are expected to improve or save the lives of their patients, yet a growing number of physicians are struggling to enhance their own lives. It is estimated that 400 U.S. physicians a year commit suicide and thousands of others struggle […]
Read MoreAUTHORS: Hu, Sally MSc et al Anesthesia & Analgesia: June 22, 2017 BACKGROUND: Narcolepsy is a rare sleep disorder characterized by excessive daytime sleepiness, sleep paralysis, and/or hypnagogic/hypnopompic hallucinations, and in some cases cataplexy. The response to anesthetic medications and possible interactions in narcolepsy patients is unclear in the perioperative period. In this systematic review, we […]
Read MoreAbstract presented at the American College of Surgeons 103rd Annual Clinical Congress, Scientific Forum, San Diego, CA, October 2017. Authors: Troy A. Markel, MD, FACS et al Background The effectiveness of operating room headgear in preventing airborne contamination has been called into question. We hypothesized that bouffant style hats would be as effective in preventing bacterial […]
Read MoreGovernment officials grappling with the nationwide opioid crisis, from the sandy beaches of Florida to the far reaches of the Alaskan frontier, have filed lawsuits against drug companies at a steady clip this year. These suits seek to hold manufacturers and distributors financially responsible for the strain on public services that drug addiction has caused. Now […]
Read MoreThe use of a continuous transversus abdominis blockade (TAP) produced a significant decrease in opioid consumption, for a specific time interval, after open nephrectomy, according to research presented here at the 2017 Annual Meeting of the Canadian Anesthesiologists Society (CAS). “The removal of a kidney is a big operation,” said Saifee Rashiq, MD, University Hospitals […]
Read MoreThe Ambu AuraGain produces higher oropharyngeal leak pressure (OLP) than the LMA Supreme in patients undergoing general anaesthesia for various surgeries, according to a study presented here at the 2017 Annual Meeting of the Canadian Anesthesiologists Society (CAS). OLP represents the airway pressure at which gas leaks back around the supraglottic airway cuff, explained Amélie […]
Read MoreDexmedetomidine is a viable option for upper-limb blocks in patients undergoing surgery, according to a study presented here at the 2017 Annual Meeting of the Canadian Anesthesiologists Society (CAS). “The use of dexmedetomidine will make the block last longer [compared to propofol],” said Angela Builes, MD, Western University/London Health Sciences Center, London, Ontario, on June […]
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