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Author: Warwick D. Ngan Kee, M.D., F.A.N.Z.C.A., F.H.K.A.M. Anesthesiology 12 2017, Vol.127, 934-941. Background: Norepinephrine has been investigated as a potential alterative to phenylephrine for maintaining blood pressure during spinal anesthesia for cesarean delivery with the advantage of less depression of maternal heart rate and cardiac output. However, the relative potencies of these two vasopressors have not […]
Read MoreAuthors: Christian Breschan, M.D., D.E.A.A. et al Anesthesiology 1 2018, Vol.128, 38-43. Background: The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in preterm infants. Methods: The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the […]
Read MoreAn alarming new study suggests that the emphasis on reducing hospital 30-day readmissions has inadvertently led to increased risk of death for Medicare patients hospitalized with heart failure. Gregg C. Fonarow, MD As many as 10,000 heart failure patients could die prematurely each year because of misguided efforts that keep them out of the hospital […]
Read MoreAUTHORS: Conway, Aaron et al European Journal of Anaesthesiology (EJA): December 2017 – Volume 34 – Issue 12 – p 808–813 BACKGROUND The association between the quality of evidence in systematic reviews and authors’ conclusions regarding the effectiveness of interventions relevant to anaesthesia has not been examined. OBJECTIVE The objectives of this study were: to determine the proportion […]
Read MoreAUTHORS: Kuza, Catherine M. MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1960–1966 BACKGROUND: The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few […]
Read MoreAuthors: George Molina, MD, MPH eet al JAMA. 2015;314(21):2263-2270. doi:10.1001/jama.2015.15553 Importance Based on older analyses, the World Health Organization (WHO) recommends that cesarean delivery rates should not exceed 10 to 15 per 100 live births to optimize maternal and neonatal outcomes. Objectives To estimate the contemporary relationship between national levels of cesarean delivery and maternal and neonatal mortality. Design, Setting, […]
Read MoreBy Alexandria Bachert MPH Noninvasive testing modalities could benefit high-risk patients Patients with inflammatory bowel disease (IBD) had more complications requiring hospitalization or emergency department (ED) care after colonoscopy than patients without IBD, according to researchers here. In an analysis of 2014 all-payer administrative claims data, the 7-day all-cause unplanned visit rate was 1.6 higher for […]
Read MoreBy LEAH SAMUEL Wartime medicine is an incredibly challenging setting for the doctors, nurses, and paramedics who practice it: Not only are the injuries frequently serious ones, but the tools at hand are often more limited than in a traditional hospital. Over the centuries, that has meant that battlefield medical personnel have had to innovate. Those […]
Read MoreBy Nicole Lou Stricter approach deemed noninferior to liberal strategy in cardiac surgery Being stricter on red-cell transfusion during cardiac surgery can save surgical departments valuable blood products without increasing risk for patients, a 5,000-person randomized trial showed. Only if hemoglobin concentrations fell under 7.5 g/dL did patients get intraoperative and postoperative transfusion in a restrictive […]
Read MoreAuthors: M Jaensson et al BJA: British Journal of Anaesthesia, Volume 119, Issue 5, 1 November 2017, Pages 1030–1038, Background Many patients undergoing anaesthesia and surgery experience postoperative complications. Our aim was to investigate whether a systematic follow-up smartphone-based assessment, using recovery assessment by phone points (RAPP) compared with standard care, had a positive effect on […]
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