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Percutaneous nephrolithotomy to remove large kidney stones may be minimally invasive, but the pain that typically follows is anything but minimal. According to a recent study, however, the use of a paravertebral block could be an effective strategy for pain reduction in patients undergoing this procedure. In the first randomized, double-blind, placebo-controlled trial investigating the use of paravertebral block […]
Read MoreThomas C. Mort, MD Senior Anesthesiologist Associate Director, Surgical ICU Hartford Hospital Associate Professor of Anesthesiology & Surgery University of Connecticut School of Medicine Farmington, Connecticut Ann-Marie Surette, MD Senior Anesthesiology Resident University of Connecticut Training Program Farmington, Connecticut Over a 23-year period, the Hartford Hospital Department of Anesthesiology Airway Management Quality Improvement Database has […]
Read MoreAUTHORS: Widmann Gerlig MD et al Anesthesia & Analgesia: August, 2017 BACKGROUND: In light of the increasing number of radiologic interventions performed under general anesthesia, the effects of contrast media (CM) on circulation and organ perfusion are of paramount importance. The objectives of this study were to systematically quantify effects on blood pressure, heart rate, and […]
Read MoreAUTHORS: Kim Minjae MD MS et al Anesthesia & Analgesia: August, 2017 BACKGROUND: Preoperative risk stratification is a critical element in assessing the risks and benefits of surgery. Prior work has demonstrated that intra-abdominal general surgery patients can be classified based on their comorbidities and risk factors using latent class analysis (LCA), a model-based clustering technique […]
Read MoreThe error rates in administering anesthesia drugs are “markedly higher” than retrospective, self-reported surveys indicate, and many of them could be prevented with simple solutions, according to investigators from several prominent Boston institutions. In a lecture entitled “Drug Errors: Challenges and Opportunities in Anesthesia,” presented at the 2017 meeting of the Society for Pediatric Anesthesia/American […]
Read MoreAuthor Fran D’Ercole, MD Professor of Anesthesiology University of North Carolina at Chapel Hill School of Medicine Chapel Hill, North Carolina Management of the Unanticipated Difficult Airway The focus of this article is on methods to better understand the variables and triggers involved in the management of the unanticipated difficult airway that defaults to an emergency surgical airway. As a […]
Read MoreAUTHORS: Rousseau-Saine Nicolas MD et al Anesthesia & Analgesia: August, 2017 BACKGROUND: Total knee arthroplasty (TKA) reduces knee extensor muscle strength (KES) in the operated limb for several months after the surgery. Immediately after TKA, compared to either inguinal femoral nerve block or placebo, adductor canal block (ACB) better preserves KES. Whether this short-term increase in […]
Read MoreAUTHORS: du Toit et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 190–195 BACKGROUND: Perioperative hypothermia may affect maternal and neonatal outcomes after obstetric spinal anesthesia. Core temperature is often poorly monitored during spinal anesthesia, due to the lack of an accurate noninvasive core temperature monitor. The aim of this study […]
Read MoreAuthors: Leslie Kociemba, M.P.H.; Matthew T. Popovich, Ph.D. ASA Monitor 01 2018, Vol.82, 52-53. On November 2, The Centers for Medicare & Medicaid Services (CMS) published its “CY 2018 Updates to the Quality Payment Program Final Rule with Comment” as well as an Interim Final Rule for “Extreme and Uncontrollable Circumstance Policy for the Transition Year”. Updates to […]
Read MoreAuthors: Lainie Rutkow, J.D., Ph.D., M.P.H., and Jon S. Vernick, J.D., M.P.H. N Engl J Med 2017; 377:2512-2514 December 28, 2017 Opioid-overdose deaths in the United States have steadily increased for the past 15 years, with more than 33,000 such deaths reported in 2015. The epidemic is unfolding on two fronts: use of prescription opioid pain […]
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