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Author: Rebecca M. Gerlach, MD Cardiac surgery without neuromuscular blockade is safe and feasible under the right conditions, a study has found. “Although there have been many studies in the recent literature looking at complications associated with residual neuromuscular blockade after anesthesia in noncardiac surgery, we realized that nobody has looked at this issue in […]
Read MoreThe mean sedation scores were statistically significant in favor of the diphenhydramine group as judged by a physician and nurse. For patients using chronic opioids, use of diphenhydramine in addition to conventional sedatives appears to decrease pain and is associated with improved sedation during colonoscopy, according to a study presented at the World Congress of […]
Read MoreAlthough documented as an effective analgesic technique for major knee surgeries, the adductor canal block provides only minor analgesic benefit after ambulatory arthroscopic knee surgery, a study has concluded. In addition, a systematic review and meta-analysis found that the role of the block in anterior cruciate ligament (ACL) reconstruction also may be limited. “Adductor canal […]
Read MoreIn patients undergoing total joint arthroplasty who are already receiving multimodal analgesia, there may be added benefit to incorporating intrathecal morphine. According to a recent retrospective study, the addition of intrathecal morphine to a multimodal analgesic regimen improved analgesia after surgery and reduced postoperative opioid consumption and postoperative nausea and vomiting (PONV). “These data suggest […]
Read MoreAUTHORS: Koster, Andreas et al Anesthesia & Analgesia: October 19, 2017 BACKGROUND: The impact of red blood cell (RBC) transfusion on long-term clinical outcome is controversial. METHODS: We prospectively recorded follow-up data of 6124 cardiac surgical patients who received no transfusion (RBC− group) or 1–2 units of leukocyte-depleted RBC (RBC+ group) at our institution. The primary end point […]
Read MoreAmid an opioid crisis that is claiming tens of thousands of lives each year, the U.S. surgeon general on Thursday urged Americans to start carrying a drug that reverses overdoses. It marks the first time in 13 years that the nation’s top doctor has issued a public health advisory. Speaking at the National Rx Drug […]
Read MoreBritish Journal of Anesthesia March 18 Authors: S.M. Weinstein et al Background Postoperative delirium continues to pose major clinical difficulties. While unmodifiable factors (e.g. age and comorbidity burden) are commonly studied risk factors for delirium, the role of modifiable factors, such as anaesthesia type and commonly used perioperative medications, remains understudied. This study aims to […]
Read MoreAuthors: Xu, Bo MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1907–1910 To investigate the influence of age on sensitivity to dexmedetomidine sedation in adult patients, we selected 79 patients scheduled for lower limb orthopedic surgery under spinal anesthesia to identify the dexmedetomidine ED50 for adequate sedation among different […]
Read MoreASA Monitor 4 2018, Vol.82, 43. Which of the following has a greater likelihood of being present in a child with laryngotracheobronchitis (croup) than in a child with epiglottitis? Croup is a viral illness most commonly attributed to the following infectious agents: Croup, the most common infectious cause of stridor in children, generally begins as an upper-respiratory tract […]
Read MoreAuthors: Satoshi Suzuki, M.D., Ph.D. et al Anesthesiology March 2018. Background: Intraoperative oxygen management is poorly understood. It was hypothesized that potentially preventable hyperoxemia and substantial oxygen exposure would be common during general anesthesia. Methods: A multicenter, cross-sectional study was conducted to describe current ventilator management, particularly oxygen management, during general anesthesia in Japan. All adult patients (16 […]
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