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By USHA LEE MCFARLING Like many transplant surgeons, Dr. Jeffrey Veale got frustrated seeing so many of his patients die while waiting for a donor kidney. So he decided to do something about it: recycle. Since last year, the UCLA surgeon has transplanted three “regifted” kidneys from previous transplant recipients who died with their donated kidneys […]
Read MorePostoperative patients with the highest delirium severity experienced the greatest rate of cognitive decline, with a dose-response relationship between delirium severity and long-term cognitive decline, according to a study published in the Journal of Alzheimer’s Disease. “Although the short-term adverse effects of delirium are well-recognised, our results underscore important implications for longer-term prognosis,” said Sarinnapha […]
Read MoreIntranasal ketamine causes more minor side effects, such as dizziness, than intranasal fentanyl used as analgesia for children with assumed single-extremity fractures, according to researchers. The double-blind, randomized controlled trial (Acad Emerg Med 2017 Sep 19. [Epub ahead of print], doi:10.1111/acem.13313) in 82 children found that while pain relief was similar at 20 minutes between […]
Read MoreA modified ultrasound-guided proximal intercostal block in women undergoing breast surgery offers sonoanatomic and technical advantages over the traditional ultrasound-guided paravertebral block, without compromising pain-related outcomes, an analysis has found. The simple addition of ultrasound guidance to traditional thoracic paravertebral blockade does not necessarily provide both safety and technical ease. “Our findings demonstrate that the proximal intercostal […]
Read MoreAUTHORS: Miyamoto, Yoshihisa, MD, MPH et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 806–814 BACKGROUND: Steroids reduce postoperative complications after tonsillectomy such as nausea and vomiting, pain, and delayed recovery. However, steroids may also increase the risk of severe posttonsillectomy bleeding requiring reoperation. METHODS: To evaluate the risk of postoperative bleeding […]
Read MoreAUTHORS: Xie, Jianfeng, MD et al Anesthesia & Analgesia: November 2017 BACKGROUND: Remote ischemic preconditioning (RIPC) has been demonstrated to prevent organ dysfunction in cardiac surgery patients. However, recent large, prospective, multicenter, randomized controlled trials (RCTs) had controversial results. Thus, a meta-analysis of RCTs was performed to investigate whether RIPC can reduce the incidence of acute myocardial […]
Read MoreThe Pharmaceutical Journal April 2018 Researchers found that 57.7% of patients given amisulpride at induction of inhaled general anaesthetic did not require postoperative rescue medication compared with 46.6% of those assigned to placebo Dopamine antagonists were used in the past for managing postoperative nausea and vomiting (PONV). However, their use for this purpose has declined […]
Read MorePioneering surgery on Jay Crouch at Birmingham hospital allows him to eat for first time Author: Kevin Rawlinson Jay Crouch received two kidneys, a pancreas, liver and bowel during a single 10-hour operation. A seven-year-old boy has become the first child to undergo a five-organ transplant in a single operation. Jay Crouch, who has a […]
Read MoreAUTHORS: Kawakami, Hiromasa, MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2072–2080 BACKGROUND: Caudal anesthesia has been used for postoperative pain control in pediatric surgical patients, but the duration of the analgesic effect is occasionally unsatisfactory. Intravenous steroids have been shown to be effective for postsurgical pain management after […]
Read MoreAUTHORS: Smith, Mark, M., MD et al Anesthesia & Analgesia: November 22, 2017 BACKGROUND: Selective serotonin reuptake inhibitor (SSRI) and serotonin–norepinephrine reuptake inhibitor (SNRI) use is known to alter platelet activation and aggregation leading to impairment in hemostasis. Previous studies are ambiguous with regard to bleeding, transfusion, and perioperative complications in patients undergoing cardiac surgery. The purpose […]
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