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AUTHORS: Muffly, Matthew, K., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 568–578 BACKGROUND: A workforce analysis was conducted to predict whether the projected future supply of pediatric anesthesiologists is balanced with the requirements of the inpatient pediatric population. The specific aims of our analysis were to (1) project […]
Read MoreAUTHORS: Patel, Selina, D., BMedSci, MBBS, FRCA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 552–558 BACKGROUND: The objective of this meta-analysis was to determine the efficacy of glycopyrrolate at reducing spinal hypotension during cesarean delivery. METHODS: A literature search was performed to identify randomized controlled trials investigating the effect of […]
Read MoreAUTHORS: Krohg, Anders, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 559–565 BACKGROUND: Landmark and ultrasound-guided transversus abdominis plane blocks have demonstrated an opioid-sparing effect postoperatively after cesarean delivery. The more posterior quadratus lumborum (QL) might provide superior local anesthetic spread to the thoracolumbar fascia and paravertebral space. The […]
Read MoreAUTHORS: Wilson, Sylvia, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 545–551 BACKGROUND: Lumbar epidurals (LEs) provide excellent analgesia. Combined spinal epidural and dural puncture epidural (DPE) are 2 techniques to expedite neuraxial analgesia onset. In DPE, dura is punctured but medication is not administered in the cerebrospinal […]
Read MoreAUTHORS: Philip, John, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 537–544 BACKGROUND: The purpose of this prospective, randomized, controlled trial was to determine whether multiple ports improve the analgesic efficacy of wire-reinforced flexible catheters used for labor epidural analgesia (LEA). METHODS: Six hundred fifty laboring patients were randomized to […]
Read MoreAuthors: A. Pawa et al Anaesthesia Volume 73 Issue 4 April 2018 pages 438-443 Summary Avoidance of general anaesthesia for breast surgery may be because of clinical reasons or patient choice. There is emerging evidence that the use of regional anaesthesia and the avoidance of volatile anaesthetics and opioid analgesia may have beneficial effects on oncological […]
Read MoreAuthors: Philip M Jones, MD, MSc et al JAMA. 2018;319(2):143-153. Key Points Question Is there an association between complete intraoperative handover of anesthesia care and adverse postoperative outcomes? Findings In this retrospective cohort study that included 313 066 adults undergoing major surgery, complete intraoperative handover of anesthesia care compared with no handover was significantly associated with a higher risk […]
Read MoreAUTHORS: Brogly, Nicolas, MD, PhD, DESAR, DESA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 532–536 BACKGROUND: The best technique to identify the epidural space for labor analgesia is still unclear despite the publication of various randomized controlled studies and meta-analyses. Our aim was to assess the superiority of the […]
Read MoreAUTHORS: Kawano-Dourado, Leticia, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 513–521 BACKGROUND: To assess whether use of low-chloride solutions in unselected critically ill or perioperative adult patients for maintenance or resuscitation reduces mortality and renal replacement therapy (RRT) use when compared to high-chloride fluids. METHODS: Systematic review and meta-analysis […]
Read MoreAUTHORS: Ladha, Karim, S., MD, MSc et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 503–512 BACKGROUND: The purpose of this study was to determine whether significant variation exists in the use of protective ventilation across individual anesthesia providers and whether this difference can be explained by patient, procedure, and provider-related […]
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