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Authors: Al-Ashqar M et al Annals of the Royal College of Surgeons of England 1-5 (Jun 2018) Introduction The ‘weekend effect’ is said to occur when patient outcomes are adversely affected by the day of the week on which they present to hospital or have surgery. However, it is uncertain whether such a phenomenon exists […]
Read MoreThe passive leg raise (PLR) results in fewer attempts at intravenous (IV) access than no leg raise in paediatric patients, according to a study presented here at the 2018 Annual Meeting of the Canadian Anesthesiologists Society (CAS). “Obtaining IV access can be a challenge in the paediatric setting,” explained Patrick Valcke, MD, University of Saskatchewan, […]
Read MoreFrost Series #339 Written by: David Kaplan, MD, and Dmitri Bezinover, MD Reviewed by: Sonia Vaida, MD Since Thomas Starzl, MD, PhD, performed the first successful liver transplant in 1967, optimal intraoperative hemodynamic monitoring has been debated. In the early years, transesophageal echocardiography (TEE) was reserved primarily for patients undergoing cardiac surgery, but is increasingly […]
Read MoreAuthors: Lizaur-Utrilla A et al International Orthopaedics (May 2018) PURPOSE The purposes of this study were to identify the reasons for delayed surgery following hip fractures and analyze the impact of these reasons on 1-year mortality. METHODS A prospective cohort study of 1234 patients with mean age of 83.1 (range 65-92, SD 8.0) who underwent […]
Read MoreAuthors: Wang P et al. Gut 2018 May 18 Postprocedure infections are not unusual after colonoscopy or esophagogastroduodenoscopy. Although concerns have been raised regarding bleeding and perforation with endoscopic procedures, little attention has been given to the risk for infection after colonoscopy and esophagogastroduodenoscopy (EGD). To estimate the rate of infections following these procedures, researchers analyzed […]
Read MoreAuthors: Jonathan P. Wanderer et al Anesthesiology 9 2018, Vol.129, A19. Complex Information for Anesthesiologists Presented Quickly and Clearly A. fib = atrial fibrillation; CABG = coronary artery bypass graft; MAP = mean arterial pressure; OR = odds ratio. Infographic created by Jonathan P. Wanderer, Vanderbilt University Medical Center, and James P. Rathmell, Brigham and Women’s […]
Read MoreThe incidence rate of major adverse cardiac events (MACEs) after electroconvulsive therapy (ECT)—still commonly used in cases of intractable psychiatric disorders—has been unclear. A new meta-analysis, however, has found that such events occur after ECT in as many as one in 50 patients and after approximately one in 500 treatments. “Evidence indicates that ECT use […]
Read MoreAlthough the risk factors for hypoxemia in obese patients undergoing general anesthesia are well known, the risk is less clear when it comes to monitored anesthesia care (MAC). Yet, as a study by a team of NYU Langone Medical Center researchers has shown, the relationship is the same under MAC anesthesia, with the incidence of […]
Read MoreAuthors: Marco Rispoli, M.D. et al Anesthesiology 10 2018, Vol.129, 853-854. “Have you ever wondered what coffee is? Coffee is just an excuse. An excuse to tell a friend that you love him.” —Edoardo De Crescenzo This quote from Edoardo De Crescenzo, a famous Neapolitan writer, director, and actor, explains one important truth: in Naples, coffee […]
Read MoreThe use of transnasal sphenopalatine ganglion(SPG) block is safe and effective for providing short-term relief from acute migraine headaches, according to a study in Pain Research and Treatment. Investigators retrospectively evaluated outcomes in 55 patients treated at a university medical center for migraine headache with bilateral transnasal SPG blocks during a 6-month period. The percentage of patients who were […]
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