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Authors: Robert M. Kacmarek, Ph.D., R.R.T. et al Anesthesiology 12 2018, Vol.129, 1057-1059. “A small physiologic trial evaluate[d] the ability of titrated PEEP to prevent intraoperative atelectasis.” THE concept of lung-protective ventilation is well established in patients with acute lung injury and is now considered a fundamental approach when managing any patient under mechanical ventilation in […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 12 2018, Vol.129, 1121-1131. What We Already Know about This Topic: Neuraxial anesthesia use for hip fracture surgery has wide variation in use across hospitals, and hospitals using it for less than 25% of patients may have increased 30-day mortality The proportion of the variation in […]
Read MoreAuthors: Raphaël Cinotti, M.D., Ph.D. et al Anesthesiology 12 2018, Vol.129, 1111-1120. What We Already Know about This Topic: The authors developed a score for predicting the risk of postoperative complications What This Article Tells Us That Is New: The score was developed from 1,094 patients and validated in 830 patients from six French hospitals Severe […]
Read MoreAuthors: Justyna Bartoszko, M.D. et al Anesthesiology 12 2018, Vol.129, 1092-1100. What We Already Know about This Topic: Major bleeding can occur during cardiac surgery. Although different scoring systems exist, the assessment of bleeding can be variable, and the reliability of these scoring systems has not been determined. What This Article Tells Us That Is New: […]
Read MoreAuthors: Pranjal B. Gupta, B.E. et al Anesthesiology 12 2018, Vol.129, 1082-1091. What We Already Know about This Topic: A transfusion threshold of 8 g/dl of hemoglobin is considered safe for asymptomatic orthopedic surgery patients, but lower thresholds have not been tested What This Article Tells Us That Is New: A blood management program using a […]
Read MoreAuthors: Naveed Siddiqui, M.D., M.Sc et al Anesthesiology 12 2018, Vol.129, 1132-1139. What We Already Know about This Topic: Accurate identification of the cricothyroid membrane is key for success of emergency cricothyrotomy Ultrasound has been reported to identify the cricothyroid membrane more accurately than external palpation in patients with normal neck anatomy What This Article Tells […]
Read MoreAuthors: Sérgio M. Pereira, M.D. et al Anesthesiology 12 2018, Vol.129, 1070-1081. What We Already Know about This Topic: In patients with adult respiratory distress syndrome, physiologic tidal volume and positive end-expiratory pressure (PEEP) are protective In patients without lung diseases undergoing mechanical ventilation under general anesthesia, optimal PEEP is unknown What This Article Tells Us […]
Read MoreAuthors: Alexandre Joosten, M.D. et al Anesthesiology November 9, 2018. What We Already Know about This Topic: Balanced hydroxyethyl starch solution, as part of intraoperative goal-directed fluid therapy, is associated with better short-term outcomes than administration of a balanced crystalloid solution in patients having major open abdominal surgery The safety of modern hydroxyethyl starch solutions remains […]
Read MoreAuthors: Mathieu Béland, M.D., F.R.C.P.C. Anesthesiology November 8, 2018. FRACTURE/EMBOLIZATION is a rare complication of arterial cannulas for continuous hemodynamic monitoring during general anesthesia.1 While endovascular retrieval of embolized material is not a new technique, management of broken arterial cannulas has only been described as surgical, in total or partially. However, complete endovascular treatment can be successfully […]
Read MoreAuthors: Ashish K. Khanna, M.D., F.C.C.P., F.C.C.M. et al Anesthesiology 12 2018, Vol.129, 1101-1110. What We Already Know about This Topic: Use of beta (β) blockers in the perioperative period is associated with reduced incidence of postoperative atrial fibrillation In chronic β-blocker users, optimal timing for β-blocker resumption in the postoperative setting is unclear What This […]
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