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Authors: Sang Le, M.D. et al Anesthesiology January 2019. Tracheal foreign bodies are common pediatric airway emergencies. Delays in diagnosis can lead to threatening airway complications. However, diagnosis is challenging, given that up to 52% of patients can have normal chest x-rays.1 Compared with seeds and nuts, a closed catheter suction system as a tracheal foreign […]
Read MoreResults of the ICU Liberation Collaborative in Over 15,000 Adults Authors: Pun, Brenda T., DNP, RN, FCCM et al Critical Care Medicine: January 2019 – Volume 47 – Issue 1 – p 3–14 Objective: Decades-old, common ICU practices including deep sedation, immobilization, and limited family access are being challenged. We endeavoured to evaluate the relationship between ABCDEF […]
Read MoreI wanted to share with our readers however it has nothing to do with anesthesia. Author: David Leffler Washington Post January 23 Pushed to the brink by mounting debt, compassion fatigue and social media attacks from angry pet owners, veterinarians are committing suicide at rates higher than the general population, often killing themselves with drugs […]
Read MoreAuthor: Erin Daksha-Talati Paquette MD, JD Scientific American Jan 19 It’s the leading cause of preventable death worldwide; migrant children are especially vulnerable; and time is of the essence in treating it The death of seven-year-old Jakelin Amei Rosmery Caal Maquin in December, shortly after she was taken into custody by Customs and Border Patrol has sparked outrage […]
Read MoreAuthor: Casey Ross Stat Feb 2019 Spurred by the opioid crisis, a once marginalized therapy that relies on electrical stimulation to treat chronic pain is undergoing a renaissance as device makers race to upgrade their products for a wider population of patients. The companies believe the therapy, known as neuromodulation, can reduce reliance on opioid […]
Read MoreBy Amy Orciari Herman Intensive blood pressure (BP) control in older adults does not lower the risk for dementia, but it does appear to prevent mild cognitive impairment — a precursor to dementia — according to an analysis from the SPRINT trial published in JAMA. Over 9000 adults aged 50 and older with systolic BP between […]
Read MoreAuthors: Leon Vorobeichik, M.D. et al Anesthesiology published on January 22, 2019. After an uneventful total knee arthroplasty under spinal anesthesia and ultrasound-guided continuous adductor canal block, the absence of distal pulses was noted in the operative leg. An arterial duplex scan (top image, panel A) demonstrated a femoral artery dissection flap (thin arrow) with a […]
Read MoreAuthors: MiHye Park, M.D. et al Anesthesiology 3 2019, Vol.130, 385-393. What We Already Know about This Topic: Driving pressure (plateau minus end-expiratory airway pressure) is a target in patients with acute respiratory distress syndrome, and is proposed as a target during general anesthesia for patients with normal lungs. It has not been reported for thoracic […]
Read MoreAuthor: Ajai Raj Anesthesiology News The addition of clonidine and dexamethasone to paravertebral block (PVB) in cancer patients undergoing complex breast surgery resulted in “greater decreases in both opioid and antiemetic use” compared with PVB alone, according to preliminary findings. Researchers from Memorial Sloan Kettering Cancer Center’s (MSKCC’s) Josie Robertson Surgery Center presented a retrospective […]
Read MoreAuthor: Michael Vlessides Anesthesiology News A retrospective study at a rural community hospital has found a low incidence of airway complications when anesthesiologist-based teams administer sedation during gastrointestinal procedures. Nevertheless, their complication rate was markedly higher than that reported by nonanesthesiologists who perform similar procedures at other institutions, prompting the investigators to question why such […]
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