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Author: Thomas Rosenthal Anesthesiology News Diaphragm atrophy that develops while patients are mechanically ventilated is specifically associated with increased risks for reintubation, tracheostomy and prolonged ventilation, according to new research. “The central finding of this study is that the progressive development of diaphragm atrophy during mechanical ventilation is associated with pro longed mechanical ventilation and […]
Read MoreAUTHORS: Abdelaal Ahmed Mahmoud, Ahmed, MD, FCAI et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1434–1439 BACKGROUND: Postdural puncture headache (PDPH) lacks a standard evidence-based treatment. A patient treated with neostigmine for severe PDPH prompted this study. METHODS: This randomized, controlled, double-blind study compared neostigmine and atropine (n = 41) […]
Read MoreAUTHORS: Kim, Hyerim, MD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1421–1426 BACKGROUND: For safe nasotracheal intubation without middle turbinate injury, the tracheal tube should pass through the lower pathway, which is beneath the inferior turbinate and immediately above the nasal floor of the nostril. The purpose of […]
Read MoreAUTHORS: You-Ten, Kong Eric, MD, PhD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1377–1382 BACKGROUND: Ultrasonography can accurately identify the cricothyroid membrane; however, its impact on the subsequent accuracy of external palpation is not known. In this study, we tested the ability of anesthesia participants to identify the […]
Read MoreWritten by Angie Stewart Anesthesiology accounts for the largest portion of all out-of-network claims associated with an in-network admission, according to a report from the Health Care Cost Institute. The report examined nearly 620,000 in-network inpatient admissions and all associated professional claims across 37 states and Washington, D.C., in 2016. It identified all out-of-network professional claims […]
Read MoreAUTHORS: Villa, Gianluca, MD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1367–1374 BACKGROUND: Peripheral venous cannulation is an everyday practice of care for patients undergoing anesthesia and surgery. Particles infused with intravenous fluids (eg, plastic/glass/drugs particulate) contribute to the pathogenesis of peripheral phlebitis. The aim of this study […]
Read MoreAUTHORS: Messina, Antonio, PhD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1353–1364 BACKGROUND: Assessing the volemic status of patients undergoing surgery is part of the routine management for the anesthesiologist. This assessment is commonly performed by means of dynamic indexes based on the cardiopulmonary interaction during mechanical ventilation […]
Read MoreAUTHORS: Tassonyi, Edömér, MD, PhD, DSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1344–1350 BACKGROUND: Certain surgical interventions may require a deep neuromuscular block (NMB). Reversal of such a block before tracheal extubation is challenging. Because anticholinesterases are ineffective in deep block, sugammadex 4 mg/kg has been recommended […]
Read MoreAUTHORS: Schacham, Yehoshua N., MD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1335–1341 BACKGROUND: We tested the primary hypothesis that final intraoperative esophageal temperature is associated with increased odds of a composite of in-hospital all-cause mortality and myocardial injury within 7 days after noncardiac surgery. Secondary exposures were […]
Read MoreBy JONATHAN DREW Associated Press A pioneering use of drones to fly blood samples across a North Carolina hospital campus launched Tuesday in the latest move to expand their roles in business and health care. The short trips between WakeMed buildings in Raleigh mark the first time the Federal Aviation Administration has allowed regular commercial […]
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