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Author: Chase Doyle Anesthesiology News A study comparing the opioid-sparing effects of dexmedetomidine and ketamine has demonstrated similar intraoperative analgesic effects when used as part of a multimodal approach in minimally invasive thoracic surgery. In patients undergoing minimally invasive lung lobectomy, the retrospective analysis found comparable intraoperative opioid requirements and hemodynamic parameters. Although differences in […]
Read MoreBy Denise Baez Electroencephalography (EEG)-guided anaesthetic administration does not decrease the incidence of postoperative delirium in older patients undergoing major surgery, according to a study published in JAMA. “In this randomised study involving 1,232 patients aged 60 years and older undergoing major surgery, postoperative delirium occurred in 26.0% of the EEG-guided anaesthetic group and in 23.0% […]
Read MoreAuthor: Michael Vlessides Anesthesiology News A comprehensive study has yielded potentially alarming findings regarding the ease with which the hepatitis C virus (HCV) can be transferred from sterile needles and syringes into medication vials if the diaphragm is already contaminated. The study also found that common vial-cleaning practices are not enough to eliminate HCV infectivity. […]
Read MoreAUTHORS: Grabitz, Stephanie D., MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1129–1136 BACKGROUND: Postoperative residual neuromuscular blockade continues to be a frequent occurrence with a reported incidence rate of up to 64%. However, the effect of postoperative residual neuromuscular blockade on health care utilization remains unclear. We […]
Read MoreBy Ed Susman Almost half the women treated with uterine artery embolization to reduce the size of fibroids required no perioperative pain medication when interventional radiologists employed radial artery access and superior hypogastric nerve block, according to a study presented here at the 2019 Annual International Symposium on Endovascular Therapy (ISET). Of the 102 women […]
Read MoreBy Rachel Nall, MSN, CRNA Medical News Today Potassium deficiency can occur if a person does not get enough potassium from their diet or loses too much potassium through prolonged diarrhea or vomiting. The symptoms depend on the severity of the deficiency but can include high blood pressure, constipation, kidney problems, muscle weakness, fatigue, and […]
Read MoreAuthor: Chase Doyle Anesthesiology News Although patients frequently experience cessation of breathing in the postoperative setting, these apneas seldom lead to sustained low minute ventilation over clinically relevant time scales, a study has concluded. Data collected from noninvasive respiratory volume monitors in the PACU and on the general floor have shown that compensatory breaths following […]
Read MoreAnesthesiology News Frost Series #346 Written by: Arne O. Budde, MD Case Presentation A 57-year-old man was brought to the emergency department by emergency medical technicians after a motor vehicle accident. The patient had sustained head and facial trauma. His Glasgow Coma Scale score at the scene of the accident was 7. Two attempts to […]
Read MoreAuthor: Caroline Helwick Anesthesiology News General endotracheal anesthesia may be preferred over sedation with propofol in patients undergoing endoscopic retrograde cholangiopancreatography who are considered at high risk for adverse events from sedation, according to investigators from Washington University School of Medicine in St. Louis. “In this first prospective randomized trial comparing general endotracheal anesthesia with […]
Read MoreAuthor: Marie Rosenthal MS Anesthesiology News A recent meta-analysis indicates that the use of benzodiazepines and benzodiazepine-related drugs (BZRDs) could increase the risk for community-acquired pneumonia (Int J Geriatr Psychiatry 2019 Jan 8. doi: 10.1002/gps.5048. [Epub ahead of print]). The researchers analyzed 12 reports related to 10 studies that involved more than 120,000 cases of pneumonia […]
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