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Anesthesiology News The Frost Series #349 Written by: John C. Klick, MD; Theodore J. Cios, MD; Anita Malhotra, MD; and Shayne M. Roberts, DO Case Presentation A 54-year-old, 72-kg woman with severe idiopathic pulmonary arterial hypertension presented for emergent exploratory laparotomy for a perforated viscus. She was treated with oxygen via nasal cannula, a continuous […]
Read MoreAuthors: Alessandro Svelato et al BMC Anesthesiology volume 19, Article number: 54 (2019) Background Spinal epidural hematoma is a rare but serious complication of epidural anaesthesia and neurological impairment. Epidural hematoma usually becomes evident within a few hours of the procedure. Delayed clinical presentation of spinal epidural hematoma is even rarer and insidious. Case presentation We reported a case […]
Read MoreAuthors: S. Friedrich et al British Journal of Anesthesia June 2019 Volume 122, Issue 6, Pages e180–e188 Background Fentanyl is one of the most frequently administered intraoperative drugs and may increase the risk of postoperative respiratory complications (PRCs). Methods We performed a pre-specified analysis of 145 735 adult non-cardiac surgical cases under general anaesthesia. Using […]
Read MoreAuthors: Yana Seleznova et al BMC Anesthesiology volume 19, Article number: 51 (2019) Background Ultrasound guidance for central venous catheterization is a commonly used alternative to the conventional landmark method. Because from the German perspective, the cost-effectiveness of ultrasound guidance is unclear, this study examined the cost-effectiveness of ultrasound guidance versus the landmark method for adults undergoing a central […]
Read MoreAuthor: Karen Blum Anesthesiology News Many people think that most sepsis deaths could be preventable if hospitals were better at treating the condition, but that may not be the case (JAMA Open Network 2019 Feb 15). A records review of 568 adult patients who died in the hospital or were discharged to hospice in 2014-2015 from […]
Read MoreHospital Pediatrics May 2019, VOLUME 9 / ISSUE 5 AUTHORS: Juan P. Boriosi et al OBJECTIVES: Intranasal, intramuscular, and intravenous (IV) dexmedetomidine routes have been used successfully for pediatric MRI studies. We designed this retrospective study to determine efficacy and safety of buccal dexmedetomidine for pediatric MRI sedation. METHODS: Medical records were reviewed of outpatient children ages […]
Read MoreAnesthesiology News A small study has concluded that regular cannabis users may require as much as twice the level of sedation before a medical procedure, compared with those who abstain. The report, in the Journal of the American Osteopathic Association ([Epub Apr 15, 2019]. doi:10.7556/jaoa.2019.052), defined regular users as those who smoked or ingested edibles on a […]
Read MoreAnesthesiology News Michael Schatman, PhD, is the director of research and network development at Boston Pain Care, an adjunct clinical assistant professor of public health and community medicine at Tufts University, and the editor-in-chief of the Journal of Pain Research. Here he discusses pain medicine in the midst of the opioid crisis and the rise of medical marijuana. […]
Read MoreAuthors: Zhao-Ting Meng et al Plos July 1, 2019 Background Patients after total knee arthroplasty (TKA) often develop moderate to severe pain. This study compared the analgesic effect of low-dose epidural morphine vs. a comparable saline injection in patients following TKA surgery. Methods This randomized, double-blinded, and placebo-controlled trial was conducted in a tertiary hospital […]
Read MoreBy Rita Agrawal, MD Featured in Op-Med In 2015, healthy, happy 6-year-old Caleb Sears suffered a cardiac arrest in his oral surgeon’s office after receiving midazolam, ketamine, propofol, fentanyl, and nitrous oxide. He became apneic and later passed away. His devastated family could not understand how this tragedy had happened. They discovered that in California and […]
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