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By Kelly Young Cannabis use during pregnancy has increased in recent years, suggests a study of Northern California women that was published in JAMA Network Open. During 367,000 pregnancies, women answered questionnaires at roughly 8 weeks’ gestation and self-reported their cannabis use before and during their pregnancy. From 2009 to 2017, the prevalence of reported cannabis […]
Read MoreAuthors: Walsh B et a; Paediatric Anaesthesia (May 2019) BACKGROUND Emergency front of neck airway is a recommended airway rescue strategy in children over one year old. Surgical tracheostomy is advocated as the first line technique, but in the absence of an ear, nose and throat surgeon cricothyroidotomy or tracheostomy are proposed. Recent research shows […]
Read MoreAssociated Press Overdose death rates, which had been higher in rural regions, shift back U.S. drug overdose deaths, which have been concentrated in Appalachia and other rural areas for more than a dozen years, are back to being most common in big cities again, according to a government report issued Friday. The report by the […]
Read MoreAUTHORS: Görges, Matthias PhD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on blood glucose and serum potassium concentrations, which are relevant due to the associations […]
Read MoreAUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: April 2019 BACKGROUND: Anesthesia providers’ hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods (induction and extubation) of anesthesia care. A novel approach to reducing […]
Read MoreAUTHORS: Vinclair, Marc MD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Pupillary reflex dilation is a reliable indicator of response to noxious stimulation. In a proof of concept study, we investigated the performance of pupillary pain index, a new score derived from pupillary reflex dilation measurements, to predict nociceptive response to endotracheal suctioning in sedated critically […]
Read MoreAUTHORS: Epstein, Richard H. MD, FASA et al Anesthesia & Analgesia: April 2019 BACKGROUND: Hospitals achieve growth in surgical caseload primarily from the additive contribution of many surgeons with low caseloads. Such surgeons often see clinic patients in the morning then travel to a facility to do 1 or 2 scheduled afternoon cases. Uncertainty in travel time […]
Read MoreElevated systolic and diastolic blood pressure measurements independently predict risk for adverse cardiovascular events, according to a retrospective study in the New England Journal of Medicine. Roughly 1.3 million adults had their blood pressure taken on at least three separate occasions (median number of measurements, 22). Systolic hypertension (at least 140 mm Hg) and diastolic hypertension […]
Read MoreAUTHORS: Kwun-Tung Ng et al Anesthesia & Analgesia: April 2019 BACKGROUND: Hip fracture is a challenging geriatric problem for the health care professionals, especially in patients with multiple comorbidities. In patients with inoperable hip fracture secondary to severe comorbid conditions, the pain can lead to significant challenges in nursing care. With the current understanding of the innervation […]
Read MoreAUTHORS: Rauchenwald, Verena MSc et al Anesthesia & Analgesia: April 2019 BACKGROUND: The inhalation anesthetics are potent greenhouse gases. To reduce the global environmental impact of the health care sector, technologies are sought to limit the release of waste anesthetic gas into the atmosphere. METHODS: Using a photochemical exhaust gas destruction system, removal efficiencies for nitrous oxide, desflurane, […]
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