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Author: Michael Vlessides Anesthesiology News Both pre-frail and frail patients have a significantly higher risk for delirium following cardiac surgery than their non-frail counterparts. Moreover, frail patients are at increased risk for cognitive decline 30 days after surgery, but these differences diminish at one year postoperatively. “Postoperative delirium is common in the cardiac surgery population, […]
Read MoreAUTHORS: Tan, Nicole L. MBBS, FANZCA, MClinRes et al Anesthesia & Analgesia: June 3, 2019 BACKGROUND: Local infiltration analgesia (LIA) is commonly used in anterior total hip arthroplasty (THA) surgery; however, evidence for its efficacy is lacking. We hypothesized that LIA with 0.2% ropivacaine when compared with injection of placebo (0.9% saline) would improve patient quality of […]
Read MoreAUTHORS: Argalious, Maged Y. MD, MSc, MBA, MEd, FASE, FASA et al Anesthesia & Analgesia: June 3, 2019 BACKGROUND: Patients with acute lung injury who received lower tidal volume (VT) ventilation had significantly fewer days with acute kidney injury (AKI) when compared to those receiving higher VTs. There is a paucity of studies on the relationship between […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Although accidental spinal administration of tranexamic acid is rare, it is a well-documented drug error and one that has catastrophic consequences. Yet these errors can be avoided by adhering to four published recommendations. “In 2015, we published an article in Anesthesia & Analgesia regarding obstetric neuraxial drug errors [2015;121(6):1570-1577],” said Santosh […]
Read MoreAUTHORS: Pearson, Amy C. S. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 493-499 BACKGROUND: Current guidelines for the administration of therapeutic epidural injections suggest that these be limited to a maximum of 4 per year. We sought to gain an understanding of the proportion of lumbosacral epidural […]
Read MoreAuthors: E. E. Sharpe et al International Journal of Obstetric Anesthesia June 2019 Highlights •The median reduction in pain score was 9 (0–10 scale) after labor spinal analgesia. •Of 429 women receiving spinal analgesia, 14% later needed anesthesia. •Primiparity, induction and lower cervical dilation increased risk of anesthesia. •Two patients (0.5%) ultimately needed general anesthesia […]
Read MoreAuthors: Manish A Patel, MD, FAAOS et al Pain Medicine May 2019 Objective The utility of single-injection and continuous peripheral nerve blocks is limited by short duration of analgesia and catheter-related complications, respectively. This double-blind, multicenter trial evaluated the efficacy, safety, and pharmacokinetics of single-injection, ultrasound-guided brachial plexus block (BPB) with liposomal bupivacaine (LB) added […]
Read MoreAuthor: Caroline Helwick Anesthesiology News A quality improvement project resulted in a 46% drop in opioid use after urologic oncology surgery, Stanford Health Care researchers reported at the American Society of Clinical Oncology 2018 Quality Care Symposium (abstract 269). “Pain can be controlled with half as much opioid[s],” said Kerri Stevenson, MN-NP, NP-C, a nurse […]
Read MoreBy Catharine Paddock Ph.D. Medical News Today A new blood test that looks for circulating tumor cells could significantly improve the diagnosis of prostate cancer and avoid unnecessary biopsies and treatments. Combining the new test with prostate specific antigen (PSA) results can yield a diagnosis of aggressive prostate cancer that is more than 90% accurate, according to a Journal […]
Read MoreThe REACT Randomized Clinical Trial Authors: Britta S. von Ungern-Sternberg, MD, PhD et al JAMA Pediatrics June 1, 2019 Key Points Question Does the use of albuterol sulfate (salbutamol sulfate) premedication reduce rates of perioperative respiratory adverse events in children aged 1 to 8 years undergoing anesthesia for tonsillectomy? Findings In this randomized clinical trial of 479 […]
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