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Author: Tauren Dyson UPI People with severe forms of sleep apnea also often have very high blood pressure, which new research suggests carries risk for heart health events. Patients with resistant high blood pressure, which can require at least three drugs to control, have the highest risk of suffering a heart attack or cardiac episode, […]
Read MoreAuthors: J. P. Fitzgerald et al Anesthesia September 2019 Summary Spinal anaesthesia for caesarean section commonly causes maternal hypotension. This systematic review and network meta‐analysis compared methods to prevent hypotension in women receiving spinal anaesthesia for caesarean section. We selected randomised controlled trials that compared an intervention to prevent hypotension with another intervention or inactive […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Transesophageal echocardiography (TEE) measurements made during general endotracheal anesthesia with mechanical ventilation underestimate the severity of aortic stenosis in patients undergoing cardiac surgery, according to a new study. Pressure gradients in these situations also were significantly greater during the inspiratory phase than the expiratory phase. Given these findings, the investigators […]
Read MoreAuthor: Thomas Rosenthal Anesthesiology News Surgical patients who receive analgesic doses of ketamine together with dexmedetomidine should be closely monitored before and immediately after they leave the hospital because of the potential neurocognitive and behavioral effects of the drug combination, a study has found. “At analgesic doses required for pain relief, ketamine administered in combination […]
Read MoreAuthors: Silvia Schönenberger, MD et al JAMA. 2019;322(13):1283-1293. doi:10.1001/jama.2019.11455 Question Is there a difference in functional outcome at 3 months between patients who receive general anesthesia or procedural sedation during stroke thrombectomy? Findings In this individual patient data meta-analysis of 3 randomized clinical trials that included 368 patients with acute ischemic stroke in the anterior circulation, the use […]
Read MoreAuthor: Ellen Goldbaum University at Buffalo University at Buffalo researchers who previously discovered how chronic neuropathic pain arises in the brain have now developed a treatment to block it. The research conducted by scientists in the Jacobs School of Medicine and Biomedical Sciences at UB was published online July 31 in the journal Brain, Behavior, and […]
Read MoreAuthor: Maria Fabrizio KHN Medicare cut payments to 2,583 hospitals continuing the Affordable Care Act’s eight-year campaign to financially pressure hospitals into reducing the number of patients who return for a second stay within a month. The severity and broad application of the penalties, which Medicare estimates will cost hospitals $563 million over a year, […]
Read MoreAuthors: Emily J. MacKay, DO et al Journal of Cardiothoracic and Vascular Anesthesia January 2019 Volume 33, Issue 1, Pages 118–133 Objective The authors sought to assess for the presence of practice variation in the use of intraoperative transesophageal echocardiography (TEE) for open cardiac valve surgery. Design This study was a retrospective cohort analysis. Setting The […]
Read MoreAuthors: Jean-Sébastien Lebon, BPharm, MD, FRCPC et al Journal of Cardiothoracic and Vascular Anesthesia Vol 32 Issue 2 pages 656-663 Objective To compare antegrade and retrograde cardioplegia administration in minimally invasive mitral valve surgery (MIMS) and open mitral valve surgery (OMS) for myocardial protection. Participants The study comprised 118 patients undergoing MIMS and 118 patients […]
Read MoreAuthors: Essam Abd Allah, MD et al Journal of Cardiothoracic and Vascular Anesthesia Objectives To evaluate the role of prophylactic high-dose atorvastatin for prevention of postoperative atrial fibrillation (POAF), inflammatory response attenuation, and myocardial protection after valve replacement cardiac surgery. Participants Sixty-four adult patients undergoing cardiac valve replacement surgery. Interventions The participants were equally divided […]
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