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Authors: Hanna Andersson et al Pediatric Anesthesia 14 October 2019 Background A light breakfast has been found to empty from the stomach within four hours in healthy volunteers. Aim The aim of this study was to investigate if a light breakfast of yoghurt or gruel empties from the stomach within four hours, in children scheduled […]
Read MoreAuthors: Arnaud Chaumeron M.D et al Anaesthesia Critical Care & Pain Medicine Oct 2019 Background: Rapid sequence induction (RSI) is recommended in patients at risk of aspiration, but induced hemodynamic adverse events, including tachycardia. In elderly patients, this trial aimed to assess the impact of the addition of remifentanil during RSI on the occurrence of: […]
Read MoreAUTHORS: Lee S et al Pain Med. 2019 Oct 14. OBJECTIVE: Empirical studies show conflicting findings about the relationship between pain relief and patient satisfaction. To address this research gap, this study examines the differential effects of pain relief on patient satisfaction based on patients’ perceptions about pain management. METHODS: Cross-sectional survey data were collected […]
Read MoreAuthors: Dan M. Drzymalski, M.D. et al Anesthesiology 11 2019, Vol.131, 1036-1045. What We Already Know about This Topic: Sugammadex provides rapid and effective reversal of neuromuscular blocks but is expensive What This Article Tells Us That Is New: The investigators tested the hypothesis that a cognitive aid to guide selective use of sugammadex reduced use […]
Read MoreAnesthesiology News The Frost Series #352 Author: Michael Goldenberg Reviewed by: Sonia Vaida, MD Case Presentation A 49-year-old, 95-kg man presented for a total thyroidectomy and radical neck dissection due to a cancerous goiter. His medical history was significant for hypertension treated with beta-blockers, and type 2 diabetes mellitus. General anesthesia was induced with fentanyl, […]
Read MoreAUTHORS: Bubenek-Turconi, Şerban Ion MD et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Consecutive fluid challenges (FCs) are frequently administered to maximize the stroke volume (SV) as part of a goal-directed therapy (GDT) strategy. However, fluid administration may also cause acute hemodilution that might lead to an actual paradoxical decrease in oxygen delivery (DO2). The aim […]
Read MoreAUTHORS: Jelacic, Srdjan MD, FASE et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Many hospitals have implemented surgical safety checklists based on the World Health Organization surgical safety checklist, which was associated with improved outcomes. However, the execution of the checklists is frequently incomplete. We reasoned that aviation-style computerized checklist displayed onto large, centrally located screen […]
Read MoreAUTHORS: Colish, Jane FRCPC et al Anesthesia & Analgesia: July 9, 2019 The primary outcome of this 8-year retrospective review was the failure of spinal anesthetic (SA) in elective hip and knee joint arthroplasty surgery. Of 3542 SAs, a total of 135 failures were identified (3.8%). Factors associated with increased odds of failure were younger age […]
Read MoreI just wanted to share this with our readers who are in management. Everyone needs feedback to grow. But if you deliver it in a way that feels like an attack, your employees will probably get defensive and shut down. Here’s how to give negative feedback more productively: Start the conversation by noting when and […]
Read MoreAUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Acute traumatic coagulopathy is common in trauma patients. Prompt diagnosis of hypofibrinogenemia allows for early treatment with cryoprecipitate or fibrinogen concentrate. At present, optimal cutoffs for diagnosing hypofibrinogenemia with kaolin thrombelastography (TEG) have not been established. We hypothesized that kaolin kaolin-TEG parameters, such […]
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