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AUTHORS: Naylor, Amanda J. MA et al Anesthesia & Analgesia: September 2019 BACKGROUND: Continuous blood pressure monitoring may facilitate early detection and prompt treatment of hypotension. We tested the hypothesis that area under the curve (AUC) mean arterial pressure (MAP) <65 mm Hg is reduced by continuous invasive arterial pressure monitoring. METHODS: Adults having noncardiac surgery were randomly […]
Read MoreAUTHORS: Sabourdin, Nada MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Pupillometry monitoring under general anesthesia is based on the assumption that pupillary diameter variations reflect the adequacy of the provided analgesia to the intensity of the nociceptive surgical stimulus. The accurate interpretation of pupillometric data requires establishing clearly what the expected baseline unstimulated pupillary diameter […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Ultrasound-guided rectus sheath block proves superior to field block with respect to perioperative pain control and stress response in patients undergoing midline hernia repair, new research has concluded. The team of Egyptian investigators behind the trial stressed that ultrasound guidance reduces the risk for accidental bowel puncture when performing the […]
Read MoreNonsteroidal anti-inflammatory drugs (NSAIDs) can help to control the pain and inflammation in patients with osteoarthritis (OA), but the drugs may contribute to cardiovascular side effects in these individuals, according to a study published in Arthritis & Rheumatology. The study matched 7,743 patients with OA with 23,229 controls without OA. The risk of developing cardiovascular disease […]
Read MoreAUTHORS: Takeshita, Shusuke MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Incomplete reversal with a recommended 5-g dose of idarucizumab has been reported in patients with excessively high dabigatran concentrations. A timely detection of reversal failure after idarucizumab using whole blood (WB) coagulation testing is clinically useful. The aims of this study were to determine residual […]
Read MoreRestrictions on head covers, sleeves and clothing relaxed Authors: Jason S. Chi, MD After much anticipation, the Association of periOperative Registered Nurses (AORN) published its updated “Guidelines for Surgical Attire” on July 1, 2019.1 The previous version, published in 2014, caused controversy due to its recommendation that bouffant hats be worn instead of skull caps. The […]
Read MoreAUTHORS: Downey, Laura A. MD et al Anesthesia & Analgesia: September 2019 BACKGROUND: Infants undergoing cardiac surgery are at risk for bleeding and massive transfusion due to an immature coagulation system, complex surgeries, and cardiopulmonary bypass (CPB) effects. Hemodilution from CPB promotes an acquired hypofibrinogenemia that results in impaired fibrin formation, inadequate clot formation, and increased bleeding. […]
Read MoreAUTHORS: Shah, Shikhar H. MD, MPH et al Anesthesia & Analgesia: September 2019 BACKGROUND: Ischemic optic neuropathy (ION) is a rare complication of anesthesia and surgery that causes vision loss in spine fusion. We sought to develop a predictive model based on known preoperative risk factors for perioperative ION to guide patient and physician preoperative decision-making. METHODS: In […]
Read MoreAuthors: Sagar Patel, DO and Thomas C. Mort, MD Anesthesiology News Anesthesia providers are often confronted with the management of a “cuff leak” in mechanically ventilated patients in the OR and ICU.1 Certainly, the advantage of the OR environment is that the patient is in a relatively more controlled setting, monitored by health care providers (HCPs) […]
Read MoreUtilization, Success Rates and Trends Author: Thomas C. Mort, MD Anesthesiology News The supraglottic airway device (SAD) has earned a well-regarded position in both anesthesia care and emergency airway management. Its prominent position in various societal algorithms for rescue airway management is testimony to its ubiquitous availability, its relative ease of use, and relatively high […]
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