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Author: Michael Vlessides Anesthesiology News Patient-controlled analgesia (PCA) with IV opioids has been a hallmark of postoperative care. Yet, in today’s world of multimodal analgesic approaches and enhanced recovery after surgery (ERAS) protocols, a team of Canadian researchers is questioning whether PCA should be replaced with as-needed opioid administration. Their study showed that the as-needed […]
Read MoreLouis Delamarre, MD, MSc Fouad Marhar, MD Sébastien Couarraze, CRNA, PhD Anesthesiology and Intensive Care Toulouse University Hospital, France. Toulouse, France Anesthesiology News From March 16 to 20, as our institution was restructuring to quadruple the number of available ventilated ICU beds, we trained close to 1,500 ICU and OR health care workers at our […]
Read MoreAUTHORS: Guglielminotti, Jean MD, PhD et al Anesthesia & Analgesia: January 2020 BACKGROUND: Previous research suggests that, compared with regional anesthesia, general anesthesia is associated with increased odds of postoperative depressive disorders. No study has specifically evaluated the possible protective effect of neuraxial anesthesia for cesarean delivery on maternal mental health compared with general anesthesia. […]
Read MoreAuthor: Micheal Vlessides Anesthesiology News Intravenous administration of magnesium sulfate seems to improve neuropsychological outcomes in patients undergoing brain surgery, according to the results of a new study. The investigation also found that patients treated with magnesium sulfate exhibited improvements with respect to the presence of gliosis/edema as much as six months after surgery. “Magnesium […]
Read MoreAuthors: Paul M. Nowak, DO, et al Anesthesiology News Introduction The following case report details the discovery of upper respiratory tract sarcoid granulomas during direct laryngoscopy in a 69-year-old man undergoing spinal surgery. Sarcoidosis of the upper respiratory tract (SURT) is a rare subset of sarcoidosis, and although it is often asymptomatic, it may present […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Protecting the brain health of elderly patients who work their way through the perioperative process is a lofty, but attainable, goal, according to the work of a multidisciplinary team of clinicians at Keck School of Medicine of USC. Yet, as they reported at the 2019 annual meeting of the American […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Care plans that include opioids provide limited effectiveness in treating persistent pain, according to a project conducted at Dartmouth-Hitchcock Medical Center. “Consequently, first-line drugs for the treatment of persistent pain should almost always be nonopioids,” said one of the project leaders, Debbie Fabry, BS, RN-BC, SANE, a nurse manager at […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Intraoperative hyperglycemia is independently associated with postoperative delirium but not postoperative cognitive dysfunction, according to the results of a new study. The German researchers behind the trial also found that the relative time spent in hyperglycemia may play a role in the development of postoperative delirium. “We know that postoperative […]
Read MoreThe U.S. Centers for Disease Control and Prevention is now recommending that virtually all American adults undergo screening for hepatitis C, citing data that shows the number of cases nationally has tripled since 2009. In two separate reports released Thursday, the agency estimated that more than 50,000 Americans were diagnosed with the acute form of the virus, […]
Read MoreAuthor: Anna DeNelsky Anesthesiology News Data from the Opioid Safety Initiative implemented at the Veterans Health Administration revealed that a reduction in patients’ prescription opioids after knee replacement surgery did not translate to a significant improvement in pain scores, according to new research published in Anesthesiology (2019;131[2]:369-380). Chronic pain is frequent in patients undergoing total knee arthroplasty […]
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