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Authors: Ricard Mellado Artigas, M.D. et al Anesthesiology March 2021. Background Reverse triggering is a delayed asynchronous contraction of the diaphragm triggered by passive insufflation by the ventilator in sedated mechanically ventilated patients. The incidence of reverse triggering is unknown. This study aimed at determining the incidence of reverse triggering in critically ill patients under […]
Read MoreAUTHORS: Manson, William C. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1843-1849 BACKGROUND: Intercostal nerve blocks with liposomal bupivacaine are commonly used for thoracic surgery pain management. However, dose scheduling is difficult because the pharmacokinetics of a single-dose intercostal injection of liposomal bupivacaine has never been […]
Read MoreAUTHORS: Donovan, Anne L. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1911-1922 BACKGROUND: Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project […]
Read MoreAUTHORS: Whitlock, Elizabeth L. MD, MSc et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1901-1910 BACKGROUND: Postoperative delirium is an important problem for surgical inpatients and was the target of a multidisciplinary quality improvement project at our institution. We developed and tested a semiautomated delirium risk stratification instrument, […]
Read MoreAuthors: Eric S. Wise, M.D. et al Anesthesiology April 2021, Vol. 134, 607–616. Background Measuring fluid status during intraoperative hemorrhage is challenging, but detection and quantification of fluid overload is far more difficult. Using a porcine model of hemorrhage and over-resuscitation, it is hypothesized that centrally obtained hemodynamic parameters will predict volume status more accurately […]
Read MoreAuthors: Douglas A. Colquhoun, M.B.Ch.B., M.Sc., M.P.H. et al Anesthesiology April 2021, Vol. 134, 562–576. Background Protective ventilation may improve outcomes after major surgery. However, in the context of one-lung ventilation, such a strategy is incompletely defined. The authors hypothesized that a putative one-lung protective ventilation regimen would be independently associated with decreased odds of pulmonary […]
Read MoreAUTHORS: DelPizzo, Kathryn MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1890-1900 BACKGROUND: Although surgery represents the only definitive treatment for congenital scoliosis, comprehensive information regarding trends in perioperative complications, particularly in the pediatric setting, is lacking. We sought to identify trends in and factors associated with […]
Read MoreAUTHORS: Hannan, Edward L. PhD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1883-1889 BACKGROUND: Complete handover of anesthesia care to a second anesthesiologist has been demonstrated to be associated with worse short-term adverse outcomes among cardiac surgery patients, but little information from multi-institutional studies is available. METHODS: […]
Read MoreAUTHORS: Nedeljkovic, Srdjan S. MD et al Anesthesia & Analgesia: December 2020 – Volume 131 – Issue 6 – p 1830-1839 BACKGROUND: In women undergoing cesarean delivery under spinal anesthesia with intrathecal morphine, transversus abdominis plane (TAP) block with bupivacaine hydrochloride (HCl) may not improve postsurgical analgesia. This lack of benefit could be related to […]
Read MoreBY CAROL DAVIS Healthleaders COVID-19 also has caused children, especially in low-income families, to miss out on healthcare needs, report says. KEY TAKEAWAYS Nearly 41% of adults with one or more chronic health conditions reported delaying or forgoing care. Nearly 29% of parents delayed or went without care for their children under age 19. More parents […]
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