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Author: Karen Fusion Anesthesia Solutions What is the Perioperative Surgical Home? The American Society of Anesthesiologists explains the Perioperative Surgical Home model where the patient’s experience of care is coordinated by a physician-led, interdisciplinary team. The expected metrics includes improved operational efficiencies, decreased resource utilization, a reduction in length of stay and readmission, and a decrease in […]
Read MoreNEJM Journal Watch Daniel D. Dressler, MD, MSc, MHM, FACP, reviewing China L et al. N Engl J Med 2021 Mar 4 A randomized trial demonstrated no benefit. Guidelines recommend intravenous (IV) albumin for patients with cirrhosis after large-volume paracentesis and for patients with spontaneous bacterial peritonitis or hepatorenal syndrome (Hepatology 2013; 57:165). In vitro data suggest albumin’s […]
Read MoreDG Journal Club Authors: Andrew Smith, Elise Laflamme et al. Am Fam Physician. 2021 Mar 15; 103(6): 355-364 A patient’s sense of empowerment and control is most predictive of maternal satisfaction with childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities for labor pain management should be explored as part of routine prenatal […]
Read MoreAUTHORS: Udelsman, Brooks V. MD, MHS et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 210-216 Background: High-quality shared decision-making for patients undergoing elective surgical procedures includes eliciting patient goals and treatment preferences. This is particularly important, should complications occur and life-sustaining therapies be considered. Our objective was to […]
Read MoreAUTHORS: Zimmermann, Julia MBBS et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 202-209 Background: Patients with Stickler syndrome often require emergency surgery and are often anesthetized in nonspecialist units, typically for retinal detachment repair. Despite the occurrence of cleft palate and Pierre-Robin sequence, there is little published literature […]
Read MoreAUTHORS: Franklin, Andrew D. MD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 182-193 Background: Enhanced recovery after surgery pathways confer significant perioperative benefits to patients and are currently well described for adult patients undergoing a variety of surgical procedures. Robust data to support enhanced recovery pathway use […]
Read MoreAUTHORS: Zieleskiewicz, Laurent MD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 172-181 Background: Postoperative pulmonary complications are associated with increased morbidity. Identifying patients at higher risk for such complications may allow preemptive treatment. METHODS: Patients with an American Society of Anesthesiologists (ASA) score >1 and who were […]
Read MoreAUTHORS: Jalali, Ali PhD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 160-171 Background: Craniosynostosis is the premature fusion of ≥1 cranial sutures and often requires surgical intervention. Surgery may involve extensive osteotomies, which can lead to substantial blood loss. Currently, there are no consensus recommendations for guiding blood […]
Read MoreAUTHORS: Burbridge, Mark A. MD Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 93-97 Background: Sugammadex is a modified cyclodextrin that is being increasingly used in anesthetic practice worldwide for the reversal of the aminosteroid neuromuscular blockers rocuronium and vecuronium. Its safety profile, however, is incompletely understood. One such aspect […]
Read MoreAUTHORS: Fox, Gabriel M. MB BChir et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 150-159 Background: Postoperative nausea and vomiting (PONV) are significant issues in surgical patients, and additional treatment options are needed. Dopaminergic antiemetics have been popular for their efficacy, but their use has been limited by […]
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