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AUTHORS: Krause, Martin MD et al Anesthesia & Analgesia: November 5, 2019 BACKGROUND: Pulmonary complications related to residual neuromuscular blockade lead to morbidity and mortality. Using an interrupted time series design, we tested whether proportions of reintubation for respiratory failure or new noninvasive ventilation were changed after a system-wide transition of the standard reversal agent […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Surgical procedures done in the outpatient setting have long been touted as a cost-effective alternative to their inpatient counterparts. Now, analyses of two databases have found that certain outpatient surgeries may actually be safer, too. In a pair of presentation s at the 2019 annual meeting of the International Anesthesia […]
Read MoreAuthor: SKEPTICAL SCALPEL, MD Ever since the publication of the infamous 2016 BMJ opinion piece claiming medical error should be considered the third leading cause of death in the U.S., the debate on the true incidence of deaths caused by medical error has been raging. Many, including me, felt the estimate of 251,000 deaths per year from medical […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Researchers may have uncovered a simple way to avoid potential unintended awareness during high-risk cardiac surgery. Their study found that EEG signatures similar to those seen during emergence—decreasing theta power with increasing alpha frequency—occur regularly during cardiac surgery. Paying close attention to these signals in the form of a spectrogram, […]
Read MoreAuthor: Michael Vlessides Anesthesiology News A meta-analysis of adjuvants for caudal epidural block has found that dexmedetomidine prolongs the duration of analgesia and also reduces total acetaminophen consumption and number of acetaminophen doses in the first 24 hours after pediatric infraumbilical surgery. The study also found that neostigmine extended the analgesia duration longer than any […]
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