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Authors: Takeshi Yoshida, M.D., Ph.D. et al Anesthesiology 7 2018, Vol.129, 163-172. Background: In supine patients with acute respiratory distress syndrome, the lung typically partitions into regions of dorsal atelectasis and ventral aeration (“baby lung”). Positive airway pressure is often used to recruit atelectasis, but often overinflates ventral (already aerated) regions. A novel approach to selective recruitment […]
Read MoreIn a study of patients undergoing corrective osteotomy for hallux valgus, those who received an ankle block with a mixture of bupivacaine and long-acting liposomal bupivacaine (Exparel, Pacira) experienced relief of postoperative pain and a marked reduction in opioid consumption, compared with use of general anesthesia alone or ankle block with bupivacaine alone. Both types […]
Read MoreThere are general risks when it comes to going under the knife, many of them related to general anesthesia—side effects from shivering to vomiting. Perhaps more unsettling for the patient, however, can be states of confusion in the minutes and hours after surgery, or even the long-term memory loss sometimes seen in senior patients. “The […]
Read MoreThe management of pulmonary hypertension and right ventricular dysfunction in critically ill patients presents many challenges, but current evidence suggests several clear and effective approaches. According to a systematic review of the literature, use of vasopressors had a moderate to high level of supporting evidence. Studies invest igating inotropic drugs and pulmonary vasodilators also demonstrated […]
Read MoreLidocaine gel may not provide substantial advantage over nonanesthetic gel for reducing pain associated with transurethral bladder catheterization in children age <4 years, according to a meta-analysis published in the Annals of Emergency Medicine. In this study, 2 investigators independently reviewed randomized controlled trials comparing the pain-relieving efficacy of lidocaine gel vs nonanesthetic gel in pediatric patients undergoing […]
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