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Canadian Journal of Anesthesia Authors: Aaron Lau Purpose The purpose of this study was to evaluate the effects of preoperative forced-air warming on intraoperative hypothermia. Methods In this randomized-controlled trial, adult patients scheduled for elective, non-cardiac surgery under general anesthesia were stratified by scheduled surgical duration (< 2.5 hr or ≥ 2.5 hr) and then […]
Read MoreAs many as 116 million adults experience chronic pain each year in the United States, and treatment for these individuals often includes opioids.1 However, the use of opioids for chronic pain is controversial, highlighting the need for nonopioid therapies for this patient population. The potential for intravenous (IV) lidocaine to reduce postoperative pain was first proposed in the […]
Read MoreAUTHORS: Abdulrauf S et al World Neurosurgery (Feb 2018) OBJECTIVE The option of performing MVD under awake anesthesia protocol (‘awake’MVD) was examined in this initial series to assess whether intraoperative pain evaluation can identify and mitigate insufficient decompression of the trigeminal nerve, improving surgical outcomes. Additionally,’awake’MVD could expand procedure indications for those with comorbidities that […]
Read MoreWith 2.5 quintillion bytes of data created every day, the business of mining, storing and analyzing increasingly large and varied data sets is booming and yielding impressive results, but there are pitfalls. According to Julian M. Goldman, MD, an anesthesiologist at Massachusetts General Hospital and Harvard Medical School, and medical director of Partners HealthCare Systems […]
Read MoreAuthors: Lam SW et al. Crit Care Med 2018 Jan 2. Procalcitonin guidance for antibiotic cessation improves short-term mortality in ICU patients. Previous meta-analyses showed that procalcitonin-guided antimicrobial management, compared with standard care, resulted in less overall antibiotic exposure in intensive care unit (ICU) patients; however, differences in mortality or length of stay were not detected (NEJM […]
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