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When is the best time to resume beta blockade in chronic users after noncardiac surgery to most effectively prevent postoperative atrial fibrillation? Although this question has been in flux for years, a retrospective cohort analysis concluded that resuming beta blockers before the end of postoperative day 1 is optimal for decreasing the incidence of atrial fibrillation after […]
Read MoreReducing unnecessary variation in clinical practice and medical device use is a key strategy in optimizing the value of enhanced recovery and perioperative surgical home (PSH) programs, and providers are being encouraged to take an active role in identifying opportunities where value can be created. “Each step in a value chain should add value,” said […]
Read MoreAnesthesiology practitioners in a multispecialty setting used a deep neuromuscular block (NMB) on average 64% of the time, according to a retrospective study. “The goal was to understand what clinicians do in real clinical practice,” said co-author Richard D. Urman, MD, associate professor of anesthesia at Brigham and Women’s Hospital, in Boston. “We examined the […]
Read MoreAUTHORS: Pourfakhr, Pejman, MD et al Anesthesia & Analgesia: May 2018 – Volume 126 – Issue 5 – p 1641–1645 BACKGROUND: Nasotracheal intubation is commonly performed to provide a secure airway for the maintenance of general anesthesia in maxillofacial surgeries. Routine nasotracheal intubation is performed under general anesthesia by direct laryngoscopy, frequently with the aid of Magill […]
Read MoreBoden I et al. BMJ 2018 Jan 24. A single 30-minute session with a physical therapist yielded significant benefit. As many as 50% of patients who undergo upper abdominal surgery experience postoperative pulmonary complications (PPCs). In this multicenter randomized trial, researchers determined the effectiveness of a single preoperative physical therapy session in lowering risk for PPCs after […]
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