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AUTHORS: Brogly, Nicolas, MD, PhD, DESAR, DESA et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 532–536 BACKGROUND: The best technique to identify the epidural space for labor analgesia is still unclear despite the publication of various randomized controlled studies and meta-analyses. Our aim was to assess the superiority of the […]
Read MoreSafety violations at a major compounding pharmacy are exacerbating hospital shortages of key painkillers, particularly in California where health officials have taken the “extraordinary” step of prohibiting sales from one of its plants. In late March, California’s Board of Pharmacy barred the distribution of medications — including lidocaine and other local anesthetics — from a […]
Read MoreAUTHORS: Rosero, Eric, B., MD, MSc et al Anesthesia & Analgesia: November 2017 BACKGROUND: Tracheal tube cuff pressures exceeding the perfusion pressures of the tracheal mucosa have been associated with complications such as sore throat, tracheal mucosa ulcers, tracheal rupture, and subglottic stenosis. Despite appropriate inflation, many factors can increase the tracheal cuff pressure during mechanical ventilation. […]
Read MoreAuthors: Scully RE et al. JAMA Surg 2017 Sep 27. For common surgical procedures, 7 days usually sufficed for opioid-naive patients, but duration depended on the type of procedure performed. Surgeons vary considerably in the dose and duration of opioids they prescribe to patients postoperatively. To better define optimal postoperative opioid prescribing, researchers used a U.S. […]
Read MoreA novel approach to prevention of postoperative nausea and vomiting (PONV) failed to reduce its incidence after exposure to general anesthesia. Results of a study, which entailed a gradual preconditioning of several receptor groups involved in the nausea reflex arc, showed a trend toward improved outcomes, but a statistically significant difference was not observed. “We […]
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