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Karen B. Domino, MD, MPH Professor of Anesthesiology & Pain Medicine University of Washington, Seattle Martin J. London, MD Professor of Clinical Anesthesia University of California, San Francisco Avery Tung, MD Professor of Anesthesiology & Critical Care University of Chicago In the March issue of Anesthesiology News, Robert E. Johnstone, MD, criticized anesthesia practice guidelines, citing […]
Read MoreThe use of supraglottic airway (SGA) devices in pediatric patients with neck masses “almost always” has an effect on the appearance of the masses on MRI scans, according to a 10-year review at a single institution. Results from analyzing the MRI scans from databases at the Children’s Hospital of Philadelphia (CHOP) support avoidance of SGA […]
Read MoreResults of a quality improvement study suggest that current time-based guidelines for prophylactic enoxaparin before neuraxial procedures may need to be amended. Despite being more than 24 hours removed from a treatment dose of enoxaparin, nearly 60% of patients presenting for surgery had anti–factor Xa levels within the prophylactic or therapeutic range. Elderly patients appeared […]
Read MoreA meta-analysis of randomized controlled trials shows that gabapentin provides additional analgesia benefit in the regional anesthesia setting across a range of surgical procedures. According to the study authors, however, providers should consider limiting gabapentin to a one-time preoperative dose to maximize analgesic efficacy and modify its potential side-effect profile. “In the setting of regional […]
Read More… But use may not yet be optimized According to a retrospective analysis of national claims data, use of IV acetaminophen is associated with modestly reduced perioperative opioid utilization and its related adverse effects in patients undergoing open colectomy. Patients given more than one dose of IV acetaminophen on the day of surgery had an […]
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