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Read MoreAuthors: Grace Lim, M.D., M.S. et al Anesthesiology published December 2017. Background: Cost-effectiveness analyses on cell salvage for cesarean delivery to inform national and societal guidelines on obstetric blood management are lacking. This study examined the cost-effectiveness of cell salvage strategies in obstetric hemorrhage from a societal perspective. Methods: Markov decision analysis modeling compared the cost-effectiveness of three […]
Read MoreAuthors: Savino Spadaro, M.D., Ph.D. et al Anesthesiology published December 2017. Background: Arterial oxygenation is often impaired during one-lung ventilation, due to both pulmonary shunt and atelectasis. The use of low tidal volume (VT) (5 ml/kg predicted body weight) in the context of a lung-protective approach exacerbates atelectasis. This study sought to determine the combined physiologic effects […]
Read MoreAuthors: Aaron Louie, B.S. et al Anesthesiology published December 2017. Background: Pulse oximeter performance is degraded by motion artifacts and low perfusion. Manufacturers developed algorithms to improve instrument performance during these challenges. There have been no independent comparisons of these devices. Methods: We evaluated the performance of four pulse oximeters (Masimo Radical-7, USA; Nihon Kohden OxyPal Neo, Japan; […]
Read MoreThe recommendation is outdated, but many hospitals still mistakenly encourage it. Why? By Marina Kamenev Patients can have light meals six hours before their procedures—but instructions often still call for fasting. In 1946, obstetrician and cardiologist Curtis Lester Mendelson discovered a disturbing phenomenon: He found that some women who had anesthesia in labor were vomiting and […]
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