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Author: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]
Read MoreAuthors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min bleeding mass of 60–250 g after separation from […]
Read MorePatients with a headache disorder have a 21% increased risk of developing hypothyroidism, and the risk is even higher — 41% — in those with possible migraine, a new study has found. “Just like female sex and age are risk factors for hypothyroidism, one should also now consider headache disorder as a risk,” said study […]
Read MoreTo block or not to block during breast cancer surgery: That is the question two experts debated at the 2016 International Symposium of Ultrasound for Regional Anesthesia. “There is enough evidence of short- and long-term benefits with paravertebral block [PVB] to encourage this as standard practice,” said Faraj Abdallah, MD, assistant professor in the Department […]
Read MoreMore costly care for postoperative complications is associated with worse patient outcomes, according to a study published October 5 in JAMA Surgery. Surgical complications are common and expensive adverse events, and have been increasingly targeted by quality initiatives, write Jason C. Pradarelli, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, and colleagues. Such initiatives often […]
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