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Anesthesiology 10 2016, Vol.125, 678-689 Authors: Lukas M. Löffel, M.D. et al Background: Gastrointestinal (GI) complications often delay recovery after radical cystectomy with urinary diversion. The authors investigated if perioperative administration of a potassium-enriched, chloride-depleted 5% glucose solution (G5K) accelerates recovery of GI function. Methods: This randomized, parallel-group, single-center double-blind trial included 44 consecutive patients undergoing radical cystectomy […]
Read MoreAnesthesiology 10 2016, Vol.125, 656-666. Authors: Michael F. Aziz, M.D. et al Background: Multiple attempts at tracheal intubation are associated with mortality, and successful rescue requires a structured plan. However, there remains a paucity of data to guide the choice of intubation rescue technique after failed initial direct laryngoscopy. The authors studied a large perioperative database to […]
Read MoreAnesthesiology 10 2016, Vol.125, 700-715 Authors: Åse Lodenius, M.D., D.E.S.A. et al Background: In contrast to general anesthetics such as propofol, dexmedetomidine when used for sedation has been put forward as a drug with minimal effects on respiration. To obtain a more comprehensive understanding of the regulation of breathing during sedation with dexmedetomidine, the authors compared ventilatory […]
Read MoreEdited by David G. Fairchild, MD, MPH Low-dose hydrocortisone infusion may not prevent progression to septic shock among adults with severe sepsis, according to a JAMA study. Some 380 adults with severe sepsis who were not in septic shock were randomized to receive placebo or hydrocortisone (an initial 50-mg intravenous bolus, followed by a 200-mg continuous infusion daily […]
Read MoreWithout these teamwork qualities, your OR staff’s pre-surgical rundowns may be incomplete. A TEAM WORKS Patient safety depends on communication and respect. Your physicians are the undisputed captains of the surgical ship, but are they totally onboard with patient safety? According to a recent study, that may require them to share leadership with their OR staff. […]
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