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Author: Hans-Joachim Priebe, M.D. Anesthesiology 12 2016, Vol.125, 1246-1247. I read with great interest the publication by Ramsingh et al. which elegantly shows that point-of-care ultrasound examination is considerably more accurate than chest auscultation in discriminating between endotracheal and endobronchial intubation. However, several factors limit the practicality of this technique in routine clinical practice. It requires unrestricted access […]
Read MoreAuthors: Mohammad El-Orbany, M.D. Anesthesiology 12 2016, Vol.125, 1248 I read with interest the article by Ramsingh et al regarding point-of-care ultrasound verification of endotracheal tube (ETT) insertion depth. Numerous tests had been previously utilized to prevent and/or detect inadvertent endobronchial (main stem) intubation. Each one of these tests has its own advantages and limitations. Undoubtedly, the use […]
Read MoreAuthors: Antoinette Van Meter, M.D. et al Anesthesiology 12 2016, Vol.125, 1220. IMPLANTED vascular access devices enable patients to receive long-term therapy, including chemotherapy, parenteral nutrition, and blood transfusions. While portal cathethers (PACs) rarely fracture (incidence, 0.4 to 1.8%), the most common location of fractures is at the space between the clavicle and the first […]
Read MoreAuthors: Wei Zhang, M.D. et al Anesthesiology 12 2016, Vol.125, 1251-1252. In a prospective, randomized, and placebo-controlled trial, Lee et al.1 recently showed that administration of 20% exogenous albumin immediately before surgery increases urine output during surgery and reduces the risk of acute kidney injury (AKI) after off-pump coronary artery bypass surgery in patients with a preoperative serum […]
Read MoreAuthors: Gianmaria Cammarota, M.D., Ph.D. et al Anesthesiology 12 2016, Vol.125, 1181-1189 Background: Compared to pneumatically controlled pressure support (PSP), neurally adjusted ventilatory assist (NAVA) was proved to improve patient–ventilator interactions, while not affecting comfort, diaphragm electrical activity (EAdi), and arterial blood gases (ABGs). This study compares neurally controlled pressure support (PSN) with PSP and NAVA, delivered […]
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