Surg Endosc. 2015 Oct 20 AUTHORS: Pourladian I et al BACKGROUND: Carbonic acid accumulation, which results from CO2 insufflation, can produce visceral and referred pain in the postoperative setting. Acetazolamide inhibits carbonic anhydrase, an enzyme that accelerates carbonic acid formation. We hypothesized that preoperative administration of acetazolamide would decrease postoperative pain in patients undergoing laparoscopic inguinal herniorrhaphy. […]
Read MoreAmong nearly 1 million active physicians in the U.S., about 6% were involved in at least one paid malpractice claim during a 10-year period ending in 2014, with a total payout of $13.6 billion, researchers said. The vast majority of claims were for death or major or significant physical injury, according to David M. Studdert, LLB, […]
Read MoreAuthors: Bombardieri AM et al Anesth Analg 2016 Jan;122 (1): 226-33 BACKGROUND: Hypotensive epidural anesthesia (HEA), as practiced at our institution, uses sympathetic blockade to achieve mean arterial blood pressure (MAP) of ≤50 mm Hg while administering epinephrine by infusion to support the circulation. HEA has not been associated with gross adverse effects on neurologic outcome […]
Read MoreAnesthesia & Analgesia: December 2015 – Volume 121 – Issue 6 – p 1627–1631 Authors: Benzon, Hubert A. MD, MPH et al BACKGROUND: Tonsillectomy is a frequently performed surgical procedure in children; however, few multimodal analgesic strategies have been shown to improve postsurgical pain in this patient population. Systemic magnesium infusions have been shown to […]
Read MoreSurgery. 2015 Oct Authors: Namekawa T et al BACKGROUND: Although the perioperative management of patients with pheochromocytoma has been improving recently, severe hypotensive episodes can occur that require postoperative catecholamine support and are challenging to manage. Our aim was to identify the clinical factors that predict prolonged postresection hypotension in patients after laparoscopic adrenalectomy for pheochromocytoma. […]
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