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Authors: Hovaguimian F et al Acta Anaesthesiologica Scandinavica (Jun 2018) BACKGROUND Postoperative cognitive complications are associated with substantial morbidity and mortality. Ketamine has been suggested to have neuroprotective effects in various settings. This systematic review evaluates the effects of intraoperative ketamine administration on postoperative delirium and postoperative cognitive dysfunction (POCD). METHODS Medline, Embase and Central […]
Read MoreAuthor: Elizabeth A.M. Frost, MD Anesthesiology News What Is It? Named after Antoine Marfan, a French pediatrician who first described the disorder in 1896, Marfan syndrome (MFS) is a connective tissue disorder of autosomal dominant inheritance, affecting the cardiovascular, skeletal, and ocular systems.1 Pulmonary involvement is less frequent. The gene linked to MFS was identified by Francesco […]
Read MoreAnyone who has ever stayed overnight in a hospital will know how difficult it can be to sleep, surrounded by staff, machinery, trolleys and telephones. In the UK, 40% of hospital patients are bothered by noise at night, according to in-patient surveys. But it’s not only the patients’ wellbeing that may be affected – high […]
Read MoreAuthors: Brian E. Driver, MD et al JAMA • June 5, 2018 To understand procedural challenges of endotracheal intubation. Question In patients admitted to the emergency department with difficult airway characteristics undergoing orotracheal intubation with a Macintosh laryngoscope blade, does a bougie facilitate higher first-attempt intubation success than an endotracheal tube + stylet? Findings In this randomized clinical trial that included 757 […]
Read MoreAuthors: Sarah Devroe et al Pediatric Anesthesia July 2018 Background In adults, xenon has only minimal hemodynamic side effects when compared with other anesthetics. Moreover, in preclinical experiments, xenon has been demonstrated to possess cardio‐ and neuroprotective properties. Altogether, the favorable hemodynamic profile combined with its potential for organ‐protection could render xenon an attractive option […]
Read MoreAuthors: Zhi-Fu Wu, M.D. et al Anesthesiology 11 2018, Vol.129, 932-941. What We Already Know about This Topic: Propofol may better preserve host defenses against cancer Whether cancer recurrence is less likely with propofol than volatile anesthesia remains unknown What This Article Tells Us That Is New: The authors conducted a propensity-matched retrospective analysis of 1,158 […]
Read MoreAuthors: Allana Munro et al Canadian Journal of Anesthesia November 2018, Volume 65, Issue 11, pp 1240–1247| Purpose The incidence of epidural top-ups received in the second stage of labour in nulliparous women and the obstetrical and neonatal implications associated with these boluses are explored in this retrospective observational study. We hypothesized that an epidural top-up in the second stage of labour […]
Read MoreWolters Kluwer Health Individual and work-related factors may be helpful in promoting positive engagement with work among hospital physicians, according to a study in the December issue of Medical Care. The study provides insights into the emerging evidence on the characteristics and outcomes affecting physician engagement—an area of growing focus in healthcare improvement efforts. “By understanding […]
Read MoreU.S. life expectancy at birth has declined for the second year in a row, from 78.7 years in 2015 to 78.6 years in 2016, according to the latest CDC data. Notable increases were observed in drug overdose deaths and suicides. The overdose rate nearly doubled from 2006 to 2016, hitting 19.8 deaths per 100,000. Meanwhile, […]
Read MoreAuthors: Tài Pham, M.D., Ph.D. et al Anesthesiology November 28, 2018. What We Already Know about This Topic: Hospital mortality in acute respiratory distress syndrome is approximately 40%, but mortality and trajectory in “mild” acute respiratory distress syndrome (classified only since 2012) are unknown, and many cases are not detected What This Article Tells Us That […]
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