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Author: Michael Vlessides Anesthesiology News The POET (PeriOperative Enhancement Team) program at Duke University Health System aims to enhance patient health preoperatively in order to improve postoperative outcomes. The program had considerable success with its initial foray into anemia management. Other areas for preoperative enhancement have since followed. “As anesthesiologists, we have to think of ourselves […]
Read MoreAuthor: W. Harry Fortuna Anesthesiology News The incendiary response from the medical community to the working white paper written by two economists on the moral hazards of naloxone access resulted in a full-throated defense of the much heralded recovery drug. Although the white paper seems unlikely to affect policy, as the recent statement from Surgeon General […]
Read MoreAuthors: Amr S et al European Journal of Pain (Jul 2018) BACKGROUND Radiofrequency ablation (RFA) of the splanchnic nerves has been reported as a predictable and safe technique for abdominal pain management. We compare between RFA and chemical neurolysis of bilateral thoracic splanchnic nerves in the management of refractory cancer pain. METHODS The study was conducted […]
Read MoreAlthough capnography remains the gold standard for monitoring ventilation in patients undergoing general anesthesia and monitored anesthesia care (MAC), the technology is more challenging in nonintubated patients. In these situations, a noninvasive respiratory volume monitor may be helpful. One such monitor has been found to provide reliable measurements when capnography data are unavailable, and seems […]
Read MoreThe administration of propofol as a bolus fails to decrease cough after use of desflurane in general anaesthesia, according to a study presented here at the 2018 Annual Meeting of the Canadian Anesthesiologists Society (CAS). Cough is not just bothersome, but it can interfere with clinical outcomes, making the prevention of cough clinically significant in […]
Read MoreAuthors: Michael G. Fitzsimons, M.D. et al Anesthesiology 10 2018, Vol.129, 821-828. What We Already Know about This Topic: Substance abuse remains common among anesthesia clinicians Whether routine, random drug testing deters use remains unknown What This Article Tells Us That Is New: The Massachusetts General Hospital randomly tested residents over a period of 13 yr […]
Read MoreFrom January 2007 through December 2016 there were more than 11,000 calls to US Poison Centers for paediatric exposures to buprenorphine, according to study published in Pediatrics. Most (86%) of the calls were about exposures among children aged younger than 6 years. Most (98%) buprenorphine exposures among younger children were unintentional. Nearly half (45%) of the […]
Read MoreI want to wish all of our readers a Happy Thanksgiving and I want you to spend your time with friends, family and loved ones instead of reading anesthesia posts.
Read MoreAuthors: Laurent G. Glance, M.D. et al Anesthesiology 11 2018, Vol.129, 889-900. What We Already Know about This Topic: The Revised Cardiac Risk Index, and the risk calculators based on the National Surgical Quality Improvement Program can be used to assess the risk of cardiac adverse events after noncardiac surgery Recent clinical practice guidelines recommend the […]
Read MoreI thought this was interesting so I wanted to share with our readers. Authors: Loftfield E et al. JAMA Intern Med 2018 Jul 2 Mortality was lower across all levels of intake, regardless of genetic influences on caffeine metabolism. Most studies have shown an inverse relation between coffee consumption and mortality (e.g., NEJM JW Gen Med Jan […]
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