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Authors: Takahiro Muramatsu, M.D. et al Anesthesiology published on September 6, 2018. What We Already Know about This Topic: Sugammadex may be the best available drug to reverse residual neuromuscular blockade produced by rocuronium and vecuronium A 5% incidence of residual neuromuscular blockade has been reported after administering sugammadex without neuromuscular monitoring Elderly patients have been […]
Read MoreAuthors: Rachael L. Bosma, Ph.D. et al Anesthesiology published on September 6, 2018. What We Already Know about This Topic: Ketamine is an N-methyl-d-aspartate antagonist with growing use in the management of chronic pain Descending pain modulatory circuits are key modulators of chronic pain What This Article Tells Us That Is New: The infusion of ketamine […]
Read MoreAuthors: Clivio S et al Anesthesia & Analgesia (Aug 2018) BACKGROUND It remains unclear to what extent intravenous lidocaine prevents cough and whether there is dose-responsiveness and risk of harm. METHODS We searched electronic databases to January 1, 2017 for randomized trials comparing intravenous lidocaine with placebo for the prevention of cough in surgical patients. […]
Read MoreAuthors: Catherine Chiu et al BMC AnesthesiologyBMC series April 2018 Background Enhanced Recovery After Surgery (ERAS) pathways have been shown in multiple surgical disciplines to improve outcomes, including reduced opioid consumption, length of stay, and post-operative nausea and vomiting (PONV). However, very few studies describe the application of ERAS to breast surgery and even fewer describe […]
Read MoreThe Senate’s response to the opioid epidemic — a sweeping package that contains 70 bills from Republican and Democratic lawmakers eager to be part of the solution to the nation’s greatest public health crisis — is expected to easily pass this week. Reaction to the bill — and a similar measure passed by the House in June — has been mixed. The […]
Read MoreAuthors: Jeroen C. van Egmond et al Canadian Journal of Anesthesia September 2018, Volume 65, Issue 9, pp 1004–1011 Purpose Early mobilization is an important aspect of fast-track protocols and intrathecal bupivacaine is often used in primary total knee arthroplasty (TKA). Although the optimal dose is not known, conventional doses leave patients unable to mobilize for two to four hours. The dose of an […]
Read MoreAgency for Healthcare Research and Quality HCUP Statistical Brief number 243, September 2018. An increasing proportion of U.S. women are experiencing serious and potentially life-threatening complications while giving birth, government researchers report. Between 2006 and 2015, rates of severe complications rose by 45 percent overall, according to a report released by the Agency for Healthcare […]
Read MoreAuthors: Sheila R. Barnett, M.D., FASA et al ASA Monitor 9 2018, Vol.82, 60-63. Just over two years ago, U.S. physicians, including physician anesthesiologists, started participating in the Merit-based Incentive Payment System (MIPS) in accordance with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). MIPS replaced previous quality programs to consolidate quality and incentive programs […]
Read MoreASA Monitor 9 2018, Vol.82, 48. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreWomen with nausea and vomiting in early pregnancy are more likely to use marijuana, a JAMA Internal Medicine research letter finds. Researchers studied 220,000 pregnancies in California during which women had urine tests for marijuana and also self-reported marijuana use in the first trimester. Marijuana use was more common in pregnancies with severe nausea and vomiting (11%) […]
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