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Authors: Annalotta Scheinin, M.D. et al Anesthesiology 7 2018, Vol.129, 22-36. Background: Differentiating drug-related changes and state-related changes on the electroencephalogram during anesthetic-induced unconsciousness has remained a challenge. To distinguish these, we designed a rigorous experimental protocol with two drugs known to have distinct molecular mechanisms of action. We hypothesized that drug- and state-related changes can be […]
Read MoreAuthors: Raquel S. Santos, Ph.D. et al Anesthesiology 6 2018, Vol.128, 1193-1206. Background: The authors hypothesized that low tidal volume (VT) would minimize ventilator-induced lung injury regardless of the degree of mechanical power. The authors investigated the impact of power, obtained by different combinations of VT and respiratory rate (RR), on ventilator-induced lung injury in experimental mild acute […]
Read MoreTranscutaneous electrical nerve stimulation (TENS) may not provide relief from lower back pain, but may be associated with short-term improvement (<6 weeks) in functional disability, according to a literature review published in Regional Anesthesia and Pain Medicine. Investigators evaluated 12 randomized controlled trials examining patients with low back pain undergoing TENS (n=350), control therapy (n=269; eg, placebo, sham, […]
Read MoreOpioid cessation in patients with non-cancer pain may be more successful when depression is treated to remission, according to a study published in the February 2018 issue of the British Journal of Psychiatry. The study found that patients with chronic prescription opioid use and depression who adhered to antidepressant medications were more likely to stop opioids. […]
Read MoreAuthors: Hain E et al Colorectal Disease (Jan 2018) AIM Transversus abdominis plane (TAP) block is a locoregional anesthesia technique of growing interest in abdominal surgery. However, its efficacy following laparoscopic colorectal surgery is still debated. This meta-analysis aimed to assess the efficacy of TAP-block after laparoscopic colorectal surgery. METHOD All comparative studies focusing on […]
Read MoreThis is another interesting article that relates to anesthesia even with it not involving it. Hackshaw A et al. BMJ 2018 Jan 24. Smoking one cigarette daily accounted for one third to one half of excess risk associated with smoking 20 cigarettes daily. Evidence suggests that light smoking (i.e., 1−5 cigarettes daily) increases risk for cardiovascular disease. […]
Read MoreResults of a recent study suggest that the use of supraglottic jet oxygenation and ventilation (SJOV) during upper gastrointestinal endoscopy can lower the risk for hypoxia in propofol-sedated patients. Compared with administration of oxygen through a nasal cannula, SJOV through a nasal tube placed above the glottis significantly reduced the rate of hypoxia from 8.93% […]
Read MoreWhen is the best time to resume beta blockade in chronic users after noncardiac surgery to most effectively prevent postoperative atrial fibrillation? Although this question has been in flux for years, a retrospective cohort analysis concluded that resuming beta blockers before the end of postoperative day 1 is optimal for decreasing the incidence of atrial fibrillation after […]
Read MoreReducing unnecessary variation in clinical practice and medical device use is a key strategy in optimizing the value of enhanced recovery and perioperative surgical home (PSH) programs, and providers are being encouraged to take an active role in identifying opportunities where value can be created. “Each step in a value chain should add value,” said […]
Read MoreAnesthesiology practitioners in a multispecialty setting used a deep neuromuscular block (NMB) on average 64% of the time, according to a retrospective study. “The goal was to understand what clinicians do in real clinical practice,” said co-author Richard D. Urman, MD, associate professor of anesthesia at Brigham and Women’s Hospital, in Boston. “We examined the […]
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