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Author: Thomas Rosenthal Anesthesiology News As in previous studies, unplanned extubation (UE) has been found in new research to be associated with delirium, a greater reintubation rate, and longer stays in the ICU and hospital. The researchers called for increased exploration into factors involved in UE. “The most important finding is that unplanned extubation was associated […]
Read MoreAuthors: Thomas C. Mort, MD et al Anesthesiology News The current rate of perioperative cardiac arrest (CA) is estimated to be between 1 and 1,400 to 1,800 anesthetic interventions (0.05%-0.07%).1 The number of CAs directly attributable to anesthesia as a primary causative factor has decreased over the last 5 decades, and is estimated to occur from 0.5 […]
Read MoreHeadaches are a common occurrence in the general population and are often present in patients with an underlying brain tumor, although it is not yet clear to what degree they are related.1 Contrary to conventional thinking, however, headache associated with a brain tumor may be essentially the same as headache without a brain tumor. The International Classification of […]
Read MoreIntravenous (IV) lidocaine may be safe and effective for the treatment of children and adolescents with status migraine, according to a study published in Pediatric Critical Care Medicine. Prospective studies are needed to further investigate effectiveness, safety, and duration of effects of the treatment after discharge. This study included 26 participants with status migraine whose average age was 14.9±2.4 […]
Read MoreHalf as many women in labour given remifentanil to help manage their pain need a subsequent epidural, compared with women given pethidine — the current standard of care, according to a study published in The Lancet. “Previous studies have shown that at least 1 in 3 women given pethidine to manage pain during labour require a […]
Read MoreUse of peripheral nerve blocks in the treatment of trigeminal neuralgia may produce long-term pain relief, according to a study published in The American Journal of Emergency Medicine. For the study, Michael Perloff, MD, Boston University School of Medicine, Boston, Massachusetts, and colleagues examined 9 patients with intractable primary trigeminal neuralgia who underwent peripheral trigeminal nerve […]
Read MoreFeasibility of Topical Local Anesthesia Preparation For Video–Assisted Laryngoscopy Author Thomas C. Mort, MD Anesthesiology News Emergent tracheal intubation outside the operating room (OR) is challenging in terms of complications and patient safety concerns. The acute and critical nature of the patient’s need for airway control escalates the dangers with both recognized and unrecognized difficult […]
Read MorePatients who take prescription opioids for more than 60 days before total knee or hip replacement surgery are at significantly higher risk of being readmitted to the hospital and of undergoing repeat joint-replacement surgery, compared with patients with no preoperative opioid use, according to a study published in The Journal of Bone & Joint Surgery. “Opioid […]
Read MoreAuthors: Michael R. Mathis, M.D. et al Anesthesiology 10 2018, Vol.129, 619-622. “…machine-learning properties include an ability to capture…variables…[called] model features…[too numerous for humans] to perceive or simultaneously consider…[and] the ability…to model complex relationships between model features which otherwise eclipse human understanding.” MACHINE learning, the quintessential tool currently driving forward the development of artificial intelligence, was […]
Read MoreCertain prescribing patterns, surgical procedures, and patient characteristics increase patients’ risk of long-term opioid use following surgery or trauma, according to a study published in the Journal of Bone and Joint Surgery. “Approximately 4% of the general population will use prescribed opioids for an extended time after surgery, but, among patients with a history of prescription […]
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