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AUTHORS: Rogge, Dorothea, E., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 454–463 BACKGROUND: Increasing rates of obesity create new challenges for hemodynamic monitoring in the perioperative phase. Continuous monitoring of arterial pressure (AP) is important in severely obese patients who are at particular risk for cardiovascular complications. Innovative […]
Read MoreAuthor: Rich Haridy A new study has uncovered how a general anesthetic disrupts connectivity between parts of the brain resulting in a strange form of unconsciousness Despite the widespread use of anesthetics, we still don’t know exactly how they work. The reason we don’t fully understand the mechanism behind them is that we don’t truly […]
Read MorePatients undergoing major abdominal procedures have an independent risk for mortality when at least 6 L of IV fluid are administered on the day of surgery. The retrospective study, which used a large administrative database of roughly 36,000 patient discharges from 393 hospitals across the United States, found that patients receiving at least 6 L […]
Read MoreAuthors: Behrens A et al. Gut 2018 Jan 3. Major complications occurred in 1 out of 10,000 procedures in a large prospective study. Most adverse events during endoscopy are due to sedation. To prospectively assess risk for complications during endoscopy, researchers analyzed data from more than 350,000 endoscopies conducted across dozens of centers in Germany. Sedation was […]
Read MoreOrganizations representing surgeons, anesthesiologists and nurses will gather in early 2018 to review evidence on the controversial issue of operating room attire, after a series of recent studies showed bouffant caps do not appear to be associated with a reduced risk for surgical site infections compared with traditional surgical caps. “We are going to reconvene […]
Read MorePatients who are unintentionally administered contrast medium despite being hypersensitive to the agent rarely experience severe allergic reactions, instead exhibiting only mild to moderate symptoms, a case series has found. “In patients with [a] history of hypersensitivity to contrast medium, we usually avoid administering it altogether or premedicate them with steroids,” said Honorio T. Benzon, MD, professor […]
Read MoreAUTHORS: Gaudard, Philippe, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1234–1240 BACKGROUND: Nitric oxide (NO) has a well-known efficacy in pulmonary hypertension (PH), with wide use for 20 years in many countries. The objective of this study was to describe the current use of NO in real life […]
Read MoreThis is an interesting article for our readers who treat pain. Johansen ME. JAMA Intern Med 2018 Jan 2. Much of the increased use is in patients who also are using opioids and benzodiazepines for chronic conditions. Gabapentin and pregabalin are approved for treating patients with several specific neurological and neuropathic conditions (e.g., gabapentin and pregabalin for […]
Read MoreThe choice between disposable and reusable airway management devices is more than a question of convenience, requiring consideration of patient- and practice-related factors as well as economic and environmental issues. For P. Allan Klock Jr., MD, the switch to disposable laryngoscope handles and blades stemmed from reviewing Joint Commission standards for cleaning, disinfection and storage. “The crux […]
Read MoreEdward R. Mariano, MD, MAS Chief, Anesthesiology and Perioperative Care Service Associate Chief of Staff, Inpatient Surgical Services VA Palo Alto Health Care System Palo Alto, California Professor Department of Anesthesiology, Perioperative, and Pain Medicine Stanford University School of Medicine Stanford, California There are numerous clinical and financial benefits to creating an acute pain medicine […]
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