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A recent drop in stillbirths and newborn deaths in the United States might be linked to an increase in term or near-term births, a new study suggests. The study, published Monday in the journal JAMA Pediatrics, looked at more than 99% of US live births and stillbirths between 2007 and 2015 using data from the […]
Read MoreAuthors: Kyoung-Ho Ryu, M.D. et al Anesthesiology 6 2018, Vol.128, 1092-1098. Background: Minimum alveolar concentration (MAC) has traditionally been used to compare the potency of volatile anesthetics. However, as it reflects the spinal mechanism of immobility rather than the cerebral mechanism of analgesia and hypnosis, it is doubtful that equi-MAC connotes equivalent analgesic or hypnotic potency. […]
Read MoreAUTHORS: Farhang, Borzoo, DO et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 78–83 BACKGROUND: Postoperative sore throat (POST) is commonly seen after endotracheal intubation, and oral zinc prevents oral mucositis associated with chemotherapy. This study is designed to evaluate the effects of administration of zinc lozenges on POST. METHODS: Seventy-nine patients […]
Read MoreAUTHORS: Cameron, Matthew, J., MDCM et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 33–38 BACKGROUND: Postoperative atrial fibrillation (POAF) is associated with early and late morbidity and mortality of cardiac surgical patients. Prophylactic treatment of atrial fibrillation (AF) has been recommended to improve outcome in cardiac surgical patients at high […]
Read MoreAuthors: Eric C. Sun, M.D., Ph.D. et al Anesthesiology published on May 29, 2018. Background: In the United States, anesthesia care can be provided by an anesthesia care team consisting of nonphysician providers (nurse anesthetists and anesthesiologist assistants) working under the supervision of a physician anesthesiologist. Nurse anesthetists may practice nationwide, whereas anesthesiologist assistants are restricted to […]
Read MoreI wanted to share this with our readers because I am an old guy so this is important to at least me. Authors: Lamb SE et al. BMJ 2018 May 16. Supervised exercise might improve physical fitness but doesn’t help cognition. Evidence is mixed on whether physical exercise improves cognitive impairment. In this trial, U.K. investigators […]
Read MoreAUTHORS: Magliocca, Aurora, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 85–92 BACKGROUND: Orthotopic liver transplantation (OLT) is characterized by significant intraoperative hemodynamic variability. Accurate and real-time cardiac output (CO) monitoring aids clinical decision making during OLT. The purpose of this study is to compare accuracy, precision, and trending […]
Read MoreAUTHORS: Sabourdin, Nada, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 70–77 BACKGROUND: Pupillometry allows the measurement of pupillary diameter variations in response to nociceptive stimuli. This technique has been used to monitor the balance between analgesia and nociception. Under general anesthesia, the amplitude of pupillary dilation is related […]
Read MoreAuthor: Martin J. London, M.D., F.A.S.E. Anesthesiology 6 2018, Vol.128, 1055-1059. “…what constitutes [perioperative] myocardial infarction, its subtypes, and treatment strategies[?]” In this issue of the Anesthesiology, Helwani et al.1 address the etiology, classification, and prognosis of perioperative myocardial infarction (MI), a subject of investigation for more than 75 yr now. A unique feature of their study is […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 6 2018, Vol.128, 1140-1150. Background: Polypharmacy is increasingly prevalent in older patients and is associated with adverse events among medical patients. The impact of polypharmacy on outcomes after elective surgery is poorly described. The authors’ objective was to measure the association of polypharmacy with survival, complications, and […]
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