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Authors: Lijian Pei, M.D. et al Anesthesiology 5 2018, Vol.128, 903-911. Abstract Background: The effect of ambient temperature, with and without active warming, on intraoperative core temperature remains poorly characterized. The authors determined the effect of ambient temperature on core temperature changes with and without forced-air warming. Methods: In this unblinded three-by-two factorial trial, 292 adults were randomized […]
Read MoreAuthors: Atul Gupta, M.D. et al Anesthesiology 5 2018, Vol.128, 880-890. Background: Although opioids remain the standard therapy for the treatment of postoperative pain, the prevalence of opioid misuse is rising. The extent to which opioid abuse or dependence affects readmission rates and healthcare utilization is not fully understood. It was hypothesized that surgical patients with a […]
Read MoreCosmetic procedures are up overall, with a focus on body shaping and body sculpting. By Jeffrey E. Janis, M.D. US World Reports Rise in Cosmetic Procedures Americans underwent 2,000 more tummy tuck procedures in 2017 than in 2016.( WARMER WEATHER IS approaching, which is traditionally a time when many of us begin to focus on and take […]
Read MorePeople with the most common blood type, type O, may be at higher risk of death after suffering severe injuries because they’re more likely to have major bleeding, a new study suggests. While the study is preliminary, Japanese researcher Dr. Wataru Takayama said the “results also raise questions about how emergency transfusion of O type […]
Read MoreASA Monitor 5 2018, Vol.82, 46-47. 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 MoreAUTHORS: Nagappa, Mahesh, MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2030–2037 BACKGROUND: Obstructive sleep apnea (OSA) is a common comorbidity in patients undergoing cardiac surgery and may predispose patients to postoperative complications. The purpose of this meta-analysis is to determine the evidence of postoperative complications associated with OSA […]
Read MoreBy Bernie Monegain Health executives know about Amazon, Apple, Google, IBM and Microsoft making moves into the healthcare industry but there are far more Fortune 50 companies that already have a foot in the space. Translation: Healthcare is even more ripe for disruption than it presently appears. And that means it’s time to act fast or face irrelevancy. […]
Read MoreAuthors: Dennis M. Fisher, M.D. et al Anesthesiology 5 2018, Vol.128, 943-952. Background: Desirable product attributes for treatment of moderate-to-severe acute pain in many medically supervised settings are rapid onset and a route of administration not requiring intravenous access. The pharmacokinetic characteristics of sublingually administered tablets containing 15 or 30 µg of sufentanil are described.Methods: Blood was sampled […]
Read MoreAuthors: Weisbord SD et al. N Engl J Med 2017 Nov 12. Saline hydration alone is sufficient. Urinary alkalinization and acetylcysteine have been proposed as possible ways to minimize contrast-induced nephropathy (CIN) in patients who receive intra-arterial injections of iodinated contrast. In this multicenter study, researchers randomized about 5000 patients scheduled for angiography (primarily coronary) to […]
Read MoreThe type of needle used during a lumbar puncture makes a significant difference in the subsequent occurrence of headache, nerve irritation, and hearing disturbance in patients, according to a study published in The Lancet. They study also found that the pencil-point atraumatic needle with the better tip design, which has been available for about 70 […]
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