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Canadian Journal of Anesthesia Authors: Aaron Lau Purpose The purpose of this study was to evaluate the effects of preoperative forced-air warming on intraoperative hypothermia. Methods In this randomized-controlled trial, adult patients scheduled for elective, non-cardiac surgery under general anesthesia were stratified by scheduled surgical duration (< 2.5 hr or ≥ 2.5 hr) and then […]
Read MoreAs many as 116 million adults experience chronic pain each year in the United States, and treatment for these individuals often includes opioids.1 However, the use of opioids for chronic pain is controversial, highlighting the need for nonopioid therapies for this patient population. The potential for intravenous (IV) lidocaine to reduce postoperative pain was first proposed in the […]
Read MoreAUTHORS: Abdulrauf S et al World Neurosurgery (Feb 2018) OBJECTIVE The option of performing MVD under awake anesthesia protocol (‘awake’MVD) was examined in this initial series to assess whether intraoperative pain evaluation can identify and mitigate insufficient decompression of the trigeminal nerve, improving surgical outcomes. Additionally,’awake’MVD could expand procedure indications for those with comorbidities that […]
Read MoreWith 2.5 quintillion bytes of data created every day, the business of mining, storing and analyzing increasingly large and varied data sets is booming and yielding impressive results, but there are pitfalls. According to Julian M. Goldman, MD, an anesthesiologist at Massachusetts General Hospital and Harvard Medical School, and medical director of Partners HealthCare Systems […]
Read MoreAuthors: Lam SW et al. Crit Care Med 2018 Jan 2. Procalcitonin guidance for antibiotic cessation improves short-term mortality in ICU patients. Previous meta-analyses showed that procalcitonin-guided antimicrobial management, compared with standard care, resulted in less overall antibiotic exposure in intensive care unit (ICU) patients; however, differences in mortality or length of stay were not detected (NEJM […]
Read MoreApneic oxygenation through a nasal cannula can help intubation in the ER, particularly by preventing low oxygen saturation (SO2) during intubation, according to a meta-analysis. The eight-study meta-analysis, totaling 1,837 patients, also found that the technique increases the first-pass success rate of intubation. “Apneic oxygenation is one of the few beneficial interventions that is inexpensive […]
Read MoreBurnout is painful and disheartening in any workplace; in a hospital, it can be a killer. About 1 in 10 doctors reported that they had made a major medical error in the prior three months in a national survey of over 6,000 American doctors just published in Mayo Clinic Proceedings. Just over half of the doctors surveyed reported […]
Read MoreProgram seeks male donors with Type O-positive blood By Deven Clarke – News Reporter A unique type of blood transfusion is saving lives of people involved in traumatic accidents in South Texas. A program through the South Texas Blood and Tissue Center called Brothers in Arms is equipping air medical crews with blood to be used for transfusions […]
Read MoreHenry Jay Przybylo, MD, a pediatric anesthesiologist and associate professor of anesthesiology at Northwestern University Feinberg School of Medicine, in Chicago, recently published “Counting Backwards: A Doctor’s Notes on Anesthesia,” which is available through W. W. Norton & Company. Dr. Przybylo’s more than three decades of professional experience provides ample material for this look at […]
Read MoreAUTHORS: Tawfik, Mohamed Mohamed, MD et al Anesthesia & Analgesia: February 14, 2018 – BACKGROUND: The optimal strategy of fluid administration during spinal anesthesia for cesarean delivery is still unclear. Ultrasonography of the inferior vena cava (IVC) has been recently used to assess the volume status and predict fluid responsiveness. In this double-blind, randomized controlled study, we […]
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