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In what might be the first study of its kind, a team of French researchers has found that an individualized tight approach to blood pressure management reduces the risk for postoperative organ dysfunction compared with standard hemodynamic management. These results, they noted, have far-reaching implications given how common hemodynamic instability and arterial hypotension are during […]
Read MoreAnother article I wanted to share with our readers. Millions of Americans may book an extra doctor’s appointment this year, thanks to updated guidelines from the American Cancer Society (ACS). The ACS is now recommending that adults at average risk of colorectal cancer begin regular screenings at age 45, rather than the previous standard of age 50. […]
Read MoreAUTHORS: Warner, Matthew, A., MD et al Anesthesia & Analgesia: December 29, 2017 BACKGROUND: Thrombocytopenia is frequently encountered in critically ill patients, often resulting in prophylactic transfusion of platelets for the prevention of bleeding complications. However, the efficacy of this practice remains unclear. The objective of this study was to determine the relationship between prophylactic platelet transfusion […]
Read MoreAUTHORS: Jaeger, Pia, MD, PhD et al Anesthesia & Analgesia: June 2018 – Volume 126 – Issue 6 – p 2069–2077 BACKGROUND: Based on the assumption that relatively large volumes of local anesthetic optimize an adductor canal block (ACB), we theorized that an ACB administered as repeated boluses would improve analgesia without compromising mobility, compared with a […]
Read MoreAUTHORS: Nogueira, Flávia, R., BSc et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1198–1205 BACKGROUND: Little is known about the effects of desflurane associated or not with nitrous oxide (N2O) on oxidative stress and patient genetic material. The aim of this study was to compare the effects of anesthesia maintained […]
Read MoreAUTHORS: Taenzer, Andreas, H., MS, MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 826–832 BACKGROUND: Routine monitoring of postoperative patients with pulse oximetry–based surveillance monitoring has been shown to reduce adverse events. However, there is some concern that pulse oximetry is limited in its ability to detect deterioration quickly […]
Read MoreAUTHORS: Aouad, Marie, T., MD et al Anesthesia & Analgesia: December 29, 2017 BACKGROUND: Dexmedetomidine provides smooth and hemodynamically stable emergence at the expense of hypotension, delayed recovery, and sedation. We investigated the optimal dose of dexmedetomidine for prevention of cough, agitation, hypertension, tachycardia, and shivering, with minimal side effects. METHODS: In this prospective, randomized, double-blind trial, 216 […]
Read MoreI thought this was very interesting so I wanted to share with our readers. By Jeff Goldsmith, Alex Hunter and Amy Strauss How can hospitals and health systems generate a return on their investment in their physician enterprises? According to the most recent figures, from the American Medical Association, over 25% of U.S. physicians practiced in groups wholly […]
Read MoreAUTHORS: Schieren, Mark, MD et al Anesthesia & Analgesia: April 2018 – Volume 126 – Issue 4 – p 1257–1261 BACKGROUND: Supraglottic airway devices (SADs) may have advantages over endotracheal intubation for tracheal resection and reconstruction in cases of severe and proximally located subglottic stenosis. This retrospective case series examines the feasibility of using SADs as a […]
Read MoreAUTHORS: Richards, Justin, E., MD et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 904–910 BACKGROUND: Early hyperglycemia is associated with multiple organ failure (MOF) after traumatic injury; however, few studies have considered the contribution of depth of clinical shock. We hypothesize that when considered simultaneously, glucose and lactate are associated […]
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