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A Perioperative Systems Improvement program, put into place to review and respond to medication errors, has resulted in significant improvements at Boston Children’s Hospital. In an effort to decrease adverse medical events caused by drug administration errors, researchers there conducted a retrospective analysis of errors made from 2008 through 2016. Information was obtained from mandatory […]
Read MoreBy Maureen F. Cooney, DNP, FNP-BC, Pain Management Nurse Practitioner, Westchester Medical Center, Valhalla, N.Y. For patients preparing for surgery, their biggest worry often has nothing to do with typically noted complications. What patients fear most is pain.1 And for good reason: More than 80% of surgical patients report acute postoperative pain,2 yet less than […]
Read MorePediatric patients with tetralogy of Fallot and pulmonary atresia appear to have an increased likelihood of complications following pulmonary rehabilitation surgery, according to a retrospective review. The findings, presented at the 2017 annual meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and Pain Medicine (abstract CA1-36), come from an analysis […]
Read MoreAUTHORS: Ayebale, Emmanuel Timarwa MBChB, MMED et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 533–539 BACKGROUND: Crystalloids are used routinely for perioperative fluid management in cesarean delivery. Few studies have determined the crystalloid of choice in obstetric anesthesia. We compared the effects of Ringer’s lactate (RL) versus 0.9% […]
Read MoreAUTHORS: García-de-la-Asunción, José MD, PhD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 499–506 BACKGROUND: During lobectomy in patients with lung cancer, the operated lung is often collapsed and hypoperfused. Ischemia/reperfusion injury may then occur when the lung is re-expanded. We hypothesized that remote ischemic preconditioning (RIPC) would […]
Read MoreAUTHORS: Patel, Eshan U. MPH et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 967–974 BACKGROUND: Hospital-wide massive transfusion protocols (MTPs) primarily designed for trauma patients may lead to excess blood products being prepared for nontrauma patients. This study characterized blood product utilization among distinct trauma and nontrauma MTPs at a […]
Read MoreAuthors: Walsh SL et al., JAMA Psychiatry 2017 Jun 22; An investigational depot form of the medication has positive early results. The opioid receptor partial agonist buprenorphine, as sublingual monotherapy or in combination with the opioid antagonist naloxone (Suboxone), attenuates narcotic withdrawal and craving and blocks euphoria from concurrent narcotics. Still, buprenorphine is itself subject to misuse […]
Read MoreA comprehensive, multimodal pain strategy is the cornerstone of policy formation for managing buprenorphine perioperatively at Stanford University Medical Center. As awareness of the pervasiveness of the opioid epidemic increases, clinicians have begun to take steps to do what they can to control it. “We are having more and more patients coming for surgery that […]
Read MoreAUTHORS: Butwick, Alexander J. MBBS, FRCA, MS et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 523–532 BACKGROUND: Women who undergo intrapartum caesarean delivery (CD) are at increased risk of postpartum hemorrhage (PPH) compared with those undergoing prelabor CD. To determine whether the presence and strength of the associations […]
Read MoreAUTHORS: Kim, Tae Kyong MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 485–490 BACKGROUND: In patients with cervical immobilization, jaw thrust can cause cervical spine movement. Concurrent use of a laryngoscope may facilitate lightwand intubation, allowing midline placement and free movement of the lightwand in the oral cavity without […]
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