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Published in The Joint Commission By Gerard M. Castro, PhD, MPH Out of approximately 65 million surgical cases annually, there are 200 to 240 surgical fires, a frequency comparable to that of other surgical safety events such as wrong site surgery and unintended retention of a foreign object.1 While relatively rare, surgical fires can be catastrophic, […]
Read MoreAUTHORS: Ramachandran, Satya Krishna MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 272–279 BACKGROUND: Obstructive sleep apnea (OSA) is a prevalent condition that is associated with early postoperative respiratory complications (PRCs). As the majority of patients with OSA are undiagnosed, preoperative screening remains the most efficient method to identify […]
Read MoreThe minimum criteria for informed consent (IC) are being met in pediatric anesthesia, but more can be done to obtain explicit agreement from patients’ parents, according to a prospective, cross-sectional study conducted at Seattle Children’s Hospital, in Washington. The findings come from analyses of recorded and transcribed conversations between parents of surgical patients aged 1 […]
Read MoreAUTHORS: Wilson, Sylvia H. MD et al Anesthesia & Analgesia: June 2017 BACKGROUND: Lumbar epidurals (LEs) provide excellent analgesia. Combined spinal epidural and dural puncture epidural (DPE) are 2 techniques to expedite neuraxial analgesia onset. In DPE, dura is punctured but medication is not administered in the cerebrospinal fluid. Expedited analgesia onset has been demonstrated with […]
Read MoreAUTHORS: Alonso-Coello, Pablo MD, PhD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 162–169 BACKGROUND: Despite the frequency of new clinically important atrial fibrillation (AF) after noncardiac surgery and its increased association with the risk of stroke at 30 days, there are limited data informing their prediction, association with outcomes, […]
Read MoreAuthors: Whitlock EL et al., JAMA Intern Med 2017 Jun 5; Persistent moderate-to-severe pain was associated with about a 2% increase in absolute risk for developing dementia. One quarter to one third of older adults have chronic pain, and cross-sectional studies have shown associations between chronic pain and cognitive decline. In this study, researchers used data from a […]
Read MoreAUTHORS: Ellis, Margaret K. Menzel MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 58–65 BACKGROUND: Economic, personnel, and procedural challenges often complicate and interfere with efficient and safe perioperative care of patients with cardiovascular implantable electronic devices (CIEDs). In the context of a process improvement initiative, we created and […]
Read MoreBy Joseph F. Answine, MD Pain medications, especially opioids, have understandably undergone intense scrutiny due to recent public concern over prescription drug abuse, as well as the known side effects of opioids limiting enhanced recovery programs (e.g., somnolence impeding early ambulation and feeding, increased postoperative nausea and vomiting, higher incidence of ileus after colorectal surgery […]
Read MoreAUTHORS: Evron, Shmuel MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 103–109 BACKGROUND: The Temple Touch Pro (TTP) is a novel system that estimates core temperature from skin over the temporal artery. We tested the hypothesis that this noninvasive system estimates core temperature to an accuracy within 0.5°C. METHODS: Core […]
Read MoreSpinal fusion, which restricts segmental motion, is the conventional surgical treatment for low back pain associated with degenerative disc disease. Long-term, clinically important improvement in chronic low back pain can be achieved with lumbar total disc replacement and multidisciplinary rehabilitation in patients whose low back pain does not respond to conservative therapy, according to a […]
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