-
-
Call more information
660-596-2224 -
Dear Q&A, I am writing to inquire regarding risks to a patient when a transdermal medication patch is left in place in the setting of electrocautery for surgery. It came up recently regarding oxybutynin because the surgeon was aware of metal particles in the patch layers, and was concerned about the risk of a burn […]
Read MoreAUTHORS: Elmi-Sarabi, Mahsa MSc et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 393–402 BACKGROUND: In cardiac surgery, pulmonary hypertension is an important prognostic factor for which several treatments have been suggested over time. In this systematic review and meta-analysis, we compared the efficacy of inhaled aerosolized vasodilators to intravenously administered […]
Read MoreWhat Perioperative Handoffs Do We Participate in and How Are They Different? The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Amanda Lorinc, MD, and Christopher Henson, DO Handoffs Handoffs, in the most concise description, are an exchange of responsibility for one or more patients from one provider to another. Handoffs are […]
Read MoreBy Barbara M. Scavone, MD, and John T. Sullivan, MD Postpartum Hemorrhage Postpartum hemorrhage complicates approximately 3% of U.S. deliveries and is most often due to uterine atony.1 Hemorrhage is the leading cause of severe maternal morbidity and contributes to 11.4% of U.S. maternal deaths.2,3 Globally, it is the leading cause of maternal death.4 Postpartum hemorrhage is often […]
Read MoreAUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: June 08, 2017 Background: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. U.S. national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval from 30 minutes before to 15 minutes […]
Read MoreAUTHORS; Amar, David MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 190–199 BACKGROUND: Protective lung ventilation (PLV) during one-lung ventilation (OLV) for thoracic surgery is frequently recommended to reduce pulmonary complications. However, limited outcome data exist on whether PLV use during OLV is associated with less clinically relevant pulmonary […]
Read MoreAUTHORS: Al tmimi, Layth MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1118–1128 BACKGROUND: Xenon was shown to cause less hemodynamic instability and reduce vasopressor needs during off-pump coronary artery bypass (OPCAB) surgery when compared with conventionally used anesthetics. As xenon exerts its organ protective properties even in subanesthetic […]
Read MoreAUTHORS: Garvey, Gráinne Patricia MBChB, FRCA Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 913–924 BACKGROUND: Syringomyelia is a rare, slowly progressive neurological condition characterized by the presence of a syrinx within the spinal cord. Consensus regarding the safest mode of delivery and anesthetic management in patients with syringomyelia remains controversial and […]
Read MoreAUTHORS: Upton, Henry D. MBBS, BMedSc (Hons) et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting […]
Read MoreAUTHORS: Prielipp, Richard C. MD, MBA, FCCM et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 846–851 Patient safety secured by constant vigilance remains a primary responsibility of every anesthesia professional. Although significant attention has been focused on patient falls occurring before and after surgery, a potentially catastrophic complication is […]
Read More