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Researchers Change Practice; Selection Bias Could Explain Results; Proper Technique Key Surgeons speaking at the 2017 annual meeting of the Americas Hernia Society questioned the value of perioperative epidural analgesia in patients undergoing ventral hernia repair after results from a new analysis suggested epidurals may contribute to longer hospital length of stay without any obvious […]
Read MoreAlthough supplemental oxygen is an essential element of patient care for a wide range of clinical conditions, it compromises both carbon dioxide and peripheral capillary O2 saturation monitoring methods, making it difficult to detect respiratory depression. However, that issue may be resolved by the development of a prototype intelligent O2 flowmeter, which delivers supplemental O2 at a variable […]
Read MoreThe benefits of robot-assisted laparoscopic prostatectomy (RALP) have been clouded by doubts about its effect on blood pressure and fluid management, but a new study has found that RALP reduced the volume of fluids and alleviated the need for blood transfusion compared with open radical prostatectomy. According to Hidehisa Saito, MD, a resident at the […]
Read MoreLower limb compression using a sequential compression device (SCD) significantly decreased the incidence of maternal hypotension in women receiving epidural anesthesia, researchers reported here at the annual meeting of the American College of Gynecologists and Obstetricians. Studies find that 30% of patients who choose epidural anesthesia during labor experience hypotension despite the standard prophylaxis of […]
Read MoreA new study assessed temporal summation of the nociceptive flexion reflex (a physiological marker of spinal nociception) and temporal summation of pain. A new study assessed temporal summation of the nociceptive flexion reflex (TS-NFR; a physiological marker of spinal nociception) and temporal summation of pain (TS-Pain), as presented at the American Pain Society 36th Annual Scientific […]
Read MoreThe use of an intraperitoneal wound irrigation system to deliver anaesthesia following caesarean section may be able to reduce the use of post-partum narcotic use, although larger studies are required, researchers reported here at the 2017 Annual Clinical and Scientific Meeting of the American College of Obstetricians and Gynecologists (ACOG). “Control of post-op pain is […]
Read MoreAUTHORS: Jeong, Dae Myoung MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1158–1165 BACKGROUND: Stroke volume variation (SVV) and pulse pressure variation (PPV) are used as indicators of fluid responsiveness, but little is known about the usefulness of these dynamic preload indicators in thoracic surgery, which involves an […]
Read MoreAUTHORS: Cozowicz, Crispiana MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 66–77 BACKGROUND: Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population […]
Read MoreAUTHORS: Hall, Michael MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 477–482 INTRODUCTION: Serious complications are common during the intensive care of postoperative cardiac surgery patients. Some of these complications may be influenced by communication during the process of handover of care from the operating room to the […]
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 decrease […]
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