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Authors: Hilary P. Grocott, M.D., F.R.C.P.C., F.A.S.E. Anesthesiology 10 2017, Vol.127, 723-724. To the Editor: The recent comprehensive review article by Drs. Brull and Kopman1 outlines the challenges and opportunities of the current status of neuromuscular reversal and monitoring. Their superlative and informative review is clearly destined to be a go-to reference on the subject. Importantly, it […]
Read MoreAuthors: Michael W. Manning, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 720-721. To the Editor: We read with interest the study by Roshanov et al.1 comparing outcomes in patients undergoing noncardiac surgery, following the withholding or continuing of an Angiotensin-converting Enzyme Inhibitor (ACEi) or Angiotensin II Receptor Blocker (ARB). Although this was a large and comprehensive retrospective […]
Read MoreAuthors: Henrik Kehlet, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 718. To the Editor: McIsaac et al.1 recently published their population-based cohort study on outcomes after total knee arthroplasty in relation to the use of peripheral nerve blocks. The primary outcome was length of stay (LOS), and they concluded that nerve blocks reduced LOS (risk ratio = […]
Read MoreAuthors: Jung-Won Hwang, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 718-719. To the Editor: We read the article by McIsaac et al.1 with great interest. The authors should be commended for attempting to estimate the effects of peripheral nerve blocks (PNBs) on healthcare resource use. These efforts could decrease the cost of health care without compromising patient […]
Read MoreAuthors: Elizabeth M. S. Lange, M.D. et al Anesthesiology published on September 7, 2017. Background: Intrapartum maternal fever is associated with several adverse neonatal outcomes. Intrapartum fever can be infectious or inflammatory in etiology. Increases in interleukin 6 and other inflammatory markers are associated with maternal fever. Magnesium has been shown to attenuate interleukin 6–mediated fever in […]
Read MoreFDA & Washington Alerts ASA Monitor August 2017 AUDIENCE: Surgery, Nursing, Anesthesia ISSUE: The FDA is reminding health care providers that using thermoregulation devices during surgery, including forced air thermoregulating systems, have been demonstrated to result in less bleeding, faster recovery times, and decreased risk of infection for patients. The FDA recently became aware that some health […]
Read MoreAuthors: Laurie A. Chalifoux, M.D. et al Anesthesiology 10 2017, Vol.127, 625-632. Background: Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version […]
Read MoreAuthors: Martin J. Tobin, M.D. et al Anesthesiology 10 2017, Vol.127, 599-600 IN the present issue of Anesthesiology, Silva et al.1 report on the ability of thoracic ultrasound to predict the development of respiratory distress in patients extubated after tolerating 60 min of pressure support set at 7 cm H2O. They studied 136 patients, and 18.4% required reintubation. Integrated statistical […]
Read MoreAuthors: Brendan Carvalho, M.B.B.Ch., F.R.C.A. et al Anesthesiology 10 2017, Vol.127, 596-598. APPROXIMATELY one third of all births in the United States are by cesarean delivery, and in most high-income countries the cesarean delivery rate also exceeds that recommended by the World Health Organization for optimal maternal and neonatal outcomes.1 This is concerning, because cesarean delivery, and […]
Read MoreAuthor: David H. Chestnut, M.D. Anesthesiology 10 2017, Vol.127, 593-595. “BREASTFEEDING is an important public health concern.”1 So begins—correctly—a fine clinical research publication in this issue of Anesthesiology.1 Breastfeeding incurs substantial health benefits for both the mother and the baby.2.3 Short-term maternal benefits of breastfeeding include decreased postpartum blood loss and more rapid involution of the uterus. An exhaustive […]
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