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“Many patients receive their first exposure to opioids following surgery, but the incidence of new persistent opioid use after surgical care is not well defined.” In a population-based study reported in JAMA Surgery, researchers from the University of Michigan Medical School found elevated rates of new persistent opioid use in patients undergoing both minor and major […]
Read MoreUpper gastrointestinal endoscopic procedures may be commonplace, but they have surprisingly high complication and mortality rates. The advent of a modified laryngeal mask that can simultaneously protect the airway and facilitate the passage of an endoscope may reduce some of these adverse events. Preliminary results from an Australian study found that the mask facilitated endoscopic […]
Read MoreHow healthy is “healthy”? According to the results of an analysis from the University of California, San Diego, surgical mortality in a relatively healthy (ASA I and II) patient population is decreasing across the United States. Nevertheless, the study of more than 1.5 million patients identified several clinical predictors of increased mortality risk in this population. Consideration […]
Read MoreUnderbody warming blankets ultimately may prove to be a better choice than their overbody counterparts, with respect to both treating and preventing hypothermia, according to a recent study. “A few years have passed since underbody-type blankets were introduced to the market,” began Hiroshi Sumida, MD, a staff anesthesiologist at the Tohoku University School of Medicine, […]
Read MoreInfections can be lethal in the hospital setting, of course, but awareness of anesthesiologists’ role in contamination is just starting to emerge. According to data presented at the 2017 annual meeting of the Society for Technology in Anesthesia (abstract 29), anesthesia machines, which are notoriously difficult to clean, have been shown to be a potent […]
Read MoreAUTHOR: Hahn, Robert G. MD, PhD Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1824–1833 Excretion of crystalloid fluid is slow during general anesthesia. The distribution and elimination of buffered Ringer’s solution were analyzed to determine whether the rate of elimination correlates with a hemodynamic factor, consciousness, patient posture, or the […]
Read MoreAUTHORS: Manji, Farah MD, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1846–1854 BACKGROUND: Preprocedural assessments are used by anesthesia providers to optimize perioperative care for patients undergoing invasive procedures. When these assessments are performed in advance by providers who are not caring for the patient during the […]
Read MoreAlthough dexamethasone may be a beneficial adjunct to surgery in terms of its antiemetic and anti-inflammatory effects, a team of researchers from Thomas Jefferson University Hospital has found that it may have a darker side, particularly in diabetic patients. A pilot study concluded that dexamethasone administration was associated with significant postoperative hyperglycemia in these patients […]
Read MoreAnesthesiology · April 24, 2017 BACKGROUND Patients undergoing spinal fusion surgery often experience severe pain during the first three postoperative days. The aim of this parallel-group randomized trial was to assess the effect of the long-duration opioid methadone on postoperative analgesic requirements, pain scores, and patient satisfaction after complex spine surgery. METHODS One hundred twenty patients were […]
Read MoreBMJ · April 18, 2017 Objectives To determine whether preoperative dexamethasone reduces postoperative vomiting in patients undergoing elective bowel surgery and whether it is associated with other measurable benefits during recovery from surgery, including quicker return to oral diet and reduced length of stay. Design Pragmatic two arm parallel group randomised trial with blinded postoperative care and outcome assessment. […]
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