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Underbody 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 staf f anesthesiologist at the Tohoku University School of […]
Read MoreAUTHORS: Delaney, Meghan DO, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1777–1782 BACKGROUND: Cardiac surgery is the most common setting for massive transfusion in medically advanced countries. Studies of massive transfusion after injury suggest that the ratios of administered plasma and platelets (PLT) to red blood cells […]
Read MoreAUTHORS: Mohammad, Shazia MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1506–1511 BACKGROUND: We observed that increasing fresh gas flow (FGF) decreased exhaled tidal volume (VT) during pressure control ventilation (PCV). A literature search produced no such description whereby unintended VT changes occur with FGF changes during PCV. METHODS: […]
Read MorePectoralis and Serratus Fascial Plane Blocks Each Provide Early AUTHORS: Abdallah, Faraj W. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 294–302 BACKGROUND: Pectoralis and serratus blocks have been described recently for use in breast surgery, but evidence supporting their analgesic benefits is limited. This cohort study evaluates […]
Read MoreAUTHORS: Zimmerman, Robert MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1547–1554 BACKGROUND: Blood transfusion is used to treat acute anemia with the goal of increasing blood oxygen-carrying capacity as determined by hematocrit (Hct) and oxygen delivery (DO2). However, increasing Hct also increases blood viscosity, which may thus […]
Read MoreAUTHORS: Hanna Kaisa MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1459–1466 BACKGROUND: Post-tonsillectomy pain is 1 of the most intense postoperative pain conditions. However, optimal and sufficient postoperative analgesic treatment remains unclear. We investigated the effect of topical ropivacaine for post-tonsillectomy pain in 160 adult outpatient surgery […]
Read MoreSphenopalatine ganglion block consists of a small flexible catheter inserted into each nostril, via which a local anesthetic is administered. HealthDay News — A nasal nerve block may be an effective pain relief method for children with migraines, according to research presented at the annual meeting of the Society of Interventional Radiology, held from March […]
Read MoreAuthor is Karen Sullivan Sibert, MD in her blog A Penned Point There are two schools of thought about how to extubate patients at the conclusion of general anesthesia: Allow the patient to wake up with the endotracheal tube in place, gagging on the tube and flailing like a fish on a line, while someone […]
Read More… in patients with post–dural puncture headache An alternative approach to traditional epidural blood patch administration in patients with post–dural puncture headache who have an indwelling catheter has passed its first test. Although current fine-gauge needles have reduced the incidence of PDPH, the adverse event still occurs, and depends on several factors, including needle size […]
Read MoreWomen who suffer grade 3 or 4 perineal lacerations during vaginal delivery consume significantly more opioids than their counterparts who do not, a study found, and virtually none of these women with higher-grade lacerations received neuraxial morphine. That finding surprised the researchers and illustrated the need for a department-wide protocol to address the analgesic needs […]
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