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Authors: Juan C. Gómez-Izquierdo, M.D. et al Anesthesiology 7 2017, Vol.127, 36-49. Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal […]
Read MoreAuthors: Pierre Albaladejo, M.D., Ph.D. et al Anesthesiology 7 2017, Vol.127, 111-120. Background: The use of prothrombin complex concentrates and the role of plasma concentration of anticoagulants in the management of bleeding in patients treated with direct oral anticoagulants are still debated. Our aim was to describe management strategies and outcomes of severe bleeding events in patients […]
Read MoreAuthors: Gavin M. Hamilton, M.D., M.Sc. et al Anesthesiology 7 2017, Vol.127, 78-88. Background: Delirium is an acute and reversible geriatric syndrome that represents a decompensation of cerebral function. Delirium is associated with adverse postoperative outcomes, but controversy exists regarding whether delirium is an independent predictor of mortality. Thus, we assessed the association between incident postoperative delirium […]
Read MoreAuthors: Jessica L. Booth, M.D. et al Anesthesiology 7 2017, Vol.127, 50-57. Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine would […]
Read MoreAuthors: Juan C. Gómez-Izquierdo, M.D. et al Anesthesiology 7 2017, Vol.127, 36-49. Background: Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal […]
Read MoreTo the Editor: Dr. Geralemou and colleagues make an excellent argument for capnography monitoring in the postoperative period for evidence of hypoventilation in their October 2016 APSF Newsletter article entitled “The Role of Capnography to Prevent Postoperative Respiratory Adverse Events.” However, that doesn’t necessarily mean capnography should be recommended as a standard outside the operating […]
Read MoreTo the Editor: Introduction Central line-associated bloodstream infections (CLABSI) have been associated with thousands of preventable deaths and billions of dollars of additional costs to the US health care system.1 Many institutions in recent years have prioritized preventing such infections. However, a substantial number of CLABSIs continue to occur, especially in high-risk areas of the hospital. […]
Read MoreAuthors: Medhat S. Hannallah, MD, Raj Parekh, MD, and Shahine Baghai, MD To the Editor: Cryoablation is increasingly used to treat unresectable malignant tumors. During cryotherapy it may not be possible to immediately remove the freezing element from an organ in an emergency without active thawing. We recently cared for a patient that illustrated the […]
Read MoreTo the Editor: In the February 2017 article entitled “The Anesthesia Professional’s Role in Patient Safety During TAVR (Transcatheter Aortic Valve Replacement),1 Drs. Novak and Parulkar concisely elucidate a number of points in the care of TAVR patients. In particular, they present a thoughtful analysis of the current data on choice of anesthetic for these cases. […]
Read MoreAuthor: Tricia Meyer, PharmD Medication errors have been estimated to occur in approximately 5% of medication administrations during surgery with a large majority of them being preventable.1 High-quality evidence-based literature on preventative measures is limited. Medication utilization in the perioperative area is fundamentally different from the typical hospital patient care units. The anesthesia professional is the […]
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