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AUTHORS: Onwochei, Desire N. MBBS BSc (Hons), FRCA et al Anesthesia & Analgesia: February 28, 2017 BACKGROUND: The use of phenylephrine as the first-line agent for prevention and treatment of maternal hypotension during cesarean delivery (CD) may reduce cardiac output, posing a theoretical risk to mother and fetus. Norepinephrine has been suggested as a potential alternative, […]
Read MoreAspiration of Baker’s cysts under ultrasound and fluoroscopic guidance followed by a therapeutic injection of methylprednisolone and bupivacaine reduces symptoms in most patients, according to a study presented here at the 2017 Annual European Congress of Radiology (ECR). Judita Laurinkiene, MD, University Hospital, Waterford, Ireland, and colleagues reviewed outcomes in 14 consecutive patients who underwent […]
Read MoreUp to 1 in 5 children suffer from migraine, and the risk for migraine increases from childhood to adolescence. Children with persistent asthma are at increased risk for migraine, and treatment with anti-asthma or anti-allergy medication may lower this risk, according to a study published in Headache.1 Up to 1 in 5 children suffer from migraine, […]
Read MoreAUTHOR: Tandon, Kanwarpreet MD et al Anesthesia & Analgesia: February 24, 2017 BACKGROUND: Colonoscopy quality is directly related to the bowel preparation. It is well established that bowel preparations are improved when at least part of the laxative is ingested on the day of the procedure. However, there is concern that this can result in higher […]
Read MoreAUTHORS: Kim, Tae Kyong MD et al Anesthesia & Analgesia: February 24, 2017 BACKGROUND: In patients with cervical immobilization, jaw thrust can cause cervical spine movement. Concurrent use of a laryngoscope may facilitate lightwand intubation, allowing midline placement and free movement of the lightwand in the oral cavity without jaw thrust. We compared the effects of […]
Read MoreAUTHORS: Bronsert, Michael R. PhD, MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1476–1483 BACKGROUND: Nondepolarizing neuromuscular blocking drugs (NNMBDs) are commonly used as an adjunct to general anesthesia. Residual blockade is common, but its potential adverse effects are incompletely known. This study was designed to assess the […]
Read MoreA bioimpedance respiratory monitor seems to be carving out a niche for itself in perioperative monitoring. A group of Texas researchers has found that this novel technology (ExSpiron, Respiratory Motion Inc.) allows clinicians to adjust total IV anesthesia (TIVA) to minute ventilation in outpatient GI procedures, thereby preventing potential episodes of inadequate ventilation. “Death or […]
Read MoreFailure to achieve first-attempt success during intubation using a video laryngoscope is associated with higher odds of adverse events in the ICU, according to a recent study. First-attempt success should be the goal of emergency airway management, regardless of location or device used, the researchers said. “First-attempt success isn’t a patient-centered outcome, but it is […]
Read MoreUltrasound-guided regional anesthesia appears to be the superior treatment for supracondylar fractures in the pediatric population when compared with IV opioids. According to a recent pediatric study, regional anesthesia for closed reduction and percutaneous pinning demonstrated superior pain scores throughout hospitalization and at home when compared with standard therapy. The authors also reported decreased opioid […]
Read MoreNitrous oxide has only recently been adopted in the United States to alleviate labor pain. Despite lower reported effectiveness for labor pain, the degree of patient satisfaction in women who received nitrous oxide is similar to that of women who received neuraxial modalities, according to a study described in Anesthesia & Analgesia.1 Although physicians in other […]
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