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About 20% of children develop persistent pain after surgery, and a new study published in The Journal of Pain showed that poorer night-time sleep quality was significantly associated with greater next-day pain intensity over 4 months after surgery. Researchers from the University of Washington and Seattle Children’s Hospital studied 66 children who had major surgery […]
Read MoreUrgent and emergent intubation is challenging enough, but what if your patient is sporting some type of tongue piercing? Does it make a difference? Do you need to do anything differently? Obviously, the jewelry may physically impede the process of intubating the patient, impairing visualization of structures or getting in the way of inserting the […]
Read MoreAuthor: Paul E.MarikMD, FCCP et al Background The global burden of sepsis is estimated as 15 to 19 million cases annually, with a mortality rate approaching 60% in low-income countries. Methods In this retrospective before-after clinical study, we compared the outcome and clinical course of consecutive septic patients treated with intravenous vitamin C, hydrocortisone, and thiamine during […]
Read MoreAuthors: László Asztalos, M.D. et al Anesthesiology 9 2017, Vol.127, 441-449. Background: Rocuronium-induced neuromuscular block that spontaneously recovered to a train-of-four count of four can be reversed with sugammadex 0.5 or 1.0 mg/kg. We investigated whether these doses of sugammadex can also reverse vecuronium at a similar level of block. Methods: Sixty-five patients were randomly assigned, and 64 were […]
Read MoreBy SEAN FOX MD Respiratory illness, sepsis, and trauma are three important entities afflicting children that may lead to needing to manage a child’s airway. Airway management in the ED is a complex interplay of patient factors, clinical illness status, and provider factors that, through our thorough training we become proficient at navigating. We have discussed many airway concepts previously (ex, ETT Depth, Cuffed ETTs, Apneic […]
Read MoreAuthors: Min-Ching Kuo, Ph.D. et al Anesthesiology 11 2017, Vol.127, 838-851. Background: Previous studies showed that synaptic transmission is affected by general anesthetics, but an anesthetic dose response in freely moving animals has not been done. The hippocampus provides a neural network for the evaluation of isoflurane and pentobarbital on multisynaptic transmission that is relevant to memory […]
Read MoreThe Heart of the Matter: Finding Meaning in Medicine and Discovering How Compassionate Doctors Can Save Physicians are expected to improve or save the lives of their patients, yet a growing number of physicians are struggling to enhance their own lives. It is estimated that 400 U.S. physicians a year commit suicide and thousands of others struggle […]
Read MoreAUTHORS: Hu, Sally MSc et al Anesthesia & Analgesia: June 22, 2017 BACKGROUND: Narcolepsy is a rare sleep disorder characterized by excessive daytime sleepiness, sleep paralysis, and/or hypnagogic/hypnopompic hallucinations, and in some cases cataplexy. The response to anesthetic medications and possible interactions in narcolepsy patients is unclear in the perioperative period. In this systematic review, we […]
Read MoreAbstract presented at the American College of Surgeons 103rd Annual Clinical Congress, Scientific Forum, San Diego, CA, October 2017. Authors: Troy A. Markel, MD, FACS et al Background The effectiveness of operating room headgear in preventing airborne contamination has been called into question. We hypothesized that bouffant style hats would be as effective in preventing bacterial […]
Read MoreGovernment officials grappling with the nationwide opioid crisis, from the sandy beaches of Florida to the far reaches of the Alaskan frontier, have filed lawsuits against drug companies at a steady clip this year. These suits seek to hold manufacturers and distributors financially responsible for the strain on public services that drug addiction has caused. Now […]
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