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Authors: Chamaidi Sarakatsianou et al The American Journal of Surgery April 2017 Background General anesthesia has been used as standard for laparoscopic hernia repair by the transabdominal preperitoneal (TAPP) approach. Regional anesthesia has been occasionally applied in high risk patients where general anesthesia is contraindicated. This randomized clinical trial compares spinal anesthesia with general anesthesia […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology 2 2017, Vol.126, 312-320. Background: Although peripheral nerve blocks decrease pain after total knee arthroplasty, the population-level impact of nerve blocks on arthroplasty resource utilization is unknown. Methods: We conducted a population-based cohort study using linked administrative data from Ontario, Canada. We identified all adults having their first […]
Read MoreC-MAC (Karl Storz) video laryngoscopy, especially when using the D-blade configuration, is a promising way to minimize head and neck movement during intubation, a recent study concluded. In patients with cervical spine injuries in particular, the extra time and effort needed compared with conventional Macintosh laryngoscopy is clinically unimportant, the researchers said. “Head and neck […]
Read MoreThis is a familiar story: A patient with health insurance has an accident and seeks care at a hospital. She receives care in the ER and undergoes an operation. The health care team provides the necessary care, regardless of her health insurance policy. After discharge from the hospital, she receives an unexpected bill from the […]
Read MoreAuthors: Hoeffe J et al., Am J Emerg Med 2017 Jan 5; Combination intranasal fentanyl and nitrous oxide provided adequate pain control for children undergoing reduction of mildly to moderately displaced fractures and dislocations. In a prospective, observational study conducted at two children’s hospitals in Canada and Australia, investigators evaluated the efficacy and safety of intranasal fentanyl […]
Read MoreAUTHORS: Parker, Michael J. MD et al Anesthesia & Analgesia: April 2017 – Volume 124 – Issue 4 – p 1129–1134 BACKGROUND: Laboratory data suggest that newly initiated drug infusions reach steady-state delivery after a significant time lag. Depending on drug and carrier flow rates and the infusion system’s common volume, lag times may exceed 20 […]
Read MoreAUTHORS: Warner, Matthew A. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1636–1643 BACKGROUND: Critically ill patients frequently receive plasma transfusion under the assumptions that abnormal coagulation test results confer increased risk of bleeding and that plasma transfusion will decrease this risk. However, the effect of prophylactic plasma […]
Read MoreAUTHORS: Gruenbaum, Shaun E. MD; Toscani, Laura MD et al Anesthesia & Analgesia: February 8, 2017 BACKGROUND: Postoperative infection after craniotomy carries an increased risk of morbidity and mortality. Identification and correction of the risk factors should be prioritized. The association of intraoperative hyperglycemia with postoperative infections in patients undergoing craniotomy is inadequately studied. METHODS: A […]
Read MoreAuthors: Angus DC., JAMA 2017 Feb 7; 317:477 Intubation during arrest was associated with worse outcomes. The 2015 American Heart Association Advanced Cardiovascular Life Support guidelines deemphasize advanced airway placement as a component of initial resuscitation. Out-of-hospital–arrest data suggest lower survival among patients who are intubated in the field (NEJM JW Emerg Med Feb 2013 and JAMA 2013; 309:257). To determine […]
Read MoreTaking 1 oxycodone tablet together with even a modest amount of alcohol increases the risk of respiratory depression, according to a study published online first in the journal Anesthesiology. The study also found that elderly people were especially likely to experience this complication. “Unfortunately, we’re seeing more fatalities and people in emergency rooms after having […]
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