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When it comes to the position of the surgical table during elective cesarean delivery, recent research has concluded that leaving the table flat does not impair neonatal acid–base status compared with the 15-degree tilt position. The investigators also found that a 15-degree left lateral tilt had a negligible effect on maternal hemodynamic parameters (Figures 1 […]
Read MoreKathryn E. McGoldrick, MD, FCAI(Hon) ‘Into whatever houses I enter, I will go into them for the benefit of the sick and will abstain from every voluntary mischief and corruption.’ —Hippocratic Oath Although it is perhaps less true today than four or five decades ago, physicians are often perceived by the public—and possibly by doctors […]
Read MoreAUTHORS: Balki, Mrinalini MBBS, MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 890–897 BACKGROUND: Cardiac arrest in pregnancy is a rare and devastating condition with high mortality and morbidity. The objective of this study was to generate information about maternal cardiac arrest in Canada by examining the frequency, […]
Read MoreAuthors: Cravero JP et al., Pediatrics 2017 May 139:e20162897 This easy-to-learn 6-point scale was developed to assess the quality or “state” of sedation experienced by children undergoing procedural sedation. Investigators developed a simple scale to evaluate quality — as opposed to depth — of sedation experienced by pediatric patients undergoing any type of sedation (pharmacologic or nonpharmacologic) […]
Read MoreAuthors: West JR et al., Am J Emerg Med 2017 Apr 2; In patients undergoing endotracheal intubation who had apnea for >60 seconds, DAO correlated with increased pH and decreased PaCO2. Diffuse apneic oxygenation (DAO) uses high-flow nasal cannula oxygen during laryngoscopy for endotracheal intubation. This approach is believed to flush CO2 from the lungs and to improve respiratory […]
Read MoreAuthors: Gavin M. Hamilton, M.D., M.Sc. et al Anesthesiology published on May 4, 2017 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 […]
Read MoreAuthors: Christian M. Schulz, M.D. et al Anesthesiology Newly Published on May 4, 2017. Background: Situational awareness errors may play an important role in the genesis of patient harm. The authors examined closed anesthesia malpractice claims for death or brain damage to determine the frequency and type of situational awareness errors. Methods: Surgical and procedural anesthesia death and […]
Read MoreAuthors: Juan C. Gómez-Izquierdo, M.D. et al Anesthesiology Newly Published on May 4, 2017. 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 […]
Read MoreAuthors: Phillip E. Vlisides, M.D. et al Anesthesiology published on May 11, 2017. Background: Previous studies have demonstrated inconsistent neurophysiologic effects of ketamine, although discrepant findings might relate to differences in doses studied, brain regions analyzed, coadministration of other anesthetic medications, and resolution of the electroencephalograph. The objective of this study was to characterize the dose-dependent effects […]
Read MoreAuthors: Sandra Funcke, M.D. et al Anesthesiology published on May 11, 2017. doi:10.1097/ALN.0000000000001670 Background: This study compares the analgesic indices Analgesia Nociception Index (heart rate variability), Surgical Pleth Index (photoplethysmography), and pupillary dilatation, to heart rate, mean arterial pressure, and bispectral index, with regard to diagnostic accuracy and prediction probability for nociceptive response. The primary endpoint was […]
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