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AUTHORS: Cavalcante, Alexandre N. MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 141–146 BACKGROUND: Gabapentinoids are widely used in perioperative multimodal analgesic regimens. The primary aim of this study was to determine whether gabapentin was associated with respiratory depression during phase-I postanesthesia recovery after major laparoscopic procedures. METHODS: We retrospectively […]
Read MoreAUTHORS: Liu, Jiabin MD, PhD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:The rate of hospital-based acute care (defined as hospital transfer at discharge, emergency department [ED] visit, or subsequent inpatient hospital [IP] admission) after outpatient procedure is gaining momentum as a quality metric for ambulatory surgery. However, the incidence and reasons for hospital-based acute […]
Read MoreAUTHORS: Cozowicz, Crispiana MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 66–77 BACKGROUND: Emerging evidence associating obstructive sleep apnea (OSA) with adverse perioperative outcomes has recently heightened the level of awareness among perioperative physicians. In particular, estimates projecting the high prevalence of this condition in the surgical population highlight […]
Read MoreAUTHORS: Einhorn, Lisa M. MD et al Anesthesia & Analgesia: June, 2017 BACKGROUND: BACKGROUND:This study uses publicly available data to analyze the total number of elective, potentially deferrable operative procedures involving infants <6 months of age in the United States. We investigated the factors associated with the performance of these procedures in this population. METHODS: METHODS:The […]
Read MoreUse of beta blockers in the perioperative period as an opioid-sparing technique can have positive short- and long-term effects, a study has concluded. A study examining the use of esmolol for sympathetic blockade, as part of a multimodal approach to pain management in patients undergoing arthroscopic shoulder procedures with continuous brachial plexus blockade, has shown […]
Read MoreEpidural analgesia does not prolong the second stage of labor relative to placebo, according to a trial in Obstetrics & Gynecology. Researchers in China enrolled 400 nulliparous women who requested analgesia during labor. In the first stage of labor, patients received standard epidurals (ropivacaine, 0.8%; with sufentanil). But when the cervix was fully dilated, i.e., the […]
Read MoreThe Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 by Maria van Pelt, PhD, CRNA, and Matthew B. Weinger, MD Reprinted with permission from Anesthesia & Analgesia 2017;125:347–350. DOI: Copyright © 2017 International Anesthesia Research Society. All rights reserved. Distractions in the perioperative work environment can adversely affect vigilance, situation awareness, and the ability to […]
Read MoreThe Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Steven Greenberg, MD, FCCP, FCCM The substantial number of preventable deaths and other adverse events associated with health care are now widely recognized.1,2 Handoffs (also called handovers), or transfers in care responsibilities of various types, are among the most important contributors to these outcomes […]
Read MorePublished in The Joint Commission By Gerard M. Castro, PhD, MPH Out of approximately 65 million surgical cases annually, there are 200 to 240 surgical fires, a frequency comparable to that of other surgical safety events such as wrong site surgery and unintended retention of a foreign object.1 While relatively rare, surgical fires can be catastrophic, […]
Read MoreAUTHORS: Ramachandran, Satya Krishna MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 272–279 BACKGROUND: Obstructive sleep apnea (OSA) is a prevalent condition that is associated with early postoperative respiratory complications (PRCs). As the majority of patients with OSA are undiagnosed, preoperative screening remains the most efficient method to identify […]
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