What Perioperative Handoffs Do We Participate in and How Are They Different? The Official Journal of the Anesthesia Patient Safety Foundation Oct 2017 By Amanda Lorinc, MD, and Christopher Henson, DO Handoffs Handoffs, in the most concise description, are an exchange of responsibility for one or more patients from one provider to another. Handoffs are […]
Read MoreBy Barbara M. Scavone, MD, and John T. Sullivan, MD Postpartum Hemorrhage Postpartum hemorrhage complicates approximately 3% of U.S. deliveries and is most often due to uterine atony.1 Hemorrhage is the leading cause of severe maternal morbidity and contributes to 11.4% of U.S. maternal deaths.2,3 Globally, it is the leading cause of maternal death.4 Postpartum hemorrhage is often […]
Read MoreAUTHORS: Epstein, Richard H. MD et al Anesthesia & Analgesia: June 08, 2017 Background: Perioperative hypothermia may increase the incidences of wound infection, blood loss, transfusion, and cardiac morbidity. U.S. national quality programs for perioperative normothermia specify the presence of at least 1 “body temperature” ≥35.5°C during the interval from 30 minutes before to 15 minutes […]
Read MoreAUTHORS; Amar, David MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 190–199 BACKGROUND: Protective lung ventilation (PLV) during one-lung ventilation (OLV) for thoracic surgery is frequently recommended to reduce pulmonary complications. However, limited outcome data exist on whether PLV use during OLV is associated with less clinically relevant pulmonary […]
Read MoreAUTHORS: Al tmimi, Layth MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1118–1128 BACKGROUND: Xenon was shown to cause less hemodynamic instability and reduce vasopressor needs during off-pump coronary artery bypass (OPCAB) surgery when compared with conventionally used anesthetics. As xenon exerts its organ protective properties even in subanesthetic […]
Read MoreAUTHORS: Garvey, Gráinne Patricia MBChB, FRCA Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 913–924 BACKGROUND: Syringomyelia is a rare, slowly progressive neurological condition characterized by the presence of a syrinx within the spinal cord. Consensus regarding the safest mode of delivery and anesthetic management in patients with syringomyelia remains controversial and […]
Read MoreAUTHORS: Upton, Henry D. MBBS, BMedSc (Hons) et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 81–90 BACKGROUND: The “Analgesia Nociception Index” (ANI; MetroDoloris Medical Systems, Lille, France) is a proposed noninvasive guide to analgesia derived from an electrocardiogram trace. ANI is scaled from 0 to 100; with previous studies suggesting […]
Read MoreAUTHORS: Prielipp, Richard C. MD, MBA, FCCM et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 846–851 Patient safety secured by constant vigilance remains a primary responsibility of every anesthesia professional. Although significant attention has been focused on patient falls occurring before and after surgery, a potentially catastrophic complication is […]
Read MoreAUTHORS: Magliocca, Aurora MD et al Anesthesia & Analgesia: June 08, 2017 BACKGROUND: Orthotopic liver transplantation (OLT) is characterized by significant intraoperative hemodynamic variability. Accurate and real-time cardiac output (CO) monitoring aids clinical decision making during OLT. The purpose of this study is to compare accuracy, precision, and trending ability of CO estimation obtained noninvasively using […]
Read MoreAUTHORS: Dexter, Franklin MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 943–951 BACKGROUND: We consider whether there should be greater priority of information sharing about postacute surgical resources used: (1) at skilled nursing facilities or inpatient rehabilitation hospitals to which patients are transferred upon discharge (when applicable) versus […]
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