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Anesthesiology residents, despite having direct access to controlled substances, often are inadequately trained in the symptoms of substance abuse disorder (SUD) and resources for addressing it. A study conducted by Rutgers New Jersey Medical School, in Newark, found that 40% of surveyed residents felt underprepared for managing SUD. The results were presented at the PostGraduate […]
Read MoreCritically ill patients who demonstrate an elevated modified shock index (MSI) within the first 24 hours of ICU admission have a significant risk for death. MSI, which is the ratio of elevated heart rate to mean arterial pressure, may be a better predictor of mortality than shock index (SI) because MSI incorporates both systolic and […]
Read MoreAUTHORS: Kim, Won Ho MD, PhD et al Anesthesia & Analgesia: May, 2017 BACKGROUND: Although point-of-care (POC) analyzers are commonly used during liver transplantation (LT), the accuracy of hematocrit measurement using a POC analyzer has not been evaluated. In this retrospective observational study, we aimed to evaluate the accuracy of hematocrit measurement using a POC analyzer […]
Read MoreAUTHORS: Finge, Toufic MD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 762–769 BACKGROUND: This study assessed the ability of 3-hour postoperative urinary tissue inhibitor of metalloproteinases-2 × insulin-like growth factor binding protein-7 ([TIMP-2] × [IGFBP-7]) to predict postoperative acute kidney injury (AKI) in patients undergoing cardiopulmonary bypass during cardiac […]
Read MoreAUTHORS: Abuelkasem, Ezeldeen MBBCh, MSc et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 609–615 BACKGROUND: Plasma transfusion remains the mainstay hemostatic therapy during liver transplantation (LT) in most countries. However, a large volume is required for plasma to achieve clinically relevant factor increases. Prothrombin complex concentrate (PCC) is a low-volume […]
Read MoreAUTHORS: Hanouz, Jean-Luc MD, PhD et al Anesthesia & Analgesia: May 2017 BACKGROUND: The Mallampati classification (MLPT) is normally evaluated in the sitting position. However, many patients cannot be evaluated in the sitting position for medical reasons. Thus, we compared the MLPT in sitting and supine positions in predicting difficult tracheal intubation (DTI). We hypothesized that […]
Read MoreAUTHORS: Mauermann, Eckhard MD, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1110–1117 BACKGROUND: Troponin T is a predictor of cardiac morbidity and mortality after cardiac surgery with most data examining fourth generational troponin T assays. We hypothesize that postoperative high-sensitivity troponin T (hsTnT) measured in increments of the […]
Read MoreAUTHORS: Dumans-Nizard, Virginie MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 635–642 BACKGROUND: Thoracic epidural analgesia (TEA) combined with general anesthesia decreases anesthetic requirements by half when hemodynamic criteria are used for the titration of analgesia. We therefore determined the impact of TEA on anesthetic requirements, when a closed-loop […]
Read MoreUnderstanding pre-operative and post-op factors that influence post-surgical pain management success may provide clues in preventing progression to chronic pain after surgery, according to research presented at the American Pain Society (APS) Annual Scientific Conference. “Post-operative pain, its consequences and response to treatment, vary greatly among patients,” said Timothy Brennan, MD, University of Iowa Medical […]
Read MoreOlder patients who underwent major abdominal surgery and received an intervention that included nutritional assistance and early mobilisation were less likely to experience delirium and had a shorter hospital stay, according to a study published by JAMA Surgery. Older patients undergoing abdominal surgery commonly experience preventable delirium, which extends their hospital length of stay (LOS). […]
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