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AUTHORS: Laskine-Holland, Marie-Laure MD et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 23–29 BACKGROUND: Children with congenital heart defects (CHD) have quantitative and qualitative differences in coagulation compared with healthy children. Secondary to polycythemia and increased deformability of red blood cells, cyanosis may be an important confounding factor for […]
Read MoreAUTHORS: Bardia, Amit MBBS et al Anesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 16–22 BACKGROUND: Preoperative hemoglobin A1c (HbA1c) and postoperative glycemic variability predict major adverse events (MAEs) after coronary artery bypass grafting in a protocolized glycemic control setting. However, the influence of preoperative HbA1c and postoperative glycemic variability in […]
Read MoreAUTHORS: Zbytovská, Jarmila Dr. rer. nat. et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 776–781 BACKGROUND: Combined infusions of propofol and sufentanil preparations are frequently used in clinical practice to induce anesthesia and analgesia. However, the stability of propofol emulsions can be affected by dilution with another preparation, sometimes […]
Read MoreAuthor: By Seddon R. Savage, MD, MS The role of opioids in chronic pain treatment has become increasingly controversial and includes important questions about who may benefit from long-term opioid therapy. While much chronic pain can be managed with nonopioid approaches, it is clear that some patients and providers find opioids a helpful component of ongoing […]
Read MoreAuthor: MARY HERMAN, MD, PHD A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Sometimes our best decisions as physician anesthesiologists are when we decide to call off a surgery or procedure. The “best anesthetic I never gave” was for 18-year-old Hunter Jones and her case really demonstrates the importance of talking with patients before surgery. […]
Read MoreAuthors: Benjamin C. Mayo, BA et al Spine. 2016;41(20):1580-1585. Study Design. Case-series Objective. The aim of the study was to investigate changes in intraoperative and postoperative parameters associated with the surgical learning curve for anterior cervical discectomy and fusion (ACDF). Summary of Background Data. ACDF is a common surgical spine procedure. The surgical learning curve for this procedure has […]
Read MoreAuthors: Charalampis Giannadakis, MD et al J Am Geriatr Soc. 2016;64(10):2011-2018. A Multicenter Observational Study Objectives: To compare clinical outcomes after decompressive surgery for central lumbar spinal stenosis (LSS) in individuals aged 80 and older with those of individuals aged 18–79. Design: Prospective data from the Norwegian Registry for Spine Surgery. Setting: Multicenter observational study. Participants: Individuals with central LSS […]
Read MoreAuthors: Wenwen Zhai et al BMC Anesthesiol. 2016;16(80) A Randomized Controlled Trial Background: Ultrasound guidance has reduced the amount of local anesthetics to achieve a successful block. Previous studies of the relationship between the volume or concentration of local anesthetics and the effects of the block were based on relatively high doses of local anesthetics. We tested […]
Read MoreA Multicenter Randomized Phase IV ‘Real Life’ Trial on the Variability of Response to Opioids Authors: O. Corli et al Ann Oncol. 2016;27(6):1107-1115. Background: Guidelines tend to consider morphine and morphine-like opioids comparable and interchangeable in the treatment of chronic cancer pain, but individual responses can vary. This study compared the analgesic efficacy, changes of therapy and […]
Read MoreAuthors: Ilona Razlevice et al BMC Anesthesiol. 2016;16(107) An Observational, Prospective Study Background: Cerebral oxygen saturation (rSO2c) decrease from baseline greater than 20 % during infant cardiac surgery was associated with postoperative neurologic changes and neurodevelopmental impairment at 1 year of age. So far, there is no sufficient evidence to support the routine monitoring of rSO2c during […]
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