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The audible leak test is a reliable method for verifying appropriate tracheal tube sizes in infants and children, according to a recent study. “Checking for audible leak is a common practice to rule out a tight-fitting tracheal tube in infants and children,” said Madhankumar Sathyamoorthy, MD, study author and assistant professor of pediatric anesthesiology at […]
Read MoreSupraglottic airways (SGAs) may work well for prone spinal procedures of short duration, according to a recent study. But others consider this a dangerous practice. SGA use has been studied in the prone position but with limited patient numbers, varying weights and different levels of airway status. In this case, SGA use could help anesthesiologists […]
Read MoreBy Kenneth Finn, MD There is no debate that the prevalence and acceptance of marijuana use are on the rise in the United States. Many states have approved the use of marijuana as a treatment for a variety of medical conditions, but there is no consistency or agreement across state lines as to what it […]
Read MoreContrary to some previous studies, the use of paravertebral block (PVB) is not associated with a reduced rate of cancer recurrence or improved survival after breast cancer surgery, new research suggests. There are two major hypotheses on the possible connection between PVB and breast cancer recurrence, according to Juan P. Cata, MD, study author, and […]
Read MoreRoy Soto, MD Professor Department of Anesthesiology Oakland University William Beaumont School of Medicine Royal Oak, Michigan To many, “nutrition” is a vague word that conjures visions of food pyramids, healthy salads (with dressing on the side), and daily vitamins. Patients and physicians alike inherently accept that poor nutrition in the perioperative period is probably […]
Read MoreAn association between multiple exposures to general anesthesia in the first two years of life and increased risk for neurocognitive impairment was not found in two large Canadian studies. Exposures from 2 to 4 years of age, however, were another matter. “It remains uncertain whether the anesthetic neurotoxicity that’s been clearly demonstrated in animal studies […]
Read MoreThe increased prevalence of morbid obesity presents numerous analgesic challenges, including respiratory- and cardiovascular-related issues. According to a recent Wake Forest study, higher body mass index (BMI) also is associated with the reliability of epidural catheters during labor. The retrospective analysis of labor neuraxial procedures found that catheter failure for both epidural and combined spinal–epidural […]
Read MoreMost health care providers think of sepsis as a problem in the ICU, but a recent report by the CDC has found that 80% of patients diagnosed with sepsis developed the condition outside the hospital. In addition, seven in 10 patients with sepsis used health care services or had chronic diseases that required frequent medical […]
Read MoreWhile their affective response does not differ from healthy patients, people with Alzheimer’s disease (AD) are less sensitive at detecting thermal pain, according to investigators at Vanderbilt University School of Nursing, in Nashville, Tenn. Publishing in BMC Medicine 2016 May 10, the investigators wrote that the findings suggest people with AD may experience more pain and sustain […]
Read MoreHealth systems, pharmaceutical companies and health insurance plans have several innovative options for using electronic health records (EHRs) to improve patient outcomes, according to a roundtable discussion at the World Congress EHR and E-Prescribing Summit. But several significant obstacles, including interoperability and effective data mining, need to be overcome for this strategy to start improving […]
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