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Authors: Elizabeth M. S. Lange, M.D. et al Anesthesiology published on September 7, 2017. Background: Intrapartum maternal fever is associated with several adverse neonatal outcomes. Intrapartum fever can be infectious or inflammatory in etiology. Increases in interleukin 6 and other inflammatory markers are associated with maternal fever. Magnesium has been shown to attenuate interleukin 6–mediated fever in […]
Read MoreFDA & Washington Alerts ASA Monitor August 2017 AUDIENCE: Surgery, Nursing, Anesthesia ISSUE: The FDA is reminding health care providers that using thermoregulation devices during surgery, including forced air thermoregulating systems, have been demonstrated to result in less bleeding, faster recovery times, and decreased risk of infection for patients. The FDA recently became aware that some health […]
Read MoreAuthors: Laurie A. Chalifoux, M.D. et al Anesthesiology 10 2017, Vol.127, 625-632. Background: Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version […]
Read MoreAuthors: Martin J. Tobin, M.D. et al Anesthesiology 10 2017, Vol.127, 599-600 IN the present issue of Anesthesiology, Silva et al.1 report on the ability of thoracic ultrasound to predict the development of respiratory distress in patients extubated after tolerating 60 min of pressure support set at 7 cm H2O. They studied 136 patients, and 18.4% required reintubation. Integrated statistical […]
Read MoreAuthors: Brendan Carvalho, M.B.B.Ch., F.R.C.A. et al Anesthesiology 10 2017, Vol.127, 596-598. APPROXIMATELY one third of all births in the United States are by cesarean delivery, and in most high-income countries the cesarean delivery rate also exceeds that recommended by the World Health Organization for optimal maternal and neonatal outcomes.1 This is concerning, because cesarean delivery, and […]
Read MoreAuthor: David H. Chestnut, M.D. Anesthesiology 10 2017, Vol.127, 593-595. “BREASTFEEDING is an important public health concern.”1 So begins—correctly—a fine clinical research publication in this issue of Anesthesiology.1 Breastfeeding incurs substantial health benefits for both the mother and the baby.2.3 Short-term maternal benefits of breastfeeding include decreased postpartum blood loss and more rapid involution of the uterus. An exhaustive […]
Read MoreAuthors: Ryu Komatsu, M.D. et al Anesthesiology 10 2017, Vol.127, 684-694. Background: The majority of parturients in the United States first return for evaluation by their obstetric practitioner 6 weeks after delivery. As such, there is little granular data on the pain experience, analgesic requirements, and functional recovery during the postpartum period. This prospective observational study was […]
Read MoreAuthors: Stein Silva, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 666-674 Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated thoracic […]
Read MoreAuthors: Maryanne Z. A. Mariyaselvam, M.B.B.S. et al Anesthesiology 10 2017, Vol.127, 658-665. Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. A novel locked procedure pack was designed to contain the equipment required for […]
Read MoreAuthors: Catherine E. Warnaby, Ph.D. et al Anesthesiology 10 2017, Vol.127, 645-657. Background: Previously, we showed experimentally that saturation of slow-wave activity provides a potentially individualized neurophysiologic endpoint for perception loss during anesthesia. Furthermore, it is clear that induction and emergence from anesthesia are not symmetrically reversible processes. The observed hysteresis is potentially underpinned by a neural […]
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