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Myron Yaster, MD Following on the heels of a 2015 inpatient study, researchers at the Johns Hopkins University School of Medicine have found that health care providers dispense far more medicine than is necessary to treat pain after pediatric outpatient surgery. They hypothesized that the tremendous amount of unused medications may be contributing to the […]
Read MoreChronic hypertension is seen in 30% of adults in the United States, and patients presenting with hypertension for elective surgery is an everyday occurrence in U.S. health care. Nonetheless, elective surgical procedures are commonly canceled due to elevated blood pressure on the day of surgery. However, a new study indicates that postponing surgery to treat […]
Read MoreAge, severity of illness and benzodiazepine exposure are the strongest predictors of delirium in critically ill children. According to a new study, given the prevalence of delirium in this vulnerable population, studies targeting benzodiazepine exposure as a potentially modifiable target are warranted to reduce the burden of cognitive impairment. “Unfortunately, delirium is extremely prevalent among […]
Read MoreThe FDA has identified a recent recall on normal saline flush syringes (Nurse Assist Inc.) as Class I. This is the agency’s most serious type of recall, where “there is a reasonable probability that the use of or exposure to a violative product will cause serious adverse health consequences or death.” The recall was initiated […]
Read MoreDue to an aging population, higher rates of obesity and an increase in the overall number of surgical procedures, more surgical patients are likely to present with obstructive sleep apnea (OSA). To address the challenges that anesthesiologists face perioperatively while managing patients with OSA, the Society of Anesthesia and Sleep Medicine (SASM) released new practice […]
Read MoreAnesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1527–1534 AUTHORS: Ngaka, T.C. FCA (SA et al BACKGROUND: It has been suggested that the dose requirement for spinal anesthesia (SA) is lower in obese patients for cesarean delivery (CD). In this prospective, observational, noninferiority study, we tested the hypothesis that obesity […]
Read MoreA single anesthesia exposure of inhaled anesthetic agents in healthy children before 36 months of age is not associated with impaired neurocognitive development and abnormal behavior in later childhood, a sibling-matched cohort study has found (JAMA 2016;315:2312-2320). The impetus for the study was an earlier paper by Mellon et al (Anesth Analg 2007;104:509-520), “which summarized the neurotoxicity effects […]
Read MoreAuthor: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]
Read MoreAuthors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min bleeding mass of 60–250 g after separation from […]
Read MorePatients with a headache disorder have a 21% increased risk of developing hypothyroidism, and the risk is even higher — 41% — in those with possible migraine, a new study has found. “Just like female sex and age are risk factors for hypothyroidism, one should also now consider headache disorder as a risk,” said study […]
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