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Anesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1158–1162 AUTHORS: Dayan, Amir C. MD et al BACKGROUND: An intact pilot balloon assembly is crucial to the proper function of a cuffed tracheal tube. Disruption of the pilot balloon, transection of the inflation line, or valve incompetence results in cuff deflation, […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1100–1107 AUTHORS: Grant, Michael C. MD et al BACKGROUND: Nonopioid adjuvant medications are increasingly included among perioperative Enhanced Recovery After Surgery protocols. Preoperative pregabalin has been shown to improve postoperative pain and limit reliance on opioid analgesia. Our group investigated the ability […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1143–1148 AUTHORS: Williams, Matthew R. MD et al BACKGROUND: Radiofrequency identification (RFID) detection systems are used to detect retained surgical sponges and may cause electromagnetic interference (EMI), altering intended function of cardiac pacing systems. Three pediatric patients requiring temporary pacing for postoperative […]
Read MoreAnesthesia & Analgesia: January 2017 – Volume 124 – Issue 1 – p 270–276 AUTHORS: Vacas, Susana MD, PhD et al BACKGROUND: Sleep is integral to biologic function, and sleep disruption can result in both physiological and psychologic dysfunction including cognitive decline. Surgery activates the innate immune system, inducing neuroinflammatory changes that interfere with cognition. […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: van Klei, Wilton A. MD, PhD et al BACKGROUND: For outcomes research where changes in intraoperative blood pressure are a possible causative factor, it is important to determine an appropriate source for a reference value. We studied to what extent preinduction blood pressure values in the operating room […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: Rodriquez, Luis I. MD et al BACKGROUND: In the United States, anesthesia information management systems (AIMS) are well established, especially within academic practices. Many hospitals are replacing their stand-alone AIMS during migration to an enterprise-wide electronic health record. This presents an opportunity to review choices made during the […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: Kim, Eugene MD et al BACKGROUND: Positioning of a lightwand in the midline of the oral cavity can be challenging in patients with cervical immobilization. Direct laryngoscopy may permit the lightwand tip to more easily access the glottic opening. We tested our hypothesis that a laryngoscope-assisted lightwand technique […]
Read MoreAnesthesia & Analgesia: October 11, 2016 AUTHORS: Epsztein Kanczuk, Marcelo MD et al BACKGROUND: Most studies that have compared programmed intermittent epidural bolus (PIEB) with continuous epidural infusion regimens have included patient-controlled epidural analgesia and/or manual bolus as rescue analgesia for breakthrough pain. Consequently, the optimal time interval between PIEB is yet to be determined. […]
Read MoreEhab Farag, MD, FRCA Professor, Cleveland Clinic Lerner College of Medicine Staff Anesthesiologist, Director of Clinical Research Cleveland Clinic Cleveland, Ohio Editorial Advisory Board Member Anesthesiology News An evidence-based review of therapeutic hypothermia as a neuroprotective agent reveals conflicting conclusions and emphasizes that larger, controlled trials are needed. Hypothermia therapy is mentioned 5,000 years ago […]
Read MoreAn elastomeric pump for epidural infusions in an outpatient setting is a novel, effective treatment option for complex regional pain syndrome (CRPS), new research suggests. Elastomeric pumps are commonly used in the outpatient setting for peripheral nerve blocks, palliative care and postoperative pain, but have not been described for use with epidural infusions for CRPS, […]
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