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Anesthesiologists can take a few steps to improve the coordination of care throughout the perioperative period and should consider safety measures that will improve the preoperative process and postoperative outcomes. “Many of you probably say, ‘I do that already,’ but there are probably some aspects that you should consider that you probably aren’t doing,” said […]
Read MoreThe Society for Ambulatory Anesthesia (SAMBA) Clinical Outcomes Registry (SCOR) may be a useful tool to help anesthesiologists improve the quality of their practices, preliminary data suggest. As the drive for quality continues, anesthesiologists must decide the best way to document and demonstrate quality measures. SCOR may be a good system for starting that process, […]
Read MoreAuthor: James A. Russell, A.B., M.D. Anesthesiology 1 2017, Vol.126, 9-11. HAJJAR et al designed, conducted, and now report in this issue an elegant randomized double-blind controlled trial of vasopressin (0.01 to 0.06 U/min) versus norepinephrine (10 to 60 μg/min) post cardiac surgery with vasodilatory shock (Vasopressin versusNorepinephrine in Patients with Vasoplegic Shock After Cardiac Surgery [VANCS] trial). Open-label norepinephrine was […]
Read MoreAuthor: Martin J. London, M.D. Anesthesiology 1 2017, Vol.126, 1-3. AS of 2012, angiotensin- converting enzyme inhibitors (ACEIs) or angiotensin II receptor blockers (ARBs) were used by approximately 18% of adults in the United States.1 In the Veterans Affairs medical system, a population with a high proportion of patients with cardiovascular disease and strong centralized efforts at […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 1026–1032 AUTHORS: Jæger, Pia MD, PhD et al BACKGROUND: The binary aims of this study were to investigate the effect of total dose of lidocaine on duration of an adductor canal block (ACB) and to validate different methods used to assess nerve […]
Read MoreAuthors: Shin Sato, M.D. et al Anesthesiology 1 2017, Vol.126, 28-38. Background: Depending on upper airway patency during anesthesia induction, tidal volume achieved by mask ventilation may vary. In 80 adult patients undergoing general anesthesia, the authors tested a hypothesis that tidal volume during mask ventilation is smaller in patients with sleep-disordered breathing priorly defined as apnea […]
Read MoreThe US Food and Drug Administration (FDA) has finalized a rule banning the use of powdered gloves in medicine because they pose dangers to human health. The ban, first proposed in March 2016, will further propel efforts already underway to phase out the use of prepowdered surgeons’ gloves, powdered exam gloves, and absorbable powder for lubricating surgeons’ […]
Read MoreAuthor: Emil Engels, MD, MBA, CPC ‘If you’re not confused, you’re not paying attention.’ —Tom Peters, writer and expert in business management For years, physicians pressured Congress to repeal the flawed Sustainable Growth Rate (SGR) formula. It adjusted physician reimbursement based on changes in Gross Domestic Product. Over time, the formula led to draconian […]
Read MoreOpioids are widely used in the United States to manage moderate to severe acute postoperative pain, but adverse events, including respiratory depression and gastrointestinal dysfunction, can limit the dosing required for analgesic efficacy. Oliceridine—a novel mu-receptor G protein pathway selective modulator—may provide effective, rapid analgesia and reduce typical adverse effects, according to two recent Phase […]
Read MoreAnesthesia & Analgesia: October 2016 – Volume 123 – Issue 4 – p 1004–1007 AUTHORS: Karlsson, Victoria RN, MMSc et al BACKGROUND: Transcutaneous (TC) measurement of PCO2 (TC PCO2) is a well-established method to monitor assisted ventilation in neonatal intensive care, but its use in the operating room is limited, and the data regarding its performance […]
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