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The number of infections from contaminated duodenoscopes is much higher than previously reported, according to a congressional investigation. The FDA recently revealed after a yearlong investigation that as many as 350 patients at 41 facilities in the United States and overseas have been infected by tainted scopes between Jan. 1, 2010, and Oct. 31, 2015. […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1856–1865 AUTHORS: Kulcke, Axel PhD et al BACKGROUND: Pulse spectroscopy is a new noninvasive technology involving hundreds of wavelengths of visible and infrared light, enabling the simultaneous quantitation of multiple types of normal and dysfunctional hemoglobin. We evaluated the accuracy of a […]
Read MoreAnesthesia & Analgesia: April 22, 2016 AUTHORS: Kim, Minjae MD, MS et al BACKGROUND: Perioperative risk stratification is often performed using individual risk factors without consideration of the syndemic of these risk factors. We used latent class analysis (LCA) to identify the classes of comorbidities and risk factors associated with perioperative mortality in patients presenting […]
Read MoreAnesthesia & Analgesia: April 22, 2016 AUTHORS: Van Waes, Judith A. R. MD et al BACKGROUND: To evaluate the role of routine troponin surveillance in patients undergoing major noncardiac surgery, unblinded screening with cardiac consultation per protocol was implemented at a tertiary care center. In this study, we evaluated 1-year mortality, causes of death, and […]
Read MoreAnesthesia & Analgesia: Post Author Corrections: April 22, 2016 AUTHORS: Patel, Ruchira MBBS et al BACKGROUND: The transcatheter electric stimulation test (Tsui test) can be performed at the bedside to confirm the correct placement of a wire-reinforced epidural catheter within the epidural space. The most commonly observed motor response with a uniport epidural catheter placed […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 2007–2016 AUTHORS: Hunt, Tristan D. BS et al BACKGROUND: The safety of anesthetic care provided during childbirth has improved during the past 2 decades in the United States, with a marked decrease in the rate of anesthesia-related adverse events (ARAEs). To date, […]
Read MoreAnesthesia & Analgesia: April 22, 2016 AUTHORS: Gonzalez Fiol, Antonio MD et al BACKGROUND: Rarely, epidural catheters may fracture upon removal or insertion. Understanding some of the mechanical properties of epidural catheters, such as their tensile strength and how external factors (including temperature) can influence their strength, will aid physicians in making decisions if faced […]
Read MoreTo reach the CRC recommendation, the task force mainly considered CVD trials in which cancer was a secondary finding, because there were limited data specifically on the effects of aspirin on cancer. From 10 trials (N=103,787), the task force determined that the individuals who took aspirin had a slightly reduced risk for death compared with […]
Read MoreA new overview of approaches to analgesia and anesthesia in people undergoing total knee arthroplasty (TKA) leaves no stone unturned (J Am Acad Orthop Surg2016;24:60-73). In just 12 pages of text, diagrams and tables, Calin Moucha, MD, and two other experts from the Icahn School of Medicine at Mount Sinai, in New York City, review […]
Read MoreThe US Food and Drug Administration (FDA) has proposed a ban on electrical stimulation devices (ESDs) used to treat self-injurious or aggressive behavior. The FDA says the devices “present an unreasonable and substantial risk to public health that cannot be corrected or eliminated through changes to the labeling.” ESDs give electrical shocks via electrodes attached to the […]
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