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Authors: Jessica M. Booth, M.D. et al Anesthesiology 9 2016, Vol.125, 516-524. Background: It is unclear whether recognition of epidural catheter failures is delayed with combined spinal epidural technique (CSE) compared to traditional epidural technique (EPID) when used for labor analgesia. The authors hypothesized that recognition of failed catheters is not delayed by CSE. Methods: Anesthetic, obstetric, and […]
Read MoreAuthors: Hagen Bomberg, M.D. et al Anesthesiology 9 2016, Vol.125, 505-515. Background: Catheter-related infection is a serious complication of continuous regional anesthesia. The authors tested the hypothesis that single-dose antibiotic prophylaxis is associated with a lower incidence of catheter-related infections. Methods: Our analysis was based on cases in the 25-center German Network for Regional Anesthesia database recorded […]
Read MoreAuthors: Brian S. Rothman, M.D. et al Anesthesiology 9 2016, Vol.125, 484-494. Background: “Wrong surgery” is defined as wrong site, wrong operation, or wrong patient, with estimated incidence up to 1 per 5,000 cases. Responding to national attention on wrong surgery, our objective was to create a care redesign intervention to minimize the rate of wrong […]
Read MoreAuthors: Pauline Dureau, M.D. et al Commentary: Lipid Emulsion in Local Anesthetic Toxicity: Long-winded, Rude, and Right Anesthesiology 9 2016, Vol.125, 474-483. Background: Rapid intravenous administration of lipid emulsion has become the standard treatment of severe local anesthetic systemic toxicity. This experiment in volunteers aimed at determining the effect of Intralipid® administration on the time to neurologic symptoms. […]
Read MoreAuthors: J. Lance Lichtor, M.D. et al Anesthesiology 6 2016, Vol.124, 1404-1407. Due to the potentially unforgiving nature of epiglottitis and supraglottitis, the clinician should have a firm understanding of the presentation, work up, and management of a patient presenting with worrisome symptoms. George Washington, the United States’ first president, 2 yr after leaving office on […]
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Read MoreAuthors: Shay P. McGuinness, M.B.Ch.B. et al Commentary: Oxygen Therapy: When Is Too Much Too Much? Anesthesiology 9 2016, Vol.125, 465-473. doi:10.1097/ALN.0000000000001226 Background: Cardiac surgery utilizing cardiopulmonary bypass (CPB) is one of the most common forms of major surgery. Cardiac surgery–associated multiorgan dysfunction (CSA-MOD) is well recognized and includes acute kidney injury (AKI), hepatic impairment, myocardial damage, […]
Read MoreAuthors: Daniel S. Rubin, M.D. et al Commentary: Good News: But Why Is the Incidence of Postoperative Ischemic Optic Neuropathy Falling? Anesthesiology 9 2016, Vol.125, 457-464. Background: Perioperative ischemic optic neuropathy (ION) causes visual loss in spinal fusion. Previous case–control studies are limited by study size and lack of a random sample. The purpose of this study was […]
Read MoreAuthors: Martyn Harvey, M.D., F.A.C.E.M. et al Commentary: Effect of Intralipid® on the Dose of Ropivacaine or Levobupivacaine Tolerated by Volunteers: A Clinical and Pharmacokinetic Study Anesthesiology 9 2016, Vol.125, 451-453. LORD Cyril Asquith, son of a British Prime Minister, and himself an English Law Lord, once remarked “A Judge of the first instance should be […]
Read MoreAuthor: Michael M. Todd, M.D. Commentary: Perioperative Visual Loss in Spine Fusion Surgery: Ischemic Optic Neuropathy in the United States from 1998 to 2012 in the Nationwide Inpatient Sample Anesthesiology 9 2016, Vol.125, 445-448. THE first description of postoperative visual loss (POVL) in Medline is from 1950. Cases appeared sporadically over the next 30 to 40 yr, mostly […]
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