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A&A Case Reports: 15 September 2016 – Volume 7 – Issue 6 – p 125–128 Authors: Flaherty, James M. MD et al We report a novel case of a patient undergoing a bilateral shoulder hemiarthroplasty for chronic bilateral shoulder dislocations with proximal humeral fractures. Bilateral selective suprascapular nerve catheters were placed preoperatively with the intent […]
Read MoreAuthors: Ludhmila Abrahao Hajjar, M.D., Ph.D. et al Anesthesiology published on November 17, 2016. Background: Vasoplegic syndrome is a common complication after cardiac surgery and impacts negatively on patient outcomes. The objective of this study was to evaluate whether vasopressin is superior to norepinephrine in reducing postoperative complications in patients with vasoplegic syndrome. Methods: This prospective, randomized, […]
Read MoreAuthors: Duan J et al., Intensive Care Med 2016 Nov 3; Five clinical criteria strongly predicted need for intubation in patients with respiratory failure. Use of noninvasive ventilation (NIV) can avoid intubation in some patients with respiratory failure by temporarily supporting ventilation during initial treatment, but many patients fail NIV and ultimately need intubation. Patients at risk […]
Read MoreAuthors: Shin Sato, M.D. et al Anesthesiology published on November 10, 2016. 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 […]
Read MorePresident Obama’s Administration has introduced some major expansions to the 2016 fiscal budget to help aid states in preventing opioid deaths. Reviewed by Forest Tennant, MD, DrPH As most physicians are aware, overdoses from prescription opioids have risen at an alarming rate over the last few decades, with more people dying from opioids than from heroin and cocaine […]
Read MoreWith a new push to combat the opioid abuse epidemic, the Substance Abuse and Mental Health Services Administration (SAMHSA) has launched a new smartphone app providing essential resources for health care providers. The recent push to get more patients access to medication assisted treatment (MAT) for opioid addiction, and more doctors trained to provide it, […]
Read MoreFor the first time, scientists say they have found a region in the brain responsible for the ”placebo effect” in pain relief; they say the discovery has the potential to improve clinical trial accuracy and to personalize pain treatments. Interview with Marwan Baliki, PhD For the first time, researchers say they have identified the ”sweet […]
Read MoreAuthors: Ferguson ND., JAMA 2016 Oct 18; 316:1553 Outcomes were worse with a conventional high-oxygenation goal than with a conservative moderate-oxygenation goal. Increasingly, excess oxygen administration is recognized as a risk factor for adverse outcomes when used perioperatively (NEJM JW Infect Dis Nov 2009 and JAMA 2009; 302:1543) or after myocardial infarction (NEJM JW Hosp Med Aug 2015 and Circulation2015; 131:2143). But […]
Read MoreAuthors: Göran Hedenstierna, M.D., Ph.D. et al Anesthesiology 12/ 2016, Vol.125, 1079-1082. SEVERAL clinical trials on protective ventilation during anesthesia and postoperative pulmonary complications have been performed during the past years and assumed to be suitable as guidelines for clinical treatment.1–8 Comprehensive reviews and meta-analysis have also been performed.9,10 Why then do these studies differ in their recommendations? […]
Read MoreAuthors: Tyler J. Wellman, Ph.D. et al Commentary: Early Regional Inflammation: The Seeds of Lung Injury Anesthesiology 11 2016, Vol.125, 992-1004. Background: Acute respiratory distress syndrome (ARDS) is an inflammatory condition comprising diffuse lung edema and alveolar damage. ARDS frequently results from regional injury mechanisms. However, it is unknown whether detectable inflammation precedes lung edema and opacification and […]
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