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Authors: Judi A. Turner, M.D., Ph.D. et al Anesthesiology published on 4 2016. Background: This multicenter, retrospective study was conducted to determine how resident performance deficiencies affect graduation and board certification. Methods: Primary documents pertaining to resident performance were examined over a 10-yr period at four academic anesthesiology residencies. Residents entering training between 2000 and 2009 were included, […]
Read MoreAuthors: Eun-Ho Lee, M.D. et al Anesthesiology 5 2016, Vol.124, 1001-1011 Background: Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether the immediate preoperative administration of 20% albumin solution affects the incidence of AKI after off-pump coronary artery bypass surgery. Methods: In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with preoperative […]
Read MoreAuthors: Shiroh Isono, M.D., Ph.D. et al Anesthesiology 5 2016, Vol.124, 989-991 Many perioperative clinicians wear a stethoscope and frequently use it for auscultation to, among other things, confirm endotracheal intubation or to rule out esophageal or unintended bronchial intubation. As a matter of routine, auscultation has been used for decades immediately after intubation or whenever […]
Read MoreAuthors: Faraj W. Abdallah, M.D. et al Anesthesiology 5 2016, Vol.124, 1053-1064. Background: By targeting the distal branches of the femoral nerve in the mid-thigh, the adductor canal block (ACB) can preserve quadriceps muscle strength while providing analgesia similar to a conventional femoral nerve block (FNB) for inpatients undergoing major knee surgery. In this randomized, double-blind, noninferiority […]
Read MoreOpioid abuse could be costing U.S. employers about $18 billion a year in lost productivity and medical expenses, according to a study that also finds employers are paying for one-third of opioid prescriptions that end up being abused. Health information firm, Castlight Health on Wednesday released an analysis of aggregated data from nearly a million employer-based health […]
Read MoreAuthors: Ashraf Fayad, M.D., M.Sc., F.R.C.P.C., F.A.C.C., F.A.S.E. et al Anesthesiology published on 4 2016 Background: The prognostic value of perioperative diastolic dysfunction (PDD) in patients undergoing noncardiac surgery remains uncertain, and the current guidelines do not recognize PDD as a perioperative risk factor. This systematic review aimed to investigate whether existing evidence supports PDD as an […]
Read MoreAuthors: Paul S. Myles, M.B., B.S., M.P.H., M.D., F.C.A.I., F.A.N.Z.C.A., F.R.C.A., F.A.H.M.S. et al Anesthesiology 5 2016, Vol.124, 1032-1040 Background: The Evaluation of Nitrous oxide in the Gas Mixture for Anesthesia II trial randomly assigned 7,112 noncardiac surgery patients to a nitrous oxide or nitrous oxide–free anesthetic; severe postoperative nausea and vomiting (PONV) was a prespecified secondary […]
Read MoreWhen prescription opioids started getting too difficult or too expensive to procure, people addicted to them started turning to heroin–a shift that’s created an “epidemic” of heroin use in whole new groups of people. Now, a new opioid is rising in use and overdose: Fentanyl, a synthetic opioid, is 50-100 times more potent than morphine, according […]
Read MoreAuthors: Peter Szmuk, M.D. et al Anesthesiology 4 2016, Vol.124, 779-784 Background: Pulse oximetry provides no indication of downward trends in Pao2 until saturation begins to decrease. The Oxygen Reserve Index (ORI) is a novel pulse oximeter–based nondimensional index that ranges from 1 to 0 as Pao2 decreases from about 200 to 80 mmHg and is measured by optically […]
Read MoreAuthors: Dermot R. Fitzgibbon, M.D. et al Anesthesiology published on 4 2016 Background:: Due to an increase in implantable device–related anesthesia pain medicine claims, the authors investigated anesthesia liability associated with these devices. Methods:: After institutional review board approval, the authors identified 148 pain medicine device claims from 1990 or later in the Anesthesia Closed Claims Project Database. […]
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