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Anesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1141–1146 AUTHORS: Frederick, Heather J. MD et al BACKGROUND: The cause of emergence agitation (EA) in children is unknown. Rapid emergence from inhaled anesthesia has been implicated because EA is more common with sevoflurane than with halothane. A dose-dependent effect of sevoflurane, […]
Read MoreThe brain fog and clouded sensorium that follow a night call have long been accepted as part of the job by most anesthesiologists, but partial sleep deprivation significantly alters various aspects of mood and may ultimately affect the quality of patient care, a study has found. “It’s a given that residents work hours and hours, […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1192–1201 AUTHORS: Henshaw, Daryl S. MD et al BACKGROUND: Unicondylar knee arthroplasty (UKA) is a commonly performed procedure with significant expected postoperative pain. Peripheral nerve blocks are 1 analgesic option, but some approaches may decrease quadriceps motor strength and interfere with early […]
Read MoreJohnson & Johnson announced that the company will stop selling the Sedasys System due to unexpectedly slow sales and company-wide cost-cutting. The Sedasys System, a computer-assisted personalized sedation device that allows non-anesthesia professionals to administer propofol, was touted by some as a potential replacement for anesthesiologists. The device delivers a measured dose of propofol into the […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1202–1210 AUTHORS: Li, Yun MD et al BACKGROUND: Epidural anesthesia may attenuate the sympathetic hyperactivity and stress response from surgery. In this study, we compared the stress response, hemodynamic variables, and recovery profiles of patients undergoing total IV anesthesia (TIVA) and intraoperative […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1186–1191 AUTHORS: Pace, Meredith M. MD et al BACKGROUND: The benefits of thoracic paravertebral block (TPVB) have been demonstrated for patients undergoing surgery for breast cancer. However, pleural puncture resulting in pneumothorax is a serious complication associated with traditional approaches using guidance […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1169–1177 AUTHORS: Luedi, Markus M. MD, MBA et al BACKGROUND: In elderly, high-risk patients, operating room (OR) turnaround times are especially difficult to estimate, and the managerial implications of patient age and ASA physical status for OR management decisions remain unclear. We […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1158–1168 AUTHORS: Chen, Yulong BA et al BACKGROUND: Patient memories of the operating room (OR) may serve as the informational basis for assessing satisfaction with individual anesthesiologists. Furthermore, the provision of clinically important information may assume that perioperative memories are retained. Studies […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1153–1157 AUTHORS: Windpassinger, Marita MD et al BACKGROUND: The extent to which insufflation of oxygen into the posterior pharynx during laryngoscopy prolongs adequate saturation in infants and small children remains unknown. Therefore, we compared oxygen saturation over time in preoxygenated small children […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1147–1152 AUTHORS: Gulec, Ersel MD et al BACKGROUND: Dexamethasone has been shown to cause inhibition of sugammadex reversal in functionally innervated human muscle cells. In this prospective, double-blind, randomized, controlled study, we evaluated the effect of dexamethasone on the reversal time of […]
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