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On April 15, as part of the American Society of Anesthesiologists’ broader advocacy strategy to increase federal funding for anesthesia and pain medicine research, ASA submitted a written statement for the formal record of the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies on the need for federal investment in […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1101–1107 AUTHORS: Khandelwal, Nita MD, MS et al BACKGROUND: Based on the data from elective surgical patients, positioning patients in a back-up head-elevated position for preoxygenation and tracheal intubation can improve patient safety. However, data specific to the emergent setting are lacking. […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1132–1140 AUTHORS: Görges, Matthias PhD et al BACKGROUND: Respiratory depression in children receiving postoperative opioid infusions is a significant risk because of the interindividual variability in analgesic requirement. Detection of respiratory depression (or apnea) in these children may be improved with the […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1120–1129 AUTHORS: Kuhn, Jana Christine MD et al BACKGROUND: Phenylephrine infusion is the current first-line choice for prevention of spinal hypotension during cesarean delivery. The optimal dosage regimen is still undetermined. A mechanical alternative, lower limb wrapping, has been examined in a […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1081–1088 AUTHORS: Geube, Mariya A. MD et al BACKGROUND: Severe primary graft dysfunction (PGD) is a major cause of early morbidity and mortality in patients after lung transplantation. The etiology and pathophysiology of PGD is not fully characterized and whether intraoperative fluid […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1114–1119 AUTHORS: Booth, Jessica L. MD et al BACKGROUND: Improved pain control after cesarean delivery remains a challenging objective. Poorly treated acute pain following delivery is associated with an increased risk of chronic pain and depression. This study was conducted to determine […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1070–1078 AUTHORS: Applegate, Richard L. II MD et al BACKGROUND: Diagnostic and interventional procedures are often facilitated by moderate procedure-related sedation. Many studies support the overall safety of this sedation; however, adverse cardiovascular and respiratory events are reported in up to 70% […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1062–1069 AUTHORS: Boyer, Richard B. PhD et al BACKGROUND: Rapid infusers are vital tools during massive hemorrhage and resuscitation. Sporadic reports of overheating and shutdown of the Belmont® Rapid Infuser, a commonly used system, have been attributed to 1-sided clot blockage of […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1024–1030 AUTHORS: Yuan, Jing MD et al BACKGROUND: It has been increasingly suggested that propofol protects against hypoxic-/ischemic-induced neuronal injury. As evidenced by hemorrhage-induced stroke, hemorrhage into the brain may also cause brain damage. Whether propofol protects against hemorrhage-induced brain damage remains […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 996–1006 AUTHORS: Richard H. MD, CPHIMS et al BACKGROUND: Reducing fresh gas flow (FGF) during general anesthesia reduces costs by decreasing the consumption of volatile anesthetics and attenuates their contribution to greenhouse gas pollution of the environment. The sevoflurane FGF recommendations in […]
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