Anesthesia & Analgesia: March 2016 AUTHORS: Wang, Mi MD et al BACKGROUND: The nasopharynx is considered 1 of the 4 generally reliable core temperature measurement sites. But curiously, there is no consensus on how far past the nares to insert the probe. Insertion depth is likely to influence the accuracy of nasopharyngeal temperature measurements because […]
Read MoreGiven its prevalence after cardiac surgery—particularly in patients with chronic renal impairment—finding a way to curb postoperative acute kidney injury (AKI) stands to have a significant effect on patient outcomes. A Japanese research team seems to have taken a step in that direction; their study found that intraoperative administration of haptoglobin was independently associated with […]
Read MoreAnesthesia & Analgesia: March 2016 AUTHORS: Sviggum, Hans P. MD et al BACKGROUND: Intrathecal (IT) morphine is considered the “gold standard” for analgesia after cesarean delivery under spinal anesthesia, most commonly administered at a dose of 100 to 200 [mu]g. There is less experience with IT hydromorphone for postcesarean analgesia and limited information on its […]
Read MoreA Randomized Controlled Trial Authors: Mari Nagafuchi et al BMC Anesthesiol. 2015;15(182) Background: The use of femoral nerve block (FNB) combined with sciatic nerve block (SNB) after total knee arthroplasty (TKA) has recently become controversial. Local infiltration analgesia (LIA) has been reported to be effective for postoperative TKA pain control. We aimed to assess whether […]
Read MoreA Systematic Review Authors: J. Moran; F. Wilson et al Br J Anaesth. 2016;116(2):177-191. Background: Cardiopulmonary exercise testing (CPET) is used as a preoperative risk-stratification tool for patients undergoing non-cardiopulmonary intra-abdominal surgery. Previous studies indicate that CPET may be beneficial, but research is needed to quantify CPET values protective against poor postoperative outcome [mortality, morbidity, […]
Read MoreAn international multicenter trial has concluded that just under an hour of sevoflurane anesthesia during infancy does not increase the risk for adverse neurodevelopmental outcome at 2 years of age, relative to awake regional anesthesia. The finding is in contrast to some previous cohort studies. According to Andrew J. Davidson, MD, senior anesthesiologist and director […]
Read MoreAlthough inconsistencies among anesthesiologists have been demonstrated in the American Society of Anesthesiologists (ASA) physical status classification system, one study from the State University of New York (SUNY) Downstate Medical Center, in New York City, has found that agreement between anesthesiologists and nonanesthesiologists is exceedingly weak. These discrepancies are particularly evident in patients with higher […]
Read MoreHypertensive disorders in pregnancy (HDP) are associated with an increased risk of cardiomyopathy years after an affected pregnancy and regardless of hypertension severity, a large registry study involving one million Danish women shows. “The fact that we could drop the first 5 years after pregnancy and still see this risk was really fascinating,” senior author […]
Read MoreThe toll that opioid addiction has taken in the United States is staggering, said Jesse Theisen-Toupal, MD, from the Veterans Administration Medical Center in Washington, DC. “In 2000, there were 4400 opioid overdose-related deaths,” he reported here at the Society of Hospital Medicine 2016 Annual Meeting. “In 2013, there were 16,000.” Despite this crisis, some […]
Read MoreContrary to expectations, smoking and obesity do not appear to affect the efficacy of, or increase the infection rate related to, spinal cord stimulator implantation, a new study shows. “It’s very well known that smoking, for example, can increase the risk of infection and of complications in different types of major surgery, especially spinal surgery,” […]
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