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Anesthesiology 10 2016, Vol.125, 700-715 Authors: Åse Lodenius, M.D., D.E.S.A. et al Background: In contrast to general anesthetics such as propofol, dexmedetomidine when used for sedation has been put forward as a drug with minimal effects on respiration. To obtain a more comprehensive understanding of the regulation of breathing during sedation with dexmedetomidine, the authors compared ventilatory […]
Read MoreEdited by David G. Fairchild, MD, MPH Low-dose hydrocortisone infusion may not prevent progression to septic shock among adults with severe sepsis, according to a JAMA study. Some 380 adults with severe sepsis who were not in septic shock were randomized to receive placebo or hydrocortisone (an initial 50-mg intravenous bolus, followed by a 200-mg continuous infusion daily […]
Read MoreWithout these teamwork qualities, your OR staff’s pre-surgical rundowns may be incomplete. A TEAM WORKS Patient safety depends on communication and respect. Your physicians are the undisputed captains of the surgical ship, but are they totally onboard with patient safety? According to a recent study, that may require them to share leadership with their OR staff. […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 659–669 AUTHORS: Mongardon, Nicolas MD, MSc et al BACKGROUND: In animal models, whole-body cooling reduces end-organ injury after cardiac arrest and other hypoperfusion states. The benefits of cooling in humans, however, are uncertain, possibly because detrimental effects of prolonged cooling may offset […]
Read MoreAnesthesia & Analgesia: July 29, 2016 AUTHORS: Brogi, Etrusca MD et al BACKGROUND: Automated systems can improve the stability of controlled variables and reduce the workload in clinical practice without increasing the risks to patients. We conducted this review and meta-analysis to assess the clinical performance of closed-loop systems compared with manual control. Our primary […]
Read MoreRespiratory depression occurs more often and is more severe in patients undergoing gastroenterologist-led colonoscopy than in those attended by an anesthesiologist during gastrointestinal endoscopy, according to a new study. Routine monitoring of tidal volumes and minute ventilation may help prevent respiratory depression in future cases, the researchers found. Monitoring respiratory function during sedation for GI […]
Read MoreUse of neuraxial anesthesia decreases the development of surgical site infections compared with general anesthesia after total joint arthroplasty, a meta-analysis has found. These findings may help support the use of neuraxial techniques in enhanced recovery after surgery (ERAS) pathways. “There are some smaller, observational studies suggesting that if you use spinal or epidural analgesia, […]
Read MoreThis is from Outpatient Surgery Magazine If you invested in a surgical robot, you might not be getting the most bang for your buck, according to a study published in The Lancet. The first randomized, controlled trial to directly compare robotic-assisted and conventional open prostatectomies found that both methods delivered similar outcomes at 3 months post-surgery, despite the […]
Read MoreOrthopedic surgeons love what they do and are paid handsomely for it, according to a newly released survey of what nearly 20,000 U.S. physicians earned in 26 specialties between November 2015 and February 2016. Orthopods pulled in an average of $443,000 to beat out cardiologists ($410,000) and dermatologists ($381,000) for the top spot on the earnings […]
Read MoreAuthors: Monique A. Foster, MD et al Introduction On November 26, 2014, the California Department of Public Health (CDPH) contacted CDC concerning a report from the Santa Barbara County Public Health Department (SBPHD) regarding acute hepatitis C virus (HCV) infection in a repeat blood donor. The patient, who was asymptomatic, was first alerted of the […]
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