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Patients of color and individuals on Medicaid have consistently lower odds for receiving neuraxial anesthesia and peripheral nerve blocks than their counterparts. Well founded in other specialties of medicine, care disparities that are based on race and socioeconomic status also exist in the delivery of anesthesia care, new research has shown. “Although we know from […]
Read MorePatients treated for in-hospital cardiac arrest at centers more apt to follow the relevant guidelines are likelier to survive and have better neurologic outcomes than those managed at hospitals with poorer guideline adherence, suggests an analysis based on registry data[1]. “We know that hospital care is variable . . . and we’ve also shown that […]
Read MoreAnesthesia & Analgesia: Post Author Corrections: February 23, 2016 AUTHORS: Sun, Zhuo MD et al BACKGROUND: Patients with rheumatoid arthritis have a high overall incidence of mortality, primarily because of cardiovascular complications. Thus, we tested the primary hypothesis that rheumatoid arthritis is independently associated with increased postoperative cardiovascular complications. Second, we determined whether rheumatoid arthritis […]
Read MoreA Single-Centre Retrospective Study on Incidence, Demographics and Outcome Authors: Christoph L. Lassen et al BMC Anesthesiol. 2015;15(164) Background: While anesthesiologist’s involvement in palliative care has been widely researched, extensive data on palliative patients under anesthesiological care in the operating room is missing. This study was performed to assess the incidence, demographics, and outcome of […]
Read MoreAuthors: R. L. Johnson et al Br J Anaesth. 2016;116(2):163-176. Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vs general anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central Register of Controlled Trials from inception […]
Read MoreLocal anesthesia and sedation with dexmedetomidine (Precedex, Hospira) is more efficient and better tolerated than general anesthesia when conducting stapes surgery, according to a new study. “We’re talking about a very delicate microsurgery within the ear,” noted Lynnie Correll, MD, PhD, of the Anesthesiology Department of the University of Rochester Medical Center, in Rochester, N.Y. […]
Read MoreAs streamlined as hospital throughput may be, unanticipated surgical cancellations still have a significant effect on an institution’s bottom line. Yet, as a University of Texas Health Science Center analysis has revealed, such missteps can be prevented with a preoperative visit to an anesthesia evaluation clinic. “The perioperative surgical home has initially put a lot […]
Read MoreA new handoff protocol boosted communication while slashing errors among nurses, anesthesiologists and surgeons during the transfer of patients from the operating room (OR) to the PACU. There was a dramatic decrease in lapses in the surgery and anesthesia reports after the rollout of the new handoff process at The Johns Hopkins Hospital, in Baltimore, […]
Read MoreAnesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 893–902 AUTHORS: Nair, Bala G. PhD et al BACKGROUND: Postoperative hyperglycemia has been associated with poor surgical outcome. The effect of intraoperative glucose management on postoperative glucose levels and the optimal glycemic threshold for initiating insulin are currently unknown. METHODS: We performed […]
Read MoreAnesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 857–870 AUTHORS: Bhatia, Anuj MBBS, MD, FRCA, FRCPC, FIPP, FFPMRCA, EDRA, CIPS et al BACKGROUND: Steroids often are administered into the epidural space through the transforaminal epidural (TFE) route to treat lumbosacral radicular pain secondary to herniated intervertebral discs. However, their efficacy […]
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