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Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 274–282 AUTHORS: Nagababu, Enika PhD et al BACKGROUND: Cell-free hemoglobin (Hb) forms in stored red blood cells (RBCs) as a result of hemolysis. Studies suggest that this cell-free Hb may decrease nitric oxide (NO) bioavailability, potentially leading to endothelial dysfunction, vascular injury, […]
Read MoreEndotracheal tube stylets are handy devices in many ways. They’re strong, sterile and malleable, so with a little bend, they’re great for hanging large IV bags.
Read MoreAuthors: John W. Eikelboom, M.B.B.S. et al Anesthesiology published on September 15, 2016. Background: The PeriOperative ISchemia Evaluation-2 (POISE-2) trial compared aspirin with placebo after noncardiac surgery. Methods: The authors randomly assigned 10,010 patients undergoing noncardiac surgery to receive 200 mg aspirin or placebo 2 to 4 h before surgery and then 100 mg aspirin daily or placebo daily for up to 30 days […]
Read MoreUsing the quick Sequential Organ Failure Assessment (qSOFA) score to assess sepsis in women during birth can lead to an unacceptably high rate of false negatives, according to a study presented at the 2016 annual meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP; abstract 01-03). “SIRS (systemic inflammatory response syndrome) criteria and Maternal […]
Read MorePhysical therapists may hold vastly different opinions than anesthesiologists of the utility of peripheral nerve blocks after total knee and hip replacement surgeries. “For a long time, we placed peripheral nerve catheters in every total knee replacement patient and every total hip replacement patient,” said Steven Porter, MD, assistant professor of anesthesiology at Mayo Clinic, […]
Read MoreRates and etiologies of maternal cardiac arrest in Canada are similar to those found in the United States, a study has concluded. “This is the first Canadian study on maternal cardiac arrest,” said Leyla Baghirzada, MD, MPH, clinical assistant professor at the University of Calgary, in Alberta. She presented the study at the 2016 annual […]
Read MoreSurgeons who were less likely to follow recommended guidelines for open disclosure of adverse events were more likely to be negatively affected by such events, according to a survey-based study published online July 20 in JAMA Surgery. In addition, those who were less likely to discuss difficult issues, such as the preventability of an adverse event, or who […]
Read MoreA simple typo could still put you at risk of a negligence lawsuit. Outpatient Surgery Magazine June 2016 CAREFUL CONSIDERATION If you copy and paste information into the EHR or the software autopopulates certain fields, be sure to review the information for accuracy. Electronic health records give caregivers quick and easy access to a patient’s medical […]
Read MoreAuthors: Su X et al., Lancet 2016 Aug 16; But this practice probably is unnecessary in extubated patients. In a recent placebo-controlled study, delirium resolved more quickly in delirious patients in the intensive care unit (ICU) who received dexmedetomidine (NEJM JW Gen Med May 15 2016 and JAMA 2016; 315:1455). However, whether this finding was due to a direct effect […]
Read MoreAuthors: Yifei Jiang, M.D., Ph.D. et al Anesthesiology published on September 22, 2016 Background: Exposure to isoflurane increases apoptosis among postnatally generated hippocampal dentate granule cells. These neurons play important roles in cognition and behavior, so their permanent loss could explain deficits after surgical procedures. Methods: To determine whether developmental anesthesia exposure leads to persistent deficits in granule […]
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