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Anesthesia & Analgesia: March 2016 – Volume 122 – Issue 3 – p 624–632 AUTHORS: Fuda, Giuseppe MD et al BACKGROUND: A central-to-radial arterial pressure gradient may occur after cardiopulmonary bypass (CPB), which, in some patients, may last for a prolonged time after CPB. Whenever there is a pressure gradient, the radial artery pressure measure […]
Read MoreAnesthesia & Analgesia: February 18, 2016 AUTHORS: Cobb, Benjamin MD et al BACKGROUND: The aim of this study was to apply both IV fluid and forced-air warming to decrease perioperative hypothermia in women undergoing cesarean delivery with spinal anesthesia. The authors hypothesize that combined-modality active warming (AW) would increase maternal temperature on arrival at the […]
Read MoreAnesthesia & Analgesia: February 18, 2016 AUTHORS: Klein, Jeffrey A. MD, MPH et al BACKGROUND: Tumescent lidocaine anesthesia consists of subcutaneous injection of relatively large volumes (up to 4 L or more) of dilute lidocaine (<=1 g/L) and epinephrine (<=1 mg/L). Although tumescent lidocaine anesthesia is used for an increasing variety of surgical procedures, the […]
Read MoreAlan Smeltz, MD Resident-CA 2 University of North Carolina Chapel Hill, North Carolina Priya A. Kumar, MD Professor of Anesthesiology University of North Carolina Chapel Hill, North Carolina Introduction Drugs causing angiotensin axis blockade (AAB) include angiotensin-converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) agents. Due to the current trend of an […]
Read MoreTwo-Year Outcomes of the ActivL Multicenter Randomized Controlled IDE Clinical Trial Authors: Rolando Garcia Jr., MD, MPH et al Spine. 2015;40(24):1873-1881. Study Design. A prospective, multicenter, randomized, controlled, investigational device exemption (IDE) noninferiority trial. Objective. The aim of this study was to evaluate the comparative safety and effectiveness of lumbar total disc replacement (TDR) in the treatment of […]
Read MoreA Randomized Controlled Trial Authors: Maaike G. E. Fenten et al BMC Anesthesiol. 2015;15(130) Background: In what way volume, concentration and dose affect block duration is controversial. The purpose of the present study is to investigate the effect of dose, volume and concentration of mepivacaine on the duration of sensory and motor blockade in ultrasound-guided single shot […]
Read MoreAuthors: Robert M Kacmarek et al BMC Anesthesiol. 2015;15(110) Abstract Assisted ventilation is a highly complex process that requires an intimate interaction between the ventilator and the patient. The complexity of this form of ventilation is frequently underappreciated by the bedside clinician. In assisted mechanical ventilation, regardless of the specific mode, the ventilator’s gas delivery […]
Read MoreA Meta-analysis of Randomized Controlled Trials Authors: Xian-Xue Wang et al BMC Anesthesiol. 2015;15(118) Background: Dexamethasone is an antiemetic alternative to ondansetron. We aimed to compare the effects of dexamethasone and ondansetron in preventing postoperative nausea and vomiting (PONV) in patients undergoing laparoscopic surgery. Methods: We searched PubMed, Embase, Medline and Cochrane Library (from inception to July 2014) […]
Read MoreAuthors: Cheng Ni et al BMC Anesthesiol. 2015;15(156) Background: Postoperative cognitive dysfunction (POCD) is a frequent complication in elderly patients undergoing major non-cardiac surgery, but its etiology is still unclear. Cerebral oxygen saturation (ScO2) represents the balance of cerebral oxygen supply and demand. The aim of present study was to evaluate the relationship between perioperative ScO2 and POCD, […]
Read MoreOral opioids, including the less potent tramadol and the more potent hydromorphone and oxycodone, do not provide better pain relief than oral nonsteroidal anti-inflammatory drugs (NSAIDs) for knee osteoarthritis (OA), according to a systematic review published February in Osteoarthritis and Cartilage. “Patients who failed NSAIDs and are considering opioids should be aware that the pain relief from […]
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