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Anesthesia & Analgesia: February 10, 2016 AUTHORS: Khandelwal, Nita MD, MS et al BACKGROUND: Based on the data from elective surgical patients, positioning patients in a back-up head-elevated position for preoxygenation and tracheal intubation can improve patient safety. However, data specific to the emergent setting are lacking. We hypothesized that back-up head-elevated positioning would be […]
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: Feng Li et al BMC Anesthesiol. 2015;15(128) Background: To evaluate the cardioprotective effects of sevoflurane versus propofol anesthesia in patients undergoing cardiac surgery. Methods: Studies were retrieved through searching several databases. Study quality was evaluated by Jadad scale. Meta-analysis was performed with RevMan5.0 software. Publication bias was tested by funnel plot. Results: As a result, 15 studies were […]
Read MoreAuthors: Shona Kalkman, M.D. et al Anesthesiology 3 2016, Vol.124, 723-729. Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed […]
Read MoreAuthors: Davinder Ramsingh, M.D. et al Anesthesiology published on 3 2016 Background:: Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus of this double-blinded randomized study was to assess the accuracy of point-of-care ultrasound in verifying the correct position of the ETT and to compare it with […]
Read MoreAnn Pharmacother. 2016 Mar;50(3):194-202. Authors: Wang Y et al BACKGROUND: Appropriate postoperative pain control following total knee arthroplasty is important in patient recovery. Adductor canal block (ACB) is a novel method to deliver anesthesia. There are currently no studies using bupivacaine liposome with ACB while also taking into account cost. OBJECTIVE: To compare the efficacy and […]
Read MoreAuthors: Clinton Kakazu, M.D.; Maurice Lippmann, M.D. ASA Monitor 03 2016, Vol.80, 50. The December 2015 ASA Monitor features an article written by Uday Jain, M.D., which discusses the problem of anesthesia in disaster or an austere environment.1 Disasters can produce multiple trauma victims, all of whom may be problematic to anesthesiologists who work to ensure these patients’ survival. In […]
Read MoreAuthors: Christina Hielsberg, M.A.; Matthew T. Popovich, Ph.D. ASA Monitor 03 2016, Vol.80, 36-37. It has long been speculated that the Centers for Medicare & Medicaid Services (CMS) would move toward phasing out the claims-based reporting mechanism for reporting PQRS measure data. The removal of this mechanism for most of the 2016 anesthesia care measures turns this speculation […]
Read MoreASA Monitor 03 2016, Vol.80, 24-26. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreAuthor: David M. Broussard, M.D. ASA Monitor 03 2016, Vol.80, 8-9. As physician anesthesiologists, we may be called upon to demonstrate our mastery over multiple dimensions of professionalism during any patient encounter. Our knowledge and technical skills as well as our communication and coordination capabilities can be challenged, even in what were at the outset routine cases. […]
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