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Amy Gelfand, MD Reviewing Giffin NJ et al., Neurology 2016 Jul 19; 87:309 A descriptive study of this underappreciated contributor to migraine symptomatology To describe the frequency of postdrome symptoms among patients with migraine, researchers recruited 120 patients from four centers who endorsed having nonheadache symptoms with their attacks. Participants completed daily electronic symptom diaries for 3 months. […]
Read MoreAuthors: Jacques T. YaDeau, M.D., Ph.D. et al Commentary: Duloxetine for Subacute Pain Management after Total Knee Arthroplasty: Should We Write It Off or Reevaluate? Anesthesiology 9 2016, Vol.125, 561-572. Background: Duloxetine is effective for chronic musculoskeletal and neuropathic pain, but there are insufficient data to recommend the use of antidepressants for postoperative pain. The authors hypothesized that […]
Read MoreAuthors: Uzung Yoon, M.D., M.P.H. et al Anesthesiology 9 2016, Vol.125, 596. A DOUBLE modified nasopharyngeal airway connected to a breathing circuit to assist ventilation could be a great rescue airway technique. This setup provides unobstructed spontaneous ventilation, end-tidal carbon dioxide monitoring, continuous positive airway pressure, and assisted ventilation as needed.1 A modified nasopharyngeal airway […]
Read MoreAuthors: Jessica M. Booth, M.D. et al Anesthesiology 9 2016, Vol.125, 516-524. Background: It is unclear whether recognition of epidural catheter failures is delayed with combined spinal epidural technique (CSE) compared to traditional epidural technique (EPID) when used for labor analgesia. The authors hypothesized that recognition of failed catheters is not delayed by CSE. Methods: Anesthetic, obstetric, and […]
Read MoreAuthors: Hagen Bomberg, M.D. et al Anesthesiology 9 2016, Vol.125, 505-515. Background: Catheter-related infection is a serious complication of continuous regional anesthesia. The authors tested the hypothesis that single-dose antibiotic prophylaxis is associated with a lower incidence of catheter-related infections. Methods: Our analysis was based on cases in the 25-center German Network for Regional Anesthesia database recorded […]
Read MoreAuthors: Brian S. Rothman, M.D. et al Anesthesiology 9 2016, Vol.125, 484-494. Background: “Wrong surgery” is defined as wrong site, wrong operation, or wrong patient, with estimated incidence up to 1 per 5,000 cases. Responding to national attention on wrong surgery, our objective was to create a care redesign intervention to minimize the rate of wrong […]
Read MoreAuthors: Pauline Dureau, M.D. et al Commentary: Lipid Emulsion in Local Anesthetic Toxicity: Long-winded, Rude, and Right Anesthesiology 9 2016, Vol.125, 474-483. Background: Rapid intravenous administration of lipid emulsion has become the standard treatment of severe local anesthetic systemic toxicity. This experiment in volunteers aimed at determining the effect of Intralipid® administration on the time to neurologic symptoms. […]
Read MoreAuthors: J. Lance Lichtor, M.D. et al Anesthesiology 6 2016, Vol.124, 1404-1407. Due to the potentially unforgiving nature of epiglottitis and supraglottitis, the clinician should have a firm understanding of the presentation, work up, and management of a patient presenting with worrisome symptoms. George Washington, the United States’ first president, 2 yr after leaving office on […]
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Read MoreAuthors: Shay P. McGuinness, M.B.Ch.B. et al Commentary: Oxygen Therapy: When Is Too Much Too Much? Anesthesiology 9 2016, Vol.125, 465-473. doi:10.1097/ALN.0000000000001226 Background: Cardiac surgery utilizing cardiopulmonary bypass (CPB) is one of the most common forms of major surgery. Cardiac surgery–associated multiorgan dysfunction (CSA-MOD) is well recognized and includes acute kidney injury (AKI), hepatic impairment, myocardial damage, […]
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