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Rates 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 […]
Read MoreAuthors: Timothy J. Brennan, M.D., Ph.D. et al THE management of acute pain in the opioid-tolerant patients is an important topic in perioperative medicine. In this issue of Anesthesiology, Liu and Gold1 demonstrate that morphine administration that induces morphine tolerance in rats produces resistance to lidocaine-induced nerve blockade ex vivo. Acute pain management can be quite challenging […]
Read MoreAuthors: Takashi Asai, M.D., Ph.D. Anesthesiology 10 2016, Vol.125, 615-617. REPEATED attempts at tracheal intubation increase the incidence of airway obstruction, leading to serious airway complications.1,2 Therefore, major guidelines for difficult airway management unanimously recommend avoiding repeated attempts at tracheal intubation.3–5 Much effort has been made to reduce the incidence of difficult intubation with a conventional Macintosh or […]
Read MoreAuthors: Jurgen C. de Graaff, M.D., Ph.D. et al Anesthesiology Newly Published on September 8, 2016 Background: Although noninvasive blood pressure (NIBP) monitoring during anesthesia is a standard of care, reference ranges for blood pressure in anesthetized children are not available. We developed sex- and age-specific reference ranges for NIBP in children during anesthesia and surgery. Methods: In […]
Read MoreAuthors: Wenhua Zhang, M.D. et al Anesthesiology published on September 15, 2016. Background: The median effective dose (ED50) of intranasal dexmedetomidine after failed chloral hydrate sedation has not been described for children. This study aims to determine the ED50 of intranasal dexmedetomidine for rescue sedation in children aged 1 to 36 months, who were inadequately sedated by chloral […]
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 surgery. […]
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