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A study involving a specially modified pupillometer has shown a correlation between pupillary unrest under ambient light (PUAL) and pain response to opioid medications, suggesting that this instrument could one day help physicians determine the risk/benefit of giving patients additional opioids. “In this study, decreased levels of pupillary unrest were associated with decreased responsiveness to […]
Read MoreAnesthesia & Analgesia: May 2016 – Volume 122 – Issue 5 – p 1646–1653 AUTHORS: Naik, Bhiken I. MBBCh et al BACKGROUND: Adult deformity correction spine surgery can be associated with significant perioperative pain because of inflammatory, muscular, neuropathic, and postsurgical pain. α-2 Agonists have intrinsic antinociceptive and antihyperalgesic properties that can potentially reduce both […]
Read MoreOn Wednesday the Centers for Medicare and Medicaid Services (CMS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule. The document, 962 pages long, includes CMS proposals on how the law creating a new Medicare physician payment system will be implemented beginning in 2017. MACRA, passed by Congress in April 2015, ends […]
Read MoreAuthors: Zheng Z et al., N Engl J Med 2016 May 5; 374:1744 This approach did not decrease the incidence of postoperative atrial fibrillation or perioperative myocardial damage. Cardiac surgery has shown many recent advances, but postoperative complications in patients undergoing bypass surgery remain a challenge. Investigators in China evaluated the effectiveness of perioperative rosuvastatin (20 mg/day) […]
Read MoreAuthors: Woon-Seok Kang, MD et al Anesthesiology published on 4 2016 Background: The aim of study was to evaluate the effect of mechanical ventilation mode type, pressure-controlled ventilation (PCV), or volume-controlled ventilation (VCV) on intra- and postoperative surgical bleeding in patients undergoing posterior lumbar interbody fusion (PLIF) surgery. Methods: This was a prospective, randomized, single-blinded, and parallel study […]
Read MoreAuthors: Wan-Jie Gu, M.D. et al Anesthesiology published on 4 2016 Background: The relationship between annualized case volume and mortality in patients with sepsis is not fully understood. The authors performed a dose–response meta-analysis to assess the effect of annualized case volume on mortality among patients with sepsis in the intensive care unit, emergency department, or hospital, […]
Read MoreAuthors: Judi A. Turner, M.D., Ph.D. et al Anesthesiology published on 4 2016. Background: This multicenter, retrospective study was conducted to determine how resident performance deficiencies affect graduation and board certification. Methods: Primary documents pertaining to resident performance were examined over a 10-yr period at four academic anesthesiology residencies. Residents entering training between 2000 and 2009 were included, […]
Read MoreAuthors: Eun-Ho Lee, M.D. et al Anesthesiology 5 2016, Vol.124, 1001-1011 Background: Hypoalbuminemia may increase the risk of acute kidney injury (AKI). The authors investigated whether the immediate preoperative administration of 20% albumin solution affects the incidence of AKI after off-pump coronary artery bypass surgery. Methods: In this prospective, single-center, randomized, parallel-arm double-blind trial, 220 patients with preoperative […]
Read MoreAuthors: Shiroh Isono, M.D., Ph.D. et al Anesthesiology 5 2016, Vol.124, 989-991 Many perioperative clinicians wear a stethoscope and frequently use it for auscultation to, among other things, confirm endotracheal intubation or to rule out esophageal or unintended bronchial intubation. As a matter of routine, auscultation has been used for decades immediately after intubation or whenever […]
Read MoreAuthors: Faraj W. Abdallah, M.D. et al Anesthesiology 5 2016, Vol.124, 1053-1064. Background: By targeting the distal branches of the femoral nerve in the mid-thigh, the adductor canal block (ACB) can preserve quadriceps muscle strength while providing analgesia similar to a conventional femoral nerve block (FNB) for inpatients undergoing major knee surgery. In this randomized, double-blind, noninferiority […]
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