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Authors: Gillinov AM et al., N Engl J Med 2016 Apr 4; In a randomized comparison with rate control, rhythm control conferred no net clinical benefit. Atrial fibrillation (AF) occurs after cardiac surgery in up to 50% of patients. In a study funded by the NIH and the Canadian Institutes of Health Research, investigators compared aggressive rhythm-control […]
Read MoreAuthors: Hourmozdi JJ et al., Crit Care Med 2016 Mar 31; Very few complications were picked up by routine chest x-ray at a large academic hospital system. For decades, dogma has been that chest x-ray should be performed to confirm placement of all internal jugular (IJ) central lines, despite evidence that ultrasound can significantly reduce complication rates. […]
Read MoreWhile overall malpractice claims related to anesthesia care are declining, the proportion of outpatient claims has increased in comparison to inpatient ones, says Richard J. Kelly, MD, JD, MPH, FCLM, clinical associate professor of anesthesiology and perioperative care at the University of CA Irvine School of Medicine. Dr Kelly recently completed a study looking at […]
Read MoreFor the claustrophobic patient who gets anxious having a face mask placed over him, remove the mask and have him place his lips around the round connector on the anesthesia circuit. Patients find this much more comfortable while they’re pre-oxygenating. As soon as the patient falls asleep, simply reattach the face mask so induction can […]
Read MoreFrailty can be easily assessed in aortic valve surgery patients using variables that are typically at the behest of most anesthesiologists, and the assessment can predict morbidity, mortality and hospital length of stay (LOS) in this fragile patient population. “Previous research has shown that frailty is an independent risk factor for predicting morbidity and mortality […]
Read MoreStatement on pain management from David W. Baker, MD, MPH, FACP, Executive Vice President, Healthcare Quality Evaluation, The Joint Commission: In the environment of today’s prescription opioid epidemic, everyone is looking for someone to blame. Often, The Joint Commission’s pain standards take that blame. We are encouraging our critics to look at our exact standards, […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1141–1146 AUTHORS: Frederick, Heather J. MD et al BACKGROUND: The cause of emergence agitation (EA) in children is unknown. Rapid emergence from inhaled anesthesia has been implicated because EA is more common with sevoflurane than with halothane. A dose-dependent effect of sevoflurane, […]
Read MoreThe brain fog and clouded sensorium that follow a night call have long been accepted as part of the job by most anesthesiologists, but partial sleep deprivation significantly alters various aspects of mood and may ultimately affect the quality of patient care, a study has found. “It’s a given that residents work hours and hours, […]
Read MoreAnesthesia & Analgesia: April 2016 – Volume 122 – Issue 4 – p 1192–1201 AUTHORS: Henshaw, Daryl S. MD et al BACKGROUND: Unicondylar knee arthroplasty (UKA) is a commonly performed procedure with significant expected postoperative pain. Peripheral nerve blocks are 1 analgesic option, but some approaches may decrease quadriceps motor strength and interfere with early […]
Read MoreJohnson & Johnson announced that the company will stop selling the Sedasys System due to unexpectedly slow sales and company-wide cost-cutting. The Sedasys System, a computer-assisted personalized sedation device that allows non-anesthesia professionals to administer propofol, was touted by some as a potential replacement for anesthesiologists. The device delivers a measured dose of propofol into the […]
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