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There has been a 25% fall in anesthesia-related complications for women undergoing cesarean deliveries, with mortality rates falling as well, a comprehensive study of New York state hospital records has found. The bad news: Nonanesthetic perioperative complications jumped nearly 50%. The study (Anesthesiology 2015;123:1013-1023) examined 785,854 cesarean deliveries in hospitals across New York state from 2003 […]
Read MoreA new handoff protocol boosted communication while slashing errors among nurses, anesthesiologists and surgeons during the transfer of patients from the operating room (OR) to the PACU. There was a dramatic decrease in lapses in the surgery and anesthesia reports after the rollout of the new handoff process at The Johns Hopkins Hospital, in Baltimore, […]
Read MoreEnd-tidal carbon dioxide (ETCO2) monitoring could aid resuscitation of trauma patients presenting with hypovolemic shock undergoing emergency surgery, a retrospective study suggests. ETCO2 of less than 20 mm Hg was a 95% predictor of intraoperative cardiac arrest or death. “Our results suggest that end-tidal carbon dioxide is a valuable short-term prognostic indicator in trauma patients underdoing […]
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 MoreAnesthesiology published on 4 2016. Authors: Admir Hadzic, M.D. et al Background: The authors evaluated the efficacy of liposome bupivacaine in a femoral nerve block (FNB) after total knee arthroplasty. Methods: Part 1: subjects received FNB with 20 ml liposome bupivacaine (67, 133, or 266 mg) or placebo. Part 2: subjects were randomized to FNB with liposome bupivacaine […]
Read MoreAnesthesiology 4 2016, Vol.124, 815-825 Authors: Sunghye Kim, M.D., M.M.Sc. et al Background: Specific geriatric assessment tools may complement traditional perioperative risk stratification. The aim of this study was to evaluate whether self-reported mobility is predictive of postoperative outcomes in older patients undergoing elective noncardiac surgery. Methods: Patients aged 69 yr or older (n = 197) underwent (1) […]
Read MoreAnesthesiology 4 2016, Vol.124, 960-965. Authors: Evan D. Kharasch, M.D., Ph.D. et al Description opioid diversion, abuse, addiction, and overdose are epidemic. Although unclear whether postoperative opioid prescribing is contributory, or how anesthesiologists and surgeons can contribute to a solution, nonetheless awareness and a research agenda are needed. ANESTHESIOLOGISTS and surgeons face three challenges in the […]
Read MoreAnesthesia & Analgesia March 2016 The anticonvulsant medication gabapentin—already a useful part of strategies to control pain after surgery—also effectively reduces the common complication of postoperative nausea and vomiting (PONV), reports a study in Anesthesia & Analgesia. “The results support the inclusion of preoperative gabapentin as part of the approach to prevention of PONV,” write […]
Read MoreThe number one thing that patients visiting a pain clinic hope for is relief from their pain, according to a study that compared the treatment expectation of both patients and physicians. The study, published in Pain Practice, found there are similarities in expectations and goals for patients and physicians for pain clinic visits. Researchers from the University Hospital […]
Read MoreA program at a Tennessee healthcare system that encourages coworkers to report disrespectful and unsafe conduct by physicians and other advanced practice professionals has helped improve those behaviors, according to a new study. The research, featured in the April issue of The Joint Commission Journal on Quality and Patient Safety, looked at Vanderbilt University Medical Center (VUMC) in […]
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