Anesthesia & Analgesia: September 2015 Authors: Ahn, Hyun Joo MD, PhD et BACKGROUND: Fluid is restricted in thoracic surgery to reduce acute lung injury, and hydroxyethyl starches (HES) are often administered to reduce fluid amount. This strategy may contribute to the development of acute kidney injury (AKI). We evaluated the incidence, risk factors, and prognosis […]
Read MoreAnesthesia & Analgesia: September 2015 Authors: Fritz, Bradley A. MD et al BACKGROUND: Postoperative delirium is a common complication associated with increased morbidity and mortality, longer hospital stays, and greater health care expenditures. Intraoperative electroencephalogram (EEG) slowing has been associated previously with postoperative delirium, but the relationship between intraoperative EEG suppression and postoperative delirium has […]
Read MoreIdentifying a child presenting with a difficult airway may not be quite as easy as pediatric anesthesiologists believe, according to a chart review by a Canadian research team. Investigators at The Hospital for Sick Children, in Toronto, found that nearly 20% of difficult airways were unanticipated and more than half occurred in patients with no […]
Read MoreAnesthesia & Analgesia: Oct 2015 Volume 121 Issue 4 p 981-987 Authors: Bauchat, Jeanette R. MD et al BACKGROUND: Neuraxial analgesic techniques are the most effective form of labor analgesia. Small studies (9–21 patients), conducted 10 to 20 years ago, demonstrated successful neuraxial labor analgesia in only 50% to 66% of patients with surgical correction […]
Read MoreAuthors: Alparslan Turan MD et al Anesthesiology 12 2015, Vol.123, 1404-1410. Background: Persistent incisional pain is common after cardiac surgery and is believed to be in part related to inflammation and poorly controlled acute pain. Methylprednisolone is a corticosteroid with substantial antiinflammatory and analgesic properties and is thus likely to ameliorate persistent surgical pain. Therefore, the authors tested […]
Read MoreAnesthesia & Analgesia: Oct 2015 Volume 121 Issue 4 p 1000-1010 AUTHORS: Kristin Bailey MD et al METHODS: Ninety-three children, aged 2 to 10 years, undergoing elective surgery at a children’s hospital participated together with their parents. Parents were randomly assigned to receive either PPIA preparation or PPIA standard before their children’s induction of anesthesia. […]
Read MoreLatent class analysis and ASA physical status yield differing results Although perioperative risk stratification is often used to identify so-called independent risk factors, previous research has found that few are truly independent, and various combinations of comorbidities may have differential effects on mortality risk. Researchers turned to “latent class analysis,” a model-based clustering technique, and […]
Read MoreAnesthesia & Analgesia: Oct 2015 Vol 121 Issue 4 p 988-991 Authors: Goodier, Christopher G. MD et al BACKGROUND: The primary aim of this study was to estimate the risk of neuraxial hematoma associated with neuraxial anesthetic procedures in thrombocytopenic parturients. METHODS: A multicenter retrospective cohort study design was used to estimate the risk for […]
Read MoreAnesthesia & Analgesia: Oct 2015 Vol 121 Issue 4 p 974-980 Authors: Attanasio, Laura BA MD et al BACKGROUND: Most women who give birth in United States hospitals receive neuraxial analgesia to manage pain during labor. In this analysis, we examined themes of the patient experience of neuraxial analgesia among a national sample of U.S. […]
Read MoreAnesthesia & Analgesia: October 2015 Vol 121 Issue 4 p 861-867 Authors: Klinger, Rebecca Y. MD, MS et al BACKGROUND: Hypomagnesemia has been associated with an increased risk of postoperative atrial fibrillation (POAF). Although previous studies have suggested a beneficial effect of magnesium (Mg) therapy, almost all of these are limited by small sample size […]
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