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Author: Kristin Forner, MD ASA Monitor 11 2015, Vol.79, 28-30. Kristin Forner, M.D., is Assistant Professor, University of North Carolina, Mission Palliative Care, Mission Hospital, Asheville, North Carolina. The potential for creative cross-over, stimulating overlap of expertise, and ground-breaking collaboration between palliative care and anesthesiology within the Perioperative Surgical Home (PSH) environment is enormous. Palliative care has […]
Read MoreAuthor: Uday Jain, MD, PhD ASA Monitor 11 2015, Vol.79, 16-18. Uday Jain, M.D., Ph.D. is Staff Anesthesiologist, Alameda Health System, Oakland, California. Classification: Perioperative acute kidney injury (AKI) was previously known as “acute renal failure.” To facilitate its management, standardized classification of severity of AKI is utilized. Two sets of criteria are popular for classification of […]
Read MoreAuthor: David P. Martin, MD, PhD ASA Monitor 11 2015, Vol.79, 14-15. Physician anesthesiologists have long recognized the importance of measuring and maintaining normal body temperature. Multiple research studies have demonstrated that hypothermia increases cardiac arrhythmias, increases blood loss, raises rates of surgical infections and delays patient awakening. Reflecting that importance, temperature management was one of the […]
Read MoreAuthors: Vito Fanelli MD, PhD, et al Anesthesiology published on 11 2015. Background: Neuromuscular blocking agents (NMBAs) bind the nicotinic acetylcholine receptor α1 (nAChRα1) that also contributes to inflammatory signaling. Thus, the author hypothesized that the use of NMBA mitigates lung injury by improving ventilator synchrony and decreasing inflammatory responses. Methods: Lung injury was induced by intratracheal instillation of hydrogen […]
Read MoreAuthors: Judith A. R. van Waes, MD, et al Anesthesiology published on 11 2015. Background: Postoperative myocardial injury occurs frequently after noncardiac surgery and is strongly associated with mortality. Intraoperative hypotension (IOH) is hypothesized to be a possible cause. The aim of this study was to determine the association between IOH and postoperative myocardial injury. Methods: This cohort study […]
Read MoreAuthors:Emine Ozgur Bayman, PhD, et al Anesthesiology published on 11 2015. Background: One anesthesiologist performance metric is the incidence of “prolonged” (15 min or longer after dressing complete) times to extubation. The authors used several methods to identify the performance outliers and assess whether targeting these outliers for reduction could improve operating room workflow. Methods: Time to extubation data […]
Read MoreAuthors: Michael L. Beach, MD, PhD, et al Anesthesiology published on 11 2015. Background: Studies that have attempted to define the incidence of aspiration or pulmonary complications during sedation/anesthesia of children with respect to nil per os (NPO) status or other factors are difficult because of the relatively infrequent rate of these complications. Methods: The Pediatric Sedation Research Consortium consists of […]
Read MoreAuthors: Christian Jeleazcov MD. M.Sc, et al Anesthesiology published on 11 2015 Background: Patient-controlled analgesia (PCA) is a common method for postoperative pain therapy, but it is characterized by large variation of plasma concentrations. PCA with target-controlled infusion (TCI-PCA) may be an alternative. In a previous analysis, the authors developed a pharmacokinetic model for hydromorphone. In this secondary […]
Read MoreAuthors: Timothy J. Wigmore, MA, FRCA, FFCM, FFICM FCICM et al Anesthesiology published on 11 2015. Background: Surgical resection remains the best option for long-term survival in many solid tumors. Surgery can, however, lead to tumor cell release into the circulation. Data have suggested differential effects of anesthetic agents on cancer cell growth. This retrospective analysis investigated the […]
Read MoreThe FDA has approved a nasal spray version of naloxone hydrochloride (marketed as Narcan) to stop or reverse opioid overdose. The drug was previously approved only as an injection; the new version, says the agency, is both easier for first responders to administer and eliminates the risk for needlestick contamination. The drug is indicated for […]
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