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Anesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 759–766 Authors: Kpéa, Laure RM, MPH et al BACKGROUND: The rate of neuraxial analgesia during labor in France is one of the highest among high-income countries: 77% of vaginal deliveries in 2010. In this context, the question of how women’s preferences for […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 752–758 Authors: Arzola, Cristian MD, MSC et al BACKGROUND: Bedside gastric ultrasound can reliably assess gastric contents in the perioperative period. We aimed to describe the qualitative and quantitative ultrasound assessment of the gastric antrum in fasted pregnant women at term. METHODS: […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 716–726 Authors: Komatsu, Ryu MD et al BACKGROUND: We tested the hypothesis that hypothyroidism, as defined by thyroid-stimulating hormone (TSH) concentration, is associated with a severity-weighted composite of mortality and major cardiovascular and infectious complications after noncardiac surgery. METHODS: In this retrospective […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 709–715 Authors: Sun, Zhuo MD et BACKGROUND: The incidence, severity, and duration of postoperative oxygen desaturation in the general surgical population are poorly characterized. We therefore used continuous pulse oximetry to quantify arterial oxygen saturation (SpO2) in a cross-section of patients having […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 678–692 Authors: Epstein, Richard H. MD et al In this review article, we address issues related to using data from anesthesia information management systems (AIMS) to deliver near real-time alerts via AIMS workstation popups and/or alphanumeric pagers and post hoc reports via […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 652–660 Authors: Karan, Suzanne B. MD et al BACKGROUND: Physostigmine, a centrally acting acetylcholinesterase inhibitor, is most commonly used by anesthesiologists in the postanesthetic setting to reverse confusion caused by central anticholinergic medication effects. It has also been proposed as a treatment […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 645–651 Authors: Van Cleve et al BACKGROUND: The inverse relationship between age and dose requirement for potent volatile anesthetics is well established, but the question of whether anesthetic providers consider this relationship in practice remains unanswered. We sought to determine whether there […]
Read MoreAnesthesia & Analgesia: September 2015 – Volume 121 – Issue 3 – p 601–609 Authors: Tousignant, Claude MD, FRCPC et al Abstract Pulmonary hypertension and associated vascular changes may frequently accompany left-sided heart disease in the adult cardiac surgical population. Perioperative assessment of right ventricular function using echocardiography is well established. In general, understanding the […]
Read MorePain Med 2015 Aug Authors: Claroni C et al OBJECTIVE: Continuous surgical wound infusion with local anesthetics is an effective and widely used technique in postoperative pain management. Some aspects of this technique, however, require further investigation. The aim of this study was to retrospectively assess whether continuous infusion of ropivacaine delays the process of wound healing, […]
Read MorePain Med 2015 Aug Authors: Winegarden Jet al OBJECTIVE: We report a case of opioid-induced neurotoxicity (OIN) in an actively dying hospice patient, its reversal and improved analgesia that followed opioid dosage reduction made possible after addition of IV ketamine. We briefly review the diagnosis and treatment of OIN. SETTING: OIN, particularly when associated with high […]
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