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Authors: Naveed Siddiqui MD et al Anesthesiology 11 2015, Vol.123, 1033-1041. Background: Misidentification of the cricothyroid membrane in a “cannot intubate-cannot oxygenate” situation can lead to failures and serious complications. The authors hypothesized that preprocedure ultrasound-guided identification of the cricothyroid membrane would reduce complications associated with cricothyrotomy. Methods: A group of 47 trainees were randomized to digital palpation […]
Read MoreAuthors: Maxim A. Terekhov et al Anesthesiology 11 2015, Vol.123, 1059-1066. doi:10.1097/ALN.0000000000000858 Background: Estimating surgical risk is critical for perioperative decision making and risk stratification. Current risk-adjustment measures do not integrate dynamic clinical parameters along with baseline patient characteristics, which may allow a more accurate prediction of surgical risk. The goal of this study was to determine […]
Read MoreThe American Heart Association has updated its comprehensive guidelines on cardiopulmonary resuscitation and emergency cardiovascular care. The update appears in Circulation. Among the more salient points for healthcare providers: The recommended chest compression depth is 2 to 2.4 inches at a rate of 100 to 120 per minute. To reduce the time to first compression, providers […]
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 MorePatients taking morphine or oxycodone for pain can be safely switched to buprenorphine buccal film without the need for tapering and without causing significant withdrawal or undertreatment of their pain, a new randomized trial suggests. Buprenorphine HCl buccal film is a new transmucosal form of buprenorphine delivered using a small patch placed on the mucosa […]
Read MoreA US Food and Drug Administration (FDA) advisory committee has recommended approval of a new extended-release, abuse-deterrent oxycodone that may be an advance over similar products. The members of the Anesthetic and Analgesic Drug Products Advisory Committee and the Drug Safety and Risk Management Advisory Committee voted 23 to 0 to support approval of Collegium […]
Read MoreBMC Anesthesiol. 2015;15(94) Authors: Huanwei Jiang; Benchao Shi; Shiyuan Xu Background: We herein provide an analysis of lumbar epidural catheterization, which outlines a detailed anatomical description of the epidural anatomy, and may improve the success rate of neuraxial cannulation. Methods: Lumbar epidural catheters were placed in 50 adult embalmed cadavers. After catheterization, the lumbar dura and connecting structures […]
Read MoreIn some large, academic hospitals, busy surgeons often request the concurrent use of multiple operating rooms (ORs), with the goal of increasing efficiency. In the past, the practice has been associated with increased patient time in the OR, but little if any research to date has studied the issue formally. Timothy Harwood, MD, director of […]
Read MoreAnesth Analg. 2015 Sep 1. Authors: Grant MC etc al BACKGROUND: Research has shown that high-risk surgical patients benefit from a multimodal therapeutic approach to prevent postoperative nausea and vomiting (PONV). Our group sought to investigate the effect of administering IV midazolam on PONV. METHODS: This meta-analysis included 12 randomized controlled trials (n = 841) of adults […]
Read MoreAn investigational opioid with a novel mechanism of action produced rapid pain relief in a new study. Results of a double-blind, phase 2 study of the drug (TRV130, Trevena Inc) showed that it was superior to placebo in terms of reducing pain intensity in patients undergoing a bunionectomy, relieving pain within 5 minutes of administration […]
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