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Published in Acta Anaesthesiol Scand. 2015 Jul;59(6):788-95. Authors: Kim YS et al BACKGROUND: Intravenous or volatile agents reduce respiratory function, which can result in respiratory complications in geriatric patients. We hypothesised that there would be no differences in lung function between anaesthesia established using either drug. METHODS: Elderly patients were randomly assigned to receive either propofol […]
Read MoreThe FDA launched its first free mobile app specifically designed to speed public access to valuable information about drug shortages. The app identifies current drug shortages, resolved shortages and discontinuations of drug products. Drug shortages are a fact of life for hospital pharmacists, and can lead health care professionals to rely on alternative drug products, […]
Read MoreOne of the main adverse events faced by elderly patients undergoing surgery is postoperative cognitive dysfunction (POCD). Yet, according to researchers at the University of Sao Paulo, in Brazil, the incidence of POCD appears to be manageable with the addition of dexamethasone to a general anesthetic regimen, especially one that uses light anesthesia. As reported […]
Read MoreAuthors: Das SK et al., Can J Anaesth 2015 Apr 62:413 In a meta-analysis, transtracheal ultrasound was highly sensitive and specific for detecting tracheal placement during emergency intubation. Transtracheal ultrasound verification of endotracheal intubation. Shows one air-mucosa interface with comet-tail artifact for tracheal intubation and two air-mucosa interfaces with comet-tail artifact or double-track sign for esophageal intubation. […]
Read MoreAuthors: Rafael Jaimes et al Published in BMC Anesthesiol. 2014;14(70) Background Epidural lipomatosis (EL) is an increase of adipose tissue, normally occurring in the epidural space, sufficient to distort the thecal sac and compress neural elements. There is a lack of knowledge of risk factors, impact on patient’s symptoms, and its possible association with epidural steroid injections. […]
Read MorePublished in BMC Anesthesiol. 2014;14(78) Authors: Serdar Demirgan et al Background Hypothermia has been used in cardiac surgery for many years for neuroprotection. Mild hypothermia (MH) [body temperature (BT) kept at 32–35°C] has been shown to reduce both mortality and poor neurological outcome in patients after cardiopulmonary resuscitation (CPR). This study investigated whether patients who were expected […]
Read MoreBy Frederick L. Greene, MD Editor’s note: Dr. Greene, clinical professor of surgery, UNC School of Medicine, Chapel Hill, North Carolina, wrote the following commentary for General Surgery News. He does not agree with the notion that anesthesiologists should assume a perioperative managerial role. A fascinating trend in medicine that has developed during the past […]
Read MoreFor a surgeon’s view, see “The ‘Perioperativists‘ Are Coming!” by Frederick L. Greene, MD. Most anesthesiologists believe they should be in charge of key decisions in the operating room (OR) regarding resource and personnel allocation, despite a lack of training in these areas, according to a recent survey. Researchers asked attendees at the 68th New […]
Read MoreEight-Year Results of the Spine Patient Outcomes Research Trial (SPORT) Published in Spine. 2015;40(2):63-76. Authors: Jon D. Lurie, MD, MS et al Study Design. Randomized trial with a concurrent observational cohort study. Objective. To compare 8-year outcomes of surgery with nonoperative care for symptomatic lumbar spinal stenosis. Summary of Background Data. Surgery for spinal stenosis has been shown to […]
Read MoreThis is for our pain practice providers. Published in Spine. 2015;40(2):77-85. Authors: Greger Lønne, MD et al Study Design Prospective randomized controlled multicenter study. Objective To compare the effect of X-Stop with minimally invasive decompression (MID) in patients with neurogenic intermittent claudication due to lumbar spinal stenosis. Summary of Background Data Lumbar spinal stenosis is the most common indication […]
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