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Authors: 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 […]
Read MoreAlthough patients with chronic kidney disease (CKD) who present for surgery are often instructed to stop certain medications preoperatively, a study from New York University Langone Medical Center has concluded that such cessation may be largely unnecessary. The researchers found that five common agents—angiotensin-converting enzyme (ACE) inhibitors/angiotensin receptor blockers, diuretics, statins, insulin and calcium channel […]
Read MoreEur J Anaesthesiol 2015 Sep 32(9): 602-8 Authors: Fassoulaki A MD et al Background: Propofol alone or combined with opioids is considered the drug of choice for sedation during endoscopic retrograde cholangiopancreatography (ERCP). OBJECTIVE: To investigate the effect of pre or intraprocedural opioids on propofol requirement during deep sedation for ERCP, and on recovery, pain […]
Read MorePatients with spinal stenosis (SS) experienced good short-term benefit, lasting from weeks to months, after receiving epidural steroid injections (ESI), according to a study published in the journal Pain Medicine. The study findings contradict a previously published study, published in 2014 in the New England Journal Medicine (NEJM), which found epidural steroid injections were not […]
Read MoreAuthors: Birnbach D MD et al Anesthesia & Analgesia (Jul 2015) BACKGROUND Anesthesiologists may contribute to postoperative infections by means of the transmission of blood and pathogens to the patient and the environment in the operating room (OR). Our primary aims were to determine whether contamination of the IV hub, the anesthesia work area, and […]
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