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Judging by the experience of two large hospitals, the perioperative surgical home (PSH) model of care can create substantial cost savings, an important benefit as the idea seeks to be widely adopted. The PSH model is a patient-focused multidisciplinary approach whose goal is to optimize health care value, with anesthesiologists at the head of a […]
Read MorePublished in BMC Anesthesiol. 2014;14(69) Authors: Mark E Hudson et al Background The effectiveness of sugammadex in reversing rocuronium-induced neuromuscular blockade (NMB) in the presence of drugs that may potentiate NMB remains to be fully established. The aim of this post-hoc analysis of data from a Phase III clinical trial (VISTA; NCT00298831) was to investigate […]
Read MoreA Case Series Published in BMC Anesthesiol. 2014;14(70) Authors: Rafael Jaimes et al 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 […]
Read MoreThis is for our readers who practice chronic pain management The US Food and Drug Administration (FDA) has granted marketing clearance for an injectable microchip neuromodulation device for the relief of chronic back and leg pain. The Stimwave Freedom Spinal Cord Stimulation (SCS) system is expected to be available in the United States as of […]
Read MorePublished in BMC Anesthesiol. 2014;14(72) Authors: Hung-Te Hsu et al Background The use of a video-assisted laryngoscope (VL) has been shown to reduce the time to achieve intubation with a double-lumen endobronchial tube (DLT). As the blade of the VL is curved differently to a standard laryngoscope, the DLT must be angled into a hockey […]
Read MoreHow Can We Hit a Moving Target? Published in BMC Anesthesiol. 2014;14(73) Authors: Thomas R Vetter, James M Hunter, Arthur M Boudreaux Background With the advent of percutaneous coronary intervention, specifically the bare metal stent and subsequently, the drug-eluting stent, the scope of interventional cardiology has greatly increased. Aspirin, in combination with a thienopyridine is […]
Read MorePublished in Obes Surg. 2014 Nov 13. Authors: Weingarten TN et al BACKGROUND: Phase I postanesthesia recovery is often prolonged after laparoscopic bariatric surgery. We hypothesized that postoperative respiratory depression is a major contributor to this delayed recovery. METHODS: Medical records of all patients who had a laparoscopic bariatric surgical operation from January 1, 2009, to […]
Read MoreAuthors: Machado GC et al., BMJ 2015 Mar 31; 350:h1225 Its effectiveness for osteoarthritis-related hip and knee pain is marginal. Acetaminophen is recommended as a first-line analgesic for low back pain and pain related to hip and knee osteoarthritis (OA), but evidence supporting this practice is weak. In this meta-analysis of data from 13 randomized trials, researchers […]
Read MorePublished in Anesthesiology on 3 2015. Authors: Ji Hye Park, M.D. et al Background: To compare surgical pleth index (SPI)-guided analgesia with conventional analgesia by evaluating intraoperative analgesic requirements, postoperative pain, and emergence agitation in children. Methods: This study was designed as a parallel, two-arm, double-blind, randomized controlled trial. Forty-five children undergoing elective adenotonsillectomy were randomly allocated to […]
Read MoreAuthors: Ilan Azuelos, M.D. et al Published in Anesthesiology on 3 2015 Background: Mechanical ventilation (MV) is associated with atrophy and weakness of the diaphragm muscle, a condition termed ventilator-induced diaphragmatic dysfunction (VIDD). Autophagy is a lysosomally mediated proteolytic process that can be activated by oxidative stress, which has the potential to either mitigate or exacerbate VIDD. […]
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