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This article appears in the March 2015 issue of HealthLeaders magazine. The emergence of the SEDASYS system, the McSleepy, and other automated monitoring and drug delivery devices may herald the age of automation in anesthesia. Increasingly, a colonoscopy team includes not just a gastroenterologist but also an anesthesiologist. Not content with conscious sedation achieved through a […]
Read MoreThe odds of a clinician selecting the correct medication during a simulated medical emergency are more than twice as high when medication labels are designed to be read easily, researchers find. Labels on bags of IV fluids that are designed to be easy to read in a medical emergency can prevent medical errors and save lives, […]
Read MoreAuthors: Monserrate AE et al., JAMA Neurol 2015 Mar 72:325 Factors that acutely lower cerebrospinal fluid pressure may produce early post–lumbar puncture headache, but other factors affect headache persistence. Diagnostic lumbar punctures aid in the diagnosis of infections and diseases of the central nervous system. Life-threatening events from lumbar punctures are rare, but post–lumbar (dural) puncture headaches […]
Read MoreAuthors: Sousse LE et al., J Am Coll Surg 2015 Apr 220:570 Some outcomes appeared to be better with high tidal volume ventilation, but this study should not change practice. To compare the effects of low versus high tidal volume ventilation in pediatric patients with inhalational burns, researchers from a single burn hospital reviewed outcomes for 932 […]
Read MorePublished in Anesthesiology Newly Published on 3 2015. Authors: François Gaudreault, B.Sc., Ph.D. et al Background: Even though ropivacaine is frequently used during orthopedic surgery, the relationship between plasma concentrations and degree of sensory anesthesia after a peripheral nerve block is currently unknown. The aim of this study was to characterize this relation using population pharmacokinetic–pharmacodynamic modeling. […]
Read MoreAuthors: Lacroix J et al., N Engl J Med 2015 Mar 17; The use of fresh red cells did not improve 90-day mortality for intensive-care patients. Red blood cells are stored for as long as 42 days prior to transfusion. Because prolonged storage induces red cell deterioration, the freshest units are often selected for transfusion of critically ill […]
Read MoreThis is important because we are often asked to intubate these patients. Authors: Badhiwala JH et al., Ann Intern Med 2015 Mar 17; 162:429 A systematic review found no significant missed injuries in obtunded blunt trauma patients who had normal CT imaging of their cervical spines. Given the significant morbidity and mortality associated with missed traumatic cervical […]
Read MoreAuthors: Capp R et al., Crit Care Med 2015 Jan 30; Nonpersistent hypotension and lactate level ≥4.0 mmol/L were the strongest predictors of progression to septic shock 4 to 48 hours after presentation. Among patients with sepsis, only a few progress to severe sepsis or septic shock. In these patients, however, early and aggressive treatment improves outcomes. […]
Read MorePublished in Anesthesiology Newly Published on 3 2015 Authors: Glenn S. Murphy, M.D. et al Background: The intensity of pain after cardiac surgery is often underestimated, and inadequate pain control may be associated with poorer quality of recovery. The aim of this investigation was to examine the effect of intraoperative methadone on postoperative analgesic requirements, pain scores, […]
Read MorePublished in Anesthesiology on 3 2015. Authors: Allison M. Janda et al Background: The current study was designed to test the hypothesis that the fibromyalgia survey criteria would be directly associated with increased opioid consumption after hysterectomy even when accounting for other factors previously described as being predictive for acute postoperative pain. Methods: Two hundred eight adult patients […]
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