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Published in American Journal of Therapeutics: January/February 2015 – Volume 22 – Issue 1 – p 2–10 Authors: Singla, Neil K. MD et al Abstract Inadequate control of postoperative pain after orthopedic procedures may trigger complications that increase morbidity. Multimodal analgesia is used to manage pain effectively after surgical procedures and reduce the need for […]
Read MorePublish in A&A Case Reports: 1 February 2015 – Volume 4 – Issue 3 – p 37–38 Authors: Lam, Humphrey MD et al A 3-year-old male with isovaleric acidemia presented for dental rehabilitation under general anesthesia. In times of stress, such as in the perioperative period, patients with isovaleric acidemia are at greater risk for […]
Read MorePublished in Journal of Neurosurgical Anesthesiology January 2015 – Volume 27 – Issue 1 – p 1–6 Authors: Ghoneim, Ayman A. MD et al Background: The aim of this prospective, comparative, randomized study was to compare the inhalational anesthetics isoflurane, sevoflurane, and desflurane in pediatric patients undergoing craniotomy for excision of supratentorial tumors. We assessed […]
Read MoreAuthors: Wei Gao, M.D. et al Anesthesiology Published 3 2015. Background: One-lung ventilation (OLV) can result in local and systemic inflammation. This prospective, randomized trial was to evaluate the effect of therapeutic hypercapnia on lung injury after OLV. Method: Fifty patients aged 20 to 60 yr undergoing lobectomy were randomly provided with air or carbon dioxide (partial pressure […]
Read MoreThis is for our pain providers. Authors: Lipton RB et al., Neurology 2015 Jan 21; Ineffective acute treatment is associated with progression from episodic to chronic migraine, but a causal relationship cannot be assumed. Using population-based data from the American Migraine Prevalence and Prevention Study, the authors examined whether efficacy of acute migraine treatment predicted progression from […]
Read MorePublished in Anesthesiology 3 2015. Authors: Randolph H. Steadman, M.D., M.S et al Background: This study describes anesthesiologists’ practice improvements undertaken during the first 3 yr of simulation activities for the Maintenance of Certification in Anesthesiology Program. Methods: A stratified sampling of 3 yr (2010–2012) of participants’ practice improvement plans was coded, categorized, and analyzed. Results: Using the sampling […]
Read MorePUBLISHED in Anesthesia & Analgesia: March 2015 – Volume 120 – Issue 3 – p 526–533 AUTHORS: Glance, Laurent G. MD et al. BACKGROUND: One of every 150 hospitalized patients experiences a lethal adverse event; nearly half of these events involves surgical patients. Although variations in surgeon performance and quality have been reported in the […]
Read MoreSurvival rates for high-risk surgeries diverge greatly from hospital to hospital, a new report indicates, underscoring the fact that much work still needs to be done to improve patient outcomes. In the analysis, the nonprofit Leapfrog Group used 2013 data from 1,500 hospitals to determine “predicted survival” rates for abdominal aortic aneurysm (AAA) repairs, aortic valve replacements (AVR), esophagectomy […]
Read MoreAuthors: Spertus J., N Engl J Med 2015 Mar 12; 372:1069 A randomized trial suggests no significant differences between liberal and restricted thresholds — but leaves room for debate. The optimal hemoglobin threshold for transfusion after surgical procedures is a longstanding controversy. Observational studies of patients undergoing cardiac surgery have suggested worse outcomes with liberal transfusion thresholds […]
Read MoreAuthors: King JT Jr et al., JAMA Surg 2015 Feb 25; Thirty-day mortality, although relatively low, was still higher than for HIV-uninfected patients. Now that HIV-infected individuals have a near-normal life expectancy, they are increasingly likely to undergo surgical procedures. How do their short-term surgical outcomes compare with those of HIV-uninfected patients? To answer this question, investigators studied […]
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