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Authors: 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 […]
Read MorePublished in Anesthesiology on 3 2015. Authors: Christoffer C. et al Background: Psychiatric disorder (PsD) is rarely considered when evaluating perioperative risk factors. Studies on PsD are often limited by use of administrative coding, incomplete follow-up, and lack of preoperative data on psychopharmacological treatment. Methods: A multicenter study with prospective registration on preoperative comorbidity, complete 90-day follow-up, and […]
Read MoreAuthors: Silverberg MJ et al., Crit Care Med 2015 Mar 43:636 In a randomized study, first-attempt intubation success was nearly twice as high with GlideScope video laryngoscopy compared with direct laryngoscopy in intensive care patients. Use of video laryngoscopy (VL) results in improved glottic views, fewer intubation attempts, and higher intubation success in both operating room and […]
Read MoreAuthors: Kragh JF Jr et al., Ann Emerg Med 2015 Mar 65:290 Severely injured soldiers treated with prehospital tourniquets fared as well as those with less severe injuries not treated with tourniquets. For traumatic limb hemorrhage, tourniquet use is common sense. To quantify its benefit, investigators reviewed data from a registry of injured U.S. soldiers in Afghanistan […]
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: 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. […]
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