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Author: Ellen M. Soffin, M.D., Ph.D. Anesthesiology June 2022, Vol. 136, 883–884. “[This is] the best evidence to date to support bolus-based regimens for popliteal–sciatic catheters after foot and ankle surgery.” Continuous peripheral catheters provide prolonged analgesia, reduce opioid consumption, and enhance patient satisfaction after painful surgeries. Although these clinical benefits have been firmly established, the […]
Read MoreAuthors: Bi L. Li, M.D. et al Anesthesiology June 2022. Background Intranasal dexmedetomidine provides noninvasive, effective procedural sedation for pediatric patients, and has been widely used in clinical practice. However, the dosage applied has varied fourfold in pediatric clinical studies. To validate an appropriate dosing regimen, this study investigated the pharmacokinetics of intranasal dexmedetomidine in Chinese […]
Read MoreAuthors: Naveen Vanga, M.D. et al Anesthesiology July 2022, Vol. 137, 114–116. The supraglottic airway has proven its versatility in the operating room emergency room, and field resuscitation. However, the risk of pulmonary aspiration associated with supraglottic airways still exists. The fundamental design of the supraglottic airway has not been significantly changed since its inauguration in the 1980s. Second-generation supraglottic […]
Read MoreAuthors: Ian Yuan, M.D. et al Anesthesiology June 2022. Background Intraoperative isoelectric electroencephalography (EEG) has been associated with hypotension and postoperative delirium in adults. This international prospective observational study sought to determine the prevalence of isoelectric EEG in young children during anesthesia. The authors hypothesized that the prevalence of isoelectric events would be common worldwide […]
Read MoreAuthors: Romein W. G. Dujardin, M.D. et al Anesthesiology June 2022. Background Viscoelastic hemostatic assays such as rotational thromboelastometry (ROTEM) are used to guide treatment of trauma induced coagulopathy. The authors hypothesized that ROTEM derangements reflect specific coagulation factor deficiencies after trauma. Methods This was a secondary analysis of a prospective cohort study in six […]
Read MoreAuthors: Sergey Karamnov, M.D.; Jochen D. Muehlschlegel, M.D., M.M.Sc., M.B.A. Anesthesiology June 2022, Vol. 136, 877–879. “…postoperative atrial fibrillation is not a transient benign phenomenon but rather an ominous postoperative complication associated with increased risk of thromboembolism, stroke, and mortality.” Postoperative atrial fibrillation is one of the most common complications after thoracic noncardiac surgery. Despite contemporary prevention […]
Read MoreAuthors: Keya A. Locke, MD, MBA; Antonio Hernandez Conte, MD, MBA, FASA ASA Monitor May 2022, Vol. 86, 25–26. During the past few years, the COVID-19 pandemic has forced us to re-evaluate many components of our work as anesthesiologists and the organizations in which we work. Part of this organizational reflection has been to identify key features […]
Read MoreAuthors: Garrett W. Burnett, M.D. et al Anesthesiology May 2022, Vol. 136, 688–696. Background Pulse oximetry is ubiquitous in anesthesia and is generally a reliable noninvasive measure of arterial oxygen saturation. Concerns regarding the impact of skin pigmentation and race/ethnicity on the accuracy of pulse oximeter accuracy exist. The authors hypothesized a greater prevalence of occult […]
Read MoreAuthors: Hon Sen Tan, M.D., M.Med., M.H.Sc. et al Anesthesiology May 2022, Vol. 136, 678–687. Background The dural puncture epidural technique may improve analgesia quality by confirming midline placement and increasing intrathecal translocation of epidural medications. This would be advantageous in obese parturients with increased risk of block failure. This study hypothesizes that quality of labor […]
Read MoreAuthor: Matt Vera BS RN A lot of factors may affect the way you insert an intravenous catheter, but you have to control them and bend them to your convenience. Never rush on any nursing skills that you still not have, or take a shortcut just to achieve your goals. Along with these intravenous therapy […]
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