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AUTHORS: Jelacic, Srdjan MD, FASE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 382-390 BACKGROUND: Many hospitals have implemented surgical safety checklists based on the World Health Organization surgical safety checklist, which was associated with improved outcomes. However, the execution of the checklists is frequently incomplete. We reasoned […]
Read MoreAUTHORS: Highland, Krista B. PhD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 402-408 BACKGROUND: Ketamine is routinely used within the context of combat casualty care. Despite early concerns that ketamine administration may be associated with elevated risk of posttraumatic stress disorder (PTSD), more recent evidence suggests no […]
Read MoreAUTHORS: Rigouzzo, Agnes MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 416-425 BACKGROUND: Rapid assessment of hemostasis during postpartum hemorrhage (PPH) is essential to allow characterization of coagulopathy, to estimate bleeding severity, and to improve outcome. Point of care (POC) coagulation monitors could be of great interest […]
Read MoreAuthor: Michael Vleesides Anesthesiology News The Challenge Has Already Started With the COVID-19 crisis yet to peak around the world and supplies of mechanical ventilators steadily growing shorter in some locations, a group of enterprising anesthesiologists from Massachusetts General Hospital is trying to make a difference. Their CoVent-19 Challenge is calling upon engineers, innovators, designers […]
Read MoreIncreasing demand for sedatives used to help put COVID-19 patients onto ventilators means the US Food and Drug Administration (FDA) added two more – this time the injectables propofol and dexmedetomidine – to its list of drug shortages. The propofol shortage was also previously listed by the American Society for Health-System Pharmacists (ASHP) earlier this month, with […]
Read MoreAUTHORS: Feldman, Jeffrey M. MD, MSE et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 374-381 BACKGROUND: Reducing fresh gas flow when using a circle anesthesia circuit is the most effective strategy for reducing both inhaled anesthetic vapor cost and waste. As fresh gas flow is reduced, the amount […]
Read MoreAUTHORS: Mouri, Hideyuki MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 367-373 BACKGROUND: In myasthenia gravis (MG) patients, postoperative myasthenic crisis, and residual neuromuscular blocking agent (NMBA) can cause respiratory failure that requires mechanical ventilation. However, it remains unclear whether the use of sugammadex for NMBA reversal […]
Read MoreAUTHORS: Maheshwari, Kamal MD, MPH et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 360-366 BACKGROUND: We previously reported that the duration of hospitalization was not different between isoflurane and sevoflurane. But more plausible consequences of using soluble volatile anesthetics are delayed emergence from anesthesia and prolonged stays in […]
Read MoreAUTHORS: Davies, Simon James MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 352-359 BACKGROUND: Intraoperative hypotension is associated with worse perioperative outcomes for patients undergoing major noncardiac surgery. The Hypotension Prediction Index is a unitless number that is derived from an arterial pressure waveform trace, and as […]
Read MoreAUTHORS: Wohlrab, Peter MD et al Anesthesia & Analgesia: February 2020 – Volume 130 – Issue 2 – p 321-331 BACKGROUND: Epidural-related maternal fever (ERMF) is an adverse effect of epidural analgesia during labor and is associated with perinatal and neonatal morbidity. Local anesthetics have been proposed to trigger ERMF via sterile inflammation. Ropivacaine is […]
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