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Authors: Dan M. Drzymalski, M.D. et al Anesthesiology 11 2019, Vol.131, 1036-1045. What We Already Know about This Topic: Sugammadex provides rapid and effective reversal of neuromuscular blocks but is expensive What This Article Tells Us That Is New: The investigators tested the hypothesis that a cognitive aid to guide selective use of sugammadex reduced use […]
Read MoreAnesthesiology News The Frost Series #352 Author: Michael Goldenberg Reviewed by: Sonia Vaida, MD Case Presentation A 49-year-old, 95-kg man presented for a total thyroidectomy and radical neck dissection due to a cancerous goiter. His medical history was significant for hypertension treated with beta-blockers, and type 2 diabetes mellitus. General anesthesia was induced with fentanyl, […]
Read MoreAUTHORS: Bubenek-Turconi, Şerban Ion MD et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Consecutive fluid challenges (FCs) are frequently administered to maximize the stroke volume (SV) as part of a goal-directed therapy (GDT) strategy. However, fluid administration may also cause acute hemodilution that might lead to an actual paradoxical decrease in oxygen delivery (DO2). The aim […]
Read MoreAUTHORS: Jelacic, Srdjan MD, FASE et al Anesthesia & Analgesia: July 9, 2019 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 that aviation-style computerized checklist displayed onto large, centrally located screen […]
Read MoreAUTHORS: Colish, Jane FRCPC et al Anesthesia & Analgesia: July 9, 2019 The primary outcome of this 8-year retrospective review was the failure of spinal anesthetic (SA) in elective hip and knee joint arthroplasty surgery. Of 3542 SAs, a total of 135 failures were identified (3.8%). Factors associated with increased odds of failure were younger age […]
Read MoreI just wanted to share this with our readers who are in management. Everyone needs feedback to grow. But if you deliver it in a way that feels like an attack, your employees will probably get defensive and shut down. Here’s how to give negative feedback more productively: Start the conversation by noting when and […]
Read MoreAUTHORS: Chow, Jonathan H. MD et al Anesthesia & Analgesia: July 9, 2019 BACKGROUND: Acute traumatic coagulopathy is common in trauma patients. Prompt diagnosis of hypofibrinogenemia allows for early treatment with cryoprecipitate or fibrinogen concentrate. At present, optimal cutoffs for diagnosing hypofibrinogenemia with kaolin thrombelastography (TEG) have not been established. We hypothesized that kaolin kaolin-TEG parameters, such […]
Read MoreAUTHORS: Herzog-Niescery, Jennifer MD et al Anesthesia & Analgesia: July 5, 2019 BACKGROUND: Studies demonstrated that operating room personnel are exposed to anesthetic gases such as sevoflurane (SEVO). Measuring the gas burden is essential to assess the exposure objectively. Air pollution measurements and the biological monitoring of urinary SEVO and its metabolite hexafluoroisopropanol (HFIP) are possible approaches. […]
Read MoreAUTHORS: Will, Nicholas D. MD et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 819-829 BACKGROUND: Intraoperative red blood cell (RBC) transfusion is common, yet transfusion strategies remain controversial as pretransfusion hemoglobin triggers are difficult to utilize during acute bleeding. Alternatively, postoperative hemoglobin values may provide useful information regarding transfusion […]
Read MoreAuthors: Mukadder Orhan‐Sungur et al Pediatric Anesthesia 04 Oct 2019 Background Endotracheal tube size can be predicted according to ultrasound measurement of subglottic airway diameter. The learning curve for this method is not yet established. The aim was to evaluate the learning curve of anesthesiology residents in ultrasound measurement of subglottic airway diameter for prediction […]
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