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Author: Bob Kronemyer Anesthesiology News Transversus abdominis plane (TAP) catheters were associated with significantly less use of morphine milligram equivalents (MMEs) compared with epidural catheters in patients undergoing open colorectal surgery who were part of an enhanced recovery after surgery (ERAS) program, according to a retrospective chart review. “Our TAP catheter group received an average […]
Read MoreAUTHORS: Rubin, Daniel S. MD, MS et al Anesthesia & Analgesia: November 11, 2019 – BACKGROUND: Central line insertion is a core skill for anesthesiologists. Although recent technical advances have increased the safety of central line insertion and reduced the risk of central line–associated infection, noninvasive hemodynamic monitoring and improved intravenous access techniques have also reduced […]
Read MoreAUTHORS: Maheshwari, Kamal MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 636-643 BACKGROUND: Postoperative delirium is common in critically ill patients, with a reported incidence of 11%–43%, and is associated with significant morbidity and cost. Perioperative hypotension and consequent brain hypoperfusion may contribute. We, therefore, tested the […]
Read MoreAUTHORS: Xiao, Fei MD et al Anesthesia & Analgesia: November 11, 2019 BACKGROUND: Ondansetron has been shown to reduce the incidence of hypotension and vasopressor requirement during spinal anesthesia for obstetric and nonobstetric surgery. However, the magnitude of this effect has not been fully quantified. In this parallel-group, randomized, double-blinded study, we determined the effective dose […]
Read MoreAuthor: Bob Kronemyer Anesthesiology News Screening tests performed at the bedside to identify patients at high risk for an unanticipated difficult airway may be largely inaccurate. This startling finding comes from an abridged Cochrane Review of these diagnostic tests. The review consisted of 133 published studies, of which 127 were cohort trials and six were […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Premature infants and neonates exposed to anesthesia do not suffer clinically meaningful drawbacks as assessed by subsequent cognitive outcomes. The research from the University of Calgary concluded that although exposed infants and neonates had propensity-matched full-scale IQ (FSIQ) scores that were almost 3 points lower than those of their unexposed […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Compared with the use of volatile anesthetics, total IV anesthesia (TIVA) may offer long-term protective effects following breast cancer surgery. A new systematic review and meta-analysis concluded that patients undergoing TIVA with propofol had lower rates of cancer recurrence and higher rates of recurrence-free survival. However, there was no significant […]
Read MoreAuthor: Ethan Covey Anesthesiology News Most children who undergo MRI while under anesthesia experience hypothermia at some point during the procedure, according to a new study. However, those who became hypothermic did not show an increased rate of perianesthesia complications or longer PACU length of stay (LOS). “Temperature derangements can cause several harmful physiological responses […]
Read MoreAUTHORS: Simonet, Thérèse MD et al Anesthesia & Analgesia: November 5, 2019 BACKGROUND: Carbohydrate intake during physical exercise improves muscle performance and decreases fatigue. We hypothesized that carbohydrate intake during labor, which is a period of significant physical activity, can decrease the instrumental vaginal delivery rate. METHODS: In a multicenter, prospective, randomized, controlled trial, healthy […]
Read MoreNeil H. Winawer, MD, SFHM reviewing EK et al. J Clin Endocrinol Metab 2019 Sep 1 Diabetic patients with hypoglycemia on the last day of hospitalization had higher readmission rates and postdischarge mortality. Inpatient hypoglycemia worsens outcomes among patients with and without diabetes; however, little is known about the implications of low blood glucose levels during the […]
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