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Nashville’s Amsurg Corp. has agreed to buy the nation’s largest anesthesia services provider for $2.35 billion. The cash and stock deal for Sheridan Healthcare will see Sheridan investors issued Amsurg shares worth $615 million,Bloomberg reports, but Amsurg could replace with cash a “substantial portion” of the equity consideration. Amsurg operates 242 ambulatory surgery centers in […]
Read MoreAlmost overnight, a powerful new painkiller has become a $100 million business and a hot Wall Street story. But nearly as quickly, questions are emerging about how the drug is being sold, and to whom. The drug, Subsys, is a form of fentanyl, a narcotic that is often used when painkillers like morphine fail to […]
Read MoreAnesthesia Management: Ropivacaine plasma levels following local infiltration analgesia for primary total hip arthroplasty Published in Anaesthesia. 2014 Apr;69(4):368-73 Authors: Gill AM et al. Abstract We measured total and free plasma concentrations of ropivacaine following high-volume, high-dose local infiltration analgesia in 19 patients aged 65 years or over undergoing unilateral total hip arthroplasty. The patients […]
Read MorePublished in Anaesthesia. 2014 Jun;69(6):550-7 Authors: Glen JB et al Abstract We compared the predictive performance of the existing Diprifusor and Schnider models, used for target-controlled infusion of propofol, with a new modification of the Diprifusor model (White) incorporating age and sex covariates. The bias and inaccuracy (precision) of each model were determined using […]
Read MorePublished in Can J Anaesth. 2014 Jun;61(6):551-557 Authors: George RB et al. PURPOSE: Acute pain after open abdominal hysterectomy limits the function of patients in the postoperative period, but data regarding the analgesic efficacy of a low dose of pregabalin (75 or 150 mg) have been conflicting. This study was performed to determine if […]
Read MorePublished in Anaesthesia. 2014 Jun;69(6):583-90 Authors: Wang X et al. Abstract We measured pre-operative hepatic blood flow and postoperative morphine concentration in infants with or without biliary atresia. Thirty-four infants (0-3 months) with biliary atresia undergoing portoenterostomy (Kasai operation) were included and hepatic blood flow was assessed by magnetic resonance imaging before surgery in […]
Read MorePublished in Anaesthesia. 2014 Jun;69(6):558-72 Authors: Lindholm EE et al. Abstract The aim of this study was to define pre-operative echocardiographic data and explore if postoperative indices of cardiac function after open abdominal aortic surgery were affected by the anaesthetic regimen. We hypothesised that volatile anaesthesia would improve indices of cardiac function compared with […]
Read MorePublished in Can J Anaesth. 2014 Apr 25 Authhors: Perez-Protto S et al. BACKGROUND: Patients with dementia are thought to be more sensitive to anesthesia, although volatile anesthetic requirement has not specifically been evaluated in this population. We tested the hypothesis that patients with dementia having non-cardiac surgery have a lower ratio of bispectral index […]
Read MorePublished in Anaesthesia. 2014 Apr;69(4):348-55 Authors: Niraj G et al,. Posterior transversus abdominis plane blocks have been reported to be an effective method of providing analgesia after lower abdominal surgery. We compared the efficacy of a novel technique of providing continuous transversus abdominis plane analgesia with epidural analgesia in patients on an enhanced […]
Read MoreRetained surgical items after surgery can be a significant source of mortality, morbidity, and cost. Computer-aided detection (CAD) technology can help prevent these costly errors, however, according to a group from the University of Michigan Health System. By combining a microtag placed on potentially retained foreign objects during surgery with the use of internally developed […]
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