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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 […]
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