AUTHORS: Görges, Matthias PhD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Dexmedetomidine is a highly selective α2-adrenergic agonist, which is increasingly used in pediatric anesthesia and intensive care. Potential adverse effects that have not been rigorously evaluated in children include its effects on blood glucose and serum potassium concentrations, which are relevant due to the associations […]
Read MoreAUTHORS: Birnbach, David J. MD, MPH et al Anesthesia & Analgesia: April 2019 BACKGROUND: Anesthesia providers’ hand hygiene practices in the operating room may contribute to the transmission of bacteria. There is a debate, however, over the best approaches for pathogen containment during task dense periods (induction and extubation) of anesthesia care. A novel approach to reducing […]
Read MoreAUTHORS: Vinclair, Marc MD et al Anesthesia & Analgesia: April 2019 BACKGROUND: Pupillary reflex dilation is a reliable indicator of response to noxious stimulation. In a proof of concept study, we investigated the performance of pupillary pain index, a new score derived from pupillary reflex dilation measurements, to predict nociceptive response to endotracheal suctioning in sedated critically […]
Read MoreAUTHORS: Epstein, Richard H. MD, FASA et al Anesthesia & Analgesia: April 2019 BACKGROUND: Hospitals achieve growth in surgical caseload primarily from the additive contribution of many surgeons with low caseloads. Such surgeons often see clinic patients in the morning then travel to a facility to do 1 or 2 scheduled afternoon cases. Uncertainty in travel time […]
Read MoreElevated systolic and diastolic blood pressure measurements independently predict risk for adverse cardiovascular events, according to a retrospective study in the New England Journal of Medicine. Roughly 1.3 million adults had their blood pressure taken on at least three separate occasions (median number of measurements, 22). Systolic hypertension (at least 140 mm Hg) and diastolic hypertension […]
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