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Administration of beta blockers after cardiac surgery provides a significant protective effect against postoperative atrial fibrillation, but the timing of administration does not seem to affect the incidence of the sometimes devastating adverse event, a study has concluded. The researchers thereforerecommended use of the agents on either postoperative day 1 or 2, in appropriate patient populations. “Most anesthesiologists […]
Read MoreHemoglobin level may not tell the whole story in cases of preoperative anemia. Instead, classifying anemia based on the size of red blood cells might predict clinical outcomes following elective cardiac surgery, a recent analysis concluded. Despite not having the most severe anemia, patients with macrocytic anemia had the highest risk for needing red blood […]
Read MoreIntraoperative goal-directed fluid therapy has been an essential component of enhanced recovery after surgery (ERAS) protocols, but findings from a recent quality improvement initiative questioned its clinical value and impact. In the presence of an ERAS pathway that included early ambulation and alimentation, the addition of intraoperative goal-directed fluid therapy did not reduce complications, readmissions […]
Read MoreAdministering acetaminophen during surgery can reduce the incidence of post-operative shivering in surgical patients, a side effect of general anaesthesia that can stress the cardiovascular system, putting patients with cardiopulmonary problems at risk, according to research presented at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Takehiro Kinjo, MD, University of the […]
Read MoreAuthors: David B. Auyong, M.D. et al Anesthesiology April 2018 Background: The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapular levels, comparing them individually to the interscalene approach. […]
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