Abusive behavior in the operating room (OR) is disturbingly prevalent, according to an international study by a team of Canadian clinicians. Given these findings, the investigators called for efforts to eradicate such behavior, including training in violence prevention, de-escalation, stress reduction and anger management. “Disruptive behavior in the OR implies actions that do not show […]
Read MoreAUTHORS: Uppal, Vishal FRCA et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1627–1637 BACKGROUND: It is widely believed that the choice between isobaric bupivacaine and hyperbaric bupivacaine formulations alters the block characteristics for the conduct of surgery under spinal anesthesia. The aim of this study was to systematically review the […]
Read MoreAUTHORS: Xu, Zifeng MD, PhD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1560–1566 BACKGROUND: Aortocaval compression by the gravid uterus, low baseline vasomotor tone, and spinal anesthesia-related sympathetic blockade contribute to spinal anesthesia-induced hypotension during cesarean delivery. The finger perfusion index (PI) can predict spinal hypotension by reflecting baseline […]
Read MoreA multivariable prediction model for outcome after lower back surgery taking into account comorbidity history, back pain score, and motor and physical deficits may predict 12-month improvements in physical disability, the ability of the patient to return to work, major complications, readmissions, and inpatient rehabilitation requirements reliably, according to a study published in Neurosurgical Focus. In […]
Read MoreAUTHORS: Wu, Meng-Che MD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1549–1557 BACKGROUND: Several clinical trials on hypertonic fluid administration have been completed, but the results have been inconclusive. The objective of this study is to summarize current evidence for treating hypovolemic patients with hypertonic solutions by performing a […]
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