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The use of supraglottic airway (SGA) devices in pediatric patients with neck masses “almost always” has an effect on the appearance of the masses on MRI scans, according to a 10-year review at a single institution. Results from analyzing the MRI scans from databases at the Children’s Hospital of Philadelphia (CHOP) support avoidance of SGA […]
Read MoreAUTHORS: McQuade David MBChB et al Anesthesia & Analgesia: July, 2017 BACKGROUND: A critical safety component of emergency anesthesia is the avoidance of hypoxemia during the apneic phase of a rapid sequence intubation. Preoxygenation with a bag valve mask (BVM) or anesthetic circuit may be improved with supplemental oxygen by nasal cannula (NC) if there is […]
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 meta-analysis of randomized controlled trials shows that gabapentin provides additional analgesia benefit in the regional anesthesia setting across a range of surgical procedures. According to the study authors, however, providers should consider limiting gabapentin to a one-time preoperative dose to maximize analgesic efficacy and modify its potential side-effect profile. “In the setting of regional […]
Read MoreResults of a quality improvement study suggest that current time-based guidelines for prophylactic enoxaparin before neuraxial procedures may need to be amended. Despite being more than 24 hours removed from a treatment dose of enoxaparin, nearly 60% of patients presenting for surgery had anti–factor Xa levels within the prophylactic or therapeutic range. Elderly patients appeared […]
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