AUTHORS: Patel, Selina D. BMedSci, MBBS, FRCA et al Anesthesia & Analgesia: July 2017 BACKGROUND: The objective of this meta-analysis was to determine the efficacy of glycopyrrolate at reducing spinal hypotension during cesarean delivery. METHODS: A literature search was performed to identify randomized controlled trials investigating the effect of glycopyrrolate on spinal-induced hypotension during cesarean delivery. […]
Read MoreAUTHORS: MacKay, Emily J. DO et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 895–901 BACKGROUND: Admission hypocalcemia predicts both massive transfusion and mortality in severely injured patients. However, the effect of calcium derangements during resuscitation remains unexplored. We hypothesize that any hypocalcemia or hypercalcemia (either primary or from overcorrection) in […]
Read MoreAUTHORS: Cahill, Christine M. MS et al Anesthesia & Analgesia: July 2017 BACKGROUND: Extracorporeal membrane oxygenation supplies oxygenated blood to the body supporting the heart and lungs. Survival rates of 20% to 50% are reported among patients receiving ECMO for cardiac arrest, severe cardiogenic shock, or failure to wean from cardiopulmonary bypass following cardiac surgery. […]
Read MoreAUTHORS: Logvinov, Ilana I. RN, MSN, CCRP et al Anesthesia & Analgesia: July 2017 BACKGROUND: Studies of shared (patient-provider) decision making for elective surgical care have examined both the decision whether to have surgery and patients’ understanding of treatment options. We consider shared decision making applied to case scheduling, since implementation would reduce labor costs. METHODS: […]
Read MoreAlthough previous surrogate outcomes have suggested that IV dexamethasone can prolong the duration of peripheral nerve blockade, new research indicates otherwise. When sensory blockade was measured by an objective pinprick assessment, neither a 4- nor 8-mg dose of systemic dexamethasone given at the time of peripheral nerve blockade had an effect on block duration. “Based […]
Read More