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Although 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 MoreIf the experience of researchers at Duke University Medical Center is indicative of the nation as a whole, then infused medications are being wasted throughout the perioperative process. This is the product of preparing and priming standard infusions regardless of patient and procedural characteristics. The good news is that such practices seem to be easily […]
Read MoreBetter pain management protocols are needed for patients who undergo orthotopic liver transplantation, according to research presented here at the 2017 Annual Meeting of the Canadian Anesthesiologists Society (CAS). “Liver transplantation is very painful surgery,” said Hussein Sadkhan, MD, London Health Sciences Center/Western University, London, Ontario. “We conducted a retrospective study to assess pain control […]
Read MoreAlthough general anesthesia is preferred by many anesthesiologists because of a perceived superior safety profile, a study has found that it is no safer than sedation in patients undergoing transcatheter aortic valve replacement (TAVR). The retrospective trial concluded that compared with sedation, TAVR patients who receive general anesthesia do not have smaller volume requirements, fewer […]
Read MoreUsing biomarkers such as procalcitonin (PCT) in the ER can help physicians assess the risk for sepsis before patients are admitted to the ICU. The Society of Critical Care Medicine recently updated its sepsis guidelines, recommending early empirical broad-spectrum antibiotics that are then adjusted or de-escalated as more information becomes available. “The early identification of sepsis […]
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